NCLEX CRUSADE ACADEMY TEST - 3 NURSING INTERVENTIONS FOR IMPAIRED MOBILITY

1. A nurse is caring for an immobile patient. Which complication is MOST associated with the respiratory system due to immobility?. Paralytic ileus. Pooling of secretions leading to pneumonia. Renal calculi formation. Orthostatic hypotension.

2. Which complication is most associated with the cardiovascular effects of immobility?. Muscle atrophy. Decreased peristalsis. Deep vein thrombosis. Renal stones.

3. Which gastrointestinal complication commonly occurs with prolonged immobility?. Paralytic ileus. Pneumonia. Contractures. Osteoporosis.

4. What is the primary goal of Active Range of Motion (ROM) exercises?. Prevent pressure ulcers. Maintain patient independence with movement. Improve renal perfusion. Reduce anxiety.

5. Passive ROM exercises are primarily performed when: The patient is unconscious or unable to move independently. The patient needs muscle strengthening. The patient is ambulating independently. The patient is performing ADLs normally.

6. During ROM exercises, the nurse should stop the movement if: The patient becomes tired. The patient reports pain or resistance is felt. The joint becomes warm. The patient asks questions.

7. Which exercise type involves muscle contraction WITHOUT joint movement?. Isotonic exercise. Isometric exercise. Passive exercise. Aerobic exercise.

8. Walking and repositioning in bed are examples of: Isometric activity. Passive mobility. Isotonic activity. Static resistance.

9. Which patient position is best for rectal exams and enemas?. Supine. Sims position. Prone. Fowler's.

10. Which position is optimal for respiratory expansion?. Fowler's position. Prone position. Supine position. Knee-chest position.

11. Trendelenburg position is primarily used to: Improve venous return. Prevent aspiration. Improve digestion. Decrease blood pressure.

12. Reverse Trendelenburg position helps: Improve circulation. Prevent aspiration. Increase venous return. Improve spinal mobility.

13. Before repositioning a patient in bed, the nurse should FIRST: Elevate the bed. Lower the head of the bed. Place pillows. Raise side rails.

14. Why should the nurse raise the bed to waist level before repositioning?. Increase patient comfort. Prevent nurse back injury. Improve oxygenation. Prevent skin breakdown.

15. When 23 side rails are raised on a hospital bed, this is considered: A restraint. A safety measure. A fall violation. A medical error.

16. Raising all 4 side rails without a medical order is considered: A restraint. Fall prevention. A safety intervention. Standard practice.

17. Which task can be delegated to Unlicensed Assistive Personnel (UAP)?. Musculoskeletal assessment. Pain evaluation. Passive ROM exercises. Care plan evaluation.

18. Which task must NOT be delegated to a UAP?. Feeding patients. Reporting skin changes. Evaluating pain levels. Assisting with ADLs.

19. After cervical spine surgery, repositioning must be performed using: Assisted pivot. Log-roll technique. Fowler repositioning. Passive ROM.

20. How many staff members are typically required for safe log-rolling?. 1. 2. 3-4. 5-6.

21. Which prevention type focuses on preventing disease BEFORE it occurs?. Secondary prevention. Tertiary prevention. Primary prevention. Rehabilitation.

22. A DEXA scan used to detect osteoporosis is an example of: Primary prevention. Secondary prevention. Tertiary prevention. Rehabilitation.

23. Rehabilitation exercises after spinal injury represent: Primary prevention. Secondary prevention. Tertiary prevention. Health promotion.

24. According to NCLEX prioritization, which issue takes priority?. Chronic pain. Anxiety. Airway compromise. Teaching needs.

25. If a UAP reports excessive bleeding in a post-op patient, the nurse should FIRST: Call the physician. Assess the patient. Document the report. Start IV fluids.

26. Which medication adverse effect requires immediate intervention with calcitonin nasal spray?. Mild nasal itching. Runny nose. Numerous nosebleeds. Mild rhinitis.

27. Muscle atrophy due to immobility primarily affects which system?. Respiratory. Cardiovascular. Musculoskeletal. Renal.

28. Which renal complication may occur with prolonged immobility?. Kidney stones. Hematuria. Dialysis. Proteinuria.

29. Which psychological effect is commonly associated with immobility?. Increased motivation. Loss of agency and reduced self-esteem. Hyperactivity. Increased concentration.

30. What is the MOST important principle when mobilizing post-operative patients?. Early aggressive mobilization. Complete bed rest. Avoid movement. Minimal repositioning.