L/M Final Exam 2025 Questions and
Answers
1. According to the IOM what number of hospitalized patients die from preventable medication
errors each year?
a. No reportable deaths in the last two years
b. 4,400 to 9,800
c. 44,000 to 98,000
d. 440,000 to 980,000 - ANS c. 44,000 to 98,000
2.Serious reportable events are also referred to as
a. Near misses
b. Never events
c. Close call
d. Safe practices - ANS b. Never events
3. What quality organization requires institutions to investigate all sentinel events?
a. IOM
b. AHRQ
c. Joint Commission
d. National Quality Forum - ANS c. Joint Commission
4. The best definition of sentinel event is
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,a. An unexpected occurrence involving death or serious physical or psychological injury, or the
risk thereof.
b. A common occurrence involving death or serious physical or psychological injury, or the risk
thereof.
c. An unexpected occurrence involving death or serious physical or psychological injury.
d. An unexpected occurrence involving death, or the risk thereof. - ANS a. An unexpected
occurrence involving death or serious physical or psychological injury, or the risk thereof.
5. All of the following would be considered Sentinel events except
a. Surgery on the wrong body part
b. Discharge of an infant to the wrong family
c. Perforation of the uterus during a D & C
d. A hip fracture resulting from a patient fall
e. Death resulting from a treatment related or medication error
f. Overdosing with commonly used anticoagulants - ANS abef
a. Surgery on the wrong body part
b. Discharge of an infant to the wrong family
e. Death resulting from a treatment related or medication error
f. Overdosing with commonly used anticoagulants
6. IOM is the initials of the International Office of Medicine.
T/F - ANS b. False
7. Centers for Medicare and Medicaid Services (CMS) is the agency that processes and pays
claims for the Medicare and Medicaid programs
T/F - ANS a. True
8.CMS will not reimburse hospitals for the cost associated with which of the following serious
hospital acquired complications. (Check all that apply)
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,a. Air embolism
b. Catheter associated urinary tract infection
c. MRSA
d. Pressure ulcers
e. Blood incompatibility
f. Foreign object left behind in a surgical patient - ANS abcdef
a. Air embolism
b. Catheter associated urinary tract infection
c. MRSA
d. Pressure ulcers
e. Blood incompatibility
f. Foreign object left behind in a surgical patient
9.The culture of an organization is a product of its history, its mission and values, its policy and
customs, the structure of the organization, and the manner in which providers of healthcare
carry out their roles. A culture in which trust and mutual respect encourage healthcare
providers to report errors, near misses, and other adverse events without fear of retribution is
known as a?
a. Culture of safety
b. Culture of acceptance
c. Culture of culture
d. Culture forgiveness - ANS a. Culture of safety
10. The Joint Commission required process that is a comprehensive in-depth analysis that seeks
to identify all the underlying factors that contribute to an error and to identify their role in
causing the error is known as a?
a. Route calls answers
b. Recording Company of America
c. Reasonable causation analysis
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, d. Root cause analysis - ANS d. Root cause analysis
11. CMS will not reimburse hospitals for all of the following hospital acquired complications
except
a. Blood Incompatibility
b. Pressure Ulcers
c. Maternal Death
d. HAI - MRSA - ANS c. Maternal Death
12. Patients undergoing certain high risk procedures have lower than expected mortality rates
in hospitals that perform large numbers of those procedures.
a. True
b. False - ANS a. True
13. The briefing and communication technique known as SBAR stands for
a. Situation, Assessment, Backdrop and Recording
b. Satisfaction, Background, Analysis and Recommendation
c. Satisfaction, Background, Analysis and Recording
d. Situation, Background, Assessment and Recommendation - ANS d. Situation, Background,
Assessment and Recommendation
14. A pre-procedure verification process, marking the surgical site, and performing a time-out
before each surgery are all part of a process known as a(the)
a. Root Cause Analysis
b. Universal Protocol
c. Joint Commission
d. Utilitarianism protocol - ANS b. Universal Protocol
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Answers
1. According to the IOM what number of hospitalized patients die from preventable medication
errors each year?
