Question 1

The primary role of The Joint Commission (TJC)is

Accepted Answer

A)  granting magnet status to excellent hospitals. 
B)  lobbying Congress on behalf of Medicare/Medicaid patients. 
C)  ensuring medical facilities meet patient safety guidelines. 
D)  inspecting hospitals for compliance of infection control standards. 
A)  granting magnet status to excellent hospitals. 
B)  lobbying Congress on behalf of Medicare/Medicaid patients. 
C)  ensuring medical facilities meet patient safety guidelines. 
D)  inspecting hospitals for compliance of infection control standards. C

Question 2

A nurse manager is educating a group of nurses on common medication errors.The manager judges the teaching to be effective when one of the nurses states that common medication errors include (Select all that apply.)

Accepted Answer

A)  good communication 
B)  look-alike packaging 
C)  wrong-dose errors 
D)  inadequate monitoring 
E)  rule violations 
A)  good communication 
B)  look-alike packaging 
C)  wrong-dose errors 
D)  inadequate monitoring 
E)  rule violations B,C,D,E

Question 3

Which action takes place during the design phase of the DMAIC process?

Accepted Answer

A)  A charter is developed. 
B)  Key performance indicators are agreed upon. 
C)  Analyze baseline data. 
D)  Determine whether measures reflect the true problems. 
A)  A charter is developed. 
B)  Key performance indicators are agreed upon. 
C)  Analyze baseline data. 
D)  Determine whether measures reflect the true problems. A

Question 4

A nurse manager is providing education to a new nurse on barriers to the implementation of quality improvement processes.The manager judges the teaching to be effective when the new nurse states:

Accepted Answer

A)  "Expense is a primary barrier." 
B)  "Resistance to change is a primary barrier." 
C)  "One of the primary barriers is complacency with the status quo." 
D)  "Not identifying the correct problem is a primary barrier." 
A)  "Expense is a primary barrier." 
B)  "Resistance to change is a primary barrier." 
C)  "One of the primary barriers is complacency with the status quo." 
D)  "Not identifying the correct problem is a primary barrier."

Question 5

The nurse manager has an adequate understanding of root cause analysis when stating which of the following?

Accepted Answer

A)  "Root cause analysis determines who to place the blame on." 
B)  "Root cause analysis can identify some factors leading up to an error." 
C)  "Root cause analysis is rarely conducted effectively." 
D)  "Root cause analysis investigates the root causes of events that occur." 
A)  "Root cause analysis determines who to place the blame on." 
B)  "Root cause analysis can identify some factors leading up to an error." 
C)  "Root cause analysis is rarely conducted effectively." 
D)  "Root cause analysis investigates the root causes of events that occur."

Question 6

The nurse understands that the following statement is true about patient classification systems?

Accepted Answer

A)  "The systems measure all the needs of patients." 
B)  "The systems provide an absolute formula for unit staffing." 
C)  "The systems should not be used to make patient care assignments because acuity systems are more accurate." 
D)  "The systems provide historical data of the usage of nursing time,which is helpful when developing the department budget." 
A)  "The systems measure all the needs of patients." 
B)  "The systems provide an absolute formula for unit staffing." 
C)  "The systems should not be used to make patient care assignments because acuity systems are more accurate." 
D)  "The systems provide historical data of the usage of nursing time,which is helpful when developing the department budget."

Question 7

A nurse is educating students on the history of quality improvement.The teaching has been effective when one of the students states that the historically,quality improvement focused on

Accepted Answer

A)  "controlling process by inspection so that errors were prevented." 
B)  "quality improvement did not begin until recently." 
C)  "proactive approaches to lessen errors." 
D)  "error prevention strategies." 
A)  "controlling process by inspection so that errors were prevented." 
B)  "quality improvement did not begin until recently." 
C)  "proactive approaches to lessen errors." 
D)  "error prevention strategies."

Question 8

Which statement by the nurse indicates understanding of the control phase of the DMAIC process? (Select all that apply.)

