ATI SM 3.0: Mobility Questions and Correct Answers
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Course
ATI SM
Institution
ATI SM
Four-point gait
~ used when both legs can bear some weight; right foot, left crutch, left crutch, right foot
Three-point gait
~ Both crutches and involved leg advance together
Uninvolved leg follows
Uses two canes/crutches or a walker
Two-point gait
~ One crutch and opposite extremity move ...
ATI SM 3.0: Mobility Questions
and Correct Answers
A nurse in an emergency department is providing discharge teaching to a client who
has a knee injury and will be using a pair of axillary crutches for the first time. Which
of the following instructions should the nurse include?
A. "Lean on the crutches to support your body weight when standing."
B. "Fully extend your arms when holding onto the hand grips."
C. "Hold the crutches on your unaffected side when preparing to sit in a chair."
D. "Hold the crutches 9 inches in front of and to the side of each foot."
✓✓~ C. "Hold the crutches on your unaffected side when preparing to sit in a chair."
Rationale: The crutches should be held on the unaffected side when preparing to sit
in a chair.
,A nurse stands facing a client to demonstrate active range-of-motion exercises.
Which of the following actions should the nurse take to demonstrate hyperextension
of the hip?
A. Move their leg behind their body.
B. Move their leg forward and up.
C. Move their leg medially toward their other leg.
D. Turn their foot and leg away from their other leg.
✓✓~ A. Move their leg behind their body.
Rationale: This movement demonstrates hyperextension of the hip.
A nurse is caring for a client who has a prescription for knee-length antiembolic
stockings. Which of the following actions should the nurse take?
A. Place the stockings on the client after the client ambulates to the restroom.
B. Ensure the client's toes are visible after placing the stockings on the client.
, C. After applying the stockings, place two fingers between the client's leg and
stocking to check the fit.
D. Measure the client's calf circumference and leg length from heel to knee.
✓✓~ D. Measure the client's calf circumference and leg length from heel to knee.
Rationale: To ensure proper fit, the nurse should measure the widest part of the
client's calf as well as the length of client's leg from heel to knee. Antiembolic
stockings that are too large will not apply the pressure needed to prevent DVT.
Antiembolic stockings that are too small could impair circulation in the client's legs.
A nurse is assisting with the ambulation of a client who becomes light-headed and
begins to fall. Which of the following actions should the nurse take?
A. Wrap both arms around the client's arms and shoulders.
B. Move both feet together when the client begins to fall.
C. Protect the client's extremities while lowering them to the floor.
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