ATI Quality Improvement

A nurse is assisting with teaching a class about sentinel events. The nurse should include that which of the following situations is a sentinel event? A. A nurse infused an incompatible blood product to a client B. A client fell getting out of bed C. A client who is confused walks out of the nursing unit D. A nurse receives a needle stick injury from a contaminated needle

A. A nurse infused an incompatible blood product to a client A sentinel event is a serious, reportable event that results in death, permanent harm, or severe injury to a client. Examples of sentinel events include wrong site surgery, client suicide while in a health care facility, and infusion of an incompatible blood product.

A nurses using evidence-based practice (EBP) to address the incidence of catheter-associated infections on a surgical unit. According to EBP, which of the following actions should the nurse take first? A. Identify a clinical problem B. Collect best evidence relevant to the question C. Evaluate studies to determine validity D. Share the findings with others

A. Identify a clinical problem According to EBP, the first action the nurse should take is to identify a clinical problem.

A nurse is explaining National Patient Safety Goals (NPSGs) to a newly licensed nurse. The nurse should include that which of the following is a goal addressed in the NPSGs? A. Improving staff communication B. Improving staff retention C. Increasing client satisfaction D. Increasing client involvement in their plan of care

A. Improving staff communication NPSGs were established to improve quality of care by addressing certain client safety concerns. These safety concerns include infection prevention, reduced medication and surgical errors, improved client identification, and increased communication among staff members.

A nurse is reviewing a health care facility's policy that states to use a gauze dressing over IV insertion sites. Completing a literature review, the nurse discovers that evidence-based practice (EBP) indicates to use a transparent dressing over IV sites. Which of the following actions should the nurse take next? A. Recommend changing the procedure to the policy and procedure committee B. Evaluate the results of the change in procedure C. Implement the change into clinical practice D. Communicate the outcomes of the procedure change with others

A. Recommend changing the procedure to the policy and procedure committee EBP indicates the next step the nurse should take is to recommend changing the procedure to the policy and procedure committee.

A nurse is caring for a client who has suction equipment in their room. The client asks the nurse, "Why do you check my suction equipment every day even though I am not using it?" Which of the following statements should the nurse make? A. It is part of an outcome audit that is being performed B. It is part of the quality assurance plan of the unit C. It is part of a plan developed by your case manager D. It is part of a quality improvement program

B. It is part of the quality assurance plan of the unit Quality assurance is a system that focuses on a problem-driven approach to improve client outcomes and promote a safe physical environment. Routine maintenance checks are part of the quality assurance process and are performed to ensure equipment is in proper working order.

A nurse is assisting with using the Plan-Do-Study-Act (PDSA) model to decrease client follows in a long-term care facility. The nurse should identify that developing guidelines to decrease falls is included in which of the following steps of the PDSA model? A. Do B. Plan C. Study D. Act

B. Plan Developing guidelines to decrease falls is part of the "Plan" step of the PDSA model. In the planning step, the need for a change is identified, and plans are developed to initiate the change.

A nurse is assisting with teaching a class about quality core measures. Which of the following information should the nurse include? A. A cost-effective analysis is used to identify quality core measures B. Quality core measures are a standard of care for treatment C. Client satisfaction is an example of a quality core measure D. Quality core measures are filled out by clients to evaluate healthcare facility services

B. Quality core measures are a standard of care for treatment Quality core measures are standards of care required for health care facilities to ensure they are providing best practices of care.

A nurse is assisting a quality improvement committee to decrease the number of client follows occurring at night. After identifying the problem, which of the following is the next step the nurse should take? A. Implement the practice change B. Evaluate the results of the change C. Complete a literature review D. Communicate the outcomes with others

C. Complete a literature review Evidence-based practice indicates the next step the nurse should take is to complete a literature review using credible sources of evidence.

A nurse is assisting a quality improvement team that is using the Plan-Do-Study-Act (PDSA) model to address an increase in pressure injuries on a medical unit. Which of the following actions should the nurse identify as an example of the "Do" step of the PDSA model? A. Reviewing data collected on clients who received the new protocol B. Developing a plan to initiate a change in client care C. Implementing a new evidenced-based practice protocol D. Accepting the new protocol on the unit's policy and procedures guidelines

C. Implementing a new evidenced-based practice protocol The "Do" step of the PDSA model includes implementing the plan.

A nurse is assisting with developing a quality improvement (QI) plan to reduce the incidence of medication errors in it an acute care unit. The nurse should recognize that which of the following actions is included in the identifying step of the QI process? A. Developing a plan to implement change B. Evaluating the results of the change C. Recognizing a need for a change D. Implementing the plan of change

C. Recognizing a need for a change Recognizing a problem and a need for change is included in the identifying step of the QI process.

A nurse is assisting with teaching a newly licensed nurse about the Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS) tool. Which of the following information should the nurse include? A. The HCAHPS tool is provided to clients upon admission to a facility B. The HCAHPS tool is completed during an in-person interview C. The HCAHPS tool is issued to measure client satisfaction about healthcare service D. The HCAHPS tool results are not shared with the public

C. The HCAHPS tool is issued to measure client satisfaction about healthcare service The HCAHPS tool is issued to measure client satisfaction about health care service. The information is publicly reported and ensures the accountability and transparency of the facilities that participate.

A nurse is assisting with teaching a class about incident reports. The nurse should include that which of the following situations requires an incident report? A. A client vomits after receiving an oral medication B. A client refuses to take a medication C. A nurse administers an antibiotic to a client 25 minutes after the scheduled time D. A nurse administers the wrong medication to a client

D. A nurse administers the wrong medication to a client Administering the wrong medication to a client requires an incident report. The nurse should monitor the client for adverse effects and report the incident to the charge nurse or the provider.

A nurse is assisting with teaching a class about types of research studies. The nurse should include that which of the following is an example of a Randomized Control Trial (RCT)? A. A study examining environmental factors that lead to obesity B. A study comparing a group of people who have diabetes mellitus with a group of people who did not have diabetes mellitus C. A study examining the cause of falls in a long term care facility D. A study randomly assigning people who smoke into either an experimental group or a control group to determine the effects of a new therapy to reduce smoking

D. A study randomly assigning people who smoke into either an experimental group or a control group to determine the effects of a new therapy to reduce smoking The nurse should include that a study randomly assigning people who smoke into either an experimental group or a control group to determine the effects of a new therapy to reduce smoking is an example of a RCT.

A nurse is a member of a committee that is using evidence-based practice (EBP) to decrease the incidence of central line infections. The nurse should identify that which of the following interventions is part of the implementation step of EBP? A. Recognize a high incidence of central line infections B. Evaluating whether the practice changes decrease the infection rate C. Researching best practices to reduce the rate of central line infections D. Incorporating the new practice into client care

D. Incorporating the new practice into client care Incorporating the new practice into client care is part of the implementing step of EBP.

A nurse is discussing quality measurement with a newly licensed nurse. The nurse should include that medication reconciliation is an aspect of which of the following parts of quality measurement? A. Benchmark B. Structure C. Outcome D. Process

D. Process Medication reconciliation is included in the process category of quality measurement. The process category includes activities of delivering care, such as administering medications, implementing fall precautions, and performing a medication reconciliation.