Body Mechanics And Patient Mobility Quiz

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Body Mechanics And Patient Mobility Quiz - Quiz

Test your knowledge with our engaging body mechanics quiz, designed specifically for nursing professionals. This quiz features a series of body mechanics questions and answers that will challenge your understanding of safe lifting, transferring patients, and proper body posture. This quiz on body mechanics in nursing will help reinforce your skills and promote patient safety in clinical practice.

Use this opportunity to identify areas for improvement and enhance your expertise in body mechanics. As you complete the quiz, you'll gain insights into the best practices for maintaining ergonomic techniques, minimizing injury risk, and ensuring optimal patient comfort. Enhance your Read morelearning experience with detailed explanations provided after each question, allowing you to deepen your understanding and apply these essential principles effectively in your nursing practice.


Body Mechanics in Nursing Questions and Answers

  • 1. 

    The most serious injuries occur when you ___________. 

    • A.

      Pull and push using your thigh muscles.

    • B.

      Twist and lift at the same time.

    • C.

      Carry heavy loads without back support.

    • D.

      Drag a dead weight patient on the floor.

    Correct Answer
    B. Twist and lift at the same time.
    Explanation
    The most serious injuries occur when you twist and lift at the same time. This action places undue stress on the spine and can lead to back injuries, strains, and other musculoskeletal issues. Proper lifting techniques, which involve using the legs for strength and keeping the back straight, are essential to prevent injury. It's important to avoid twisting motions while lifting, as they can compromise spinal integrity and increase the risk of serious injury.

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  • 2. 

    When do injuries most likely occur? Select all that apply:

    • A.

      When you perform tasks that require you to exert yourself forcefully

    • B.

      When you perform repetitive movements

    • C.

      When you maintain an awkward or static posture

    • D.

      When you are moving from bed to chair

    Correct Answer(s)
    A. When you perform tasks that require you to exert yourself forcefully
    B. When you perform repetitive movements
    C. When you maintain an awkward or static posture
    Explanation
    Injuries are most likely to occur when performing tasks that require forceful exertion, repetitive movements, and maintaining an awkward or static posture. These activities put strain on the body and can lead to muscle strains, sprains, and other injuries. Moving from bed to chair, on the other hand, does not inherently involve forceful exertion, repetitive movements, or maintaining an awkward or static posture, so it is less likely to result in injury.

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  • 3. 

    Field of Physiology that studies muscular actions and the functions of muscles in maintaining the posture of the body.

    • A.

      Physiological dynamics

    • B.

      Body Mechanics

    • C.

      Body Kinetics

    • D.

      Kinesiology

    Correct Answer
    B. Body Mechanics
    Explanation
    Body Mechanics is the correct answer because it refers to the field of physiology that studies muscular actions and the functions of muscles in maintaining the posture of the body. Body Mechanics involves understanding how the body moves and functions in order to prevent injury and promote efficient movement. It focuses on proper body alignment, posture, and movement techniques to reduce strain on muscles and joints.

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  • 4. 

    When lifting a patient, why are we asked to use our arms and legs and not our back?

    • A.

      There really is no difference between the use of back or arms and legs.

    • B.

      Arms and legs are more flexible than our back.

    • C.

      Leg muscles are stronger, larger muscles capable of greater work without injury.

    • D.

      The arms and legs have a better leverage to pull a weight.

    Correct Answer
    C. Leg muscles are stronger, larger muscles capable of greater work without injury.
    Explanation
    Using our arms and legs instead of our back when lifting a patient is recommended because leg muscles are stronger and larger, capable of handling greater work without getting injured. The back muscles, on the other hand, are not as strong or stable, and excessive strain on them can lead to injuries such as sprains or strains. By utilizing the strength and stability of our leg muscles, we can distribute the weight more evenly and reduce the risk of back injuries.

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  • 5. 

    Which of the following refers to the relationship of various body parts to each other?

    • A.

      Body mechanics

    • B.

      Alignment

    • C.

      Physiology

    • D.

      Kinesiology

    Correct Answer
    B. Alignment
    Explanation
    The term that refers to the relationship of various body parts to each other is alignment. Alignment pertains to how different parts of the body are positioned in relation to one another, which is crucial for maintaining proper posture and function. Good alignment helps ensure that the body moves efficiently and reduces the risk of injury. While body mechanics refers to the movement and mechanics of the body, and kinesiology focuses on the study of movement, alignment specifically addresses the spatial relationships among body parts. Physiology is concerned with the functions of the body's systems and organs.

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  • 6. 

    What is the approximate measurement needed to keep a wide base of support?

    • A.

      1.5 times the length of the shoes

    • B.

      1.5 inches between our feet

    • C.

      1.5 times the width of our feet

    • D.

      1.5 feet from the object we are lifting

    Correct Answer
    A. 1.5 times the length of the shoes
    Explanation
    To maintain a wide base of support, it is necessary to have a measurement that is 1.5 times the length of the shoes. This means that the distance between the feet should be wider than the length of the shoes by a factor of 1.5. This wider base of support helps to provide stability and balance, especially when lifting or carrying objects. It ensures that the body remains steady and reduces the risk of falling or losing balance.

