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PREVENTION OF FALLS & PATIENT SAFETY NURSING EXAM
PRACTICE EXAMINATION – 100 QUESTIONS WITH ANSWERS
AND RATIONALES (2026 VERSION)
Exam Introduction
This examination evaluates the nurse’s knowledge and clinical judgment in patient
safety and fall prevention, including:
• Identifying risk factors for falls in hospital and community settings
• Implementing fall prevention strategies
• Responding to patient safety incidents
• Using safety equipment and technology effectively
• Patient and family education on safety measures
• Ensuring regulatory compliance and reporting
This exam is designed for nursing students, clinical nurses, and exam preparation,
focusing on evidence-based, safe nursing care in patient safety.
Exam Instructions
• Total Questions: 100
• Question Type: Multiple Choice (A–D)
• Each question includes:
o Correct answer
o Detailed rationale
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Question 1
Which patient is at highest risk for falls in a hospital setting?
A. Elderly patient with history of falls
B. Young adult with minor laceration
C. Middle-aged patient with mild cold
D. Pediatric patient receiving vaccination
Correct Answer: A. Elderly patient with history of falls
Rationale:
Prior history of falls is one of the strongest predictors of future
falls, especially in older adults.
Question 2
Which nursing action is essential for fall prevention in a
hospitalized patient?
A. Keep the call light within reach and respond promptly
B. Restrict fluid intake
C. Allow patient to ambulate without assistance
D. Place the patient in a darkened room
Correct Answer: A. Keep the call light within reach and respond
promptly
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Rationale:
Prompt assistance reduces the risk of falls caused by unassisted
mobility.
Question 3
Which factor increases fall risk in older adults?
A. Polypharmacy
B. Regular exercise
C. Adequate lighting
D. Frequent ambulation with assistance
Correct Answer: A. Polypharmacy
Rationale:
Multiple medications, especially sedatives and
antihypertensives, increase fall risk due to dizziness or
hypotension.
Question 4
Which nursing intervention helps prevent falls at night?
A. Provide night lights and clear pathways
B. Limit patient access to the bathroom
C. Administer sedatives routinely
D. Encourage walking in the dark
, 4
Correct Answer: A. Provide night lights and clear pathways
Rationale:
Proper lighting and uncluttered paths reduce tripping hazards
during nighttime ambulation.
Question 5
Which assessment tool is commonly used to evaluate fall risk in
hospitalized patients?
A. Morse Fall Scale
B. Braden Scale
C. Glasgow Coma Scale
D. APGAR Score
Correct Answer: A. Morse Fall Scale
Rationale:
The Morse Fall Scale evaluates patient risk factors such as
history of falls, mobility, and mental status.
Question 6
Which intervention is most effective for preventing falls in
patients with orthostatic hypotension?
A. Assist patient to stand slowly from sitting or lying position
B. Encourage rapid standing to increase circulation
PREVENTION OF FALLS & PATIENT SAFETY NURSING EXAM
PRACTICE EXAMINATION – 100 QUESTIONS WITH ANSWERS
AND RATIONALES (2026 VERSION)
Exam Introduction
This examination evaluates the nurse’s knowledge and clinical judgment in patient
safety and fall prevention, including:
• Identifying risk factors for falls in hospital and community settings
• Implementing fall prevention strategies
• Responding to patient safety incidents
• Using safety equipment and technology effectively
• Patient and family education on safety measures
• Ensuring regulatory compliance and reporting
This exam is designed for nursing students, clinical nurses, and exam preparation,
focusing on evidence-based, safe nursing care in patient safety.
Exam Instructions
• Total Questions: 100
• Question Type: Multiple Choice (A–D)
• Each question includes:
o Correct answer
o Detailed rationale
,2
Question 1
Which patient is at highest risk for falls in a hospital setting?
A. Elderly patient with history of falls
B. Young adult with minor laceration
C. Middle-aged patient with mild cold
D. Pediatric patient receiving vaccination
Correct Answer: A. Elderly patient with history of falls
Rationale:
Prior history of falls is one of the strongest predictors of future
falls, especially in older adults.
Question 2
Which nursing action is essential for fall prevention in a
hospitalized patient?
A. Keep the call light within reach and respond promptly
B. Restrict fluid intake
C. Allow patient to ambulate without assistance
D. Place the patient in a darkened room
Correct Answer: A. Keep the call light within reach and respond
promptly
,3
Rationale:
Prompt assistance reduces the risk of falls caused by unassisted
mobility.
Question 3
Which factor increases fall risk in older adults?
A. Polypharmacy
B. Regular exercise
C. Adequate lighting
D. Frequent ambulation with assistance
Correct Answer: A. Polypharmacy
Rationale:
Multiple medications, especially sedatives and
antihypertensives, increase fall risk due to dizziness or
hypotension.
Question 4
Which nursing intervention helps prevent falls at night?
A. Provide night lights and clear pathways
B. Limit patient access to the bathroom
C. Administer sedatives routinely
D. Encourage walking in the dark
, 4
Correct Answer: A. Provide night lights and clear pathways
Rationale:
Proper lighting and uncluttered paths reduce tripping hazards
during nighttime ambulation.
Question 5
Which assessment tool is commonly used to evaluate fall risk in
hospitalized patients?
A. Morse Fall Scale
B. Braden Scale
C. Glasgow Coma Scale
D. APGAR Score
Correct Answer: A. Morse Fall Scale
Rationale:
The Morse Fall Scale evaluates patient risk factors such as
history of falls, mobility, and mental status.
Question 6
Which intervention is most effective for preventing falls in
patients with orthostatic hypotension?
A. Assist patient to stand slowly from sitting or lying position
B. Encourage rapid standing to increase circulation
