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Exam (elaborations)

Activity and Mobility - NCLEX-style Exam Questions and Answers 100% Solved

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Activity and Mobility - NCLEX-style Exam Questions and Answers 100% Solved Which of the following could put a nurse or healthcare worker at risk for sustaining 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 slidi...

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  • October 15, 2024
  • 33
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nclex
  • Nclex
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JOSHCLAY
©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024

Activity and Mobility - NCLEX-style

Exam Questions and Answers 100%

Solved


Which of the following could put a nurse or healthcare worker at risk for

sustaining 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. Squatting to measure chest tube drainage

D. Raising the bed to waist level when starting an IV - ✔✔A. Lifting a box of

IV supplies up and over the head to place on a shelf



Lifting an object overhead can strain a person's back or interfere with

balance, leading to back injury or a fall. All other options represent the use

of proper body mechanics.

,©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024

A patient is restrained at the wrists. At intervals, she is flexing her arm,

pulling against the restraint tied to the bed. Technically, what type of

exercise is this?



A. Aerobic

B. Isotonic

C. Isometric

D. Anaerobic - ✔✔C. Isometric



Isometric exercises involve muscle contraction without motion. They are

usually performed against an immovable surface or object—for example,

pressing the hand against a wall, or pulling the wrist against a secured

restraint.

In addition to proper positioning, which of the following would be an

important nursing measure for a patient who is immobile?



A. Encouraging a low-calcium diet to prevent kidney stones

B. Limiting fluid intake so she does not have to use the bedpan as

frequently

,©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024

C. Encouraging the patient to lie still so he does not cause a blood clot to

become dislodged

D. Performing a skin assessment to dependent areas at least once every

shift - ✔✔D. Performing a skin assessment to dependent areas at least

once every shift



An immobile patient is at risk for pressure-related injury to the skin,

especially from the patient is incontinent or diaphoretic. Frailty (bony

prominences) also increases the risk for pressure injury. Therefore, a skin

assessment at least once a shift is important for the early detection of

decubitus. Other responses are incorrect. A diet low in calcium will not

prevent kidney stones; kidney stones develop only in susceptible people,

regardless of calcium intake. Limiting the fluid intake will place the patient

at risk for a urinary tract infection. Keeping extremities still will lead to

increased venous pooling and risk for the development of blood clots.

Mary is working in a small rural hospital and is caring for a comatose

patient who is beginning to develop foot drop. If there were no footboard

available to use for proper positioning of the feet, Mary could use which of

the following?

, ©JOSHCLAY 2024/2025 YEAR PUBLISHED, 2024


A. Overhead trapeze

B. Basketball shoes

C. Pillow

D. Trochanter roll - ✔✔B. Basketball shoes



Basketball shoes are a type of high-top, athletic footwear that help to keep

the foot in flexion. The other responses are incorrect. A trapeze would not

be used by a comatose patient. A pillow is too soft to maintain proper

position of the feet, allowing rotation of the legs. A trochanter roll prevents

external rotation of the hips.

Mrs. Williams has severe chronic obstructive pulmonary disease and

becomes very short of breath when completing her ADLs. Which of the

following nursing diagnoses would most accurately reflect Mrs. Williams's

mobility problem?



A. Ineffective Coping

B. Impaired Physical Mobility

C. Activity Intolerance

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