NU 730
Systems Based Practice
Latest Midterm Exam Review
(With Solutions)
2026
1
,1. Case: A nurse identifies frequent medication errors in a unit.
Question: What is the most systems-based intervention?
- A. Punish the nurse involved
- B. Implement a root cause analysis and redesign workflow
- C. Ignore the errors
- D. Increase patient monitoring only
Answer: B
Rationale: Systems-based practice emphasizes analyzing processes, not
blaming individuals.
---
2. Case: A hospital introduces electronic health records (EHR). Nurses
report difficulty adapting.
Question: What is the best systems-based response?
- A. Provide structured training and ongoing support
- B. Ignore complaints
- C. Remove EHR system
- D. Punish non-compliant staff
Answer: A
Rationale: Systems-based practice requires supporting staff through
transitions.
---
3. Case: A patient is readmitted within 30 days for heart failure.
Question: Which systems-based intervention reduces readmissions?
- A. Discharge without follow-up
- B. Implement transitional care and patient education
- C. Increase hospital stay length
- D. Ignore readmission data
Answer: B
2
, Rationale: Transitional care and education improve outcomes.
---
4. Case: A nurse identifies a delay in lab results affecting patient care.
Question: What is the best systems-based action?
- A. Escalate to lab management and review workflow
- B. Ignore delays
- C. Repeat lab orders unnecessarily
- D. Blame individual staff
Answer: A
Rationale: Systems-based practice addresses process inefficiencies.
---
5. Case: A patient with diabetes receives conflicting dietary advice from
different providers.
Question: What is the systems-based solution?
- A. Create interdisciplinary care plans
- B. Ignore discrepancies
- C. Allow each provider to continue independently
- D. Discharge patient
Answer: A
Rationale: Coordinated care prevents conflicting information.
---
6. Case: A nurse notes high rates of hospital-acquired infections.
Question: Which systems-based intervention is most effective?
- A. Hand hygiene audits and infection control protocols
- B. Punish staff with infections
- C. Ignore infection rates
- D. Increase patient isolation only
Answer: A
3
Systems Based Practice
Latest Midterm Exam Review
(With Solutions)
2026
1
,1. Case: A nurse identifies frequent medication errors in a unit.
Question: What is the most systems-based intervention?
- A. Punish the nurse involved
- B. Implement a root cause analysis and redesign workflow
- C. Ignore the errors
- D. Increase patient monitoring only
Answer: B
Rationale: Systems-based practice emphasizes analyzing processes, not
blaming individuals.
---
2. Case: A hospital introduces electronic health records (EHR). Nurses
report difficulty adapting.
Question: What is the best systems-based response?
- A. Provide structured training and ongoing support
- B. Ignore complaints
- C. Remove EHR system
- D. Punish non-compliant staff
Answer: A
Rationale: Systems-based practice requires supporting staff through
transitions.
---
3. Case: A patient is readmitted within 30 days for heart failure.
Question: Which systems-based intervention reduces readmissions?
- A. Discharge without follow-up
- B. Implement transitional care and patient education
- C. Increase hospital stay length
- D. Ignore readmission data
Answer: B
2
, Rationale: Transitional care and education improve outcomes.
---
4. Case: A nurse identifies a delay in lab results affecting patient care.
Question: What is the best systems-based action?
- A. Escalate to lab management and review workflow
- B. Ignore delays
- C. Repeat lab orders unnecessarily
- D. Blame individual staff
Answer: A
Rationale: Systems-based practice addresses process inefficiencies.
---
5. Case: A patient with diabetes receives conflicting dietary advice from
different providers.
Question: What is the systems-based solution?
- A. Create interdisciplinary care plans
- B. Ignore discrepancies
- C. Allow each provider to continue independently
- D. Discharge patient
Answer: A
Rationale: Coordinated care prevents conflicting information.
---
6. Case: A nurse notes high rates of hospital-acquired infections.
Question: Which systems-based intervention is most effective?
- A. Hand hygiene audits and infection control protocols
- B. Punish staff with infections
- C. Ignore infection rates
- D. Increase patient isolation only
Answer: A
3
