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PSW Foundations Module 3 Test Review (Latest 2025/ 2026 Update) Questions & Answers, Exams of Medicine

Western Governors University (WGU)Medicine

PSW Foundations Module 3 Test Review (Latest 2025/ 2026 Update) Questions & Answers | Grade A| 100 out of 100 (Verified Solutions)

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2024/2025

Available from 07/03/2025

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PSW Foundations Module 3 Test Review
(Latest 2025/ 2026 Update) Questions &
Answers | Grade A| 100 out of 100 (Verified
Solutions)
1. A client has been on prolonged bed rest, and the nurse is observing for signs associated with
immobility. In assessment of the client, the nurse is alert to a(n):
1. Increased blood pressure
2. Decreased heart rate
3. Increased urinary output
4. Decreased peristalsis
Decreased peristalsis
2. A 61-year-old client recently suffered left-sided paralysis from a cerebrovascular accident
(stroke). In planning care for this client, the nurse implements which one of the following as an
appropriate intervention?
1. Encourage an even gait when walking in place.
2. Assess the extremities for unilateral swelling and muscle atrophy.
3. Encourage holding the breath frequently to hyperinflate the client's lungs.
4. Teach the use of a two-point crutch technique for ambulation.
Assess the extremities for unilateral swelling and muscle atrophy.
3. Two nurses are standing on opposite sides of the bed to move the client up in bed with a
drawsheet. Where should the nurses be standing in relation to the client's body as they prepare
for the move?
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Download PSW Foundations Module 3 Test Review (Latest 2025/ 2026 Update) Questions & Answers and more Exams Medicine in PDF only on Docsity!

PSW Foundations Module 3 Test Review

(Latest 2025/ 2026 Update) Questions &

Answers | Grade A| 100 out of 100 (Verified

Solutions)

  1. A client has been on prolonged bed rest, and the nurse is observing for signs associated with immobility. In assessment of the client, the nurse is alert to a(n):
  2. Increased blood pressure
  3. Decreased heart rate
  4. Increased urinary output
  5. Decreased peristalsis Decreased peristalsis
  6. A 61-year-old client recently suffered left-sided paralysis from a cerebrovascular accident (stroke). In planning care for this client, the nurse implements which one of the following as an appropriate intervention?
  7. Encourage an even gait when walking in place.
  8. Assess the extremities for unilateral swelling and muscle atrophy.
  9. Encourage holding the breath frequently to hyperinflate the client's lungs.
  10. Teach the use of a two-point crutch technique for ambulation. Assess the extremities for unilateral swelling and muscle atrophy.
  11. Two nurses are standing on opposite sides of the bed to move the client up in bed with a drawsheet. Where should the nurses be standing in relation to the client's body as they prepare for the move?
  1. Even with the thorax
  2. Even with the shoulders
  3. Even with the hips
  4. Even with the knees Even with the shoulders
  5. A client is leaving for surgery and because of preoperative sedation needs complete assistance to transfer from the bed to the stretcher. Which of the following should the nurse do first?
  6. Elevate the head of the bed.
  7. Explain the procedure to the client.
  8. Place the client in the prone position.
  9. Assess the situation for any potentially unsafe complications. Assess the situation for any potentially unsafe complications.
  10. A client has sequential compression stockings in place. The nurse evaluates that they are implemented appropriately by the new staff nurse when the:
  11. Initial measurement is made around the client's calves
  12. Intermittent pressure is set at 40 mm Hg
  13. Stockings are wrapped directly over the leg from ankle to knee
  14. Stockings are removed every hour during application Intermittent pressure is set at 40 mm Hg
  15. The nurse assesses that the client has torticollis and that this may adversely influence the client's mobility. This individual has a(n):
  1. Ask the client if he or she feels light-headed Obtain a baseline blood pressure
  2. To promote respiratory function in the immobilized client, the nurse should:
  3. Change the client's position every 4 to 8 hours
  4. Encourage deep breathing and coughing every hour
  5. Use oxygen and nebulizer treatments regularly
  6. Suction the client's secretions every hour Encourage deep breathing and coughing every hour
  7. Antiembolic stockings (thromboembolic device [TED] hose) are ordered for the client on bed rest following surgery. The nurse explains to the client that the primary purpose for the TEDs is to:
  8. Keep the skin warm and dry
  9. Prevent abnormal joint flexion
  10. Apply external pressure
  11. Prevent bleeding Apply external pressure
  12. To provide for the psychosocial needs of an immobilized client, an appropriate statement by the nurse is which of the following?
  13. "The staff will limit your visitors so that you will not be bothered."
  14. "A roommate can be a real bother. You'd probably rather have a private room."
  15. "Let's discuss the routine to see if there are any changes we can make."
  16. "I think you should have your hair done and put on some makeup."

