Question 1

Prior to drug administration the nurse reviews the seven rights, which include right patient, right medication, right time, right dose, right education, right documentation, and what other right?

Accepted Answer

A)   Room
B)   Route
C)   Physician
D)   Manufacturer B

Question 2

Aspects of safety culture that contribute to a culture of safety in a health care organization include which component?

Accepted Answer

A)   Communication
B)   Fear of punishment
C)   Malpractice implications
D)   Team nursing A

Question 3

A staff nurse reports a medication error due to failure to administer a medication at the scheduled time. What is the charge nurse's best response?

Accepted Answer

A)   "We'll conduct a root cause analysis."
B)   "That means you'll have to do continuing education."
C)   "Why did you let that happen?"
D)   "You'll need to tell the patient and family." A

Question 4

Which is an essential element of a standard order set to verify a medication order?

Accepted Answer

A)   Volume only
B)   Number of tablets
C)   Metric dose/strength
D)   Hour of administration

Question 5

A sentinel event refers to which situation?

Accepted Answer

A)   An event that could have harmed a patient, but serious harm didn't occur because of chance.
B)   An event that harms a patient as a result of underlying disease or condition.
C)   An event that harms a patient by omission or commission, not an underlying disease or condition.
D)   An event that signals the need for immediate investigation and response.

Question 6

To promote a safety culture, the nurse manager preparing the staff schedule considers the anticipated census in planning the number and experience of staff on any given shift. Which is the human factor primarily addressed with this consideration?

Accepted Answer

A)   Available supplies
B)   Interdisciplinary communication
C)   Interruptions in work
D)   Workload fluctuations

Question 7

To promote safety, the nurse manager sensitive to point of care (sharp end) and systems level (blunt end) exemplars works closely with staff to address which point of care exemplar?

Accepted Answer

A)   Care coordination
B)   Documentation
C)   Electronic records
D)   Fall prevention

Question 8

The nurse is caring for a patient experiencing an allergic reaction to a bee sting who has an order for diphenhydramine (BenaDRYL). The only medication in the patient's medication bin is labeled BenaZEPRIL. The nurse contacts the pharmacy for the correct medication to avoid what type of error?

Accepted Answer

A)   Communication
B)   Diagnostic
C)   Preventive
D)   Treatment

Question 9

The strategy to avoid medication errors endorsed by the Institute for Safe Medication Practices (ISMP) to differentiate products with look-alike names is referred to as which term?

Accepted Answer

A)   Automatic alerts
B)   Bar coding
C)   Computer order entry
D)   Tallman lettering

Exam 47: Safety