Mobility Exercises Questions: Trivia Quiz!

1. The following is a Swing to gait ambulation. Arrange the following in sequential order:

Repeat 2 previous steps

Begin in tripod position with partial weight bearing on both feet

Lift and swing leg to crutches, letting crutches support body weight

Move both crutches forward

p. 396

Explanation

p. 396

Submit

2. The skill of performing ROM exercises may be delegated to nursing assistive personnel (NAP).

True

False

p. 378

Explanation

p. 378

3. Designed to exercise many different joints, including hips, shoulder, wrist, and fingers

Continuous Passive Motion (CPM)

Circulatory Positional Machines (CPM)

Controlled Pressure on Muscles (CPM)

Channeled Passive Motion (CPM)

p. 382

Explanation

p. 382

4. When you bring chin to rest on your chest. What type of movement do you do? And what part of your body do you move?

Extension, neck

Flexion, neck

Rotation, head

Hyperextension, head

p. 379

Explanation

p. 379

5. Refers to the amount of movement that a person has at each joint

ADL

PROM

ROM

PMS

p. 378

Explanation

p. 378

6. The following is a swing-through gait ambulation. Arrange the following in sequential order

Lift and swing legs through and beyond crutches

Repeat sequence

Start in tripod position with partial weight bearing on both feet

Move both crutches forward

p. 396

Explanation

p. 396

Submit

7. A patient with a Foley Catheter needs to ambulate. How should you proceed to help this patient.

Place bag below the level of the bladder and prevent tension on tubing

Place bag on the lap of patient and prevent tension on tubing

Place bag on an intravenous post and prevent tension on tubing

Place bag behind patient and avoid tension on tubing

p. 388 - This prevents reflux of urine from the bag back into bladder

Explanation

p. 388 - This prevents reflux of urine from the bag back into bladder

8. Indications for the use of assistive devices. Select all that apply:

Instability

Poor balance

Pain in weight bearing

Cardiac disorders

p. 390

Explanation

p. 390

Submit

9. A nurse is educating older adults who live on a fixed income about the importance of exercise. Which activity does the nurse suggest?

Join a local fitness club

Form a walking group

Organize a book-readers club

Invest in home exercise equipment

p. 399, question 3

Explanation

p. 399, question 3

10. While doing a Range of Motion exercise and a new resistance is noted within a joint, what would you do next?

Continue with the exercise and then consult a health care provider or physical therapist

Do not force joint motion. Consult with health care provider or physical therapist

Leave the patient alone and call the supervisor

Offer the patient a PRN medication

p. 379

Explanation

p. 379

11. The nurse teaches a patient ROM exercises for the shoulder. For abduction, how high is the patient taught to raise the arm?

120 degrees

140 degrees

180 degrees

220 degrees

page 400, question 6

Explanation

page 400, question 6

12. The risk for orthostatic hypotension is primarily a concern for...

Patient safety

Patient mobility

Patient activity

Patient civility

p. 376

Explanation

p. 376

13. Which situation is a contraindication for the use of elastic stockings?

Prior use of stockings within 3 months

Recent skin graft to the lower leg

Increased circulation of lower extremities

Immobility for more than 1 week

page 400, question 9

Explanation

page 400, question 9

14. Before anything else, where does a patient hold a cane and how far from the side of the foot

On weak side, 4 to 6 inches (10 - 15 cm) to side of foot

On strong side, 4 to 6 inches (10 - 15 cm) to side of foot

On strong side, 4 to 6 inches (10 - 15 cm) to the front of foot

On weak side, 4 to 6 inches (10 - 15 cm) to the back of foot

p. 392

Explanation

p. 392

15. Referred to as exercise prescription

Frequency, intensity, time and type of exercise

Place, quality, quantity and days of exercise

Location, quality, group and time of exercise

Description, allocation, place and time of exercise

p, 377

Explanation

p, 377

16. The following is a 3-point gait ambulation using crutches. Arrange the following in sequential order:

Advance both crutches and involved leg

Repeat sequence

Move stronger leg forward

Begin in tripod position with weight place on strong leg

p. 394

Explanation

p. 394

Submit

17. Requires the patient to support weight on the assistive device and the unaffected limb. The affected leg is kept off the floor at all times.

