CRNI = Foundations of Practice & Quality Assurance Practice
Test Exam Actual Q & A 2023/2024
Which of the following are criteria of a QA program? correct answers structure, process, outcomes
Rationale = Quality programs include the criteria of structure (the framework for delivery of care),
process (all activities affecting patient care), outcomes (results of process activities), corrective action
(measures taken to improve outcomes) and re-evaluation (monitoring and measuring correction
actions).
The nurse is called to start and IV on an adult patient going to surgery. The patient refuses to let the
nurse perform the venipuncture. The nurse should do which of the following: correct answers notify the
physician = rationale - If the nurse were to start the IV against the patient's wishes, the nurse would be
guilty of assault and battery. Risk management notification is not appropriate because there is no liability
to decrease if the nurse does not start the IV. Requesting family approval is also not appropriate because
they legally could not overrule the decision of a competent adult patient.
An institution's phlebitis rate was determined to be 12%. Upon investigation, it was found that
inconsistent prepping procedures were being used to initiate venipunctures. Procedures were revised
and the use of IV start kits was begun to standardize care. After 3 months, the phlebitis rate was 7%. The
changes instituted are know in QA terms as which of the following: correct answers Corrective action =
rationale = In this situation the phlebitis rate was identified as too high, prepping procedures are
inconsistent therefore high phlebitis rate. Corrective action is to revise the procedure and change
equipment to address the issue.
A hemolytic blood transfusion reaction resulting in death of the patient is an example of which of the
following? correct answers Sentinel event = definition = unexpected occurrence resulting in death or
injury, or the risk of death or injury
Accountability correct answers being responsible and answerable for actions or inactions of self or
others in the context of delegation; the knowledge, skills, judgment, and experience expected of a
practitioner
Assault correct answers the attempt of threat to do bodily injury to another
Battery correct answers Actual physical contact that causes harm and physical contact without consent
Breach of duty correct answers A deviation from a level of care that is considered reasonable and
prudent; failure to perform a procedure or deliver care according to standards and guidelines.
Certification correct answers Attainment of specialized knowledge and skills beyond those required for
safe practice via a program/examination to validate that specialized knowledge and /or performance
whose function is to protect the public.
Civil law correct answers The legal structure that deals with the rights of an individual person or a
corporation.
, Criminal law correct answers The legal structure that deals with an offense against the general public or
society as a whole. Actions by licensed persons against medical practice acts or nurse practice acts are
considered criminal offenses.
Delegation correct answers Transferring to a competent individual the authority to perform a selected
nursing task in a selected situation. The nurse retains accountability for the __________________.
Documentation correct answers A legal recording of all care rendered to patients; should be timely,
accurate, legible, and objective.
Incident report correct answers A factual statement that is for generated for any unusual occurrence,
which help to identify trends and document occurrences that may involved potential liability; should not
be part of the legal chart.
Informed consent correct answers The consent for treatment given by patients who have received and
understand information about a procedure and/or therapy.
Invasion of privacy correct answers Disclosure of any confidential information pertaining to a patient or
medical case.
Job description correct answers The delineation of expected activities for personnel. The _____
_______________ should be performance based, clinically sound, stated in measurable terms, and
reviewed and updated annually.
Licensure correct answers A legal document that permits a person to offer special skills and knowledge
to the public in a particular state. A license permits nurses to practice within their state.
Malpractice correct answers professional misconduct or demonstration of an unreasonable lack of skill,
and/or not acting in a reasonable and prudent manner.
Negligence correct answers Failure to provide care that a reasonable, knowledgeable professional would
render according to current standards.
Nurse Practice Act correct answers The individual state laws or rules that delineate the scope of practice
for nurses.
Policy correct answers A document that serves as a guide for operations providing personnel with
instruction and direction to deliver care to patients. _______________ should be achievable, based on
laws, guidelines, standards, and regulations, and reviewed and updated annually.
Procedure correct answers A document that describes the necessary steps required to safely deliver care
to a patient. _________________ should be developed utilizing any laws, guidelines, standards and
regulations that apply. They are to be reviewed and updated annually.
