Nursing 251 Test 1 Practice Questions
and Correct Answers
Your nurse manager informs you he is using the tool "Asking Why 5 Times" to
investigate medication error in which you were involved. What was the nurse manager
doing? ✅a. Conducting root cause analysis
b. Applying concepts of just culture
c. Assessing outcomes for CMS
d. Using bundles of care
Ans: A. Conducting root cause analysis
Which description of value-based purchasing is most accurate? ✅a. Ensuring "never
events" never occur
b. Conducting a thorough investigation to analyze the root cause of all errors
c. Adjusting reimbursement based on measurement of processes, outcomes, and
patient satisfaction
d. Determining the actual cost of care to calculate reimbursement
Ans: C. adjusting reimbursement based on measurement of processes, outcomes, and
patient satisfaction
Which statement about patient safety is correct? ✅a. Physicians have sole
responsibility for patient safety.
b. Safe patient care is the same as quality care.
c. High scores on HCAHPS surveys indicate patient safety.
d. Nurses play an important role in keeping patients safe.
Ans: D. nurses play an important role in keeping patients safe
You have been asked to participate in a committee writing a policy for the care of a
patient with an indwelling catheter. What is most important to include? ✅a. Information
retrieved from a website directed toward the lay public
b. The nationally recognized catheter-associated urinary tract infection prevention
bundle
c. The policy from a well-respected nearby hospital
d. Information from a nursing textbook that is more than 10 years old
Ans: B. the nationally recognized catheter associated urinary tract infection prevention
bundle
Which statement is true about latent errors? ✅a. They are errors whose effects are not
known for a long time.
, b. Latent errors cause minimal effects to patients.
c. Latent errors are traceable to a particular individual.
d. They are errors that are due to system issues.
Ans: D. they are errors that are due to system issues
A novice nurse has made what is considered a human error while performing as
medication nurse on a busy long-term care nursing unit. What intervention implemented
by the unit's nurse manager would be most appropriate in this situation to help prevent
similar errors in the future? ✅a. The incident is recorded in the nurse's permanent
employee file.
b. The nurse is asked to identify and discuss the factors that contributed to the making
of the error.
c. The nurse manager provides a verbal warning to the nurse and explains that another
error will result in disciplinary action.
d. The nurse is told by the nurse manager that everyone makes mistakes occasionally
but to be more careful in the future.
Ans: B. the nurse is asked to identify and discuss the factors that contributed to the
making of the error
What nursing action best demonstrates an activity focused on the safety goal of
reducing the risk of healthcare-associated infections (HAIs)? ✅a. Providing an in-
service on the appropriate technique to be used when providing indwelling catheter care
b. Monitoring all visitors for presence of possible infections and restricting visitation
when appropriate
c. Formulating an institutional policy requiring all employees to be vaccinated yearly
against the flu
d. Assessing all patients for history of infections within the previous 12 months
Ans: A. providing and in service on the appropriate technique to be used when providing
indwelling catheter care
A nurse is conducting an admission assessment on a confused patient brought in by his
son. Which of the following would be included in primary sources for information? Select
all that apply ✅a. Physical assessment
b. Health history per the patient's son
c. Clinical notes in the computer system from a past admission
d. Patient's report of physical symptoms
Ans: AD
A nurse receives a patient at handoff who is experiencing acute changes in neurologic
status. Which nursing action should be done first? ✅a. Call the physician.
b. Perform a neurologic assessment.
c. Administer an antihypertensive medication stat.
and Correct Answers
Your nurse manager informs you he is using the tool "Asking Why 5 Times" to
investigate medication error in which you were involved. What was the nurse manager
doing? ✅a. Conducting root cause analysis
b. Applying concepts of just culture
c. Assessing outcomes for CMS
d. Using bundles of care
Ans: A. Conducting root cause analysis
Which description of value-based purchasing is most accurate? ✅a. Ensuring "never
events" never occur
b. Conducting a thorough investigation to analyze the root cause of all errors
c. Adjusting reimbursement based on measurement of processes, outcomes, and
patient satisfaction
d. Determining the actual cost of care to calculate reimbursement
Ans: C. adjusting reimbursement based on measurement of processes, outcomes, and
patient satisfaction
Which statement about patient safety is correct? ✅a. Physicians have sole
responsibility for patient safety.
b. Safe patient care is the same as quality care.
c. High scores on HCAHPS surveys indicate patient safety.
d. Nurses play an important role in keeping patients safe.
Ans: D. nurses play an important role in keeping patients safe
You have been asked to participate in a committee writing a policy for the care of a
patient with an indwelling catheter. What is most important to include? ✅a. Information
retrieved from a website directed toward the lay public
b. The nationally recognized catheter-associated urinary tract infection prevention
bundle
c. The policy from a well-respected nearby hospital
d. Information from a nursing textbook that is more than 10 years old
Ans: B. the nationally recognized catheter associated urinary tract infection prevention
bundle
Which statement is true about latent errors? ✅a. They are errors whose effects are not
known for a long time.
, b. Latent errors cause minimal effects to patients.
c. Latent errors are traceable to a particular individual.
d. They are errors that are due to system issues.
Ans: D. they are errors that are due to system issues
A novice nurse has made what is considered a human error while performing as
medication nurse on a busy long-term care nursing unit. What intervention implemented
by the unit's nurse manager would be most appropriate in this situation to help prevent
similar errors in the future? ✅a. The incident is recorded in the nurse's permanent
employee file.
b. The nurse is asked to identify and discuss the factors that contributed to the making
of the error.
c. The nurse manager provides a verbal warning to the nurse and explains that another
error will result in disciplinary action.
d. The nurse is told by the nurse manager that everyone makes mistakes occasionally
but to be more careful in the future.
Ans: B. the nurse is asked to identify and discuss the factors that contributed to the
making of the error
What nursing action best demonstrates an activity focused on the safety goal of
reducing the risk of healthcare-associated infections (HAIs)? ✅a. Providing an in-
service on the appropriate technique to be used when providing indwelling catheter care
b. Monitoring all visitors for presence of possible infections and restricting visitation
when appropriate
c. Formulating an institutional policy requiring all employees to be vaccinated yearly
against the flu
d. Assessing all patients for history of infections within the previous 12 months
Ans: A. providing and in service on the appropriate technique to be used when providing
indwelling catheter care
A nurse is conducting an admission assessment on a confused patient brought in by his
son. Which of the following would be included in primary sources for information? Select
all that apply ✅a. Physical assessment
b. Health history per the patient's son
c. Clinical notes in the computer system from a past admission
d. Patient's report of physical symptoms
Ans: AD
A nurse receives a patient at handoff who is experiencing acute changes in neurologic
status. Which nursing action should be done first? ✅a. Call the physician.
b. Perform a neurologic assessment.
c. Administer an antihypertensive medication stat.
