SalusPrep

Practical Nurse NCLEX®

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Assessment

Morse Fall Scale

Low-risk med-surg teen · L1

How this exercise works

Score fall-risk factors on the Morse Fall Scale — history of falling, secondary diagnosis, ambulatory aids, IV, gait, and mental status. Total points guide fall precautions.

Fundamental concept

Scoring fall history, secondary diagnoses, ambulation aids, IV therapy, gait, and mental status to target fall precautions.

Read: Morse Fall Scale Risk Assessment →

Scenario

A 17-year-old admitted for appendectomy has no fall history, no secondary fall-risk diagnoses, ambulates independently without aids, no IV after line removal, normal steady gait, and asks for help before walking post-op.

Rate Morse fall-risk factors for a low-risk surgical adolescent.

History of Falling

Secondary Diagnosis

Ambulatory Aid