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Fall Precautions — NCLEX Cheat Sheet

Bed low, locked, call light

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👤 By the CinnaRN Clinical Content Team 🕐 Updated 2026-07-11 🏷️ Safety & Infection Control 🔖 Free to read, print, and share

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Use this quick-reference guide to spot, treat, and prevent Fall Precautions on the NCLEX. Keep it handy during review and on exam day!

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Risk

Key facts

Elderly, sedatives, ↓BP, confusion
Prior falls = best predictor

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Do

Nursing actions

Bed low + brakes locked
Call light within reach
Nonskid socks, clear path

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Avoid

Key facts

4 side rails up = restraint
Don't leave high-risk alone

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Do

Nursing actions

Bed/chair alarm if needed
Hourly rounding, toilet schedule

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Quick Tip

Highest-risk patients include older adults, the confused or sedated, those with impaired mobility or gait, and patients on sedatives, diuretics, antihypertensives, or opioids.

📖 Related Topics

Group B Streptococcus Lead Poisoning Child Abuse Recognition Car Seat Safety

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