Practice Question
A nurse is participating in chart reviews as part of a quality improvement initiative.
Answer Choices:
Rationale:
🔶 An incident report is not required because the medication was not administered, and no harm reached the client.
🔶 The nurse correctly followed protocol by checking allergies before giving the medication.
🔶 This represents a near miss, and while hospitals may track it internally, it is not filed as a formal incident report.
🔶 Client safety was maintained because the nurse took immediate action and prevented an adverse drug event.
🔶 The provider was notified appropriately, showing proper closed-loop communication, further ensuring safety.
Client Scenario 2
🔶 The omission of the ordered antibiotic resulted in actual harm (neonatal sepsis), which legally requires an incident report.
🔶 There was a break in the standard of care, as GBS-positive mothers must receive intrapartum prophylaxis.
🔶 A newborn contracting sepsis represents a preventable sentinel event.
🔶 Reporting ensures root-cause analysis to prevent recurrence of similar lapses in maternal-newborn antibiotic administration.
🔶 Incident reports are required when a prescribed intervention is not carried out and results in negative outcomes.
Client Scenario 3
🔶 A ten-fold insulin overdose is a major medication error requiring mandatory incident reporting.
🔶 The client became unresponsive with severe hypoglycemia, confirming actual patient harm.
🔶 Accurate reporting is essential because this error indicates a breakdown in safe medication calculation and verification.
🔶 Incident reports help identify system-level issues such as unclear prescription writing (“6.0”).
🔶 This type of error must be documented to support mandatory safety reviews and prevent similar errors.
Client Scenario 4
🔶 A critical lab result wasnot communicated to the treating RN or provider, representing a communication failure.
🔶 Delay in acting on a critical lab value directly contributed to the development of DIC.
🔶 Any lapse in reporting critical results is considered a serious reportable event.
🔶 Proper incident reporting supports evaluation of handoff communication protocols.
🔶 The client experienced significant harm, which legally requires incident documentation.
Client Scenario 5
🔶 A fall—regardless of injury severity—always requires an incident report.
🔶 The malfunctioning call bell represents an equipment failure, which must be reported for safety tracking.
🔶 The fall occurred despite instructions, indicating a potential environmental risk.
🔶 Reporting ensures maintenance and repair, preventing injuries in other patients.
🔶 Incident documentation is essential for liability protection and quality improvement analysis.
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This question is from Ati 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