Question 1

The nurse is working with a nursing assistive personnel to provide care for a group of clients.The nurse can delegate which of the following activities to the nursing assistive personnel?
A) Assess for medical limitations before beginning the exercise activity.
B) Teach the clients breathing skills to help reduce their anxiety.
C) Obtain preexercise and postexercise vital signs.
D) Document the client's progress.

Accepted Answer

The nursing assistive personnel can obtain vital signs and report them to the nurse.Answers 1,2,and 4 are activities that are nursing responsibilities and should never be delegated.

Question 2

When planning care for a client with newly diagnosed hypertension,the nurse knows that which form of exercise would be most beneficial in lowering both systolic and diastolic blood pressure?
A) Lifting weights
B) Running
C) Bicycling
D) Competitive swimming

Accepted Answer

Low-moderate intensity exercise is the most effective in lowering blood pressure.Weight training and high-intensity aerobic exercise seem to have minimal benefit on lowering blood pressure.

Question 3

The first rule of safety when managing client transfers is:
A) Flex your knees and plant your feet far apart
B) Keep your back aligned with your neck,pelvis,and feet
C) Use lift teams or mechanical lifts when the transfer requires it
D) Always use the large muscles of the arms and legs,not the small muscles of the back

Accepted Answer

Use "lift teams" and patient-handling equipment,such as mechanical lifts,to prevent injury to yourself and the client whenever the client is incapable of helping.While the remaining options are correct,they are not directed towards the primary concern-client and staff safety.

Question 4

The nurse has determined that a client reporting general fatigue is experiencing activity intolerance.Which of the following assessment findings,observed after the client ambulates to the bathroom,best confirms this nursing diagnosis?
A) Dyspnea
B) Diaphoresis
C) Hypotension
D) Mental confusion

Accepted Answer

Further review of assessed defining characteristics (e.g. ,abnormal heart rate or dyspnea)will possibly lead to the definitive diagnosis (activity intolerance).The remaining options may be a result of other factors.

Question 5

A client who is immobilized in bed due to skeletal traction tells the nurse that they miss their exercise regimen that they had started prior to the accident that resulted in their hospitalization.The nurse knows that which of the following is a good form of exercise that this client can still perform while immobilized?
A) Isotonic exercise
B) Isometric contraction
C) Resistive isometric exercise
D) Aerobic exercise

Accepted Answer

Isometric exercise involves tightening of muscles without moving body parts.

Question 6

A newly diagnosed client with type 2 diabetes expresses concern that he will not be able to maintain his active lifestyle,which includes bicycling.The nurse instructs the client about risks and precautions regarding exercise including which of the following?
A) To avoid leisurely bicycling day trips
B) To avoid strenuous bicycling for long periods of time
C) It is better for them to exercise for 1 to 2 hours once a week than for 20 minutes 3 days per week
D) As long as he is not participating in strenuous exercise,there is no need to include warm-up or cool-down exercises

Accepted Answer

The client with type 2 diabetes can do aerobic exercise at 50% to 75% of maximal oxygen uptake.

Question 7

Which of the following statements made by an older adult reflects the best understanding of the need to exercise no matter one's age?
A) "You are never too old to start exercising."
B) "My grandson and I walk together around the park 3 times a week."
C) "I got my granddaughter a subscription to a runner's magazine for her birthday."
D) "Kids today just don't seem to get the exercise we did when I was growing up."

Accepted Answer

Strategies for physical activity incorporated early into a child's daily routine may provide a foundation for lifetime commitment to exercise and physical fitness.This answer shows the best understanding of the need to exercise across the life span.

Question 8

Which of the following assessment questions is most likely to result in pertinent information regarding the client's expectations of the outcomes of a regular exercise program?
A) "What is your greatest barrier to regular exercise?"
B) "What is your idea of a workable exercise program?"
C) "What do you want to happen from exercising regularly?"
D) "How much time can you comfortably dedicate to exercise daily?"

Accepted Answer

In assessing the client's expectations concerning activity and exercise,first determine the client's perception of what is normal or acceptable in regard to physical fitness.While the remaining options are not incorrect,they are not as likely to provide as much pertinent information regarding expectations.

