NCLEX-RN
NCLEX RN Predictor Exam Questions
Extract:
Question 1 of 5
Which nursing intervention is the highest priority for a client at risk for falls in a hospital setting?
Correct Answer: D
Rationale: The highest priority nursing intervention for a client at risk for falls in a hospital setting is to place the bed in the lowest position. This action ensures that the client falls the shortest distance, reducing the risk of injury. Keeping all side rails up (Option
A) may lead to a fall with injury, as the client might attempt to get over the rail and fall from a higher distance. Reviewing prescribed medications (Option
B) is important as certain medications can increase the risk of falling, but it is not the best answer as it is not applicable to all clients. Completing the "get up and go"? test (Option
C) can help assess a client's risk for falling but does not directly prevent injury.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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