CNA Preventing Patient Falls and Injuries

Question 1

Which intervention is most effective in preventing falls in a long-term care facility?

Accepted Answer

Identifying high-risk residents, answering call lights promptly, and maintaining a safe environment

Answer

A comprehensive fall prevention program includes identifying high-risk residents, using nonskid footwear, keeping call lights within reach, answering call lights promptly, keeping the environment clear of hazards, and implementing bed/chair alarms for high-risk individuals.

Question 2

A resident is identified as a high fall risk. What should the CNA do before the resident gets out of bed?

Accepted Answer

Lower the bed, lock brakes, apply nonskid footwear, and use a gait belt as needed

Answer

For high fall-risk residents, the CNA should ensure the bed is at the lowest position, the brakes are locked, nonskid footwear is on, and a gait belt is applied if needed. The CNA should also assess the resident's current condition before proceeding.

Question 3

What is the correct action if a CNA discovers a resident has fallen?

Accepted Answer

Stay with the resident, call for help, and wait for the nurse before moving them

Answer

If a resident falls, the CNA should stay with the resident, call for help, and not move the resident until a nurse has assessed for injuries. Moving a fall victim before assessment can worsen injuries such as fractures or head trauma.

Question 4

Which resident characteristic is a major risk factor for falls?

Accepted Answer

Having a history of previous falls

Answer

History of previous falls is one of the strongest predictors of future falls. Other major risk factors include muscle weakness, gait or balance problems, use of certain medications (especially sedatives and diuretics), cognitive impairment, and the use of assistive devices.

Question 5

When are bed rails considered a safety hazard?

Accepted Answer

When a resident attempts to climb over them, creating a risk of entrapment or injury

Answer

Raised bed rails can be a physical restraint and a safety hazard. Residents can become trapped between the mattress and the rail (entrapment), sustain injuries attempting to climb over the rail, or suffer strangulation. Facility policy and physician orders must guide rail use.

CNA Practice Test

CNA Practice Test

CNA Preventing Patient Falls and Injuries