Comprehensive NURS-FPX 4035 2025 Exam Pack – 70
Big Questions, Correct Answers, Rotations & Expert
Rationales
What type of error is this and what is the nurse’s BEST immediate follow-up
action?
A. Slip error; notify the provider and monitor patient
B. Violation error; document only in EHR
C. Knowledge-based error; wait for risk management
D. Near miss; no action needed
Answer-: A
Rationale:
This is a slip (execution) error—the nurse intended to follow policy but failed
under workload pressure. Reporting was correct. Next step is notify provider and
monitor patient, per safety protocols.
Q2. (Scenario – Communication Failure)
During a busy shift, a nurse receives a verbal order for a potassium infusion. She
documents it but does not perform a “read-back,” leading to incorrect rate
programming. What safety principle was violated?
A. SBAR
B. High-reliability principle
C. Closed-loop communication
D. Just culture
Answer-: C
,Rationale:
Closed-loop communication requires repeat-back or read-back to confirm
accuracy.
Q3.
A novice nurse fears reporting an error due to possible punishment. The facility
wants to improve reporting rates. Which strategy aligns MOST with Just Culture?
A. Zero tolerance for all errors
B. Distinguishing human error from reckless behavior
C. Mandatory dismissals for near misses
D. Publicly posting all incident reports
Answer-: B
Q4.
A patient receives a contraindicated medication because allergies were not
reviewed. What is this?
A. Latent error
B. Active error
C. Sentinel event
D. Root cause
Answer-: B
Rationale:
Active errors happen at the point of care.
Q5.
A medication error reaches the patient but causes no harm. This is called:
A. Sentinel event
B. Near miss
, C. No-harm event
D. Hazard
Answer-: C
Q6.
Which of the following BEST supports a culture of safety?
A. Blaming the individual
B. Encouraging error reporting without punishment
C. Prioritizing cost savings
D. Minimizing staff communication
Answer-: B
Q7. (Scenario – Handoff Rotation)
A postoperative patient arrives with incomplete SBAR report. What is the FIRST
nursing action?
A. Begin assessment immediately
B. Ask sending nurse to complete SBAR
C. Check MAR for medication issues
D. Document the incomplete handoff
Answer-: B
Q8.
A facility must report sentinel events to:
A. CMS
B. Joint Commission
C. OSHA
D. AMA
Answer-: B
Big Questions, Correct Answers, Rotations & Expert
Rationales
What type of error is this and what is the nurse’s BEST immediate follow-up
action?
A. Slip error; notify the provider and monitor patient
B. Violation error; document only in EHR
C. Knowledge-based error; wait for risk management
D. Near miss; no action needed
Answer-: A
Rationale:
This is a slip (execution) error—the nurse intended to follow policy but failed
under workload pressure. Reporting was correct. Next step is notify provider and
monitor patient, per safety protocols.
Q2. (Scenario – Communication Failure)
During a busy shift, a nurse receives a verbal order for a potassium infusion. She
documents it but does not perform a “read-back,” leading to incorrect rate
programming. What safety principle was violated?
A. SBAR
B. High-reliability principle
C. Closed-loop communication
D. Just culture
Answer-: C
,Rationale:
Closed-loop communication requires repeat-back or read-back to confirm
accuracy.
Q3.
A novice nurse fears reporting an error due to possible punishment. The facility
wants to improve reporting rates. Which strategy aligns MOST with Just Culture?
A. Zero tolerance for all errors
B. Distinguishing human error from reckless behavior
C. Mandatory dismissals for near misses
D. Publicly posting all incident reports
Answer-: B
Q4.
A patient receives a contraindicated medication because allergies were not
reviewed. What is this?
A. Latent error
B. Active error
C. Sentinel event
D. Root cause
Answer-: B
Rationale:
Active errors happen at the point of care.
Q5.
A medication error reaches the patient but causes no harm. This is called:
A. Sentinel event
B. Near miss
, C. No-harm event
D. Hazard
Answer-: C
Q6.
Which of the following BEST supports a culture of safety?
A. Blaming the individual
B. Encouraging error reporting without punishment
C. Prioritizing cost savings
D. Minimizing staff communication
Answer-: B
Q7. (Scenario – Handoff Rotation)
A postoperative patient arrives with incomplete SBAR report. What is the FIRST
nursing action?
A. Begin assessment immediately
B. Ask sending nurse to complete SBAR
C. Check MAR for medication issues
D. Document the incomplete handoff
Answer-: B
Q8.
A facility must report sentinel events to:
A. CMS
B. Joint Commission
C. OSHA
D. AMA
Answer-: B
