CPPS Practice Exam
You are educating clinical managers in your healthcare facility on how to identify
b b b b b b b b b b b b
appropriate events for conducting a Root Cause Analysis. Which event provides the
b b b b b b b b b b b b
best opportunity for an RCA? - answer-a. A post-op patient removes his own IV causing
b b b b b b b b b b b b b b b
a skin tear from the tape
b b b b b b
b. A patient with no known allergies experiences an anaphylactic reaction to an
b b b b b b b b b b b b
antibiotic requiring transfer to ICU.
b b b b b b
c. The biopsy samples from a colonoscopy are never received by pathology after the
b b b b b b b b b b b b b
procedure
b
d. There have been 3 occurrences of depressed respirations in the same department in
b b b b b b b b b b b b b
the last 4 months related to sedation
b b b b b b b
The answer is C. The biopsy samples from a colonoscopy are never received by
b b b b b b b b b b b b b
pathology after the procedure - answer-
b b b b b b
The instrument count is incorrect at the conclusion of a surgical procedure. The hospital
b b b b b b b b b b b b b
policy does not stipulate that the surgeon remain on the premises until an x-ray is
b b b b b b b b b b b b b b b
obtained. The surgeon leaves the hospital to catch a flight. The x-ray reveals a retained
b b b b b b b b b b b b b b b
instrument. Another surgeon is contacted to remove the retained instrument. What
b b b b b b b b b b b
should leadership do next? - answer-a. Create a process map of how instruments are
b b b b b b b b b b b b b b
managed during surgery looking for latent flaws
b b b b b b b
b. Revise the hospital policy to make it clear that surgeons must stay in the OR until
b b b b b b b b b b b b b b b b
instrument count issues are resolved
b b b b b
c. Counsel the surgeon about customary clinical standards for a surgeon using
b b b b b b b b b b b
appropriate accountability system
b b b
d. Reeducate the OR nursing staff on keeping track of instruments on the sterile field
b b b b b b b b b b b b b b
The answer is C. Counsel the surgeon about customary clinical standards for a surgeon
b b b b b b b b b b b b b
using appropriate accountability system - answer-
b b b b b b
, A nurse on a medical-surgical unit does not comply with barcode medication
b b b b b b b b b b b
administration (BCMA) while caring for one of her patients. What should her supervisor
b b b b b b b b b b b b b
do? - answer-a. Ask staff if there are adequate scanners to meet their needs
b b b b b b b b b b b b b b
b. Counsel the nurse on the importance of following policy
b b b b b b b b b
c. Request that the pharmacy run a report of BCMA compliance rates of the unit
b b b b b b b b b b b b b b
d. Ask the nurse what was occurring at the time, and why she chose to bypass the
b b b b b b b b b b b b b b b b
policy
b
The answer is D. Ask the nurse what was occurring at the time, and why she chose to
b b b b b b b b b b b b b b b b b
bypass the policy - answer-
b b b b b
The Board of Hospital A wants to know how Hospital A's safety performance in central
b b b b b b b b b b b b b b
line associated blood stream infection (CLABSI) compares to that of other hospitals in
b b b b b b b b b b b b b
their region. Which data display would best inform them for that decision? - answer-a.
b b b b b b b b b b b b b b
Control charts of overall infection rate by quarter for the past two years for each
b b b b b b b b b b b b b b b
hospital in the region
b b b b
b. A table indicating the CLABSI infection rates of all hospitals in the region relative to
b b b b b b b b b b b b b b b
the National Healthcare Safety Network benchmark for CLABSI infections for the past 2
b b b b b b b b b b b b b
years
b
c. A written report summarizing the current CLABSI prevention protocols of each
b b b b b b b b b b b
hospital in the region
b b b b
d. A table showing the number of CLABSI infections in each hospital in the region by
b b b b b b b b b b b b b b b
quarter for the past 2 years
b b b b b b
The answer is B. A table indicating the CLABSI infection rates of all hospitals in the
b b b b b b b b b b b b b b b
region relative to the National Healthcare Safety Network benchmark for CLABSI
b b b b b b b b b b b
infections for the past 2 years - answer-
b b b b b b b b
Your organization utilizes a "home grown" electronic safety event reporting system that
b b b b b b b b b b b
is no longer meeting the needs of the organization. Hospital administration is asking for
b b b b b b b b b b b b b b
your opinion for next steps. What next steps would you take to identify a replacement
b b b b b b b b b b b b b b b
system? - answer-a. Ask information systems to either fix the old one or build a new
b b b b b b b b b b b b b b b b
one
b
b. Identify key stakeholders and perform a gap analysis of current state to ideal state
b b b b b b b b b b b b b b
c. Poll colleagues and purchase what they use
b b b b b b b
d. Purchase the lease expensive software and grow with it
b b b b b b b b b
You are educating clinical managers in your healthcare facility on how to identify
b b b b b b b b b b b b
appropriate events for conducting a Root Cause Analysis. Which event provides the
b b b b b b b b b b b b
best opportunity for an RCA? - answer-a. A post-op patient removes his own IV causing
b b b b b b b b b b b b b b b
a skin tear from the tape
b b b b b b
b. A patient with no known allergies experiences an anaphylactic reaction to an
b b b b b b b b b b b b
antibiotic requiring transfer to ICU.
