Safety Practice Exam
Which of the following is the best sequence of steps when selecting an
event reporting system?
A. Evaluate available options, pilot selected options, and obtain user
feedback.
B. Identify the vendor used by a neighboring hospital, solicit a proposal
from that vendor, and implement system.
C. Design curriculum for end users, invite the vendor to present
educational sessions, and offer online tutorials.
D. Create reports needed for end users, establish accountability for
reporting, and guide teams in action planning.
Multiple nurses have reported that a physician’s behavior is disruptive. An
effective first step in responding to the nurses' concern is to
A. counsel the physician.
B. terminate the privileges of the physician.
C. refer the case to a physician impairment committee.
D. interview the physician.
A medical assistant used a small blood pressure cuff on a patient who is
morbidly obese with hypertension, resulting in an inappropriate increase in
anti-hypertensive medications. In a follow-up visit for severe diarrhea as a
side effect of the new anti- hypertensive medication, which of the following
conversations by the healthcare provider includes the most appropriate
elements for patient disclosure of the medical error?
A. "Your diarrhea is probably related to the new anti-hypertensive
medicine that we prescribed for you last week. We are going to stop
the new medication, which should clear up the diarrhea. Do you have
any questions?"
B. "Our medical assistant used the wrong size of blood pressure cuff so
we changed
your medication, and that is what is causing your diarrhea. I will stop
the new medication and that should clear up your diarrhea. I am very
sorry this happened."
C. "I think your diarrhea is from the new blood pressure medicine that I
, prescribed because a staff member used the wrong size blood
pressure cuff. I am very sorry this happened and that you had to
suffer the consequences of having a reaction to the medicine."
D. "We have identified that the wrong size of blood pressure cuff was
used, which resulted in a prescription for a new medication. The new
medication is most likely causing your diarrhea. I am very sorry that
you had these unnecessary side effects. We have a new process to
prevent this from occurring again. Do you have any questions?"
A facility had seven falls last month and 400 patient days. Which of the
following is the fall rate per 1,000 patient days?
A. 7
B. 0.0175
C. 7,000
D. 17.5
A 69-year-old male expires several hours after being admitted with fainting
episodes. Although the physician ordered cardiac monitoring for the patient,
the monitor was not being used at the time of the patient's death. The
patient safety professional is performing a risk analysis to identify the gaps
that resulted in this error. Which of the following is the most important
question to ask?
A. "Why was the nurse not paying attention to the patient?"
B. "Who was responsible for initiating the cardiac monitor?"
C. "Why did the family not speak up and ask about a monitor?"
D. "What else was going on in the unit at the time?"