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  • 7. 

    _____________muscles and the ____________system maintain equilibrium, or balance, which facilitates appropriate body alignment when lifting, bending, moving, and doing other activities.

    • A.

      Skeletal, nervous

    • B.

      Cardiac, propiocetary

    • C.

      Tissue, vestibular

    • D.

      Striated, skeletal

    Correct Answer
    A. Skeletal, nervous
    Explanation
    The skeletal muscles and the nervous system work together to maintain equilibrium and facilitate appropriate body alignment during various activities. Skeletal muscles are responsible for movement and providing support to the body, while the nervous system controls muscle contractions and coordinates movement. This coordination between the skeletal muscles and the nervous system ensures that the body maintains balance and proper alignment while lifting, bending, moving, and engaging in other activities.

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  • 8. 

    Which of the following statements are true regarding good position for body mechanics? Select all that apply:

    • A.

      Chin is high and parallel to the floor.

    • B.

      Abdomen is tightened (internal girdle) in and up with gluteal muscles tucked in.

    • C.

      Feet are spread apart for a broad base of support

    • D.

      Center of gravity is at the lowest quadrant of extremities

    Correct Answer(s)
    A. Chin is high and parallel to the floor.
    B. Abdomen is tightened (internal girdle) in and up with gluteal muscles tucked in.
    C. Feet are spread apart for a broad base of support
    Explanation
    A good position for body mechanics includes having the chin high and parallel to the floor, which helps maintain proper alignment of the spine and neck. The abdomen should be tightened, acting as an internal girdle, which helps stabilize the core and maintain proper posture. Tucking in the gluteal muscles further supports the stability of the lower back. Feet should be spread apart for a broad base of support, which increases stability and balance. The center of gravity should be at the lowest quadrant of extremities, as this provides a stable foundation for movement.

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  • 9. 

    Which of the following is contraindicated against good body mechanics? 

    • A.

      Avoid bending from the waist because this will in time strain the lower back.

    • B.

      Work at a height or level that is comfortable and easy for you

    • C.

      Carry objects away from the midline of your body and try to reach as far as possible.

    • D.

      Know the maximum weight that is safe to carry

    Correct Answer
    C. Carry objects away from the midline of your body and try to reach as far as possible.
    Explanation
    Carrying objects away from the midline of the body and reaching as far as possible is contraindicated against good body mechanics because it puts unnecessary strain on the muscles and joints. This can lead to muscle imbalances, increased risk of injury, and poor posture. It is important to keep objects close to the body and use proper lifting techniques to maintain good body mechanics and minimize the risk of injury.

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  • 10. 

    In order to prevent thrombophlebitis, we teach our patient not to _____________. 

    • A.

      Cross their eyes when sleeping

    • B.

      Cross their arms when standing up

    • C.

      Cross their legs when sitting

    • D.

      Cross the road while the train is passing

    Correct Answer
    C. Cross their legs when sitting
    Explanation
    Crossing the legs when sitting can lead to compression of blood vessels and impede blood flow, increasing the risk of thrombophlebitis. Thrombophlebitis is the inflammation of a vein caused by a blood clot formation. By avoiding crossing their legs, patients can maintain proper blood circulation and reduce the likelihood of developing this condition.

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  • 11. 

    Injuries at work may take place because of the following reasons. Choose all that apply: 

    • A.

      Repetitive movements

    • B.

      Awkward static posture

    • C.

      Wrong body mechanics

    • D.

      Regular use of lifts and other devices

    Correct Answer(s)
    A. Repetitive movements
    B. Awkward static posture
    C. Wrong body mechanics
    Explanation
    Injuries at work may occur due to repetitive movements, awkward static posture, and wrong body mechanics. Repetitive movements involve performing the same motion repeatedly, which can strain muscles and joints over time. Awkward static posture refers to maintaining an uncomfortable position for extended periods, leading to muscle fatigue and strain. Wrong body mechanics involve using incorrect techniques when lifting or carrying heavy objects, increasing the risk of injury. Regular use of lifts and other devices can actually help reduce the risk of injuries by promoting proper body mechanics and reducing strain on the body.

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  • 12. 

    Based on evidence-based practice, which of the following is no longer true about devices for transferring patients? 

    • A.

      Health care agencies need to provide devices to reduce risk of injury associated with lateral transfers

    • B.

      Nurses are encourages to use draw sheets for transferring patients because they are cost efficient

    • C.

      Use assisted devices, preferably air-assisted devices when performing lateral transfers

    • D.

      All of the above are good devices for transferring patients

    Correct Answer
    B. Nurses are encourages to use draw sheets for transferring patients because they are cost efficient
    Explanation
    The statement that is no longer true about devices for transferring patients is that nurses are encouraged to use draw sheets for transferring patients because they are cost-efficient. While draw sheets may still be used in certain contexts, evidence-based practice has shifted towards recommending the use of specialized assisted devices, particularly air-assisted devices, to enhance patient safety and reduce the risk of injury for both patients and healthcare providers. Healthcare agencies are now more focused on implementing devices that minimize physical strain during lateral transfers rather than relying solely on traditional methods like draw sheets, which can increase the risk of injury.