Question 9

A client with a nursing diagnosis of activity intolerance has developed reddened areas on both heels and his coccyx.Which of the following nursing interventions will most likely have the greatest impact on this diagnosis?
A) Ambulating him to the bathroom before returning to bed
B) Encouraging him to change position every 2 hours while in bed
C) Including active range-of-motion exercises in both AM and PM care
D) Planning a rest period after AM care but before walking to the dining room for lunch

Accepted Answer

Rest periods will allow for the client to recuperate before expending additional energy.The remaining options are more directed towards the skin breakdown problem.

Question 10

Which of the following nursing assessment questions will best determine the nature of an exercise-related injury?
A) "Do you experience the pain during or after your workout?"
B) "Tell me what is included in your typical workout routine."
C) "How long does it hurt after you have stopped exercising?"
D) "On a scale of 1 to 10,please rate your postexercise pain for me."

Accepted Answer

Questions such as "Describe for me your typical daily exercise routine and activity" best trigger a discussion that allows for the client to offer information regarding the activities that could be responsible for the injury.The remaining options are more directed toward the pain the client is experiencing.

Question 11

A client who will be going home will need to use crutches for ambulation.Following teaching,the nurse notes that the client complains of pain under his arms.How much room should be between the crutch pad and client's axilla?
A) Axilla should lightly touch the crutch pad
B) 1 to 2 finger widths from the axilla
C) 3 to 4 finger widths from the axilla
D) 4 to 5 finger widths from the axilla

Accepted Answer

3 to 4 finger widths from the axilla prevents pressure on the axilla.

Question 12

In teaching a newly diagnosed 17-year-old client with type 1 diabetes,the nurse knows that the exercise is an important component in care.Which of the following activities would be most appropriate for the previously sedentary client?
A) Kick-boxing class
B) Football
C) Bicycling
D) Soccer

Accepted Answer

Low to moderate intensity exercise is most appropriate for clients with type 1diabetes.

Question 13

The nurse has delegated the task of ambulating a client who is experiencing activity intolerance.Which of the following statements made by the nurse best reflects an understanding of the nurse's role to properly instruct the ancillary personnel regarding this task?
A) "Stop the walking if the client complains of pain or weakness."
B) "Please be sure she has proper footwear on before starting out."
C) "Be sure to document the time spent and the distance she walked."
D) "Take her blood pressure and pulse both before and after walking."

Accepted Answer

The assigned staff must be instructed to notify the nurse of client reports of pain or any other condition that might result in physical harm.While the other options are not incorrect,they do not have the priority that the answer has.

Question 14

A client with cancer expresses interest in increasing his activity level.The nurse begins by assessing baseline data regarding the client's current activity patterns.The nurse uses professional standards to develop a plan of care for this client.Professional standards are important because they:
A) Are developed by government agencies
B) Establish scientifically proven guidelines
C) Shift responsibility for the plan of care from the nurse
D) Are required by all healthcare organizations

Accepted Answer

Standards of care often establish scientifically proven guidelines for selecting effective nursing interventions.

Question 15

A client with coronary heart disease has been meeting with a cardiac rehabilitation nurse for the past 5 weeks.The nurse has provided the client with interventions to increase the client's activity level.The client states that they don't know if the exercise program is helping.The nurse can assess the effectiveness of the interventions by:
A) Comparing baseline vital signs with current vital signs
B) Weighing the client
C) Asking the client if he feels that he has met his goals
D) Telling the client that the exercise will only help if the client has a positive attitude

Accepted Answer

To evaluate the effectiveness of nursing interventions to enhance activity and exercise,make comparisons with baseline measures that include blood pressure,pulse,strength,endurance and psychological well-being.

Question 16

A client is discussing an exercise program that includes running 1.5 miles 3 times a week.Which of the following suggestions made by the nurse is most likely to result in minimizing the client's risk for injury?
A) Stretching before and after running
B) Alternating running paths every week
C) Hydrating well with sports drinks during and after running
D) Wearing running shoes that have been professionally fitted

Accepted Answer

The warm-up period usually lasts about 5 to 10 minutes and may include stretching,calisthenics,and/or the aerobic activity performed at a lower intensity.The warm-up activity prepares the body and decreases the potential for injury.While the remaining options contain appropriate suggestions,they are not as directly related to the most common forms of running injuries-muscle strain.

Question 17

The nurse encourages a non-insulin-dependent diabetic client to engage in a regular exercise program primarily because to do so will most likely improve the client's:
A) Gastric motility,thus affecting glucose digestion
B) Respiratory recovery time,thus decreasing breath load
C) Average cardiac output,thus decreasing resting heart rate
D) Use of glucose and fatty acids,thus decreasing blood glucose level

Accepted Answer

While all the options are correct,regular exercise does tend to increase effective use of glucose and fatty acids;this would be the primary benefit for the diabetic client.

