WILKES UNIVERSITY NUR 405 PATIENT SAFETY
EXAM 2 – QUESTIONS AND CORRECT ANSWER
COMPLETE SOLUTION 2026 UPDATE
1. Patient safety goals are primarily designed to:
A. Prevent harm to patients
B. Reduce staff workload
C. Improve hospital décor
D. Increase revenue
Answer: A. Prevent harm to patients
Rationale: Patient safety initiatives focus on avoiding errors, injuries, and adverse events.
2. The term “near miss” refers to:
A. An event that could have caused harm but did not
B. A minor staff disagreement
C. A scheduling error
D. A budget oversight
Answer: A. An event that could have caused harm
Rationale: Near misses provide opportunities to improve safety systems before actual harm
occurs.
3. Sentinel events require:
A. Immediate reporting and investigation
B. Discussion only in monthly meetings
C. Ignoring if no harm occurred
D. Staff punishment only
Answer: A. Immediate reporting and investigation
Rationale: Prompt investigation prevents recurrence and improves safety.
4. Root Cause Analysis (RCA) is used to:
,A. Identify underlying causes of errors
B. Blame individuals
C. Track budgets
D. Schedule staff
Answer: A. Identify underlying causes
Rationale: Focuses on systemic solutions rather than individual blame.
5. The Swiss Cheese Model demonstrates:
A. How multiple system failures align to cause errors
B. Cheese production in hospitals
C. Staff scheduling inefficiencies
D. Budget gaps
Answer: A. Multiple system failures align
Rationale: Errors occur when holes in defense layers align, highlighting system vulnerabilities.
6. Human factors engineering in healthcare:
A. Designs systems to minimize errors
B. Punishes staff mistakes
C. Tracks finances only
D. Schedules staff
Answer: A. Designs systems to minimize errors
Rationale: Optimizes workflow, equipment, and processes to improve safety.
7. Fatigue in healthcare providers:
A. Increases risk of errors
B. Improves judgment
C. Reduces mistakes
D. Has no impact
Answer: A. Increases risk of errors
Rationale: Sleep deprivation impairs attention, memory, and decision-making.
, 8. TeamSTEPPS is used to:
A. Improve communication and teamwork
B. Schedule staff only
C. Track budgets
D. Decorate the workplace
Answer: A. Improve communication and teamwork
Rationale: Structured team training reduces errors and improves patient outcomes.
9. SBAR stands for:
A. Situation-Background-Assessment-Recommendation
B. Staff-Budget-Account-Room
C. Safety-Bedside-Assessment-Round
D. System-Budget-Action-Report
Answer: A. Situation-Background-Assessment-Recommendation
Rationale: Structured communication tool that reduces miscommunication during handoffs.
10. High-alert medications require:
A. Extra verification to prevent serious harm
B. No special attention
C. Staff guessing doses
D. Ignoring labeling
Answer: A. Extra verification
Rationale: Errors with high-risk drugs can cause severe patient harm.
11. Barcode medication administration (BCMA) improves safety by:
A. Verifying correct patient and drug
B. Reducing staff responsibility only
C. Ignoring patient identity
D. Delaying treatment
Answer: A. Verifying patient and drug
Rationale: Technology minimizes human error during medication administration.
EXAM 2 – QUESTIONS AND CORRECT ANSWER
COMPLETE SOLUTION 2026 UPDATE
1. Patient safety goals are primarily designed to:
A. Prevent harm to patients
B. Reduce staff workload
C. Improve hospital décor
D. Increase revenue
Answer: A. Prevent harm to patients
Rationale: Patient safety initiatives focus on avoiding errors, injuries, and adverse events.
2. The term “near miss” refers to:
A. An event that could have caused harm but did not
B. A minor staff disagreement
C. A scheduling error
D. A budget oversight
Answer: A. An event that could have caused harm
Rationale: Near misses provide opportunities to improve safety systems before actual harm
occurs.
3. Sentinel events require:
A. Immediate reporting and investigation
B. Discussion only in monthly meetings
C. Ignoring if no harm occurred
D. Staff punishment only
Answer: A. Immediate reporting and investigation
Rationale: Prompt investigation prevents recurrence and improves safety.
4. Root Cause Analysis (RCA) is used to:
,A. Identify underlying causes of errors
B. Blame individuals
C. Track budgets
D. Schedule staff
Answer: A. Identify underlying causes
Rationale: Focuses on systemic solutions rather than individual blame.
5. The Swiss Cheese Model demonstrates:
A. How multiple system failures align to cause errors
B. Cheese production in hospitals
C. Staff scheduling inefficiencies
D. Budget gaps
Answer: A. Multiple system failures align
Rationale: Errors occur when holes in defense layers align, highlighting system vulnerabilities.
6. Human factors engineering in healthcare:
A. Designs systems to minimize errors
B. Punishes staff mistakes
C. Tracks finances only
D. Schedules staff
Answer: A. Designs systems to minimize errors
Rationale: Optimizes workflow, equipment, and processes to improve safety.
7. Fatigue in healthcare providers:
A. Increases risk of errors
B. Improves judgment
C. Reduces mistakes
D. Has no impact
Answer: A. Increases risk of errors
Rationale: Sleep deprivation impairs attention, memory, and decision-making.
, 8. TeamSTEPPS is used to:
A. Improve communication and teamwork
B. Schedule staff only
C. Track budgets
D. Decorate the workplace
Answer: A. Improve communication and teamwork
Rationale: Structured team training reduces errors and improves patient outcomes.
9. SBAR stands for:
A. Situation-Background-Assessment-Recommendation
B. Staff-Budget-Account-Room
C. Safety-Bedside-Assessment-Round
D. System-Budget-Action-Report
Answer: A. Situation-Background-Assessment-Recommendation
Rationale: Structured communication tool that reduces miscommunication during handoffs.
10. High-alert medications require:
A. Extra verification to prevent serious harm
B. No special attention
C. Staff guessing doses
D. Ignoring labeling
Answer: A. Extra verification
Rationale: Errors with high-risk drugs can cause severe patient harm.
11. Barcode medication administration (BCMA) improves safety by:
A. Verifying correct patient and drug
B. Reducing staff responsibility only
C. Ignoring patient identity
D. Delaying treatment
Answer: A. Verifying patient and drug
Rationale: Technology minimizes human error during medication administration.