Why do we avoid the wrist junction when placing PIV? correct answers to avoid ulnar injury
Test Exam Actual Q & A 2023/2024
Which of the following are criteria of a QA program? correct answers structure, process, outcomes
Rationale = Quality programs include the criteria of structure (the framework for delivery of care),
process (all activities affecting patient care), outcomes (results of process activities), corrective action
(measures taken to improve outcomes) and re-evaluation (monitoring and measuring correction
actions).
The nurse is called to start and IV on an adult patient going to surgery. The patient refuses to let the
nurse perform the venipuncture. The nurse should do which of the following: correct answers notify the
physician = rationale - If the nurse were to start the IV against the patient's wishes, the nurse would be
guilty of assault and battery. Risk management notification is not appropriate because there is no liability
to decrease if the nurse does not start the IV. Requesting family approval is also not appropriate because
they legally could not overrule the decision of a competent adult patient.
An institution's phlebitis rate was determined to be 12%. Upon investigation, it was found that
inconsistent prepping procedures were being used to initiate venipunctures. Procedures were revised
and the use of IV start kits was begun to standardize care. After 3 months, the phlebitis rate was 7%. The
changes instituted are know in QA terms as which of the following: correct answers Corrective action =
rationale = In this situation the phlebitis rate was identified as too high, prepping procedures are
inconsistent therefore high phlebitis rate. Corrective action is to revise the procedure and change
equipment to address the issue.
A hemolytic blood transfusion reaction resulting in death of the patient is an example of which of the
following? correct answers Sentinel event = definition = unexpected occurrence resulting in death or
injury, or the risk of death or injury
Accountability correct answers being responsible and answerable for actions or inactions of self or
others in the context of delegation; the knowledge, skills, judgment, and experience expected of a
practitioner
Assault correct answers the attempt of threat to do bodily injury to another
Battery correct answers Actual physical contact that causes harm and physical contact without consent
Breach of duty correct answers A deviation from a level of care that is considered reasonable and
prudent; failure to perform a procedure or deliver care according to standards and guidelines.
Certification correct answers Attainment of specialized knowledge and skills beyond those required for
safe practice via a program/examination to validate that specialized knowledge and /or performance
whose function is to protect the public.
Civil law correct answers The legal structure that deals with the rights of an individual person or a
corporation.
, Criminal law correct answers The legal structure that deals with an offense against the general public or
society as a whole. Actions by licensed persons against medical practice acts or nurse practice acts are
considered criminal offenses.
Delegation correct answers Transferring to a competent individual the authority to perform a selected
nursing task in a selected situation. The nurse retains accountability for the __________________.
Documentation correct answers A legal recording of all care rendered to patients; should be timely,
accurate, legible, and objective.
Incident report correct answers A factual statement that is for generated for any unusual occurrence,
which help to identify trends and document occurrences that may involved potential liability; should not
be part of the legal chart.
Informed consent correct answers The consent for treatment given by patients who have received and
understand information about a procedure and/or therapy.
Invasion of privacy correct answers Disclosure of any confidential information pertaining to a patient or
medical case.
Job description correct answers The delineation of expected activities for personnel. The _____
_______________ should be performance based, clinically sound, stated in measurable terms, and
reviewed and updated annually.
Licensure correct answers A legal document that permits a person to offer special skills and knowledge
to the public in a particular state. A license permits nurses to practice within their state.
Malpractice correct answers professional misconduct or demonstration of an unreasonable lack of skill,
and/or not acting in a reasonable and prudent manner.
Negligence correct answers Failure to provide care that a reasonable, knowledgeable professional would
render according to current standards.
Nurse Practice Act correct answers The individual state laws or rules that delineate the scope of practice
for nurses.
Policy correct answers A document that serves as a guide for operations providing personnel with
instruction and direction to deliver care to patients. _______________ should be achievable, based on
laws, guidelines, standards, and regulations, and reviewed and updated annually.
Procedure correct answers A document that describes the necessary steps required to safely deliver care
to a patient. _________________ should be developed utilizing any laws, guidelines, standards and
regulations that apply. They are to be reviewed and updated annually.
Why do we avoid the wrist junction when placing PIV? correct answers to avoid ulnar injury
