Client Safety and Risk Management
NCLEX- Style Questions
NCLEX- Style Questions
Question 1
Alternative text for image
The nurse, Maya, is discussing the importance of patient safety and documentation with a new graduate nurse in the emergency department. The new graduate nurse states, “I document confusion assessment measures scores (CAM) and fall risks when I have time, but I don’t always see the point unless something bad happens.” What is the most appropriate response by Maya?
- “Proactive documentation of nursing-specific indicators like CAM and fall risks helps prevent incidents and supports quality improvement.”
- “Documentation of safety indicators can wait until after the shift, especially when you’re short-staffed.”
- “That’s reasonable; it’s better to focus on the sickest patients and document only if there’s a concern.”
- “You can prioritize documentation later if the patient seems stable and alert at admission.”
- “That’s okay, unit audits are done weekly anyway, and most falls don’t cause serious harm.”
- “If no incident occurred, there’s no need to document. Our system only flags adverse events.”
Question 2
https://h5pstudio.ecampusontario.ca/h5p/85642/embed
Question 3
Alternative text for image
The nurse, Maya, is discussing the importance of patient safety and documentation with a new graduate nurse in the emergency department. The new graduate nurse states, “I document confusion assessment measures scores (CAM) and fall risks when I have time, but I don’t always see the point unless something bad happens.” What is the most appropriate response by Maya?
- “Proactive documentation of nursing-specific indicators like CAM and fall risks helps prevent incidents and supports quality improvement.”
- “Documentation of safety indicators can wait until after the shift, especially when you’re short-staffed.”
- “That’s reasonable; it’s better to focus on the sickest patients and document only if there’s a concern.”
- “You can prioritize documentation later if the patient seems stable and alert at admission.”
- “That’s okay, unit audits are done weekly anyway, and most falls don’t cause serious harm.”
- “If no incident occurred, there’s no need to document. Our system only flags adverse events.”
Question 4
https://h5pstudio.ecampusontario.ca/h5p/85643/embed
Question 5
Question 6
Alternative text for image
The nurse, Maya, is mentoring a group of new graduate nurses about the importance of safety culture, incident reporting, and documentation. Which of the following statements reflect unsafe beliefs that can negatively impact patient care safety? (Select all that apply.)
- “Fall risk protocols should be skipped if the patient is alert and ambulatory.”
- “We should document and report incidents promptly according to policy.”
- “It’s okay to delay documentation if the unit is short-staffed.”
- “Only actual errors should be tracked during safety audits.”
- “If no one was harmed, we don’t need to file an incident report.”
