RPN Safety and Mobility Needs 5

Question 1

A nurse is assessing a patient's Morse Fall Scale. Which factor contributes the MOST points to this score?

Accepted Answer

History of falling in the past 3 months

Answer

A history of falling within the past 3 months carries the highest weighted score (25 points) on the Morse Fall Scale, making it the strongest predictor of future falls.

Question 2

During ambulation, a patient begins to faint. The nurse's correct response is to:

Accepted Answer

Lower the patient to the floor in a controlled manner by sliding them down the nurse's leg

Answer

A controlled descent by sliding the patient down the nurse's leg protects both the patient and nurse from injury when the patient cannot support their own weight.

Question 3

A patient with a right total hip replacement asks when they should use the abductor pillow in bed. The nurse's best response is:

Accepted Answer

Whenever lying in bed to keep the hip in proper alignment

Answer

The abductor pillow maintains hip abduction and prevents adduction past midline, which is required continuously while in bed to prevent hip dislocation.

Question 4

A nurse notes that a patient has a Braden Scale score of 14. This score indicates the patient is at which level of pressure injury risk?

Accepted Answer

Mild risk

Answer

A Braden Scale score of 15–18 indicates mild risk; scores of 13–14 indicate moderate risk, 10–12 indicate high risk, and ≤9 indicate very high risk.

Question 5

A patient on contact precautions for MRSA requires assistance walking to the bathroom. The nurse should:

Accepted Answer

Don gloves and gown, assist the patient, then remove PPE and perform hand hygiene

Answer

Contact precautions require both gloves and a gown during any patient contact; proper PPE donning and doffing with hand hygiene prevents transmission.

RPN - Registered Practical Nurse Practice Test

RPN - Registered Practical Nurse Practice Test

RPN Safety and Mobility Needs 5