CPPS PRACTICE EXAM VERIFIED

CPPS PRACTICE EXAM/ VERIFIED

QUESTIONS WITH ANSWE RS &

RATIONALES/ .

Question : 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 post-op patient removes his own IV causing a skin tear

from the tape

• A patient with no known allergies experiences an

anaphylactic reaction to an antibiotic requiring transfer to ICU.

• The biopsy samples from a colonoscopy are never received

by pathology after the procedure

• There have been 3 occurrences of depressed respirations in

the same department in the last 4 months related to sedation

Correct answer: The answer is C. The biopsy samples from a

colonoscopy are never received by pathology after the procedure

Question : 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?

• Create a process map of how instruments are managed

during surgery looking for latent flaws

• Revise the hospital policy to make it clear that surgeons

must stay in the OR until instrument count issues are resolved

• Counsel the surgeon about customary clinical standards for

a surgeon using appropriate accountability system

• Reeducate the OR nursing staff on keeping track of

instruments on the sterile field

Correct answer: The answer is C. Counsel the surgeon about

customary clinical standards for a surgeon using appropriate accountability system

Question : 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?

• Ask staff if there are adequate scanners to meet their needs
• Counsel the nurse on the importance of following policy
• Request that the pharmacy run a report of BCMA

compliance rates of the unit

• Ask the nurse what was occurring at the time, and why she

chose to bypass the policy

Correct answer: The answer is D. Ask the nurse what was

occurring at the time, and why she chose to bypass the policy

Question : 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?

• Control charts of overall infection rate by quarter for the

past two years for each hospital in the region

• 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

• A written report summarizing the current CLABSI

prevention protocols of each hospital in the region

• A table showing the number of CLABSI infections in each

hospital in the region by quarter for the past 2 years

Correct answer: The answer is 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

Question : Your organization utilizes a "home grown"

electronic safety event reporting system that is no longer meeting the needs of the organization. Hospital

administration is asking for your opinion for next steps. What next steps would you take to identify a replacement system?

• Ask information systems to either fix the old one or build a

new one

• Identify key stakeholders and perform a gap analysis of

current state to ideal state

• Poll colleagues and purchase what they use
• Purchase the lease expensive software and grow with it

Correct answer: The answer is B. Identify key stakeholders

and perform a gap analysis of current state to ideal state

Question : Your organization is preparing to change to a new

electronic health record. Many departments have been involved with the planning of this huge effort. What would you suggest as part of the preparation strategy?

• Conduct a root cause analysis
• Conduct a failure modes and effects analysis
• Offer a "plan, do, study, act" session
• Offer to do a claims analysis for any related errors

Correct answer: The answer is b. Conduct a failure modes

and effects analysis

Question : A new cath lab is under construction in our

hospital, and the medical director contacts you to express concerns related to the transport of patients from the cath lab