CPPS STUDY EXAM GUIDE QUESTIONS AND ANSWERS
SURE A+
✔✔Regulatory and Accreditation standards/requirements can help guide improvement
by: - ✔✔a. Fining people who don't participate
b. Outlining specific targets for performance
c. Defining required topics of performance
d. Providing language for metrics defined in the improvement project
✔✔the answer is c. Defining required topics of performance - ✔✔
✔✔The patient safety team reviewed a sample of patients who had been readmitted
within 48 hours of discharge and noticed that the patient's discharge medication lists
had not been accurately reconciled. The appropriate next steps for the team to take
include: - ✔✔a. Reprimand the discharging provider
b. Ask nursing to be responsible for all medication reconciliation
c. Gather a team of key stakeholders to flow map the medication reconciliation process
d. Gather data on the accuracy and timeliness of medication reconciliation
✔✔You have been asked to present an overview of safety events to the board of
trustees. IN order to best represent safety issues, you should: - ✔✔a. highlight system-
wide improvements that have been implemented in the past year
b. Present cases of harm with contributing root causes and actions taken
c. display a graph of the numbers and types of safety events reported in the past year
d. Lead an open discussion of board members' safety concerns and recommendations
✔✔The answer is B. Present cases of harm with contributing root causes and actions
taken
(not just data; stories and what happened) - ✔✔
✔✔When setting organizational safety priorities, it is best for you to: - ✔✔a. determine
priorities based on pay for performance measurements
b. Focus primarily on accreditation standards and requirements
c. develop a mechanism to gather input from a variety of sources
d. review the current literature to identify areas of concern
✔✔The answer is C. develop a mechanism to gather input from a variety of sources -
✔✔
, ✔✔You are meeting with the CFO to determine return on investment (ROI) for multiple
patient safety initiatives. Which project is most likely to receive approval based on the
determined ROI: - ✔✔a. Procurement of new beds with built-in alarms to reduce falls
with 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? - ✔✔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 - ✔✔
✔✔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? - ✔✔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 - ✔✔
✔✔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? - ✔✔a. Ask staff if there are adequate scanners to meet their needs
SURE A+
✔✔Regulatory and Accreditation standards/requirements can help guide improvement
by: - ✔✔a. Fining people who don't participate
b. Outlining specific targets for performance
c. Defining required topics of performance
d. Providing language for metrics defined in the improvement project
✔✔the answer is c. Defining required topics of performance - ✔✔
✔✔The patient safety team reviewed a sample of patients who had been readmitted
within 48 hours of discharge and noticed that the patient's discharge medication lists
had not been accurately reconciled. The appropriate next steps for the team to take
include: - ✔✔a. Reprimand the discharging provider
b. Ask nursing to be responsible for all medication reconciliation
c. Gather a team of key stakeholders to flow map the medication reconciliation process
d. Gather data on the accuracy and timeliness of medication reconciliation
✔✔You have been asked to present an overview of safety events to the board of
trustees. IN order to best represent safety issues, you should: - ✔✔a. highlight system-
wide improvements that have been implemented in the past year
b. Present cases of harm with contributing root causes and actions taken
c. display a graph of the numbers and types of safety events reported in the past year
d. Lead an open discussion of board members' safety concerns and recommendations
✔✔The answer is B. Present cases of harm with contributing root causes and actions
taken
(not just data; stories and what happened) - ✔✔
✔✔When setting organizational safety priorities, it is best for you to: - ✔✔a. determine
priorities based on pay for performance measurements
b. Focus primarily on accreditation standards and requirements
c. develop a mechanism to gather input from a variety of sources
d. review the current literature to identify areas of concern
✔✔The answer is C. develop a mechanism to gather input from a variety of sources -
✔✔
, ✔✔You are meeting with the CFO to determine return on investment (ROI) for multiple
patient safety initiatives. Which project is most likely to receive approval based on the
determined ROI: - ✔✔a. Procurement of new beds with built-in alarms to reduce falls
with 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? - ✔✔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 - ✔✔
✔✔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? - ✔✔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 - ✔✔
✔✔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? - ✔✔a. Ask staff if there are adequate scanners to meet their needs
