All Free Nursing Management and Ethics MCQs with Answers
Every Nursing Management and Ethics question in the bank, across all chapters, each with the correct answer and a written explanation. Free and unlimited, with no account needed.
396 questions · page 16 of 20
- A. Identify system factors that allowed the event
- B. Find one staff member to punish for the event
- C. Prove that the patient caused the event
- D. Determine which nurse should pay for the loss
Explanation: Root cause analysis examines contributing system factors such as staffing, communication, training, equipment and procedures.
Correct answer: Identify system factors that allowed the event- A. Measure performance, test a change and remeasure
- B. Issue a warning to every nurse on the ward
- C. Wait for an infection outbreak before acting
- D. Replace the hand hygiene policy without review
Explanation: Continuous quality improvement uses repeated measurement, a planned change and reassessment to determine whether care improves.
Correct answer: Measure performance, test a change and remeasure- A. Document the feedback and review communication practices
- B. Tell the patient that medical terms are necessary
- C. Ask the family to search for meanings online
- D. Ignore the comment because treatment is still given
Explanation: Patient feedback can identify communication barriers that affect understanding, consent and safety.
Correct answer: Document the feedback and review communication practices- A. Use a structured handover that includes allergies
- B. Tell nurses to speak more loudly during handover
- C. Ask patients to remind every nurse about allergies
- D. Allow only the senior nurse to give all handovers
Explanation: A structured handover prompts nurses to communicate critical information such as allergies, current risks and pending care.
Correct answer: Use a structured handover that includes allergies- A. Review barriers and introduce a measurable improvement plan
- B. File the audit report without discussing the result
- C. Remove the assessment requirement from the standard
- D. Assume that missing forms mean assessments were completed
Explanation: An audit identifies a gap between the required standard and actual documentation.
Correct answer: Review barriers and introduce a measurable improvement plan- A. Place the call bell within reach and activate precautions
- B. Teach the patient about discharge exercises
- C. Ask the family to stay continuously at the bedside
- D. Complete the fall-risk form at the end of the shift
Explanation: Immediate fall prevention requires accessible assistance and appropriate safety precautions, such as a low bed and clear surroundings.
Correct answer: Place the call bell within reach and activate precautions- A. An indicator measures performance against a defined expectation
- B. An indicator replaces the need for clinical judgement
- C. An indicator describes only the patient's diagnosis
- D. An indicator is used only after a serious incident
Explanation: A quality indicator is a measurable item used to assess whether care meets an expected standard, such as timely medication administration.
Correct answer: An indicator measures performance against a defined expectation- A. A clinical audit
- B. A patient satisfaction survey
- C. A root cause analysis
- D. A staff performance appraisal
Explanation: A clinical audit compares documented practice with an agreed standard or policy.
Correct answer: A clinical audit- A. Document and report the medication delay through the safety system
- B. Alter the prescription time without informing the prescriber
- C. Wait to report it unless the patient develops a reaction
- D. Ask the patient to complain directly to the hospital director
Explanation: A medication delay is a safety event even when no harm occurs and should be reported according to local policy.
Correct answer: Document and report the medication delay through the safety system- A. Place approved sharps containers close to the point of use
- B. Tell staff to recap needles more carefully before disposal
- C. Record injuries but make no change until one is severe
- D. Require injured staff to work only on nonclinical duties
Explanation: Sharps containers placed at the point of use reduce the need to carry or recap used needles.
Correct answer: Place approved sharps containers close to the point of use- A. Percentage of patients who develop pressure injuries
- B. Percentage of nurses attending an in-service session
- C. Availability of a written wound-care policy
- D. Number of beds available on the ward
Explanation: An outcome indicator measures the result of care, such as the occurrence of pressure injuries.
Correct answer: Percentage of patients who develop pressure injuries- A. Verify the pattern using call-bell records and direct observation
- B. Remove the complaints from the quality report
- C. Warn the nurse who received the most complaints
- D. Close the survey because opinions are not clinical evidence
Explanation: The manager should validate the reported problem with additional data before selecting an intervention.
Correct answer: Verify the pattern using call-bell records and direct observation- A. Separate and clearly label the insulin storage areas
- B. Publicly identify the nurse who made the error
- C. Stop using insulin on the ward
- D. Tell staff to rely on memory when selecting insulin
Explanation: Separating and clearly labelling look-alike medicines addresses a system factor that contributed to the error.
Correct answer: Separate and clearly label the insulin storage areas- A. A latent system condition
- B. A patient's noncompliance
- C. A personal character defect
- D. A normal clinical variation
Explanation: A faulty call bell is a latent system condition that can remain unnoticed until it contributes to harm.
Correct answer: A latent system condition- A. Complete the teaching before signing the checklist
- B. Sign it because another nurse can teach later
- C. Ask the patient to sign instead of the nurse
- D. Leave the checklist blank and provide no explanation
Explanation: Documentation must accurately reflect care that has been completed, and medication teaching should occur before discharge when possible.
Correct answer: Complete the teaching before signing the checklist- A. Evaluating the change using outcome data
- B. Assigning blame for previous medication events
- C. Writing a patient's individual care plan
- D. Replacing incident reporting with staff education
Explanation: Comparing safety-event data before and after an intervention evaluates whether the change improved care.
Correct answer: Evaluating the change using outcome data- A. A measurable level of practice expected for similar patients
- B. A monthly count of incidents reported by a ward
- C. A patient’s personal opinion about nursing services
- D. A financial estimate of the cost of treatment
Explanation: A standard of care states the expected level of nursing practice for a defined situation.
Correct answer: A measurable level of practice expected for similar patients- A. Complete an incident report and inform the appropriate senior nurse
- B. Alter the patient’s medication chart to match the medicine given
- C. Ask the patient to decide whether the prescriber should be informed
- D. Wait until the end of the shift before documenting the event
Explanation: After assessing and protecting the patient, the nurse should promptly report and document the medication incident according to policy.
Correct answer: Complete an incident report and inform the appropriate senior nurse- A. Assess airway, breathing and circulation, then assess for injury
- B. Help the patient stand and return to bed immediately
- C. Complete the incident form before examining the patient
- D. Give an analgesic before checking the affected limb
Explanation: The nurse first assesses immediate physiological stability and possible injury without unnecessarily moving the patient.
Correct answer: Assess airway, breathing and circulation, then assess for injury- A. The percentage of nurses performing hand hygiene correctly
- B. The number of patients who develop wound infections
- C. The average length of stay for surgical patients
- D. The percentage of patients satisfied with ward cleanliness
Explanation: A process indicator measures whether a required care activity is performed.
Correct answer: The percentage of nurses performing hand hygiene correctly