ANM Quality Improvement & Safety Standards 2

Question 1

A nurse manager notices a recurring pattern of medication errors during shift changes. Which QI methodology is BEST suited to identify the root cause systematically?

Accepted Answer

Root Cause Analysis (RCA)

Answer

Root Cause Analysis (RCA) is specifically designed to identify underlying systemic causes of adverse events rather than assigning individual blame.

Question 2

The Joint Commission's National Patient Safety Goal regarding patient identification requires staff to use at least how many patient identifiers before providing care?

Accepted Answer

Two

Answer

TJC NPSG 01.01.01 requires at least two patient identifiers to be used before administering medications, blood products, or performing procedures.

Question 3

When a hospital's fall rate rises above the national benchmark, which step in the PDSA cycle should the team undertake FIRST?

Accepted Answer

Plan — define the problem and hypothesize a solution

Answer

The PDSA cycle begins with the Plan phase, where the team defines the problem, identifies aims, and develops a change theory before taking action.

Question 4

Which of the following is a leading indicator of patient safety rather than a lagging indicator?

Accepted Answer

Percentage of staff compliant with hand hygiene audits

Answer

Hand hygiene compliance is a process (leading) measure that predicts future infection outcomes, while the other options reflect outcomes that have already occurred.

Question 5

An ANM is reviewing a Failure Mode and Effects Analysis (FMEA) for the IV medication preparation process. What is the PRIMARY purpose of this tool?

Accepted Answer

To proactively identify potential failure points before they cause harm

Answer

FMEA is a prospective risk-assessment tool used to proactively identify where and how a process might fail before a patient is harmed.

(ANM) Assistant Nurse Manager Certification Practice Test

(ANM) Assistant Nurse Manager Certification Practice Test

ANM Quality Improvement & Safety Standards 2