IHI PS 105 UPDATED SCRIPT 2026
PRACTICE SOLUTIONS GRADED A+
●● You're a new resident (house officer). At 2:00 AM, you receive a
phone call about a patient you are covering who has diabetes. The
patient has an elevated blood sugar of 375. You order 12 units of
NovoLog (rapid-acting) insulin and ask the nurse to check the sugar
again in one hour and call you back. One hour later, the sugar is 280, so
you order another 10 units. By 4:00 AM, the patient's sugar is
dangerously low at 45. You realize that NovoLog insulin takes two to
three hours to reach peak effect. By rechecking the patient's glucose
after only one hour and giving more insulin so quickly, you set the
patient up for an episode of hypoglycemia.
Why is it important to communicate with the patient about this event?
(A) Open sharing of this type of information is necessary if patients are
to trust their caregivers.
(B) Open communication with the patient will prevent the same event
from happening again.
(C) Open shari. Answer: (A) Open sharing of this type of information is
necessary if patients are to trust their caregivers.
●● Which of the following is true regarding communication about
adverse events with patients?
(A) It is important to have all the facts prior to your initial
communication about the adverse event.
, (B) In some cases, the care team may decide for medical reasons to
defer communication with a patient about an upsetting incident.
(C) Due to its complexity, communication with patients following
adverse events is best done by lawyers.
(D) All of the above. Answer: (B) In some cases, the care team may
decide for medical reasons to defer communication with a patient about
an upsetting incident.
●● If you are responsible for the initial communication with the patient
about the error, which of the following should you be sure to do?
(A) Let the patient and family know who is available to help them.
(B) Disguise any feelings of concern or remorse
(C) Explain the exact cause of the error
(D) All of the above. Answer: (A) Let the patient and family know who
is available to help them.
●● Your organization has a voluntarily reporting system for errors.
Which of the following incidents should you report?
(A) You are about to administer the wrong medication, but the patient
corrects you and is not harmed.
(C) You administer the wrong medication to the patient, and it causes
him to feel drowsiness but no pain.
(D) Both A and B
(E) Neither A nor B. Answer: (D) Both A and B
PRACTICE SOLUTIONS GRADED A+
●● You're a new resident (house officer). At 2:00 AM, you receive a
phone call about a patient you are covering who has diabetes. The
patient has an elevated blood sugar of 375. You order 12 units of
NovoLog (rapid-acting) insulin and ask the nurse to check the sugar
again in one hour and call you back. One hour later, the sugar is 280, so
you order another 10 units. By 4:00 AM, the patient's sugar is
dangerously low at 45. You realize that NovoLog insulin takes two to
three hours to reach peak effect. By rechecking the patient's glucose
after only one hour and giving more insulin so quickly, you set the
patient up for an episode of hypoglycemia.
Why is it important to communicate with the patient about this event?
(A) Open sharing of this type of information is necessary if patients are
to trust their caregivers.
(B) Open communication with the patient will prevent the same event
from happening again.
(C) Open shari. Answer: (A) Open sharing of this type of information is
necessary if patients are to trust their caregivers.
●● Which of the following is true regarding communication about
adverse events with patients?
(A) It is important to have all the facts prior to your initial
communication about the adverse event.
, (B) In some cases, the care team may decide for medical reasons to
defer communication with a patient about an upsetting incident.
(C) Due to its complexity, communication with patients following
adverse events is best done by lawyers.
(D) All of the above. Answer: (B) In some cases, the care team may
decide for medical reasons to defer communication with a patient about
an upsetting incident.
●● If you are responsible for the initial communication with the patient
about the error, which of the following should you be sure to do?
(A) Let the patient and family know who is available to help them.
(B) Disguise any feelings of concern or remorse
(C) Explain the exact cause of the error
(D) All of the above. Answer: (A) Let the patient and family know who
is available to help them.
●● Your organization has a voluntarily reporting system for errors.
Which of the following incidents should you report?
(A) You are about to administer the wrong medication, but the patient
corrects you and is not harmed.
(C) You administer the wrong medication to the patient, and it causes
him to feel drowsiness but no pain.
(D) Both A and B
(E) Neither A nor B. Answer: (D) Both A and B
