ATI Questions - Mobility

A nurse is assessing a client who is 48 hr postoperative following open reduction and internal fixation of a fractured tibia. Which of the following findings should the nurse report to the provider? A. Toes that are cold to the touch B. Serous drainage from the pin sites C. Blanching of the toenail beds with pressure D. Pink tissue around the fixator insertion sites

A. Toes that are cold to the touch

A nurse is providing teaching to an older client who has osteoarthritis of the right hip and lower lumbar vertebrae. Which of the following statements by the client indicates an understanding of the teaching? A. "I should avoid using a heating pad on my back" B. "To relieve the pressure on my hip, I can use a cane while ambulating" C. "I will receive steroid injections in my joints to treat my pain" D. "I will exercise even when I feel pain"

B. "To relieve the pressure on my hip, I can use a cane while ambulating"

A nurse is providing teaching to the family of a client who has a new diagnosis of amyotrophic lateral sclerosis (ALS). Which of the following findings is an early manifestation of ALS? A. Sensory dysfunction B. Weakness of the distal extremities C. Decreased vision D. Altered temperature regulation

B. Weakness of the distal extremities

A nurse is teaching a group of clients at a senior center about the risk factors for osteoporosis. Which of the following statements should the nurse include in the teaching? A. "Extended periods of immobility increase your risk of osteoporosis" B. "Prolonged periods of sun exposure increase your risk of osteoporosis" C. "Eating a diet high in protein can reduce your risk of osteoporosis" D. "Corticosteroid therapy will reduce your risk of osteoporosis"

A. "Extended periods of immobility increase your risk of osteoporosis"

A nurse is teaching a client who has a cast on his left arm to treat a forearm fracture. Which of the following statements indicate the client understands the teaching? A. "I'll call the doctor's office is my fingers get colder on the arm with the cast" B. "If I have any itching under the cast, I'll try to reach the area with a cotton swab" C. "If my fingers swell, I should put a heating pad on them and rest" D. "If I have any tingling under my cast, I'll know I need to move my fingers more"

A. "I'll call the doctor's office is my fingers get colder on the arm with the cast"

A nurse is providing discharge teaching to a client who has osteoarthritis. Which of the following instructions should the nurse include? A. "Rest frequently after periods of activity" B. "Perform your exercises only on days that you feel good" C. "Perform your exercises after applying cold packs to your joints" D. "Place a large pillow under your knees when lying down"

A. "Rest frequently after periods of activity"

A nurse is caring for a client with a hip fracture who has Buck's extension traction in place. Which of the following pieces of information should the nurse give the client about this type of traction? Select all that apply. A. "You'll have considerably less pain with the traction in place" B. "You'll have the traction in place for a week or so" C. "The traction will help decrease muscle spasms" D. "The weights act as a pulling force to keep your leg and hip still" E. "We have to make sure the weights are just barely touching the floor"

A. "You'll have considerably less pain with the traction in place" C. "The traction will help decrease muscle spasms" D. "The weights act as a pulling force to keep your leg and hip still"

A nurse is assessing a client who has deep-vein thrombosis in her left calf. Which of the following manifestations should the nurse expect to find? Select all that apply A. Hardening along the blood vessel B. Absence of a peripheral pulse C. Tenderness in the calf D. Cool skin on the leg E. Increased leg circumference

A. Hardening along the blood vessel C. Tenderness in the calf E. Increased leg circumference

A nurse is teaching an older adult client about osteoporosis. Which of the following statements should the nurse include in the teaching? A. "Cottage cheese is a good source of calcium" B. "Increase your caffeine intake" C. "Brisk walking will help prevent bone loss" D. "Hormone replacement therapy with estrogen will increase your risk of osteoporosis"

C. "Brisk walking will help prevent bone loss"

A nurse is obtaining a weekly weight for a client who has obesity and osteoarthritis and is on a weight-management program. The nurse determines that the client gained 1.36 kg (3 lb) in the past week. Which of the following statements should the nurse make? A. "You should try a little harder to stick to your diet" B. "Why do you think you've gained 3 lb this week?" C. "Were there any issues last week that kept you from focusing on your diet?" D. "You should put this week behind you and adhere to your diet from now on"

C. "Were there any issues last week that kept you from focusing on your diet?"

A nurse is caring for a school-aged child who had an arm cast applied 8 hours ago. Which of the following findings should alert the nurse to a complication related to the casting? A. The child reports a pain level of 5 on a scale of 0 to 10 B. The child's hands are cool bilaterally C. The child reports tightness at the wrist D. The child's grasp is weak

C. The child reports tightness at the wrist

A nurse is preparing a community education program about reducing the risk of osteoporosis. Which of the following pieces of information should the nurse include? A. Avoid sun exposure B. Take a calcium supplement once each day if at risk for osteoporosis C. Walking is the preferred mode of exercise to maintain strong bones D. Caffeine intake minimizes the risk of developing osteoporosis

C. Walking is the preferred mode of exercise to maintain strong bones

A nurse is caring for an older client who is scheduled to undergo surgery for a hip fracture. The client says, "I guess I've lived long enough, and it's now my time." Which of the following responses should the nurse make? A. "The doctors and nurses will take good care of you. There's nothing to worry about." B. "This is just a minor setback. You will be on your feet in no time." C. "You are in really good shape for your age." D. "Do you feel that your life is ending?"

