LANIF · 1CDM
★ ★
MDC School of Nursing
EST. 1960
THE COLLEGE OF THE AMERICAN DREAM.
MDC 1 — Final Examination
CO M P R E H E N S I V E R E V I E W · F U N DA M E N TA LS · S A F E TY · M O B I L I TY · W O U N D S
INSTITUTION Miami Dade College COURSE CODE MDC 1
PROGRAM Associate of Science in Nursing — ACADEMIC YEAR
ADN
EXAM TITLE MDC 1 Final Examination — COURSE TITLE Fundamentals of Nursing
Comprehensive
TOTAL QUESTIONS 88 Questions FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each multiple-choice question.
▸ Content covers fall prevention, safety, mobility, pain, wound care, infection control, and chronic
conditions.
▸ Correct answers and clinical rationales appear below each question for board review purposes.
▸ All clinical data reflects current evidence-based nursing practice.
, COMPREHENSIVE FINAL EXAMINATION Questions 1 – 88
1. What are key fall prevention strategies for the home environment?
A. Keep throw rugs and loose carpets for warmth; place cords across walkways for easy
access
B. Remove items that could cause tripping (throw rugs, loose carpets); place cords against
walls behind furniture; monitor gait and balance; repair steps and sidewalks; install grab
bars near toilet and in tub/shower; install a stool riser
C. Keep floors polished and slippery for easy cleaning
D. Remove all furniture to create open space
CORRECT ANSWER B — Remove tripping hazards, place cords safely, monitor gait/balance,
repair steps, install grab bars and stool riser.
RATIONALE Home fall prevention focuses on environmental modifications and mobility
support: (1) Remove throw rugs and loose carpets — they are major tripping
hazards, especially for older adults using walkers. (2) Place electrical and
extension cords against walls behind furniture — cords across walkways cause
trips. (3) Monitor gait and balance — provide assistive devices as needed. (4)
Ensure steps and sidewalks are in good repair. (5) Install grab bars near toilet and
in tub/shower — provides stability during transfers. (6) Install a stool riser —
makes sitting/standing easier. These interventions significantly reduce fall risk in
the home environment.
, 2. What are key fall prevention strategies for the hospital setting?
A. Keep the room dark to promote sleep; place items far from the bed to encourage mobility
B. Fall bracelets and yellow socks, bed alarm, remove clutter, keep items within reach (call
light, personal items), use gait belts, "Call, don't fall" education, place near nurses'
station, good lighting, bed in low position with locked wheels, appropriate side rails
C. Keep all side rails up at all times; leave the bed in the highest position
D. Allow patients to ambulate independently without assistance
CORRECT ANSWER B — Fall bracelets/yellow socks, bed alarm, clutter-free, items within reach,
gait belts, "Call, don't fall," near nurses' station, good lighting, bed
low/locked, appropriate side rails.
RATIONALE Hospital fall prevention is multifactorial: (1) Identification — fall risk bracelets and
yellow non-skid socks alert all staff. (2) Bed alarm — alerts staff if high-risk patient
attempts to get up. (3) Environment — remove clutter, keep call light and personal
items within reach. (4) Mobility aids — gait belts for assisted ambulation. (5)
Education — "Call, don't fall": orient to call light and teach to call for help; nurses
must respond promptly. (6) Location — room close to nurses' station for closer
observation. (7) Lighting — especially at night (night lights). (8) Bed safety — low
position, wheels locked, side rails used appropriately (not all four up —
considered a restraint).