"Let's discuss the routine to see if there are any changes we can make."

  1. To reduce the chance of external hip rotation in a client on prolonged bed rest, the nurse should implement the use of a:
  2. Footboard
  3. Trochanter roll
  4. Trapeze bar
  5. Bed board Trochanter roll
  6. To reduce the chance of plantar flexion (footdrop) in a client on prolonged bed rest, the nurse should implement the use of:
  7. Trapeze bars
  8. High-top sneakers
  9. Trochanter rolls
  10. Thirty-degree lateral positioning High-top sneakers
  11. Which of the following is the most important to consider when assisting the client in passive range-of-motion exercises?
  12. Flex the joint to the point of discomfort.
  13. Work from the proximal joints to the distal joints.
  14. Quickly work through the range of motion.
  15. Support the distal joints while performing range-of-motion exercises. Support the distal joints while performing range-of-motion exercises.

"By washing and dressing himself he is building muscle strength that lets him actually walk a little better."

  1. Which of the following statements regarding physical activity and its effect on activity tolerance made by a client shows the most informed knowledge regarding the connection between the two?
  2. "I know I need to walk more if I want to get stronger."
  3. "I don't like walking, but I do it because I know it will make me stronger."
  4. "I try to walk a little farther each afternoon so I can dance at my grandson's wedding."
  5. "I walk with my son three evenings a week because it's good for his weight and for my bones." "I try to walk a little farther each afternoon so I can dance at my grandson's wedding."
  6. A client recovering from hip surgery tells the nurse that she wants to get better so she can walk down the aisle to her seat at her granddaughter's wedding. Which of the following nursing interventions will have the greatest impact on achieving that goal?
  7. Informing physical therapists that the client has expressed that goal
  8. Reminding the ancillary staff to offer to walk with the client after her bath
  9. Regularly praising the client for the efforts she is making to reach her goal
  10. Walking with the client to and from the dining room where she eats her meals Walking with the client to and from the dining room where she eats her meals
  11. An infant born via cesarean section because of a breech presentation is diagnosed with bilateral congenital hip dysplasia. The primary nursing intervention directed toward this diagnosis is:
  12. Assessing the infant frequently to determine abduction of the thighs
  13. Maintaining the infant in the position of continuous abduction of both hips
  1. Educating the parents about the importance of positioning the infant so that the head of the femurs are in alignment with the hip sockets
  2. Providing pain management so that the infant is comfortable in the therapeutic position required Maintaining the infant in the position of continuous abduction of both hips
  3. A 16-year-old had a full leg cast for 4 months, and it is being removed today. Which of the following statements made by the client shows the most informed understanding of the effects of immobilization of a muscle on its strength and stamina?
  4. "I'm hoping to be back at soccer practice in 3 weeks."
  5. "Walking and riding my bike will help regain the muscle."
  6. "I'll practice the strengthening routine the physical therapist taught me, so I can play baseball in the spring."
  7. "There was a good bit of muscle and strength loss, but I'll work at getting it back like it was before the break." "I'll practice the strengthening routine the physical therapist taught me, so I can play baseball in the spring."
  8. A staff member experienced a shoulder injury while assisting with a client transfer. The nurse manager's most therapeutic response to this situation is to:
  9. Thoroughly review the accident report filed by the injured personnel to determine the factors that contributed to the injury
  10. Have a nonpunitive meeting with all the involved staff to discuss correcting the factors that resulted in the injury
  11. Require that mechanical lifts be used in the transfer of all clients incapable of assisting with the transfer
  12. Implement new policies and procedures to correct the factors that resulted in the injury Have a nonpunitive meeting with all the involved staff to discuss correcting the factors that resulted in the injury
  1. The nurse is providing ancillary personnel with instructions regarding the performance of passive range-of-motion (ROM) exercises for a client experiencing paralysis from the waist down (paraplegia) as a result of an automobile accident. Which of the following statements made by the ancillary personnel reflects the greatest insight regarding the frequency with which the intervention should be provided for this client?
  2. "I will do a whole body range of motion as I complete her daily bath."
  3. "Bath time, bedtime, after lunch, and at least once more; she can pick when."
  4. "It works well with her bath and when she is being prepared for bed at night."
  5. "I'll ask her when she wants me to exercise her joints in addition to bath time." "Bath time, bedtime, after lunch, and at least once more; she can pick when."
  6. The nurse is discussing joint mobility exercises with a client who experienced a stroke and now has left-sided weakness. Which of the following statements made by the client reflects the greatest insight regarding the best method for him to maintain mobility of the joints on his left side?
  7. "My wife knows how to do those exercises for the joints on my left side." 2."Physical therapy really exercises my left side when I go there every afternoon."
  8. "I'll remind the staff to exercise my left side when they come to help me with my bath and getting dressed."