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  • 13. 

    When planning to move a patient, two workers lifting together will ________. 

    • A.

      Reduce the work load by 50%

    • B.

      Make work less boring

    • C.

      Provide patient with more comfort

    • D.

      Allow more time do to things.

    Correct Answer
    A. Reduce the work load by 50%
    Explanation
    When planning to move a patient, having two workers lift together will reduce the work load by 50%. This approach leverages teamwork to distribute the weight of the patient more evenly between both individuals, which significantly minimizes the physical strain on each worker. By sharing the lifting responsibilities, each worker only needs to support half of the patient's weight, making it easier to execute the lift safely and efficiently.

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  • 14. 

    Ways to protect back injury. Select all that apply. 

    • A.

      Bending knees and hips before lifting

    • B.

      Avoid bending from the waist

    • C.

      Avoid twisting

    • D.

      Put left foot forward before lifting

    Correct Answer(s)
    A. Bending knees and hips before lifting
    B. Avoid bending from the waist
    C. Avoid twisting
    Explanation
    To protect against back injury, it is important to bend the knees and hips before lifting. This helps to engage the leg muscles and take some of the strain off the back. Avoiding bending from the waist is also crucial as it puts excessive pressure on the lower back. Twisting while lifting should be avoided as it can strain the back muscles and potentially cause injury. However, putting the left foot forward before lifting is not a recommended way to protect against back injury.

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  • 15. 

    Actions that promote proper body mechanics. Select all that apply:

    • A.

      Position feet 6 to 8 inches apart

    • B.

      Align and balance weight on one foot

    • C.

      Flex knees slightly

    • D.

      Contract abdominal muscles in and up

    • E.

      Face your work area

    Correct Answer(s)
    A. Position feet 6 to 8 inches apart
    C. Flex knees slightly
    D. Contract abdominal muscles in and up
    E. Face your work area
    Explanation
    This answer is correct because it includes all the actions that promote proper body mechanics. Positioning the feet 6 to 8 inches apart helps to maintain stability and balance. Flexing the knees slightly reduces strain on the back and allows for better weight distribution. Contracting the abdominal muscles helps to support the spine and maintain good posture. Finally, facing the work area ensures that the body is properly aligned and reduces the need for twisting or reaching.

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  • 16. 

    We know that a patient understands how to prevent thrombophlebitis when ......

    • A.

      He agrees to be repositioned in bed every 2 hours.

    • B.

      He needs to cough out phlegm to foster patient respiration.

    • C.

      He does not cross legs when sitting.

    • D.

      He agrees to do ROM exercises daily.

    Correct Answer
    C. He does not cross legs when sitting.
    Explanation
    When a patient understands how to prevent thrombophlebitis, it means that they are aware of the risk factors and are taking appropriate measures to avoid it. Crossing legs when sitting can restrict blood flow and increase the risk of developing blood clots, which can lead to thrombophlebitis. Therefore, if the patient agrees to not cross their legs when sitting, it indicates that they have a good understanding of how to prevent thrombophlebitis.

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  • 17. 

    What do the dorsal supine and dorsal recumbent positions have in common?

    • A.

      Both require lying on back

    • B.

      Both have extremities moderately flexed.

    • C.

      The head of the bed is raised 45 degrees.

    • D.

      The bed is at its lowest position.

    Correct Answer
    A. Both require lying on back
    Explanation
    The dorsal supine and dorsal recumbent positions are similar in that both require the patient to lie on their back. However, the dorsal supine position has the patient lying flat with legs extended and arms at their sides, while the dorsal recumbent position involves the knees being bent and feet flat on the surface. This distinction allows the dorsal recumbent position to provide better access for certain medical examinations and procedures, despite both positions sharing the commonality of supine orientation.

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  • 18. 

    Semi-fowlers and Fowler's position both focus on which anatomical part of the human body? 

    • A.

      Pelvic area

    • B.

      Thoracic region

    • C.

      Abdominal area

    • D.

      Lower extremities

    Correct Answer
    B. Thoracic region
    Explanation
    Semi-Fowler's and Fowler's positions primarily focus on the thoracic region of the human body. In these positions, the patient's upper body is elevated, which aids in respiratory function and allows for easier access to the thoracic area during medical examinations and procedures. The elevation helps reduce pressure on the thoracic cavity and promotes better lung expansion.

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  • 19. 

    Trochanter rolls or sandbags are placed parallel to the lateral surface of thighs for what reason?

    • A.

      Provide warmth

    • B.

      Elevate the head

    • C.

      Reduces external rotation of the hip

    • D.

      Reduces pressure on heels

    • E.

      Promotes good body mechanics

    Correct Answer
    C. Reduces external rotation of the hip
    Explanation
    Trochanter rolls or sandbags are placed parallel to the lateral surface of the thighs to reduce external rotation of the hip. This positioning support helps maintain proper alignment of the hip and legs, particularly in patients who are immobilized or at risk for developing musculoskeletal complications. By preventing outward rotation, trochanter rolls contribute to correct body alignment and stability, especially useful in patients with limited mobility.

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  • 20. 

