Question 1

Which of the following would be considered sentinel events? Select all that apply.

Accepted Answer

A) Delivery of radiation to the wrong body region 
B) Invasive surgical procedure at the wrong site 
C) Homicide of a staff member while at the facility 
D) Homicide of a client while at the facility 
E) Administration of a compatible blood transfusion 
A) Delivery of radiation to the wrong body region 
B) Invasive surgical procedure at the wrong site 
C) Homicide of a staff member while at the facility 
D) Homicide of a client while at the facility 
E) Administration of a compatible blood transfusion A,B,C,D

Question 2

The nurse working in a blame-free environment provides medication to a client at the wrong time.No harm came to the client as a result of the nurse's error,and the nurse files a report about the medication error.Which action by the risk management team should the nurse anticipate?

Accepted Answer

A) Taking disciplinary action 
B) Reporting to the board of nursing. 
C) Monitoring all nurses on the unit. 
D) Suggesting system changes to prevent future errors 
A) Taking disciplinary action 
B) Reporting to the board of nursing. 
C) Monitoring all nurses on the unit. 
D) Suggesting system changes to prevent future errors D

Question 3

The nurse is administering medications to a client.Which action is most likely to lead to an adverse event?

Accepted Answer

A) The nurse verifies tube placement prior to administering the medications. 
B) The nurse checks for known allergies prior to administering the medications. 
C) The nurse combines medications with the same active ingredient. 
D) The nurse has a second nurse check the medication order. 
A) The nurse verifies tube placement prior to administering the medications. 
B) The nurse checks for known allergies prior to administering the medications. 
C) The nurse combines medications with the same active ingredient. 
D) The nurse has a second nurse check the medication order. C

Question 4

The nurse is participating in a quality improvement process related to improving care for clients at risk for skin breakdown.Which best describes the purpose of this process?

Accepted Answer

A) To improve client outcomes 
B) To advance the nurse's career 
C) To fulfill legal requirements 
D) To maintain accreditation 
A) To improve client outcomes 
B) To advance the nurse's career 
C) To fulfill legal requirements 
D) To maintain accreditation

Question 5

The quality assurance officer notes that one particular nursing unit has received a higher-than-usual number of negative client responses about aspects of the nursing care during the previous quarter.Based on this data,to which benchmarking issue should the quality assurance officer pay particular attention during the review process?

Accepted Answer

A) Structure 
B) Process 
C) Outcome 
D) Competency 
A) Structure 
B) Process 
C) Outcome 
D) Competency

Question 6

A nurse is participating in an intradisciplinary assessment as part of a quality improvement process.Which of the following should the nurse anticipate will be included in this assessment? Select all that apply.

Accepted Answer

A) Utilization reviews 
B) Peer review 
C) Audits 
D) Performance appraisals 
E) Outcomes management 
A) Utilization reviews 
B) Peer review 
C) Audits 
D) Performance appraisals 
E) Outcomes management

Question 7

What major nursing concept has the strongest relationship to the identification of areas for quality improvement,such as tracking data on healthcare-associated infections?

Accepted Answer

A) Ethics 
B) Safety 
C) Informatics 
D) Evidence-based practice 
A) Ethics 
B) Safety 
C) Informatics 
D) Evidence-based practice

Question 8

Which statements best describe how a quality improvement process can contain healthcare costs? Select all that apply.

Accepted Answer

A) "Promoting safety increases the cost of care." 
B) "Medication errors decrease the cost of care." 
C) "High nurse-to-client ratios result in decreased readmission rates." 
D) "Increased nursing staff has been linked to decreased infection rates." 
E) "Use of computers increases the number of lawsuits." 
A) "Promoting safety increases the cost of care." 
B) "Medication errors decrease the cost of care." 
C) "High nurse-to-client ratios result in decreased readmission rates." 
D) "Increased nursing staff has been linked to decreased infection rates." 
E) "Use of computers increases the number of lawsuits."

Question 9

Which best describes the desired outcome of decreased readmission rates?

Accepted Answer

A) An increased use of overtime 
B) A decrease in client satisfaction 
C) An increase in client care supplies 
D) A decreased cost of care 
A) An increased use of overtime 
B) A decrease in client satisfaction 
C) An increase in client care supplies 
D) A decreased cost of care

Question 10

The nurse is working in a healthcare setting that has implemented Lean Six Sigma.Which of the following should the nurse anticipate with regard to this model?

