Sample Questions and Answers
A nurse is caring for a patient who is at risk for immobility. Which of the following interventions should the nurse prioritize?
A) Encourage bed rest
B) Assist with passive range of motion exercises
C) Restrict oral intake
D) Monitor vital signs every 8 hours
Answer: B) Assist with passive range of motion exercises
A nurse is providing care for a patient with a lower leg fracture. Which of the following complications is the patient at greatest risk for due to immobility?
A) Pressure ulcers
B) Deep vein thrombosis (DVT)
C) Hyperglycemia
D) Renal failure
Answer: B) Deep vein thrombosis (DVT)
Which of the following is a priority assessment for a patient on prolonged bed rest?
A) Skin integrity
B) Respiratory rate
C) Muscle strength
D) Urinary output
Answer: A) Skin integrity
A nurse is teaching a patient with a hip replacement how to reduce the risk of dislocation. Which of the following instructions should the nurse include?
A) Cross your legs at the ankles
B) Keep your hip in a neutral position
C) Sit in a low chair
D) Bend your hip past 90 degrees when sitting
Answer: B) Keep your hip in a neutral position
A nurse is caring for a patient with a spinal cord injury at the T6 level. The nurse should monitor the patient for which of the following complications related to immobility?
A) Hypotension
B) Hyperkalemia
C) Deep vein thrombosis (DVT)
D) Increased appetite
Answer: C) Deep vein thrombosis (DVT)
A patient is admitted with severe muscle weakness and immobility. Which of the following nursing diagnoses is a priority?
A) Impaired physical mobility
B) Risk for injury
C) Acute pain
D) Ineffective breathing pattern
Answer: A) Impaired physical mobility
Which of the following is an effective intervention for preventing immobility complications in a postoperative patient?
A) Encourage the patient to remain in bed for the first 72 hours
B) Provide frequent, small meals to maintain energy
C) Encourage early ambulation and deep breathing exercises
D) Place the patient in a prone position to avoid pressure ulcers
Answer: C) Encourage early ambulation and deep breathing exercises
A nurse is caring for a patient with a fractured femur. Which of the following interventions is most appropriate for preventing venous thromboembolism (VTE)?
A) Apply anti-embolism stockings
B) Increase the patient’s oral fluid intake
C) Encourage leg exercises every 2 hours
D) Administer anticoagulants as prescribed
Answer: D) Administer anticoagulants as prescribed
A nurse is educating a patient about the importance of early ambulation after surgery. Which of the following is the most important benefit of early ambulation for this patient?
A) Reduces the risk of pneumonia
B) Prevents constipation
C) Improves sleep patterns
D) Helps with wound healing
Answer: A) Reduces the risk of pneumonia
Which of the following is a common consequence of prolonged immobility?
A) Increased muscle mass
B) Increased bone density
C) Decreased lung expansion
D) Increased circulation
Answer: C) Decreased lung expansion
A nurse is planning care for a patient with a spinal cord injury. Which of the following interventions is essential for preventing complications related to immobility?
A) Provide a high-protein diet
B) Assist with weight-bearing exercises
C) Perform passive range-of-motion exercises
D) Encourage fluids to prevent dehydration
Answer: C) Perform passive range-of-motion exercises
Which of the following is the best nursing action to prevent pressure ulcers in an immobile patient?
A) Turn the patient every 4 hours
B) Maintain the patient’s head of the bed elevated at 30 degrees
C) Apply moisture barriers to the skin
D) Ensure the patient has adequate nutritional intake
Answer: D) Ensure the patient has adequate nutritional intake
A patient is receiving a hip replacement surgery. Which of the following positions is recommended to prevent dislocation postoperatively?
A) Supine with the affected leg in a neutral position
B) Side-lying with the hip flexed at 90 degrees
C) Supine with the knee extended
D) Prone with the affected leg raised
Answer: A) Supine with the affected leg in a neutral position
A nurse is caring for a patient on bed rest. Which of the following is the most important nursing intervention to prevent complications from immobility?
A) Encourage fluid intake to prevent dehydration
B) Provide passive range of motion exercises
C) Increase dietary protein for wound healing
D) Keep the head of the bed elevated to prevent aspiration
Answer: B) Provide passive range of motion exercises
A nurse is assessing a patient with limited mobility. The nurse notes that the patient has contractures in both lower limbs. What is the best intervention for this patient?
A) Massage the limbs to relieve tension
B) Apply warm compresses to the limbs
C) Perform daily passive range of motion exercises
D) Encourage active exercises in the upper limbs
Answer: C) Perform daily passive range of motion exercises
A nurse is caring for a patient recovering from knee surgery. Which of the following interventions should be implemented to improve the patient’s mobility?
A) Encourage frequent periods of complete bed rest
B) Gradually increase the patient’s weight-bearing activity as tolerated
C) Avoid using assistive devices like crutches
D) Limit range-of-motion exercises to avoid pain
Answer: B) Gradually increase the patient’s weight-bearing activity as tolerated
Which of the following interventions is appropriate for a patient with a hip replacement to prevent post-operative complications?
A) Limit fluid intake to prevent edema
B) Maintain a neutral position of the hip to prevent dislocation
C) Keep the patient in bed for extended periods to promote rest
D) Perform active range of motion exercises immediately after surgery
Answer: B) Maintain a neutral position of the hip to prevent dislocation
A nurse is caring for a patient with decreased mobility due to a stroke. Which of the following should the nurse prioritize in the care plan?
