QUALITY IMPROVEMENT:
IDENTIFICATION TO EVALUATION
EXAM 2025 QUESTIONS AND ANSWERS
The intravenous (IV) pump starts alarming an hour after the bedside shift report, indicating an
empty IV fluid bag. The nurse realizes that IV bags running empty towards the beginning of the
shift are occurring more frequently. As a change agent, the nurse should plan to implement
which actions? Select all that apply.
Report the nurses who leave bags empty to the charge nurse.
Bring the concerns to management for them to implement changes.
Discuss concerns with the shared governance committee.
S - ANS -Discuss concerns with the shared governance committee.
-Present the policy for IV fluid bag change to prevent a lapse in care.
-Encourage nurses to check IV bags during bedside shift reports.
-Research best practices on IV fluid discrepancies.
-Review the IV fluid administration policy.
Which actions must the hospital take to remain accredited for this sentinel event? Select all
that apply.
Dismiss the nurse that was overseeing the care of that client.
Remove all PCA pumps from the hospital to prevent future events.
Complete a comprehensive systematic analysis (including root cause analysis).
Submit the analysis and action plan within 45 business days.
Create a corrective action plan.
Report the sentinel event to The Joint Commission (TJC). - ANS -Complete a comprehensive
systematic analysis (including root cause analysis).
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 1
, -Submit the analysis and action plan within 45 business days.
-Create a corrective action plan.
-Report the sentinel event to The Joint Commission (TJC).
Match the term to the correct definition of quality improvement markers.
-Goals of care; also known as the standards of care or core measures.
-The setting, resources, and time management restraints that impact client outcomes.
-The care provided and the policies/procedures that impact client outcomes.
-The actual client outcome that is found during the client's stay. - ANS Benchmarks
Structure indicators
Process indicators
Outcome indicators
After the interprofessional team meeting, the day-shift nurse identifies the lack of ______ will
need to be addressed to uphold client standards of care. - ANS standardized report process
Due to the lack of standardization of report sheets, which issues are clients at risk of
developing? Select all that apply.
Increased cost-containment
Delays in care
Increased costs
Complications
Adverse events
Mistrust in the healthcare team - ANS All BUT
increased cost-containment
The day-shift nurse should prioritize client ______ to prevent ______ caused by
miscommunication of client information during hand-off reports. - ANS safety issues
sentinel events
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 2
IDENTIFICATION TO EVALUATION
EXAM 2025 QUESTIONS AND ANSWERS
The intravenous (IV) pump starts alarming an hour after the bedside shift report, indicating an
empty IV fluid bag. The nurse realizes that IV bags running empty towards the beginning of the
shift are occurring more frequently. As a change agent, the nurse should plan to implement
which actions? Select all that apply.
Report the nurses who leave bags empty to the charge nurse.
Bring the concerns to management for them to implement changes.
Discuss concerns with the shared governance committee.
S - ANS -Discuss concerns with the shared governance committee.
-Present the policy for IV fluid bag change to prevent a lapse in care.
-Encourage nurses to check IV bags during bedside shift reports.
-Research best practices on IV fluid discrepancies.
-Review the IV fluid administration policy.
Which actions must the hospital take to remain accredited for this sentinel event? Select all
that apply.
Dismiss the nurse that was overseeing the care of that client.
Remove all PCA pumps from the hospital to prevent future events.
Complete a comprehensive systematic analysis (including root cause analysis).
Submit the analysis and action plan within 45 business days.
Create a corrective action plan.
Report the sentinel event to The Joint Commission (TJC). - ANS -Complete a comprehensive
systematic analysis (including root cause analysis).
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 1
, -Submit the analysis and action plan within 45 business days.
-Create a corrective action plan.
-Report the sentinel event to The Joint Commission (TJC).
Match the term to the correct definition of quality improvement markers.
-Goals of care; also known as the standards of care or core measures.
-The setting, resources, and time management restraints that impact client outcomes.
-The care provided and the policies/procedures that impact client outcomes.
-The actual client outcome that is found during the client's stay. - ANS Benchmarks
Structure indicators
Process indicators
Outcome indicators
After the interprofessional team meeting, the day-shift nurse identifies the lack of ______ will
need to be addressed to uphold client standards of care. - ANS standardized report process
Due to the lack of standardization of report sheets, which issues are clients at risk of
developing? Select all that apply.
Increased cost-containment
Delays in care
Increased costs
Complications
Adverse events
Mistrust in the healthcare team - ANS All BUT
increased cost-containment
The day-shift nurse should prioritize client ______ to prevent ______ caused by
miscommunication of client information during hand-off reports. - ANS safety issues
sentinel events
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 2