Accepted Answer

A)  "In the control phase,only the leader should be informed of changes." 
B)  "Only those directly affected by the new process should be educated." 
C)  "In the control phase,steps in the new process should be standardized." 
D)  "Changes should be monitored to ensure compliance." 
E)  "Standard operating procedures should be written." 
A)  "In the control phase,only the leader should be informed of changes." 
B)  "Only those directly affected by the new process should be educated." 
C)  "In the control phase,steps in the new process should be standardized." 
D)  "Changes should be monitored to ensure compliance." 
E)  "Standard operating procedures should be written."

Question 9

A nurse is a team member assisting with the define-measure-analyze-improve-control (DMAIC)process.Which action would the nurse take during the define phase?

Accepted Answer

A)  Identify the stakeholders. 
B)  Agree on the key performance indicators. 
C)  Identify gaps between performance and goals. 
D)  Identify those responsible for data collection. 
A)  Identify the stakeholders. 
B)  Agree on the key performance indicators. 
C)  Identify gaps between performance and goals. 
D)  Identify those responsible for data collection.

Question 10

A nurse is interested in becoming credentialed as a Certified Professional in Health Care Quality.Which action would the nurse take to achieve this?

Accepted Answer

A)  Take an exam. 
B)  Complete a 6-week internship. 
C)  Have at least a bachelor's degree. 
D)  Have at least 1 year of experience in quality management. 
A)  Take an exam. 
B)  Complete a 6-week internship. 
C)  Have at least a bachelor's degree. 
D)  Have at least 1 year of experience in quality management.

Question 11

Which of the following statements by the nurse indicates an understanding of Quality and Safety for Nurses (QSEN)?

Accepted Answer

A)  "QSEN helps prepare future nurses for improving patient safety." 
B)  "QSEN helps prepare future nurses for working mandatory overtime." 
C)  "QSEN helps train nurses in the clinical setting." 
D)  "QSEN provides nurses with strategies for passing the NCLEX exam." 
A)  "QSEN helps prepare future nurses for improving patient safety." 
B)  "QSEN helps prepare future nurses for working mandatory overtime." 
C)  "QSEN helps train nurses in the clinical setting." 
D)  "QSEN provides nurses with strategies for passing the NCLEX exam."

Question 12

If the nurse had an adequate understanding of continuous quality improvement,which of the following statements would the nurse? (Select all that apply.)

Accepted Answer

A)  "The accountability for quality is vested in quality circles that function along service lines to improve patient care." 
B)  "After quality standards are achieved,the nurse strives to maintain that standard of care." 
C)  "Quality standards must incorporate the expectations of patients and their families." 
D)  "Systems within the hospital must be reviewed to determine how care can be enhanced." 
E)  "Reducing costs to provide for substantial pay increases for nursing staff is an example of continuous quality improvement." "Computerized electronic documentation systems that provide continuous assessment of patient charges are an example of continuous quality improvement." 
A)  "The accountability for quality is vested in quality circles that function along service lines to improve patient care." 
B)  "After quality standards are achieved,the nurse strives to maintain that standard of care." 
C)  "Quality standards must incorporate the expectations of patients and their families." 
D)  "Systems within the hospital must be reviewed to determine how care can be enhanced." 
E)  "Reducing costs to provide for substantial pay increases for nursing staff is an example of continuous quality improvement." "Computerized electronic documentation systems that provide continuous assessment of patient charges are an example of continuous quality improvement."

Question 13

The Joint Commission publishes a Sentinel Event Alert every month.Which of the following is the best example of a sentinel event?

Accepted Answer

A)  Tylenol #3 is given to a patient when plain Tylenol was ordered. 
B)  Code pink is called after a newborn is discovered missing from the nursery. 
C)  After receiving the correct medication,the patient complains of itching all over,and a rash is noted on the patient's trunk. 
D)  During a blood transfusion,the patient's temperature increases to 100.4° F,and the patient complains of generalized pruritus. 
A)  Tylenol #3 is given to a patient when plain Tylenol was ordered. 
B)  Code pink is called after a newborn is discovered missing from the nursery. 
C)  After receiving the correct medication,the patient complains of itching all over,and a rash is noted on the patient's trunk. 
D)  During a blood transfusion,the patient's temperature increases to 100.4° F,and the patient complains of generalized pruritus.

