Germanna NSG 100 Exam 2 Nursing Concepts
– (2026/2027) Actual Questions, Verified
Answers with Rationales | Guarantee Pass
Section 1: Culture of Safety & Fall Prevention
1. How does a nurse support a culture of safety? (Select all that apply)
• A) Completing an incident report for a near miss
• B) Identifying the person responsible for an incident
• C) Communicating product concerns to an immediate supervisor
• D) Participating in safety and health training
Answer: A, C, D
Rationale: A culture of safety focuses on effective teamwork to accomplish safe,
quality patient care. A "Just Culture" emphasizes reporting errors without
punishment, focusing on what went wrong, not who is to blame. Completing
incident reports, communicating product concerns, and participating in training
all support a safety culture .
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2. A nurse is implementing fall precautions for an older adult. 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
,Rationale: The bed should be in the lowest position with wheels locked to reduce
injury from falls. All four side rails up is considered a restraint. Non-skid socks
should be worn anytime the patient is out of bed. The call light must be within
easy reach .
3. Which patient is at the highest risk for falling?
• A) 45-year-old post-operative day 1
• B) 70-year-old with history of stroke and taking antihypertensives
• C) 30-year-old with an ankle sprain
• D) 50-year-old with diabetes
Answer: B
Rationale: This patient has multiple risk factors: advanced age, history of stroke
(which can affect mobility and balance), and is taking antihypertensives (which
can cause orthostatic hypotension and dizziness) .
4. Which tools are used to assess a patient's fall risk?
• A) Braden Scale
• B) STEADI
• C) Morse Fall Scale
• D) ADPIE
Answer: B and C
Rationale: The STEADI (Stopping Elderly Accidents, Deaths & Injuries) and the
Morse Fall Scale are tools specifically used to assess fall risk. The Braden Scale
assesses pressure injury risk. ADPIE is the nursing process .
5. Which intervention would help prevent falls in older adult clients?
• A) Check vision every five years
• B) Exercise regularly
, • C) Place regular socks on feet
• D) Check hearing every year
Answer: B
Rationale: Regular exercise helps maintain strength, flexibility, mobility, and
balance, which are key to preventing falls. Vision should be checked at least once
a year, and clients should wear non-skid footwear, not regular socks .
6. Before transferring a patient from bed to chair, what assessment data must
the nurse gather? (Select all that apply)
• A) Patient's weight
• B) Patient's level of cooperation
• C) Patient's ability to assist (mobility)
• D) Presence of transfer device
Answer: All are correct
Rationale: A safe transfer requires a comprehensive assessment. The nurse must
know the patient's weight, mobility level, cooperation, and ensure the proper
transfer device is available .
7. A patient is prescribed an antihypertensive medication. Which fall prevention
intervention is most important?
• A) Assess for orthostatic hypotension
• B) Restrict fluids
• C) Keep bed in high position
• D) Encourage patient to ambulate frequently
Answer: A
Rationale: Antihypertensives can cause orthostatic hypotension, a sudden drop in
blood pressure when standing, which increases fall risk. Monitoring for this and
teaching the patient to change positions slowly is critical .
, 8. The nurse is teaching new mothers about safe sleeping for newborns. Which
recommendation should the nurse include?
• A) Keep newborns on their stomachs while in the crib
• B) Place newborns on their sides and cover with a light blanket
• C) Cover newborns up to the shoulder with a warm blanket
• D) Dress newborns in warm clothing and place them on their backs
Answer: D
Rationale: To prevent Sudden Infant Death Syndrome (SIDS), infants should be
placed on their backs to sleep, with no loose blankets in the crib to prevent
smothering. They should be dressed in warm clothing instead .
9. A patient is on strict bed rest after a myocardial infarction. Which type of
bedpan is most appropriate?
• A) Fracture bedpan (low profile)
• B) Standard bedpan
• C) Pediatric bedpan
• D) Urinal only
Answer: A
Rationale: A fracture bedpan is flatter and easier to slide under a patient who
cannot lift their hips, making it the appropriate choice for a patient on strict bed
rest .
heart failure is on a 2-gram sodium diet. Which meal choice indicates
understanding of the diet?
