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NUR 209 Exam 1 Fortis Medical Surgical
Nursing II Latest 2026/2027 Questions with
Verified Answers and Detailed Rationales
1. What is the term for problems walking correctly when performing a
risk assessment?
Unsteady gait
Inability to control bladder and/or bowels
Incontinence
Correct Answer: Unsteady gait (primary answer for "problems walking
correctly"); Inability to control bladder and/or bowels and incontinence are
separate factors.
Rationale:
1. A risk assessment for falls includes evaluating gait abnormalities.
2. Unsteady gait directly indicates impaired mobility and increased fall risk.
3. Incontinence contributes to fall risk but is not "problems walking correctly."
4. Identifying unsteady gait allows for targeted interventions like assistive
devices or physical therapy.
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2. Team Strategies and Tools to Enhance Performance and Patient Safety
or ________________________
Correct Answer: TeamSTEPPS
Rationale:
1. TeamSTEPPS is an evidence-based framework to optimize team
performance in healthcare.
2. It focuses on communication, teamwork, and patient safety.
3. The acronym stands for Team Strategies and Tools to Enhance Performance
and Patient Safety.
3. SBAR stands for __________________. It is a consistent, clear, structured, and
easy-to-use method of communication between health care personnel.
Correct Answer: situation, background, assessment, recommendation
Rationale:
1. SBAR standardizes handoff communication to reduce errors.
2. Situation = what is happening now.
3. Background = relevant clinical context.
4. Assessment = what the nurse thinks is wrong.
5. Recommendation = what is needed next.
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4. What is any method, device, material, or equipment that restricts a
person's freedom of movement called?
Correct Answer: physical restraint
Rationale:
1. Physical restraints limit a patient's ability to move freely.
2. Examples include vests, belts, or side rails.
3. Restraints require a physician order and ongoing assessment.
4. They are used only when less restrictive measures fail.
5. What is any drug that is used for discipline or convenience and not
required to treat medical symptoms called?
Correct Answer: chemical restraint
Rationale:
1. Chemical restraints are medications used to control behavior, not treat a
medical condition.
2. Examples include sedatives given for agitation without a psychiatric
diagnosis.
3. Their use is strictly regulated to protect patient rights.
4. They differ from appropriately prescribed psychotropic medications.
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6. What is the practice of following good sleep habits to sleep soundly
and be alert during the day called?
Correct Answer: sleep hygiene
Rationale:
1. Sleep hygiene includes consistent bedtime, dark room, and avoiding caffeine
before sleep.
2. It promotes restorative sleep and daytime alertness.
3. Good sleep hygiene reduces insomnia without medication.
4. It is a non-pharmacologic intervention for sleep disorders.
7. What is the procedure to maintain an accurate and up-to-date list of
medications for all patients between all phases of health care delivery,
and whose responsibility is it?
Correct Answer: medication reconciliation (nurse's responsibility)
Rationale:
1. Medication reconciliation prevents errors during care transitions.
2. The nurse compares admission, transfer, and discharge medication lists.
3. Discrepancies are resolved with the prescriber.
4. It is a National Patient Safety Goal.
NUR 209 Exam 1 Fortis Medical Surgical
Nursing II Latest 2026/2027 Questions with
Verified Answers and Detailed Rationales
1. What is the term for problems walking correctly when performing a
risk assessment?
Unsteady gait
Inability to control bladder and/or bowels
Incontinence
Correct Answer: Unsteady gait (primary answer for "problems walking
correctly"); Inability to control bladder and/or bowels and incontinence are
separate factors.
Rationale:
1. A risk assessment for falls includes evaluating gait abnormalities.
2. Unsteady gait directly indicates impaired mobility and increased fall risk.
3. Incontinence contributes to fall risk but is not "problems walking correctly."
4. Identifying unsteady gait allows for targeted interventions like assistive
devices or physical therapy.
,2|Page
2. Team Strategies and Tools to Enhance Performance and Patient Safety
or ________________________
Correct Answer: TeamSTEPPS
Rationale:
1. TeamSTEPPS is an evidence-based framework to optimize team
performance in healthcare.
2. It focuses on communication, teamwork, and patient safety.
3. The acronym stands for Team Strategies and Tools to Enhance Performance
and Patient Safety.
3. SBAR stands for __________________. It is a consistent, clear, structured, and
easy-to-use method of communication between health care personnel.
Correct Answer: situation, background, assessment, recommendation
Rationale:
1. SBAR standardizes handoff communication to reduce errors.
2. Situation = what is happening now.
3. Background = relevant clinical context.
4. Assessment = what the nurse thinks is wrong.
5. Recommendation = what is needed next.
,3|Page
4. What is any method, device, material, or equipment that restricts a
person's freedom of movement called?
Correct Answer: physical restraint
Rationale:
1. Physical restraints limit a patient's ability to move freely.
2. Examples include vests, belts, or side rails.
3. Restraints require a physician order and ongoing assessment.
4. They are used only when less restrictive measures fail.
5. What is any drug that is used for discipline or convenience and not
required to treat medical symptoms called?
Correct Answer: chemical restraint
Rationale:
1. Chemical restraints are medications used to control behavior, not treat a
medical condition.
2. Examples include sedatives given for agitation without a psychiatric
diagnosis.
3. Their use is strictly regulated to protect patient rights.
4. They differ from appropriately prescribed psychotropic medications.
, 4|Page
6. What is the practice of following good sleep habits to sleep soundly
and be alert during the day called?
Correct Answer: sleep hygiene
Rationale:
1. Sleep hygiene includes consistent bedtime, dark room, and avoiding caffeine
before sleep.
2. It promotes restorative sleep and daytime alertness.
3. Good sleep hygiene reduces insomnia without medication.
4. It is a non-pharmacologic intervention for sleep disorders.
7. What is the procedure to maintain an accurate and up-to-date list of
medications for all patients between all phases of health care delivery,
and whose responsibility is it?
Correct Answer: medication reconciliation (nurse's responsibility)
Rationale:
1. Medication reconciliation prevents errors during care transitions.
2. The nurse compares admission, transfer, and discharge medication lists.
3. Discrepancies are resolved with the prescriber.
4. It is a National Patient Safety Goal.
