Fundamentals of Nursing Exam 2
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How does the nurse maintain a low cen-
ter of gravity while transferring the pa-
tient from the bed to the chair?
a. The nurse ties the gait belt loosely
around the patient's waist.
b. The nurse stands with the knees slight-
b. The nurse stands with the knees slight-
ly bent and legs spread apart.
ly bent and legs spread apart.
c. The nurse bends at the waist when
setting the patient's feet on the floor.
d. The nurse leans backward slightly
when helping the patient to stand.
Which instruction directs the patient to
perform an isometric exercise?
a. "Use the trapeze to lift your upper body
off the bed."
b. "Tighten and hold your stomach mus- b. "Tighten and hold your stomach mus-
cles for 15 seconds." cles for 15 seconds."
c. "Close your fists and squeeze them
tightly, release and repeat."
d. "Lift your buttocks off the bed by push-
ing against the mattress."
The nurse is caring for a patient with a
traumatic injury to the cerebellum. Which
assessment finding will be expected as a
result?
a. The patient sways from side to side
when walking. a. The patient sways from side to side
b. The patient's ligaments are weak and when walking.
easily ruptured.
c. The patient has fine tremors with pur-
poseful movement.
d. The patient's joints are reddened,
swollen, and warm to touch.
What is the priority nursing diagnosis for
a patient with osteoporosis?
a. Risk for injury (fracture) related to frag-
ile bone tissue
b. Activity intolerance related to pain and
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joint stiffness
c. Impaired tissue integrity related to red,
a. Risk for injury (fracture) related to frag-
swollen, painful joints
ile bone tissue
d. Fatigue related to chronic inflammato-
ry destruction of tissues
Which assessment finding is expected
for a patient who suffered a left-sided
thrombotic stroke?
a. Bilateral footdrop d. Weakness of the right arm and leg
b. Fine tremors of the hands
c. Curvature of the lumbar spine
d. Weakness of the right arm and leg
The nurse is caring for a patient with
right-sided hemiplegia after a stroke.
Which is the appropriate goal for the di-
agnosis impaired transfer ability related
to insufficient muscle strength?
a. The patient will safely transfer from
bed to chair with the assistance of one
a. The patient will safely transfer from
person.
bed to chair with the assistance of one
b. The patient will verbalize feelings
person.
about physical limitations due to immo-
bility.
c. The nurse will reposition the patient
every 2 hours and pad bony promi-
nences.
d. The nurse will utilize a gait belt around
the patient's low back for all transfers.
The nurse is caring for a patient with
arthritis who wants to exercise but finds
it difficult due to joint pain and stiffness.
Which nursing diagnosis is appropriate
for this patient? a. Activity intolerance related to exertion-
a. Activity intolerance related to exertion- al discomfort
al discomfort
b. Noncompliance related to lack of mo-
tivation to exercise
c. Unilateral neglect related to health be-
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liefs about chronic illness
d. Powerlessness related to expressions
of uncertainty about benefits of exercise
Which is the priority intervention for a
patient with the nursing diagnosis of im-
paired physical mobility related to mus-
cle weakness and neuromuscular im-
pairment?
a. Allow the patient to decide when and
b. Utilize a walker, gait belt, and two nurs-
how far to ambulate each day.
ing staff members for ambulation.
b. Utilize a walker, gait belt, and two nurs-
ing staff members for ambulation.
c. Suggest a variety of physical activities
to encourage patient engagement.
d. Encourage the patient to use positive
self-talk to gradually increase strength.
Which is an appropriate goal for a patient
with the nursing diagnosis of sedentary
lifestyle related to generalized weakness
and fatigue?
a. The patient will identify barriers that
limit social interactions.
b. The patient will increase physical activ-
b. The patient will increase physical ac-
ity to 3500 steps daily.
tivity to 3500 steps daily.
c. The patient will use a pain rating scale
to identify levels of discomfort.
d. The patient will verbalize the risks
of continuing noncompliance with treat-
ment.
Which exercises are appropriate for a
quadriplegic patient?
a. Active range-of-motion exercises
d. Passive range-of-motion exercises
b. Weight-bearing exercises
c. Aerobic exercises
d. Passive range-of-motion exercises
Which action by the nurse demonstrates
correct use of a gait belt?
a. The patient holds on to the gait belt
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during transfer to the chair.
b. The gait belt is used to lift the patient
whose legs are too weak to stand.
c. The gait belt is tied loosely around the d. The nurse follows behind the patient
patient's waist just above the hips. holding onto the gait belt
d. The nurse follows behind the patient
holding onto the gait belt during ambula-
tion.
Which action demonstrates correct use
of a cane by a patient following a left leg
injury?
a. The patient holds the cane securely in
the left hand.
c. The patient's left leg and cane move
b. The patient uses the cane when step-
forward together when walking.
ping forward with the right leg.
c. The patient's left leg and cane move
forward together when walking.
d. The patient leans slightly to the left
when advancing the cane forward.
Which action demonstrates correct use
of crutches by a patient following a left
leg injury?
a. The handgrips are set so that the
axillae fully support the patient's body
weight.
c. The patient moves the crutches ap-
b. The patient looks down at the floor
proximately 12 inches forward with each
when taking each step with the crutches.
step.
c. The patient moves the crutches ap-
proximately 12 inches forward with each
step.
d. The patient's elbows are flexed at a
45-degree angle when holding the hand-
grips.
Which is the safest method for a patient
with a left leg injury to navigate up a set
of stairs?
a. Sit down on the stairs and use the right
leg to lift the body up each step.
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