Practice Test 1 (Units 1-7) - Questions with Correct Answers
100 questions
1. A communication breakdown that results in a wrong-site surgery is an example of:
A. A near miss
B. A sentinel event
C. A minor error
D. A billing error
Correct Answer: B. A sentinel event
Rationale: Sentinel events cause death or severe harm. Universal Protocol aims to prevent
wrong-site surgery.
2. A communication climate where questions are welcomed leads to:
A. Less clarity
B. More clarification and fewer errors
C. More errors
D. Lower engagement
Correct Answer: B. More clarification and fewer errors
Rationale: Questions reveal misunderstandings. Welcoming them improves safety.
3. Workplace culture that tolerates disrespectful behavior leads to:
A. Better teamwork
B. More reporting
C. Reduced communication and increased patient safety risk
D. Improved morale
Correct Answer: C. Reduced communication and increased patient safety risk
Rationale: Disrespect discourages questions. Leaders must address it.
,4. One-way communication, such as leaving a note without confirmation, is risky because:
A. The receiver may not get or understand the message
B. It is always faster
C. It guarantees accuracy
D. It replaces documentation
Correct Answer: A. The receiver may not get or understand the message
Rationale: Two-way communication allows questions and verification. Closing the loop is safer.
5. Interprofessional collaborative practice benefits patients by:
A. Providing more comprehensive, coordinated care
B. Increasing fragmentation
C. Reducing access
D. Increasing wait times
Correct Answer: A. Providing more comprehensive, coordinated care
Rationale: Different professionals address different needs. Coordination improves experience.
6. Communication in multicultural health care teams benefits from:
A. Clarifying meaning, avoiding idioms and respecting different communication norms
B. Assuming everyone communicates the same way
C. Using slang
D. Speaking faster
Correct Answer: A. Clarifying meaning, avoiding idioms and respecting different
communication norms
Rationale: Cultural norms affect directness and hierarchy. Clarity reduces misunderstanding.
,7. Shared goals in an interprofessional team:
A. Divide the team
B. Are unnecessary
C. Focus on one profession's interests
D. Align efforts around the patient's needs and outcomes
Correct Answer: D. Align efforts around the patient's needs and outcomes
Rationale: Common goals reduce conflict. The patient's goals are central.
8. "Teaming," as described by Edmondson, refers to:
A. Teamwork on the fly, where people coordinate in fluid, temporary groups
B. Permanent teams only
C. Sports teams
D. Individual work
Correct Answer: A. Teamwork on the fly, where people coordinate in fluid, temporary groups
Rationale: Rapid response and code teams are examples. Clear roles and communication are
critical.
9. Situational awareness in team communication refers to:
A. Knowing only one's own tasks
B. Knowing what is happening around the team and anticipating what may happen next
C. Ignoring the environment
D. Memorizing protocols
Correct Answer: B. Knowing what is happening around the team and anticipating what may
happen next
Rationale: Shared awareness supports safe decisions. Communication keeps everyone updated.
, 10. A steep authority gradient in a health care team can:
A. Improve communication
B. Increase reporting
C. Eliminate errors
D. Discourage junior members from speaking up about safety concerns
Correct Answer: D. Discourage junior members from speaking up about safety concerns
Rationale: Aviation and health care disasters have been linked to steep gradients. Flattening
hierarchy improves safety.
11. Scope of practice refers to:
A. Personal preferences
B. The legally defined activities a professional is licensed and competent to perform
C. Hospital parking
D. Salary ranges
Correct Answer: B. The legally defined activities a professional is licensed and competent to
perform
Rationale: Scope varies by state and profession. Knowing it supports appropriate delegation.
12. Nurse-physician collaboration has been associated with:
A. Worse outcomes
B. Lower patient mortality and better outcomes in intensive care
C. No effect
D. Higher costs only
Correct Answer: B. Lower patient mortality and better outcomes in intensive care
Rationale: Classic studies linked collaboration to ICU outcomes. Collaboration improves
decisions.