NR 224 – Fundamentals of Nursing: Patient
Safety & Fall Prevention
100 NCLEX®-Style Practice Questions with
Detailed Rationales
1. A nurse is reviewing the goals of patient safety. Which
statement best describes the purpose of safety measures?
A. Prevent injury and promote a safe healthcare environment
B. Eliminate all patient movement
C. Reduce communication between patients and staff
D. Replace nursing assessment
Answer: A. Prevent injury and promote a safe healthcare
environment
Rationale: Patient safety measures are designed to prevent
harm, reduce risks, and promote quality care.
2. A nurse is assessing a patient for fall risk. Which patient
requires the greatest concern?
A. An older adult with dizziness and weakness
B. A young adult with no mobility problems
C. A patient resting comfortably in bed
D. A patient who uses glasses
,Answer: A. An older adult with dizziness and weakness
Rationale: Age, weakness, and dizziness increase the risk of
falls.
3. A nurse identifies a patient as being at high risk for falls.
Which intervention is appropriate?
A. Place the call light within reach
B. Keep the bed in a high position
C. Encourage independent walking without assistance
D. Remove all safety precautions
Answer: A. Place the call light within reach
Rationale: Easy access to assistance reduces the likelihood of
unsafe attempts to get up.
4. A nurse is preparing a patient’s environment to prevent
falls. Which action is appropriate?
A. Keep pathways clear of clutter
B. Leave equipment in walkways
C. Dim all lighting during the day
D. Place frequently used items out of reach
Answer: A. Keep pathways clear of clutter
,Rationale: A clear environment reduces hazards that may
contribute to falls.
5. A nurse is assisting a weak patient from the bed to a chair.
Which action is correct?
A. Use proper body mechanics and provide assistance
B. Pull the patient by the arms
C. Allow the patient to stand alone
D. Twist while lifting
Answer: A. Use proper body mechanics and provide assistance
Rationale: Proper technique protects both the patient and
nurse from injury.
6. A nurse is teaching a patient about fall prevention. Which
statement indicates understanding?
A. “I will call for help before getting out of bed.”
B. “I can walk alone even if I feel dizzy.”
C. “I do not need to use assistive devices.”
D. “I should keep the floor wet for cleaning.”
Answer: A. “I will call for help before getting out of bed.”
Rationale: Using assistance when needed prevents injury.
, 7. A nurse is caring for a patient who has difficulty walking.
Which intervention is appropriate?
A. Provide appropriate assistive devices and supervision
B. Encourage walking without evaluation
C. Remove mobility aids
D. Limit all movement permanently
Answer: A. Provide appropriate assistive devices and
supervision
Rationale: Assistive devices improve safety and promote
independence.
8. A nurse is preparing to transfer a patient using a gait belt.
Which action is correct?
A. Place the gait belt securely around the patient’s waist
B. Apply the belt loosely around the neck
C. Use the belt without explaining the procedure
D. Pull the patient quickly
Answer: A. Place the gait belt securely around the patient’s
waist
Rationale: A properly applied gait belt provides support during
transfers.
Safety & Fall Prevention
100 NCLEX®-Style Practice Questions with
Detailed Rationales
1. A nurse is reviewing the goals of patient safety. Which
statement best describes the purpose of safety measures?
A. Prevent injury and promote a safe healthcare environment
B. Eliminate all patient movement
C. Reduce communication between patients and staff
D. Replace nursing assessment
Answer: A. Prevent injury and promote a safe healthcare
environment
Rationale: Patient safety measures are designed to prevent
harm, reduce risks, and promote quality care.
2. A nurse is assessing a patient for fall risk. Which patient
requires the greatest concern?
A. An older adult with dizziness and weakness
B. A young adult with no mobility problems
C. A patient resting comfortably in bed
D. A patient who uses glasses
,Answer: A. An older adult with dizziness and weakness
Rationale: Age, weakness, and dizziness increase the risk of
falls.
3. A nurse identifies a patient as being at high risk for falls.
Which intervention is appropriate?
A. Place the call light within reach
B. Keep the bed in a high position
C. Encourage independent walking without assistance
D. Remove all safety precautions
Answer: A. Place the call light within reach
Rationale: Easy access to assistance reduces the likelihood of
unsafe attempts to get up.
4. A nurse is preparing a patient’s environment to prevent
falls. Which action is appropriate?
A. Keep pathways clear of clutter
B. Leave equipment in walkways
C. Dim all lighting during the day
D. Place frequently used items out of reach
Answer: A. Keep pathways clear of clutter
,Rationale: A clear environment reduces hazards that may
contribute to falls.
5. A nurse is assisting a weak patient from the bed to a chair.
Which action is correct?
A. Use proper body mechanics and provide assistance
B. Pull the patient by the arms
C. Allow the patient to stand alone
D. Twist while lifting
Answer: A. Use proper body mechanics and provide assistance
Rationale: Proper technique protects both the patient and
nurse from injury.
6. A nurse is teaching a patient about fall prevention. Which
statement indicates understanding?
A. “I will call for help before getting out of bed.”
B. “I can walk alone even if I feel dizzy.”
C. “I do not need to use assistive devices.”
D. “I should keep the floor wet for cleaning.”
Answer: A. “I will call for help before getting out of bed.”
Rationale: Using assistance when needed prevents injury.
, 7. A nurse is caring for a patient who has difficulty walking.
Which intervention is appropriate?
A. Provide appropriate assistive devices and supervision
B. Encourage walking without evaluation
C. Remove mobility aids
D. Limit all movement permanently
Answer: A. Provide appropriate assistive devices and
supervision
Rationale: Assistive devices improve safety and promote
independence.
8. A nurse is preparing to transfer a patient using a gait belt.
Which action is correct?
A. Place the gait belt securely around the patient’s waist
B. Apply the belt loosely around the neck
C. Use the belt without explaining the procedure
D. Pull the patient quickly
Answer: A. Place the gait belt securely around the patient’s
waist
Rationale: A properly applied gait belt provides support during
transfers.
