CPPS IHI & Patient Safety Exam Study
Questions with Verified Answers
1. 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?
A. inadequate information flow
B. inattentional blindness
C. normalized deviance
D. insufficient staffing - ANSWER A. inadequate information flow
2. A healthcare organization is introducing a new medication administration
barcoding system. Which of the following is the most significant indicator of
successful implementation?
A. order accuracy for high-risk medications
B. bar code scanning compliance
C. nursing bar coding knowledge
D. bar coding performance goal setting - ANSWER B. bar code
scanning compliance
3. Patient safety is considered a subset of quality, but it is more difficult to
measure in part because
A. identification of incidents often depends on self-reporting.
B. caregivers are not held accountable to report incidents.
C. incident reporting systems are always anonymous.
D. of dependence on trigger tools to identify safety events. - ANSWER
A. identification of incidents often depends on self-reporting.
4. Leadership addressed an unrecognized latent threat in an existing workflow
that was brought to their attention by frontline workers. This is an example
of:
, A. preoccupation with failure.
B. decentralized decision making.
C. sensitivity to operations.
D. commitment to resilience. - ANSWER C. sensitivity to operations.
5. Leadership has been promoting fair and just culture concepts including non-
punitive response to reporting and the value of near miss reporting. The plan
is not universally supported, and some argue it is a waste of the facility's
resources. To support this leadership initiative, a patient safety professional
should explain that the plan is intended to result in
A. a decrease in event reporting volume due to fewer actual adverse
events.
B. a decrease in event reporting due to fewer near misses.
C. an increase in event reporting that will decrease malpractice insurance
premiums.
D. an increase in event reporting that will help the hospital identify areas
of risk. - ANSWER D. an increase in event reporting that will help
the hospital identify areas of risk.
6. Which of the following is the most appropriate method to determine if a root
cause analysis (RCA) should be conducted on an adverse event?
A. Consider only the outcome severity.
B. Consider only blameworthy events.
C. Utilize a risk-based prioritization system.
D. Assess only the probability of recurrence. - ANSWER C. Utilize a
risk-based prioritization system.
7. Which of the following strategies is best for facilitating the acceptance of
changer elated to specific performance improvement initiatives?
A. Provide a quarterly statistical report.
B. Utilize storytelling tools.
C. Recognize leadership participation.
D. Distribute weekly newsletters via e-mail. - ANSWER B. Utilize
storytelling tools.
,8. A patient who is a heroin addict and frequent visitor to the emergency
department presented to the hospital with abdominal pain, nausea, and
vomiting. He was admitted for dehydration and potential opioid withdrawal.
The patient's abdominal pain worsened at night, prompting the nurse to call
the physician on call. The physician assumed that the patient was drug-
seeking, and increased the patient's methadone. Early the next morning, the
patient experienced severe abdominal pain, showed signs of sepsis, and was
found to have an abdominal perforation. Which cognitive process best
describes the on-call physician's response?
A. hindsight bias
B. implicit bias
C. normalization of the deviant
D. recall bias - ANSWER B. implicit bias
9. A manager demonstrates adherence to the principles of a just culture by
applying which of the following types of decision-making frameworks?
A. harm-based
B. outcome-focused
C. equity-focused
D. risk-based - ANSWER D. risk-based
10.When interpreting data after a safety event, which of the following is true?
A. Identifying human error results in a deep understanding of the event
and its causes.
B. Comparing actions taken to procedures and rules will explain the
behaviors during the event.
C. The outcome of the event has no influence on the interpretation or
conclusions.
D. Causes are constructed from the investigation and analysis. -
ANSWER D. Causes are constructed from the investigation and
analysis.
, 11.As a member of an improvement team focused on standardizing surgical
protocols, the patient safety professional recognizes that one concern
clinicians may raise is:
A. improved supply chain management.
B. increased amount of waste.
C. depersonalized care.
D. increased length of stay. - ANSWER C. depersonalized care.
12.When healthcare providers are involved in an adverse event, it is important
to first
A. conduct an objective root cause analysis.
B. offer guidance and emotional support.
C. involve crisis counselors in the investigation.
D. consult providers who experienced a similar event. - ANSWER B.
offer guidance and emotional support.
13.Which of the following is an example of a syndrome characterized by
emotional exhaustion and a decrease in personal accomplishments that is
directly associated with employment?
A. burnout
B. grit
C. resilience
D. failure to thrive - ANSWER A. burnout
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?
A. measurement of patient safety
B. ensuring all orders are carried out
C. awareness of health education
D. detection of a near miss - ANSWER D. detection of a near miss
Questions with Verified Answers
1. 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?
