NUR 210 Exam 2 Study Guide.Final Test Paper 2026\2027.
What should you do if you find faulty equipment?
• Remove it from service immediately.
• Label it "Do Not Use" or "Out of Service."
• Notify the charge nurse, nurse manager, or appropriate
department.
• Follow facility policy for reporting/documentation.
• Keep it separated from usable equipment.
• It should not return to service until repaired and cleared for
use.
What 6 areas are assessed on the Morse Fall Scale?
1. History of falling
2. Secondary diagnosis
3. Ambulatory aid
4. IV therapy/heparin lock
5. Gait/transferring
6. Mental status
Higher score = greater fall risk.
What environmental hazards should you assess in a patient's
home regarding safety?
• Clutter and throw rugs
• Poor lighting
• Stairs and lack of handrails
• Bathroom safety and lack of grab bars
• Electrical cords
,NUR 210 Exam 2 Study Guide.Final Test Paper 2026\2027.
• Fire hazards
• Smoke/CO detectors
• Medication storage
• Medication side affects
• Accessibility of commonly used items
What should you assess besides the physical environment
regarding patient safety at home?
• Vision and hearing
• Cognition
• Mobility, strength, and balance
• History of falls
• Medications and side effects
• Ability to perform ADLs
• Understanding of safety instructions
• Caregiver/support system
• Transportation or financial limitations when relevant
What should be attempted before applying restraints?
Use the least restrictive alternatives first:
• Verbal redirection
• Reorientation
• Address pain, toileting, hunger, or other needs
• Reduce environmental stimulation
• Increase observation
• Move patient closer to nurses' station
, NUR 210 Exam 2 Study Guide.Final Test Paper 2026\2027.
• Sitter/family member when appropriate
• Alarms or diversion activities
When are restraints appropriate?
Only when less restrictive interventions have failed and the
restraint is necessary to protect the patient or others, according
to facility policy.
What is required when restraints are applied?
A provider's order is required according to facility policy and
applicable regulations. In an emergency, restraints may be
applied immediately for safety, but the provider must be notified
and the required order obtained promptly.
What is required for violent/self destructive restraints?
• Provider face to face evaluation generally within 1 hour.
• Adult orders generally require renewal at least every 4 hours.
• Follow current facility policy and applicable regulations.
What should the nurse assess while a patient is restrained?
• Circulation
• Skin integrity
• Color and warmth
• Pulses
• Sensation
• Range of motion
• Respiratory status
• Vital signs
• Pain/discomfort
What should you do if you find faulty equipment?
• Remove it from service immediately.
• Label it "Do Not Use" or "Out of Service."
• Notify the charge nurse, nurse manager, or appropriate
department.
• Follow facility policy for reporting/documentation.
• Keep it separated from usable equipment.
• It should not return to service until repaired and cleared for
use.
What 6 areas are assessed on the Morse Fall Scale?
1. History of falling
2. Secondary diagnosis
3. Ambulatory aid
4. IV therapy/heparin lock
5. Gait/transferring
6. Mental status
Higher score = greater fall risk.
What environmental hazards should you assess in a patient's
home regarding safety?
• Clutter and throw rugs
• Poor lighting
• Stairs and lack of handrails
• Bathroom safety and lack of grab bars
• Electrical cords
,NUR 210 Exam 2 Study Guide.Final Test Paper 2026\2027.
• Fire hazards
• Smoke/CO detectors
• Medication storage
• Medication side affects
• Accessibility of commonly used items
What should you assess besides the physical environment
regarding patient safety at home?
• Vision and hearing
• Cognition
• Mobility, strength, and balance
• History of falls
• Medications and side effects
• Ability to perform ADLs
• Understanding of safety instructions
• Caregiver/support system
• Transportation or financial limitations when relevant
What should be attempted before applying restraints?
Use the least restrictive alternatives first:
• Verbal redirection
• Reorientation
• Address pain, toileting, hunger, or other needs
• Reduce environmental stimulation
• Increase observation
• Move patient closer to nurses' station
, NUR 210 Exam 2 Study Guide.Final Test Paper 2026\2027.
• Sitter/family member when appropriate
• Alarms or diversion activities
When are restraints appropriate?
Only when less restrictive interventions have failed and the
restraint is necessary to protect the patient or others, according
to facility policy.
What is required when restraints are applied?
A provider's order is required according to facility policy and
applicable regulations. In an emergency, restraints may be
applied immediately for safety, but the provider must be notified
and the required order obtained promptly.
What is required for violent/self destructive restraints?
• Provider face to face evaluation generally within 1 hour.
• Adult orders generally require renewal at least every 4 hours.
• Follow current facility policy and applicable regulations.
What should the nurse assess while a patient is restrained?
• Circulation
• Skin integrity
• Color and warmth
• Pulses
• Sensation
• Range of motion
• Respiratory status
• Vital signs
• Pain/discomfort