    Which of these is not a complication of immobility?

    • A.

      Muscle, bone atrophy and asthenia

    • B.

      Contractures, constipation and pressure ulcers

    • C.

      UTI and disuse osteoporosis

    • D.

      Hypostatic pneumonia, renal calculi, and pulmonary embolism

    • E.

      Alopecia, strabismus and hypothermia

    Correct Answer
    E. Alopecia, strabismus and hypothermia
    Explanation
    Alopecia, strabismus, and hypothermia are not complications of immobility. Immobility is more commonly associated with issues such as muscle and bone atrophy, asthenia (weakness), contractures, constipation, pressure ulcers, urinary tract infections (UTIs), disuse osteoporosis, hypostatic pneumonia, renal calculi (kidney stones), and pulmonary embolism. In contrast, alopecia (hair loss), strabismus (eye misalignment), and hypothermia (low body temperature) are unrelated to immobility.

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  • 21. 

    Which of these is not a proper intervention against effects of immobility?

    • A.

      Well balanced diet and adequate intake

    • B.

      Reposition at least every two hours and early ambulation

    • C.

      Use of antiembolism measures

    • D.

      Reduction of activities and encouragement of sleep

    • E.

      Maintain proper body alignment

    Correct Answer
    D. Reduction of activities and encouragement of sleep
    Explanation
    Reduction of activities and encouragement of sleep is not a proper intervention against the effects of immobility because immobility can lead to muscle weakness, decreased range of motion, and other physical complications. Encouraging sleep and reducing activities can further exacerbate these effects and prolong the recovery process. Instead, interventions such as repositioning, early ambulation, use of antiembolism measures, and maintaining proper body alignment are recommended to prevent complications associated with immobility.

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  • 22. 

    Which of the following does not provide any support to any part of the body?

    • A.

      Pillows and trochanter rolls

    • B.

      Sandbag

    • C.

      Bed board

    • D.

      Side rails and trapeze bars

    • E.

      Wedge pillows

    Correct Answer
    D. Side rails and trapeze bars
    Explanation
    Side rails and trapeze bars do not provide direct support to any specific part of the body. Instead, side rails are used to prevent falls from the bed, and trapeze bars assist patients with movement, allowing them to reposition themselves. In contrast, pillows, trochanter rolls, sandbags, bed boards, and wedge pillows are all used to provide physical support to specific parts of the body, helping maintain alignment and reducing strain on muscles and joints.

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  • 23. 

    What do you do when you monitor a patient for neurovascular functions? Select all that apply. 

    • A.

      Do a CMS assessment

    • B.

      Check skin color, temperature, movement and sensation

    • C.

      Check for pulses, capillary refill and pain

    • D.

      Monitor gastric motility

    Correct Answer(s)
    A. Do a CMS assessment
    B. Check skin color, temperature, movement and sensation
    C. Check for pulses, capillary refill and pain
    Explanation
    When monitoring a patient for neurovascular function, a CMS (Circulation, Motion, Sensation) assessment is essential. This involves checking skin color and temperature to assess circulation, movement and sensation to evaluate nerve function, and pulses, capillary refill, and pain as indicators of adequate blood flow and nerve response. Monitoring gastric motility is not part of neurovascular assessment, as it relates to digestive function rather than neurovascular health.

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  • 24. 

    When there is compression from external devices such as casts and bulky dressings, what kind of risk is usually created that can result in extensive tissue damage?

    • A.

      Chronic itchiness

    • B.

      Impaired hygiene

    • C.

      Compartment syndrome

    • D.

      Immobility

    • E.

      Lack of circulation

    Correct Answer
    C. Compartment syndrome
    Explanation
    Compression from external devices, such as casts or bulky dressings, can increase pressure within a confined compartment of the body, typically an arm or leg. This pressure can lead to compartment syndrome, a condition where increased pressure compromises circulation and nerve function within the compartment, resulting in severe pain, swelling, and potentially extensive tissue damage. Immediate intervention is crucial to prevent permanent damage to muscles, nerves, and blood vessels.

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  • 25. 

    A trauma patient complains of chronic pain in his left casted leg. Pedal pulse is absent. The patient states that he can barely move it. Although the leg is tremendously painful, he cannot feel anything between its great and second toes. Skin out of the cast is pale. Tissue is tense. What is the priority intervention?

    • A.

      Lift leg at a 45 degree angle

    • B.

      Relieve pressure within 4 to 8 hours to avoid ischemic tissue necrosis

    • C.

      Amputate the leg immediately

    • D.

      Administer PRN pain ASAP

    • E.

      Notify physician now

    Correct Answer
    E. Notify pHysician now
    Explanation
    The symptoms described—chronic pain, absent pedal pulse, limited mobility, numbness, pale skin, and tense tissue—are classic signs of compartment syndrome, a medical emergency that requires prompt intervention. Immediate notification of the physician is crucial because timely intervention, typically a fasciotomy to relieve the pressure, is necessary to prevent ischemic tissue necrosis and potential limb loss. Elevating the leg could worsen the condition, and administering pain medication alone does not address the underlying issue.

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  • 26. 

