NURS 4100 WEEK 6 QUIZ: QUALITY
AND SAFETY THROUGH EVIDENCE-
BASED PRACTICE
1. When conducting a Root Cause Analysis (RCA) after a sentinel event, which of the following
is the primary objective?
A. To determine the systemic factors that contributed to the event.
B. To identify the individual healthcare provider responsible for the error.
C. To meet the legal requirements for malpractice insurance claims.
D. To satisfy the hospital’s disciplinary committee requirements.
Answer: A
Conceptual Explanation: The primary goal of a Root Cause Analysis (RCA) is to identify
the underlying systems and processes that failed, rather than focusing on individual blame.
2. In the Donabedian Model of quality care, which category would the nurse-to-patient ratio
be classified under?
A. Structure
B. Outcome
,C. Process
D. Environment
Answer: A
Conceptual Explanation: Structure refers to the conditions under which care is provided,
including physical facilities, equipment, and human resources like staffing ratios.
3. A nurse is implementing a new evidence-based protocol for pressure ulcer prevention.
Which step of the PDSA cycle involves analyzing the data collected?
A. Plan
B. Do
C. Study
D. Act
Answer: C
Conceptual Explanation: The ‘Study’ phase of the Plan-Do-Study-Act cycle is dedicated to
analyzing the results of the test to determine what was learned.
4. Which of the following best describes the difference between Quality Improvement (QI)
and Research?
A. QI aims to generate new knowledge that can be generalized, while research is site-
specific.
B. Research requires IRB approval, while QI projects never require oversight.
, C. QI involves data collection, whereas research involves only theoretical analysis.
D. QI focuses on improving internal processes, while research tests a hypothesis to
generate generalizable knowledge.
Answer: D
Conceptual Explanation: Research is designed to produce generalizable knowledge
(external validity), while QI is designed to improve local systems and processes.
5. What is the first step a nurse should take when a ‘Near Miss’ occurs in a clinical setting?
A. Report the incident through the facility’s internal reporting system.
B. Document the error in the patient’s permanent medical record.
C. Ignore it since no harm reached the patient.
D. Wait for a supervisor to notice before taking any action.
Answer: A
Conceptual Explanation: Near misses should be reported to identify vulnerabilities in the
system before they lead to actual patient harm.
6. A healthcare organization utilizes Six Sigma to reduce medication errors. What is the
primary focus of this methodology?
A. Eliminating waste in the workflow.
B. Lowering the cost of medical supplies.
C. Increasing the speed of patient discharge.
AND SAFETY THROUGH EVIDENCE-
BASED PRACTICE
1. When conducting a Root Cause Analysis (RCA) after a sentinel event, which of the following
is the primary objective?
A. To determine the systemic factors that contributed to the event.
B. To identify the individual healthcare provider responsible for the error.
C. To meet the legal requirements for malpractice insurance claims.
D. To satisfy the hospital’s disciplinary committee requirements.
Answer: A
Conceptual Explanation: The primary goal of a Root Cause Analysis (RCA) is to identify
the underlying systems and processes that failed, rather than focusing on individual blame.
2. In the Donabedian Model of quality care, which category would the nurse-to-patient ratio
be classified under?
A. Structure
B. Outcome
,C. Process
D. Environment
Answer: A
Conceptual Explanation: Structure refers to the conditions under which care is provided,
including physical facilities, equipment, and human resources like staffing ratios.
3. A nurse is implementing a new evidence-based protocol for pressure ulcer prevention.
Which step of the PDSA cycle involves analyzing the data collected?
A. Plan
B. Do
C. Study
D. Act
Answer: C
Conceptual Explanation: The ‘Study’ phase of the Plan-Do-Study-Act cycle is dedicated to
analyzing the results of the test to determine what was learned.
4. Which of the following best describes the difference between Quality Improvement (QI)
and Research?
A. QI aims to generate new knowledge that can be generalized, while research is site-
specific.
B. Research requires IRB approval, while QI projects never require oversight.
, C. QI involves data collection, whereas research involves only theoretical analysis.
D. QI focuses on improving internal processes, while research tests a hypothesis to
generate generalizable knowledge.
Answer: D
Conceptual Explanation: Research is designed to produce generalizable knowledge
(external validity), while QI is designed to improve local systems and processes.
5. What is the first step a nurse should take when a ‘Near Miss’ occurs in a clinical setting?
A. Report the incident through the facility’s internal reporting system.
B. Document the error in the patient’s permanent medical record.
C. Ignore it since no harm reached the patient.
D. Wait for a supervisor to notice before taking any action.
Answer: A
Conceptual Explanation: Near misses should be reported to identify vulnerabilities in the
system before they lead to actual patient harm.
6. A healthcare organization utilizes Six Sigma to reduce medication errors. What is the
primary focus of this methodology?
A. Eliminating waste in the workflow.
B. Lowering the cost of medical supplies.
C. Increasing the speed of patient discharge.
