NUR 105 Chapter 9 Activity NCLEX Exam
Questions With Complete Solutions
The nurse is caring for a client who is on bed rest and was just turned to the left
side. Which action should the nurse take next to decrease the risk of impaired
skin integrity? - ANSWER Pull the shoulder blade forward and out from under the
client.
The nurse and an UAP are preparing to move a client up in bed. Place the
following steps in the correct order. - ANSWER 1. remove all pillows from under
the client
2. adjust the head of the bed to a flat position
3. ask the client to bend the legs and place the chin on the chest
4. grasp the sheet and move the client on the count of three
5. position the UAP on the side opposite the nurse
6. place a friction reducing sheet under the client
Answer 2,1,5,6,3,
the nurse and an UAP are transferring a client from a bed onto a stretcher, prior
to the move where should the nurse position the stretcher? - ANSWER A.
alongside the bed 2 in lower
B. alongside the bed 2 in higher
C. alongside the bed either lower or higher
D. alongside the bed at the same height
Answer is D.
the nurse is transferring the client from the bed to a wheelchair when the client
reports dizziness. what is the next step for the nurse? - ANSWER A. quickly pivot
the client into the wheelchair to prevent client fall
B. have the client stand without moving to see if the dizziness will pass
C. firmly grip the gait belt and gently lower the client into bed
D. apply oxygen at 2lpm
Answer is C
the nurse observes a client independently move all the joints their normal
motions. which range of motion has the client demonstrated? - ANSWER A.
Active assistive range of motion
B. passive range of motion
C. active range of motion
D. limited range of motion
answer is C
, the nurse is helping a client walk in the hallway when the client suddenly
reaches for the handrail and states I feel so weak. I think I am going to pass out.
Which initial actions are appropriate select all that apply - ANSWER A. firmly
grasp the clients gait belt
B. apply O2 and wait several minutes
C. support the clients body against the nurse and gently slide the client onto the
floor
D. ask the client to lean against the wall while the nurse obtains a wheelchair
E. ask the client when was the last time you ate?
answers A and C
the nurse is demonstrating proper ambulation technique with a walker to a
hospitalized older adult with a diagnosis of weakness, what is the priority
nursing assessment? - ANSWER a. medication allergies
b. vital signs
c. lower extremity muscle strength
d. cognitive function level
answer is D
the nurse observes a client using a walker for ambulation. the client lifts the
walker places the rear feet on the ground ahead of him, steps forward with the
right leg. then the left leg, and then sets the front two feet of the walker on the
ground. what action does the client need? - ANSWER a. place all 4 feet of the
walker on the ground before stepping
b. drag the rear feet of the walker with you as you step
c. place the front 2 feet of the walker on the ground as you step
d. when stepping forward always lead with your left leg
answer is A
the nurse is demonstrating proper ambulation technique with crutches to a child
with a fractured ankle. what is priority assessment to be performed? - ANSWER
a. neuromuscular status
b. neurovascular status
c. pain status
d. weight bearing status
answer is D
what should the nurse teach the client about climbing stairs with a cane. -
ANSWER a. the client should advance the strong leg up the stair first followed by
the cane and weaker leg
b. the client should advance the weaker leg first then the cane and stronger leg
c. the client should place the cane one step above and use the stronger leg to
pull the weaker leg.
d. the client should place the cane one step above and use the weaker leg to pull
the stronger leg upward.
Questions With Complete Solutions
The nurse is caring for a client who is on bed rest and was just turned to the left
side. Which action should the nurse take next to decrease the risk of impaired
skin integrity? - ANSWER Pull the shoulder blade forward and out from under the
client.
The nurse and an UAP are preparing to move a client up in bed. Place the
following steps in the correct order. - ANSWER 1. remove all pillows from under
the client
2. adjust the head of the bed to a flat position
3. ask the client to bend the legs and place the chin on the chest
4. grasp the sheet and move the client on the count of three
5. position the UAP on the side opposite the nurse
6. place a friction reducing sheet under the client
Answer 2,1,5,6,3,
the nurse and an UAP are transferring a client from a bed onto a stretcher, prior
to the move where should the nurse position the stretcher? - ANSWER A.
alongside the bed 2 in lower
B. alongside the bed 2 in higher
C. alongside the bed either lower or higher
D. alongside the bed at the same height
Answer is D.
the nurse is transferring the client from the bed to a wheelchair when the client
reports dizziness. what is the next step for the nurse? - ANSWER A. quickly pivot
the client into the wheelchair to prevent client fall
B. have the client stand without moving to see if the dizziness will pass
C. firmly grip the gait belt and gently lower the client into bed
D. apply oxygen at 2lpm
Answer is C
the nurse observes a client independently move all the joints their normal
motions. which range of motion has the client demonstrated? - ANSWER A.
Active assistive range of motion
B. passive range of motion
C. active range of motion
D. limited range of motion
answer is C
, the nurse is helping a client walk in the hallway when the client suddenly
reaches for the handrail and states I feel so weak. I think I am going to pass out.
Which initial actions are appropriate select all that apply - ANSWER A. firmly
grasp the clients gait belt
B. apply O2 and wait several minutes
C. support the clients body against the nurse and gently slide the client onto the
floor
D. ask the client to lean against the wall while the nurse obtains a wheelchair
E. ask the client when was the last time you ate?
answers A and C
the nurse is demonstrating proper ambulation technique with a walker to a
hospitalized older adult with a diagnosis of weakness, what is the priority
nursing assessment? - ANSWER a. medication allergies
b. vital signs
c. lower extremity muscle strength
d. cognitive function level
answer is D
the nurse observes a client using a walker for ambulation. the client lifts the
walker places the rear feet on the ground ahead of him, steps forward with the
right leg. then the left leg, and then sets the front two feet of the walker on the
ground. what action does the client need? - ANSWER a. place all 4 feet of the
walker on the ground before stepping
b. drag the rear feet of the walker with you as you step
c. place the front 2 feet of the walker on the ground as you step
d. when stepping forward always lead with your left leg
answer is A
the nurse is demonstrating proper ambulation technique with crutches to a child
with a fractured ankle. what is priority assessment to be performed? - ANSWER
a. neuromuscular status
b. neurovascular status
c. pain status
d. weight bearing status
answer is D
what should the nurse teach the client about climbing stairs with a cane. -
ANSWER a. the client should advance the strong leg up the stair first followed by
the cane and weaker leg
b. the client should advance the weaker leg first then the cane and stronger leg
c. the client should place the cane one step above and use the stronger leg to
pull the weaker leg.
d. the client should place the cane one step above and use the weaker leg to pull
the stronger leg upward.
