NSG 4100 EXAM / QUALITY IMPROVEMENT AND SAFETY NSG 4100
EXAM 3 LATEST 2026/2027 COMPLETE ACCURATE EXAM REAL
QUESTIONS AND CORRECT DETAILED ANSWERS (100% CORRECT
VERIFIED SOLUTIONS) A NEW UPDATED VERSION |GUARANTEED
SUCCESS A+
The primary goal of quality improvement (QI) in healthcare is to:
a. assign blame for errors
b. improves patient outcomes and safety
c. reduces nursing workload
d. limit patient access to care
correct answer: b. improves patient outcomes and safety
rationale: QI focuses on systematic changes to enhance care quality and safety
rather than assigning blame.
A nurse reports a near-miss medication error. This contributes to:
a. punitive action
b. quality improvement and patient safety
c. ignoring errors
d. reducing accountability
correct answer: b. quality improvement and patient safety
rationale: Reporting near-misses allows organizations to analyze processes and
prevent future harm.
Which model uses plan-do-study-act cycles to test changes in patient care?
a. Six Sigma
,b. Lean
c. PDSA
d. Root cause analysis
correct answer: c. PDSA
rationale: PDSA (Plan-Do-Study-Act) is a systematic method for testing and
implementing changes in care processes.
A sentinel event is defined as:
a. an anticipated minor error
b. an unexpected event causing death or serious harm
c. routine care
d. a staffing shortage
correct answer: b. an unexpected event causing death or serious harm
rationale: Sentinel events signal the need for immediate investigation and
corrective action.
The nurse uses a checklist before surgery to prevent errors. This is an example of:
a. quality improvement
b. punitive action
c. negligence
d. malpractice
correct answer: a. quality improvement
rationale: Standardized checklists help prevent errors and improve patient safety.
Which principle emphasizes learning from errors without punishing individuals?
,a. blame culture
b. just culture
c. negligence
d. malpractice
correct answer: b. just culture
rationale: Just culture focuses on accountability while promoting reporting and
learning from mistakes.
Which of the following is a key element of patient safety?
a. error reporting
b. ignoring near misses
c. punishing staff
d. withholding information
correct answer: a. error reporting
rationale: Reporting errors and near misses is essential for preventing harm and
improving care.
Which is an example of a preventable adverse event?
a. administering the wrong medication
b. patient falls due to slipping
c. both an and b
d. none of the above
correct answer: c. both an and b
rationale: Preventable adverse events are those that result from errors or system
failures.
, Which safety tool is used to analyze underlying causes of errors?
a. PDSA
b. Lean
c. Root cause analysis
d. Six Sigma
correct answer: c. Root cause analysis
rationale: RCA identifies systemic factors contributing to errors to prevent
recurrence.
The National Patient Safety Goals (NPSGs) are developed by:
a. The Joint Commission
b. CDC
c. OSHA
d. CMS
correct answer: a. The Joint Commission
rationale: NPSGs provide evidence-based practices to enhance patient safety and
reduce harm.
Which strategy reduces medication errors?
a. barcode scanning of medications
b. skipping double-checks
c. verbal orders only
d. administering without verification
correct answer: a. barcode scanning of medications
EXAM 3 LATEST 2026/2027 COMPLETE ACCURATE EXAM REAL
QUESTIONS AND CORRECT DETAILED ANSWERS (100% CORRECT
VERIFIED SOLUTIONS) A NEW UPDATED VERSION |GUARANTEED
SUCCESS A+
The primary goal of quality improvement (QI) in healthcare is to:
a. assign blame for errors
b. improves patient outcomes and safety
c. reduces nursing workload
d. limit patient access to care
correct answer: b. improves patient outcomes and safety
rationale: QI focuses on systematic changes to enhance care quality and safety
rather than assigning blame.
A nurse reports a near-miss medication error. This contributes to:
a. punitive action
b. quality improvement and patient safety
c. ignoring errors
d. reducing accountability
correct answer: b. quality improvement and patient safety
rationale: Reporting near-misses allows organizations to analyze processes and
prevent future harm.
Which model uses plan-do-study-act cycles to test changes in patient care?
a. Six Sigma
,b. Lean
c. PDSA
d. Root cause analysis
correct answer: c. PDSA
rationale: PDSA (Plan-Do-Study-Act) is a systematic method for testing and
implementing changes in care processes.
A sentinel event is defined as:
a. an anticipated minor error
b. an unexpected event causing death or serious harm
c. routine care
d. a staffing shortage
correct answer: b. an unexpected event causing death or serious harm
rationale: Sentinel events signal the need for immediate investigation and
corrective action.
The nurse uses a checklist before surgery to prevent errors. This is an example of:
a. quality improvement
b. punitive action
c. negligence
d. malpractice
correct answer: a. quality improvement
rationale: Standardized checklists help prevent errors and improve patient safety.
Which principle emphasizes learning from errors without punishing individuals?
,a. blame culture
b. just culture
c. negligence
d. malpractice
correct answer: b. just culture
rationale: Just culture focuses on accountability while promoting reporting and
learning from mistakes.
Which of the following is a key element of patient safety?
a. error reporting
b. ignoring near misses
c. punishing staff
d. withholding information
correct answer: a. error reporting
rationale: Reporting errors and near misses is essential for preventing harm and
improving care.
Which is an example of a preventable adverse event?
a. administering the wrong medication
b. patient falls due to slipping
c. both an and b
d. none of the above
correct answer: c. both an and b
rationale: Preventable adverse events are those that result from errors or system
failures.
, Which safety tool is used to analyze underlying causes of errors?
a. PDSA
b. Lean
c. Root cause analysis
d. Six Sigma
correct answer: c. Root cause analysis
rationale: RCA identifies systemic factors contributing to errors to prevent
recurrence.
The National Patient Safety Goals (NPSGs) are developed by:
a. The Joint Commission
b. CDC
c. OSHA
d. CMS
correct answer: a. The Joint Commission
rationale: NPSGs provide evidence-based practices to enhance patient safety and
reduce harm.
Which strategy reduces medication errors?
a. barcode scanning of medications
b. skipping double-checks
c. verbal orders only
d. administering without verification
correct answer: a. barcode scanning of medications
