2025 Exam Questions and Answers
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Swiss cheese is often used as the paradigm for explaining medical error. In
this model, the holes in the cheese represent - 🧠ANSWER ✔✔latent
weaknesses
You are assigned to a patient who is at 38 weeks and 6 days gestation.
She is being admitted for an elective induction of labor because her
husband is going on an extended business trip in 2 days and he wants to
be present for the delivery. The hospital has no policy regarding elective
induction, but you know that the AWHONN "Go the Full 40" campaign
doesn't support early elective induction. You approach the physician with
your concerns. He responds that he's been doing this for 30 years and has
never had a bad outcome from an elective induction at this gestation.
,This scenario is an example of - 🧠ANSWER ✔✔normalization of deviance
Which of the following has been noted among the top three root causes of
sentinel events for over 10 years? - 🧠ANSWER ✔✔Communication
A shared understanding of what is going on and what is likely to happen
next is known as - 🧠ANSWER ✔✔situational awareness
A patient safety event, unrelated to the natural course of the underlying
illness, that reaches a patient and results in death, permanent harm, or
severe temporary harm with intervention required to sustain life is an
example of - 🧠ANSWER ✔✔a sentinel event
Which tool is used when an adverse event has occurred to identify
variations in performance that led to the outcome? - 🧠ANSWER ✔✔Root
cause analysis
Yearly objectives developed by The Joint Commission that focus on
problems in healthcare safety are known as - 🧠ANSWER ✔✔National
Patient Safety Goals
,The Perinatal Care Core Measures include all of the following EXCEPT -
🧠ANSWER ✔✔use of the NICHD nomenclature for electronic fetal
monitoring.
Authoritative statements of the duties that all registered nurses, regardless
of role, population, or specialty are expected to perform competently are
defined - 🧠ANSWER ✔✔Standards of Care
Position statements are recommendations for - 🧠ANSWER ✔✔a pathway
of action regarding a particular issue
In health care, an unplanned event that did NOT result in injury, illness, or
damage but had the potential to do so is referred to as a - 🧠ANSWER
✔✔near miss
All of the following are elements of good documentation EXCEPT -
🧠ANSWER ✔✔inclusion of nursing opinion as to causes of error
Mrs. Johnson is a primipara at 34 weeks gestation who has been admitted
to your unit with increasing blood pressures. You have a discussion with
the physician about her reports of headache and blurred vision. What
actions should surround the documentation of this conversation in the
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, medical record? - 🧠ANSWER ✔✔Document the date, time, person spoken
to, and objective details of what was said in the medical record.
Which of the following is NOT a component of the risk reduction strategy
known as closed loop communication? - 🧠ANSWER ✔✔Is only used in
emergency patient care situations
You are a nurse on the mother/baby unit caring for a woman who is 12
hours postpartum from an operative vaginal delivery with midline
episiotomy. The woman has severe rectal pain and reports inability to
urinate. You suspect a vaginal hematoma and call her physician to request
an evaluation. The physician does not respond. Under these circumstances
it is appropriate to - 🧠ANSWER ✔✔institute the chain of communication
Team training is an effective risk management strategy because it -
🧠ANSWER ✔✔outlines effective communication tools and techniques
One of the leading causes of obstetric liability is - 🧠ANSWER ✔✔oxytocin
administration leading to tachysystole
Which two medications frequently used in the perinatal setting are identified
as high-risk medications by the Institute for Safe Medication Practices
(ISMP)? - 🧠ANSWER ✔✔Magnesium sulfate and oxytocin