Deck 35: Activity and Exercise

Question 1

Approximately what percentage of Canadian teenagers are accumulating enough daily activity to meet the international guidelines for optimal growth and development?

A) 10%
B) 20%
C) 30%
D) 40%

Answer 1

B

Question 2

A patient who is confined to a wheelchair is encouraged to engage in resistive isometric exercises to increase muscle strength and decrease the development of pressure ulcers.Which of the following is the most appropriate example of such an exercise for this patient?

A) Hip lifting
B) Moving arms and legs
C) Gluteal contraction
D) Quads setting

Answer 2

A

Question 3

Which of the following assessment questions is most likely to elicit pertinent information regarding the patient'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?"

Answer 3

B

Question 4

Which of the following is a physiological factor that may affect physical activity tolerance?

A) Pain
B) Anxiety
C) Gender
D) Chemical addiction

Question 5

The nurse is assessing the body alignment of an alert and mobile patient.Which one of the following is the first action the nurse should take?

A) Observe gait.
B) Put the patient at ease.
C) Determine activity tolerance.
D) Determine range of joint motion.

Question 6

To promote resistive isometric exercise,the nurse helps the patient on bed rest by encouraging which one of the following?

A) Quadriceps setting
B) Gluteal muscle contraction
C) Moving the arms and legs in circles
D) Pushing against a footboard

Question 7

When applying ice to a soft tissue injury,the nurse instructs the patient that the ice is to remain in place no longer than which of the following times?

A) 10 minutes
B) 15 minutes
C) 30 minutes
D) 1 hour

Question 8

An obese quadriplegic patient has asked to be transferred to a chair so he can be fed lunch sitting upright.Which of the following statements made by the ancillary personnel assigned this task reflects the best understanding of the implementation of this transfer?

A) "I'll reserve the mechanical lift for right before lunch."
B) "I'll certainly need someone to help me with this transfer."
C) "Eating in an upright position will certainly make lunch more enjoyable for him."
D) "Maybe he would enjoy being transferred into the dayroom to eat with the others."

Question 9

Which of the following is the best information the nurse can teach the patient about hypertension and exercise?

A) Brisk walking appears to be the most effective in lowering blood pressure.
B) Weight training seems to give the best results in lowering blood pressure.
C) Isometric exercises are ideal to help lower blood pressure.
D) ROM exercise is a good technique used to lower blood pressure.

Question 10

The nurse recognizes that the older adult patient's tendency to take smaller steps with feet kept closer together will most likely result in which one of the following?

A) It will increase the patient's risk of injury resulting from falls.
B) It will result in less stress on the patient's knees, hips, and ankles.
C) It will decrease the amount of energy the patient expends on movement.
D) It will allow for mobility despite the effects of aging on the patient's joints.

Question 11

The nurse encourages a diabetic patient not dependent on insulin to engage in a regular exercise program primarily for which of the following reasons?

A) Doing so will probably improve the patient's gastric motility, thus affecting glucose digestion.
B) Doing so will probably improve the patient's respiratory recovery time, thus decreasing breath load.
C) Doing so will probably improve the patient's average cardiac output, thus decreasing resting heart rate.
D) Doing so will probably improve the patient's use of glucose and fatty acids, thus decreasing blood glucose level.

Question 12

The nurse is helping the patient to walk.Which of the following actions should the nurse take first?

A) Help the patient to sit at the side of the bed for one or two minutes.
B) Support the patient by using a gait belt.
C) Assess the patient's activity tolerance, strength, and balance.
D) Ask a second nurse to be nearby.

Question 13

Exercise is a physical activity that helps condition the body,improve health,and maintain fitness.The nurse knows that which of the following is also an effect of exercise?

A) Decreased cardiac output
B) Decreased gastric motility
C) Decreased basal metabolic rate
D) Reduced bone loss

Question 14

Which of the following nursing interventions is likely to have the most impact on reducing friction when moving the 100-kg immobile patient up in the bed?

A) Involving two personnel in the transfer
B) Lubricating pressure areas in contact with the sheets
C) Using a transfer board
D) Telling the patient to keep his legs straight

Question 15

After an assessment of the patient,the nurse identifies the nursing diagnosis,"Activity intolerance related to increased weight gain and inactivity." Based on this diagnosis,which of the following is an outcome that should be identified by the nurse?

A) Resting heart rate will be 90 to 100 beats per minute.
B) Blood pressure will be maintained between 140/80 and 160/90 mm Hg.
C) Exercise will be performed three to four times over the next two-week period.
D) Patient will report enjoying exercise.

Question 16

The nurse uses balance to maintain proper body alignment and posture by using which of the following techniques?

A) Keeping feet wide apart and bending the knees
B) Assuming a position far enough away from the patient
C) Twisting the body in the direction of movement
D) Using the strong back muscles for lifting or moving

Question 17

Who coordinates the efforts of a lift team when moving a patient?

A) The patient's primary nurse
B) The person who has come to offer assistance
C) The person who has the heaviest load when lifting
D) The assistant who is positioned at the head of the patient's bed

Question 18

During a musculoskeletal assessment of a 20-month-old toddler,which of the following does the nurse expect to observe?

A) A swayback and outwardly turned feet
B) A spine that is flexed and lacking anteroposterior curves
C) Widened hips and fat deposits on the thighs and buttocks
D) A stance with moderately spaced foot placement and a slightly rounded abdomen

Question 19

An exercise for abdominal strengthening,known as the plank,is an example of which of the following forms of exercise?

A) Isotonic
B) Isometric
C) Conditioning
D) Resistive isometric

Question 20

A 40-year-old healthy woman has presented to the clinic for a physical.When the patient asks the nurse to recommend the amount of time she should spend per week doing moderate-intensity physical activity,the nurse recommends which one of the following?

A) One hour per week or 15 minutes a day for four days
B) 30 minutes or more a day, for a weekly total of three to four hours
C) One hour per day, for a weekly total of seven hours
D) 10 minutes a day, for a total of one hour per week