Patient Safety & Quality
This organization focuses on improving patient safety through national goals.
What is the Joint Commission?
Pain is whatever the patient says it is. This reflects what principle?
What is pain is subjective?
The most effective way to prevent infection transmission.
What is hand hygiene?
This nutrient is the body’s primary energy source.
What are carbohydrates?
How often should hospitalized patients receive oral care at minimum?
What is at least twice daily?
What does the “A” in ADPIE stand for?
What is assessment?
This is the most common cause of preventable harm in hospitalized patients.
What are falls?
This pain scale is commonly used for adults who can self-report.
What is the numeric rating scale (0–10)?
These precautions are used for all patients regardless of diagnosis.
What are standard precautions?
This lab value is commonly used to assess long-term nutrition status.
What is albumin/protein?
This type of bath is commonly used for immobile patients.
What is a bed bath?
This step involves identifying patient problems.
What is diagnosis?
A nurse identifies a patient using name and DOB before medication administration. This is an example of what safety principle?
What is using two patient identifiers?
A patient reports severe pain but appears comfortable. What should the nurse do?
What is believe the patient and assess further?
PPE order: gown, mask, goggles, gloves. What is this called?
What is donning PPE?
A patient is NPO before surgery. What does NPO mean?
What is nothing by mouth?
Why is foot care especially important in diabetic patients?
What is risk for impaired circulation and infection?
Writing SMART goals occurs in which step?
What is planning?
A patient tries to get out of bed without assistance. What is the nurse’s priority action?
What is ensuring patient safety?
What is the priority before administering an opioid?
What is assessing respiratory status?
A nurse cleans from least contaminated to most contaminated. What principle is this?
What is medical asepsis?
A patient is weak and not eating. What is the best nursing intervention?
What is offering small frequent meals
A nurse notices redness over a bony prominence. What is the priority action?
What is relieving pressure?
A nurse carries out interventions. Which step is this?
What is implementation?
A nurse reports a near-miss medication error. This supports what type of safety culture?
What is a just culture?
A patient receives morphine and reports relief. What is the nurse’s next action?
What is reassessing pain and monitoring for side effects?
A patient has C. diff. Which type of precautions are required?
What are contact precautions?
A patient has difficulty swallowing. What is the nurse’s priority action?
What is implementing aspiration precautions?
Perineal care for females should be performed in what direction?
What is front to back?
A nurse determines if goals were met. Which step is this?
What is evaluation?
A nurse enters a room and sees a patient attempting to climb out of bed unassisted. What is the priority action?
What is staying with the patient and assisting them safely?
A patient with chronic pain rates pain as 8/10 but is talking comfortably. What is the nurse’s interpretation?
What is that pain is subjective and should be treated based on patient report?
A nurse performs hand hygiene after removing gloves. Why is this necessary?
What is gloves do not eliminate contamination risk?
A patient eats only a few bites of each meal. What is the nurse’s priority intervention?
What is assessing reasons for decreased intake?
A nurse provides a bed bath but does not change linens afterward. What is the concern?
What is incomplete hygiene care?
A nurse collects vital signs and patient history. Which step is this?
What is assessment?
A nurse notices a colleague preparing a medication without scanning the patient’s ID band. What should the nurse do?
What is intervening to prevent a potential error?
A patient receives an opioid and becomes drowsy with a respiratory rate of 10. What is the priority action?
What is assessing respiratory status, holding medication and notifying provider?
A nurse wears PPE but touches their face during care. What is the concern?
What is self-contamination?
A patient is weak and fatigued. The nurse notes poor nutrition. What is the next step?
What is further assessment before intervention?
A patient refuses a bath. What is the nurse’s best response?
What is respecting autonomy and offering alternatives?
A nurse identifies “impaired mobility.” Which step is this?
What is diagnosis?
A patient has a fall risk bracelet but insists on walking independently. What is the nurse’s best response?
What is educating the patient and implementing safety measures while respecting autonomy?
A patient refuses pain medication. What is the nurse’s best response?
What is respecting autonomy while educating on options?
A nurse cleans a wound from outer edge toward the center. What is wrong with this technique?
What is it moves contaminants toward the clean area?
A patient coughs while eating. What is the nurse’s priority action?
What is stopping feeding and assessing for aspiration risk?
A nurse notices dry, cracked skin. What is the priority intervention?
What is moisturizing and preventing breakdown?
A nurse sets a goal: “Patient will ambulate 50 feet by discharge.” Which step is this?
What is planning?
A nurse documents a medication error immediately after it occurs. What principle is being demonstrated?
What is accountability?
A patient reports pain relief 30 minutes after IV medication. What should the nurse do next?
What is reassessing pain and documenting effectiveness?
Multiple patients develop infections on a unit. What is the nurse’s role in prevention?
What is strict adherence to infection control practices?
A patient is NPO but requests water. What is the nurse’s best response?
What is maintaining NPO status and explaining rationale?
A nurse performs perineal care back to front. What is the risk?
What is urinary tract infection?
A nurse assists the patient to ambulate. Which step is this?
What is implementation?
A patient is confused and repeatedly removes their oxygen. What is the most appropriate intervention?
What is addressing the cause?
A nurse delays pain medication to avoid addiction risk in a postoperative patient. What is the issue?
What is inadequate pain management?
A patient is on contact precautions. The nurse exits the room wearing gloves. What should happen next?
What is removing PPE and performing hand hygiene before leaving?
A nurse documents intake but does not assess weight changes. What is the issue?
What is incomplete nutritional assessment?
A patient is immobile and hygiene is skipped due to time constraints. What principle is violated?
What is basic care and patient dignity / safety?
A patient meets mobility goals. What should the nurse do next?
What is evaluate and modify the plan as needed?