Practice Question
A nurse is participating in chart reviews as part of a quality improvement initiative.
Answer Choices:
Rationale:
Client Scenario 1
✅ Incident Report: NOT REQUIRED
🟢 The nurse correctly identified a documented allergy to macrolide antibiotics before administering azithromycin.
🟢 The medication was withheld appropriately, and the provider was notified, preventing patient harm.
🟢 This reflects proper adherence to safety protocols and medication verification processes.
🟢 Since no error reached the client and the system functioned as intended, an incident report is not indicated.
Client Scenario 2
✅ Incident Report: REQUIRED
🔴 The client was Group B streptococcus–positive, and prophylactic antibiotics were prescribed but not administered during labor.
🔴 Failure to administer antibiotics represents a breakdown in care delivery, directly leading to neonatal sepsis, a serious adverse outcome.
🔴 This is a preventable error with patient harm, requiring formal documentation.
🔴 An incident report supports system review, accountability, and prevention of recurrence.
Client Scenario 3
✅ Incident Report: REQUIRED
🔴 The provider prescribed 6.0 units of insulin, but 60 units were administered, indicating a tenfold dosing error.
🔴 This medication error resulted in severe hypoglycemia and loss of consciousness, causing direct patient harm.
🔴 Insulin is a high-alert medication, and errors must be reported regardless of intent.
🔴 An incident report is mandatory to address calculation errors, documentation clarity, and safety systems.
Client Scenario 4
✅ Incident Report: REQUIRED
🔴 A critical laboratory value (severely low platelets) was reported but not communicated to the assigned RN or provider.
🔴 Failure in communication delayed intervention, resulting in disseminated intravascular coagulation, a life-threatening condition.
🔴 This represents a system communication failure, not individual blame.
🔴 Incident reporting is essential to correct handoff and escalation processes.
Client Scenario 5
✅ Incident Report: REQUIRED
🔴 The client was identified as a fall risk, and safety instructions were provided, but the call bell malfunctioned.
🔴 The client attempted to follow instructions but could not obtain assistance, leading to a fall and injury.
🔴 Equipment malfunction causing harm is a reportable safety event.
🔴 Incident reporting allows corrective action for equipment maintenance and response times.
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This question is from Ati Leadership & Management which contains 40 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Leadership & Management
- Answer Choices: 0