NUR2090 Exam 1 Questions with 100%
Correct Answers
Define Safety. Correct Answer: The state of being free from harm or danger.
Define quality. Correct Answer: Excellence or superiority of something.
What concept is safety interrelated with and why? Correct Answer: Quality; to
avoid adverse outcomes for patients, one must provide quality healthcare
Define "culture of safety" in a healthcare setting. Correct Answer: Every member
of the organization contributes to the safety of patients and employees.
Name one characteristic of a strong "culture of safety" in a healthcare setting.
Correct Answer: Staff are empowered to report errors and near misses
Define Root Cause Analysis (RCA). Correct Answer: determines underlying
cause of adverse events; used after incident to uncover primary cause
What is QSEN? Correct Answer: Framework that defines quality and safety
competencies for nurses.
List the QSEN Competencies in Nursing. Correct Answer: 1) P - Patient-centered
care
2) E - Evidence Based Practice
3) T - Teamwork and collaboration
4) S - Safety
5) I - Informatics
,6) Q - Quality improvement
What are the Joint Commission patient safety goals? Correct Answer: 1)
improve the accuracy of patient identification 2) improve the effectiveness of
communication amongst caregivers 3) improve the safety of using medications
4) reduce the harm associated with clinical alarm systems 5) reduce the risk of
HAIs 6) hospital identifies safety risks inherent in its patient population
A nurse's risk assessment can include the following factors: Correct Answer: 1)
the patient 2) hospital equipment 3) the environment
If not working correctly, these systems can compromise patient safety: Correct
Answer: 1) musculoskeletal 2) neurological and sensory 3) cardiovascular and
respiratory 4) immune 5) integumentary
What are examples of patient screening tools used to help evaluate patient
safety? Correct Answer: 1) mini-mental state examination 2) Glasgow coma
scale 3) Hendrich II fall risk Model 4) Braden scale for preventing pressure sore
risk
What characteristics can be noted in a patient risk assessment? Correct Answer:
1) unsteady gait 2) medications 3) blood pressure changes 4) altered mental
status, dementia, confusion 5) sensory impairment 6 prolonged bed rest 6)
incontinence/lack of toileting schedule 7) environment
In terms of environmental safety, what are contributors to consider? Correct
Answer: 1) healthcare setting - HAI 2) healthcare setting workers - violence to
workers, sharps, exposure to toxins 3) home 4) community 5) fire 6) pollution 7)
radiation 8) terrorism
What are some nursing safety interventions? Correct Answer: 1) identify high-risk
patients 2) non-skid footwear, good lighting, clear walkways, items in reach 3)
call bell 4) toileting schedule 5) grab bars 6) bed in lowest position and brakes
, locked 7) patient/caregiver education 8) activity/exercise 9) proper body
mechanics used 10) equipment in good repair and at correct settings
What are mechanisms for quality and safety improvement? Correct Answer: 1)
mistake-proofing 2) checklists 3) redundancy 4) communication
What is an example of mistake-proofing as a safety mechanism? Correct
Answer: Creation of tubing connections that are not interchangeable (like IVs
and enteral feeding tubes)
What is an example of checklists as a safety mechanism? Correct Answer:
Universal Protocol for Surgical Procedures (allows surgical staff to institute a time-
our to confirm the patient and procedure)
What is an example of redundancy as a safety mechanism? Correct Answer:
Two nurses confirming a blood product about to be administered to a patient
What is an example of communication as a safety mechanism? Correct Answer:
TeamSTEPPS (SBAR), huddles, debriefs, IPASS the BATON
Define SBAR. Correct Answer: Situation, background, assessment,
recommendation; communication tool within teamSTEPPS
What is IPASStheBATON? Correct Answer: Introduction, patient, assessment,
situation, safety concerns, background, actions, timing, ownership, next;
communication system for handing off patients
What are some organizations focused on healthcare quality and safety?
