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NCLEX-RN Home safety practice questions

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These are original practice items written to the NCLEX-RN blueprint (4 options, no penalty for wrong answers), not actual exam questions. Try each one before you open the answer.

What this topic covers

Home safety sits inside the Safety and Infection Control category of the NCLEX-RN. Our bank holds 33 verified items tagged to it, and the 4 below are a fixed sample so the page stays the same every time you open it. Each one shows the reasoning, not just the letter.

The topic tag comes from our own items rather than from a published syllabus, so treat it as a map of what we cover. For the official category breakdown see the NCLEX-RN page.

Home safety sample questions

Question 1

A home health nurse is visiting an 80-year-old client who lives alone and has a history of falls. The client uses a walker and reports tripping on the edge of a rug last week. Which recommendation should the nurse prioritize to reduce fall risk?

  1. A Move the client's bed to the first floor to avoid stair climbing.
  2. B Install grab bars in the bathroom near the toilet and shower.
  3. C Remove all throw rugs and secure loose carpet edges with tape.
  4. D Place a non-slip mat inside the bathtub and on the bathroom floor.
Show the answer and explanation

Correct answer: C

The client tripped on a rug edge last week, so removing throw rugs and securing loose carpet edges eliminates the hazard that has already caused a problem.

Why the other options are wrong:
A: Moving the bed downstairs may help, but stairs are not the hazard the client reported.
B: Grab bars are useful but do not address the tripping hazard in the living area.
D: Non-slip mats reduce bathroom slips but do not remove the reported rug hazard.

Question 2

The home health nurse visits an 82-year-old client with a history of falls and peripheral neuropathy. The client lives alone in a two-story house. Which observation by the nurse creates the greatest risk for a fall in this home?

  1. A A small area rug at the bottom of the staircase is not secured to the floor
  2. B The client keeps a reading lamp on the nightstand beside the bed
  3. C The bathroom has a grab bar installed next to the toilet and a raised toilet seat
  4. D The client uses a walker and the kitchen floor is linoleum without any throw rugs
Show the answer and explanation

Correct answer: A

An unsecured rug at the bottom of the stairs can slide or catch a foot, and peripheral neuropathy reduces the client's ability to sense and recover from a trip. This is the greatest fall hazard in the home.

Why the other options are wrong:
B: A bedside lamp improves nighttime visibility and reduces fall risk.
C: A grab bar and raised toilet seat are protective modifications.
D: A rug-free linoleum floor with walker use is a safe arrangement.

Question 3

A home health nurse is visiting an 82-year-old client who lives alone and has a history of mild cognitive impairment. The client's daughter reports that the client has tripped twice in the past week. Which recommendation should the nurse prioritize to reduce fall risk in this home?

  1. A Install grab bars in the bathroom and place a non-slip mat inside the shower.
  2. B Rearrange furniture to create wider pathways and increase lighting in hallways.
  3. C Encourage the client to use a walker at all times and wear non-skid slippers.
  4. D Remove all loose area rugs and secure electrical cords along the baseboards.
Show the answer and explanation

Correct answer: D

The client has tripped twice, so the priority is to remove tripping hazards. Loose rugs and unsecured cords are classic tripping hazards in the home, and removing them reduces risk right away without relying on the memory of a client with cognitive impairment.

Why the other options are wrong:
A: Grab bars and non-slip mats improve bathroom safety but do not address the tripping that has been reported.
B: Wider paths and better lighting help, but loose rugs and cords would remain direct trip hazards.
C: Nothing indicates the client needs a walker, and relying on its constant use is less dependable for a client with cognitive impairment.

Question 4

A 74-year-old client with diabetes mellitus and peripheral neuropathy is being discharged home after treatment for a foot ulcer. The home health nurse is conducting a home safety assessment. Which finding requires immediate intervention?

  1. A The client wears slippers with non-slip soles indoors.
  2. B The bathroom has grab bars installed near the toilet and shower.
  3. C The client has a cordless telephone placed on the nightstand.
  4. D There are scatter rugs on the kitchen floor near the sink.
Show the answer and explanation

Correct answer: D

Scatter rugs are a major tripping hazard, and peripheral neuropathy reduces foot sensation and balance. For this older adult recovering from a foot ulcer, the rugs should be removed right away to prevent a fall and further foot injury.

Why the other options are wrong:
A: Slippers with non-slip soles are a safe choice for indoor walking.
B: Grab bars near the toilet and shower are appropriate fall prevention measures.
C: A phone within reach at the bedside lets the client call for help and is a safety measure.

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