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 assessing a patient's risk for falls using the Morse Fall Scale. Which factor would
score 25 points?
A. Patient is alert and oriented
B. Patient has an IV infusion
C. Patient has a history of falling before admission
D. Patient uses a wheelchair
Answer: C
Rationale: On the Morse Fall Scale, a history of falling before admission scores the highest
number of points (25). 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 35. How should this patient
be classified?
A. Low risk
B. High risk
C. Moderate risk
D. No risk
Answer: A
,Rationale: A Morse Fall Scale score of 25–44 indicates low risk for falls. Scores of 45–64
indicate moderate risk, and scores of 65 or higher indicate high risk.
Q3: A nurse is caring for a patient who is at risk for falls. Which intervention is most appropriate
to implement FIRST?
A. Apply a physical restraint
B. Administer a sedative
C. Restrict all activity
D. Place the patient in a room near the nurses' station
Answer: D
Rationale: Placing a high-fall-risk patient near the nurses' station allows for frequent observation
and quick response. Restraints and sedatives are last-resort interventions.
Q4: A nurse finds a patient on the floor after a fall. Which action should the nurse take FIRST?
A. Help the patient back into bed immediately
B. Assess the patient for injuries and level of consciousness
C. Document the fall in the chart
D. Notify the patient's family
Answer: B
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 eliminate the need for frequent rounding
B. Bed alarms should only be used at night
C. Bed alarms alert staff when a patient attempts to get out of bed
D. Bed alarms are considered a form of restraint
Answer: C
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 action is required within 1 hour
of application?
A. Obtain a provider's order
B. Remove the restraint for 10 minutes
C. Notify the family
D. Document the patient's response
Answer: A
Rationale: In an emergency, restraints may be applied without an order, but the nurse must obtain
a provider's order within 1 hour. Documentation and family notification occur after the order is
obtained.
Q7: A nurse is teaching a patient about fire safety in the home. Which statement by the patient
indicates understanding of the PASS acronym?
A. "I should Push the alarm, Assess the fire, Spray water, and Secure the exit."
B. "I should Prepare the extinguisher, Activate the alarm, Shut the door, and Escape."
C. "I should Point the extinguisher, Alert others, Secure the area, and Stop the fire."
D. "I should Pull the pin, Aim at the base, Squeeze the handle, and Sweep side to side."
Answer: D
Rationale: PASS stands for Pull the pin, Aim at the base of the fire, Squeeze the handle, and
Sweep side to side. It is the correct technique for using a fire extinguisher.
Q8: A nurse is assessing a patient's home environment for fall hazards. Which finding requires
immediate intervention?
A. Grab bars in the bathroom
B. Cords and wires crossing walkways
C. Adequate lighting in hallways
D. Non-slip mats in the bathtub
Answer: B
Rationale: Cords and wires crossing walkways are major tripping hazards and should be secured
or removed. Grab bars, adequate lighting, and non-slip mats are protective measures.