Non-weight bearing status

Weight-bearing status

Partial weight-bearing status

Total weight-bearing status

p 390

Explanation

p 390

18. The physician has ordered that a second day post surgery patient be ambulated at least once before discharge. This patient has an intravenous medication that cannot be taken out. How do you proceed with ambulation?

To proceed with ambulation for a second day post-surgery patient with an IV medication that cannot be removed, the IV pole should be placed on the same side as the site of infusion. Instructing the patient to hold and push the pole while ambulating ensures that the patient can maintain stability and balance while also keeping the IV line secure. Placing the IV pole on the opposite side or instructing the patient to hold and pull the pole may cause discomfort or compromise the integrity of the IV line.

Explanation

To proceed with ambulation for a second day post-surgery patient with an IV medication that cannot be removed, the IV pole should be placed on the same side as the site of infusion. Instructing the patient to hold and push the pole while ambulating ensures that the patient can maintain stability and balance while also keeping the IV line secure. Placing the IV pole on the opposite side or instructing the patient to hold and pull the pole may cause discomfort or compromise the integrity of the IV line.

19. A leading cause of death in the United States and whose patients are most affected by physical inactivity.

Osteoporosis

Coronary heart disease

Atherosclerosis

Pancreatic Cancer

p. 377

Explanation

p. 377

20. Typical initial setting of CPM machine

30 to 40 degrees of flexion and full extension (0 degrees) at 3 cycles per minute

2 to 3 degrees of flexion and full extension (0 degrees) at 2 cycles per second

20 to 30 degrees of flexion and full extension (0 degrees) at 2 cycles per minute

20 to 30 degrees of extension and full flexion (0 degrees) at 2 cycles per hour

p. 382

Explanation

p. 382

21. For an older adult, it is the least expensive yet effective way to prevent fractures, improve balance, reduce falls, and improve bone density.

Vitamins and minerals

Exercise

Nutrition

Activities of daily living

p. 377

Explanation

p. 377

22. Three factors of a Virchow's triad (factors that contribute to a DVT development). Select all that apply:

Hypercoagulability of the blood

Low pH values of blood plasma

Venous wall damage

Blood flow stasis

p. 384

Explanation

p. 384

Submit

23. Closely approximates normal walking, except that less weight is placed on the affected limb.

Total weight bearing

Partial weight bearing

Non-weight bearing

Weight bearing

p. 390

Explanation

p. 390

24. Which of the following actions prevents injury when the nurse is lifting a patient? Select all that apply

Keep knees in locked position

Avoid twisting

Move the patient without assistance

Use arms and legs, not the back

Encourage patient to help if able

page 400, question 8

Explanation

page 400, question 8

Submit

25. SCD (Sequential compression device)

Reduce blood stasis and venous wall injury

Pump blood into deep veins, thus removing pooled blood and preventing venous stasis

Compresses muscles to avoid muscles dystrophy

Tightens tissues on lower extremities to prevent decubitus

p. 384

Explanation

p. 384

26. A proper protocol in doing a Range of Motion exercise.

Do it from distal to proximal. Repeat each movement twice.

Do it in a head-to-toe sequence. Repeat each movement 8 times.

Do it in a head-to-toe sequence. Repeat each movement 5 times.

Do it in a random sequence. Repeat each movement 3 times.

p. 379

Explanation

p. 379

27. The husband of a patient is concerned about his wife's ambulation. What would you suggest him to do?

Give the wife an opioid analgesic just before ambulating

Encourage his wife to bend forward when walking

Schedule daily activities so there is time between them.

