Exam 2
Modules 3 & 4 | JOYCE University
Verified Questions & Answers, with rationales.
2026|2027|2028 Testing Cycle | Guaranteed Pass |Graded A+
SECTION 1: PATIENT SAFETY & ENVIRONMENTAL HAZARDS (15 Questions)
Q1: A nurse is completing a fall risk assessment using the Morse Fall Scale. Which factor would
score the highest number of points?
A. Patient has a history of falling before admission
B. Patient uses a wheelchair
C. Patient has an IV infusion
D. Patient is alert and oriented
Answer: A
Rationale: On the Morse Fall Scale, a history of falling before admission scores the highest
number of points (25), followed by secondary diagnosis, ambulatory aid, IV therapy, gait, and
mental status. A prior fall is the strongest predictor of future falls.
,Q2: A nurse is caring for a patient with a Morse Fall Scale score of 65. How should this patient
be classified?
A. No risk
B. Low risk
C. High risk
D. Moderate risk
Answer: C
Rationale: A Morse Fall Scale score of 65 or higher indicates high risk for falls. Scores of 25–44
indicate low risk, and scores of 45–64 indicate moderate risk.
Q3: A nurse is implementing a fall prevention bundle for a high-risk patient. Which intervention
is most appropriate?
A. Keep the bed in the highest position for easy access
B. Place the patient in a room closest to the nurses' station
C. Keep all four side rails up at all times
D. Restrict the patient from using the bathroom independently
Answer: B
Rationale: Placing a high-risk patient near the nurses' station allows for frequent observation and
quick response. Keeping the bed high and using all four side rails are unsafe practices.
Q4: A nurse enters a patient's room and finds the patient on the floor. Which action should the
nurse take FIRST?
A. Help the patient back into bed immediately
B. Document the fall in the chart
C. Notify the patient's family
D. Assess the patient for injuries and level of consciousness
Answer: D
Rationale: After a fall, the nurse must first assess the patient for injuries, level of consciousness,
and vital signs. Moving the patient immediately without assessment could worsen injuries.
, Q5: A nurse is using a bed exit alarm for a patient at risk for falls. Which statement about bed
alarms is accurate?
A. Bed alarms alert staff when a patient attempts to get out of bed
B. Bed alarms eliminate the need for frequent rounding
C. Bed alarms should only be used at night
D. Bed alarms are considered a form of restraint
Answer: A
Rationale: Bed exit alarms alert staff when a patient attempts to get out of bed, allowing for
timely intervention. They do not replace frequent rounding and are not considered restraints.
Q6: A nurse is applying a physical restraint to a patient. Which documentation is required?
A. Only the time the restraint was applied
B. The type of restraint, time applied, reason, and patient assessment
C. Only the reason for the restraint
D. Only the provider's order
Answer: B
Rationale: Restraint documentation must include the type of restraint, time applied, reason,
patient assessment (including circulation, skin integrity, and behavior), and the provider's order.
Q7: A nurse is teaching a patient about home fire safety. Which action should the patient take if a
fire occurs?
A. Use water to extinguish an electrical fire
B. Stand upright and walk quickly to the exit
C. Call the fire department before evacuating
D. Crawl low under smoke to exit the building
Answer: D
Rationale: Crawling low under smoke reduces exposure to toxic fumes and heat. The patient
should evacuate first and then call the fire department from a safe location.