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NUR 155 – FOUNDATIONS OF NURSING Exam 2 Review Guide | Latest
Fall 2026 Questions with Detailed Rationales
Question 1
Which of the following is the most important nursing
intervention to prevent falls in a hospitalized client?
A. Keep bed in the highest position
B. Keep the call light within reach and use bed alarms as needed
C. Restrain the client at all times
D. Keep the room dark to encourage rest
Answer: B
Rationale: Keeping the call light within reach, using bed alarms,
ensuring nonskid footwear, and maintaining a clear
environment are key fall prevention strategies. Restraints are
used only as a last resort.
Question 2
A nurse is assessing a client's risk for falls using the Morse Fall
Scale. Which factor increases fall risk?
A. Age under 50
B. History of falls and altered gait
C. Normal vision
D. No medications
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Answer: B
Rationale: History of falls, altered gait/balance, confusion, and
certain medications increase fall risk on the Morse Fall Scale.
Question 3
Which of the following is the correct way to apply a gait belt?
A. Around the client's neck
B. Snugly around the waist over clothing
C. Around the chest
D. Only if the client is unconscious
Answer: B
Rationale: A gait belt is applied snugly around the waist over
clothing to provide a secure handle for assisting with
transfers/ambulation.
Question 4
A client is at risk for aspiration. Which position is safest during
meals?
A. Supine
B. Upright with chin slightly tucked
C. Lying on the left side
D. Reclined 15 degrees
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Answer: B
Rationale: Upright positioning with chin tuck reduces aspiration
risk. Side-lying or supine increases risk.
Question 5
Which of the following is a common cause of injury in older
adults in the home?
A. Bright lighting
B. Scatter rugs and poor lighting
C. Handrails on stairs
D. Nonskid bath mats
Answer: B
Rationale: Scatter rugs, poor lighting, clutter, and lack of grab
bars increase fall risk in older adults.
Question 6
A nurse is performing hand hygiene. Which action is correct?
A. Use alcohol-based rub when hands are visibly soiled
B. Wash with soap and water when hands are visibly soiled or
after C. diff contact
C. Wear gloves without performing hand hygiene
D. Use cold water for handwashing
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Answer: B
Rationale: Soap and water should be used when hands are
visibly soiled or after exposure to spore-forming organisms like
C. diff. Alcohol-based rubs are for when hands are not visibly
soiled.
Question 7
Which of the following is an example of a fomite?
A. A mosquito
B. A contaminated stethoscope
C. An infected person
D. A tick
Answer: B
Rationale: A fomite is an inanimate object that can transmit
pathogens, such as a contaminated stethoscope, bed rail, or
doorknob.
Question 8
A client is on contact precautions. Which personal protective
equipment is required?
A. Gloves only
B. Gown and gloves
NUR 155 – FOUNDATIONS OF NURSING Exam 2 Review Guide | Latest
Fall 2026 Questions with Detailed Rationales
Question 1
Which of the following is the most important nursing
intervention to prevent falls in a hospitalized client?
A. Keep bed in the highest position
B. Keep the call light within reach and use bed alarms as needed
C. Restrain the client at all times
D. Keep the room dark to encourage rest
Answer: B
Rationale: Keeping the call light within reach, using bed alarms,
ensuring nonskid footwear, and maintaining a clear
environment are key fall prevention strategies. Restraints are
used only as a last resort.
Question 2
A nurse is assessing a client's risk for falls using the Morse Fall
Scale. Which factor increases fall risk?
A. Age under 50
B. History of falls and altered gait
C. Normal vision
D. No medications
, Page |2
Answer: B
Rationale: History of falls, altered gait/balance, confusion, and
certain medications increase fall risk on the Morse Fall Scale.
Question 3
Which of the following is the correct way to apply a gait belt?
A. Around the client's neck
B. Snugly around the waist over clothing
C. Around the chest
D. Only if the client is unconscious
Answer: B
Rationale: A gait belt is applied snugly around the waist over
clothing to provide a secure handle for assisting with
transfers/ambulation.
Question 4
A client is at risk for aspiration. Which position is safest during
meals?
A. Supine
B. Upright with chin slightly tucked
C. Lying on the left side
D. Reclined 15 degrees
, Page |3
Answer: B
Rationale: Upright positioning with chin tuck reduces aspiration
risk. Side-lying or supine increases risk.
Question 5
Which of the following is a common cause of injury in older
adults in the home?
A. Bright lighting
B. Scatter rugs and poor lighting
C. Handrails on stairs
D. Nonskid bath mats
Answer: B
Rationale: Scatter rugs, poor lighting, clutter, and lack of grab
bars increase fall risk in older adults.
Question 6
A nurse is performing hand hygiene. Which action is correct?
A. Use alcohol-based rub when hands are visibly soiled
B. Wash with soap and water when hands are visibly soiled or
after C. diff contact
C. Wear gloves without performing hand hygiene
D. Use cold water for handwashing
, Page |4
Answer: B
Rationale: Soap and water should be used when hands are
visibly soiled or after exposure to spore-forming organisms like
C. diff. Alcohol-based rubs are for when hands are not visibly
soiled.
Question 7
Which of the following is an example of a fomite?
A. A mosquito
B. A contaminated stethoscope
C. An infected person
D. A tick
Answer: B
Rationale: A fomite is an inanimate object that can transmit
pathogens, such as a contaminated stethoscope, bed rail, or
doorknob.
Question 8
A client is on contact precautions. Which personal protective
equipment is required?
A. Gloves only
B. Gown and gloves
