Cherry & Jacob 7e Chapter 22 Exam with
Multiple Choices and Verified Answers
2025-2026
Chapter ,22: ,Quality ,Improvement ,and ,Patient ,Safety
Cherry ,& ,Jacob: ,Contemporary ,Nursing: ,Issues, ,Trends, ,and ,Management, ,7th
,Edition
MULTIPLE ,CHOICE ,- ,CORRECT ,ANSWER-
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. ,- ,CORRECT ,ANSWER-ANS: ,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. ,- ,CORRECT ,ANSWER-ANS: ,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. ,- ,CORRECT ,ANSWER-ANS: ,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. ,- ,CORRECT ,ANSWER-ANS: ,B
A ,root ,cause ,analysis ,is ,a ,process ,by ,which ,factors ,that ,underlie ,variation ,in
,performance, ,including ,the ,occurrence ,or ,possible ,occurrence ,of ,a ,sentinel ,event, ,are
,identified. ,The ,purpose ,of ,root ,cause ,analysis ,is ,to ,identify ,improvements ,that ,can ,be
,implemented ,to ,prevent ,future ,occurrences.
DIF: ,Application ,REF: ,p. ,380
5. ,Each ,month ,data ,on ,admission ,assessments ,that ,are ,based ,on ,the ,following
,standard ,are ,entered: ,"All ,patients ,will ,be ,assessed ,by ,an ,RN ,within ,2 ,hours ,of
,admission." ,The ,target ,goal ,for ,this ,standard ,is ,97% ,compliance. ,Data ,are ,displayed
,on ,a ,graph ,that ,shows ,number ,and ,time ,of ,admission ,assessments ,and ,compliance
,variation ,limits. ,This ,pictorial ,representation ,is:
a. ,Pareto ,chart.
b. ,control ,chart.
c. ,deployment ,chart.
d. ,top-down ,flowchart. ,- ,CORRECT ,ANSWER-ANS: ,B
The ,control ,chart ,is ,a ,run ,chart ,that ,has ,a ,centerline ,and ,added ,statistical ,control
,limits ,that ,help ,to ,detect ,specific ,types ,of ,change ,needed ,to ,improve ,a ,process.
DIF: ,Comprehension ,REF: ,p. ,380
6. ,Regardless ,of ,the ,term ,used ,to ,describe ,high-quality ,health ,care, ,the ,focus ,of
,quality ,is:
a. ,what ,the ,consumer ,needs ,and ,wants.
b. ,economical ,care.
c. ,having ,the ,greatest ,technologic ,advancement.
Multiple Choices and Verified Answers
2025-2026
Chapter ,22: ,Quality ,Improvement ,and ,Patient ,Safety
Cherry ,& ,Jacob: ,Contemporary ,Nursing: ,Issues, ,Trends, ,and ,Management, ,7th
,Edition
MULTIPLE ,CHOICE ,- ,CORRECT ,ANSWER-
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. ,- ,CORRECT ,ANSWER-ANS: ,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. ,- ,CORRECT ,ANSWER-ANS: ,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. ,- ,CORRECT ,ANSWER-ANS: ,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. ,- ,CORRECT ,ANSWER-ANS: ,B
A ,root ,cause ,analysis ,is ,a ,process ,by ,which ,factors ,that ,underlie ,variation ,in
,performance, ,including ,the ,occurrence ,or ,possible ,occurrence ,of ,a ,sentinel ,event, ,are
,identified. ,The ,purpose ,of ,root ,cause ,analysis ,is ,to ,identify ,improvements ,that ,can ,be
,implemented ,to ,prevent ,future ,occurrences.
DIF: ,Application ,REF: ,p. ,380
5. ,Each ,month ,data ,on ,admission ,assessments ,that ,are ,based ,on ,the ,following
,standard ,are ,entered: ,"All ,patients ,will ,be ,assessed ,by ,an ,RN ,within ,2 ,hours ,of
,admission." ,The ,target ,goal ,for ,this ,standard ,is ,97% ,compliance. ,Data ,are ,displayed
,on ,a ,graph ,that ,shows ,number ,and ,time ,of ,admission ,assessments ,and ,compliance
,variation ,limits. ,This ,pictorial ,representation ,is:
a. ,Pareto ,chart.
b. ,control ,chart.
c. ,deployment ,chart.
d. ,top-down ,flowchart. ,- ,CORRECT ,ANSWER-ANS: ,B
The ,control ,chart ,is ,a ,run ,chart ,that ,has ,a ,centerline ,and ,added ,statistical ,control
,limits ,that ,help ,to ,detect ,specific ,types ,of ,change ,needed ,to ,improve ,a ,process.
DIF: ,Comprehension ,REF: ,p. ,380
6. ,Regardless ,of ,the ,term ,used ,to ,describe ,high-quality ,health ,care, ,the ,focus ,of
,quality ,is:
a. ,what ,the ,consumer ,needs ,and ,wants.
b. ,economical ,care.
c. ,having ,the ,greatest ,technologic ,advancement.
