Mobility Nclex UPDATED ACTUAL Exam Questions and CORRECT ANSWERS
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Course
Mobility Nclex
Institution
Mobility Nclex
Mobility Nclex UPDATED ACTUAL Exam
Questions and CORRECT ANSWERS
A client is confined to bed with a fracture of the left femur. He begins receiving subcutaneous
heparin injections. What is the purpose of this medication?
1. To prevent thrombophlebitis and pulmonary emboli associated with immo...
Mobility Nclex UPDATED ACTUAL Exam
Questions and CORRECT ANSWERS
A client is confined to bed with a fracture of the left femur. He begins receiving subcutaneous
heparin injections. What is the purpose of this medication?
1. To prevent thrombophlebitis and pulmonary emboli associated with immobility
2.To promote vascular perfusion by preventing formation of microemboli in the left leg
3.To prevent venous stasis, which promotes vascular complications associated with
immobility
4.To decrease the incidence of fat emboli associated with long bone fractures - CORRECT
ANSWER- ✔✔Answer: 1
Heparin is administered prophylactically to prevent thromboembolic complications in clients
who are immobilized for prolonged periods. It is not effective in preventing fat emboli or
venous stasis or promoting vascular perfusion. (Lilly 6 ed, p. 439).
A client begins receiving methotrexate (Rheumatrex) for severe symptoms of rheumatoid
arthritis. What is the most important information for the nurse to give this client regarding the
medication?
1. Take extra fiber and fluids to counteract the constipating effect.
2. It is very important to have periodic lab work done.
3. Take the drug on an empty stomach.
4. Hirsutism and menstrual changes sometimes develop as side effects. - CORRECT
ANSWER- ✔✔Answer: 2
Lab work will need to be done periodically during administration to monitor for the
development of anemia, leukopenia, thrombocytopenia, and/or hepatic toxicity. Hirsutism
and menstrual changes occur with long-term corticosteroid use. Methotrexate should be given
1 hour before or 2 hours after meals to prevent vomiting when given PO. Antiemetics are
given concurrently with the medication. (Lilly 6 ed, p. 777).
,A client with rheumatoid arthritis has a history of long-term nonsteroidal antiinflammatory
drug (NSAID) use and has developed peptic ulcer disease. Which medication would the nurse
anticipate administering?
Omeprazole (Prilosec) is a proton-pump inhibitor, which suppresses gastric acid secretion.
Cyanocobalamin is used to treat vitamin B12 deficiency. Ticlopidine is an antiplatelet agent
used to reduce the risk of stroke. Prednisolone is a glucocorticoid used to treat several
inflammatory disorders and contributes to gastric ulcer development. (Lehne, 7 ed., p. 917.)
Peptic ulcer: A peptic ulcer is a defect in the lining of the stomach or the first part of the small
intestine, an area called the duodenum. A peptic ulcer in the stomach is called a gastric ulcer.
An ulcer in the duodenum is called a duodenal ulcer.
A client with a below-the-knee amputation is complaining of phantom limb pain that is not
responsive to administration of narcotic analgesics. The client is started on gabapentin
(Neurontin). The nurse explains to the client that this medication works by:
1. Binding at receptor pain sites to decreases neuropathic pain.
2. Decreasing inflammation and irritation at the site of the nerve ending
3. Decreasing pain by inhibiting the pain impulse at the level of the axion
4. Affecting the central nervous system and altering processes affecting pain perception -
CORRECT ANSWER- ✔✔Answer: 1
Neurontin is used to treat neuropathic pain, which is often the basis for phantom limb pain in
amputees. Drugs to decrease inflammation are corticosteroids. Narcotics affect the CNS and
the perception of pain. (Lehne, 7 ed., p. 231.)
A client is taking allopurinol (Zyloprim) 200 mg by mouth every day. Which statement by the
client indicates an understanding of the nurse's instruction?
,1. "My diet will consist of more meat and fewer sugars."
2. "I need to drink at least ten 8-ounce glasses of water a day."
3. "I should increase my intake of dairy products."
4. "This medication should be taken on an empty stomach." - CORRECT ANSWER-
✔✔Answer: 2
Allopurinol (Zyloprim) reduces uric acid concentration in the serum and in the urine. It must
be taken with at least 8 or more glasses of water to increase urine flow to reduce the risk of
renal calculi formation. Increasing protein, limiting sugar, and increasing dairy products do
not affect the action of Zyloprim. The medication may cause gastric irritation, and it may be
taken with food to decrease incidence of gastric irritation. (Lehne, 7 ed., p. 865.)
A client has been taking low-dose aspirin and prednisone (Deltasone) for the past several
years for treatment of her rheumatoid arthritis. What finding would indicate a problem with
the drug therapy?
Development of tarry stools indicates gastrointestinal bleeding. Both the aspirin and the
corticosteroids place the client at high risk for the development of a peptic ulcer and
subsequent GI bleeding. Postural hypotension, thrombocytopenia, and decreased leukocytes
are not directly associated with corticosteroids. (Lehne, 7 ed., pp. 832, 850.)
A client has cyclobenzaprine (Flexeril) prescribed for muscle spasms. What would be
important to teach this client regarding the medication?
1. Call the doctor if you get drowsy or dizzy.
2. Get up slowly and stand in place if you are dizzy.
3. It will be important to come back in 2 weeks to have drug levels drawn.
4. The tablets should be taken only with meals. - CORRECT ANSWER- ✔✔Answer: 2
, Postural hypotension may be a problem initially. The client should not participate in any
activity that requires mental alertness for safety. The dizziness and drowsiness are common
occurrences and are not alarming. The nurse should teach the client how to manage
orthostatic hypotension. Drug levels do not have to be monitored, and the client may take the
medication at any time. (Lehne, 7 ed., p. 241.)
A client with a history of arthritis and gastric ulcers comes to the clinic complaining of severe
gastrointestinal distress. Which would be the most important question for the nurse to ask the
client?
1. "Are you taking the medications with food?"
2. "Are you taking the medications with water?"
3. "Have you changed your eating habits recently?"
4. "What medication are you using for the arthritis?" - CORRECT ANSWER- ✔✔Answer: 4
The most important information for the nurse to determine is what medications the client is
taking for treatment of the arthritis. The medications should be evaluated and possibly
changed. (Lehne, 7 ed., pp. 231, 916.)
A client is having difficulty with muscle spasms and is being treated with methocarbamol
(Robaxin). What comment by the client would indicate to the nurse that the client did not
understand the precautions regarding this medication?
1. "I understand I should not drive when I take this medication."
2. "I know I should not drink any alcohol while I am taking this medication."
3. "I will get up carefully in case I get dizzy."
4. "I will continue to take care of my 3-month-old grandson." - CORRECT ANSWER-
✔✔Answer: 4
Caring for a 3-month-old will require mental alertness and physically carrying the infant. The
client cannot afford to be drowsy and fall asleep or to stumble and fall with the infant. The
client should avoid driving and alcohol intake. There may be significant CNS depression, so
the client should be careful when ambulating. (Lehne, 7 ed., pp. 231, 240-241.)
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