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NCLEX Practice Questions Test Positioning Patients Nursing Fundamentals

This is a free NCLEX practice test with questions to quiz your knowledge on positioning the patient.
These skills are known as nursing fundamental skills and you may encounter these type of
questions on the NCLEX-RN or NCLEX-PN exam.
 NCLEX Practice Questions
100% Pass Rate!

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It is important to know what the difference is between the various positions such as High-Fowler’s,
Semi-Fowler’s, Sims, Prone, and lateral side-lying to just name a few. Patients with different type of
health problems will need to be positioned in various ways to promote circulation and improve
their current health condition.

Below is an NCLEX quiz for to you take to test your nursing knowledge. After the quiz, you will be
able to see what you got wrong and right with rationales.

Here are your results:

Your Grade: D
Percentage of What you Got Right: 60

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Didn't Pass? Check out NCLEX Study Guides sold by Amazon.com (all sales help
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Your Answers & what you got Right & Wrong:

1.) What type of patient would benefit from an elevated head of the bed position?
A. Patient with burns of the face and head

B. Patient with a broken femur

C. Patient who had a hemorroidectomy

D. Patient who had a lumbar puncture

The answer is A. A patient with burns to the face and head needs to be in bed with the head of the
bed elevated to prevent edema in the tracheal area (which could cause a respiratory arrest).

2.) A patient is recovering from a mastectomy. Which answer is incorrect in regards to

positioning?
A. Place the patient in semi-Fowler's position

B. Place the affected arm on a pillow

C. Place the patient in a side-lying position on the unaffected side to promote lymphatic
drainage

D. Every 2 hours turn the patient on the prone position on the affected side

The answer is C. You would not place the patient in a side-lying position on the unaffected side to
promote lymphatic drainage. The patient needs to be in semi-Fowler's (head of the bed 30 degrees)
with the affected arm on the pillow to promote lymphatic fluid return.

3.) A patient is supine and the head of the bed is elevated to 45 to 60 degrees. What position is
this called?
A. Semi-Fowler's Position

B. High Fowler's Position

 C. Sim's Position

D. Fowler's Position
The answer is D. This describes Fowler's Position.

4.) How would you position the patient during a liver biopsy?
A. Left lateral side position

B. Supine with right arm raised and extended behind the head

C. Sim's Position

D. High Fowler's

The answer is B. The liver is located on the right side and this position provides the best exposure of
the right intercostal space.

5.) A patient is to be on bed rest for 3-4 hours and the head of the bed is not to be higher than 30
degrees. The affected extremity is to be kept straight during this time. Which procedure below
would require a patient to do the above?
A. Cardiac Catheterization

B. Aterial Vascular Grafting

C. Amputation of the left leg

D. Varicose vein surgery

The answer is A. A patient is required to do the above if they had a cardiac cath. This positioning
helps decrease the risk of bleeding or increased pressure at the femoral artery insertion site.

6.) Which statement is true regarding the positioning of patients who's had a stroke?
A. A patient that has experienced a hemorrhagic stroke, the head of the bed should be
elevated 30 degrees.

B. It is recommended for the patient to bend the hip and neck while in bed.

C. Maintain the head in a sideline position to help venous drainage.

 D. Patients who've had an ischemic stroke, the head of the bed should be flat.
The answer is D. The head of the bed with a patient who has had a hemorrhagic stroke should be at
least 30 degree to decrease intracranial pressure. A stroke victim's head should be kept midline and
hip & neck flexion should be avoided because this prohibits venous drainage.

7.) Your patient is getting prepped for a lumbar puncture. What position do you assist the patient
in?
A. Lateral Side-lying Position

B. Prone

C. Head of the bed at 45 degrees

D. None of the above

The answer is A. Lateral side-lying position is correct because it bows the back allowing easier
access to spine which helps decrease the chance of incorrect puncture.

8.) After which procedure would you position the patient in a supine position for 4-12 hours per
MD order?
A. Myelogram

B. HIDA scan

C. Lumbar Puncture

D. Cardiac Stress Test

The answer is C. After a lumber puncture the patient will need to lay flat because this decreases the
chance of developing a "spinal headache".

9.) Your patient has Congestive Heart Failure with pulmonary edema. The patient states he is
tried of being in bed. What position is best for this patient's condition?
A. Tripod position with chin down in a chair

B. Sitting in a chair at 45 degree with legs elevated on a pillow

C. Upright with legs dangling over the bed

 D. Sims Position in the beside chair
The answer is C. This position decreases venous return and lung congestion which is very crucial for
a patient in fluid overload. The heart is weak and does not pump efficiently.

10.) Which of the following statements made by the patient is true regarding positioning after
cataracts surgery?
A. I will sleep on the unaffected side.

B. I will sleep on the affected side to help decrease drainage.

C. I know I can't lay on my back and be on my side for at least a week.

D. I will sleep on my stomach to help keep pressure on my eye while I sleep.

The answer is A. The patient should be instructed to sleep on the unaffected side or elevate the
head of the bed at 30-45 degree while on their back when they sleep.

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*Disclaimer: While we do our best to provide students with accurate and in-depth study quizzes,
this quiz/test is for educational and entertainment purposes only. Please refer to the latest NCLEX
review books for the latest updates in nursing. This quiz is copyright RegisteredNurseRn.com.
Please do not copy this quiz directly; however, please feel free to share a link to this page with
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