Mobility

The nurse is caring for a 60-year-old female patient who is confined to bed and most closely monitors for signs of which complication?

The nurse is caring for a 50-year-old male patient with osteoarthritis who is prescribed a non-steroidal anti-inflammatory drug for pain. Which instruction does the nurse provide to the patient?

The patient with decreased mobility complains of neck and lower back pain during a bed bath. Which initial intervention does the nurse utilize to promote relaxation and comfort to the patient? 

The patient with severe fatigue and muscle wasting due to acquired immunodeficiency syndrome (AIDS) is experiencing pain. Which nonpharmacological therapy is most appropriate to include in this patient’s treatment plan?

The patient appears to be fatiguing before daily bathing and grooming is finished. Which action by the nurse is most appropriate?

Following a mass casualty event, the nurse is called in to the hospital to work in accordance with the city's emergency response plan. The nurse is instructed to discharge as many current inpatients as possible to assist with reallocation of resources. Which patient is most appropriate to be discharged?

A fire has started in one of the medical surgical units, and the staff has been instructed to perform a horizontal evacuation. Which action does the nurse take first?

The nurse is teaching a patient how to walk with a cane following a cerebrovascular accident that left the patient with right-sided weakness. Which action by the patient indicates the teaching was effective?

The adult patient with type 1 diabetes mellitus and Parkinson’s disease lives alone. Which patient statement would prompt the nurse to advocate for a delay in discharge from the hospital?

Patients with which characteristics are at an increased risk for falls? Select all that apply.

The nurse is caring for the patient who was admitted to the hospital after a fall at the nursing home. Which intervention does the nurse implement in order to reduce the patient’s fall risk?

Place the nursing interventions for a 16-year-old patient in the hospital for severe malnutrition and depression with a history of falls in order from highest priority to lowest priority.

The nurse hears the patient calling for help and enters the room to find the patient on the floor. One of the side rails is down on the bed. Which documentation is most appropriate?

The nurse is assigned to care for a diabetic patient with a non-healing leg wound. Which task does the nurse delegate to an unlicensed assistive personnel?

The nurse is helping to ambulate a patient who is recovering from hip surgery and is a fall risk. An unlicensed assistive personnel (UAP) tells the nurse that another one of her assigned patients is in severe pain and requires pain medication. Which is the most appropriate action?

The charge nurse is making patient assignments for an unlicensed assistive personnel, a registered nurse, and a licensed vocational/practical nurse. Which patient is the most appropriate assignment for the LVN/LPN?

Which tool is most effective for promoting safety when ambulating an elderly patient who is a fall risk?

Which characteristic of a home is most effective at preventing falls in the elderly patient?

The patient with tears of the right medial meniscus asks the nurse about the use of therapeutic massage. Which response by the nurse is appropriate?

Which patient is most at risk for developing a decubitus ulcer?

The nurse is admitting a patient who is being transferred from a nursing home who has been bedridden for the past two months. The nurse anticipates the patient will have which electrolyte disturbances?

Which patient is at the highest risk for falls?

Which statement by the patient indicates a need for further teaching regarding postoperative care for a total hip arthroplasty?

Which diagnosis explains the patient's chronic pain in the shoulder and inability to perform passive range of motion (ROM) exercises? 

The patient with persistent shoulder pain with associated numbness of the hand is scheduled for a magnetic resonance imaging (MRI) scan. The patient tells the nurse, "I'm terrified of enclosed spaces. I just don't know if I'll survive this test." After relaying the patient's concerns to the provider, which response does the nurse expect from the provider? 

The nurse is providing discharge planning and education for a 72-year-old patient who is being discharged home after a diagnosis of atrial fibrillation. The nurse focuses education on which adverse event? 

The physical therapist has recommended active range-of-motion exercises for a patient who had shoulder surgery. Which statement is true regarding the exercises?

