NUR 4590 EXAM 2 EXAMINATION STUDY
GUIDE 2026 QUESTIONS WITH ANSWERS
◉ The industry-based model for quality management and
measurement whose premise is that operational waste needs to be
eliminated is:
a. Six Sigma.
b. ISO 9000.
c. Lean Enterprise.
d. Baldrige National Quality Award Program. Answer: c. Lean
Enterprise.
◉ Which of the following is an example of a nurse-sensitive
indicator?
a. Cardiac patient mortality
b. Hospital-acquired pressure ulcers
c. Pulmonary embolus after knee surgery
d. Iatrogenic pneumothorax after central line placement. Answer: b.
Hospital-acquired pressure ulcers
,◉ The purpose of a root cause analysis (RCA) is to:
a. discipline the staff involved in the patient safety event.
b. disclose the medical error to the patient/patient s family.
c. identify the person(s) responsible for committing the error.
d. identify the systems issues that led to a sentinel event.. Answer: d.
identify the systems issues that led to a sentinel event.
◉ The risk manager wants to illustrate the causes that have been
leading to an increase in patient misidentification. The most
appropriate tool to use is a:
a. pareto chart.
b. control chart.
c. fishbone diagram.
d. detailed flowchart.. Answer: c. fishbone diagram.
◉ Which of the following are never events? (Select all that apply.)
a. A minor medication error
b. A foreign object left in the body during surgery
c. Surgery on the wrong body part
,d. A mismatched blood transfusion
e. Hip fracture acquired in the hospital
f. Pressure ulcer acquired in the home
g. Catheter-associated urinary tract infection
h. Surgical site infection. Answer: b. A foreign object left in the body
during surgery
c. Surgery on the wrong body part
d. A mismatched blood transfusion
e. Hip fracture acquired in the hospital
g. Catheter-associated urinary tract infection
h. Surgical site infection
◉ A successful enterprise risk management (ERM) program will:
(Select all that apply)
a. identify risks.
b. improve quality.
c. prevent damage.
d. control occurrences.
e. control legal liability.. Answer: a. identify risks.
c. prevent damage.
d. control occurrences.
, e. control legal liability.
◉ Tenets embraced by health care professionals and promoted by
health care leaders and organizations such as TJC and the IOM
include which of the following? (Select all that apply.)
a. People and systems are the problems, not processes.
b. Quality measurement and monitoring is everyone's job.
c. Quality cannot be enhanced by non-punitive work cultures.
d. Standardization of processes is key to managing work and people.
e. The impetus for quality monitoring is not primarily for
accreditation or regulatory compliance.. Answer: b. Quality
measurement and monitoring is everyone's job.
d. Standardization of processes is key to managing work and people.
e. The impetus for quality monitoring is not primarily for
accreditation or regulatory compliance.
◉ A framework for understanding health care improvement has
been proposed by the IOM Committee on Quality of Health Care in
America. The aims for health care quality improvement propose that
health care systems ensure that care is: (Select all that apply.)
a. safe.
b. timely.
GUIDE 2026 QUESTIONS WITH ANSWERS
◉ The industry-based model for quality management and
measurement whose premise is that operational waste needs to be
eliminated is:
a. Six Sigma.
b. ISO 9000.
c. Lean Enterprise.
d. Baldrige National Quality Award Program. Answer: c. Lean
Enterprise.
◉ Which of the following is an example of a nurse-sensitive
indicator?
a. Cardiac patient mortality
b. Hospital-acquired pressure ulcers
c. Pulmonary embolus after knee surgery
d. Iatrogenic pneumothorax after central line placement. Answer: b.
Hospital-acquired pressure ulcers
,◉ The purpose of a root cause analysis (RCA) is to:
a. discipline the staff involved in the patient safety event.
b. disclose the medical error to the patient/patient s family.
c. identify the person(s) responsible for committing the error.
d. identify the systems issues that led to a sentinel event.. Answer: d.
identify the systems issues that led to a sentinel event.
◉ The risk manager wants to illustrate the causes that have been
leading to an increase in patient misidentification. The most
appropriate tool to use is a:
a. pareto chart.
b. control chart.
c. fishbone diagram.
d. detailed flowchart.. Answer: c. fishbone diagram.
◉ Which of the following are never events? (Select all that apply.)
a. A minor medication error
b. A foreign object left in the body during surgery
c. Surgery on the wrong body part
,d. A mismatched blood transfusion
e. Hip fracture acquired in the hospital
f. Pressure ulcer acquired in the home
g. Catheter-associated urinary tract infection
h. Surgical site infection. Answer: b. A foreign object left in the body
during surgery
c. Surgery on the wrong body part
d. A mismatched blood transfusion
e. Hip fracture acquired in the hospital
g. Catheter-associated urinary tract infection
h. Surgical site infection
◉ A successful enterprise risk management (ERM) program will:
(Select all that apply)
a. identify risks.
b. improve quality.
c. prevent damage.
d. control occurrences.
e. control legal liability.. Answer: a. identify risks.
c. prevent damage.
d. control occurrences.
, e. control legal liability.
◉ Tenets embraced by health care professionals and promoted by
health care leaders and organizations such as TJC and the IOM
include which of the following? (Select all that apply.)
a. People and systems are the problems, not processes.
b. Quality measurement and monitoring is everyone's job.
c. Quality cannot be enhanced by non-punitive work cultures.
d. Standardization of processes is key to managing work and people.
e. The impetus for quality monitoring is not primarily for
accreditation or regulatory compliance.. Answer: b. Quality
measurement and monitoring is everyone's job.
d. Standardization of processes is key to managing work and people.
e. The impetus for quality monitoring is not primarily for
accreditation or regulatory compliance.
◉ A framework for understanding health care improvement has
been proposed by the IOM Committee on Quality of Health Care in
America. The aims for health care quality improvement propose that
health care systems ensure that care is: (Select all that apply.)
a. safe.
b. timely.