Accepted Answer

A) Shorter breaks 
B) Ordering extra supplies 
C) Replacing licensed with unlicensed personnel 
D) Decreasing staff when the census is low 
A) Shorter breaks 
B) Ordering extra supplies 
C) Replacing licensed with unlicensed personnel 
D) Decreasing staff when the census is low

Question 11

Which federal initiative contains the three broad aims of better care,healthy people/healthy communities,and affordable care?

Accepted Answer

A) National Database of Nursing Quality Indicators 
B) Patient Safety and Quality: An Evidence-Based Handbook for Nurses 
C) National Patient Safety Goals 
D) National Quality Strategy 
A) National Database of Nursing Quality Indicators 
B) Patient Safety and Quality: An Evidence-Based Handbook for Nurses 
C) National Patient Safety Goals 
D) National Quality Strategy

Question 12

Which statement correctly describes quality management?

Accepted Answer

A) Quality management compares nursing processes to accepted standards to prevent errors in treatment. 
B) Quality management refers to systematic actions that lead to improvements in healthcare services. 
C) Quality management is the degree to which health services increase the likelihood of desired health outcomes. 
D) Quality management provides clients with appropriate service in a technically competent manner. 
A) Quality management compares nursing processes to accepted standards to prevent errors in treatment. 
B) Quality management refers to systematic actions that lead to improvements in healthcare services. 
C) Quality management is the degree to which health services increase the likelihood of desired health outcomes. 
D) Quality management provides clients with appropriate service in a technically competent manner.

Question 13

While preparing a client for surgery,the nurse marks the arm that is to be amputated and participates in a "time out" procedure before the surgery begins.Which sentinel event is this action intended to prevent?

Accepted Answer

A) Ineffective control of the client's pain 
B) The lack of healing of the stump 
C) The client being mildly oversedated 
D) The removal of the wrong arm 
A) Ineffective control of the client's pain 
B) The lack of healing of the stump 
C) The client being mildly oversedated 
D) The removal of the wrong arm

Question 14

The nurse is asked to participate in a record review to verify accuracy and proper use of certain interdisciplinary resources.Which best describes the nature of this process?

Accepted Answer

A) Peer review 
B) Interdisciplinary audit 
C) Utilization review 
D) Benchmarking 
A) Peer review 
B) Interdisciplinary audit 
C) Utilization review 
D) Benchmarking

Question 15

Which statement regarding standards of care in the hospital setting is inaccurate?

Accepted Answer

A) "Standards of care are based on models of high-quality performance." 
B) "Process standards focus on the steps used to lead to a particular outcome." 
C) "Process standards focus on human resources,and general organizational structure." 
D) "Outcome standards focus on the performance of a process." 
A) "Standards of care are based on models of high-quality performance." 
B) "Process standards focus on the steps used to lead to a particular outcome." 
C) "Process standards focus on human resources,and general organizational structure." 
D) "Outcome standards focus on the performance of a process."

Exam 50: Quality Improvement

Which of the following would be considered sentinel events? Select all that apply.

The nurse working in a blame-free environment provides medication to a client at the wrong time.No harm came to the client as a result of the nurse's error,and the nurse files a report about the medication error.Which action by the risk management team should the nurse anticipate?

The nurse is administering medications to a client.Which action is most likely to lead to an adverse event?

The nurse is participating in a quality improvement process related to improving care for clients at risk for skin breakdown.Which best describes the purpose of this process?

A nurse is participating in an intradisciplinary assessment as part of a quality improvement process.Which of the following should the nurse anticipate will be included in this assessment? Select all that apply.

What major nursing concept has the strongest relationship to the identification of areas for quality improvement,such as tracking data on healthcare-associated infections?

Which statements best describe how a quality improvement process can contain healthcare costs? Select all that apply.

Which best describes the desired outcome of decreased readmission rates?

The nurse is working in a healthcare setting that has implemented Lean Six Sigma.Which of the following should the nurse anticipate with regard to this model?

Which federal initiative contains the three broad aims of better care,healthy people/healthy communities,and affordable care?

Which statement correctly describes quality management?

While preparing a client for surgery,the nurse marks the arm that is to be amputated and participates in a "time out" procedure before the surgery begins.Which sentinel event is this action intended to prevent?

The nurse is asked to participate in a record review to verify accuracy and proper use of certain interdisciplinary resources.Which best describes the nature of this process?

Which statement regarding standards of care in the hospital setting is inaccurate?

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