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WorksheetsSafety and Mobility
Total questions: 20
Worksheet time: 10mins
A postoperative client becomes increasingly short of breath and anxious 2 hours after surgery. Which position is the priority nursing intervention?
Supine with legs elevated
Semi-Fowler’s
High Fowler’s
Trendelenburg
Which complications should the nurse anticipate in a client who has been immobile for 5 days?
Atelectasis
Deep vein thrombosis
Hyperactive bowel sounds
Pressure injuries
Orthostatic hypotension
A client with a suspected spinal cord injury needs to be repositioned in bed. Which technique is most appropriate?
Drawsheet turn
Pivot transfer
Logrolling
Dangling
Which nursing action best prevents shearing forces in a bed-bound client?
Elevating the head of the bed to 60 degrees
Repositioning the client every 4 hours
Keeping the head of the bed as low as possible
Using a heating pad to promote circulation
Which findings place an older adult at the highest risk for falls?
Polypharmacy
Hearing loss
Use of a cane
Poor lighting
Recent hospitalization
A nurse places a client in Trendelenburg position for hypotension. Which statement reflects correct NCLEX knowledge?
Trendelenburg is first-line treatment for shock
Trendelenburg improves oxygenation long-term
Trendelenburg increases intracranial pressure
Trendelenburg decreases venous return
Which nursing actions can be performed without a provider order?
Repositioning the client every 2 hours
Applying compression stockings
Encouraging early ambulation
Performing passive range of motion
Initiating sequential compression devices
A nurse assists a postoperative client to ambulate for the first time. Which action is the priority?
Applying non-skid socks
Using a gait belt
Dangling the client at the bedside
Encouraging independence
Which assistive device is most appropriate for a partially cooperative client with weak legs?
Cane
Walker
Crutches
Trapeze bar
Which nursing actions are appropriate when caring for a client with sequential compression devices (SCDs)?
Removing them while the client is in bed
Applying them only at night
Ensuring they are on while the client is in bed
Assessing skin integrity regularly
Massaging the legs before application
Which client requires immediate nursing intervention?
Client using a cane on the weak side
Client with crutches resting under the axilla
Client with compression stockings applied at night
Client dangling before standing
Which factors increase a client’s risk for impaired mobility?
Depression
Fatigue
Cultural practices
Prescribed activity restrictions
High motivation
Which client should not be placed in a supine position?
Client receiving a physical exam
Client 30 minutes after eating
Client with a lower-extremity fracture
Client receiving passive range of motion
Which nursing interventions promote oxygenation in an immobile client?
Frequent repositioning
High Fowler’s positioning
Incentive spirometry
Supine positioning
Early ambulation
A nurse teaches a student about friction and shear. Which statement indicates correct understanding?
Friction causes deep tissue injury
Shear occurs without friction
Shear results from friction combined with gravity
Friction causes stage 4 pressure injuries
Which actions demonstrate proper body mechanics?
Twisting at the waist
Keeping objects close to the body
Widening the base of support
Bending at the waist
Using assistive devices
A confused client repeatedly attempts to climb out of bed. What is the best initial nursing action?
Applying wrist restraints
Raising all four side rails
Placing the bed in the lowest position
Administering a sedative
Which interventions are appropriate for fall prevention?
Keeping the bed locked and low
Providing adequate lighting
Keeping the call light within reach
Using restraints for confused clients
Ensuring proper footwear
Which nursing diagnosis is most appropriate for a client with prolonged immobility?
Risk for impaired gas exchange
Impaired physical mobility
Risk for infection
Ineffective coping
Which principle should guide ALL nursing decisions when multiple problems are present?
Provider orders
Patient preferences
Safety
Time management