Question 14

A nurse has an adequate understanding of barriers to quality improvement when stating which of the following? (Select all that apply.)

Accepted Answer

A)  "Cost is a barrier in quality improvement." 
B)  "There are no barriers to quality improvement." 
C)  "Nurses' loyalty to old practices is a barrier." 
D)  "Failure to recognize that change is needed is a barrier." 
E)  "Being unwilling to change is a barrier." 
A)  "Cost is a barrier in quality improvement." 
B)  "There are no barriers to quality improvement." 
C)  "Nurses' loyalty to old practices is a barrier." 
D)  "Failure to recognize that change is needed is a barrier." 
E)  "Being unwilling to change is a barrier."

Question 15

The nurse manager has an adequate understanding of the continuous quality improvement process of Six Sigma when doing which of the following?

Accepted Answer

A)  "Uses Six Sigma to identify errors" 
B)  "Uses Six Sigma to increase profits" 
C)  "Uses Six Sigma to keep standard policies and procedures consistent" 
D)  "Uses Six Sigma to improve patient-provider communication" 
A)  "Uses Six Sigma to identify errors" 
B)  "Uses Six Sigma to increase profits" 
C)  "Uses Six Sigma to keep standard policies and procedures consistent" 
D)  "Uses Six Sigma to improve patient-provider communication"

Question 16

The nurse manager has an adequate understanding of Six Stigma when making which of the following statements?

Accepted Answer

A)  "The primary goal of Six Stigma is to increase profits and reduce problems." 
B)  "The primary goal of Six Stigma is to attract physicians to an organization." 
C)  "The primary goal of Six Stigma is advertisement of the organization." 
D)  "The primary goal of Six Stigma is to attract nursing to an organization." 
A)  "The primary goal of Six Stigma is to increase profits and reduce problems." 
B)  "The primary goal of Six Stigma is to attract physicians to an organization." 
C)  "The primary goal of Six Stigma is advertisement of the organization." 
D)  "The primary goal of Six Stigma is to attract nursing to an organization."

Question 17

A nurse is explaining to another nurse about the contributions of Edward Deming.The nurse judges that the explanation is effective when the nurse states:

Accepted Answer

A)  "Quality is the responsibility of everyone within an organization." 
B)  "Quality is the responsibility of the quality control inspector." 
C)  "Quality is the responsibility of the CEO of the organization." 
D)  "Quality is the responsibility of the manager of the organization." 
A)  "Quality is the responsibility of everyone within an organization." 
B)  "Quality is the responsibility of the quality control inspector." 
C)  "Quality is the responsibility of the CEO of the organization." 
D)  "Quality is the responsibility of the manager of the organization."

Question 18

A nurse is listening to a pharmacist lecture about factors that contribute to medication errors.The teaching has been effective when the nurse states: (Select all that apply.)

Accepted Answer

A)  "Problems within the system contribute to medication errors." 
B)  "Human factors contribute to medication errors." 
C)  "Work-design problems contribute to medication errors." 
D)  "Environmental factors contribute to medication errors." 
E)  "The nurse alone contributes to medication errors." 
A)  "Problems within the system contribute to medication errors." 
B)  "Human factors contribute to medication errors." 
C)  "Work-design problems contribute to medication errors." 
D)  "Environmental factors contribute to medication errors." 
E)  "The nurse alone contributes to medication errors."

Question 19

A nurse is reviewing the technique used to identify the factors involved in an error.Which statement indicates the nurse has an adequate understanding?