D. "Do you feel that your life is ending?"

A nurse is caring for a client who has osteoarthritis. The client states she does not want to perform her prescribed exercises because of the pain. Which of the following responses should the nurse make? A. "The exercises are important. The quicker we do them, the sooner they will be done." B. "The pain will go away once you start doing the exercises regularly" C. "Think of something pleasant while exercising, and you will not have pain" D. "Tell me more about the pain you experience during exercise"

D. "Tell me more about the pain you experience during exercise"

A nurse is teaching about levodopa with a family member of a client who has Parkinson's disease. Which of the following pieces of information should the nurse include? A. A full therapeutic response may take several months to happen B. The medication should be taken with high-protein foods C. A full therapeutic response might cause vivid dreams D. The medication is given at the onset of mild symptoms

A. A full therapeutic response may take several months to happen

A nurse in an acute care clinic is talking with a client who reports that the osteoarthritis pain in her knees is increasing each day. The client wants to discuss non-pharmacological approaches to help relieve her pain. Which of the following interventions should the nurse suggest? A. Applying warm compresses to sore joints B. Decreasing the daily intake of dietary protein C. Keeping joints in extension during rest periods D. Limiting sleep to 6 to 7 hr per night

A. Applying warm compresses to sore joints

A nurse is talking with an older client who has an elevated risk for osteoporosis about strategies for preventing bone loss. Which of the following instructions should the nurse provide? A. Begin a program of brisk walking B. Take 800 mg of calcium per day C. Drink plenty of sparkling water D. Drink 8 oz of red wine each day

A. Begin a program of brisk walking

A nurse is providing teaching about degenerative complications to the partner of a client who has a new diagnosis of Parkinson's disease. Which of the following manifestations is the priority? A. Dysphagia B. Emotional liability C. Impaired speech D. Self-care dependency

A. Dysphagia

A nurse is performing an assessment on an older adult client who has chronic pain. Which of the following effects of unrelieved pain should the nurse identify as a priority finding to report? A. Impaired mobility B. Decreased independence C. Decreased self-esteem D. Impaired socialization

A. Impaired mobility

A nurse is preparing to care for a client who is in balanced skeletal traction to stabilize a femur fracture. Which of the following actions should the nurse include in the client's plan of care? A. Offering the client a diet high in fluid and fiber B. Encouraging active range of motion of the affected leg C. Removing the weights prior to repositioning the client D. Inspecting pin sites every 24 hr for drainage

A. Offering the client a diet high in fluid and fiber

A nurse is preparing a client who is scheduled to have an arthroscopy the following day. Which of the following statements indicates that the client understands the pre-procedure teaching? A. "I have to keep my leg straight throughout the whole procedure" B. "The doctor will be able to see if I have signs of rheumatoid arthritis" C. "I should expect to stay overnight until I can walk around" D. "I'll have a scar that will be about an inch long"

B. "The doctor will be able to see if I have signs of rheumatoid arthritis"

A nurse is caring for a group of clients who have mobility issues. Which of the following clients is at the greatest risk for a complication? A. A 3 year old client who has a burned foot B. An 80 year old client who has a fractured hip C. A 30 year old client who has a cast applied for a fractured ankle D. A 42 year old client who has an indwelling urinary catheter

B. An 80 year old client who has a fractured hip

A nurse is preparing an in-service presentation about the basics of bone injuries. Which of the following types of fractures results when a client's bone breaks into multiple pieces? A. Avulsion B. Comminuted C. Compression D. Spiral

B. Comminuted

A nurse is caring for a client immediately following application of a plaster cast. The nurse should monitor for and report which of the following findings as an indication of compartment syndrome? A. Sensation of heat on the surface of the cast B. Paresthesias of the extremity C. Pruritus of the extremity D. Musty odor noted from cast materials

B. Paresthesias of the extremity

A nurse is caring for a client who has a fractured right hip. Which of the following types of traction should the nurse expect the client to have prior to hip arthroplasty surgery? A. Balanced skeletal traction B. Pelvic belt C. Pelvic sling D. Buck's traction

D. Buck's traction

A nurse is preparing an in-service presentation about the basics of bone injuries. Which of the following types of fractures is especially common in children? A. Impacted B. Depressed C. Compound D. Greenstick

D. Greenstick

A nurse is reviewing the medical record of a female client. Which of the following findings should the nurse identify as a risk factor for osteoporosis? A. Decreased intake of phosphate-containing foods B. Spending several hours in the sun daily C. Increased estrogen levels D. History of anorexia nervosa

D. History of anorexia nervosa

A nurse is assessing a client who has several risk factors for osteoporosis. Which of the following findings indicate that the client requires further evaluation for this disorder? A. Leg cramps with exercise B. Stress incontinence C. Abdominal distention D. Lower back pain

D. Lower back pain

A nurse is teaching a client who has osteoporosis. Which of the following instructions should the nurse include in the teaching? A. Reduce dietary protein intake B. Apply ice to painful areas C. Increase calcium intake to 900 mg per day D. Perform weight-bearing exercises

D. Perform weight-bearing exercises

A nurse is developing an exercise program for an older adult client who lives alone and has become sedentary since his partner died. Which of the following outcomes is the priority of this program for the client? A. To maintain skin integrity B. To increase socialization opportunities C. To increase physical strength D. To maintain functional ability

D. To maintain functional ability

A nurse is admitting a client who has a hip fracture to the medical-surgical care unit. The client states, "I've never been in the hospital before, and I feel like I have a lot of anxiety." Which of the following responses should the nurse offer? A. "You're feeling anxious about being in the hospital for the first time" B. "Anxiety while in the hospital is a feeling many people experience" C. "Why do you think you feel anxious about being in the hospital?" D. "What activities do you enjoy when you're not in the hospital?"

A. "You're feeling anxious about being in the hospital for the first time"

A nurse is determining a client's risk of developing osteoporosis. The nurse should identify which of the following as risk factors for bone loss? Select all that apply. A. Small body frame B. Hypertension C. African-American ethnicity D. Low vitamin D intake E. Smoking

A. Small body frame D. Low vitamin D intake E. Smoking