NURS FPX 4035 Enhancing Patient Safety
and Quality of Care Practice Exam
Preparation Guide Questions Bank and
Correct Answers Guaranteed Pass Latest
Version 2025 Capella University
NURS FPX 4035 is a Capella University course (part of their BSN FlexPath program)
focused on improving healthcare outcomes through evidence-based strategies. It
emphasizes nurses' roles in identifying safety risks, implementing quality
improvement initiatives, and collaborating interprofessionally to reduce errors
and costs. The course doesn't appear to have a single "final exam" based on
available resources; instead, it features performance assessments (e.g., papers,
analyses, and toolkits) that test these concepts. If you're preparing for an exam-
like quiz or assessment, key topics include diagnostic errors, fall prevention, root-
cause analysis, and safety culture. Below, I'll outline core content areas, study
tips, and sample concepts drawn from course materials.
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1. **A patient with end-stage liver disease has a paracentesis. Post-procedure,
the nurse monitors most closely for:**
A. Rebound hypoglycemia
B. Hypotension and tachycardia (rapid removal of >5 L without albumin can
cause circulatory collapse)
C. Hyperkalemia
D. Respiratory alkalosis
, Answer: B
2. **The nurse is administering the first dose of gentamicin. Which lab value must
be checked immediately before giving?**
A. Serum creatinine/trough level
B. WBC
C. Magnesium
D. LFTs
Answer: A – Nephrotoxic/ototoxic; trough required before 2nd+ doses, but
baseline creatinine mandatory for first.
3. **A patient on telemetry suddenly develops torsades de pointes. The FIRST
medication the nurse grabs is:**
A. Amiodarone
B. Lidocaine
C. Magnesium sulfate IV
D. Defibrillator pads (if pulseless)
Answer: C – Magnesium is first-line for torsades with pulse.
4. **The hospital is rolling out a new rapid response team (RRT). The trigger that
has been shown to reduce codes outside ICU the most is:**
A. “Staff worried about patient”
B. Respiratory rate >30
C. SBP <90
D. Heart rate >130
Answer: A – “Worried” criterion catches 40–50% more deteriorating patients.
, 5. **Which of the following is a HAC (Hospital-Acquired Condition) that results in
CMS payment penalty?**
A. Stage 2 pressure injury
B. Manifestations of poor glycemic control (hypo/hyperglycemia, DKA)
C. CAUTI
D. Both B and C
Answer: D
6. **Which of the following is the most effective nurse-led intervention to reduce
catheter-associated urinary tract infections (CAUTIs) in a medical-surgical unit?**
A. Daily chlorhexidine bathing
B. Nurse-driven protocol for removing unnecessary urinary catheters
C. Increasing antibiotic prophylaxis
D. Hourly rounding only
Answer: B – Nurse-driven removal protocols have reduced CAUTIs by 50–70% in
multiple studies (CDC, IHI).
7. **During a root cause analysis of a wrong-site surgery, the team identifies “lack
of time-out” as a contributing factor. This is best classified as:**
A. Active failure
B. Latent condition
C. Human error
D. Violation
Answer: A – Failure to perform the mandatory time-out is an active failure at
the sharp end.
and Quality of Care Practice Exam
Preparation Guide Questions Bank and
Correct Answers Guaranteed Pass Latest
Version 2025 Capella University
NURS FPX 4035 is a Capella University course (part of their BSN FlexPath program)
focused on improving healthcare outcomes through evidence-based strategies. It
emphasizes nurses' roles in identifying safety risks, implementing quality
improvement initiatives, and collaborating interprofessionally to reduce errors
and costs. The course doesn't appear to have a single "final exam" based on
available resources; instead, it features performance assessments (e.g., papers,
analyses, and toolkits) that test these concepts. If you're preparing for an exam-
like quiz or assessment, key topics include diagnostic errors, fall prevention, root-
cause analysis, and safety culture. Below, I'll outline core content areas, study
tips, and sample concepts drawn from course materials.
fFfc
1. **A patient with end-stage liver disease has a paracentesis. Post-procedure,
the nurse monitors most closely for:**
A. Rebound hypoglycemia
B. Hypotension and tachycardia (rapid removal of >5 L without albumin can
cause circulatory collapse)
C. Hyperkalemia
D. Respiratory alkalosis
, Answer: B
2. **The nurse is administering the first dose of gentamicin. Which lab value must
be checked immediately before giving?**
A. Serum creatinine/trough level
B. WBC
C. Magnesium
D. LFTs
Answer: A – Nephrotoxic/ototoxic; trough required before 2nd+ doses, but
baseline creatinine mandatory for first.
3. **A patient on telemetry suddenly develops torsades de pointes. The FIRST
medication the nurse grabs is:**
A. Amiodarone
B. Lidocaine
C. Magnesium sulfate IV
D. Defibrillator pads (if pulseless)
Answer: C – Magnesium is first-line for torsades with pulse.
4. **The hospital is rolling out a new rapid response team (RRT). The trigger that
has been shown to reduce codes outside ICU the most is:**
A. “Staff worried about patient”
B. Respiratory rate >30
C. SBP <90
D. Heart rate >130
Answer: A – “Worried” criterion catches 40–50% more deteriorating patients.
, 5. **Which of the following is a HAC (Hospital-Acquired Condition) that results in
CMS payment penalty?**
A. Stage 2 pressure injury
B. Manifestations of poor glycemic control (hypo/hyperglycemia, DKA)
C. CAUTI
D. Both B and C
Answer: D
6. **Which of the following is the most effective nurse-led intervention to reduce
catheter-associated urinary tract infections (CAUTIs) in a medical-surgical unit?**
A. Daily chlorhexidine bathing
B. Nurse-driven protocol for removing unnecessary urinary catheters
C. Increasing antibiotic prophylaxis
D. Hourly rounding only
Answer: B – Nurse-driven removal protocols have reduced CAUTIs by 50–70% in
multiple studies (CDC, IHI).
7. **During a root cause analysis of a wrong-site surgery, the team identifies “lack
of time-out” as a contributing factor. This is best classified as:**
A. Active failure
B. Latent condition
C. Human error
D. Violation
Answer: A – Failure to perform the mandatory time-out is an active failure at
the sharp end.
