RN Mobility Assessment 2.0 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

RN Mobility Assessment 2.0 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified What is the first step in assessing a client's mobility? Determine the client’s baseline level of movement and physical limitations Why is it important to assess a client’s mobility before transferring them? To prevent injury and select the safest transfer method What tool can be used to evaluate a client’s risk for falls? Morse Fall Scale How often should a nurse assess mobility in hospitalized clients? At admission and as needed based on condition changes What should a nurse assess when observing a client’s gait? Balance, coordination, and symmetry of movement 2 What is a key sign of impaired mobility in an older adult? Unsteady gait or difficulty standing from a chair Why is it important to evaluate range of motion (ROM)? To assess joint flexibility and detect limitations What does active range of motion indicate? The client can move joints without assistance What is one indication for passive range of motion exercises? The client is unable to move a joint independently What is the nurse’s priority when a client reports dizziness upon standing? Assist them to sit or lie down immediately Why is it important to encourage ambulation in post-operative clients? To reduce the risk of complications such as pneumonia and blood clots 3 What should the nurse do if a client becomes weak while walking? Lower them gently to the floor to prevent a fall What is the best method to assess muscle strength during mobility assessment? Ask the client to push and pull against resistance How can a nurse evaluate a client’s balance? Have the client stand with feet together and eyes closed What should the nurse assess before ambulating a client with a walker? Ensure the walker is at the correct height and the client knows how to use it safely What is one indication that a client needs assistance with mobility? The client expresses fear of falling when walking What is the purpose of the “Timed Up and Go” test? To assess a client’s ability to rise, walk, and return safely 4 What should a nurse observe