NR 360 Week 4 Edapt
Complete Quiz Review
(Questions & Solutions)
2025
1
, 1. Multiple-choice
During the morning med pass a bar-code scanner repeatedly fails to read
parenteral antibiotic vials, and the RN begins typing the National Drug
Code (NDC) manually to stay on schedule. Which error‐provoking
condition (EPC) in Reason’s model best describes the situation?
A. Latent organisational failure
B. Time pressure
C. Violation‐inducing policy
D. Skill-based slip
ANS B – Time pressure
Rationale: The nurse’s workaround is triggered by schedule pressure, a
classic EPC that increases violation odds.
---
2. Multiple-choice
A telemetry nurse silences all “yellow-level” alarms after learning that <5
% historically required intervention. From a human-factors lens, this
practice primarily increases the risk of:
A. Mode error
B. Confirmation bias
C. Alarm fatigue
D. Commission error
ANS C
Rationale: High false-positive alarm density leads clinicians to habituate
and miss true positives—alarm fatigue.
---
3. Multiple-choice
A unit implements single-sign-on badges to shorten EHR login times.
2
,Which usability heuristic by Nielsen is most directly addressed?
A. Visibility of system status
B. Flexibility and efficiency of use
C. Error prevention
D. Aesthetic and minimalist design
ANS B
Rationale: Badging creates an “accelerator” that allows expert users to
move through tasks faster while novices can still log in conventionally.
---
4. Multiple-choice
A new smart-pump library update forces nurses to scroll through 14
screens before an epidural infusion can be programmed, doubling setup
time. The chief human-factors principle violated is:
A. Compatibility
B. Minimising memory load
C. User control and freedom
D. Error tolerance
ANS C
Rationale: Excessive forced navigation reduces user control, encouraging
workarounds such as selecting a “similar” drug from a faster path.
---
5. Multiple-choice
A rapid-response nurse carries a personally purchased, brightly coloured
“code-cart pocket organiser” that duplicates many tools already stocked
on the cart. The most plausible sociotechnical explanation for this
workaround is:
A. Technology conflict
B. Perceived equipment unreliability
C. Autonomy erosion
3
, D. Authority gradient
ANS B
Rationale: Personal kits compensate for perceived unreliability or missing
items on shared carts.
---
6. Multiple-choice
When the IV pump occlusion alarm triggers, a nurse instinctively presses
“silence” before inspecting the line. This behaviour exemplifies which
phase of Rasmussen’s SRK model?
A. Knowledge-based
B. Rule-based
C. Skill-based
D. Reflective
ANS C
Rationale: Automatic, low-cognition reactions typify skill-based
performance and are vulnerable to slips.
---
7. Fill-in-the-blank
In lean language, the unnecessary motion of walking across the unit to
retrieve supplies because par levels are set too low is categorised as
________ waste.
ANS: motion
Rationale: “Motion” is one of the eight wastes; here the nurse’s travel
adds no value.
---
8. Fill-in-the-blank
4
Complete Quiz Review
(Questions & Solutions)
2025
1
, 1. Multiple-choice
During the morning med pass a bar-code scanner repeatedly fails to read
parenteral antibiotic vials, and the RN begins typing the National Drug
Code (NDC) manually to stay on schedule. Which error‐provoking
condition (EPC) in Reason’s model best describes the situation?
A. Latent organisational failure
B. Time pressure
C. Violation‐inducing policy
D. Skill-based slip
ANS B – Time pressure
Rationale: The nurse’s workaround is triggered by schedule pressure, a
classic EPC that increases violation odds.
---
2. Multiple-choice
A telemetry nurse silences all “yellow-level” alarms after learning that <5
% historically required intervention. From a human-factors lens, this
practice primarily increases the risk of:
A. Mode error
B. Confirmation bias
C. Alarm fatigue
D. Commission error
ANS C
Rationale: High false-positive alarm density leads clinicians to habituate
and miss true positives—alarm fatigue.
---
3. Multiple-choice
A unit implements single-sign-on badges to shorten EHR login times.
2
,Which usability heuristic by Nielsen is most directly addressed?
A. Visibility of system status
B. Flexibility and efficiency of use
C. Error prevention
D. Aesthetic and minimalist design
ANS B
Rationale: Badging creates an “accelerator” that allows expert users to
move through tasks faster while novices can still log in conventionally.
---
4. Multiple-choice
A new smart-pump library update forces nurses to scroll through 14
screens before an epidural infusion can be programmed, doubling setup
time. The chief human-factors principle violated is:
A. Compatibility
B. Minimising memory load
C. User control and freedom
D. Error tolerance
ANS C
Rationale: Excessive forced navigation reduces user control, encouraging
workarounds such as selecting a “similar” drug from a faster path.
---
5. Multiple-choice
A rapid-response nurse carries a personally purchased, brightly coloured
“code-cart pocket organiser” that duplicates many tools already stocked
on the cart. The most plausible sociotechnical explanation for this
workaround is:
A. Technology conflict
B. Perceived equipment unreliability
C. Autonomy erosion
3
, D. Authority gradient
ANS B
Rationale: Personal kits compensate for perceived unreliability or missing
items on shared carts.
---
6. Multiple-choice
When the IV pump occlusion alarm triggers, a nurse instinctively presses
“silence” before inspecting the line. This behaviour exemplifies which
phase of Rasmussen’s SRK model?
A. Knowledge-based
B. Rule-based
C. Skill-based
D. Reflective
ANS C
Rationale: Automatic, low-cognition reactions typify skill-based
performance and are vulnerable to slips.
---
7. Fill-in-the-blank
In lean language, the unnecessary motion of walking across the unit to
retrieve supplies because par levels are set too low is categorised as
________ waste.
ANS: motion
Rationale: “Motion” is one of the eight wastes; here the nurse’s travel
adds no value.
---
8. Fill-in-the-blank
4
