CPPS Practice Exam with correct answers.

CPPS Practice Exam with correct answers
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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? |- |correct |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 |- |correct |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? |- |correct |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 |- |correct |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? |- |correct |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 |- |correct |answer |



The |Board |of |Hospital |A |wants |to |know |how |Hospital |A's |safety |performance |in |central |line |
associated |blood |stream |infection |(CLABSI) |compares |to |that |of |other |hospitals |in |their |region.
|Which |data |display |would |best |inform |them |for |that |decision? |- |correct |answer |a. |Control |


charts |of |overall |infection |rate |by |quarter |for |the |past |two |years |for |each |hospital |in |the |
region



b. |A |table |indicating |the |CLABSI |infection |rates |of |all |hospitals |in |the |region |relative |to |the |
National |Healthcare |Safety |Network |benchmark |for |CLABSI |infections |for |the |past |2 |years



c. |A |written |report |summarizing |the |current |CLABSI |prevention |protocols |of |each |hospital |in |
the |region



d. |A |table |showing |the |number |of |CLABSI |infections |in |each |hospital |in |the |region |by |quarter |
for |the |past |2 |years