[App] SHRM-CP Offline Exam on All PC version 2025 - 1000 + Question
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NCLEX-PN Exam Questions - Part 51
1. A client is having problems with her ankles. To assess her ankles - ROM, which ROM exercises should the nurse have her perform?
A) flexion, extension, hyperextension
B) flexion, extension, abduction, adduction
C) external rotation, internal rotation
D) extension, flexion, inversion, eversion
2. Pulling is easier than pushing. So pulling a client rather than pushing him or her has which of the following advantages?
A) reduces workload
B) decreases opposition from gravity
C) maintains stability
D) prevents muscle strain
3. The nurse is transferring a client from a wheelchair to the bed. Which is the correct procedure?
A) Pull the client toward you, and pivot him on the unaffected limb.
B) Pull the client toward you, and pivot him on the affected limb.
C) Push the client toward the bed, and pivot him on the affected limb.
D) Stand the client on both legs, and push him toward the bed.
4. Pressure ulcers usually occur:
A) when clients are left in one position in bed for extended periods of time.
B) when clients are underweight.
C) when clients are overweight.
D) only in underweight and overweight clients.
5. Accurate documentation of assessment findings regarding pressure ulcers is very important because:
A) the law requires the nurse to document lesions.
B) the hospital requires the nurse to document lesions.
C) the physician requires the nurse to document lesions.
D) the nursing assessment of ulcers is a standard of nursing practice.
A) flexion, extension, hyperextension
B) flexion, extension, abduction, adduction
C) external rotation, internal rotation
D) extension, flexion, inversion, eversion
2. Pulling is easier than pushing. So pulling a client rather than pushing him or her has which of the following advantages?
A) reduces workload
B) decreases opposition from gravity
C) maintains stability
D) prevents muscle strain
3. The nurse is transferring a client from a wheelchair to the bed. Which is the correct procedure?
A) Pull the client toward you, and pivot him on the unaffected limb.
B) Pull the client toward you, and pivot him on the affected limb.
C) Push the client toward the bed, and pivot him on the affected limb.
D) Stand the client on both legs, and push him toward the bed.
4. Pressure ulcers usually occur:
A) when clients are left in one position in bed for extended periods of time.
B) when clients are underweight.
C) when clients are overweight.
D) only in underweight and overweight clients.
5. Accurate documentation of assessment findings regarding pressure ulcers is very important because:
A) the law requires the nurse to document lesions.
B) the hospital requires the nurse to document lesions.
C) the physician requires the nurse to document lesions.
D) the nursing assessment of ulcers is a standard of nursing practice.
1. Right Answer: D
Explanation: Moving a joint through the full range of motion identifies limitation of movement. Basic Care and Comfort
2. Right Answer: A
Explanation: Pulling an object works with gravitational force not opposing it, lowering risk of muscle strain. Basic Care and Comfort
3. Right Answer: A
Explanation: Pulling the client toward the nurse lowers the workload force. Pivoting on the unaffected limb offers strength to support the affected limb while pivoting to the bed.Basic Care and Comfort
4. Right Answer: A
Explanation: Pressure ulcers usually occur over bony prominences and are caused by decreased circulation. The client who is left in one position in bed for extended periods of time is more prone to decreased circulation to an area of the body and to acquiring a pressure ulcer. Basic Care and Comfort
5. Right Answer: D
Explanation: Documentation of assessments by the nurse promotes continuity of care and helps prevent further progression of the ulcer. Basic Care and Comfort
Explanation: Moving a joint through the full range of motion identifies limitation of movement. Basic Care and Comfort
2. Right Answer: A
Explanation: Pulling an object works with gravitational force not opposing it, lowering risk of muscle strain. Basic Care and Comfort
3. Right Answer: A
Explanation: Pulling the client toward the nurse lowers the workload force. Pivoting on the unaffected limb offers strength to support the affected limb while pivoting to the bed.Basic Care and Comfort
4. Right Answer: A
Explanation: Pressure ulcers usually occur over bony prominences and are caused by decreased circulation. The client who is left in one position in bed for extended periods of time is more prone to decreased circulation to an area of the body and to acquiring a pressure ulcer. Basic Care and Comfort
5. Right Answer: D
Explanation: Documentation of assessments by the nurse promotes continuity of care and helps prevent further progression of the ulcer. Basic Care and Comfort
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