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N226 Practice Questions (Activity and Exercise, Immobility, Skin Integrity and Wound Care, Urinary Elimination, Nutrition & Bowel Elimination)$10.69
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N226 Practice Questions (Activity and Exercise, Immobility, Skin Integrity and Wound Care, Urinary Elimination, Nutrition & Bowel Elimination)
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Course
N226
Institution
N226
N226 Practice Questions (Activity and Exercise, Immobility, Skin Integrity and Wound Care, Urinary Elimination, Nutrition & Bowel Elimination)
To maintain proper posture, it is important to...
A. Avoid arching shoulders forward when sitting
B. Keep your knees locked when standing upright
C....
N226 Practice Questions (Activity and Exercise,
Immobility, Skin Integrity and Wound Care, Urinary
Elimination, Nutrition & Bowel Elimination)
To maintain proper posture, it is important to...
A. Avoid arching shoulders forward when sitting
B. Keep your knees locked when standing upright
C. Keep your stomach muscles relaxed to prevent back spasms
D. Sleep on the softest mattress possible *** A. Avoid arching shoulders forward when
sitting
The nurse knows that the primary reason for the application of a sequential
compression device (SCD) on the legs of an immobile patient is to...
A. Aid in peripheral circulation to minimize the risk of skin breakdown
B. Assist in passive range of motion exercise of the patient's lower extremities
C. Help prevent the formation of deep vein thrombosis (DVT)
D. Stimulate circulation in the deep arterial system *** C. Help prevent the formation of
deep vein thrombosis (DVT)
Which of the following places a nurse at risk for obtaining a back injury?
A. Lifting a box of IV supplies up and over the head to place on a shelf
B. Placing the feet 2 feet apart before sliding a patient up in bed
C. Raising the bed to waist level when starting an IV
D. Squatting to measure the chest tube drainage *** A. Lifting a box of IV supplies up
and over the head to place on a shelf
You are to get a patient with right-sided weakness up into a chair. On which side of the
bed will you place the chair?
A. Either side, because you are assisting the patient
B. On the patient's left side
C. On the patient's weak side
D. On whichever side the patient prefers *** B. On the patient's left side
A nurse is instructing a patient who has decreased leg strength on the left side on how
to use a cane. Which actions indicate proper cane use by the patient? (Select all that
apply.)
A. The patient keeps the cane on the left side of the body
,B. The patient slightly leans to one side while walking
C. The patient keeps two points of support on the floor at all times
D. After the patient places the cane forward, he or she then moves the right leg forward
to the cane
E. The patient places the cane forward 15-25 cm (6-10 in) with each step *** C. The
patient keeps two points of support on the floor at all times
E. The patient places the cane forward 15-25 cm (6-10 in) with each step
A patient is experiencing some problems with joint stability in the right leg. The doctor
has prescribed crutches for the patient to use while being allowed to bear weight only
on the left leg. Which of the following gaits should the patient be taught to use?
A. Four-point
B. Three-point
C. Two-point
D. Swing-through *** B. Three-point
Which of the following motivates a patient to participate in an exercise program? (Select
all that apply.)
A. Providing a patient with a pamphlet on exercise
B. Providing information to the patient when he or she is ready to change behavior
C. Explaining the importance of exercise at the time of diagnosis of a chronic disease
D. Having a structured daily plan that incorporates physical activity
E. Having support from significant other to engage in exercise *** B. Providing
information to the patient when he or she is ready to change behavior
D. Having a structured daily plan that incorporates physical activity
E. Having support from significant other to engage in exercise
The nurse is caring for an older adult in a long-term care setting. The nurse reviews the
medical record to find that the patient has progressive loss of total bone mass. The
patient's history and tendency to take smaller steps with feet kept closer together will
most likely result in which of the following?
