Positioning and range-of-motion (ROM) exercises most help the immobilized patient to prevent which complication?

Pressure ulcers

Increased pain

Compromised circulation

Contractures

Answer and Explanation

The Correct Answer is D

A. While frequent repositioning helps prevent pressure ulcers, ROM exercises specifically target joint mobility rather than skin integrity.
B. ROM exercises are not primarily aimed at reducing pain, though they may help indirectly. Pain management usually involves medications and other comfort measures.
C. ROM can aid circulation to some extent, but its main benefit is maintaining joint flexibility and muscle length.
D. Contractures—permanent tightening of muscles, tendons, or joints—can be prevented through regular ROM exercises and proper positioning, making this the most appropriate answer.

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Correct Answer is C

Explanation

A. Subluxation involves partial dislocation, usually with more diffuse pain and joint instability.
B. Dislocation typically causes severe pain, deformity, and limited movement, often after trauma.
C. Bursitis causes localized pain, often pinpointed to the bursa area, and is common after repetitive motion or sports activities like racquetball.
D. Rotator cuff tear causes shoulder pain and weakness, not typically localized elbow pain.

A. Ask the patient to touch the tip of the tongue to each cheek B. Check air movement through each nostril separately. C. Ask the patient to shrug the shoulders, D. Ask the patient to wrinkle the forehead.

Correct Answer is A

Explanation

A. The hypoglossal nerve (cranial nerve XII) controls tongue movements, so asking the patient to move the tongue side to side tests its function.
B. Checking air movement through each nostril assesses the olfactory nerve (cranial nerve I).
C. Asking the patient to shrug the shoulders tests the accessory nerve (cranial nerve XI).
D. Asking the patient to wrinkle the forehead tests the facial nerve (cranial nerve VII).

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Positioning and range-of-motion (ROM) exercises most help the immobilized patient to prevent which complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The industrial nurse examines an employee who complains of right elbow pain with movement. He points with one finger to the exact location of the pain and mentions that he won a racquetball tournament yesterday. The nurse suspects the employee is suffering from which problem?

Correct Answer is C

Explanation

The nurse is performing a neurologic assessment on a patient. Which action should the nurse take to adequately test the effectiveness for the hypoglossal nerve?

Correct Answer is A

Explanation

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