A. inadequate information flow
B. inattentional blindness
C. normalized deviance
D. insufficient staffing - ANSWER A. inadequate information flow
2. A healthcare organization is introducing a new medication administration
barcoding system. Which of the following is the most significant indicator of
successful implementation?
A. order accuracy for high-risk medications
B. bar code scanning compliance
C. nursing bar coding knowledge
D. bar coding performance goal setting - ANSWER B. bar code
scanning compliance
3. Patient safety is considered a subset of quality, but it is more difficult to
measure in part because
A. identification of incidents often depends on self-reporting.
B. caregivers are not held accountable to report incidents.
C. incident reporting systems are always anonymous.
D. of dependence on trigger tools to identify safety events. - ANSWER
A. identification of incidents often depends on self-reporting.
4. Leadership addressed an unrecognized latent threat in an existing workflow
that was brought to their attention by frontline workers. This is an example
of:
, A. preoccupation with failure.
B. decentralized decision making.
C. sensitivity to operations.
D. commitment to resilience. - ANSWER C. sensitivity to operations.
5. Leadership has been promoting fair and just culture concepts including non-
punitive response to reporting and the value of near miss reporting. The plan
is not universally supported, and some argue it is a waste of the facility's
resources. To support this leadership initiative, a patient safety professional
should explain that the plan is intended to result in
A. a decrease in event reporting volume due to fewer actual adverse
events.
B. a decrease in event reporting due to fewer near misses.
C. an increase in event reporting that will decrease malpractice insurance
premiums.
D. an increase in event reporting that will help the hospital identify areas
of risk. - ANSWER D. an increase in event reporting that will help
the hospital identify areas of risk.
6. Which of the following is the most appropriate method to determine if a root
cause analysis (RCA) should be conducted on an adverse event?
A. Consider only the outcome severity.
B. Consider only blameworthy events.
C. Utilize a risk-based prioritization system.
D. Assess only the probability of recurrence. - ANSWER C. Utilize a
risk-based prioritization system.
7. Which of the following strategies is best for facilitating the acceptance of
changer elated to specific performance improvement initiatives?
A. Provide a quarterly statistical report.
B. Utilize storytelling tools.
C. Recognize leadership participation.
D. Distribute weekly newsletters via e-mail. - ANSWER B. Utilize
storytelling tools.
,8. A patient who is a heroin addict and frequent visitor to the emergency
department presented to the hospital with abdominal pain, nausea, and
vomiting. He was admitted for dehydration and potential opioid withdrawal.
The patient's abdominal pain worsened at night, prompting the nurse to call
the physician on call. The physician assumed that the patient was drug-
seeking, and increased the patient's methadone. Early the next morning, the
patient experienced severe abdominal pain, showed signs of sepsis, and was
found to have an abdominal perforation. Which cognitive process best
describes the on-call physician's response?
A. hindsight bias
B. implicit bias
C. normalization of the deviant
D. recall bias - ANSWER B. implicit bias
9. A manager demonstrates adherence to the principles of a just culture by
applying which of the following types of decision-making frameworks?
A. harm-based
B. outcome-focused
C. equity-focused
D. risk-based - ANSWER D. risk-based
10.When interpreting data after a safety event, which of the following is true?
A. Identifying human error results in a deep understanding of the event
and its causes.
B. Comparing actions taken to procedures and rules will explain the
behaviors during the event.
C. The outcome of the event has no influence on the interpretation or
conclusions.
D. Causes are constructed from the investigation and analysis. -
ANSWER D. Causes are constructed from the investigation and
analysis.
, 11.As a member of an improvement team focused on standardizing surgical
protocols, the patient safety professional recognizes that one concern
clinicians may raise is:
A. improved supply chain management.
B. increased amount of waste.
C. depersonalized care.
D. increased length of stay. - ANSWER C. depersonalized care.
12.When healthcare providers are involved in an adverse event, it is important
to first
A. conduct an objective root cause analysis.
B. offer guidance and emotional support.
C. involve crisis counselors in the investigation.
D. consult providers who experienced a similar event. - ANSWER B.
offer guidance and emotional support.
13.Which of the following is an example of a syndrome characterized by
emotional exhaustion and a decrease in personal accomplishments that is
directly associated with employment?
A. burnout
B. grit
C. resilience
D. failure to thrive - ANSWER A. burnout
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?
A. measurement of patient safety
B. ensuring all orders are carried out
C. awareness of health education
D. detection of a near miss - ANSWER D. detection of a near miss