Question 18

The nurse is discussing the benefits of regular walking with a group of senior citizens.Which of the following statements shows the best understanding of the positive impact of exercise on the older adult?
A) "Remember to warm up and cool down with stretching exercises."
B) "Find a walking partner that will accompany you on a regular basis."
C) "Be sure to hydrate yourself well before,during,and after your walk."
D) "Talk with your health care provider before starting a regular walking program."

Accepted Answer

Consult a health care provider before beginning an exercise program,particularly in the presence of heart or lung disease and other chronic illnesses.While the remaining options are not incorrect,they do not show the best overall understanding of the effects of exercise on the body systems of an older adult.

Question 19

One of the most debilitating health hazards among nurses is musculoskeletal injuries.In order to eliminate these injuries,the American Nurses Association is advocating which of the following?
A) Mandate that physical therapists do all patient transfers.
B) Require minimum staffing levels in health care organizations.
C) Request the use of assistive equipment and devices.
D) Require a minimum number of staff to be involved in all patient transfers.

Accepted Answer

The use of assistive equipment and continued use of proper body mechanics can significantly reduce the risk of musculoskeletal injuries.

Question 20

Passive range-of-motion exercises are most important for which of the following clients?
A) Pediatric client with a broken femur
B) Diabetic client with a total knee replacement
C) Unconscious client in ICU
D) Elderly client with a bowel obstruction

Accepted Answer

The nurse should perform passive range of motion exercises with this client because the client cannot perform the exercises alone.These clients in the remaining options should be encouraged to perform active range-of-motion exercises.

Quiz 37: Activity and Exercise

The nurse is working with a nursing assistive personnel to provide care for a group of clients.The nurse can delegate which of the following activities to the nursing assistive personnel?

When planning care for a client with newly diagnosed hypertension,the nurse knows that which form of exercise would be most beneficial in lowering both systolic and diastolic blood pressure?

The first rule of safety when managing client transfers is:

The nurse has determined that a client reporting general fatigue is experiencing activity intolerance.Which of the following assessment findings,observed after the client ambulates to the bathroom,best confirms this nursing diagnosis?

A newly diagnosed client with type 2 diabetes expresses concern that he will not be able to maintain his active lifestyle,which includes bicycling.The nurse instructs the client about risks and precautions regarding exercise including which of the following?

Which of the following statements made by an older adult reflects the best understanding of the need to exercise no matter one's age?

Which of the following assessment questions is most likely to result in pertinent information regarding the client's expectations of the outcomes of a regular exercise program?

A client with a nursing diagnosis of activity intolerance has developed reddened areas on both heels and his coccyx.Which of the following nursing interventions will most likely have the greatest impact on this diagnosis?

Which of the following nursing assessment questions will best determine the nature of an exercise-related injury?

A client who will be going home will need to use crutches for ambulation.Following teaching,the nurse notes that the client complains of pain under his arms.How much room should be between the crutch pad and client's axilla?

In teaching a newly diagnosed 17-year-old client with type 1 diabetes,the nurse knows that the exercise is an important component in care.Which of the following activities would be most appropriate for the previously sedentary client?

The nurse has delegated the task of ambulating a client who is experiencing activity intolerance.Which of the following statements made by the nurse best reflects an understanding of the nurse's role to properly instruct the ancillary personnel regarding this task?

A client with cancer expresses interest in increasing his activity level.The nurse begins by assessing baseline data regarding the client's current activity patterns.The nurse uses professional standards to develop a plan of care for this client.Professional standards are important because they:

A client is discussing an exercise program that includes running 1.5 miles 3 times a week.Which of the following suggestions made by the nurse is most likely to result in minimizing the client's risk for injury?

The nurse encourages a non-insulin-dependent diabetic client to engage in a regular exercise program primarily because to do so will most likely improve the client's:

The nurse is discussing the benefits of regular walking with a group of senior citizens.Which of the following statements shows the best understanding of the positive impact of exercise on the older adult?

One of the most debilitating health hazards among nurses is musculoskeletal injuries.In order to eliminate these injuries,the American Nurses Association is advocating which of the following?

Passive range-of-motion exercises are most important for which of the following clients?