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CPPS Practice Exam Questions with
Answers
1. In preparation for new antimicrobial stewardship regulatory requirements, a hospital is creating an
antimicrobial stewardship committee. What should be the first step in supporting this new patient safety initiative?: Partner with key stakeholders to perform a gap analysis of current state to ideal state.
2. After implementing a new product recall system, a hospital was alerted to a high-risk medication recall.
This medication is in stock in the emergency department and oncology unit. To ensure the effectiveness of the new system, a patient safety professional should: ensure an on-site visit verifies that the recalled medication was sequestered.
3. An organization is implementing a standardized surgical safety checklist and encounters resistance from the
perioperative staff. To improve staff engage- ment, a patient safety professional should: present evidence that checklist use reduces practice variability.
4. An organization has achieved 92% compliance with a process measure. The patient safety professional
believes that the processes in place are not reliable or that the results are attributable to luck. Which of the following best describes this characteristic?: preoccupation with failure
5. A just culture framework provides a means to address behaviors that under- mine a culture of safety because: the
organizational response to investigated events is independent of patient outcome.
6. In process improvement, reducing variation improves: predictability of outcomes.
7. When creating action plans, which of the following solutions would be con- sidered the weakest?: use of color-coded
labels that are readily seen by statt
8. Which of the following is emphasized in crew resource management?: team leadership
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9. As a result of an adverse drug event, a patient required renal dialysis. A patient safety professional and
other leaders are discussing what to disclose to the patient. In addition to an apology, critical components of disclosure include: a commitment to investigate what happened and how future errors will be prevented.
10. Results from recent tests were not included in a patient transfer from one facility to another, resulting
in an adverse event. Which of the following is the most common cause of this type of harm?: inadequate information flow
11. A healthcare organization is introducing a new medication administration bar coding system. Which of
the following is the most significant indicator of successful implementation?: bar code scanning compliance
12. A manager demonstrates adherence to the principles of a just culture by applying which of the
following types of decision-making frameworks?: risk-based
13. When interpreting data after a safety event, which of the following is true?-
: Causes are constructed from the investigation and analysis.
14. As a member of an improvement team focused on standardizing surgical protocols, the patient safety
professional recognizes that one concern clini- cians may raise is: depersonalized care.
15. When healthcare providers are involved in an adverse event, it is important to first: otter guidance and
emotional support.
16. Which of the following is an example of a syndrome characterized by emo- tional exhaustion and a
decrease in personal accomplishments that is directly associated with employment?: burnout
17. When processing an order for diagnostic imaging of a patient's left foot, the nurse remembered
changing the dressing on the right foot. The nurse called the provider to confirm the laterality, and the order was corrected. Which critical feature of the culture of safety did the nurse practice?: detection of a near miss
4 / Coincidentally, the next patient that the practitioner sees has symptoms commonly seen with that condition. Which of the following biases or heuristics best describes this phenomena?: availability
30. While investigating a near miss medication event, a manager identifies a pattern of workarounds by a
clinician that violates policies and procedures. To determine accountability, the manager's next step should be to: perform a substitution test.
31. A physician is planning to discharge a patient. The nurse knew that the patient needed additional
equipment at home. Together they reached out to the social worker and discharge planner for a safe care transition. Which feature of the culture of safety did they practice?: utilization of open communication
32. From a human factors standpoint, which of the following is true about harm during healthcare?: It is prevented
by healthcare workers adapting to changes.
33. A patient safety professional notes an increase in safety events involving insulin. Which of the following
strategies is most likely to result in improve- ment?: The quality committee requires monthly progress reports on departmental insulin safety plans.
34. Of the following steps, which should be done first when conducting an FMEA?: Identify a high-risk process to
evaluate.
35. When evaluating the conduct of a healthcare worker in the aftermath of a harm event, which of the
following considerations demonstrate consistency with the principles of a fair and just culture?: the practice of similarly qualified individuals
36. A patient safety professional receives an event report stating that a physician ordered anticoagulation
medication to be discontinued through the physician order entry system. The pharmacy computer system did not receive the order, and the patient received four extra doses of the medication before the order was identified to be discontinued. The patient safety professional's investiga- tion should focus on: software interfaces.
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37. Which of the following concepts describes a situation where violations of
safe practices become regarded as acceptable and are generally tolerated by the group?: normalized deviance
38. Which of the following types of errors is due to a previous management decision that impacted
design, resulting in patient harm?: latent error
39. An incident report relates that a nurse who completed a 12-hour shift on a newly opened ward
forgot to document a skin assessment in the patient's medical record. This is an example of: human error.
40. A new long-term care facility is being planned. Recognizing that resident injuries related to falls are
a significant concern, a team has been convened to plan, implement, and evaluate potential solutions. Which of the following interventions will have the largest impact on the rate of injuries related to falls?: Install impact-absorbing flooring.
41. Which of the following actions provides evidence that a healthcare organiza-
tion considers patients' experiences to improve the safety of patient care?: Patient feedback is used to redesign care processes.
42. The patient safety professional disseminated a patient safety culture survey to all employees at a 100-
bed hospital. The total response rate was 32%. Which of the following should the patient safety professional do next?: Interpret the results with caution due to the response rate.
43. On studying the results of a root cause analysis, it is recognized that an RN missed steps in a
protocol. The RN is regarded as highly competent by colleagues and unit leaders. The patient safety professional should determine the RN's behavior in this error to be considered: drift.
44. Patient safety is considered a subset of quality, but it is more difficult to
measure in part because: identification of incidents often depends on self-reporting.
