Transitions Exam 2 questions with
complete solutions
"Ninety-five percent of all patients presenting to the emergency department with chest pain will
receive aspirin 80 mg within 15 minutes of arrival unless contraindicated." Top hospital
emergency departments use this standard to eliminate sudden death related to chest pain.
Hospitals desiring to replicate these results establish compliance rates known as:
a. competencies. // b. benchmarks. // c. driving force.//
d. Team Strategies and Tools to Enhance Performance and Patient Safety (Team STEPPS). -
correct answer ✔✔ B Correct: A benchmark is a standard for other providers or institutions to
replicate.
Incorrect: a. A competency is the ability to practice safely based on knowledge, skills, and
attitudes for a certain role. c. Driving forces promote change. In this example they may be a
desire to be a magnet hospital or simply to be recognized as a safe place to receive care. d.
TeamSTEPPS is a team training and communication approach that enhances patient safety.
Which of the following occurrences would be classified as a sentinel event?
a. A postpartum patient who elects to breastfeed only twice daily develops mastitis.
b. A newly diagnosed diabetic patient self-injects insulin in the abdominal area rather than the
upper thigh as instructed by the patient educator.
c. A nurse assisting with the delivery of twins places the "Twin 1" name tag on the second-born
twin, causing the first-born twin to undergo surgery that was scheduled for the other twin.
d. A nurse administers 3 units of regular insulin rather than 3 units of NPH insulin
subcutaneously, resulting in a drop in the patient's serum glucose from 160 mg to 100 mg. -
correct answer ✔✔ C
,A patient is ordered a low-protein, low-calorie diet but the patient's family brings fish, lentils,
and unleavened bread for a meal to observe a cultural practice. The nurse works with the
dietitian to adjust the next few meals to accommodate for this variance. This situation would
represent:
a. a sentinel event.
b. an adverse event.
c. patient-centered care.
d. the communication technique of "call-out." - correct answer ✔✔ C
The nurse and dietitian are respecting patient values, preferences, and expressed needs.
During resuscitation efforts, a provider states, "I need to give a 1.5 mg/kg bolus of lidocaine
because the patient is in ventricular tachycardia." The nurse responds, "I have a lidocaine bolus
equal to 1.5 mg/kg." This communication model is known as:
a. situation background assessment recommendation (SBAR).
b. check-back.
c. hand-off check.
d. critical-language. - correct answer ✔✔ Correct: B. Check-back is the process of repeating
what was heard.
Following a complicated surgery, a patient who was received in the recovery room suddenly
loses consciousness and becomes unstable. The nurse who arrives at the scene performs
assessments and makes the following comments, "The patient is nonresponsive to verbal
stimuli," "The patient is not initiating any spontaneous respiration," and "I am unable to palpate
a femoral pulse," and other members of the health care team react to the comments. The team
is using the mental model for communication known as:
a. critical language.
, b. call-out.
c. check-back.
d. hand-off. - correct answer ✔✔ B Correct: The nurse is providing critical information so the
team can anticipate what is needed next for the patient.
Incorrect: a. There is no indication to stop and there was no evidence of language such as "I am
concerned" to indicate a concern. c. Members of the team were not repeating what was heard.
d. The patient is not being transferred to another unit or provider at this time.
*When planning a program to reduce the number of sentinel events in an organization, the
program planner should focus on the leading cause of sentinel events, which is related to a
problem with:
a. leadership or management.
b. staffing patterns.
c. environmental safety.
d. communication. - correct answer ✔✔ D Correct: Approximately 65% of sentinel events are
related to failed communication or problems with communication.
Nurses, physicians, and social workers finalize the plan of care and coordinate discharge for a
homeless person who will need wound care and follow up over the next 4 weeks. Each member
contributes based on his or her area of expertise but also recognize other members' strengths.
