Answers | Latest Version | 2025/2026 |
Correct & Verified
Which intervention should the nurse implement to maintain mobility in a client on bedrest?
A. Encourage fluid restriction
✔✔B. Perform passive range-of-motion exercises regularly
C. Limit repositioning to avoid pain
D. Avoid encouraging leg movement
Which of the following best describes the purpose of a fall risk assessment tool?
✔✔A. To identify clients who require preventive interventions
B. To track fall rates over time
C. To assign blame for falls
D. To eliminate all fall risks completely
A nurse notices a slippery spill in the hallway. What is the most appropriate action?
A. Ignore it if no one is around
✔✔B. Mark the area and report it for cleanup
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,C. Wait until housekeeping notices it
D. Ask another nurse to handle it
What is the correct sequence for assisting a client with a walker to stand?
A. Position walker, help client stand, then adjust height
✔✔B. Lock bed, position walker, apply gait belt, help client to stand
C. Adjust walker height first, then assist client
D. Ask client to stand on their own, then hand them the walker
Which safety measure should be used for a client with frequent seizures?
A. Restrain the client during a seizure
B. Raise all side rails with padding
✔✔C. Pad side rails and keep suction equipment nearby
D. Turn off the bed alarm to reduce confusion
Which client action demonstrates proper walker use?
✔✔A. Moving the walker ahead, then stepping into it with both legs
B. Holding the walker behind the back when walking
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, C. Sliding the walker across the floor
D. Moving one leg at a time while leaving walker in place
Which of the following interventions promotes both safety and mobility for a client at risk for
falls?
✔✔A. Providing scheduled toileting
B. Removing all mobility aids
C. Encouraging bed rest
D. Turning off bed alarms during sleep
What is the best initial action if a client starts to fall while ambulating with assistance?
✔✔A. Ease the client to the floor while protecting their head
B. Call for help immediately and let the client fall
C. Try to hold the client up completely
D. Push the client toward a chair
A nurse is teaching a group of older adults about home safety. Which of the following
recommendations should the nurse include?
A. Use throw rugs in the hallway to prevent slipping
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