Deck 3: Essential Safety Models

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

Answer 1

D

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?

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

Answer 2

A

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

Answer 3

C

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

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?

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

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

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

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

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

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?

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