ATI Fundamentals | NGN Patient Safety & Fall Prevention Master Pack
2026/2027
1. A nurse is caring for a client who is at high risk for falls. Which of the
following actions should the nurse take first?
A. Place the client in a room near the nurses’ station.
B. Provide the client with non-skid socks.
C. Perform a fall risk assessment.
D. Ensure the call light is within reach.
Answer: C
Rationale: According to the nursing process, assessment is the first step. A comprehensive
fall risk assessment allows the nurse to identify specific risks and tailor interventions.
2. Which of the following describes the ‘R’ in the fire safety acronym RACE?
A. Run from the fire.
B. Rescue and protect clients.
C. Report the fire location.
D. Restinguish the flames.
Answer: B
Rationale: RACE stands for Rescue, Alarm, Contain, and Extinguish/Evacuate. The first
priority is to rescue and protect clients in immediate danger.
,3. A nurse is preparing to apply a wrist restraint to a client. Which action is
essential for safety?
A. Tie the restraint to the side rails.
B. Apply the restraint as tightly as possible to prevent removal.
C. Secure the restraint with a double knot.
D. Ensure two fingers can fit between the restraint and the wrist.
Answer: D
Rationale: Ensuring two fingers fit under the restraint prevents constriction of circulation
and nerve damage. Restraints should be tied to the bed frame, not side rails, using a quick-
release knot.
4. How often should a nurse document the status of a client who is in
mechanical restraints for violent behavior?
A. Every 2 hours.
B. Every 30 minutes.
C. Every hour.
D. Every 15 minutes.
Answer: D
Rationale: For clients in restraints for violent or self-destructive behavior, documentation
of safety, comfort, and vital signs is typically required every 15 minutes.
5. A nurse is teaching a client how to use a cane. On which side should the client
hold the cane?
A. On the weak side.
B. On the stronger side.
C. On whichever side feels comfortable.
D. Directly in front of the body.
Answer: B
, Rationale: A cane should be held on the unaffected (stronger) side to provide support to
the opposite lower limb and maintain balance.
6. Which of the following is a ‘never event’ according to the National Quality
Forum?
A. A patient fall resulting in a hip fracture while in the hospital.
B. An allergic reaction to a new medication.
C. Hospital-acquired pneumonia.
D. A wound infection after a clean surgery.
Answer: A
Rationale: Severe pressure injuries, falls resulting in serious injury, and wrong-site
surgery are considered ‘never events’—preventable medical errors that should not occur.
7. When using a fire extinguisher, what does the ‘A’ in the acronym PASS stand
for?
A. Activate the alarm.
B. Assess the flame height.
C. Aim at the base of the fire.
D. Avoid inhaling smoke.
Answer: C
Rationale: PASS stands for Pull the pin, Aim at the base of the fire, Squeeze the handle, and
Sweep from side to side.
8. A nurse finds a client on the floor. After assessing the client for injuries and
notifying the provider, what is the nurse’s next action?
A. Document the fall in the patient’s medical record only.
B. Call the family to apologize.
C. Complete an incident report.
D. Place the client back in bed and raise all four side rails.
Answer: C
2026/2027
1. A nurse is caring for a client who is at high risk for falls. Which of the
following actions should the nurse take first?
A. Place the client in a room near the nurses’ station.
B. Provide the client with non-skid socks.
C. Perform a fall risk assessment.
D. Ensure the call light is within reach.
Answer: C
Rationale: According to the nursing process, assessment is the first step. A comprehensive
fall risk assessment allows the nurse to identify specific risks and tailor interventions.
2. Which of the following describes the ‘R’ in the fire safety acronym RACE?
A. Run from the fire.
B. Rescue and protect clients.
C. Report the fire location.
D. Restinguish the flames.
Answer: B
Rationale: RACE stands for Rescue, Alarm, Contain, and Extinguish/Evacuate. The first
priority is to rescue and protect clients in immediate danger.
,3. A nurse is preparing to apply a wrist restraint to a client. Which action is
essential for safety?
A. Tie the restraint to the side rails.
B. Apply the restraint as tightly as possible to prevent removal.
C. Secure the restraint with a double knot.
D. Ensure two fingers can fit between the restraint and the wrist.
Answer: D
Rationale: Ensuring two fingers fit under the restraint prevents constriction of circulation
and nerve damage. Restraints should be tied to the bed frame, not side rails, using a quick-
release knot.
4. How often should a nurse document the status of a client who is in
mechanical restraints for violent behavior?
A. Every 2 hours.
B. Every 30 minutes.
C. Every hour.
D. Every 15 minutes.
Answer: D
Rationale: For clients in restraints for violent or self-destructive behavior, documentation
of safety, comfort, and vital signs is typically required every 15 minutes.
5. A nurse is teaching a client how to use a cane. On which side should the client
hold the cane?
A. On the weak side.
B. On the stronger side.
C. On whichever side feels comfortable.
D. Directly in front of the body.
Answer: B
, Rationale: A cane should be held on the unaffected (stronger) side to provide support to
the opposite lower limb and maintain balance.
6. Which of the following is a ‘never event’ according to the National Quality
Forum?
A. A patient fall resulting in a hip fracture while in the hospital.
B. An allergic reaction to a new medication.
C. Hospital-acquired pneumonia.
D. A wound infection after a clean surgery.
Answer: A
Rationale: Severe pressure injuries, falls resulting in serious injury, and wrong-site
surgery are considered ‘never events’—preventable medical errors that should not occur.
7. When using a fire extinguisher, what does the ‘A’ in the acronym PASS stand
for?
A. Activate the alarm.
B. Assess the flame height.
C. Aim at the base of the fire.
D. Avoid inhaling smoke.
Answer: C
Rationale: PASS stands for Pull the pin, Aim at the base of the fire, Squeeze the handle, and
Sweep from side to side.
8. A nurse finds a client on the floor. After assessing the client for injuries and
notifying the provider, what is the nurse’s next action?
A. Document the fall in the patient’s medical record only.
B. Call the family to apologize.
C. Complete an incident report.
D. Place the client back in bed and raise all four side rails.
Answer: C
