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Exam (elaborations)

Fundamental Success Mobility UPDATED Exam Questions and CORRECT Answers

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Fundamental Success Mobility UPDATED Exam Questions and CORRECT Answers A nurse is repositioning a patient to the left lateral position. What action should the nurse implement when positioning this patient? 1. Rest the right leg on top of the left leg 2. Maintain knee flexion at ninety degre...

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  • August 17, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Fundamental Success Mobility
  • Fundamental Success Mobility
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Fundamental Success Mobility UPDATED
Exam Questions and CORRECT Answers

A nurse is repositioning a patient to the left lateral position. What action should the nurse
implement when positioning this patient?


1. Rest the right leg on top of the left leg
2. Maintain knee flexion at ninety degrees
3. Place the ankles in plantar flexion
4. Left shoulder protracted - Correct Answer- 4. In the left lateral (side-lying) position, the
left arm is positioned in front of the body with the shoulder pulled forward (protracted). This
reduces the pressure on the joint in the shoulder and the acromial process.


A nurse turns a patient's ankle so that the sole of the foot moves medially toward the midline.
What word should the nurse use when documenting exactly what was done
during range-of-motion exercises?


1. Inversion
2. Adduction
3. Plantar flexion
4. Internal rotation - Correct Answer- 1. Inversion, a gliding movement of the foot, occurs by
turning the sole of the foot medially toward the midline of the body.


A nurse is transferring a patient from a bed to a wheelchair. What should the nurse do
to quickly assess this patient's tolerance to the change in position?


1. Obtain a blood pressure
2. Monitor for bradycardia
3. Determine if the patient feels dizzy
4. Allow the patient time to adjust to the change in position - Correct Answer- 3. Feeling
dizzy is a subjective response to orthostatic hypotension. Obtaining feed-back from the
patient provides a quick evaluation of the patient's tolerance of the transfer.

, A nurse is transferring a patient from the bed to a wheelchair using a mechanical lift.
Which is a basic nursing intervention associated with this procedure?


1. Lock the base lever in the open position when moving the mechanical lift
2. Raise the mechanical lift so that the patient is six inches off the mattress
3. Keep the wheels of the mechanical lift locked throughout the procedure
4. Ensure the patient's feet are protected when on the mechanical lift - Correct Answer- 4. The
legs dangle from the sling and therefore may drag across the linens or hit other objects if not
protected.


A patient has hemiplegia as a result of a brain attack (cerebrovascular accident). Which
complication of immobility is of most concern to the nurse?


1. Dehydration
2. Contractures
3. Incontinence
4. Hypertension - Correct Answer- 2. Contractures result from permanent shortening of
muscles, tendons, and ligaments. Routine range-of-motion exercises and maintaining the
body in functional alignment can prevent contractures.


Which stage pressure ulcer requires the nurse to measure the extent of undermining?


1. Stage 0
2. Stage I
3. Stage II
4. Stage III - Correct Answer- 4. In a stage III pressure ulcer there is full-
thickness skin loss involving damage to subcutaneous tissue that may extend to the fascia and
there may or may not be undermining, which is tissue destruction
underneath intact skin along wound margins.

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