Correct Answer: 1) Joint Commissions 2) OSHA 3) Centers for Medicare and
Medicaid Services 4) CDC
Correct Answers
Define Safety. Correct Answer: The state of being free from harm or danger.
Define quality. Correct Answer: Excellence or superiority of something.
What concept is safety interrelated with and why? Correct Answer: Quality; to
avoid adverse outcomes for patients, one must provide quality healthcare
Define "culture of safety" in a healthcare setting. Correct Answer: Every member
of the organization contributes to the safety of patients and employees.
Name one characteristic of a strong "culture of safety" in a healthcare setting.
Correct Answer: Staff are empowered to report errors and near misses
Define Root Cause Analysis (RCA). Correct Answer: determines underlying
cause of adverse events; used after incident to uncover primary cause
What is QSEN? Correct Answer: Framework that defines quality and safety
competencies for nurses.
List the QSEN Competencies in Nursing. Correct Answer: 1) P - Patient-centered
care
2) E - Evidence Based Practice
3) T - Teamwork and collaboration
4) S - Safety
5) I - Informatics
,6) Q - Quality improvement
What are the Joint Commission patient safety goals? Correct Answer: 1)
improve the accuracy of patient identification 2) improve the effectiveness of
communication amongst caregivers 3) improve the safety of using medications
4) reduce the harm associated with clinical alarm systems 5) reduce the risk of
HAIs 6) hospital identifies safety risks inherent in its patient population
A nurse's risk assessment can include the following factors: Correct Answer: 1)
the patient 2) hospital equipment 3) the environment
If not working correctly, these systems can compromise patient safety: Correct
Answer: 1) musculoskeletal 2) neurological and sensory 3) cardiovascular and
respiratory 4) immune 5) integumentary
What are examples of patient screening tools used to help evaluate patient
safety? Correct Answer: 1) mini-mental state examination 2) Glasgow coma
scale 3) Hendrich II fall risk Model 4) Braden scale for preventing pressure sore
risk
What characteristics can be noted in a patient risk assessment? Correct Answer:
1) unsteady gait 2) medications 3) blood pressure changes 4) altered mental
status, dementia, confusion 5) sensory impairment 6 prolonged bed rest 6)
incontinence/lack of toileting schedule 7) environment
In terms of environmental safety, what are contributors to consider? Correct
Answer: 1) healthcare setting - HAI 2) healthcare setting workers - violence to
workers, sharps, exposure to toxins 3) home 4) community 5) fire 6) pollution 7)
radiation 8) terrorism
What are some nursing safety interventions? Correct Answer: 1) identify high-risk
patients 2) non-skid footwear, good lighting, clear walkways, items in reach 3)
call bell 4) toileting schedule 5) grab bars 6) bed in lowest position and brakes
, locked 7) patient/caregiver education 8) activity/exercise 9) proper body
mechanics used 10) equipment in good repair and at correct settings
What are mechanisms for quality and safety improvement? Correct Answer: 1)
mistake-proofing 2) checklists 3) redundancy 4) communication
What is an example of mistake-proofing as a safety mechanism? Correct
Answer: Creation of tubing connections that are not interchangeable (like IVs
and enteral feeding tubes)
What is an example of checklists as a safety mechanism? Correct Answer:
Universal Protocol for Surgical Procedures (allows surgical staff to institute a time-
our to confirm the patient and procedure)
What is an example of redundancy as a safety mechanism? Correct Answer:
Two nurses confirming a blood product about to be administered to a patient
What is an example of communication as a safety mechanism? Correct Answer:
TeamSTEPPS (SBAR), huddles, debriefs, IPASS the BATON
Define SBAR. Correct Answer: Situation, background, assessment,
recommendation; communication tool within teamSTEPPS
What is IPASStheBATON? Correct Answer: Introduction, patient, assessment,
situation, safety concerns, background, actions, timing, ownership, next;
communication system for handing off patients
What are some organizations focused on healthcare quality and safety?
Correct Answer: 1) Joint Commissions 2) OSHA 3) Centers for Medicare and
Medicaid Services 4) CDC