Have his wife hold her breath when rising to a standing position

p. 399, question 2

Explanation

p. 399, question 2

28. Possible reasons why a patient may develop DVT. Select all that apply:

Injury to a vein from a broken bone or surgery

Immobility caused by a cast or sitting a long time

Inherited clotting disorders

Obesity, smoking and family history

Culture, race and gender

p. 384

Explanation

p. 384

Submit

29. With respect to the proper use of a walker, what would be the approximate height of the walker for a patient?

p. 397

Explanation

p. 397

30. A child with cerebral palsy can experience difficulty with movement, loss of balance, and lack of muscle control. Which gait does the nurse instruct the parents of a child with cerebral palsy to use for crutch walking?

Four-point

Three-point

Two-point

Swing-to

p. 400, question 7

Explanation

p. 400, question 7

31. Before starting a CPM machine intervention, which of the following vitals need priority assessment?

Height and weight

Temperature and respiration

Skin color and circulation

Heart rate and blood pressure

p. 382

Explanation

p. 382

32. The patient has returned to the nurse's unit following total knee replacement surgery. What should the nurse do as he begins to apply the CPM?

Inject analgesic medication on the knee

Position the machine's knee hinge 4 inches (10 cm) above the patient's knee.

Support the patient's leg above, below, and at the knee

Instruct the patient to expect to feel severe discomfort during the therapy

page 399, question 4

Explanation

page 399, question 4

33. Crutch measurement includes three areas. What are they? Select all that apply

Patient's height

Distance between crutch pad and axilla

Measurement of arms and forearms

Angle of elbow flexion

p. 392

Explanation

p. 392

Submit

34. When you move your arm behind your body, keeping the elbow straight, what type of movement do you do and what body part do you move?

Extension, arms

Flexion, shoulder

Hyperextension, shoulder

Hyperextension, arms

p. 379

Explanation

p. 379

35. When helping a patient ambulate through a hallway, where do you position the patient?

Position patient between yourself and the wall.

Position patient on your left side away from the wall

Position the patient in front of you and the wall

Position the patient to your stronger side for full support

p. 389

Explanation

p. 389

36. A patient with one non-weight bearing leg is climbing the stairs. How would you educate him? Arrange sequentially

Repeat Sequence until patient reaches top of stairs

Begin in tripod position

Align both crutches with the strong leg on the step

Patient transfers body weight to crutches

Advance strong leg onto step

p. 396

Explanation

p. 396

Submit

37. The following are steps to apply elastic stockings. Arrange them according to the order they need to be done.

Turn stockings inside out; hold toe and pull through

Place toes into foot of stocking

Slide remaining portion of sock over foot

Slide sock up until completely extended

Check fit of sequential compression device sleeve

pages 385-386

Explanation

pages 385-386

Submit

38. The following is a 2-point gait ambulation using crutches. Arrange the following in sequential order

Begin in tripod position with partial weight bearing on both feet

Repeat Sequence

Move left crutch and right foot forward

Move right crutch and left foot forward

p. 395

Explanation

p. 395

Submit

39. What are the possible consequences when crutches are too long? Select all that apply:

Places pressure on axilla

Patient cannot push off the ground

May cause paralysis of elbow and wrist extensors (crutch palsy)

Shoulders are forced upwar

Patient's height will decrease

p. 392

Explanation

p. 392

Submit

40. Ideal distance of crutch pad under axilla

Crutch pad is 2 to 3 inches under axilla

Crutch pad is 2 to 3 centimeters under axilla

Crutch pad is 2 to 3 finger widths under axilla

Crutch pad is 2 to 3 millimeters under axilla

p. 393

Explanation

p. 393

41. A patient who used to be a medical scientist asks, "What are these elastic stockings for? Can I have another color or design? They seem not to match my attire". What would be your best response?

