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IHI Exam Questions 2024/25 Update All with 100% Correct Verified Answers
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IHI Exam Questions 2024/25 Update All with 100%Correct Verified Answers
Janet is a new physical therapist on the orthopedic surgery unit. Although learning a new
position has been exhausting and somewhat stressful, she remains excited about the
opportunity, and two weeks into her new job she has already volunteered to take on extra
patients while a colleague is away. Today, she has 16 patients, one of whom is George
Martinez. He is a 47-year-old man who had a left knee replacement two days ago. She goes to
see Mr. Martinez in Room six. For privacy reasons, patients' first names are not listed outside
the doors on Janet's unit, so she does not realize she is walking into the wrong patient's room,
and she does not check the patient's name on his wristband as protocol indicates she should.
She is now in the room of Rudy Martinez, a 56-year-old man who had an emergent left knee
repair yesterday for a torn meniscus. Janet starts to bend his knee, causing him to yell in pain.
Worried, Janet fi - ✔✔(E) A and C
Which of the following techniques represent best practice for communicating with patients and
families?
(A) Listen to and honor patient and family perspectives and choices.
(B) Identify a patient's and family's knowledge, values, beliefs, and cultural background.
(C) Encourage patients and families to participate in care and decision-making at the level they
choose.
(D) All of the above - ✔✔(D) All of the above
Nearing the end of her 18-hour work shift, a resident sees a patient with extremely high blood
glucose levels. She writes the patient a prescription for insulin; however, in her exhaustion, she
closes her "U" (for "units"), and it looks more like an extra zero. As a result, the pharmacist
dispenses an insulin dose that's ten times stronger than the patient needs.
Which of the following is a latent unsafe condition in the system that contributes to the
resident's error?
(A) Long work schedule
,(B) Fatigue
(C) Inadequate training
(D) None of the above - ✔✔(A) Long work schedule
To prevent this problem from happening again, which of the following would be the best course
of action?
(A) Punish the resident and the pharmacist for their careless actions.
(B) Require both the resident and the pharmacist to take additional training.
(C) Develop a system that prevents messy handwriting from causing miscommunication that
leads to error.
(D) Ensure that no prescribing physician is ever tired or distracted. - ✔✔(C) Develop a
system that prevents messy handwriting from causing miscommunication that leads to error.
"Latent errors" are best defined as:
(A) Defects in the design and organization of processes and systems.
(B) Errors in patient care that don't ever result in harm and thus go undetected.
(C) Mistakes in patient care that providers fail to report due to fear of punishment.
(D) Errors in patient care that cause immediate adverse effects. - ✔✔(A) Defects in the
design and organization of processes and systems.
Two women — one named Camilla Tyler, the other named Camilla Taylor — arrive at a
particularly busy emergency department at about the same time. Ms. Tyler needs a sedative,
and Ms. Taylor needs an antibiotic. The doctor orders the medications, but mixes up the
patients when filling out the order sheets. The pharmacist dispenses the medications as
ordered, and the nurse administers an antibiotic to Ms. Tyler and a sedative to Ms. Taylor.
What is the active error in this scenario?
,(A) The forms are completed by hand at the same time for different patients.
(B) The nurse administers an antibiotic to Ms. Tyler and a sedative to Ms. Taylor.
(C) The emergency department is particularly busy.
(D) The pharmacist doesn't notice that the order sheets are incorrectly filled out. - ✔✔(B)
The nurse administers an antibiotic to Ms. Tyler and a sedative to Ms. Taylor.
Two women — one named Camilla Tyler, the other named Camilla Taylor — arrive at a
particularly busy emergency department at about the same time. Ms. Tyler needs a sedative,
and Ms. Taylor needs an antibiotic. The doctor orders the medications, but mixes up the
patients when filling out the order sheets. The pharmacist dispenses the medications as
ordered, and the nurse administers an antibiotic to Ms. Tyler and a sedative to Ms. Taylor.
What is one of the latent errors in this scenario?
(A) The emergency department is particularly busy.
(B) The nurse administers an antibiotic to Ms. Tyler and a sedative to Ms. Taylor.
(C) The forms are completed by hand at the same time for different patients.
(D) The two patients in this case have very similar names. - ✔✔(C) The forms are completed
by hand at the same time for different patients.
According to James Reason, by definition an "unsafe act" always includes:
(A) A potential hazard
(B) Harm to one or more patients
(C) One or more mistakes
(D) All of the above - ✔✔(A) A potential hazard
Anita, a nurse practitioner, is seeing Mr. Drummond in clinic. Mr. Drummond is a 57-year-old
man with diabetes and chronic kidney disease. Having kept up on the literature, Anita is aware
that tightly controlling his diabetes can slow the progression of his renal disease. She discusses
, her plan to increase his dose of glargine (long-acting insulin) by 12 units per day with one of the
family physicians in the clinic, who agrees. At the end of the day, as she is working on her
documentation, she realizes she never told Mr. Drummond to increase his insulin dose.
This is an example of what type of error?
(A) Lapse
(B) Mistake
(C) Slip
(D) Error of planning
(E) Violation - ✔✔(A) Lapse
Roger, a pharmacist in a hospital, is working in the discharge pharmacy filling medications for
patients who are going home. He sees a prescription for ciprofloxacin, an antibiotic, and he asks
his pharmacy technician Mike to fill it quickly, as the patient is waiting and anxious to leave.
Mike checks the shelves and sees they are out of ciprofloxacin, but they do have levofloxacin
(an antibiotic in the same class that covers most, but not all, of the same types of infections).
Mike knows he should usually check with the prescribing physician before making a
substitution. However, in the interest of efficiency in this particular case, Mike deems it OK to
go ahead. He substitutes the medications.
This is an example of what type of unsafe act?
(A) Mistake
(B) Slip
(C) Lapse
(D) Error of planning
(E) Violation - ✔✔(E) Violation
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