The 61-year-old patient with liver cirrhosis reports extreme fatigue on a daily basis. The nurse pursues which intervention?

The home health nurse is working with a patient who is a fall risk. During a home visit, the nurse sees the patient repeatedly using a step stool. Which intervention is the most appropriate?

The nurse receives report on the 6-month-old child with a congenital abnormality of the hip who is in Bryant's traction. Which observation upon entering the patient's room indicates the patient is positioned appropriately? 

The nurse is caring for the patient who is recovering from an ischemic stroke. The speech therapist recommended all liquids to be thickened to a nectar consistency. The nurse provides which information to the patient about nectar-thick liquid? Select all that apply.

The nurse has provided teaching to the patient regarding the use of crutches after she broke her ankle. Which is the best way for the nurse to assess the patient’s understanding of the teaching?

The nurse is assessing the patient’s ability to live independently. The patient ambulates with a cane but cannot manage stairs (lives in a one-level home). Due to advancing macular degeneration, the patient has forfeited her driving license. The patient has a daughter who is able to assist with transport to doctor appointments but cannot visit regularly. The macular degeneration is affecting the patient’s ability to tell the difference between her many pills. Which level of nursing care is appropriate for the patient?

The child suffered a radial fracture that has just been immobilized with a plaster cast. Which action by the nurse is appropriate? 

The nurse is caring for a 16-month-old child. The child’s father expresses concern to the nurse that his son cannot kick a soccer ball. Which response from the nurse is appropriate?

An emergency room nurse is caring for a patient admitted by ambulance after a motor vehicle collision. The patient was transported with a long spine board and rigid cervical collar. Thirty minutes after arrival, the patient has been log-rolled off the spine board, completed imaging studies of the spine, and is requesting removal of the cervical collar. Which is the nurse’s next action?

The nurse is creating an educational class for community members who care for an older relative in the home about brain injury in the older adult. Which factors does the nurse include to impress upon the individuals the high mortality risk associated with brain injuries in the older adult? Select all that apply.

Which situations prompt the use of four-point restraints? Select all that apply.

Which interventions increase the risk for impaired skin integrity in the patient with congestive heart failure who requires total care? Select all that apply.

Which patient is at highest risk for skin breakdown?

Which sport does the nurse recommend to the child with osteogenesis imperfecta who is interested in physical fitness?

The nurse is caring for a patient after the surgical amputation of the left leg below the knee. The nurse expects the patient to attain which level of mobility with rehabilitation and prosthesis training?

The nurse is educating the patient with a spinal cord injury on safe wheelchair use. Which important features does the nurse emphasize to the patient? Select all that apply.

The patient with bilateral leg amputations is being fitted for a new wheelchair. The nurse knows that the patient’s center of gravity is offset in which direction?

The nurse recommends removal of which items from the home of the patient who will be discharged home in a wheelchair? 

The older adult patient recently diagnosed with a spinal cord injury and limited mobility is referred to a physical therapist to discuss using a wheelchair for increased mobility. The patient asks the nurse, “Do I really have to see the physical therapist? I broke my leg as a kid and used one then.” Which response by the nurse is appropriate?

The nurse preceptor is supervising the graduate nurse during shift handoff. Which statements by the graduate nurse would prompt the veteran nurse to clarify for the oncoming nurse? Select all that apply.

The nurse is supervising the care of a patient with a stage II pressure injury on the coccyx. Which intervention by the student nurse prompts the nurse to intervene with further education?

The nurse is supervising the unlicensed assistive personnel (UAP) in the care of the patient who underwent surgical therapy for lung cancer in the right lower lobe one day prior. Which patient positions, if helped into by the UAP, prompt the nurse to intervene and provide additional education? Select all that apply.  

The nurse performs a shift assessment on the patient who has been undergoing continuous bladder irrigation (CBI) following a transurethral resection of the prostate (TURP) for 3 days and notes the output to be an amber color. Which action by the nurse is most appropriate?