Relias Assessment and Evaluation 2

Question 1

A nurse is conducting a fall risk assessment using the Morse Fall Scale. Which factor carries the HIGHEST point value on this tool?

Accepted Answer

History of falling within the past 3 months

Answer

History of falling within the past 3 months carries 25 points, the highest single-item score on the Morse Fall Scale.

Question 2

When using the Glasgow Coma Scale (GCS), which component assesses verbal response?

Accepted Answer

Oriented, confused, inappropriate, incomprehensible, or none

Answer

The verbal response component of the GCS is scored from 5 (oriented) to 1 (none), evaluating responses such as oriented, confused, inappropriate words, incomprehensible sounds, or no response.

Question 3

A clinician documents a patient's pain as 7/10 using a numeric rating scale. This represents which level of measurement?

Accepted Answer

Ordinal

Answer

Numeric pain rating scales are ordinal because the numbers indicate rank order but do not have equal intervals between values.

Question 4

Which assessment tool is BEST suited for detecting delirium in hospitalized older adults?

Accepted Answer

Confusion Assessment Method (CAM)

Answer

The Confusion Assessment Method (CAM) is a validated, widely used tool specifically designed to identify delirium at the bedside.

Question 5

An evaluator notes that two raters score the same client differently on a behavioral checklist. This represents a problem with:

Accepted Answer

Inter-rater reliability

Answer

Inter-rater reliability refers to the degree of agreement between two or more independent raters evaluating the same subject.

(Relias) Relias Certification Practice Test

(Relias) Relias Certification Practice Test

Relias Assessment and Evaluation 2