Elastic stockings pump blood into veins and remove pooled blood, thus preventing venous stasis

They are there to help you were your shoes better. There are no other designs or colors

p. 384

Explanation

p. 384

42. Normal walking posture. Select all that apply:

The head is erect

Cervical, thoracic and lumbar vertebrae are aligned

Hips and knees have slight flexion

Arms swing freely

Feet shuffles once in a while

p. 387

Explanation

p. 387

Submit

43. The left column are ways to prevent lift injuries among health care workers. Match with the rationale on the right.

Use arms and legs (not back)

Position self close to patient (or object being lifted).

The person with the heaviest load coordinates efforts of a life team by counting to three

Perform lifting as last resort

Encourage patient to assist as much as possible

p. 377

Explanation

p. 377

Submit

44. For a patient who has crutches, before standing up from a sitting position, where will the crutches be held?

Place both crutches resting against the lap

Place both crutches in the strong hand

Place both crutches in the hand on the involved side

Place both crutches on the floor

p. 394

Explanation

p. 394

45. Which of the following are true regarding the use of a cane? Select all that apply:

Use cane on the dominant side

Ensure that walking surface is clean and dry

Instruct patient to walk barefoot

Avoid flexion of elbow when ambulating

p. 399, question 1

Explanation

p. 399, question 1

Submit

46. Definition of mobility.

Capacity for movement that provides means to perform activities of daily living

Capacity for movement that provides a means of personal contact, sensation, exploration, pleasure and control

Capacity for movement that allows personal contact using mobile devices and electronic gadgets

Capacity for movement that provides a patient with the ability to ran away from the hospital and avoid unnecessary fees.

p. 376

Explanation

p. 376

47. Allows patient to distribute equal weight between each limb with minimal weight on assistive device.

Total weight bearing

Partial weight bearing

Non-weight bearing

Weight bearing

Total weight bearing means that the patient is able to distribute equal weight between each limb with minimal weight on an assistive device. This indicates that the patient is able to bear their full body weight on their own without any significant limitations or restrictions.

Explanation

Total weight bearing means that the patient is able to distribute equal weight between each limb with minimal weight on an assistive device. This indicates that the patient is able to bear their full body weight on their own without any significant limitations or restrictions.

48. If a patient uses a walker and is hemiplegic (one-sided paralysis) or has hemiparesis (one-sided weakness) and you needed to assist him/her, where do you stand?

If a patient is hemiplegic or has hemiparesis, stand next to his/her strong side

If a patient is hemiplegic or has hemiparesis, stand next to his/her weak side

If a patient is hemiplegic or has hemiparesis, stand next to his/her right side

If a patient is hemiplegic or has hemiparesis, stand next to his/her left side

When a patient is hemiplegic or has hemiparesis, it means that one side of their body is paralyzed or weak. By standing next to their strong side, you are providing support and assistance to the side that has more mobility and strength. This allows you to help the patient maintain balance and stability while walking with the walker, as well as provide assistance if they need it. Standing on the strong side also allows you to be in a better position to protect the patient from falls or any potential hazards on that side.

Explanation

When a patient is hemiplegic or has hemiparesis, it means that one side of their body is paralyzed or weak. By standing next to their strong side, you are providing support and assistance to the side that has more mobility and strength. This allows you to help the patient maintain balance and stability while walking with the walker, as well as provide assistance if they need it. Standing on the strong side also allows you to be in a better position to protect the patient from falls or any potential hazards on that side.

49. Which of the following are indications of orthostatic hypotension? Select all that apply

Pallor

Bradycardia

Nausea

Dizziness

Irritability

p. 400, question 5

Explanation

p. 400, question 5

Submit

50. Purposes and benefits of a CPM machine. Select all that apply:

Mobilize the knee joint to prevent contracture, muscle atrophy, venous stasis, and thromboembolism.