• A) Ham sandwich with pickles
• B) Grilled chicken with steamed vegetables
• C) Canned soup with crackers
• D) Pizza and salad
– (2026/2027) Actual Questions, Verified
Answers with Rationales | Guarantee Pass
Section 1: Culture of Safety & Fall Prevention
1. How does a nurse support a culture of safety? (Select all that apply)
• A) Completing an incident report for a near miss
• B) Identifying the person responsible for an incident
• C) Communicating product concerns to an immediate supervisor
• D) Participating in safety and health training
Answer: A, C, D
Rationale: A culture of safety focuses on effective teamwork to accomplish safe,
quality patient care. A "Just Culture" emphasizes reporting errors without
punishment, focusing on what went wrong, not who is to blame. Completing
incident reports, communicating product concerns, and participating in training
all support a safety culture .
</details>
2. A nurse is implementing fall precautions for an older adult. 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
,Rationale: The bed should be in the lowest position with wheels locked to reduce
injury from falls. All four side rails up is considered a restraint. Non-skid socks
should be worn anytime the patient is out of bed. The call light must be within
easy reach .
3. Which patient is at the highest risk for falling?
• A) 45-year-old post-operative day 1
• B) 70-year-old with history of stroke and taking antihypertensives
• C) 30-year-old with an ankle sprain
• D) 50-year-old with diabetes
Answer: B
Rationale: This patient has multiple risk factors: advanced age, history of stroke
(which can affect mobility and balance), and is taking antihypertensives (which
can cause orthostatic hypotension and dizziness) .
4. Which tools are used to assess a patient's fall risk?
• A) Braden Scale
• B) STEADI
• C) Morse Fall Scale
• D) ADPIE
Answer: B and C
Rationale: The STEADI (Stopping Elderly Accidents, Deaths & Injuries) and the
Morse Fall Scale are tools specifically used to assess fall risk. The Braden Scale
assesses pressure injury risk. ADPIE is the nursing process .
5. Which intervention would help prevent falls in older adult clients?
• A) Check vision every five years
• B) Exercise regularly
, • C) Place regular socks on feet
• D) Check hearing every year
Answer: B
Rationale: Regular exercise helps maintain strength, flexibility, mobility, and
balance, which are key to preventing falls. Vision should be checked at least once
a year, and clients should wear non-skid footwear, not regular socks .
6. Before transferring a patient from bed to chair, what assessment data must
the nurse gather? (Select all that apply)
• A) Patient's weight
• B) Patient's level of cooperation
• C) Patient's ability to assist (mobility)
• D) Presence of transfer device
Answer: All are correct
Rationale: A safe transfer requires a comprehensive assessment. The nurse must
know the patient's weight, mobility level, cooperation, and ensure the proper
transfer device is available .
7. A patient is prescribed an antihypertensive medication. Which fall prevention
intervention is most important?
• A) Assess for orthostatic hypotension
• B) Restrict fluids
• C) Keep bed in high position
• D) Encourage patient to ambulate frequently
Answer: A
Rationale: Antihypertensives can cause orthostatic hypotension, a sudden drop in
blood pressure when standing, which increases fall risk. Monitoring for this and
teaching the patient to change positions slowly is critical .
, 8. The nurse is teaching new mothers about safe sleeping for newborns. Which
recommendation should the nurse include?
• A) Keep newborns on their stomachs while in the crib
• B) Place newborns on their sides and cover with a light blanket
• C) Cover newborns up to the shoulder with a warm blanket
• D) Dress newborns in warm clothing and place them on their backs
Answer: D
Rationale: To prevent Sudden Infant Death Syndrome (SIDS), infants should be
placed on their backs to sleep, with no loose blankets in the crib to prevent
smothering. They should be dressed in warm clothing instead .
9. A patient is on strict bed rest after a myocardial infarction. Which type of
bedpan is most appropriate?
• A) Fracture bedpan (low profile)
• B) Standard bedpan
• C) Pediatric bedpan
• D) Urinal only
Answer: A
Rationale: A fracture bedpan is flatter and easier to slide under a patient who
cannot lift their hips, making it the appropriate choice for a patient on strict bed
rest .
heart failure is on a 2-gram sodium diet. Which meal choice indicates
understanding of the diet?
• A) Ham sandwich with pickles
• B) Grilled chicken with steamed vegetables
• C) Canned soup with crackers
• D) Pizza and salad
