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 17 of 20
- A. Use a structured medication reconciliation process at transfer
- B. Ask the family to remember and list every medicine later
- C. Keep the patient fasting until the ward round is completed
- D. Record only medicines administered during the current shift
Explanation: Medication reconciliation compares the patient’s usual medicines with new orders during transitions of care.
Correct answer: Use a structured medication reconciliation process at transfer- A. The medication ordering, dispensing and administration steps
- B. The name of the nurse who made the most recent delay
- C. The number of nurses who received a warning last year
- D. The personal opinion of one staff member about the incident
Explanation: Reviewing the full medication process can reveal workload, communication, storage or workflow failures.
Correct answer: The medication ordering, dispensing and administration steps- A. Measure response times again and adjust the procedure using the results
- B. Assume the procedure worked because staff received an instruction
- C. Remove the call bells so that response times are no longer recorded
- D. Wait for complaints to stop without collecting further information
Explanation: Quality improvement requires checking whether the change produced the intended result and then refining the process.
Correct answer: Measure response times again and adjust the procedure using the results- A. Thank the patient, document the concern and investigate the response process
- B. Explain that busy wards cannot respond to every request promptly
- C. Ask the patient to complain only if an injury occurs
- D. Tell the patient that the staff member involved will be punished
Explanation: Listening respectfully, documenting the concern and examining the service process use feedback to improve care.
Correct answer: Thank the patient, document the concern and investigate the response process325. Which action is most appropriate when completing an incident report for a patient-safety event?
- A. Record objective facts, patient effects and actions taken
- B. Include personal criticism of the staff member involved
- C. Change the clinical record so it matches the incident form
- D. Leave out near misses because no patient was harmed
Explanation: An incident report should contain factual, timely information about what happened, the patient’s condition and the response.
Correct answer: Record objective facts, patient effects and actions taken- A. Place the approved policy in an accessible location and verify staff competency
- B. Tell the nurse involved to be more careful during future transfusions
- C. Require staff to sign a warning after every transfusion
- D. Stop all transfusions until the next annual policy review
Explanation: Making the current procedure accessible and checking competency addresses both the system barrier and safe practice.
Correct answer: Place the approved policy in an accessible location and verify staff competency- A. Record the event only if the patient is harmed
- B. Report the near miss according to hospital policy
- C. Keep the event private to protect the nurse
- D. Wait for the prescriber to decide whether to report it
Explanation: A near miss should be reported even when no harm occurs because it can reveal a weakness before a patient is injured.
Correct answer: Report the near miss according to hospital policy- A. Percentage of patients receiving antibiotics on time
- B. Number of falls occurring during one month
- C. Availability of functioning hand hygiene facilities
- D. Percentage of patients satisfied with nursing care
Explanation: A structure indicator measures the resources or conditions available for care, such as functioning hand hygiene facilities.
Correct answer: Availability of functioning hand hygiene facilities- A. Plan, Do, Study, Act cycle
- B. Punitive disciplinary review
- C. Retrospective patient satisfaction survey
- D. Routine staff performance appraisal
Explanation: The Plan, Do, Study, Act cycle tests a change on a small scale, examines the results, and adapts the intervention.
Correct answer: Plan, Do, Study, Act cycle- A. The careless nurse caused the delay
- B. The nurse is usually unreliable at work
- C. The medicine was given at 14:00 instead of 12:00
- D. The ward staff showed poor professional values
Explanation: Incident reports should contain objective, factual information, including what happened and when it happened.
Correct answer: The medicine was given at 14:00 instead of 12:00- A. Tell nurses to concentrate more carefully
- B. Issue a warning to the nurse involved
- C. Separate similar names and add a second identifier
- D. Ask patients to remember their medicine names
Explanation: Separating similar names and requiring a second identifier changes the system to make error less likely.
Correct answer: Separate similar names and add a second identifier- A. Repeat the order back and confirm the dose
- B. Ask another nurse to remember the order
- C. Write the order down after the emergency ends
- D. Administer the medicine without repeating the order
Explanation: Read-back and confirmation provide closed-loop communication and allow an incorrect drug, dose, or route to be corrected immediately.
Correct answer: Repeat the order back and confirm the dose- A. Compare wards with different patient exposure
- B. Identify which nurse caused each injury
- C. Prove that every injury was preventable
- D. Replace all clinical observations with statistics
Explanation: A denominator such as patient-days adjusts for differences in ward size and patient exposure, making comparisons more meaningful.
Correct answer: Compare wards with different patient exposure- A. Remove the complaint from the patient record
- B. Ask the patient to submit the complaint again
- C. Review the discharge process with patients and staff
- D. Tell the family that busy wards cannot provide extra time
Explanation: Reviewing the discharge process with patients and staff can identify communication barriers and guide a measurable improvement.
Correct answer: Review the discharge process with patients and staff- A. Repeat the same lecture every month
- B. Assess access, workload, supplies, and workflow
- C. Record the names of staff who make mistakes
- D. Stop collecting infection data until rates improve
Explanation: Persistent infection rates require examination of system factors such as supply availability, workload, placement of equipment, and…
Correct answer: Assess access, workload, supplies, and workflow- A. Ask one senior nurse whether it seems useful
- B. Compare predefined measures before and after the change
- C. Count only positive comments from staff
- D. Assume improvement because no complaint was received
Explanation: Predefined measures collected before and after the intervention provide objective evidence of change.
Correct answer: Compare predefined measures before and after the change- A. Check that the same case definition and data collection method were used throughout
- B. Assume the decrease was caused by the protocol because it followed implementation
- C. Exclude patients with complex conditions from the second measurement period
- D. Replace the infection rate with staff opinions about the new protocol
Explanation: A fair comparison requires consistent definitions, data collection, and measurement periods.
Correct answer: Check that the same case definition and data collection method were used throughout- A. Review contributing system factors and use the event for learning
- B. Warn the nurse that any future error will lead to immediate dismissal
- C. Keep the event secret so staff confidence in the ward is protected
- D. Ask the nurse to replace the incident report with an informal apology
Explanation: An honest error should be examined for contributing factors such as storage, workload, or confusing labels.
Correct answer: Review contributing system factors and use the event for learning- A. Using agreed criteria and applying them consistently to patient records
- B. Selecting only records that are easiest for the audit team to obtain
- C. Changing the criteria during review when results seem unfavourable
- D. Relying mainly on staff impressions instead of documented evidence
Explanation: A clinical audit compares documented practice with previously agreed standards using consistent criteria.
Correct answer: Using agreed criteria and applying them consistently to patient records- A. What conditions made it possible for the wrong patient to be selected?
- B. Which individual should receive the most severe punishment?
- C. How can the incident be removed from the ward performance report?
- D. Which staff member should be asked to accept personal responsibility first?
Explanation: Root cause analysis asks how processes, communication, equipment, workload, or policies allowed the event to occur.
Correct answer: What conditions made it possible for the wrong patient to be selected?