CPPS Review Course Questions with Detailed
Verified Answers
A staff member discovered a medication with an incorrect label. The staff immediately
notified the pharmacist and the correct label was sent prior to medication
administration. Then, the staff completed an event report through the organization's
reporting tool.
Which of the following actions should the unit manager take in response to this event?
A.) Document the incident in the employee's performance review.
B.) Investigate system failures and recognize the employee for reporting a near-miss
event.
C.) Notify the director of pharmacy about the pharmacist's error.
D.) No action, since the incident did not cause patient harm. Ans: B.) Investigate
system failures and recognize the employee for reporting a near-miss event.
You are educating clinical managers in your health care facility on how to identify
appropriate events for conducting a root cause analysis (RCA). Which event provides
the BEST opportunity for an RCA?
A.) A post-operative 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.) In the last four months, there have been three occurrences of depressed
respirations related to sedation in the same department. Ans: C.) The biopsy samples
from a colonoscopy are never received by pathology after the procedure.
A hospital is using the AHRQ Hospital Survey on Patient Safety Culture. There were
80 employees who responded. Responses to the survey item that states "we have
patient safety problems in this unit" were as follows:
Strongly Agree: 16
Agree: 32
Neither Agree nor Disagree: 12
Disagree: 17
Strongly Disagree: 3
A.) 75%
B.) 60%
C.) 25%
D.) 20% Ans: C.) 25%The AHRQ Hospital Survey on Patient Safety Culture User
Guide scoring guidance says to use the "Strongly Agree/Agree" response sum, or, for
negatively worded items—such as this one—use the "Strongly Disagree/Disagree" sum.
In this example, 17+3 gives us the response sum (i.e., 20), which we divide by total
number of respondents (i.e., 80): 20/80 = 25%.
© Get it right 2025 Getaway - Stuvia US All rights reserved
,What is one example of a communication technique providers can use to improve
communication with patients?
A.) SBAR
B.) Teach-back
C.) CUSP
D.) Two-Challenge Rule Ans: B.) Teach-back
The Impact of Organizational Change on Safety
What are the three steps to managing patient safety through organizational change?
A.) Monitor change, identify potential safety implications, and employ countermeasures
to mitigate any anticipated risks
B.) Employ countermeasures to mitigate any anticipated risks, monitor change
C.) Identify potential safety implications, employ countermeasures to mitigate any
anticipated risks, and monitor the change
D.) None of the above Ans: C.) Identify potential safety implications, employ
countermeasures to mitigate any anticipated risks, and monitor the change
What is the term which describes the belief that one will not be punished or
humiliated for speaking up with ideas, questions, concerns, or mistakes? Ans:
Psychological safety
A safety-supportive system of shared accountability in which: 1.) Healthcare
institutions are accountable for safe systems design and for encouraging safe choices of
clinicians and staff (clear expectations set the tone to create environment of mutual
respect)
© Get it right 2025 Getaway - Stuvia US All rights reserved
, 2.) Clinicians and staff are accountable for the quality of their choices (i.e. striving to
make the best possible choices as professionals) Ans: Just Culture
At the conclusion of a surgical procedure at your hospital, the instrument count is
incorrect. The hospital policy does not stipulate that the surgeon must remain on the
premises until an x-ray is obtained to check for retained foreign objects. By the time
the x-ray results come in to reveal that there is, in fact, a retained instrument, the
original surgeon has left the hospital to catch a flight. Another surgeon is contacted to
remove the retained instrument.
How should leadership respond to this event?
A.) Revise the hospital policy to make it clear that surgeons must stay in the operating
room (OR) until instrument count issues are resolved.
B.) Using an appropriate accountability system, counsel the surgeon about customary
clinical standards.
C.) Re-educate the OR nursing staff on keeping track of instruments on the sterile
field.
D.) Create a process map of how instruments are managed during surgery, looking f
Ans: B.) Using an appropriate accountability system, counsel the surgeon about
customary clinical standards.
This term reflects a group of individuals who understand the importance of self- and
group- regulation. Ans: Professionalism
The human resources department at your organization has asked your patient safety
specialist for recommendations on new policies to help support safety culture. Which
recommendation sounds best?