    What does a passive range of motion exercise to the point of resistance and pain mean?

    • A.

      Only do the exercise when patient does not express pain

    • B.

      Do the exercise even when patient is in pain

    • C.

      Do the exercise until patient expresses pain and resists

    • D.

      Do exercise until there is physical resistance in the muscles

    • E.

      Only do the exercise when patient expresses pain

    Correct Answer
    C. Do the exercise until patient expresses pain and resists
    Explanation
    Passive range of motion (ROM) exercises are done to maintain joint flexibility and prevent stiffness, especially in patients who cannot move independently. When performing passive ROM exercises, the movement should be gentle and continued only up to the point where the patient feels pain or resists further movement. This approach prevents injury or additional discomfort by respecting the body’s natural limit and the patient's tolerance to pain.

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  • 27. 

    Active assisted range of motion _______________.

    • A.

      Strong man exercises a weaker man.

    • B.

      Strong arm exercises a weaker arm.

    • C.

      Strong nurse exercises the immobile patient.

    • D.

      Strong action exercises a weak action.

    Correct Answer
    B. Strong arm exercises a weaker arm.
    Explanation
    Active-assisted range of motion (AAROM) exercises involve helping a weaker limb or body part move by using a stronger arm or leg. In cases where one limb is weaker or has limited mobility, the stronger limb assists it in completing the movement. This approach is often used in rehabilitation to build strength and range of motion gradually. For example, a patient’s stronger arm might assist in moving their weaker or injured arm to complete certain exercises.

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  • 28. 

    Which of the following ROMs cannot be applied to a neck and cervical spine?

    • A.

      Flexion and extension

    • B.

      Hyperextension

    • C.

      Lateral flexion and rotation

    • D.

      Abduction and adduction

    Correct Answer
    D. Abduction and adduction
    Explanation
    The neck and cervical spine are capable of flexion, extension, hyperextension, lateral flexion, and rotation. However, abduction and adduction are movements that involve moving a limb away from or toward the midline of the body, which is not applicable to the neck or cervical spine. The structure of the neck and spine is designed to allow bending (flexion), straightening (extension), backward bending (hyperextension), side bending (lateral flexion), and rotation but not abduction and adduction.

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  • 29. 

    Which of the following ROM can be applied to a shoulder? Select all that apply. 

    • A.

      Flexion, extension and hyperextension

    • B.

      Abduction and adduction

    • C.

      Internal and external rotation

    • D.

      Inversion and eversion

    • E.

      Circumduction

    Correct Answer(s)
    A. Flexion, extension and hyperextension
    B. Abduction and adduction
    C. Internal and external rotation
    E. Circumduction
    Explanation
    The shoulder joint is highly versatile, allowing a broad range of movements, including flexion, extension, and hyperextension, which involve moving the arm forward, backward, and beyond the midline. It also facilitates abduction and adduction, enabling the arm to move away from and toward the body, as well as internal and external rotation, which involves rotating the arm inward and outward. Additionally, circumduction allows for circular motion of the arm. However, movements like inversion and eversion pertain to the foot and ankle, not the shoulder.

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  • 30. 

    Which of the following is not true about physical disuse syndrome?

    • A.

      An individual is at risk for body systems deterioration as the result of prescribed or unavoidable activity

    • B.

      The total amount of activity required to prevent it is only about 2 hours for every 24-hour period

    • C.

      Physical disuse syndrome can only happen to older adults

    • D.

      Physical disuse syndrome involves muscle atrophy

    Correct Answer
    C. pHysical disuse syndrome can only happen to older adults
    Explanation
    Physical disuse syndrome is a condition that can impact individuals of all ages, not just older adults. It occurs due to prolonged inactivity or immobility, leading to body system deterioration, including muscle atrophy. To prevent this syndrome, individuals need to engage in approximately two hours of physical activity each day, emphasizing the importance of maintaining movement regardless of age.

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  • 31. 

    Which of the following can do a supination and pronation ROM?

    • A.

      Shoulders

    • B.

      Head and neck

    • C.

      Forearm and hand

    • D.

      Legs and feet

    • E.

      Fingers and toes

    Correct Answer
    C. Forearm and hand
    Explanation
    Supination and pronation refer specifically to the rotational movement of the forearm and hand. Supination is the movement of turning the palm up or forward, while pronation is turning the palm down or backward. While shoulders and head/neck can exhibit some rotation, the specific ROM of supination and pronation is primarily applicable to the forearm and hand.

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  • 32. 

    Which of the following ROM cannot be applied to a wrist?

    • A.

      Flexion and extension

    • B.

      Inversion and eversion

    • C.

      Radial and ulnar flexion

    • D.

      Abduction and adduction

    Correct Answer
    B. Inversion and eversion
    Explanation
    Inversion and eversion are movements primarily associated with the foot rather than the wrist. Inversion refers to turning the sole of the foot inward, while eversion means turning it outward. The wrist has its own specific range of motion, including flexion, extension, radial deviation, and ulnar deviation. Understanding the distinction between these movements is crucial for accurate assessment and treatment of wrist conditions and injuries, highlighting the limitations of wrist mobility compared to other joints.

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  • 33. 

