GALEN NSG 4800
Transition to Professional Nursing Practice
QUALITY IMPROVEMENT, PATIENT SAFETY
& EVIDENCE-BASED PRACTICE TEST
70 Questions with Answers & Detailed Explanations
70 A-D Every Q
Original Questions Multiple Choice Answer + Rationale
PASSPOINTPRO
Focused practice in quality improvement, safety culture, event analysis, human factors, evidence appraisal, implementation,
medication and infection safety, and outcome measurement.
,PASSPOINTPRO | NSG 4800 QUALITY, SAFETY & EVIDENCE-BASED PRACTICE
HOW TO USE THIS TEST
Answer each question before reviewing the rationale. Focus on systems thinking, safe care, QI methods, human factors,
evidence appraisal, implementation, and measurement of outcomes.
QUESTION 1 | QUALITY IMPROVEMENT
A unit has a higher-than-expected rate of inpatient falls. What is the best first step in a
quality-improvement project?
A Define the problem clearly and review baseline data
B Purchase new equipment before examining the problem
C Discipline all staff members involved in recent falls
D Change several processes at once without measuring them
Answer: A
Explanation:
Quality improvement begins with a clearly defined problem and reliable baseline data. The team needs to understand the
current state before selecting or testing interventions.
QUESTION 2 | QUALITY IMPROVEMENT
Which statement best distinguishes quality improvement from traditional research?
A Quality improvement never uses data
B Quality improvement primarily aims to improve a local process or outcome, whereas research primarily aims to
generate generalizable knowledge
C Research never involves patient outcomes
D Quality improvement does not require an identified problem
Answer: B
Explanation:
Quality improvement focuses on making care better in a particular system or setting, while research is designed to generate
broadly applicable knowledge. Both can use systematic data collection and analysis.
Transition to Professional Nursing Practice Page 2
,PASSPOINTPRO | NSG 4800 QUALITY, SAFETY & EVIDENCE-BASED PRACTICE
QUESTION 3 | QUALITY IMPROVEMENT
A team is using the Plan-Do-Study-Act method. What occurs during the Study phase?
A The team permanently adopts the change before reviewing data
B The team identifies a problem but does not test a change
C The team compares results with predictions and examines what was learned
D The team writes policies without collecting results
Answer: C
Explanation:
During Study, the team reviews the data from the test, compares results with expectations, and identifies lessons. Those
findings guide whether to adapt, adopt, or abandon the change.
QUESTION 4 | QUALITY IMPROVEMENT
Which is an example of a process measure for a fall-prevention initiative?
A Number of fractures caused by falls
B Average patient satisfaction score for food
C Annual nursing turnover rate
D Percentage of high-risk patients who receive the required fall-risk interventions
Answer: D
Explanation:
A process measure evaluates whether a care activity is being performed as intended. The percentage of high-risk patients
receiving required interventions directly measures implementation of the prevention process.
Transition to Professional Nursing Practice Page 3
, PASSPOINTPRO | NSG 4800 QUALITY, SAFETY & EVIDENCE-BASED PRACTICE
QUESTION 5 | QUALITY IMPROVEMENT
Which is an example of an outcome measure for a pressure-injury prevention project?
A Rate of hospital-acquired pressure injuries per 1,000 patient-days
B Percentage of nurses completing training
C Percentage of patients with documented risk assessments
D Number of prevention posters displayed
Answer: A
Explanation:
Outcome measures show the effect of care on patients or the system. The rate of hospital-acquired pressure injuries reflects
the result the prevention project is intended to improve.
QUESTION 6 | QUALITY IMPROVEMENT
Why should a quality-improvement team include a balancing measure?
A To replace all outcome measures
B To identify whether an improvement creates an unintended problem elsewhere
C To guarantee that every intervention succeeds
D To eliminate the need for staff feedback
Answer: B
Explanation:
Balancing measures help detect unintended consequences. For example, a change that reduces falls should not create
excessive restraint use or delay needed mobility.