A) Promote independence in all activities of daily living
B) Encourage passive range of motion exercises to prevent contractures
C) Ensure the patient is positioned supine at all times
D) Administer pain medications regularly to ensure comfort
Answer: B) Encourage passive range of motion exercises to prevent contractures
A nurse is caring for a patient who has been on bed rest for 3 days. Which of the following complications is the patient most at risk for?
A) Hyperglycemia
B) Hypertension
C) Deep vein thrombosis
D) Hypokalemia
Answer: C) Deep vein thrombosis
A nurse is educating a patient about using crutches after leg surgery. Which of the following is an appropriate instruction?
A) Use the crutches to support weight on the injured leg
B) Keep the crutches 12 inches in front of you when walking
C) Place the crutches under the armpits for support
D) Bend the elbows to a 90-degree angle when using crutches
Answer: D) Bend the elbows to a 90-degree angle when using crutches
Which of the following should be included in a plan of care for a patient at risk for pressure ulcers?
A) Encourage frequent repositioning every 2 hours
B) Limit the patient’s fluid intake to prevent incontinence
C) Keep the patient in a supine position to promote circulation
D) Avoid using pillows for positioning to reduce pressure
Answer: A) Encourage frequent repositioning every 2 hours
Which of the following is a common effect of immobility on the respiratory system?
A) Increased lung expansion
B) Increased oxygenation
C) Decreased lung expansion
D) Decreased respiratory rate
Answer: C) Decreased lung expansion
A nurse is planning care for a patient who is immobile. Which of the following is an appropriate intervention to prevent urinary complications?
A) Encourage increased fluid intake
B) Limit fluid intake to prevent edema
C) Position the patient in a prone position
D) Restrict ambulation to avoid falls
Answer: A) Encourage increased fluid intake
A patient with severe immobility has developed pressure ulcers. Which of the following should be a priority in the care plan?
A) Monitor vital signs closely
B) Provide high-protein supplements to promote healing
C) Maintain strict bed rest to prevent further injury
D) Administer analgesics for pain management
Answer: B) Provide high-protein supplements to promote healing
A nurse is assessing a patient with a hip fracture. Which of the following interventions is essential for reducing the risk of complications related to immobility?
A) Frequent repositioning every 2 hours
B) Ensure the patient has an adequate diet for healing
C) Keep the patient’s leg elevated above the heart
D) Avoid any weight-bearing activity until cleared by the physician
Answer: A) Frequent repositioning every 2 hours
A patient recovering from spinal surgery is at risk for complications related to immobility. Which of the following should be included in the care plan?
A) Strict bed rest without any movement
B) Regular assessment of skin integrity
C) Encourage the patient to remain in a supine position
D) Administer pain medications only when requested
Answer: B) Regular assessment of skin integrity
A patient on prolonged bed rest is at risk for constipation. Which of the following interventions should the nurse prioritize?
A) Increase fluid intake
B) Provide a high-protein diet
C) Restrict dietary fiber
D) Administer laxatives regularly
Answer: A) Increase fluid intake
Which of the following is a key goal when caring for an immobile patient?
A) Maintaining muscle tone and strength
B) Preventing immobility-related complications
C) Limiting the range of motion exercises
D) Ensuring the patient remains supine at all times
Answer: B) Preventing immobility-related complications
A nurse is caring for a patient with a lower extremity amputation. What is an appropriate intervention for this patient to promote mobility?
A) Encourage the use of a walker as soon as possible
B) Apply a prosthesis immediately after surgery
C) Initiate passive range-of-motion exercises
D) Keep the leg elevated to prevent swelling
Answer: C) Initiate passive range-of-motion exercises
A nurse is teaching a patient about proper posture to prevent musculoskeletal complications. Which of the following statements should the nurse include?
A) Always sit with your knees higher than your hips
B) Bend forward at the waist when lifting objects
C) Avoid long periods of sitting or standing in one position
D) Cross your legs when sitting for long periods of time
Answer: C) Avoid long periods of sitting or standing in one position
A nurse is caring for a patient who has been on strict bed rest for 5 days. Which of the following is the greatest risk to this patient’s health?
A) Hypovolemia
B) Decreased appetite
C) Pulmonary embolism
D) Muscle hypertrophy
Answer: C) Pulmonary embolism
A patient with limited mobility is at risk for developing urinary retention. Which of the following interventions is most appropriate?
A) Encourage frequent fluid intake
B) Encourage the patient to perform pelvic floor exercises
C) Position the patient upright during voiding
D) Restrict fluid intake to prevent overhydration
Answer: C) Position the patient upright during voiding
A nurse is caring for a patient who has had a stroke and is experiencing impaired mobility. Which of the following interventions will help prevent the development of contractures?
A) Encourage the patient to perform isometric exercises
B) Perform passive range-of-motion exercises daily
C) Apply warm compresses to affected limbs
D) Limit movement of the affected extremity to prevent pain
Answer: B) Perform passive range-of-motion exercises daily
A nurse is caring for a patient post-hip replacement surgery. Which of the following is the most important action to prevent complications?
A) Keep the affected leg in a neutral position
B) Perform weight-bearing exercises immediately
C) Ensure the patient remains in a prone position
D) Allow the patient to cross legs for comfort
Answer: A) Keep the affected leg in a neutral position
A nurse is teaching a patient about the prevention of deep vein thrombosis (DVT) during a long hospital stay. Which of the following statements by the patient indicates understanding?
A) “I will try to remain in bed as much as possible.”
B) “I will perform leg exercises every hour.”
C) “I will increase my fluid intake but avoid movement.”
D) “I will stay in one position for long periods of time.”
Answer: B) “I will perform leg exercises every hour.”
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