NUR 125: Fundamentals of Professional Nursing
Exam 2
Modules 3 & 4 | JOYCE University
Verified Questions & Answers, with rationales
2026|2027|2028 Testing Cycle | Guaranteed Pass
SECTION 1: PATIENT SAFETY & ENVIRONMENTAL HAZARDS (15 Questions)
Q1: A nurse is assessing a newly admitted patient for fall risk. Which tool is most commonly
used to evaluate fall risk in hospitalized patients?
A. Glasgow Coma Scale
B. Morse Fall Scale
C. Braden Scale
D. APGAR Score
Answer: B
Rationale: The Morse Fall Scale is a widely used tool for assessing fall risk in hospitalized
patients. It evaluates factors such as history of falling, secondary diagnosis, ambulatory aids, IV
therapy, gait, and mental status. The Braden Scale assesses pressure injury risk, not fall risk.
Q2: A patient is identified as high risk for falls. Which action should the nurse take FIRST?
A. Apply physical restraints
B. Place the patient in a room near the nurses' station
C. Administer a sedative
D. Restrict all visitors
Answer: B
,Rationale: Placing a high-fall-risk patient in a room near the nurses' station allows for more
frequent observation and quicker response to calls for assistance. Restraints and sedatives are
last-resort interventions and require specific orders.
Q3: Which of the following are appropriate non-pharmacological interventions to prevent falls?
(Select all that apply.)
A. Keep the bed in the lowest position
B. Ensure the call light is within reach
C. Use a bed alarm for high-risk patients
D. Apply physical restraints immediately
E. Keep personal items within easy reach
Answer: A, B, C, E
Rationale: Keeping the bed low, ensuring call light access, using bed alarms, and keeping items
within reach are appropriate non-pharmacological fall prevention strategies. Restraints are a last
resort and require a provider's order.
Q4: A nurse is caring for a patient who is confused and repeatedly tries to get out of bed without
assistance. Which action should the nurse try FIRST?
A. Apply a vest restraint
B. Reorient the patient and use a bed alarm
C. Administer a sedative
D. Ask the family to stay with the patient at all times
Answer: B
Rationale: Non-pharmacological interventions such as reorientation and bed alarms should be
attempted before considering restraints. Restraints and sedatives carry significant risks and
require specific orders.
Q5: The nurse is preparing to apply physical restraints to a patient. Which action is required?
A. Obtain a provider's order within 24 hours
B. Obtain a provider's order within 1 hour
C. Apply the restraints without an order if the patient is in immediate danger
D. Ask the family for permission
Answer: B
, Rationale: In an emergency, restraints may be applied without an order, but the nurse must obtain
a provider's order within 1 hour. The order must specify the type, location, and duration of
restraint use.
Q6: A patient in restraints requires which type of monitoring?
A. Every 15 minutes for circulation and safety
B. Every 1 hour for circulation and safety
C. Every 2 hours for circulation and safety
D. Every 4 hours for circulation and safety
Answer: A
Rationale: Patients in restraints must be assessed every 15 minutes for circulation, safety, and
signs of distress. This includes checking skin integrity, pulses, and the patient's overall condition.
Q7: A nurse is teaching a patient about home safety. Which instruction is most important for
preventing falls?
A. "Install grab bars in the bathroom."
B. "Wax the floors regularly."
C. "Use area rugs throughout the house."
D. "Keep stairways dimly lit."
Answer: A
Rationale: Installing grab bars in the bathroom is a key home safety modification to prevent falls.
Waxed floors, area rugs, and dim lighting increase fall risk.
Q8: The nurse is teaching a patient about fire safety in the home. Which acronym should the
nurse use to teach the proper use of a fire extinguisher?
A. RACE
B. PASS
C. SBAR
D. ADPIE
Answer: B
Rationale: PASS stands for Pull, Aim, Squeeze, Sweep. It is the correct acronym for using a fire
extinguisher. RACE is used for fire response in healthcare facilities.
