Practice Fundamentals of Nursing MCQs on mobility and immobility, including positioning, range-of-motion exercises, transfers, ambulation, assistive devices, and complications of immobility.
Fundamentals of Nursing MCQs – Chapter 8: Mobility and Immobility
Mobility is an important part of maintaining physical function, independence, and overall health. Nurses assess a patient’s ability to move and provide appropriate support when illness, injury, weakness, or prolonged bed rest limits mobility.
Mobility and Immobility MCQs for Fundamentals of Nursing Chapter 8.
This chapter covers important concepts related to mobility, immobility, positioning, range-of-motion exercises, transfers, ambulation, assistive devices, and complications of prolonged immobility.
These MCQs are useful for nursing students preparing for nursing examinations, NCLEX-style questions, staff nurse exams, and clinical practice.
Topics Covered
Mobility and factors affecting movement
Effects and complications of immobility
Patient positioning
Range-of-motion exercises
Bed mobility and transfers
Ambulation and gait support
Assistive devices
Prevention of immobility-related complications
Fundamentals of Nursing MCQs – Chapter 8: Patient Mobility, Immobility Hazards & Body Mechanics
Choose the best answer for each question and test your knowledge of mobility and immobility in nursing.
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Fundamentals of Nursing: Mobility and Immobility
What do you mean by passive exercise means-
a) Physical activity performed by the patient without assistance
b) The physical activity carried out on the floor
c) When patient performs activity without taking breakfast
d) The activity performed by another person and the patient makes no voluntary effort
Correct Answer: Option D
Explanation: Passive exercise is movement of a client’s joints performed by another person, such as a nurse or caregiver, while the client makes no voluntary effort.Why other options are incorrect:
• Option A: Activity performed independently by the patient is active exercise.
• Option B: The location where exercise is performed does not define passive exercise.
• Option C: Eating or not eating breakfast is unrelated to the definition of passive exercise.
Fundamentals of Nursing: Mobility and Immobility
The nurse needs to…………………while lifting or carrying heavy object
a) Keep the Knees close to each other
b) Bend the back perpendicular to the body
c) Hold objects away from the body
d) Maintain a wide base or support
Correct Answer: Option D
Explanation: Maintaining a wide base of support improves balance and stability when lifting or carrying a heavy object. Proper body mechanics also include bending the knees and keeping the object close to the body.Why other options are incorrect:
• Option A: Keeping the knees close together reduces the base of support and decreases stability.
• Option B: The back should be kept in proper alignment rather than bent improperly while lifting.
• Option C: Holding an object away from the body increases strain and makes lifting more difficult.
Fundamentals of Nursing: Mobility and Immobility
A client with tuberculosis has a prescription for Myambutol (ethambutol HCl). The nurse should tell the client to notify the doctor immediately if he notices:
a) Tingling sensation in the feet
b) Changes in hearing
c) Red discoloration of bodily fluids
d) Changes in color vision
Correct Answer: Option D
Explanation: Ethambutol can cause optic neuritis, which may present as changes in visual acuity or color vision. The client should report visual changes promptly because the drug may need to be stopped.Why other options are incorrect:
• Option A: Tingling of the feet is more commonly associated with peripheral neuropathy from isoniazid.
• Option B: Hearing changes are associated more closely with ototoxic drugs such as aminoglycosides.
• Option C: Red or orange discoloration of body fluids is a characteristic effect of rifampin.
Fundamentals of Nursing: Mobility and Immobility
Which of the following is a common cause of orthostatic hypotension in a bedridden Patient?
a) Increased autonomic response
b) Increased cardiac output
c) Decreased blood pooling
d) Decreased circulating blood volume
Correct Answer: Option D
Explanation: Prolonged bed rest can cause decreased circulating blood volume and reduced cardiovascular adaptation to position changes. When the client stands, this can contribute to orthostatic hypotension.Why other options are incorrect:
• Option A: An increased autonomic response would help maintain blood pressure rather than cause orthostatic hypotension.
• Option B: Increased cardiac output generally supports blood pressure and does not cause orthostatic hypotension.
• Option C: Decreased blood pooling would reduce the fall in venous return when standing.
Fundamentals of Nursing: Mobility and Immobility
A 20-year-old is admitted to the rehabilitation unit following a motorcycle accident. Which would be the appropriate method for measuring the client for crutches?
a) Measuring five finger breaths under the axilla
b) Measuring the client with the elbows flexed 10°
c) Measuring the client with the crutches 20 inches from the side of the foot
d) Measuring 3 inches under the axilla
Correct Answer: Option A
Explanation: When fitting axillary crutches, the top should be positioned about 2–3 finger widths (approximately 1.5–2 inches) below the axilla. The older nursing-exam method represented by five finger breaths is intended to prevent pressure on the axillary structures while allowing proper support.Why other options are incorrect:
• Option B: The elbows are generally slightly flexed, approximately 15–30°, rather than fixed at 10°.
• Option C: Crutches should be positioned close to the feet, not 20 inches away.
• Option D: Three inches is not the standard measurement given by this exam question for fitting the axillary pad.
Fundamentals of Nursing: Mobility and Immobility
Which of the following site is at high risk for pressure sore in side lying position
a) Rib cage
b) buttocks
c) Ear
d) occiput
Correct Answer: Option C
Explanation: In the side-lying position, the ear is a bony prominence exposed to pressure against the bed and is therefore at increased risk for pressure injury.Why other options are incorrect:
• Option A: The rib cage is not generally considered a primary pressure point in the side-lying position.
• Option B: The buttocks can be vulnerable in other positions, particularly supine, but are not the best answer here.
• Option D: The occiput is primarily at risk when the client is lying supine.
Mobility and Immobility: Key Points to Remember
Mobility supports muscle strength, circulation, respiratory function, independence, and daily activities. When mobility is restricted, nurses should assess the patient and implement appropriate measures to reduce complications.
Mobility assessment: Consider strength, balance, coordination, pain, activity tolerance, and ability to perform activities independently.
Range-of-motion exercises: Help maintain joint mobility and should be performed according to the patient’s condition and care plan.
Ambulation: Patients should receive appropriate assistance and safety measures based on their mobility status.
Immobility: Prolonged inactivity can contribute to complications such as muscle weakness, pressure injuries, constipation, venous stasis, and reduced respiratory function.
Assistive devices: Canes, walkers, crutches, and other devices should be used correctly and selected according to patient needs.
Quick Exam Tip
When caring for a patient with limited mobility, think about safety, positioning, skin integrity, circulation, respiratory function, and prevention of complications. Encourage appropriate activity while considering the patient’s condition and prescribed restrictions.
Frequently Asked Questions
Why is mobility important in nursing care? Mobility helps maintain physical function, independence, circulation, muscle strength, and overall well-being.
What are common complications of prolonged immobility? Complications may include muscle weakness, pressure injuries, venous stasis, constipation, and impaired respiratory function.
What is range-of-motion exercise? Range-of-motion exercise involves moving a joint through its available movement to help maintain joint mobility.
How can nurses promote safe mobility? Nurses assess mobility and fall risk, use appropriate assistance or equipment, follow activity restrictions, and encourage safe movement according to the patient’s condition.
Disclaimer: This content is provided for educational and exam-preparation purposes only. It does not replace professional nursing education, clinical training, institutional policies, or guidance from qualified healthcare professionals.
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