1
NCLEX PN Exam Bank Safety and Risk
Reduction in Bedside Nursing
Table of Contents
Subtopic 1: Fall Prevention and Environmental Safety in Bedside Care .............................. 2
Subtopic 2: Safe Handling of Equipment and Medical Devices ....................................... 10
Subtopic 3: Safe Medication Handling and Administration at the Bedside ....................... 18
Subtopic 4: Preventing Healthcare-Associated Infections (HAIs) at the Bedside .............. 25
Subtopic 5: Safe Use of Equipment and Medical Devices ............................................... 33
Subtopic 6: Infection Prevention and Aseptic Techniques at the Bedside ......................... 43
Subtopic 7: Preventing Falls, Fractures, and Mobility-Related Injuries ............................. 51
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Subtopic 1: Fall Prevention and Environmental Safety in
Bedside Care
(Questions 1–20)
1. A practical nurse is assigned to care for an 82-year-old client with Parkinson’s disease
who has a history of falls. Which action is the priority to reduce the client's risk of falling?
A. Ensure the call light is within reach
B. Place non-slip socks on the client and keep bed in low position
C. Provide a urinal at the bedside
D. Schedule physical therapy for strengthening
Correct Answer: B
Rationale: Non-slip socks and a low bed reduce the physical risk of falling. This is the most
immediate and effective safety measure for a client with known fall risks.
2. During hourly rounding, the nurse notes that the bed alarm of a confused patient is
turned off. What should the nurse do first?
A. Document the alarm was off
B. Re-engage the bed alarm and assess the patient
C. Report the finding to the nurse manager
D. Ask the previous nurse why the alarm was off
Correct Answer: B
Rationale: The bed alarm is a fall-prevention device. The nurse should prioritize the
patient's safety by reactivating it and assessing the client’s condition.
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3. A client recovering from abdominal surgery requests to use the bathroom independently.
What should the nurse do first?
A. Assist the client and provide privacy
B. Give the client a walker and let them try
C. Assess the client’s ability to ambulate safely
D. Tell the client to wait for physical therapy clearance
Correct Answer: C
Rationale: The PN must assess the client’s physical condition before assisting with
ambulation to reduce the risk of injury.
4. A PN notices that the IV pole is leaning and unsteady. What is the appropriate nursing
action?
A. Notify maintenance and continue care
B. Secure the pole with tape
C. Replace the pole immediately with a stable one
D. Mark the equipment as “damaged” and use it carefully
Correct Answer: C
Rationale: Unsafe equipment must be removed and replaced to prevent potential injury or
equipment-related incidents.
5. Which environmental modification should the PN recommend to reduce fall risk in a
semi-private hospital room?
A. Leave the lights off at night
B. Keep one side rail up at all times
C. Ensure clear walking paths and remove clutter
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D. Place call light on roommate’s side
Correct Answer: C
Rationale: Clutter-free environments are essential to reduce tripping hazards, especially in
shared spaces.
6. A client on diuretics is found getting up without assistance. Which response by the PN is
best?
A. Offer emotional support
B. Encourage independence
C. Review toileting schedule and implement frequent rounding
D. Suggest using a catheter to avoid accidents
Correct Answer: C
Rationale: Scheduled toileting and proactive rounds help reduce unsupervised
ambulation, a fall risk especially in diuretic use.
7. Which is the most effective method to prevent injury in a confused client trying to get out
of bed?
A. Use of physical restraints
B. Hourly vital signs
C. Frequent reorientation and close observation
D. Letting family stay 24/7
Correct Answer: C
Rationale: Non-restrictive methods such as reorientation and supervision are safer and
align with best practice guidelines.
NCLEX PN Exam Bank Safety and Risk
Reduction in Bedside Nursing
Table of Contents
Subtopic 1: Fall Prevention and Environmental Safety in Bedside Care .............................. 2
Subtopic 2: Safe Handling of Equipment and Medical Devices ....................................... 10
Subtopic 3: Safe Medication Handling and Administration at the Bedside ....................... 18
Subtopic 4: Preventing Healthcare-Associated Infections (HAIs) at the Bedside .............. 25
Subtopic 5: Safe Use of Equipment and Medical Devices ............................................... 33
Subtopic 6: Infection Prevention and Aseptic Techniques at the Bedside ......................... 43
Subtopic 7: Preventing Falls, Fractures, and Mobility-Related Injuries ............................. 51
, 2
Subtopic 1: Fall Prevention and Environmental Safety in
Bedside Care
(Questions 1–20)
1. A practical nurse is assigned to care for an 82-year-old client with Parkinson’s disease
who has a history of falls. Which action is the priority to reduce the client's risk of falling?
A. Ensure the call light is within reach
B. Place non-slip socks on the client and keep bed in low position
C. Provide a urinal at the bedside
D. Schedule physical therapy for strengthening
Correct Answer: B
Rationale: Non-slip socks and a low bed reduce the physical risk of falling. This is the most
immediate and effective safety measure for a client with known fall risks.
2. During hourly rounding, the nurse notes that the bed alarm of a confused patient is
turned off. What should the nurse do first?
A. Document the alarm was off
B. Re-engage the bed alarm and assess the patient
C. Report the finding to the nurse manager
D. Ask the previous nurse why the alarm was off
Correct Answer: B
Rationale: The bed alarm is a fall-prevention device. The nurse should prioritize the
patient's safety by reactivating it and assessing the client’s condition.
, 3
3. A client recovering from abdominal surgery requests to use the bathroom independently.
What should the nurse do first?
A. Assist the client and provide privacy
B. Give the client a walker and let them try
C. Assess the client’s ability to ambulate safely
D. Tell the client to wait for physical therapy clearance
Correct Answer: C
Rationale: The PN must assess the client’s physical condition before assisting with
ambulation to reduce the risk of injury.
4. A PN notices that the IV pole is leaning and unsteady. What is the appropriate nursing
action?
A. Notify maintenance and continue care
B. Secure the pole with tape
C. Replace the pole immediately with a stable one
D. Mark the equipment as “damaged” and use it carefully
Correct Answer: C
Rationale: Unsafe equipment must be removed and replaced to prevent potential injury or
equipment-related incidents.
5. Which environmental modification should the PN recommend to reduce fall risk in a
semi-private hospital room?
A. Leave the lights off at night
B. Keep one side rail up at all times
C. Ensure clear walking paths and remove clutter
, 4
D. Place call light on roommate’s side
Correct Answer: C
Rationale: Clutter-free environments are essential to reduce tripping hazards, especially in
shared spaces.
6. A client on diuretics is found getting up without assistance. Which response by the PN is
best?
A. Offer emotional support
B. Encourage independence
C. Review toileting schedule and implement frequent rounding
D. Suggest using a catheter to avoid accidents
Correct Answer: C
Rationale: Scheduled toileting and proactive rounds help reduce unsupervised
ambulation, a fall risk especially in diuretic use.
7. Which is the most effective method to prevent injury in a confused client trying to get out
of bed?
A. Use of physical restraints
B. Hourly vital signs
C. Frequent reorientation and close observation
D. Letting family stay 24/7
Correct Answer: C
Rationale: Non-restrictive methods such as reorientation and supervision are safer and
align with best practice guidelines.
