Question 1

What is the most common serious error observed in the NICU?

Accepted Answer

A)  Medication related 
B)  Patient misidentification 
C)  Error in the diagnosis 
D)  Delayed diagnosis 
A)  Medication related 
B)  Patient misidentification 
C)  Error in the diagnosis 
D)  Delayed diagnosis A

Question 2

What has been described by the IOM as a necessary component of change needed to occur to improve patient safety?

Accepted Answer

A)  Increase the number of physicians. 
B)  Increase the number of nurses and allied health professionals. 
C)  Develop teams of caregivers for multidisciplinary communication. 
D)  Involve the family in the health care team. 
A)  Increase the number of physicians. 
B)  Increase the number of nurses and allied health professionals. 
C)  Develop teams of caregivers for multidisciplinary communication. 
D)  Involve the family in the health care team. C

Question 3

Prevention of safety events is critical in pediatric patients because, when a safety event occurs:

Accepted Answer

A)  hospital stay is 10 times longer. 
B)  hospital mortality may be as high as 18 times greater. 
C)  hospital charges are 50 times higher. 
D)  hospitals do not get reimbursed. 
A)  hospital stay is 10 times longer. 
B)  hospital mortality may be as high as 18 times greater. 
C)  hospital charges are 50 times higher. 
D)  hospitals do not get reimbursed. B

Question 4

Which of the following targets customer needs and aims to improve processes by removing activities that are considered no-value-added?

Accepted Answer

A)  Six Sigma 
B)  Quality measure reporting 
C)  Root cause analysis 
D)  Lean 
A)  Six Sigma 
B)  Quality measure reporting 
C)  Root cause analysis 
D)  Lean

Question 5

What is a statistical method that measures standard deviations or known variance and the degree to which almost perfect production can occur?

Accepted Answer

A)  Six Sigma 
B)  Systemic variability 
C)  Analysis of variance 
D)  Power 
A)  Six Sigma 
B)  Systemic variability 
C)  Analysis of variance 
D)  Power

Question 6

Which of the following processes enables organizations to continuously measure services, practices, costs, and products using best practices to improve care?

Accepted Answer

A)  Self-reporting 
B)  Benchmarking 
C)  Quality measure reporting 
D)  Quarterly budget 
A)  Self-reporting 
B)  Benchmarking 
C)  Quality measure reporting 
D)  Quarterly budget

Question 7

What is the most common complication of hospital care that the therapist should be aware of?

Accepted Answer

A)  Errors in administration of medications 
B)  Accidental extubations 
C)  Pneumonia 
D)  Health care-associated infections 
A)  Errors in administration of medications 
B)  Accidental extubations 
C)  Pneumonia 
D)  Health care-associated infections

Question 8

Which of the following postsurgical respiratory issues are associated with reintubation or prolonged mechanical ventilation?
I. Lack of use of incentive spirometry
II. Oversedation
III. Exacerbation of underlying cardiovascular condition
IV. Exacerbation of underlying respiratory condition

Accepted Answer

A)  II and III only 
B)  II and IV only 
C)  I, II, and IV only 
D)  II, III, and IV only 
A)  II and III only 
B)  II and IV only 
C)  I, II, and IV only 
D)  II, III, and IV only

Question 9

Which of the following types of infections are considered HAIs?
I. Catheter-associated blood stream infections
II. Catheter-associated urinary tract infections
III. Ventilator-associated pneumonias
IV. Surgical site infections

Accepted Answer

A)  II and III only 
B)  I, II, and IV only 
C)  I, III, and IV only 
D)  I, II, III, and IV 
A)  II and III only 
B)  I, II, and IV only 
C)  I, III, and IV only 
D)  I, II, III, and IV

Question 10

The wrong dose of albuterol is administered to the patient, but the patient does not have any adverse response. What is the name of this event?

Accepted Answer

A)  Near miss 
B)  Precursor safety event 
C)  Serious safety event 
D)  Sentinel event 
A)  Near miss 
B)  Precursor safety event 
C)  Serious safety event 
D)  Sentinel event

Question 11

A therapist is assisting the pulmonologist during a bronchoscopy. While the child's oxygen saturation was reading above 90%, the patient had been apneic for approximately 1 minute and suffered a mild anoxic injury. What is the name of an event like this?

Accepted Answer

A)  Near miss 
B)  Precursor safety event 
C)  Serious safety event 
D)  Sentinel event 
A)  Near miss 
B)  Precursor safety event 
C)  Serious safety event 
D)  Sentinel event

Question 12

Lack of skills and/or failure to follow or deviation from standard practices/procedures is known as:

Accepted Answer

A)  sentinel event. 
B)  Six Sigma. 
C)  negligence. 
D)  health failure mode. 
A)  sentinel event. 
B)  Six Sigma. 
C)  negligence. 
D)  health failure mode.

Exam 36: Quality and Safety

What is the most common serious error observed in the NICU?

What has been described by the IOM as a necessary component of change needed to occur to improve patient safety?

Prevention of safety events is critical in pediatric patients because, when a safety event occurs:

Which of the following targets customer needs and aims to improve processes by removing activities that are considered no-value-added?

What is a statistical method that measures standard deviations or known variance and the degree to which almost perfect production can occur?

Which of the following processes enables organizations to continuously measure services, practices, costs, and products using best practices to improve care?

What is the most common complication of hospital care that the therapist should be aware of?

Which of the following postsurgical respiratory issues are associated with reintubation or prolonged mechanical ventilation? I. Lack of use of incentive spirometry II. Oversedation III. Exacerbation of underlying cardiovascular condition IV. Exacerbation of underlying respiratory condition

Which of the following types of infections are considered HAIs? I. Catheter-associated blood stream infections II. Catheter-associated urinary tract infections III. Ventilator-associated pneumonias IV. Surgical site infections

The wrong dose of albuterol is administered to the patient, but the patient does not have any adverse response. What is the name of this event?

A therapist is assisting the pulmonologist during a bronchoscopy. While the child's oxygen saturation was reading above 90%, the patient had been apneic for approximately 1 minute and suffered a mild anoxic injury. What is the name of an event like this?

Lack of skills and/or failure to follow or deviation from standard practices/procedures is known as:

Fetal Lung Development

Fetal Gas Exchange and Circulation

Antenatal Assessment and High-Risk Delivery

Examination and Assessment of the Neonatal and Pediatric Patient

Pulmonary Function Testing and Bedside Pulmonary Mechanics

Radiographic Assessment

Pediatric Flexible Bronchoscopy

Invasive Blood Gas Analysis and Cardiovascular Monitoring

Noninvasive Monitoring in Neonatal and Pediatric Care

Oxygen Administration

Aerosols and Administration of Inhaled Medications

Airway Clearance Techniques and Hyperinflation Therapy

Airway Management

Surfactant Replacement Therapy

Noninvasive Mechanical Ventilation and Continuous Positive Pressure of the Neonate

Noninvasive Mechanical Ventilation of the Infant and Child

Invasive Mechanical Ventilation of the Neonate and Pediatric Patient

Administration of Gas Mixtures

Extracorporeal Membrane Oxygenation

Pharmacology

Thoracic Organ Transplantation

Neonatal Pulmonary Disorders

Surgical Disorders in Childhood That Affect Respiratory Care

Congenital Cardiac Defects

Pediatric Sleep-Disordered Breathing

Pediatric Airway Disorders and Parenchymal Lung Diseases

Asthma

Cystic Fibrosis

Acute Respiratory Distress Syndrome

Shock

Pediatric Trauma

Disorders of the Pleura

Neurological and Neuromuscular Disorders

Transport of Infants and Children

Home Care

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