Exam 2
Modules 3 & 4 | JOYCE University
Verified Questions & Answers, with rationales
2026|2027|2028 Testing Cycle | Guaranteed Pass
SECTION 1: PATIENT SAFETY & ENVIRONMENTAL HAZARDS (15 Questions)
Q1: A nurse is assessing a newly admitted patient for fall risk. Which tool is most commonly
used to evaluate fall risk in hospitalized patients?
A. Glasgow Coma Scale
B. Morse Fall Scale
C. Braden Scale
D. APGAR Score
Answer: B
Rationale: The Morse Fall Scale is a widely used tool for assessing fall risk in hospitalized
patients. It evaluates factors such as history of falling, secondary diagnosis, ambulatory aids, IV
therapy, gait, and mental status. The Braden Scale assesses pressure injury risk, not fall risk.
Q2: A patient is identified as high risk for falls. Which action should the nurse take FIRST?
A. Apply physical restraints
B. Place the patient in a room near the nurses' station
C. Administer a sedative
D. Restrict all visitors
Answer: B
,Rationale: Placing a high-fall-risk patient in a room near the nurses' station allows for more
frequent observation and quicker response to calls for assistance. Restraints and sedatives are
last-resort interventions and require specific orders.
Q3: Which of the following are appropriate non-pharmacological interventions to prevent falls?
(Select all that apply.)
A. Keep the bed in the lowest position
B. Ensure the call light is within reach
C. Use a bed alarm for high-risk patients
D. Apply physical restraints immediately
E. Keep personal items within easy reach
Answer: A, B, C, E
Rationale: Keeping the bed low, ensuring call light access, using bed alarms, and keeping items
within reach are appropriate non-pharmacological fall prevention strategies. Restraints are a last
resort and require a provider's order.
Q4: A nurse is caring for a patient who is confused and repeatedly tries to get out of bed without
assistance. Which action should the nurse try FIRST?
A. Apply a vest restraint
B. Reorient the patient and use a bed alarm
C. Administer a sedative
D. Ask the family to stay with the patient at all times
Answer: B
Rationale: Non-pharmacological interventions such as reorientation and bed alarms should be
attempted before considering restraints. Restraints and sedatives carry significant risks and
require specific orders.
Q5: The nurse is preparing to apply physical restraints to a patient. Which action is required?
A. Obtain a provider's order within 24 hours
B. Obtain a provider's order within 1 hour
C. Apply the restraints without an order if the patient is in immediate danger
D. Ask the family for permission
Answer: B
, Rationale: In an emergency, restraints may be applied without an order, but the nurse must obtain
a provider's order within 1 hour. The order must specify the type, location, and duration of
restraint use.
Q6: A patient in restraints requires which type of monitoring?
A. Every 15 minutes for circulation and safety
B. Every 1 hour for circulation and safety
C. Every 2 hours for circulation and safety
D. Every 4 hours for circulation and safety
Answer: A
Rationale: Patients in restraints must be assessed every 15 minutes for circulation, safety, and
signs of distress. This includes checking skin integrity, pulses, and the patient's overall condition.
Q7: A nurse is teaching a patient about home safety. Which instruction is most important for
preventing falls?
A. "Install grab bars in the bathroom."
B. "Wax the floors regularly."
C. "Use area rugs throughout the house."
D. "Keep stairways dimly lit."
Answer: A
Rationale: Installing grab bars in the bathroom is a key home safety modification to prevent falls.
Waxed floors, area rugs, and dim lighting increase fall risk.
Q8: The nurse is teaching a patient about fire safety in the home. Which acronym should the
nurse use to teach the proper use of a fire extinguisher?
A. RACE
B. PASS
C. SBAR
D. ADPIE
Answer: B
Rationale: PASS stands for Pull, Aim, Squeeze, Sweep. It is the correct acronym for using a fire
extinguisher. RACE is used for fire response in healthcare facilities.