A. Increase the patient's risk for falls and injuries
B. Result in less stress on the patient's joints
C. Decrease the amount of work required for patient movement
D. Allow for mobility in spite of the aging effects on the patient's joints *** A. Increase
the patient's risk for falls and injuries
What is the correct order of steps needed to transfer a patient with sufficient lower body
strength to a chair? (Hint: 7 steps) *** 1. Apply gait/transfer belt
2. Help patient apply stable, nonskid shoes/socks
3. Spread your feet apart. Flex hips and knees, aligning knees with patient's knees
4. Grasp transfer belt along patient's sides
,5. On count of three, instruct patient to stand while straightening hips and legs and
keeping knees slightly flexed
6. Maintain patient's balance as you pivot foot farthest from chair and then help patient
ease into chair
7. Assist patient to assume proper alignment in sitting position
Before transferring a patient from the bed to a stretcher, which assessment data does
the nurse need to gather? (Select all that apply.)
A. Patient's weight
B. Patient's activity tolerance
C. Patient's level of mobility
D. Recent laboratory values
E. Nutritional intake *** A. Patient's weight
B. Patient's activity tolerance
C. Patient's level of mobility
Which of the following indicates that additional assistance is needed to transfer a patient
from the bed to the stretcher? (Select all that apply.)
A. The patient is 5 feet, 6 inches and weighs 120 lb
B. The patient speaks and understands English
C. The patient is returning to unit from recovery room after a procedure requiring
conscious sedation
D. The patient has a history of being able to stand independently
E. The patient received analgesia for pain 30 minutes ago *** C. The patient is
returning to unit from recovery room after a procedure requiring conscious sedation
E. The patient received analgesia for pain 30 minutes ago
A 51-year-old adult comes to a medical clinic for an annual physical exam. The patient
is found to be slightly overweight and reports being inactive, walking only 2-3 times a
week with his wife after work. He has good muscle strength and coordination of lower
extremities. Which of the following recommendations from the Physical Activity
Guidelines for Americans should the nurse suggest? (Select all that apply.)
A. Move more and sit less throughout the day
B. Participate in at least 90 minutes a week of moderate-intensity aerobic physical
activity
C. Perform muscle-strengthening activities using light weights on 2 or more days a
week
D. Walk at a vigorous pace with wife at least 150 minutes over five days a week
E. Focus on balance training *** A. Move more and sit less throughout the day
C. Perform muscle-strengthening activities using light weights on 2 or more days a
week
D. Walk at a vigorous pace with wife at least 150 minutes over five days
, Family members have asked for a meeting with the nursing staff of an assisted-living
residential center to discuss the feasibility of their mother using a walker. The family is
worried that her health is declining; they wonder whether she can use the walker safely.
Which of the following instructions should the nurse give the family after assessing that
it is safe for the woman to use a walker? (Select all that apply.)
A. A walker is useful for patients who have impaired balance
B. The patient uses a walker by pushing the device forward
C. Leaning over the walker improves the patient's balance
D. Walkers should not be used on stairs
E. If the patient has difficulty advancing the walker, a walker with wheels is an option
*** A. A walker is useful for patients who have impaired balance
D. Walkers should not be used on stairs
E. If the patient has difficulty advancing the walker, a walker with wheels is an option
A patient has been on bed rest for over 5 days. Which of these findings during the
nurse's assessment may indicate a complication of mobility?
A. Decreased peristalsis
B. Decreased heart rate
C. Increased blood pressure
D. Increased urinary output *** A. Decreased peristalsis
An older-adult patient has been bedridden for 2 weeks. Which of these complains by the
patient indicates to the nurse that he or she is developing a complication of immobility?
A. Increase of appetite
B. Gum soreness
C. Difficulty in swallowing
D. Left ankle joint stiffness *** D. Left ankle joint stiffness
A patient is receiving 40 mg of enoxaparin subcutaneously every 12 hours while on
prolonged best rest to prevent thrombophlebitis. Because bleeding is a potential side
effect of this medication, the nurse should continually assess the patient for what signs
of bleeding? (Select all that apply.)
A. Bruising
B. Pale yellow urine
C. Bleeding gums
D. Coffee ground-like vomitus
E. Light brown stool *** A. Bruising
C. Bleeding gums
D. Coffee ground-like vomitus
What is the correct order of steps for positioning a patient in the 30-degree lateral side-
lying position? (Hint: 7 steps) *** 1. Lower head of bed flat if patient can tolerate it
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