Accepted Answer

A)  "The rapid cycle test is a technique that is widely used." 
B)  "A root cause analysis is a process designed to investigate and categorize the root cause of the event." 
C)  "A failure mode and effects analysis is a procedure to investigate the cause of the error." 
D)  "Define,measure,analyze,improve,control prevents events from occurring." 
A)  "The rapid cycle test is a technique that is widely used." 
B)  "A root cause analysis is a process designed to investigate and categorize the root cause of the event." 
C)  "A failure mode and effects analysis is a procedure to investigate the cause of the error." 
D)  "Define,measure,analyze,improve,control prevents events from occurring."

Question 20

Which action by a group of nurses involves brainstorming? (Select all that apply.)

Accepted Answer

A)  List one solution to the problem. 
B)  Identify stakeholders. 
C)  Think about solutions to the problem. 
D)  Write the problem statement. 
E)  Write a goal statement. 
A)  List one solution to the problem. 
B)  Identify stakeholders. 
C)  Think about solutions to the problem. 
D)  Write the problem statement. 
E)  Write a goal statement.

Exam 22: Quality Patient Care

The primary role of The Joint Commission (TJC)is

A nurse manager is educating a group of nurses on common medication errors.The manager judges the teaching to be effective when one of the nurses states that common medication errors include (Select all that apply.)

Which action takes place during the design phase of the DMAIC process?

A nurse manager is providing education to a new nurse on barriers to the implementation of quality improvement processes.The manager judges the teaching to be effective when the new nurse states:

The nurse manager has an adequate understanding of root cause analysis when stating which of the following?

The nurse understands that the following statement is true about patient classification systems?

A nurse is educating students on the history of quality improvement.The teaching has been effective when one of the students states that the historically,quality improvement focused on

Which statement by the nurse indicates understanding of the control phase of the DMAIC process? (Select all that apply.)

A nurse is a team member assisting with the define-measure-analyze-improve-control (DMAIC)process.Which action would the nurse take during the define phase?

A nurse is interested in becoming credentialed as a Certified Professional in Health Care Quality.Which action would the nurse take to achieve this?

Which of the following statements by the nurse indicates an understanding of Quality and Safety for Nurses (QSEN)?

If the nurse had an adequate understanding of continuous quality improvement,which of the following statements would the nurse? (Select all that apply.)

The Joint Commission publishes a Sentinel Event Alert every month.Which of the following is the best example of a sentinel event?

A nurse has an adequate understanding of barriers to quality improvement when stating which of the following? (Select all that apply.)

The nurse manager has an adequate understanding of the continuous quality improvement process of Six Sigma when doing which of the following?

The nurse manager has an adequate understanding of Six Stigma when making which of the following statements?

A nurse is explaining to another nurse about the contributions of Edward Deming.The nurse judges that the explanation is effective when the nurse states:

A nurse is listening to a pharmacist lecture about factors that contribute to medication errors.The teaching has been effective when the nurse states: (Select all that apply.)

A nurse is reviewing the technique used to identify the factors involved in an error.Which statement indicates the nurse has an adequate understanding?

Which action by a group of nurses involves brainstorming? (Select all that apply.)

Role Transitions

Personal Management: Time and Self-Care Strategies

Mentorship, Preceptorship, and Nurse Residency Programs

Employment Considerations: Opportunities, Resumes, and Interviewing

NCLEX-RN Examination and the New Graduate

Historical Perspectives: Influences on the Present

Nursing Education

Nursing Theory

Image of Nursing: Influences of the Present

Challenges of Nursing Management and Leadership

Building Nursing Management Skills

Effective Communication and Team Building

Conflict Management

Delegation in the Clinical Setting

The Health Care Organization and Patterns of Nursing Care Delivery

Economics of the Health Care Delivery System

Political Action in Nursing

Collective Bargaining: Traditional (Union)and Nontraditional Approaches

Ethical Issues

Legal Issues

Cultural and Spiritual Awareness

Nursing Informatics

Using Nursing Research in Practice

Workplace Issues

Emergency Preparedness

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