    Which of the following ROM can be applied to all the fingers except the thumb? Select all that apply.  

    • A.

      Flexion and extension

    • B.

      Inversion and eversion

    • C.

      Hyperextension

    • D.

      Radial and ulnar flexion

    • E.

      Abduction and adduction

    Correct Answer(s)
    A. Flexion and extension
    C. Hyperextension
    E. Abduction and adduction
    Explanation
    Flexion and extension are universal movements applicable to all fingers, including the thumb, but certain movements are restricted to the fingers. While fingers can exhibit flexion (bending) and extension (straightening), they also engage in abduction (moving away from the middle finger) and adduction (moving toward the middle finger). However, the thumb’s unique range of motion allows for opposition and rotation, differentiating it from the other fingers in terms of functional movements and dexterity.

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  • 34. 

    What happens during dorsiflexion and plantar flexion?

    • A.

      Toes are pointed upward, toes are pointed sideways

    • B.

      Toes are pointed downward, toes are pointed nowhere

    • C.

      Toes are pointed upward, toes are pointed downward

    • D.

      Toes are pointed sideways, toes are pointed nowhere

    • E.

      Toes are pointed sideways, toes are pointed sideways

    Correct Answer
    C. Toes are pointed upward, toes are pointed downward
    Explanation
    Dorsiflexion involves raising the toes towards the shin, effectively decreasing the angle between the foot and the leg. This movement is crucial for walking and balancing, allowing the heel to strike the ground first. In contrast, plantar flexion refers to pointing the toes away from the shin, increasing the angle between the foot and the leg. This action is vital for pushing off the ground when walking or running, highlighting the functional importance of these movements in everyday activities.

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  • 35. 

    When toes curl downward, it is called __________. 

    • A.

      Flexion

    • B.

      Extension

    • C.

      Abduction

    • D.

      Adduction

    Correct Answer
    A. Flexion
    Explanation
    When the toes curl downward, this movement is referred to as flexion. Flexion occurs when the angle between the toes and the foot decreases, allowing the toes to bend toward the sole of the foot. This action is essential for various activities, such as gripping surfaces while standing or walking, and it plays a significant role in maintaining balance. Understanding the mechanics of toe flexion can aid in assessing foot conditions and developing effective rehabilitation strategies for patients.

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  • 36. 

    When the sole of the foot turns medially, it is called _____________. 

    • A.

      Eversion

    • B.

      Inversion

    • C.

      Abduction

    • D.

      Adduction

    Correct Answer
    B. Inversion
    Explanation
    When the sole of the foot turns medially, this movement is known as inversion. Inversion involves the inward rolling of the foot, where the sole turns toward the midline of the body. This action is commonly used during activities like walking and running, as it helps to maintain balance and stability on uneven surfaces. However, excessive inversion can lead to ankle sprains and injuries, highlighting the importance of understanding this movement in the context of sports and physical therapy.

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  • 37. 

    When the sole of the foot turns laterally, it is called __________. 

    • A.

      Eversion

    • B.

      Inversion

    • C.

      Abduction

    • D.

      Adduction

    Correct Answer
    B. Inversion
    Explanation
    When the sole of the foot turns laterally, this movement is called eversion. Eversion involves the outward rolling of the foot, where the sole turns away from the midline of the body. This action is important for maintaining balance, especially on uneven terrain, and is often engaged during activities such as walking and running. Understanding eversion helps in assessing foot mechanics and can provide insights into potential injuries, such as ankle sprains or instability in the foot.

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  • 38. 

    While doing a passive ROM on a patient, the patient complains of muscle spasms, pain, and resistance. What should be done next?

    • A.

      Administer pain medication

    • B.

      Assess degree of pain

    • C.

      Discontinue the exercise

    • D.

      Call physician

    Correct Answer
    C. Discontinue the exercise
    Explanation
    If a patient experiences muscle spasms, pain, and resistance during passive range of motion (ROM) exercises, it is essential to assess the degree of pain they are experiencing. Evaluating the intensity and nature of the discomfort will help determine whether to continue the exercise, modify it, or cease it altogether. Patient comfort and safety should be prioritized, and adjustments to the ROM protocol may be necessary to avoid exacerbating any underlying conditions, ensuring effective rehabilitation without causing harm.

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  • 39. 

    Mr. James, who is bed-bound because of a recent surgery, prefers to maintain his right knee slightly bent while he sleeps. He prefers it this way because of comfort. He says that extending it is quite painful but he does not feel anything when it is bended. What is the most appropriate thing to tell him? 

    • A.

      It is good to keep the knee bended for long periods to ease pain

    • B.

      It is always good to keep the knee bended for comfort

    • C.

      It is not good to keep the knee bended for a long time because muscles can shorten

    • D.

      It is good to keep the knee bended sometimes so that muscles will not shorten

    • E.

      It is always to keep the knee bended to keep it flexible.

    Correct Answer
    C. It is not good to keep the knee bended for a long time because muscles can shorten
    Explanation
    It is important to inform Mr. James that maintaining his knee in a bent position for extended periods can lead to muscle shortening and stiffness over time, which may hinder his recovery process. While comfort is a priority, encouraging gentle movement and occasional stretching can help maintain flexibility and function. Explaining the potential consequences of prolonged bending can motivate him to engage in passive range of motion exercises, promoting healing while balancing comfort and recovery needs.

