latest update 2026 Exam prep
1. The nurse is teaching a group of older adults at an assisted living facility about
age-related physiological changes. Which question is the most important to
ask this group?
Are you able to remember the name of the person you just met?
Are you able to hear the fire alarm in the building?
Are you able to open a jar of pickles?
Are you able to read your favorite book?
2. What medication type is associated with an increased risk for falls in patients?
Antidepressant
Hypnotic
Antibiotic
Analgesic
3. A newly admitted patient has a purple wristband on. What is your primary
concern with the patient?
Fall risk
Full code
Allergies
Do not resuscitate
4. In a scenario where a patient is at high risk for falls, how might a nurse
implement walking as a safety measure?
, Encourage the patient to walk alone without supervision.
Limit the patient's mobility to prevent falls.
Advise the patient to avoid walking altogether.
Develop a structured walking program tailored to the patient's
abilities.
5. The client asks about ways to prevent carbon monoxide poisoning. Which
teaching will the nurse provide?
"The only way to get poisoned from carbon monoxide gas is if you are
in the presence of a fire."
"You can see black smoke when carbon monoxide is in the air."
"If you are experiencing carbon monoxide poisoning, your skin will
begin turning blue."
"It is important to have carbon monoxide detectors in your home,
because this is an odorless gas."
6. The nurse is assessing a preschool-age patient during a scheduled health
maintenance visit. Which question is appropriate to determine whether the
patient is at risk for lead poisoning?
"What year was your house built?"
"Does your child eat a balanced diet?"
"What type of child safety seat do you use?"
"Does your child attend day care?"
7. Disorientation, trouble with balance, and frailty can all lead to an increased
risk of:
weight loss
, falls
dysphagia
speaking
8. A nurse is caring for an elderly patient who has been prescribed a hypnotic.
What precaution should the nurse take to ensure the patient's safety?
Encourage the patient to walk independently to promote mobility.
Implement fall precautions, such as ensuring the patient has
assistance when ambulating.
Reduce the patient's fluid intake to prevent frequent bathroom trips.
Increase the dosage of the hypnotic to improve sleep quality.
9. If a patient insists on using a nonvented furnace during winter, what should
the nurse recommend to ensure safety?
Use the furnace only when someone is home.
Install a carbon monoxide detector and ensure proper ventilation.
Switch to a wood-burning stove instead.
Limit the use of the heater to daytime hours.
10. The nursing student asks the nurse for an example of a 'never event.' Which
example provided by the nurse best answers the nursing student's question?
The client receives a medication and develops a rash on the trunk of
the body, itching, and dyspnea.
The client fails to receive a regularly scheduled medication.
The client scheduled for a cholecystectomy has a total abdominal
hysterectomy.
, The client receives preoperative medication before signing the
informed consent.
11. What is the appropriate action for a nurse to take when a patient's toes are
light blue due to an ankle restraint?
Remove the restraint
Immediately do a complete head-to-toe neurologic assessment
Take the patient's blood pressure, pulse, temperature, and respiratory
rate
Place a blanket over the feet
12. Why is orthostatic hypotension considered a risk factor for falls in patients?
Orthostatic hypotension leads to increased muscle strength,
reducing fall risk.
Orthostatic hypotension is only a concern for elderly patients.
Orthostatic hypotension has no effect on balance or coordination.
Orthostatic hypotension can cause dizziness and lightheadedness
upon standing, increasing the risk of falls.
13. A nurse is preparing to place a urinary catheter prior to surgery into a client.
Which technique is appropriate for the procedure?
Clean technique
Surgical asepsis
Medical asepsis
Disinfection