CRNI NEW EXAM QUESTIONS AND ANSWERS 2026/2027 UPDATE |
GRADED A+
Which of the following are criteria of a QA program? - ANSWER 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: - ANSWER 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: - ANSWER
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? - ANSWER Sentinel event = definition = unexpected occurrence resulting in death or
injury, or the risk of death or injury
Accountability - ANSWER 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 - ANSWER the attempt of threat to do bodily injury to another
Battery - ANSWER Actual physical contact that causes harm and physical contact without consent
Breach of duty - ANSWER 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 - ANSWER 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 - ANSWER The legal structure that deals with the rights of an individual person or a
corporation.
Criminal law - ANSWER 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 - ANSWER Transferring to a competent individual the authority to perform a selected
nursing task in a selected situation. The nurse retains accountability for the __________________.
Documentation - ANSWER A legal recording of all care rendered to patients; should be timely,
accurate, legible, and objective.
Incident report - ANSWER 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 - ANSWER The consent for treatment given by patients who have received and
understand information about a procedure and/or therapy.
Invasion of privacy - ANSWER Disclosure of any confidential information pertaining to a patient or
medical case.
Job description - ANSWER The delineation of expected activities for personnel. The _____
_______________ should be performance based, clinically sound, stated in measurable terms, and
reviewed and updated annually.
Licensure - ANSWER 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.
GRADED A+
Which of the following are criteria of a QA program? - ANSWER 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: - ANSWER 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: - ANSWER
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? - ANSWER Sentinel event = definition = unexpected occurrence resulting in death or
injury, or the risk of death or injury
Accountability - ANSWER 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 - ANSWER the attempt of threat to do bodily injury to another
Battery - ANSWER Actual physical contact that causes harm and physical contact without consent
Breach of duty - ANSWER 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 - ANSWER 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 - ANSWER The legal structure that deals with the rights of an individual person or a
corporation.
Criminal law - ANSWER 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 - ANSWER Transferring to a competent individual the authority to perform a selected
nursing task in a selected situation. The nurse retains accountability for the __________________.
Documentation - ANSWER A legal recording of all care rendered to patients; should be timely,
accurate, legible, and objective.
Incident report - ANSWER 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 - ANSWER The consent for treatment given by patients who have received and
understand information about a procedure and/or therapy.
Invasion of privacy - ANSWER Disclosure of any confidential information pertaining to a patient or
medical case.
Job description - ANSWER The delineation of expected activities for personnel. The _____
_______________ should be performance based, clinically sound, stated in measurable terms, and
reviewed and updated annually.
Licensure - ANSWER 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.
