CPPS EXAM PRACTICE TEST 2 TEST PAPER
2026 FULL QUESTIONS AND ANSWERS
VERIFIED STUDY GUIDE FINAL PREP
◉ 3. High Reliability Organizations (HROs).
Answer: Five core principles:
Preoccupation with failure
Reluctance to simplify
Sensitivity to operations
Commitment to resilience
Deference to expertise
If a frontline nurse stops a procedure due to concern and leadership
supports it → that's deference to expertise.
◉ Safety Culture Measurement.
Answer: Tools measure:
Staff perception of teamwork
Leadership support
Reporting comfort
Improvement comes from:
Transparent communication
,Feedback loops
Visible leadership engagement
◉ Barcode medication scanning =.
Answer: forcing function
◉ Tall-man lettering (DOBUTamine vs DOPamine) =.
Answer: differentiation
◉ Color-coded tubing =.
Answer: visual cue
◉ Hierarchy of effectiveness (strongest → weakest):.
Answer: Forcing functions / automation
Standardization
Checklists
Education
Policy reminders
◉ Workarounds signal.
Answer: system design failure.
,◉ Root Cause Analysis (RCA) when to use.
Answer: Reactive — used after harm occurs.
◉ Failure Mode and Effects Analysis (FMEA) when to use.
Answer: Proactive — done before harm.
◉ FMEA steps.
Answer: Steps:
Map process
Identify failure modes
Score severity, occurrence, detectability
Calculate Risk Priority Number (RPN)
Redesign high-risk steps
Exam question example: "Hospital introducing new infusion pump.
What should be done first?"
Answer: Conduct FMEA.
◉ Structure Measures.
Answer: Environment/resources Example: Nurse-to-patient ratio
◉ Process Measures.
, Answer: What is doneExample: % of patients receiving antibiotics
within 1 hour
◉ Outcome Measures.
Answer: ResultsExample: Infection rate
◉ how many cycles of pdsa.
Answer: 5
◉ Common Cause Variation.
Answer: Normal fluctuation
◉ Special Cause Variation.
Answer: Unusual event requiring investigation
if variation falls outside control limits → special cause.
◉ Leading vs Lagging Indicators.
Answer: Leading = predictive (hand hygiene compliance) Lagging =
after harm (infection rate)
Leading indicators prevent harm.
◉ sentinel event.
2026 FULL QUESTIONS AND ANSWERS
VERIFIED STUDY GUIDE FINAL PREP
◉ 3. High Reliability Organizations (HROs).
Answer: Five core principles:
Preoccupation with failure
Reluctance to simplify
Sensitivity to operations
Commitment to resilience
Deference to expertise
If a frontline nurse stops a procedure due to concern and leadership
supports it → that's deference to expertise.
◉ Safety Culture Measurement.
Answer: Tools measure:
Staff perception of teamwork
Leadership support
Reporting comfort
Improvement comes from:
Transparent communication
,Feedback loops
Visible leadership engagement
◉ Barcode medication scanning =.
Answer: forcing function
◉ Tall-man lettering (DOBUTamine vs DOPamine) =.
Answer: differentiation
◉ Color-coded tubing =.
Answer: visual cue
◉ Hierarchy of effectiveness (strongest → weakest):.
Answer: Forcing functions / automation
Standardization
Checklists
Education
Policy reminders
◉ Workarounds signal.
Answer: system design failure.
,◉ Root Cause Analysis (RCA) when to use.
Answer: Reactive — used after harm occurs.
◉ Failure Mode and Effects Analysis (FMEA) when to use.
Answer: Proactive — done before harm.
◉ FMEA steps.
Answer: Steps:
Map process
Identify failure modes
Score severity, occurrence, detectability
Calculate Risk Priority Number (RPN)
Redesign high-risk steps
Exam question example: "Hospital introducing new infusion pump.
What should be done first?"
Answer: Conduct FMEA.
◉ Structure Measures.
Answer: Environment/resources Example: Nurse-to-patient ratio
◉ Process Measures.
, Answer: What is doneExample: % of patients receiving antibiotics
within 1 hour
◉ Outcome Measures.
Answer: ResultsExample: Infection rate
◉ how many cycles of pdsa.
Answer: 5
◉ Common Cause Variation.
Answer: Normal fluctuation
◉ Special Cause Variation.
Answer: Unusual event requiring investigation
if variation falls outside control limits → special cause.
◉ Leading vs Lagging Indicators.
Answer: Leading = predictive (hand hygiene compliance) Lagging =
after harm (infection rate)
Leading indicators prevent harm.
◉ sentinel event.
