Ch 22: Quality Improvement
and Patient Safety questions
with complete solutions
1. A nurse is preparing to administer a medication by using the
vastus lateralis site and is unfamiliar with the process. A step-by-
step reference that shows how to complete the process is called a:
a. deployment flowchart.
b. top-down flowchart.
c. Pareto chart.
d. control plot. - answer B
A top-down flowchart shows the sequence of steps in a job or
process such as medication administration.
DIF: Comprehension REF: p. 379 |p. 388
2. A nonprofit organization that distributes to governmental
agencies, the public, business, and health care professionals
knowledge related to health care for the purpose of improving
health is the:
a. Institute for Safe Medication Practices.
b. Institute of Medicine.
c. National Committee for Quality Assurance.
d. The Joint Commission. - answer B
The Institute of Medicine is a nonprofit organization whose mission
is to advance and disseminate to the government, the corporate
sector, the professions, and the public scientific information that
will improve human health.
, DIF: Comprehension REF: pp. 379-380
3. A nurse is removing a saturated dressing from an abdominal
incision and must cut the tape to remove the dressing. The nurse
accidentally cuts the sutures holding the incision, and evisceration
occurs. In quality improvement, this incident is best identified as a:
a. root cause.
b. sentinel event.
c. variation in performance.
d. causal factor. - answer B
A sentinel event is an unexpected occurrence that could result in
serious physical or psychological injury to the patient, including the
possibility of returning to surgery and a prolonged length of stay.
DIF: Comprehension REF: p. 380
4. A nurse is assisting with the delivery of twins. The first infant is
placed on the scale to be weighed. The physician requests an
instrument stat. The nurse turns to hand the instrument to the
physician, and the infant falls off the scale. When evaluating the
incident, the nurse and her manager list contributory factors such
as the need for two nurses when multiple births are known, and the
location of the scale so far from the delivery field. These nurses are
performing a(n):
a. standardization of care.
b. root cause analysis.
c. process variation.
d. analysis of a deployment flowchart. - answer B
and Patient Safety questions
with complete solutions
1. A nurse is preparing to administer a medication by using the
vastus lateralis site and is unfamiliar with the process. A step-by-
step reference that shows how to complete the process is called a:
a. deployment flowchart.
b. top-down flowchart.
c. Pareto chart.
d. control plot. - answer B
A top-down flowchart shows the sequence of steps in a job or
process such as medication administration.
DIF: Comprehension REF: p. 379 |p. 388
2. A nonprofit organization that distributes to governmental
agencies, the public, business, and health care professionals
knowledge related to health care for the purpose of improving
health is the:
a. Institute for Safe Medication Practices.
b. Institute of Medicine.
c. National Committee for Quality Assurance.
d. The Joint Commission. - answer B
The Institute of Medicine is a nonprofit organization whose mission
is to advance and disseminate to the government, the corporate
sector, the professions, and the public scientific information that
will improve human health.
, DIF: Comprehension REF: pp. 379-380
3. A nurse is removing a saturated dressing from an abdominal
incision and must cut the tape to remove the dressing. The nurse
accidentally cuts the sutures holding the incision, and evisceration
occurs. In quality improvement, this incident is best identified as a:
a. root cause.
b. sentinel event.
c. variation in performance.
d. causal factor. - answer B
A sentinel event is an unexpected occurrence that could result in
serious physical or psychological injury to the patient, including the
possibility of returning to surgery and a prolonged length of stay.
DIF: Comprehension REF: p. 380
4. A nurse is assisting with the delivery of twins. The first infant is
placed on the scale to be weighed. The physician requests an
instrument stat. The nurse turns to hand the instrument to the
physician, and the infant falls off the scale. When evaluating the
incident, the nurse and her manager list contributory factors such
as the need for two nurses when multiple births are known, and the
location of the scale so far from the delivery field. These nurses are
performing a(n):
a. standardization of care.
b. root cause analysis.
c. process variation.
d. analysis of a deployment flowchart. - answer B
