Patient Safety Post-test Answers
Please review the correct answers below (in bold). Some additional notes are listed in the right column.
1. NPSG #1a: Two patient identifiers must be used whenever performing certain procedures. This needs to occur EVERY TIME
Two procedures are medication and blood product administration. What is the third? you give meds, hang blood
a. Suctioning c. Blood specimen collection products, or take any blood
b. Foley insertion d. Patient education samples, regardless of where you
2. NPSG #1a: What two identifiers do we use for blood product administration?
a. Patient name and room number c. Patient name and physician name
b. Medical record and room number d. Patient name and med record or account #
3. NPSG #2a: What does “read back” mean? Write the order on an order sheet.
a. Write down telephone or verbal order and read back to person giving the order Do not use scrap paper and then
b. Listen to order; repeat back word for word what you heard to person giving the order write it on the order sheet later.
c. When a physician requests, read back orders with unacceptable abbreviations This too can cause errors.
d. None of the above
4. NPSG #2a: The “read back” process applies to the following types of orders: Please encourage physicians to write
a. Medication telephone orders c. All medication orders their own orders when possible.
b. All telephone or verbal orders d. All orders with unacceptable abbreviations
5. NPSG #2b: What type of documentation does the “DO NOT USE” Abbreviation / Symbol List This pertains to all clinicians
apply to? documenting in the chart –
a. All clinical documentation c. Physician Orders and MARs physicians, nurses, CNAs, other
b. Physician Orders and Progress Notes d. Physician Orders only disciplines.
6. NPSG #2b: When an unacceptable abbreviation is used in a physician order, To report an abbreviation to
what action is to be taken? Performance Improvement, use
a. Order clarified before carried out c. Send info to Performance Improvement Occurrence report or call hot line.
b. Report to Medical Records d. A and C This is required to help us stay
compliant with JCAHO standards.
7. NPSG #3a: Identify the examples of high alert medications:
a. Insulin and Dilantin c. Heparin and KCl
b. Insulin and Penicillin d. KCl and D5W
8. NPSG #3a: Where are concentrated electrolytes (like KCl) are stored in PYXIS? Special precautions have been taken
a. All inpatient care units. c. CVOR and CSU with CVOR storage to minimize risk
b. CVOR only d. All concentrated KCl solutions are stored in pharmacy only of errors with this high alert med.
9. NPSG #1b: At what point does the “time out” take place?
a. Immediately prior to start of procedure c. When informed consent is obtained
b. When patient education is provided d. A & B
10. NPSG #4a and 4b: What areas of departments must follow the new safety
procedures to comply with NPSG #4?
a. All OR areas, including WC c. All OR and Procedure areas
b. All OR and inpatient units d. All units and operative/invasive areas
11. NPSG #4b: How will we mark the surgical or procedure site?
a. Same as now: No on opposite side c. Yes on operative side, No on other side
b. Yes on operative side only d. Mark “X” on operative side only
12. NPSG #5: What IV pumps do we own that have free flow protection? All our IV pumps (Colleague) have
a. Travenol pumps c. PCA pumps free flow protection. If you find any
b. Colleague pumps d. B and C old Travenol pumps, please return
them to central – we cannot use
them any longer as they don’t have
the protection. All our PCA pumps
have free flow protection.
13. NPSG #6: When patient equipment with a clinical alarm system is used, nurses should check
that alarm limits are set and the alarms are activated. What else should be checked? Alarms should be heard despite
a. Back-up battery taped to equipment c. Alarms can be heard throughout work area noise on unit.
b. Equipment is color-coded d. Alarms automatically silence after one minute
14. NPSG #7: What type of isolation is required for VRE?
a. Special Contact c. Contact
b. Droplet d. Special Droplet
15. NPSG #7: What is the focus of this goal (related to nosocomial infections)?
a. Hand hygiene guidelines c. Permanent loss of function or death related to infection
b. Bloodborne Pathogen Standard d. A and C
16. HIPAA: If I have access to clinical information on the computer system, I am authorized to No – only if you are providing care
review any patient’s computer record. False for that patient AND you have a
need to know the information.
17. HIPAA: Since I already have access to patient information, I am permitted to access,
review or print out my own records from the hospital computer system. False
18. Small bore TF Insertion: A basal skull fracture is the one ABSOLUTE CONTRAINDICATION for
insertion of a feeding tube. True
19. Small bore TF Insertion: Reglan should not be used to help promote peristalsis and Reglan can help promote peristalsis
advancement of a feeding tube. False and advance tube
20. Central lines: Chloraprep should be applied 10-15 seconds, using friction, prior to an IV
insertion and while performing a central line dressing change. False Should be applied for 30-40 seconds
21. Central lines: Items needed for a central line dressing change include a clean cap and a
22. Blood specimen collection: After collecting a blood sample for type & cross-match, it is Labels must be placed on the tube
acceptable to place the labels on the tube when you return to the nurses station. False at the bedside, with the patient’s
identification verified using two
identifiers (name and acct #).
23. Blood specimen collection: If the full name of the patient does not fit on the printed lab
specimen label, it is acceptable to hand print the full name on the label. True
24. DNR policy: DNR status is to be noted on the patient’s ID band, medical record, and SMS
rounds report. True
25. DNR policy: If any changes are to be made to a DNR order, a new DNR order sheet must be
26. Siderails: Patients at risk for siderail entrapment should be placed in a chair to sleep. False Siderail pads may be used, and
more frequent observations should
27. Siderails: Patients who are confused, sedated, restless, in pain, or incontinent are
potentially at risk for siderail entrapment. True
28. Management of Pain/Suffering: The term “suffering” is only associated with pain. False
29. Management of Pain/Suffering: In palliative care, no maximum dose for narcotic analgesics
REVIEW THE JCAHO “ON TRACK” POSTERS FOR ADDITIONAL
INFORMATION ON THE NATIONAL PATIENT SAFETY GOALS.
If you have further questions, call Clinical Practice and Standards x56015