1. The nurse is assessing a patient who reports a previous fall and is

using the SPLATT acronym. Which questions will the nurse ask the

patient? (Select all that apply.)

a. Where did you fall?

b. What time did the fall occur?

c. What were you doing when you fell?

d. What types of injuries occurred after the fall?

e. Did you obtain an electronic safety alert device after the fall?

f. What are your medical problems that may have caused the fall?

ANS: A, B, C, D

Assess previous falls; using the acronym SPLATT:

Symptoms at time of fall

Previous

fall

Location of

fall

Activity at

time of fall

Time of fall

Trauma after fall

Medical diagnoses and an alert device are not components of SPLATT.

2. The nurse is caring for a group of medical-surgical patients. The unit has

been notified of a fire on an adjacent wing of the hospital. The nurse quickly

formulates a plan to keep the patients safe. Which actions will the nurse

take? (Select all that apply.)

a. Close all doors.

b. Note evacuation routes.

c. Note oxygen shut-offs.

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d. Move bedridden patients in their bed