A.) Sending human resources all event data so that they can record involvement in
adverse events in personnel files
© Get it right 2025 Getaway - Stuvia US All rights reserved
Verified Answers
A staff member discovered a medication with an incorrect label. The staff immediately
notified the pharmacist and the correct label was sent prior to medication
administration. Then, the staff completed an event report through the organization's
reporting tool.
Which of the following actions should the unit manager take in response to this event?
A.) Document the incident in the employee's performance review.
B.) Investigate system failures and recognize the employee for reporting a near-miss
event.
C.) Notify the director of pharmacy about the pharmacist's error.
D.) No action, since the incident did not cause patient harm. Ans: B.) Investigate
system failures and recognize the employee for reporting a near-miss event.
You are educating clinical managers in your health care facility on how to identify
appropriate events for conducting a root cause analysis (RCA). Which event provides
the BEST opportunity for an RCA?
A.) A post-operative 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.) In the last four months, there have been three occurrences of depressed
respirations related to sedation in the same department. Ans: C.) The biopsy samples
from a colonoscopy are never received by pathology after the procedure.
A hospital is using the AHRQ Hospital Survey on Patient Safety Culture. There were
80 employees who responded. Responses to the survey item that states "we have
patient safety problems in this unit" were as follows:
Strongly Agree: 16
Agree: 32
Neither Agree nor Disagree: 12
Disagree: 17
Strongly Disagree: 3
A.) 75%
B.) 60%
C.) 25%
D.) 20% Ans: C.) 25%The AHRQ Hospital Survey on Patient Safety Culture User
Guide scoring guidance says to use the "Strongly Agree/Agree" response sum, or, for
negatively worded items—such as this one—use the "Strongly Disagree/Disagree" sum.
In this example, 17+3 gives us the response sum (i.e., 20), which we divide by total
number of respondents (i.e., 80): 20/80 = 25%.
© Get it right 2025 Getaway - Stuvia US All rights reserved
,What is one example of a communication technique providers can use to improve
communication with patients?
A.) SBAR
B.) Teach-back
C.) CUSP
D.) Two-Challenge Rule Ans: B.) Teach-back
The Impact of Organizational Change on Safety
What are the three steps to managing patient safety through organizational change?
A.) Monitor change, identify potential safety implications, and employ countermeasures
to mitigate any anticipated risks
B.) Employ countermeasures to mitigate any anticipated risks, monitor change
C.) Identify potential safety implications, employ countermeasures to mitigate any
anticipated risks, and monitor the change
D.) None of the above Ans: C.) Identify potential safety implications, employ
countermeasures to mitigate any anticipated risks, and monitor the change
What is the term which describes the belief that one will not be punished or
humiliated for speaking up with ideas, questions, concerns, or mistakes? Ans:
Psychological safety
A safety-supportive system of shared accountability in which: 1.) Healthcare
institutions are accountable for safe systems design and for encouraging safe choices of
clinicians and staff (clear expectations set the tone to create environment of mutual
respect)
© Get it right 2025 Getaway - Stuvia US All rights reserved
, 2.) Clinicians and staff are accountable for the quality of their choices (i.e. striving to
make the best possible choices as professionals) Ans: Just Culture
At the conclusion of a surgical procedure at your hospital, the instrument count is
incorrect. The hospital policy does not stipulate that the surgeon must remain on the
premises until an x-ray is obtained to check for retained foreign objects. By the time
the x-ray results come in to reveal that there is, in fact, a retained instrument, the
original surgeon has left the hospital to catch a flight. Another surgeon is contacted to
remove the retained instrument.
How should leadership respond to this event?
A.) Revise the hospital policy to make it clear that surgeons must stay in the operating
room (OR) until instrument count issues are resolved.
B.) Using an appropriate accountability system, counsel the surgeon about customary
clinical standards.
C.) Re-educate the OR nursing staff on keeping track of instruments on the sterile
field.
D.) Create a process map of how instruments are managed during surgery, looking f
Ans: B.) Using an appropriate accountability system, counsel the surgeon about
customary clinical standards.
This term reflects a group of individuals who understand the importance of self- and
group- regulation. Ans: Professionalism
The human resources department at your organization has asked your patient safety
specialist for recommendations on new policies to help support safety culture. Which
recommendation sounds best?
A.) Sending human resources all event data so that they can record involvement in
adverse events in personnel files
© Get it right 2025 Getaway - Stuvia US All rights reserved