  9. "I will do those passive range of motion exercises you taught me to my left side at least 3 times a day." "I will do those passive range of motion exercises you taught me to my left side at least 3 times a day."
  10. The nurse caring for a 38-year-old female client with multiple fractures in the trauma intensive care unit knows that this client is at high risk for pulmonary complications such as atelectasis from her immobility. One of the interventions that the nurse can do to help prevent this from occurring is to:
  1. Keep the PaO2 level at or above 94%
  2. Instruct the client to deep breathe and cough every hour while awake
  3. Turn the client every 2 hours
  4. Keep the client on the ventilator as long as possible Instruct the client to deep breathe and cough every hour while awake
  5. The nurse is caring for a 48-year-old male client who was involved in a motor vehicle accident and had a fractured pelvis, a ruptured spleen, and multiple contusions. The client has been in the hospital for 5 days on bed rest. The nurse knows that this client is at risk for venous thrombus formation because of prolonged bed rest, potential damage to vessel walls during surgery, and the platelets he received in the trauma unit. These three factors are also known as:
  6. Trigeminy
  7. Virchow's triad
  8. Trigone
  9. Hutchinson's triad Virchow's triad
  10. The nurse caring for a 73-year-old female client who has been hospitalized with a stroke instructs the client's daughter to continue to do passive range-of-motion exercises with her mother on her affected side to prevent contractures. The nurse explains to the daughter that this is very important in an immobile older adult client because contractures can form in as little as:
  11. 8 hours
  12. 24 hours
  13. 1 week
  14. 1 month 8 hours
  1. The nurse understands that using metabolic functioning, measures of height, weight, and skinfold thickness, to evaluate muscle atrophy in an immobilized client is known as:
  2. Anthropometric measurements
  3. Anhydrous measurements
  4. Balke test
  5. Calorimetry Anthropometric measurements
  6. The nurse recognizes that facilitating correct body alignment for a dependent client may well result in which of the following positive client outcomes? (Select all that apply.)
  7. A comfortable night's sleep
  8. Minimized activity intolerance
  9. Muscle tone that promotes ambulation
  10. Reduction of falls caused by general weakness
  11. Minimal strain placed on the spinal column
  12. Increased socialization, resulting in peace of mind
  13. A comfortable night's sleep
  14. Minimized activity intolerance
  15. Muscle tone that promotes ambulation
  16. Reduction of falls caused by general weakness
  17. Minimal strain placed on the spinal column
  18. The nurse chooses to use a mechanical lift to move an obese immobile client. The nurse recognizes that the positive outcomes for both the client and the staff resulting from this intervention will be: (Select all that apply.)
  19. Less of the client's body will be dragged along the sheets during the transfer
  20. There will be less chance of injuring the skin on the client's elbows and buttocks
  1. The staff involved in the transfer will have less likelihood of self-injury
  2. The staff will have a greater degree of control over the move
  3. The client will feel physically safer during the transfer
  4. The move will be accomplished more quickly
  5. Less of the client's body will be dragged along the sheets during the transfer
  6. There will be less chance of injuring the skin on the client's elbows and buttocks
  7. The staff involved in the transfer will have less likelihood of self-injury
  8. The staff will have a greater degree of control over the move
  9. A 16-year-old has had a full leg cast in place for 2 months, and it is being removed today. Which of the following assessment findings would be expected following the removal of the cast? (Select all that apply.)
  10. Popliteal pulse equal in both legs
  11. Slight footdrop noted on affected leg
  12. Swelling noted at ankle on affected leg
  13. Weight bearing less stable on affected leg
  14. Calf circumference greater in unaffected leg
  15. Greater range of motion of knee of unaffected leg
  16. Popliteal pulse equal in both legs
  17. Weight bearing less stable on affected leg
  18. Calf circumference greater in unaffected leg
  19. Greater range of motion of knee of unaffected leg
  20. Which of the following factors has an impact on the severity of physical impairment a client will experience from a period of immobility? (Select all that apply.)
  21. The client's age

1 Notify the physician immediately of the urine color. 2Ask the client how long their urine has been bloody. 3Ask the nursing supervisor what to do. 4 Assess the client's recent diet and medication intake. 4 Assess the client's recent diet and medication intake. During the shift report, you learn that your assigned client has "nocturia." Which of the following questions should you ask this client? 1 "How often do you wet the bed at night?" 2 "Are you eating salty snacks in the evening?" 3 "How many times do you get up to void at night?" 4 "When did these bladder spasms at night begin?" 3 "How many times do you get up to void at night?" When teaching older adults about incontinence, you most need to inform older adults that: 1 incontinence is not a normal consequence of aging and often can be treated. 2 the bladder loses its muscle tone with aging, so Kegel exercises are the only help. 3 it is necessary to go to the bathroom more often in order to prevent incontinence. 4 99 percent of incontinence in the elderly is caused by a form of urinary retention. 1 incontinence is not a normal consequence of aging and often can be treated When assessing a client who has a diagnosis of neurogenic bladder, what would you most likely find the client to say?

