Kozier & Erb’s Fundamentals of Nursing, 10/E
Chapter 44
Question 1
Type: MCMA
The nurse is assisting in logrolling a client recovering from spinal surgery. Why should the nurse place a pillow
between the client’s legs when turning?
Standard Text: Select all that apply.
1. Stabilizes the spine
2. Prevents hip contractures
3. Supports the upper leg
4. Keeps the legs parallel and aligned
5. Prevents adduction of the upper leg
Question 2
Type: MCSA
During a prenatal visit, the nurse is instructing a newly pregnant client in regard to exercise. What advice is best
for the nurse to give this client?
1. Pregnant clients can exercise if exercise was a part of their life prior to pregnancy.
2. Due to the stress of a growing fetus, exercise should be limited to no more than 10 minutes per day.
3. Healthy pregnant women should exercise at least 30 minutes on most if not all days.
4. The pregnant woman’s exercise should actually increase above normal recommended levels to prevent water
weight gain.
Question 3
Type: MCSA
The nurse is caring for a client diagnosed with early osteoporosis. Which intervention is most applicable for this
client?
1. Institute an exercise plan that includes weight-bearing activities.
2. Increase the amount of calcium in the client’s diet.
3. Protect the client’s bones with strict bed rest.
4. Provide the client with assisted range-of-motion exercising twice daily.
Question 4
Type: MCSA
The newly admitted client has contractures of both lower extremities. What nursing intervention should be
included in this client’s plan of care?
1. Frequent position changes to reverse the contractures
2. Exercises to strengthen flexor muscles
3. Range-of-motion exercises to prevent worsening of contractures
4. Weight-bearing activities to stimulate joint relaxation
Question 5
Type: MCSA
The nurse has documented that the client has orthostatic hypotension. Which assessment finding would support
this assessment?
1. Decrease in blood pressure when moving from supine to standing
2. Decrease in heart rate when moving from supine to sitting
3. Pale color in the legs when lying in bed
4. Complaints of dizziness when first sitting up
Question 6
Type: MCSA
The client’s chief complaint is, “I just can’t get around like I used to. I have to stop halfway up the stairs to the
bedroom, and just walking to the bathroom makes me so tired.” Which nursing diagnosis is most likely
appropriate for this client? Activity Intolerance:
1. Level 1.
2. Level 2.
3. Level 3.
4. Level 4.
Question 7
Type: MCSA
The nurse is considering using the NANDA nursing diagnosis Impaired Physical Mobility in the care plan of a
newly admitted client. In order to make this problem statement more individual, the nurse should take which
action?
1. Include what mobility is impaired.
2. Use Level 1, 2, 3, or 4 to describe immobility.
3. Describe what happens when the client attempts mobility.
4. Add strength assessment data.
Question 8
Type: MCSA
The nurse is working on a hospital committee focused on preventing back injury in nurses. Which
recommendation by this committee is most likely to result in a decrease in back injuries if followed?
1. Nurses must wear back belts when lifting clients.
2. All nursing personnel must attend annual body mechanics education.
3. In order to prevent injury, nurses must strive to become physically fit.
4. No solo lifting of clients is permitted in the facility.
Global Rationale:
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Question 9
Type: MCSA
The nurse must lift a 15-pound box of supplies from a low shelf on the supply cart to a table. Which technique
should the nurse use to protect the back?
1. Place the feet together to provide a strong base of support.
2. Flex the knees to lower the center of gravity.
3. Face the box, pick it up, and rotate the upper body toward the table.
4. Hold the box as close to the body as possible.
Question 10
Type: MCSA
The nurse is caring for a client experiencing dyspnea. In which position should the nurse place this client?
1. High Fowler’s position with two pillows behind the head
2. Orthopneic position across the overbed table
3. Prone position with knees flexed and arms extended
4. Sims position with both legs flexed
Question 11
Type: MCSA
While assisting the client with a bath, the nurse encourages full range of motion in all the client’s joints. Which
activity would best support range of motion in the hand and arm?
1. Give the client a washcloth to wash the face.
2. Move the wash basin farther toward the foot of the bed so the client must reach for it.
3. Have the client brush the hair and teeth.
4. Move each of the client’s hand and arm joints through passive range of motion.
Question 12
Type: MCSA
The bed-bound client complains of pain and burning in the right calf area. What action should be taken by the
nurse?
1. Deeply palpate the area for rebound tenderness.
2. Percuss over the area for change in tone.
3. Measure the calf and compare to the opposite calf.
4. Medicate the client for pain and reassess in 30 minutes.
Question 13
Type: MCSA
The client who is bed-bound complains of abdominal pain. Bowel sounds are present. What action should be
taken by the nurse?
1. Percuss for flatness over the liver.
2. Palpate for bladder fullness.
3. Use the p.r.n. order to medicate the client with an antacid.
4. Inspect the sacral area for edema.