Transition to Professional Nursing Practice Page 4
Transition to Professional Nursing Practice
QUALITY IMPROVEMENT, PATIENT SAFETY
& EVIDENCE-BASED PRACTICE TEST
70 Questions with Answers & Detailed Explanations
70 A-D Every Q
Original Questions Multiple Choice Answer + Rationale
PASSPOINTPRO
Focused practice in quality improvement, safety culture, event analysis, human factors, evidence appraisal, implementation,
medication and infection safety, and outcome measurement.
,PASSPOINTPRO | NSG 4800 QUALITY, SAFETY & EVIDENCE-BASED PRACTICE
HOW TO USE THIS TEST
Answer each question before reviewing the rationale. Focus on systems thinking, safe care, QI methods, human factors,
evidence appraisal, implementation, and measurement of outcomes.
QUESTION 1 | QUALITY IMPROVEMENT
A unit has a higher-than-expected rate of inpatient falls. What is the best first step in a
quality-improvement project?
A Define the problem clearly and review baseline data
B Purchase new equipment before examining the problem
C Discipline all staff members involved in recent falls
D Change several processes at once without measuring them
Answer: A
Explanation:
Quality improvement begins with a clearly defined problem and reliable baseline data. The team needs to understand the
current state before selecting or testing interventions.
QUESTION 2 | QUALITY IMPROVEMENT
Which statement best distinguishes quality improvement from traditional research?
A Quality improvement never uses data
B Quality improvement primarily aims to improve a local process or outcome, whereas research primarily aims to
generate generalizable knowledge
C Research never involves patient outcomes
D Quality improvement does not require an identified problem
Answer: B
Explanation:
Quality improvement focuses on making care better in a particular system or setting, while research is designed to generate
broadly applicable knowledge. Both can use systematic data collection and analysis.
Transition to Professional Nursing Practice Page 2
,PASSPOINTPRO | NSG 4800 QUALITY, SAFETY & EVIDENCE-BASED PRACTICE
QUESTION 3 | QUALITY IMPROVEMENT
A team is using the Plan-Do-Study-Act method. What occurs during the Study phase?
A The team permanently adopts the change before reviewing data
B The team identifies a problem but does not test a change
C The team compares results with predictions and examines what was learned
D The team writes policies without collecting results
Answer: C
Explanation:
During Study, the team reviews the data from the test, compares results with expectations, and identifies lessons. Those
findings guide whether to adapt, adopt, or abandon the change.
QUESTION 4 | QUALITY IMPROVEMENT
Which is an example of a process measure for a fall-prevention initiative?
A Number of fractures caused by falls
B Average patient satisfaction score for food
C Annual nursing turnover rate
D Percentage of high-risk patients who receive the required fall-risk interventions
Answer: D
Explanation:
A process measure evaluates whether a care activity is being performed as intended. The percentage of high-risk patients
receiving required interventions directly measures implementation of the prevention process.
Transition to Professional Nursing Practice Page 3
, PASSPOINTPRO | NSG 4800 QUALITY, SAFETY & EVIDENCE-BASED PRACTICE
QUESTION 5 | QUALITY IMPROVEMENT
Which is an example of an outcome measure for a pressure-injury prevention project?
A Rate of hospital-acquired pressure injuries per 1,000 patient-days
B Percentage of nurses completing training
C Percentage of patients with documented risk assessments
D Number of prevention posters displayed
Answer: A
Explanation:
Outcome measures show the effect of care on patients or the system. The rate of hospital-acquired pressure injuries reflects
the result the prevention project is intended to improve.
QUESTION 6 | QUALITY IMPROVEMENT
Why should a quality-improvement team include a balancing measure?
A To replace all outcome measures
B To identify whether an improvement creates an unintended problem elsewhere
C To guarantee that every intervention succeeds
D To eliminate the need for staff feedback
Answer: B
Explanation:
Balancing measures help detect unintended consequences. For example, a change that reduces falls should not create
excessive restraint use or delay needed mobility.
Transition to Professional Nursing Practice Page 4