Improves cartilage nutrition and reduces edema

Accelerate venous blood flow

Stimulate circulation in synovial fluids

Lowers risk for deep vein thrombosis

p. 382

Explanation

p. 382

Submit

51. Elements essential for mobility.

Ability to move based on adequate muscle strength, control, coordination, and range of motion (ROM)

The motivation to move

Ability for airway movement, breathing and circulation

The absence of barriers in the environment

p. 376

Explanation

p. 376

Submit

52. Signs and symptoms of orthostatic hypotension:

Nausea and dizziness

Light-headedness

Tachycardia

Presbycusis

Pallor and fainting

p. 376

Explanation

p. 376

Submit

53. Promotes circulation by mimicking the natural action of walking

Elastic Stockings

SCD

Venous plexus foot pumps

CPM

p. 384

Explanation

p. 384

54. Basis of the techniques used in transferring patients. Select all that apply:

Patient's medical condition

Patient's orientation

Patient's cognitive status

Patient's physical status

p. 376

Explanation

p. 376

Submit

55. The following is a 4-point gait ambulation using crutches. Arrange the following in sequential order.

Begin in tripod position with crutches placed 6 inches (15 cm) in front and 6 inches (15 cm) to side of each foot. Posture should be erect head and neck, straight vertebrae, and extended hips and knees

Move right foot forward to level of right crutch

Move left crutch forward 4 to 6 inches

Move right crutch forward 4 to 6 inches (10 to 15 cm)

Move left foot forward to level of left crutch

p. 394

Explanation

p. 394

Submit

56. Uses of a CPM machine: application and procedures. Check all that apply:

After a total knee arthoplasty (replacement)

May be initiated on the day of surgery or the first postoperative day.

Often used in outpatient physical therapy

Now being looked at as a therapy for burn patients in the prevention and treatment of scar tissue contractures

Improve facial muscles and decrease degeneration of tissues

p. 382

Explanation

p. 382

Submit

57. While ambulating a patient, patient starts to fall. Organize the following steps according to its proper order

Call for help

Put both arms around patient's waist or grasp gait belt tightly

Stand with feet apart for a broad base of support

Extend one leg and let patient slide against it to the floor

Bend knees and lower your body as patient slides to the floor

Stay with patient until assistance arrives to help lift patient to wheelchair

p. 389

Explanation

p. 389

Submit

58. Place the following steps for climbing stairs with crutches in the correct order from first to last step.

Align crutches with affected leg on step

Stand in tripod position

Advance unaffected leg onto step

Transfer body weight to crutches

page 400, question 10

Explanation

page 400, question 10

Submit

59. A patient with one non-weight bearing leg is descending the stairs. How would you educate him? Arrange sequentially

Transfer body weight to strong leg

Begin in tripod position

Repeat sequence until patient reaches bottom step

Move crutches to stair below and instruct patient to transfer body weight to crutches and move involved leg forward

Move strong leg to stair below and align with crutches

p. 397

Explanation

p. 397

Submit

60. The following are steps for a CPM machine. Arrange according to sequential order

Provide analgesia

Identify patient

Place sheepskin on CPM macine

Start CPM machine

Make sure patient is comfortable. Provide patient with on/off switch

Submit

61. Match the assistive device on the left with its description or use on the right.

Canes

Crutches

Walkers

standard crook

quad cane

tripod

pp. 390-391

Explanation

pp. 390-391

Submit

62. The left side are activities of daily living. Match it with the corresponding movement on the right

rolling feet inward

applying deodorant

shaking head no

combing hair

moving toe toward the head of bed

moving toe toward foot of bed

writing, eating and hobbies

moving left ear to left shoulder

p. 378

Explanation

p. 378

Submit

63. Which of the following is not a benefit of physical activity?

Increased energy

Improved sleep

Better appetite

Improved self-esteem

p. 376

Explanation

p. 376

64. The following are the appropriate steps for the use of a cane. Arrange them according its sequential order from the right column.

Move involved leg forward, even with strong leg

Have patient hold cane on strong side 10 to 15 cm (4 to 6 inches) to side of foot. Cane extends from greater trochanter to floor while cane is held 15 cm (6 inches) from foot. Allow approximately 15-30 degrees elbow flexion