CPPS Practice Exam 2023 Graded A

You are educating clinical managers in your healthcare facility on how to identify appropriate events for conducting a Root Cause Analysis. Which event provides the best opportunity for an RCA? - ANSWER-a. A post-op patient removes his own IV causing a skin tear from the tape b. A patient with no known allergies experiences an anaphylactic reaction to an antibiotic requiring transfer to ICU. c. The biopsy samples from a colonoscopy are never received by pathology after the procedure d. There have been 3 occurrences of depressed respirations in the same department in the last 4 months related to sedation The answer is C. The biopsy samples from a colonoscopy are never received by pathology after the procedure - ANSWER- The instrument count is incorrect at the conclusion of a surgical procedure. The hospital policy does not stipulate that the surgeon remain on the premises until an x-ray is obtained. The surgeon leaves the hospital to catch a flight. The x-ray reveals a retained instrument. Another surgeon is contacted to remove the retained instrument. What should leadership do next? - ANSWER-a. Create a process map of how instruments are managed during surgery looking for latent flaws b. Revise the hospital policy to make it clear that surgeons must stay in the OR until instrument count issues are resolved c. Counsel the surgeon about customary clinical standards for a surgeon using appropriate accountability system d. Reeducate the OR nursing staff on keeping track of instruments on the sterile field The answer is C. Counsel the surgeon about customary clinical standards for a surgeon using appropriate accountability system - ANSWER- A nurse on a medical-surgical unit does not comply with barcode medication administration (BCMA) while caring for one of her patients. What should her supervisor do? - ANSWER-a. Ask staff if there are adequate scanners to meet their needs b. Counsel the nurse on the importance of following policy c. Request that the pharmacy run a report of BCMA compliance rates of the unit d. Ask the nurse what was occurring at the time, and why she chose to bypass the policy The answer is D. Ask the nurse what was occurring at the time, and why she chose to bypass the policy - ANSWER-