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  • 40. 

    Which of the following statements regarding ROM for older adults are true? Select all that apply:

    • A.

      For older adults who are chronically ill, it is sometimes necessary to break ROM into two or more sessions to control fatigue

    • B.

      Insufficient calcium or lack of sunlight increases risk for bone loss and therefore increases the need for ROM and weight-bearing exercises

    • C.

      Many older adults with arthritis require additional time in the morning before resuming activities

    • D.

      Older people who fear falling often display reluctance to move from bed to chair. There is no need to do ROM exercises

    • E.

      Older adults who are depressed prefer to stay in bed. Leave them alone

    Correct Answer(s)
    A. For older adults who are chronically ill, it is sometimes necessary to break ROM into two or more sessions to control fatigue
    B. Insufficient calcium or lack of sunlight increases risk for bone loss and therefore increases the need for ROM and weight-bearing exercises
    C. Many older adults with arthritis require additional time in the morning before resuming activities
    Explanation
    For older adults, particularly those with chronic illnesses, breaking range of motion exercises into multiple sessions is often necessary to control fatigue and enhance participation. Additionally, insufficient calcium intake or lack of sunlight can increase the risk of bone loss, making regular ROM and weight-bearing exercises vital. Many older adults with arthritis require extra time in the morning due to stiffness, while those who fear falling may show reluctance to move, emphasizing the need for supportive encouragement and safe mobility practices.

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  • 41. 

    Which of the following is not true about Continuous Passive Machines (CPM)?

    • A.

      They flex and extend joints to passively mobilize them without strain

    • B.

      They are frequently used right after total knee replacements.

    • C.

      Initial postoperative setting for a knee arthoplasty is usually 2 cycles per minute, between 20 and 30 degrees of flexion and full extension

    • D.

      They do not need a Physician's Orders

    Correct Answer
    D. They do not need a pHysician's Orders
    Explanation
    Continuous Passive Motion (CPM) machines typically require a physician's order for their use, particularly after surgeries involving the knee or hip. These machines facilitate passive movement of the joint, helping to maintain or improve range of motion and reduce stiffness. While they are beneficial for rehabilitation, the statement suggesting that they do not need a physician's order is incorrect. Ensuring proper medical oversight is essential for the safe and effective implementation of CPM therapy in patient care.

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  • 42. 

    What are the goals of a CPM therapy? Select all that apply

    • A.

      Increase or maintain physical mobility by improving joint range of motion

    • B.

      Prevent skin breakdown at pressure points

    • C.

      Allow circulation to flow freely

    • D.

      Help accelerate metabolism among older adults

    • E.

      Allow exercise without effort

    Correct Answer(s)
    A. Increase or maintain pHysical mobility by improving joint range of motion
    B. Prevent skin breakdown at pressure points
    C. Allow circulation to flow freely
    E. Allow exercise without effort
    Explanation
    The primary goals of Continuous Passive Motion (CPM) therapy include increasing or maintaining physical mobility by improving joint range of motion and enhancing circulation through passive movement. While CPM machines do provide exercise without requiring patient effort, their secondary benefits include reducing swelling and stiffness, thus promoting healing. However, they are not primarily intended for accelerating metabolism among older adults. By understanding these objectives, healthcare professionals can effectively integrate CPM therapy into rehabilitation plans for patients recovering from joint surgeries.

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  • 43. 

    We have to lift twice means ____________. 

    • A.

      Before and after fall.

    • B.

      Before and after morning routine.

    • C.

      Mentally and then physically.

    • D.

      Mentally and then allowing the patient to lift himself.

    Correct Answer
    C. Mentally and then pHysically.
    Explanation
    The phrase "we have to lift twice" emphasizes the importance of mental preparation before performing a physical lift. It suggests that caregivers should first mentally assess the situation, planning how to lift effectively and safely, before attempting the physical action. This approach helps reduce the risk of injury to both the caregiver and the patient by ensuring that the caregiver is aware of their body mechanics, the patient’s condition, and the environment, thereby promoting safer lifting practices in healthcare settings.

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  • 44. 

    While moving a patient, the first step that helps decrease patient anxiety is ____________. 

    • A.

      Explain the procedure

    • B.

      Smile and greet the patient

    • C.

      Prepare patient for intervention

    • D.

      Introduce self

    • E.

      Arrange for assistance

    Correct Answer
    D. Introduce self
    Explanation
    To effectively reduce patient anxiety during the process of moving, it is essential to explain the procedure thoroughly to the patient beforehand. Clear communication helps to alleviate fears by informing the patient about what to expect, thus fostering trust between the patient and caregiver. By providing detailed instructions and addressing any concerns, caregivers can create a supportive environment that enhances patient comfort and cooperation, ultimately leading to a smoother transition during mobility activities and improving the overall patient experience.

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  • 45. 

    In moving a patient, which of the following is not true?

    • A.

      Administer PRN pain medications to promote patient comfort

    • B.

