CONCEPTS
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EXAM 2 BLUEPRINT
Approximate
Topic Area Percentage
Questions
Safety & Fall Prevention 20% 40
Infection Control & PPE 15% 30
Restraints & Seizure
10% 20
Precautions
Functional Ability & ADLs 10% 20
Nursing Process & Clinical
15% 30
Judgment
Medication Administration 10% 20
, Approximate
Topic Area Percentage
Questions
Communication &
10% 20
Documentation
NGN Case Scenarios
10% 20
(Integrated)
SECTION 1: SAFETY & FALL PREVENTION (Questions 1–
40)
1. A nurse is implementing fall precautions for an older
adult patient. Which action is most appropriate?
A) Keep all four side rails up at night
B) Place the bed in the lowest position with locked
wheels
C) Encourage the patient to wear non-skid socks only
during the day
D) Keep the call light on the bedside table
Answer: B) Place the bed in the lowest position with
locked wheels
, Rationale:Thebed shouldbein the lowestposition and
m m m m m m m
wheelslockedtoreduceinjuryfromfalls.Siderailsup(A)is
m m m m m m m m m
consideredarestraint. Non-skid socksshouldbeworn
m m m m m m
anytimethepatient isout ofbed.Thecalllightmustbe within
m m m m m m m m
easyreach,attachedtothegownorpillow.
m m m m m m m
2. Whichpatientisatthehighestriskforfalling?
m m m m m m
A)45-year-oldpost-operativeday1
m m m
B) 70-year-oldwithhistoryofstrokeandtaking m m m m
antihypertensives
m
C) 30-year-oldwithabrokenankleusingcrutches m m m m m m
D)80-year-oldwith mild hearingloss
m m m m m
Answer:B)70-year-oldwithhistoryofstrokeandtaking
m m m m m m
antihypertensives
m
Rationale:The70-year-oldhasmultipleriskfactors:
m m m m
advancedage,historyofstroke(hemiparesis/neglect),and
m m m m m m m
antihypertensivemedications(orthostatichypotension).
m m
Hearinglossalone(D)isalowerriskfactor.
m m m m
3. Apatientusesacane.Thenurseshouldinstructthe
m m m m m
patienttoholdthecaneonwhich side?
m m m m m m m
A) Theweakerside m