L&M Final Exam UPDATED QUESTIONS
AND CORRECT ANSWERS
1. According to the IOM what number of hospitalized patients die from preventable
medication errors each year?
a. No reportable deaths in the last two years
b. 4,400 to 9,800
c. 44,000 to 98,000
d. 440,000 to 980,000 - CORRECT ANSWER c. 44,000 to 98,000
2.Serious reportable events are also referred to as
a. Near misses
b. Never events
c. Close call
d. Safe practices - CORRECT ANSWER b. Never events
3. What quality organization requires institutions to investigate all sentinel events?
a. IOM
b. AHRQ
c. Joint Commission
d. National Quality Forum - CORRECT ANSWER c. Joint Commission
4. The best definition of sentinel event is
a. An unexpected occurrence involving death or serious physical or psychological injury, or
the risk thereof.
b. A common occurrence involving death or serious physical or psychological injury, or the
risk thereof.
c. An unexpected occurrence involving death or serious physical or psychological injury.
,d. An unexpected occurrence involving death, or the risk thereof. - CORRECT
ANSWER a. An unexpected occurrence involving death or serious physical or
psychological injury, or the risk thereof.
5. All of the following would be considered Sentinel events except
a. Surgery on the wrong body part
b. Discharge of an infant to the wrong family
c. Perforation of the uterus during a D & C
d. A hip fracture resulting from a patient fall
e. Death resulting from a treatment related or medication error
f. Overdosing with commonly used anticoagulants - CORRECT ANSWER abef
a. Surgery on the wrong body part
b. Discharge of an infant to the wrong family
e. Death resulting from a treatment related or medication error
f. Overdosing with commonly used anticoagulants
6. IOM is the initials of the International Office of Medicine.
T/F - CORRECT ANSWER b. False
7. Centers for Medicare and Medicaid Services (CMS) is the agency that processes and pays
claims for the Medicare and Medicaid programs
T/F - CORRECT ANSWER a. True
8.CMS will not reimburse hospitals for the cost associated with which of the following
serious hospital acquired complications. (Check all that apply)
a. Air embolism
b. Catheter associated urinary tract infection
c. MRSA
d. Pressure ulcers
e. Blood incompatibility
,f. Foreign object left behind in a surgical patient - CORRECT ANSWER abcdef
a. Air embolism
b. Catheter associated urinary tract infection
c. MRSA
d. Pressure ulcers
e. Blood incompatibility
f. Foreign object left behind in a surgical patient
9.The culture of an organization is a product of its history, its mission and values, its policy
and customs, the structure of the organization, and the manner in which providers of
healthcare carry out their roles. A culture in which trust and mutual respect encourage
healthcare providers to report errors, near misses, and other adverse events without fear of
retribution is known as a?
a. Culture of safety
b. Culture of acceptance
c. Culture of culture
d. Culture forgiveness - CORRECT ANSWER a. Culture of safety
10. The Joint Commission required process that is a comprehensive in-depth analysis that
seeks to identify all the underlying factors that contribute to an error and to identify their role
in causing the error is known as a?
a. Route calls answers
b. Recording Company of America
c. Reasonable causation analysis
d. Root cause analysis - CORRECT ANSWER d. Root cause analysis
11. CMS will not reimburse hospitals for all of the following hospital acquired complications
except
a. Blood Incompatibility
b. Pressure Ulcers
c. Maternal Death
, d. HAI - MRSA - CORRECT ANSWER c. Maternal Death
12. Patients undergoing certain high risk procedures have lower than expected mortality rates
in hospitals that perform large numbers of those procedures.
a. True
b. False - CORRECT ANSWER a. True
13. The briefing and communication technique known as SBAR stands for
a. Situation, Assessment, Backdrop and Recording
b. Satisfaction, Background, Analysis and Recommendation
c. Satisfaction, Background, Analysis and Recording
d. Situation, Background, Assessment and Recommendation - CORRECT ANSWER d.
