NUR 225 Exam 1 Practice Questions and
Correct Answers
1. A couple caring for their aging parents are concerned about risk factors for falls.
Which risk factors are most likely to contribute to falls in the elderly?
Select all that apply:
a. Inadequate lighting
b. Throw rugs
c. Multiple medications
d. Doorway thresholds
e. Cords covered by carpets
f. Staircases with handrails ✅A, B, C, D, E
The nursing assistant of an 80 year old patient who demonstrates some confusion but
no anxiety reveals that the patient is a fall risk because they continue to get out of bed
despite frequent reminders. The initial nursing intervention to prevent falls for this
patient is:
a. Activate the bed alarm device on the bed
b. Place the patient in a belt restraint
c. Place one-on-one observation of the patient
d. Apply wrist restraints ✅A
A nurse is evaluating a patient placed in soft, non-violent wrist restraints. Which of the
following should the RN perform? Select all that apply:
a. Check peripheral pulses in restrained extremities
b. Evaluate the patient's need for toileting
c. Offer the patient fluids (if appropriate per orders)
d. Release both limbs at the same time to perform range of motion (ROM) exercise
e. Inspect the skin under each restraint ✅A, B, C, E
Emergency restraints or seclusion may be implemented without a physician's order
under which of the following conditions?
a. When a written order will be obtained from the primary physician within 8 hours
b. Never
c. If a voluntary client wants to leave against medical advice
d. When a minor child is out of contro ✅A
You're patient is being transported to special procedures for a PICC line placement. The
patient is in droplet precautions. What are your nursing actions to ensure proper
transport of the patient?
a. Notify the receiving department and place a surgical mask on the patient.
b. Place an N95 mask on the patient and notify the receiving department.
c. Cancel transport and notify the physician for further orders.
, d. Notify the receiving department and place goggles, gown, and mask on the patient.
✅A
You enter the patient's room and find that they are on the floor next to the bed. They are
unresponsive. You see urine on the floor, several loose pills on the ground, and the
patient vomited. What is the initial nursing action?
a. Push an opioid reversal agent
b. Document a fall
c. Initiate CPR and Call for Help
d. Check for a pulse and breathing ✅D
You are evaluating a cis-male client for complaints of urethral discharge s/p diagnosis of
gonorrhea with failed antibiotic treatment. Upon your assessment, you obtain a
chaperone (another RN) and you both utilize the following type of precautions:
a. Standard
b. Contact
c. Airborne
d. Droplet ✅A
What is the most effective way to prevent hospital based infections?
a. Isolation precautions
b. Identifying the infectious agent
c. Hand hygiene practices
d. Vaccinations ✅C
You're providing care to a patient with C. Diff. After removing the appropriate PPE, you
would perform hand hygiene by:
a. Using hand sanitizer
b. Using soap and water
c. Using soap and water only if hands are soiled but can use hand sanitizer
d. Using either hand sanitizer or soap and water ✅B
A patient is diagnosed with methicillin-resistant staphylococcus aureus (MRSA)
pneumonia. Which type of isolation precaution is most appropriate for this client?
a. Standard
b. Airborne
c. Contact
d. Droplet ✅D
In report, you suspect your patient has developed symptoms of a viral infection. The
medical team suspects exposure came from large particles moving through coughing or
talking. What method of transmission does this virus have?
a. Airborne
b. Indirect
c. Droplet
Correct Answers
1. A couple caring for their aging parents are concerned about risk factors for falls.
Which risk factors are most likely to contribute to falls in the elderly?
Select all that apply:
a. Inadequate lighting
b. Throw rugs
c. Multiple medications
d. Doorway thresholds
e. Cords covered by carpets
f. Staircases with handrails ✅A, B, C, D, E
The nursing assistant of an 80 year old patient who demonstrates some confusion but
no anxiety reveals that the patient is a fall risk because they continue to get out of bed
despite frequent reminders. The initial nursing intervention to prevent falls for this
patient is:
a. Activate the bed alarm device on the bed
b. Place the patient in a belt restraint
c. Place one-on-one observation of the patient
d. Apply wrist restraints ✅A
A nurse is evaluating a patient placed in soft, non-violent wrist restraints. Which of the
following should the RN perform? Select all that apply:
a. Check peripheral pulses in restrained extremities
b. Evaluate the patient's need for toileting
c. Offer the patient fluids (if appropriate per orders)
d. Release both limbs at the same time to perform range of motion (ROM) exercise
e. Inspect the skin under each restraint ✅A, B, C, E
Emergency restraints or seclusion may be implemented without a physician's order
under which of the following conditions?
a. When a written order will be obtained from the primary physician within 8 hours
b. Never
c. If a voluntary client wants to leave against medical advice
d. When a minor child is out of contro ✅A
You're patient is being transported to special procedures for a PICC line placement. The
patient is in droplet precautions. What are your nursing actions to ensure proper
transport of the patient?
a. Notify the receiving department and place a surgical mask on the patient.
b. Place an N95 mask on the patient and notify the receiving department.
c. Cancel transport and notify the physician for further orders.
, d. Notify the receiving department and place goggles, gown, and mask on the patient.
✅A
You enter the patient's room and find that they are on the floor next to the bed. They are
unresponsive. You see urine on the floor, several loose pills on the ground, and the
patient vomited. What is the initial nursing action?
a. Push an opioid reversal agent
b. Document a fall
c. Initiate CPR and Call for Help
d. Check for a pulse and breathing ✅D
You are evaluating a cis-male client for complaints of urethral discharge s/p diagnosis of
gonorrhea with failed antibiotic treatment. Upon your assessment, you obtain a
chaperone (another RN) and you both utilize the following type of precautions:
a. Standard
b. Contact
c. Airborne
d. Droplet ✅A
What is the most effective way to prevent hospital based infections?
a. Isolation precautions
b. Identifying the infectious agent
c. Hand hygiene practices
d. Vaccinations ✅C
You're providing care to a patient with C. Diff. After removing the appropriate PPE, you
would perform hand hygiene by:
a. Using hand sanitizer
b. Using soap and water
c. Using soap and water only if hands are soiled but can use hand sanitizer
d. Using either hand sanitizer or soap and water ✅B
A patient is diagnosed with methicillin-resistant staphylococcus aureus (MRSA)
pneumonia. Which type of isolation precaution is most appropriate for this client?
a. Standard
b. Airborne
c. Contact
d. Droplet ✅D
In report, you suspect your patient has developed symptoms of a viral infection. The
medical team suspects exposure came from large particles moving through coughing or
talking. What method of transmission does this virus have?
a. Airborne
b. Indirect
c. Droplet