1 "My bladder always feels full." 2 "I am often unable to control my urination." 3 "I have a nervous bladder." 4 "I urinate about 5 to 7 times each 24-hour day." 2 "I am often unable to control my urination." The physician orders a client to be catheterized for residual urine after the next voiding. The nurse responsible for catheterizing this client will most need to: 1 instruct the client to put on their call light after voiding. 2 catheterize the client within 30 minutes of voiding. 3 catheterize the client immediately after the client voids. 4 chart the residual amount obtained if it is more than 30mL/hour. 3 catheterize the client immediately after the client voids. When collecting a clean catch or midstream specimen from a client, it is most important that the nurse: 1 provide the client with a sterile specimen container and a lid. 2 instruct the client to squat or stand while voiding into the container. 3 have the client wear a pair of clean or sterile gloves. 4 give the client an antibacterial soap to use in cleansing the urethral area. 1 provide the client with a sterile specimen container and a lid.

Which of the following statements by a client with recurrent urinary infections would indicate the client understood your teaching about the best fluids to drink to prevent urinary infections? 1 "My daily diet includes two to three glasses of vegetable juice." 2 "Each day I drink two glasses of a blend of fruit and yogurt." 3 "I drink two to three glasses of cranberry juice every day." 4 "Each morning and evening I have a glass of orange juice." 3 "I drink two to three glasses of cranberry juice every day." A nurse is teaching a wellness class and is covering the warning signs of stroke. A patient asks, "What is the most important thing for me to remember?" Which is an appropriate response by the nurse?

  1. "Know your family history."
  2. "Keep a list of your medications."
  3. "Be alert for sudden weakness or numbness."
  4. "Call 911 if you notice a gradual onset of paralysis or confusion." Correct Answer: 3 Rationale: Warning signs of stroke include sudden weakness, paralysis, loss of speech, confusion, dizziness, unsteadiness, and loss of balance the key word is sudden. Family history and past medical history can be indicators for risk, but they are not warning signs of stroke. Gradual onset of symptoms is not indicative of a stroke. A patient is placed in ventilator support with the diagnosis of botulism and failure to thrive. Which nursing actions would be most appropriate for this patient? Select all that apply.
  5. maintaining intravenous fluids at KVO (keep vein open)
  6. assessing bowel sounds once a shift
  7. referring the patient for a physical therapy consult
  1. recording the patient's ongoing calorie count
  2. assessing the patient's urinary output every hour Correct Answer: 3,4, Rationale: Maintaining fluids at KVO is inappropriate since this patient will be placed on NPO (nothing by mouth) status while ventilated. It is important that the patient receive adequate fluids for hydration and nutrition since nothing will be consumed by mouth. The patient's bowel sounds need to be assessed more often than once a shift (every one to two hours while in the ICU) since the patient is at risk for a paralytic ileus. Physical therapy will be beneficial for maintaining ROM (range of motion) while the patient is immobile from ventilation and sedation. The nurse must closely monitor the patient's calorie intake to determine nutritional needs while NPO. Any time a patient is on maintenance intravenous fluids urinary output must be monitored closely. Additionally, this particular patient is at risk for urinary retention. Which of the following is the priority nursing diagnosis for a patient diagnosed with a spinal cord injury?
  3. Fluid Volume Deficit
  4. Impaired Physical Mobility
  5. Ineffective Airway Clearance
  6. Altered Tissue Perfusion Correct Answer: 3 Rationale: Ineffective Airway Clearance is the priority nursing diagnosis for this patient. The nurse utilizes the ABCs (airway, breathing, circulation) to determine priority. With Ineffective Airway Clearance, the patient is at risk for aspiration and therefore, impaired gas exchange. Fluid Volume Deficit is the nurse's next priority (circulation), and then Altered Tissue Perfusion. If the patient does not have enough volume to circulate, then tissue perfusion cannot be adequately addressed. The last priority for this patient is Impaired Physical Mobility. A patient was diagnosed with a left cerebral hemorrhage. Which topics are most appropriate for the nurse to include in patient and family teaching? Select all that apply.