b b b b b b
c. The biopsy samples from a colonoscopy are never received by pathology after the
b b b b b b b b b b b b b
procedure
b
d. There have been 3 occurrences of depressed respirations in the same department in
b b b b b b b b b b b b b
the last 4 months related to sedation
b b b b b b b
The answer is C. The biopsy samples from a colonoscopy are never received by
b b b b b b b b b b b b b
pathology after the procedure - answer-
b b b b b b
The instrument count is incorrect at the conclusion of a surgical procedure. The hospital
b b b b b b b b b b b b b
policy does not stipulate that the surgeon remain on the premises until an x-ray is
b b b b b b b b b b b b b b b
obtained. The surgeon leaves the hospital to catch a flight. The x-ray reveals a retained
b b b b b b b b b b b b b b b
instrument. Another surgeon is contacted to remove the retained instrument. What
b b b b b b b b b b b
should leadership do next? - answer-a. Create a process map of how instruments are
b b b b b b b b b b b b b b
managed during surgery looking for latent flaws
b b b b b b b
b. Revise the hospital policy to make it clear that surgeons must stay in the OR until
b b b b b b b b b b b b b b b b
instrument count issues are resolved
b b b b b
c. Counsel the surgeon about customary clinical standards for a surgeon using
b b b b b b b b b b b
appropriate accountability system
b b b
d. Reeducate the OR nursing staff on keeping track of instruments on the sterile field
b b b b b b b b b b b b b b
The answer is C. Counsel the surgeon about customary clinical standards for a surgeon
b b b b b b b b b b b b b
using appropriate accountability system - answer-
b b b b b b
, A nurse on a medical-surgical unit does not comply with barcode medication
b b b b b b b b b b b
administration (BCMA) while caring for one of her patients. What should her supervisor
b b b b b b b b b b b b b
do? - answer-a. Ask staff if there are adequate scanners to meet their needs
b b b b b b b b b b b b b b
b. Counsel the nurse on the importance of following policy
b b b b b b b b b
c. Request that the pharmacy run a report of BCMA compliance rates of the unit
b b b b b b b b b b b b b b
d. Ask the nurse what was occurring at the time, and why she chose to bypass the
b b b b b b b b b b b b b b b b
policy
b
The answer is D. Ask the nurse what was occurring at the time, and why she chose to
b b b b b b b b b b b b b b b b b
bypass the policy - answer-
b b b b b
The Board of Hospital A wants to know how Hospital A's safety performance in central
b b b b b b b b b b b b b b
line associated blood stream infection (CLABSI) compares to that of other hospitals in
b b b b b b b b b b b b b
their region. Which data display would best inform them for that decision? - answer-a.
b b b b b b b b b b b b b b
Control charts of overall infection rate by quarter for the past two years for each
b b b b b b b b b b b b b b b
hospital in the region
b b b b
b. A table indicating the CLABSI infection rates of all hospitals in the region relative to
b b b b b b b b b b b b b b b
the National Healthcare Safety Network benchmark for CLABSI infections for the past 2
b b b b b b b b b b b b b
years
b
c. A written report summarizing the current CLABSI prevention protocols of each
b b b b b b b b b b b
hospital in the region
b b b b
d. A table showing the number of CLABSI infections in each hospital in the region by
b b b b b b b b b b b b b b b
quarter for the past 2 years
b b b b b b
The answer is B. A table indicating the CLABSI infection rates of all hospitals in the
b b b b b b b b b b b b b b b
region relative to the National Healthcare Safety Network benchmark for CLABSI
b b b b b b b b b b b
infections for the past 2 years - answer-
b b b b b b b b
Your organization utilizes a "home grown" electronic safety event reporting system that
b b b b b b b b b b b
is no longer meeting the needs of the organization. Hospital administration is asking for
b b b b b b b b b b b b b b
your opinion for next steps. What next steps would you take to identify a replacement
b b b b b b b b b b b b b b b
system? - answer-a. Ask information systems to either fix the old one or build a new
b b b b b b b b b b b b b b b b
one
b
b. Identify key stakeholders and perform a gap analysis of current state to ideal state
b b b b b b b b b b b b b b
c. Poll colleagues and purchase what they use
b b b b b b b
d. Purchase the lease expensive software and grow with it
b b b b b b b b b