      Flex your knees and face your body away from the direction of the move. The foot farthest from the bed faces forward for broader base of support

    • C.

      When the procedure is explained, the patient participates and anxiety is decreased

    • D.

      Arrange assistance when needed

    Correct Answer
    B. Flex your knees and face your body away from the direction of the move. The foot farthest from the bed faces forward for broader base of support
    Explanation
    When moving a patient, it is crucial to maintain proper body mechanics for safety and effectiveness. The statement that one should stand in front of the patient and place hands under their axilla while facing away from the direction of the move is incorrect. Instead, caregivers should face the direction of the move, keeping their knees flexed and maintaining a stable base of support. This practice reduces the risk of injury and ensures better control during patient transfers, enhancing safety for both the patient and caregiver.

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  • 46. 

    In moving a patient, when do we normally assess for pulse and respiration? 

    • A.

      When patient is relaxed

    • B.

      When patient is agitated

    • C.

      Before and after meals

    • D.

      When dangling a patient

    Correct Answer
    D. When dangling a patient
    Explanation
    Assessing pulse and respiration should ideally be conducted when the patient is relaxed, as agitation or anxiety can lead to altered vital signs. A calm state allows for more accurate readings, ensuring that the data reflects the patient’s true physiological condition. Understanding the appropriate timing for vital sign assessments is crucial for effective patient monitoring and care, helping healthcare providers to make informed decisions regarding patient health status and potential interventions needed during mobility tasks.

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  • 47. 

    From bed to chair, which of the following should not be done? 

    • A.

      Raise head of bed

    • B.

      Stand in front of patient and place hands under patient's axilla. Allow patient to use arms and shoulder muscles to push down on the mattress.

    • C.

      Assist patient to stand and swing around with back seat toward seat of chair

    • D.

      Help patient to sit down as you bend your knees to assist in the process

    Correct Answer
    B. Stand in front of patient and place hands under patient's axilla. Allow patient to use arms and shoulder muscles to push down on the mattress.
    Explanation
    When transferring a patient from bed to chair, it is crucial to avoid standing directly in front of the patient and placing hands under their axilla while allowing them to push down on the mattress. This method may compromise stability and safety, potentially leading to falls or discomfort for the patient. Instead, caregivers should utilize appropriate body mechanics, maintain eye contact, and encourage the patient to participate actively in the transfer process to ensure a safe and effective transfer while promoting the patient's confidence.

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  • 48. 

    In lifting or transferring a patient, what is the rule of thumb?

    • A.

      Never attempt to lift more than 75% of your body weight

    • B.

      Always tell the patient to walk first

    • C.

      Never attempt to lift more than 35% of your body weight

    • D.

      Always ask for assistance even when you can do it yourself

    Correct Answer
    C. Never attempt to lift more than 35% of your body weight
    Explanation
    The rule of thumb in lifting or transferring a patient is to always ask for assistance, even if you feel capable of performing the transfer alone. Seeking help not only enhances patient safety by providing additional support but also helps prevent injuries to caregivers. Proper teamwork and communication are essential during patient mobility tasks, as they facilitate smoother transfers, minimize the risk of accidents, and ensure that the patient feels secure and cared for during the process, thus promoting a positive healthcare experience.

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  • 49. 

    Which of the following is not a role of an LPN in the implementation of patient mobility?

    • A.

      Participate in planning care for patients based on patient needs

    • B.

      Recommend non-pharmaceutical alternatives to alleviate patient pain

    • C.

      Review patient's care plan and recommend revisions as needed

    • D.

      Review and follow defined priorities for patient care

    Correct Answer
    B. Recommend non-pHarmaceutical alternatives to alleviate patient pain
    Explanation
    The statement "Recommend non-pharmaceutical alternatives to alleviate patient pain" is not a role of an LPN in the implementation of patient mobility. While LPNs can participate in patient care and support pain management strategies, recommending specific non-pharmaceutical alternatives usually falls under the responsibilities of registered nurses (RNs) or healthcare providers who can conduct comprehensive assessments and create individualized pain management plans. LPNs can, however, implement prescribed pain management interventions and report patient responses to the healthcare team.

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  • 50. 

    What is the primary purpose of using proper body mechanics in nursing?

    • A.

      To increase the speed of patient transfers

    • B.

      To ensure the comfort of the healthcare provider

    • C.

      To minimize the risk of injury to both the patient and the nurse

    • D.

      To reduce the need for assistive devices

    Correct Answer
    C. To minimize the risk of injury to both the patient and the nurse
    Explanation
    The primary purpose of using proper body mechanics in nursing is to minimize the risk of injury to both the patient and the nurse. By employing correct techniques—such as bending at the knees, maintaining a stable base of support, and using assistive devices—nurses can protect themselves from musculoskeletal injuries while ensuring patient safety. This practice promotes efficient movement during patient handling and reduces the likelihood of accidents, ultimately contributing to a safer healthcare environment.

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Quiz Review Timeline +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Oct 29, 2024
    Quiz Edited by
    ProProfs Editorial Team
  • May 05, 2013
    Quiz Created by
    Arnoldjr2
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