Clinical Nurse Leader Exam Patient Safety & Quality Improvement 2

Question 1

What does the term 'never event' refer to in patient safety?

Accepted Answer

A serious preventable adverse event that should never occur in healthcare

Answer

An event that has never occurred in the facility's history

Answer

A near-miss incident that was caught before harming a patient

Answer

A minor event that does not require reporting

Question 2

Which quality improvement model emphasizes defining, measuring, analyzing, improving, and controlling processes?

Accepted Answer

Six Sigma (DMAIC)

Answer

Lean methodology

Answer

PDSA cycle

Answer

Root cause analysis

Question 3

A CNL is reviewing HCAHPS scores. What does this survey primarily measure?

Accepted Answer

Patient perspectives on hospital care and experience

Answer

Hospital-acquired infection rates

Answer

Staff satisfaction with work environment

Answer

Readmission rates within 30 days

Question 4

In applying Lean principles to a clinical unit, a CNL focuses on eliminating waste. Which of the following is an example of 'waste' in the Lean framework?

Accepted Answer

Nurses walking long distances to retrieve supplies from a poorly located storeroom

Answer

Documenting patient assessments in the electronic health record

Answer

Conducting daily safety huddles with staff

Answer

Performing discharge teaching with the patient and family

Question 5

A CNL implements a bundle to prevent central line-associated bloodstream infections (CLABSIs). Which element is a standard component of the CLABSI prevention bundle?

Accepted Answer

Hand hygiene before line insertion

Answer

Daily physical therapy orders

Answer

Oral care with chlorhexidine

Answer

Hourly rounding documentation

Question 6

Which indicator is considered a 'process measure' in quality improvement?

Accepted Answer

Percentage of patients receiving VTE prophylaxis within 24 hours of admission

Answer

Hospital mortality rate

Answer

Length of stay for surgical patients

Answer

Readmission rate for heart failure patients