Which of the QSEN competencies are being demonstrated?
a. Quality improvement
b. Evidence-based practice
c. Teamwork and collaboration
d. Patient-centered care - correct answer ✔✔ ANS: C Correct: An interdisciplinary team is
working to prevent hand-off errors on discharge.
complete solutions
"Ninety-five percent of all patients presenting to the emergency department with chest pain will
receive aspirin 80 mg within 15 minutes of arrival unless contraindicated." Top hospital
emergency departments use this standard to eliminate sudden death related to chest pain.
Hospitals desiring to replicate these results establish compliance rates known as:
a. competencies. // b. benchmarks. // c. driving force.//
d. Team Strategies and Tools to Enhance Performance and Patient Safety (Team STEPPS). -
correct answer ✔✔ B Correct: A benchmark is a standard for other providers or institutions to
replicate.
Incorrect: a. A competency is the ability to practice safely based on knowledge, skills, and
attitudes for a certain role. c. Driving forces promote change. In this example they may be a
desire to be a magnet hospital or simply to be recognized as a safe place to receive care. d.
TeamSTEPPS is a team training and communication approach that enhances patient safety.
Which of the following occurrences would be classified as a sentinel event?
a. A postpartum patient who elects to breastfeed only twice daily develops mastitis.
b. A newly diagnosed diabetic patient self-injects insulin in the abdominal area rather than the
upper thigh as instructed by the patient educator.
c. A nurse assisting with the delivery of twins places the "Twin 1" name tag on the second-born
twin, causing the first-born twin to undergo surgery that was scheduled for the other twin.
d. A nurse administers 3 units of regular insulin rather than 3 units of NPH insulin
subcutaneously, resulting in a drop in the patient's serum glucose from 160 mg to 100 mg. -
correct answer ✔✔ C
,A patient is ordered a low-protein, low-calorie diet but the patient's family brings fish, lentils,
and unleavened bread for a meal to observe a cultural practice. The nurse works with the
dietitian to adjust the next few meals to accommodate for this variance. This situation would
represent:
a. a sentinel event.
b. an adverse event.
c. patient-centered care.
d. the communication technique of "call-out." - correct answer ✔✔ C
The nurse and dietitian are respecting patient values, preferences, and expressed needs.
During resuscitation efforts, a provider states, "I need to give a 1.5 mg/kg bolus of lidocaine
because the patient is in ventricular tachycardia." The nurse responds, "I have a lidocaine bolus
equal to 1.5 mg/kg." This communication model is known as:
a. situation background assessment recommendation (SBAR).
b. check-back.
c. hand-off check.
d. critical-language. - correct answer ✔✔ Correct: B. Check-back is the process of repeating
what was heard.
Following a complicated surgery, a patient who was received in the recovery room suddenly
loses consciousness and becomes unstable. The nurse who arrives at the scene performs
assessments and makes the following comments, "The patient is nonresponsive to verbal
stimuli," "The patient is not initiating any spontaneous respiration," and "I am unable to palpate
a femoral pulse," and other members of the health care team react to the comments. The team
is using the mental model for communication known as:
a. critical language.
, b. call-out.
c. check-back.
d. hand-off. - correct answer ✔✔ B Correct: The nurse is providing critical information so the
team can anticipate what is needed next for the patient.
Incorrect: a. There is no indication to stop and there was no evidence of language such as "I am
concerned" to indicate a concern. c. Members of the team were not repeating what was heard.
d. The patient is not being transferred to another unit or provider at this time.
*When planning a program to reduce the number of sentinel events in an organization, the
program planner should focus on the leading cause of sentinel events, which is related to a
problem with:
a. leadership or management.
b. staffing patterns.
c. environmental safety.
d. communication. - correct answer ✔✔ D Correct: Approximately 65% of sentinel events are
related to failed communication or problems with communication.
Nurses, physicians, and social workers finalize the plan of care and coordinate discharge for a
homeless person who will need wound care and follow up over the next 4 weeks. Each member
contributes based on his or her area of expertise but also recognize other members' strengths.
Which of the QSEN competencies are being demonstrated?
a. Quality improvement
b. Evidence-based practice
c. Teamwork and collaboration
d. Patient-centered care - correct answer ✔✔ ANS: C Correct: An interdisciplinary team is
working to prevent hand-off errors on discharge.
