GUIDE 2026 ADVANCED NURSING PRACTICE
AND CLINICAL MANAGEMENT PRINCIPLES
◉ what is an HAI?
Answer: hospital acquired infection
◉ what is an adverse event?
Answer: event that results in unintended harm to the patient by an
act of commission or omission rather than by the underlying disease
or condition of the patient
◉ what is a sentinel event?
Answer: an unexpected occurrence involving death or serious
physical or psychological injury, or the risk thereof
◉ what is a serious reportable event/never event?
Answer: an error so serious it should never happen
◉ what is an example of an adverse event?
Answer: forgetting to I've a medication due to being distracted or
busy
,◉ what is an example of a sentinel event?
Answer: the quaid twin overdose story where the nurses kept giving
too much medication and the baby overdosed
◉ what is an example of a never event?
Answer: a patient dying after a medication error
pressure ulcers, etc.
◉ what are the seven rights?
Answer: right assessment
right patient
right drug
right dose
right route
right time
right documentation
◉ what's the most common cause of non-fatal injuries?
Answer: falls
◉ what are chemical restraints?
,Answer: pharmacologic agents that are administered to control
unsafe physical movements and behaviors
◉ what are physical restraints?
Answer: tied or buckled to a patient to limit or restrict movement
◉ what are the guidelines for a restraint?
Answer: new order every 24 hours
Q2 assessment
removal of restraints periodically so patient can move body part
toiling, food, and fluids offered regularly
evaluate if restraints can be removed
appropriate and complete documentation
◉ types of errors
Answer: diagnostic
treatment
preventive
communication failure
◉ what's a diagnostic error?
Answer: giving the wrong diagnoses to the wrong patient
, ◉ what's a treatment error?
Answer: giving the wrong treatment to the wrong patient
◉ what's a preventive error?
Answer: when you see someone about to make a mistake and don't
speak up
◉ what's a communication failure error
Answer: when a medication is given wrong by multiple nurses
◉ how do errors occur?
Answer: organizational system failure
technical failure
latent failure (blunt end)
active failure (sharp end)
◉ what's the sharp end?
Answer: errors that occur at the bedside, made by the providers
◉ what's the blunt end?