NCLEX Practice: Ambulating with a Walker
Assess your understanding of safe ambulation techniques, adjustments, and home safety for clients using walkers.
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Quiz Questions & Answers
Review every prompt, the correct responses, and helpful context to prep for your own run-through.
Question 1: 1The nurse is providing discharge teaching to a client who will be using a standard walker at home. Which statement by the client indicates a need for further instruction?
I will use the arms of the chair to push myself up to a standing position.
I will move the walker forward about 6 to 10 inches before stepping.
I will hold onto the crossbar of the walker to help pull myself up from the bed.
I will make sure to wear non-skid slippers or rubber-soled shoes.
Question 2: A nurse is supervising a nursing student assisting a client with left-sided weakness (hemiparesis) using a walker. Which action by the student requires immediate intervention by the nurse?
The student instructs the client to move the walker and the left leg forward together.
The student stands on the client's affected (left) side.
The student reminds the client to look down at their feet while walking to ensure proper placement.
Question 3: When adjusting a walker for a new client, at which anatomical landmark should the top of the walker handles be leveled?
The client's waistline.
The client's lower rib cage.
The client's ulnar styloid process (wrist crease).
The client's mid-thigh.
Question 4: A client with a right-leg weight-bearing restriction is learning to use a walker. What is the correct sequence for the nurse to teach the client?
Advance the walker, move the left leg, then move the right leg.
Step with the left leg, advance the walker, then step with the right leg.
Advance the walker, move the right leg, then move the left leg.
Move the right leg, move the left leg, then advance the walker.
Question 5: The nurse is assessing a client’s home environment for safety before they begin using a walker. Which finding is the most significant priority to address?
Multiple throw rugs in the hallway and living room.
Low-pile carpeting in the bedroom.
A well-lit hallway with nightlights.
A bathroom with a walk-in shower.
Question 6: A nurse is teaching a client the proper posture for using a walker. Which elbow position indicates correct adjustment and use?
Elbows flexed at 15-30 degrees.
Elbows locked in hyperextension.
Elbows fully extended (0 degrees).
Elbows bent at 45-60 degrees.
Question 7: In a scenario where a client with bilateral leg weakness is ambulating, what is the primary reason to advance the walker before taking any steps?
To practice arm strength.
To increase walking speed.
To establish a stable base of support.
To avoid looking ahead.
Question 8: A common myth about walker use is that clients should lock their knees for stability when standing up. Why is this incorrect?
It prevents elbow strain.
It improves balance.
It increases fall risk by reducing joint flexibility.
It saves energy.