ACTUAL EXAM 2 LATEST VERSIONS (VERSION A AND B)
COMPLETE 350 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
When preparing to move a patient in bed, what will the nurse do first? - ANSWER:
Assess the patient's ability to help with moving.
When preparing to move a patient in bed with the help of an assistant, which
posture will both caregivers use to ensure their own safety? - ANSWER: Flex the hips
and knees.
A patient who weighs 200 lbs. needs to be moved up in bed with the aid of a friction-
reducing device. The nurse will prepare for this move by assembling how many
caregivers? - ANSWER: at least 3
In which position will the nurse place the patient to move him or her up in bed? -
ANSWER: Supine with the head of the bed flat
A patient will be moved up in bed with the use of a friction-reducing device. How will
the nurse place this device under the patient? - ANSWER: Roll the patient from side
to side, and place the device under the drawsheet.
The nurse is helping a patient with hemiparesis take a few steps. A gait belt has been
applied. The patient is using a cane. Where should the nurse stand in relation to the
patient? - ANSWER: On the patient's weak side
The nurse is preparing to initiate ambulation with a patient who is recovering from a
stroke. What information will help the nurse determine how far to walk? - ANSWER:
Ask the patient how far she would like to go.
The nurse has applied a gait belt to a postoperative patient to facilitate ambulation.
Within a few feet of the bed, the patient begins to complain of dizziness and leans
heavily on the nurse. What would be the nurse's initial response? - ANSWER: Slowly
lower the patient to the floor.
The nurse is preparing to delegate the ambulation of a patient with the use of a gait
belt to nursing assistive personnel (NAP). Which statement made by NAP requires
the nurse to follow up? - ANSWER: "I will use the under-axillae technique to help him
up to a standing position."
The nurse is ambulating a patient with a gait belt when he says he feels sick to his
stomach. What would the nurse do? - ANSWER: Return the patient to the bed or
chair (whichever is closer).
, Which of the following techniques is used to assess muscle strength in a patient? -
ANSWER: APPLY AN OPPOSING FORCE OR RESISTANCE
What is an increased thoracic curvature, common in older adults, called? - ANSWER:
Kyphosis
Neck flexion and extension should be: - ANSWER: 45 degrees
Which of the following findings in a musculoskeletal assessment would be
considered abnormal? - ANSWER: Nodules and bogginess
What does a goniometer measure? - ANSWER: Angles of extension and flexion
Which patient is most at risk of developing permanently impaired mobility? -
ANSWER: A 72-year-old woman hospitalized for anemia associated with diabetic
nephropathy (kidney disease)
The nurse is performing passive shoulder and elbow exercises for a patient who is
recovering from surgery to remove a soft-tissue tumor in her upper arm. Why does
the nurse cup one hand around the patient's elbow and support the forearm and
wrist during the ROM exercises? - ANSWER: To ensure stability while exercising the
joint
The nurse notes that a patient's left elbow is resistant to extension and flexion while
performing range of motion exercises. What is the appropriate nursing action? -
ANSWER: Perform range of motion to the left elbow until resistance is met.
Which of the following are basic guidelines when assisting a patient with passive
range of motion? - ANSWER: Each joint is exercised to the point of resistance but not
pain.
Why would the nurse ask a physical therapist to perform passive ROM exercises for a
patient with lower extremity injuries sustained in a motor vehicle crash? - ANSWER:
The patient has orthopedic trauma.
When preparing to safely transfer a patient from a bed to a wheelchair using a
transfer belt, the nurse would do what first? - ANSWER: Assess the patient's
physiological capacity to transfer.
Which instruction would the nurse give a patient who is able to assist with transfer
from a bed to a wheelchair using a transfer belt? - ANSWER: "Please push down onto
the mattress with both hands and stand when I count to three."
A patient lying supine in bed is being transferred to a wheelchair using a transfer
belt. Which action would the nurse perform just before moving the patient to the
side of the bed? - ANSWER: Raise the head of the bed 30 degrees.