Situation, Background, Assessment and Recommendation
14. A pre-procedure verification process, marking the surgical site, and performing a time-out
before each surgery are all part of a process known as a(the)
a. Root Cause Analysis
b. Universal Protocol
c. Joint Commission
d. Utilitarianism protocol - CORRECT ANSWER b. Universal Protocol
15. The time out involves only licensed members of the team regardless of their place in the
hierarchy
a. True
b. False - CORRECT ANSWER b. False
16. What percentage of patients admitted to acute care hospitals and long term care facilities
have a hospital acquired or nosocomial infection.
a. 5 - 10 percent
b. 2 - 4 percent
AND CORRECT ANSWERS
1. According to the IOM what number of hospitalized patients die from preventable
medication errors each year?
a. No reportable deaths in the last two years
b. 4,400 to 9,800
c. 44,000 to 98,000
d. 440,000 to 980,000 - CORRECT ANSWER c. 44,000 to 98,000
2.Serious reportable events are also referred to as
a. Near misses
b. Never events
c. Close call
d. Safe practices - CORRECT ANSWER b. Never events
3. What quality organization requires institutions to investigate all sentinel events?
a. IOM
b. AHRQ
c. Joint Commission
d. National Quality Forum - CORRECT ANSWER c. Joint Commission
4. The best definition of sentinel event is
a. An unexpected occurrence involving death or serious physical or psychological injury, or
the risk thereof.
b. A common occurrence involving death or serious physical or psychological injury, or the
risk thereof.
c. An unexpected occurrence involving death or serious physical or psychological injury.
,d. An unexpected occurrence involving death, or the risk thereof. - CORRECT
ANSWER a. An unexpected occurrence involving death or serious physical or
psychological injury, or the risk thereof.
5. All of the following would be considered Sentinel events except
a. Surgery on the wrong body part
b. Discharge of an infant to the wrong family
c. Perforation of the uterus during a D & C
d. A hip fracture resulting from a patient fall
e. Death resulting from a treatment related or medication error
f. Overdosing with commonly used anticoagulants - CORRECT ANSWER abef
a. Surgery on the wrong body part
b. Discharge of an infant to the wrong family
e. Death resulting from a treatment related or medication error
f. Overdosing with commonly used anticoagulants
6. IOM is the initials of the International Office of Medicine.
T/F - CORRECT ANSWER b. False
7. Centers for Medicare and Medicaid Services (CMS) is the agency that processes and pays
claims for the Medicare and Medicaid programs
T/F - CORRECT ANSWER a. True
8.CMS will not reimburse hospitals for the cost associated with which of the following
serious hospital acquired complications. (Check all that apply)
a. Air embolism
b. Catheter associated urinary tract infection
c. MRSA
d. Pressure ulcers
e. Blood incompatibility
,f. Foreign object left behind in a surgical patient - CORRECT ANSWER abcdef
a. Air embolism
b. Catheter associated urinary tract infection
c. MRSA
d. Pressure ulcers
e. Blood incompatibility
f. Foreign object left behind in a surgical patient
9.The culture of an organization is a product of its history, its mission and values, its policy
and customs, the structure of the organization, and the manner in which providers of
healthcare carry out their roles. A culture in which trust and mutual respect encourage
healthcare providers to report errors, near misses, and other adverse events without fear of
retribution is known as a?
a. Culture of safety
b. Culture of acceptance
c. Culture of culture
d. Culture forgiveness - CORRECT ANSWER a. Culture of safety
10. The Joint Commission required process that is a comprehensive in-depth analysis that
seeks to identify all the underlying factors that contribute to an error and to identify their role
in causing the error is known as a?
a. Route calls answers
b. Recording Company of America
c. Reasonable causation analysis
d. Root cause analysis - CORRECT ANSWER d. Root cause analysis
11. CMS will not reimburse hospitals for all of the following hospital acquired complications
except
a. Blood Incompatibility
b. Pressure Ulcers
c. Maternal Death
, d. HAI - MRSA - CORRECT ANSWER c. Maternal Death
12. Patients undergoing certain high risk procedures have lower than expected mortality rates
in hospitals that perform large numbers of those procedures.
a. True
b. False - CORRECT ANSWER a. True
13. The briefing and communication technique known as SBAR stands for
a. Situation, Assessment, Backdrop and Recording
b. Satisfaction, Background, Analysis and Recommendation
c. Satisfaction, Background, Analysis and Recording
d. Situation, Background, Assessment and Recommendation - CORRECT ANSWER d.
Situation, Background, Assessment and Recommendation
14. A pre-procedure verification process, marking the surgical site, and performing a time-out
before each surgery are all part of a process known as a(the)
a. Root Cause Analysis
b. Universal Protocol
c. Joint Commission
d. Utilitarianism protocol - CORRECT ANSWER b. Universal Protocol
15. The time out involves only licensed members of the team regardless of their place in the
hierarchy
a. True
b. False - CORRECT ANSWER b. False
16. What percentage of patients admitted to acute care hospitals and long term care facilities
have a hospital acquired or nosocomial infection.
a. 5 - 10 percent
b. 2 - 4 percent
