Question 1

Facilitating informed consent, resolving conflicts, recognizing the need for boundaries, and using effective communication principles are all aspects of the pediatric nurse providing which of the following?

A) Quality improvement
B) Teamwork and collaboration
C) Evidence-based practice
D) Patient-centered care

D

Accepted Answer

Patient-centered care involves ensuring that the care provided respects and responds to the individual patient's preferences, needs, and values. This includes facilitating informed consent, resolving conflicts, recognizing the need for boundaries, and using effective communication principles.

Question 2

As a pediatric nurse, you forget to open the clamp on an intravenous electrolyte replacement solution to correct a significant serum depletion. What type of error have you committed?&#10;A) Act of omission&#10;B) Act of commission&#10;C) Scheduling misperception&#10;D) Noncompliance on the part of the family or child

Accepted Answer

An act of omission occurs when a required action is not taken, such as forgetting to open the clamp on an IV line, which would result in the necessary treatment not being administered.

Question 3

While the majority of medication errors occur in adults, children experience approximately 2.3 to 6 adverse drug events per 100 hospital admissions and are up to three times more likely to experience "near-miss" errors. As a pediatric nurse, what can you do to avoid medication errors?

A) Ask physician to give the order verbally
B) Require written documentation of the dosage from the pharmacy
C) Double-check medication against documentation and written signatures
D) Provide informed consent to the patient that an adverse event may occur

C

Accepted Answer

Double-checking medication against documentation and written signatures helps ensure accuracy and prevent errors in medication administration.

Question 4

You receive a pediatric patient on the nursing unit from the emergency room. You administer the patient a dose of the same antibiotic that he or she just received in the emergency room. What type of error has been committed?

A) Act of omission
B) Act of commission
C) Scheduling misperception
D) Noncompliance on the part of the family or child

Accepted Answer

The answer of You receive a pediatric patient on the...

Question 5

Upon discharge, the patient was given several prescriptions to be filled for post-hospital care. If the family chooses not to fill these prescriptions, what type of error has been made by the family?&#10;A) Act of omission&#10;B) Act of commission&#10;C) Scheduling misperception&#10;D) Noncompliance on the part of the family or child

Accepted Answer

Noncompliance refers to the failure to act according to set guidelines or instructions, in this case, not filling the prescribed medications as directed by the healthcare provider for post-hospital care.

Question 6

A patient you are caring for complains of severe stomach pain. As a pediatric nurse, you administer a medication to relieve the pain; however, the patient's physician did not write an order for this particular medication. What type of error has been committed?

A) Act of omission
B) Act of commission
C) Scheduling misperception
D) Noncompliance on the part of the family or child

Accepted Answer

Administering medication without a physician's order is an act of commission, which means doing something that should not have been done. This is different from an act of omission, which involves not doing something that should have been done.

Question 7

Miscommunication has been deemed the cause of a significant number of medical errors on your nursing unit. Which of the following actions could be performed to significantly reduce the number of medical errors?

A) Implement the CUS protocol
B) Implement use of the SIGNOUT? mnemonic
C) Eliminate delegation of nursing duties
D) Have hospital administration develop up-to-date protocols

Accepted Answer

The SIGNOUT mnemonic is a tool that can be used to improve communication between healthcare professionals. It stands for Situation, Intervention, Goal, Note, Outcome, Unresolved, and To Do. By using this mnemonic, healthcare professionals can ensure that they are communicating all of the relevant information to each other, which can help to reduce the number of medical errors.

Question 8

You are about to assist on an unfortunate surgical procedure in which a child's foot is to be amputated. What should the team do prior to starting the procedure to ensure the proper foot is being removed?

A) Implement the CUS protocol
B) Implement use of the SIGNOUT? mnemonic
C) Perform a "time-out"
D) Perform a thorough assessment of both feet

Accepted Answer

Performing a "time-out" is a critical step before starting any surgical procedure. This process involves the surgical team pausing to confirm the patient's identity, the surgical procedure, and the exact site of the surgery, ensuring that the correct surgery is performed on the correct site and patient.

Question 9

As a pediatric nurse, you are aware that some classes of medications should, at a minimum, be double-checked by two licensed caregivers. What can you do to remind yourself what medications should be checked by a second nurse?

A) Implement the CUS protocol
B) Implement use of the SIGNOUT? mnemonic
C) Perform a "time-out"
D) Implement the use of the D'BITCH'EN mnemonic

Accepted Answer

The D'BITCH'EN mnemonic is a tool used to remember high-risk medications that require double-checking by two licensed caregivers.

Question 10

As a pediatric nurse, by consistently monitoring outcomes of care and used methods to improve all aspects of healthcare systems and patient care, you are illustrating what QSEN competency?&#10;A) Quality improvement&#10;B) Teamwork and collaboration&#10;C) Evidence-based practice&#10;D) Patient-centered care

Accepted Answer

Quality improvement involves the continuous work of monitoring outcomes and refining healthcare processes to enhance patient care, which is what the scenario describes.

Deck 3: Essential Safety Models