NSG 555/ NSG555 Exam 2026-2027 BANK QUESTIONS WITH
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Question 1
In outpatient settings, what is the most common basis for malpractice
claims?
A. Failure to obtain informed consent and inadequate patient education
B. Diagnosis, medication management, and medical and surgical
treatment
C. Breach of patient confidentiality and improper documentation
D. Inadequate handoff communication and failure to follow up on
referrals
Correct Answer: B. Diagnosis, medication management, and medical
and surgical treatment
Rationale: This is a well-documented area of risk in primary care. Claims
often arise from errors or delays in diagnosis, prescribing errors, and
complications from treatments. Handoff communication and electronic
health record issues are also frequently contributing factors to these
adverse events .
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Question 2
What does the policy of disclosure of errors in malpractice primarily
involve?
A. A legal strategy to minimize financial compensation to the patient
B. An internal review to discipline the healthcare provider at fault
C. A process of apologizing, offering compensation, and sharing
investigative findings with patients and families
D. A mandatory report to the state medical board, regardless of the
error's severity
Correct Answer: C. A process of apologizing, offering compensation, and
sharing investigative findings with patients and families
Rationale: This approach is often more effective than litigation. It
involves acknowledging the event, empathizing with the patient and
family, explaining the investigation process, disclosing results, and
implementing systemic changes to prevent recurrence .
Question 3
According to risk management strategies, which of the following is the
most important principle?
A. Prioritizing the financial interests of the practice
B. Patient-first approach to address communication issues, patient
concerns, and adherence
C. Strict adherence to diagnostic testing to avoid any misdiagnosis
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D. Limiting communication with patients to prevent liability
Correct Answer: B. Patient-first approach to address communication
issues, patient concerns, and adherence
Rationale: Effective risk management is centered on the patient. This
includes clear communication, addressing patient concerns promptly,
and focusing on strategies to improve patient adherence to treatment
plans. These are seen as key to preventing adverse outcomes and claims
.
Question 4
Which of the following is a category of diagnosis-related malpractice
claims?
A. Failure to provide adequate pain management
B. Failure to order correct testing to establish a diagnosis
C. Failure to document a patient's family history
D. Failure to refer to a specialist in a timely manner
Correct Answer: B. Failure to order correct testing to establish a
diagnosis
Rationale: Diagnosis-related claims are a significant portion of
malpractice cases. Categories include failure to identify an observation,
failure to order the correct tests, delay in establishing a diagnosis,
failure to diagnose, and failure to order or address diagnostic test
results .
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Question 5
What is the primary goal of palliative care?
A. To provide curative treatment for a serious illness
B. To hasten a comfortable and dignified death
C. To improve the quality of life for patients with serious illnesses
D. To be initiated only when a patient is in the terminal phase of an
illness
Correct Answer: C. To improve the quality of life for patients with
serious illnesses
Rationale: Palliative care is appropriate at any age and at any stage of a
serious illness. Its goal is to improve quality of life by managing
symptoms, addressing distress, and communicating about prognosis
and patient preferences .
Question 6
When should advance care planning be introduced to a patient?
A. Only when a patient is diagnosed with a terminal illness
B. Upon admission to a hospital or long-term care facility
C. During the initial history for all patients and revisited annually
D. When a patient's family expresses concern about their decision-
making capacity