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PCC – Mobility Questions and Answers

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PCC – Mobility Questions and Answers A During the assessment of a client, the nurse finds that the client's lower extremities are both warm, sensation is intact, and motion is unrestricted. What does this finding suggest to the nurse? A) Skeletal muscle attached to bones via tendons is perform...

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  • October 27, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Pcc
  • Pcc
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PCC – Mobility Questions and Answers
A - answer During the assessment of a client, the nurse finds that the client's lower
extremities are both warm, sensation is intact, and motion is unrestricted. What does
this finding suggest to the nurse?
A) Skeletal muscle attached to bones via tendons is performing correctly.
B) Smooth muscle attached to bones via ligaments will require further assessment.
C) Cartilage connecting bones has a good blood supply.
D) Muscle connecting the axial skeleton is compromised.

B - answer A 70-year-old client is diagnosed with bone spurs of the vertebral column.
The nurse should plan which priority action?
A) Implement low-level exercise program.
B) Assess pain management.
C) Teach relaxation techniques.
D) Refer to a dietitian.

B - answer A preadolescent patient who fell from a balance beam in Physical
Education class reports ankle pain. The nurse assesses edema and ecchymosis. What
initial cause and intervention will be anticipated?
A) Neurological evaluation for Parkinson's disease
B) Rest, ice, compression and elevation (RICE) for ankle sprain.
C) Brace fitting for scoliosis
D) Colchicine for gout

C - answer The nurse detects an exaggerated concave curvature of the lumbar spine
of a client. Which conclusion about this assessment is correct?
A) Abnormal kyphosis is noted during range-of-motion assessment of a child.
B) Normal scoliosis is observed during the joint assessment of an older man.
C) Lordosis is commonly seen in the gait and posture assessment of a pregnant
woman.
D) Crepitus is commonly found during the assessment interview of a middle-aged
woman.

B, C, D - answer An older client is demonstrating signs of osteoporosis. The nurse
should instruct the client on which tests to aid in the diagnosis of this disorder?
Select all that apply.
A) Magnetic resonance imaging
B) Dual energy x-ray absorptiometry
C) Bone mineral density
D) Quantitative ultrasound
E) Computed tomography

,3, 1, 4, 2, 5 - answer A 78-year-old client hospitalized with spinal fusion surgery has
a BMI of 34. Chronologically organize interventions to minimize the effects of bed rest.
1. Active range-of-motion exercises
2. Ambulation
3. Passive range-of-motion exercises
4. Resistive exercises
5. Weight loss instruction

A - answer The mother of a preadolescent client is concerned because the child
often reports non-specific "bone pain." What can the nurse respond to this mother?
A) "Bone pain in children is caused from the pulling of muscles when bones grow
quickly."
B) "The child needs to rest more when the bones hurt."
C) "Non-specific bone pain means there is a disease process somewhere else in the
body."
D) "It is a symptom that needs further investigation and will be reported to the
physician."

A - answer The nurse is giving discharge instructions on removing loose rugs in the
home to a client with a total hip replacement. This is an example of which type of
nursing intervention?
A) Independent: injury prevention
B) Independent: preservative functioning
C) Collaborative: promotion of comfort
D) Collaborative: family instruction

C - answer A 68-year-old client has decreased bone density. Which diagnostic test
results will alert you to the need for dietary education?
A) High calcitonin levels
B) High creatine kinase (CK) levels
C) Low phosphorus (P) levels
D) High growth hormone (GH) levels

B - answer A 34-year-old mother of three sustained a right distal radial fracture and a
left tibia fracture. The nurse and physical therapist will teach the client to use which
mobility aide(s)?
A) Lofstrand crutches
B) Platform crutches
C) Walker
D) Axillary crutches

B, C, D, E - answer The nurse contacts the provider to question an order to
administer 1,000 mg aspirin to which clients?
Select all that apply.
A) 68-year-old client for hand pain who has rheumatoid arthritis
B) 5-year-old client for ankle pain after a fall from a horse

, C) 38-year-old client for headache pain after a skiing accident
D) 70-year-old client for back pain after laminectomy
E) 22-year-old client for knee pain who is allergic to naproxen

A - answer A client reports a sudden onset of right gluteal burning, tingling, and
numbness with severity 9/10. You anticipate which priority action?
A) Continue the symptom interview to assess for bowel, bladder, and sexual function.
B) Obtain a surgical consult for possible cauda equina syndrome.
C) Request a physical therapy evaluation for function and strength.
D) Initiate client teaching on proper body mechanics and lifting.

C, D, E - answer During a health screening, the nurse analyzes that which client is at
the highest risk for back problems?
Select all that apply.
A) 45-year-old man who plays golf three times a week for 20 years
B) 18-year-old girl who is a distance track runner since middle school
C) 62-year-old heavy truck mechanic with a body mass index (BMI) of 30
D) 12-year-old boy with a history of cerebral palsy with a BMI of 21
E) 78-year-old man with a 40 pack-year smoking history who is recently widowed

A, C, D - answer A preadolescent patient is recovering from spinal fusion surgery for
scoliosis. Which interventions would be appropriate related to movement restrictions
and pain?
Select all that apply.
A) Reposition every 2 hours.
B) Monitor intake and output.
C) Encourage and assist with ROM exercises every 4 hours while awake.
D) Administer pain medication around the clock.
E) Encourage incentive spirometer use every 4 hours while awake.

5, 1, 3, 4, 2 - answer A 56-year-old client has returned from post-anesthesia
recovery after herniated disk surgery. Prioritize nursing diagnoses based on the
assessment findings below.
1. Moaning with pain rated 6/10
2. Two cm drainage on dressing
3. Spouse crying at bedside
4. Bilateral heels reddened
5. Oxygen saturation 88%

A - answer The nurse is planning care for a client with acute back pain who is a
single mother of two small children and works part-time as a receptionist. What should
be included in this patient's care?
A) Instruct in appropriate body mechanics for lifting and ways to modify the work
environment.
B) Suggest that the patient take time off from work until the back is healed.

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