a. No reportable deaths in the last two years
b. 4,400 to 9,800
c. 44,000 to 98,000
d. 440,000 to 980,000 - ANS c. 44,000 to 98,000
2.Serious reportable events are also referred to as
a. Near misses
b. Never events
c. Close call
d. Safe practices - ANS b. Never events
3. What quality organization requires institutions to investigate all sentinel events?
a. IOM
b. AHRQ
c. Joint Commission
d. National Quality Forum - ANS c. Joint Commission
4. The best definition of sentinel event is
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
,a. An unexpected occurrence involving death or serious physical or psychological injury, or the
risk thereof.
b. A common occurrence involving death or serious physical or psychological injury, or the risk
thereof.
c. An unexpected occurrence involving death or serious physical or psychological injury.
d. An unexpected occurrence involving death, or the risk thereof. - ANS a. An unexpected
occurrence involving death or serious physical or psychological injury, or the risk thereof.
5. All of the following would be considered Sentinel events except
a. Surgery on the wrong body part
b. Discharge of an infant to the wrong family
c. Perforation of the uterus during a D & C
d. A hip fracture resulting from a patient fall
e. Death resulting from a treatment related or medication error
f. Overdosing with commonly used anticoagulants - ANS abef
a. Surgery on the wrong body part
b. Discharge of an infant to the wrong family
e. Death resulting from a treatment related or medication error
f. Overdosing with commonly used anticoagulants
6. IOM is the initials of the International Office of Medicine.
T/F - ANS b. False
7. Centers for Medicare and Medicaid Services (CMS) is the agency that processes and pays
claims for the Medicare and Medicaid programs
T/F - ANS a. True
8.CMS will not reimburse hospitals for the cost associated with which of the following serious
hospital acquired complications. (Check all that apply)
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
,a. Air embolism
b. Catheter associated urinary tract infection
c. MRSA
d. Pressure ulcers
e. Blood incompatibility
f. Foreign object left behind in a surgical patient - ANS abcdef
a. Air embolism
b. Catheter associated urinary tract infection
c. MRSA
d. Pressure ulcers
e. Blood incompatibility
f. Foreign object left behind in a surgical patient
9.The culture of an organization is a product of its history, its mission and values, its policy and
customs, the structure of the organization, and the manner in which providers of healthcare
carry out their roles. A culture in which trust and mutual respect encourage healthcare
providers to report errors, near misses, and other adverse events without fear of retribution is
known as a?
a. Culture of safety
b. Culture of acceptance
c. Culture of culture
d. Culture forgiveness - ANS a. Culture of safety
10. The Joint Commission required process that is a comprehensive in-depth analysis that seeks
to identify all the underlying factors that contribute to an error and to identify their role in
causing the error is known as a?
a. Route calls answers
b. Recording Company of America
c. Reasonable causation analysis
Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, d. Root cause analysis - ANS d. Root cause analysis
11. CMS will not reimburse hospitals for all of the following hospital acquired complications
except
a. Blood Incompatibility
b. Pressure Ulcers
c. Maternal Death
d. HAI - MRSA - ANS c. Maternal Death
12. Patients undergoing certain high risk procedures have lower than expected mortality rates
in hospitals that perform large numbers of those procedures.
a. True
b. False - ANS a. True
13. The briefing and communication technique known as SBAR stands for
a. Situation, Assessment, Backdrop and Recording
b. Satisfaction, Background, Analysis and Recommendation
c. Satisfaction, Background, Analysis and Recording
d. Situation, Background, Assessment and Recommendation - ANS d. Situation, Background,
Assessment and Recommendation
14. A pre-procedure verification process, marking the surgical site, and performing a time-out
before each surgery are all part of a process known as a(the)
a. Root Cause Analysis
b. Universal Protocol
c. Joint Commission
d. Utilitarianism protocol - ANS b. Universal Protocol
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