QUESTIONS & ANSWERS 2026/2027
A nurse is caring for a client who fell at a nursing home. The client is oriented to person, place,
and time and can follow directions. Which of the following actions should the nurse take to
decrease the risk of another fall? (Select all that apply)
A. Place a belt restraint on the client when they are sitting on the bedside commode.
B. Keep the bed in it's lowest position with all side rails up.
C. Make sure that the clients call light is within reach.
D. Provide the client with nonskid footwear.
E. Complete a fall risk assessment. - ✔✔C. Make sure that the clients call light is within reach.
D. Provide the client with nonskid footwear.
E. Complete a fall risk assessment.
A nurse manager is reviewing with nurses on the unit in the care of a client who has had a
seizure. Which of the following statements by a nurse requires further instruction?
A. I will place a client on their side
B. I will go to the nurses station for assistance
C. I will note the time that the seizure begins
D. I will prepare to insert an air way - ✔✔B. I will go to the nurses station for assistance
A nurse observes smoke coming from under the door of the staff lounge. Which of the following
actions is the nurses priority?
A. Extinguish the fire
B. Activate the fire alarm
C. move clients who are nearby
D. Close all open doors on the unit - ✔✔C. Move clients who are nearby
,A nurse is caring for a client who has a history of falls. Which of the following actions is a nurses
priority?
A. Complete a fall risk assessment
B. Educate the client and family about fall risks
C. Eliminate safety hazards from the clients environment
D. Make sure the client uses assistive aids in their possession - ✔✔A. Complete a fall risk
assessment
A nurse discovers a small paper fire in a trashcan in a clients bathroom. The client has been
taken to safety and The alarm has been activated. Which of the following actions should the
nurse take?
A. Open the windows in the clients room to allow smoke to escape
B. Obtain a class C fire extinguisher to extinguish the fire
C. Remove all electrical equipment from clients room
D. Place wet towels along the base of the door to the clients room - ✔✔D. Place wet towels
along the base of the door to the clients room
A nurse is caring for a client who is receiving internal tube feedings due to dysphasia. Which of
the following bed position should the nurse use for safe care of this client?
A. Supine
B. Semi-Fowler's
C. Semi-prone
D. Trendelenburg - ✔✔B. Semi-Fowler's
A nurse is caring for a client who is sitting in a chair and asked to return to bed. Which of the
following actions is the nurses priority at this time?
A. Obtain a walker for the client to use to transfer back to bed
, B. Call for additional staff to assist with the transfer
C. Use a transfer belt and assist the client back into bed
D. Determine the clients ability to help with the transfer - ✔✔D. Determine the clients ability
to help with the transfer
A nurse is instructing a client who has COPD about using the orthopenic position to relieve
shortness of breath. Which of the following statements should the nurse make?
A. Lie on your back with your head and shoulders supported by a pillow
B. Have you head turned to the side while you lie on your stomach
C. Have a table beside your bed so you can sit on the bedside and rest your arms on the table
D. Lie on your side with your top arm resting on the bed and your weight on your hip - ✔✔C.
Have a table beside your bed so you can sit on the bedside and rest your arms on the table
A nurse manager is reviewing guidelines for preventing injury with staff nurses. Which of the
following instruction should the nurse manager include? select all that apply
A. Request assistance when repositioning a client
B. Avoid twisting your spine or bending at the waist
C. Keep your knees slightly lower than your hips when sitting for long periods of time
D. Use smooth movements when lifting and moving clients
E. Take a break from repetitive movements every 2 to 3 hours to flex and stretch your joints and
muscles - ✔✔A. Request assistance when repositioning a client
B. Avoid twisting your spine or bending at the waist
C. Keep your knees slightly lower than your hips when sitting for long periods of time
D. Use smooth movements when lifting and moving clients
A nurse educator is reviewing proper body mechanics during employee orientation. Which of
the following statements should the nurse identify as an indication that attendee understands
the teaching? Select all that apply