UNAR Range of Motion and Mobility 3 — Questions and Answers
Question 1: Which term describes a circular movement of a limb at its joint?
- Rotation
- Circumduction (Correct answer)
- Inversion
- Eversion
Correct answer: Circumduction
Circumduction is the cone-shaped circular movement of a limb, combining flexion, extension, abduction, and adduction.
Question 2: A patient winces in pain and says 'that hurts' during a ROM exercise. What should the nurse aide do?
- Continue at a slower pace since discomfort is normal
- Stop immediately and report the complaint to the nurse (Correct answer)
- Apply ice and then continue the exercise
- Reduce the number of repetitions and continue
Correct answer: Stop immediately and report the complaint to the nurse
Pain is never considered normal during ROM exercises; the nurse aide must stop and report any pain to the supervising nurse.
Question 3: Which patients are MOST likely to require passive ROM exercises?
- Patients who are ambulatory and independent
- Patients who can follow instructions but need encouragement
- Unconscious or paralyzed patients who cannot move on their own (Correct answer)
- Patients who are anxious about exercising
Correct answer: Unconscious or paralyzed patients who cannot move on their own
Passive ROM is indicated for patients who cannot initiate or complete joint movement on their own, such as those who are unconscious or paralyzed.
Question 4: What is the PRIMARY purpose of ROM exercises for a nursing home resident?
- To increase cardiovascular endurance
- To maintain joint flexibility and prevent contractures (Correct answer)
- To build muscle mass and strength
- To prepare the patient for surgery
Correct answer: To maintain joint flexibility and prevent contractures
The primary goal of ROM exercises is to maintain joint flexibility and prevent contractures caused by disuse.
Question 5: What is a contracture?
- Temporary joint swelling after exercise
- A muscle cramp during mobility activities
- Permanent shortening of muscles and tendons causing joint rigidity (Correct answer)
- Pain felt in a joint during movement
Correct answer: Permanent shortening of muscles and tendons causing joint rigidity
A contracture is the permanent shortening of muscles and tendons that results in the joint becoming fixed in a rigid position.
Question 6: Which movement turns the palm of the hand to face downward?
- Supination
- Pronation (Correct answer)
- Inversion
- Eversion
Correct answer: Pronation
Pronation rotates the forearm so the palm faces downward or posteriorly.
Question 7: When documenting ROM exercises, what information is essential to include?
- Only the time the exercises were completed
- The exercises performed, patient response, and any pain complaints (Correct answer)
- Only whether the patient cooperated or refused
- The nurse aide's personal observations about the patient's prognosis
Correct answer: The exercises performed, patient response, and any pain complaints
Complete documentation must include the exercises performed, the patient's response and tolerance, and any pain or unusual observations.
UNAR Range of Motion and Mobility 3
Which term describes a circular movement of a limb at its joint?