ATI Mobility test

A nurse is discussing proper body mechanics with a group of assistive personnel. Which of the following information should the nurse include?

-a stable center of gravity increases stability and balance. -a wide base lowers the center of gravity -proper body alignment involves tightening the abdomen

a nurse is assisting with preparing a presentation about muscle function for a group of a newly licensed nurse. which of the following information should the nurse plan to include?

muscles assist with thermoregulation in the body

a nurse is reinforcing teaching with a client who injured their ankle. which of the following information should the nurse include?

tendons connect muscle to bone. tendons and ligaments are both made of fibrous connective tissue. Tendons attach muscle to the bone while ligaments attach bone to other bones

A nurse is assisting with teaching an in-service about the use of ergonomics to a group of staff members. Which of the following information should the nurse include?

the use of ergonomics increases job satisfaction the use of ergonomics increases job satisfaction along with productivity of staff members. When staff members can work safely and effectively, they can preform at a higher level.

A nurse is reinforcing teaching with a newly hired assistive personnel (AP) about working with client who require assistance with ADLs. Which of the following activities should the nurse include as an ADL?

toileting other ADLs include dressing, bathing and feeding

a nurse is preparing to transfer a client from a bed to a wheelchair. Which of the following actions by the nurse demonstrates proper use of body mechanics?

looking at the client face-to-face when transferring the client the nurse should look at the client face-to-face when transferrin. This prevents twisting or turning of the torso, which can cause back injuries

a nurse is contributing to the plan of care for a client who is postoperative. in which of the following positions should the nurse place the client to prevent atelectasis?

fowlers the nurse should place the client in flowers position to promote lung expansion and prevent atelectasis which is the partial or complete collapse of a lung. In this position the client is seated in a semi-sitting position and can have their knees bent or straight

A nurse is collecting data about a client's mobility and notes one of the client's feet drags behind when ambulating. Which of the following conditions should the nurse suspect the client is experiencing?

foot drop foot drop occurs when the joint of the foot become contracted and results in the inability to preform dorsiflexion, or pulling the toes upwards.

A nurse is collecting data from a client who had a stroke and is immobile. The nurse should identify that the client is at risk for which of the following conditions?

deep vein thrombosis blood clots can develop when a client is immobile due to an increase in blood viscosity and atrophy of the muscle. this can then result in decreased blood circulation, which can lead to blood clots and deep vein thrombosis.

A nurse is caring for a client who had a stroke and reports difficulty with proprioception. The nurse should plan to collect data from the client for which of the following?

diminished awareness of body position and balance Proprioception or kinesthesia is a sense of self awareness and body position. It is the result of feedback from nerve sensory receptors that alter the brain to finetune muscle movement in order to regulate balance, coordinate and movement

A nurse is assisting with preparing a poster presentation about the musculoskeletal system. The nurse should include that which of the following is responsible for body posture?

muscles the skeletal muscles are attached to the skeleton. They maintain body posture and position.

A nurse is caring for a client who is at risk for developing atelectasis. Which of the following actions should the nurse take?

remind the client to use the incentive spirometer using the incentive spirometer prevents atelectasis from occurring because the client takes slow, deep breaths to promote lung expansion

a nurse is caring for a client who requires maximum assistance to transfer from the bed to a chair. Which of the following pieces of equipment should the nurse use?

slide board the nurse should use a slide board, along with assistance from two or more health care staff, to transfer a client who is unable to assist.

A nurse is reinforcing teaching with a client who has an unsteady gait about using a walker. Which of the following instructions should the nurse include?

"the top of the walker should be at the level of your wrist" this indicates the walker is measured at the appropriate height and prevents strain on the client's back.

A nurse is preparing to lift a heavy object off the floor. In which order should the nurse preform the following steps to demonstrate the proper use of body mechanics?

1. stand as close to the object as possible 2. keep abdominal muscle contracted and lower back straight . 3. look straight ahead with shoulders raised up 4. bend hips slightly and squat 5. push up from the knees when lifting the object

A nurse is caring for a client who requires total assistance with mobility. When using the Mobility Assessment Tool (MAT). Which of the following pieces of equipment should the nurse use to transfer the client?

Mechanical lift the use of a mechanical lift or slide board, along with assistance from one to two personnel, to transfer the client.

a nurse in a long term facility is caring for an older client and notes....

atrophy the nurse should suspect the client is experiencing atrophy of their muscles. Atrophy occurs when the muscle of the body becomes smaller and weaker. This can occur with prolonged immobility or disuse of a limb

A nurse is assisting with the skin assessment for a client who has a wound on their heel that is blistered and lighter in color than the client's skin tone. The nurse should identify that the wound is in which of the following stages of damage?

damage into the skin layer in this stage, the wound can be lighter in color than the client's skin tone, along with temperature differences and an intact or open blister.

A nurse is assisting with performing a focused assessment on an older adult client's mobility. Which of the following finding should indicate to the nurse that the client is experiencing an age-related change to their musculoskeletal system?

increased curvature of the thoracic spine the nurse should identify that an increased curvature of the thoracic spine, along with protrusion of the neck, indicates an age-related change to the client's musculoskeletal system. This occurs due to bone loss and degeneration of vertebral discs.

A nurse is reinforcing teaching with a client who has kyphosis. Which of the following information should the nurse include?

kyphosis is a rounded upper back with the pelvis tilted forward.

A nurse is caring for a client who requires assistance with ADLs. Which of the following referrals should the nurse recommend for this client?

occupational therapist an occupational therapist assist clients who have impaired function to preform ADLs, such as bathing and brushing their teeth.

A nurse is caring for a client who has pneumonia. In which of the following positions should the nurse place the client to promote postural drainage?

prone in this position, the client lies flat on their abdomen with their head turned to the side.

a nurse is assisting with completing the mobility assessment tool (MAT) for a client and determines that the client is at level 1 mobility. The nurse should identify the the client is unable to preform which of the following tasks?

sit on the edge of the bed 1 min the nurse should identify the the client who is at level 1 mobility (MAT) requires maximum assistance. The client should be able to sit on the edge of the bed for 2 min and extend their arms across their chest to shake hands with the nurse before advancing to the next level.

A nurse is evaluating a client who has a broken leg and is using crutches. Which of the following actions by the client demonstrates proper use of the cruches?

the client has the crutches resting 5 cm (2 in) below their axilla

A nurse is assisting with preparing a presentation for a group of client who are scheduled for joint replacement surgery. Which of the following information should the nurse plan to include regarding flextion of a joint?

the contraction of a muscle results in flexion of a joint. when muscle contract, they shorten and pull against the bone they are attached to.