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Older adult care

How to do the Timed Up and Go test

Other platforms explain it with text and video. In Making Synapses you practice it on the patient.

MD / DOPANursing (NCLEX)

The Timed Up and Go (TUG) test checks mobility and fall risk in older adults. It is a core part of the CDC STEADI falls program.

Step by step

  1. Set up

    Use a standard chair with arms and mark a line 3 meters (10 feet) away. [1]

  2. Prepare the patient

    The patient wears usual shoes and uses their walking aid if needed. [1]

  3. Give instructions

    Say: when I say go, stand up, walk to the line at your normal pace, turn, walk back and sit down. [1]

  4. Time it

    Start timing on "go" and stop when the patient sits back down. [1]

  5. Watch the gait

    Look at balance, stride, arm swing and turning. Stay close to prevent a fall. [1]

  6. Interpret the time

    12 seconds or more suggests a higher fall risk and needs further assessment. [1]

Common errors

Practice it in Making Synapses

In Making Synapses you do this on the patient, not on paper: every step goes on the checklist with a score, and in Teach mode Blocky tells you what comes next.

Making Synapses cases that train this skill

31 Making Synapses cases train this skill: open the case library

Sources

  1. CDC STEADI (falls in older adults)
  2. NCSBN 2026 NCLEX-RN Test Plan

Facts and steps follow CDC STEADI (falls in older adults); NCSBN 2026 NCLEX-RN Test Plan. Making Synapses is not affiliated with these organizations. Updated: 2026-10-11.