CPPS IHI Practice Verified Multiple
Choice and Conceptual Actual Exam
Questions With Reviewed 100% Correct
Detailed Answers
Guaranteed Pass!!Current Update
1. 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.
2. 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.
3. 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.
4. 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.
5. 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
A hospital is using the AHRQ Hospital Survey on Patient Safety Culture. There
were 80 employees who responded. Responses to the survey item that states
"we have patient safety problems in this unit" were as follows:
· Strongly Agree: 16
· Agree: 32
· Neither Agree nor Disagree: 12
· Disagree: 17
· Strongly Disagree: 3
6. What is the Percent Positive Score that should be reported for this item? -
ANSWER Correct Answer: 25%
The AHRQ Hospital Survey on Patient Safety Culture User Guide scoring
guidance says to use the "Strongly Agree/Agree" response sum, or, for
negatively worded items—such as this one—use the "Strongly
Disagree/Disagree" sum. In this example, 17+3 gives us the response sum (i.e.,
20), which we divide by total number of respondents (i.e., 80): 20/80 = 25%.
7. A staff member discovered a medication with an incorrect label. The staff
immediately notified the pharmacist and the correct label was sent prior to
medication administration. Then, the staff completed an event report
through the organization's reporting tool. Which of the following actions
should the unit manager take in response to this event?
A. Document the incident in the employee's performance review.
B. Investigate system failures and recognize the employee for reporting
a near-miss event.
C. Notify the director of pharmacy about the pharmacist's error.
, D. No action, since the incident did not cause patient harm. - ANSWER
B. Investigate system failures and recognize the employee for
reporting a near-miss event.
In a culture of safety, staff members are free to report patient safety events,
including close calls or near misses. Managers should have a non-punitive
response to staff involved in errors and reward staff who report safety issues.
Even though the error did not reach the patient or cause harm, it needs further
investigation to identify any system failures, and to ensure that a process is in
place to prevent an error from reaching the patient and causing harm.
8. You are educating clinical managers in your health care facility on how to
identify appropriate events for conducting a root cause analysis (RCA).
Which event provides the BEST opportunity for an RCA?
A. A post-operative 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. In the last four months, there have been three occurrences of
depressed respirations related to sedation in the same department. -
ANSWER C. The biopsy samples from a colonoscopy are never
received by pathology after the procedure.
Although a one-time event, the missing biopsy samples are the strongest
contender for RCA because the problem may result in very significant harm
(e.g., if there is no option for additional biopsy and a diagnosis cannot be
made) and because the situation clearly represents deviation from practice
standards, in this case related to chain of custody of a specimen. An RCA would
Choice and Conceptual Actual Exam
Questions With Reviewed 100% Correct
Detailed Answers
Guaranteed Pass!!Current Update
1. 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.
2. 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.
3. 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.
4. 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.
5. 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
A hospital is using the AHRQ Hospital Survey on Patient Safety Culture. There
were 80 employees who responded. Responses to the survey item that states
"we have patient safety problems in this unit" were as follows:
· Strongly Agree: 16
· Agree: 32
· Neither Agree nor Disagree: 12
· Disagree: 17
· Strongly Disagree: 3
6. What is the Percent Positive Score that should be reported for this item? -
ANSWER Correct Answer: 25%
The AHRQ Hospital Survey on Patient Safety Culture User Guide scoring
guidance says to use the "Strongly Agree/Agree" response sum, or, for
negatively worded items—such as this one—use the "Strongly
Disagree/Disagree" sum. In this example, 17+3 gives us the response sum (i.e.,
20), which we divide by total number of respondents (i.e., 80): 20/80 = 25%.
7. A staff member discovered a medication with an incorrect label. The staff
immediately notified the pharmacist and the correct label was sent prior to
medication administration. Then, the staff completed an event report
through the organization's reporting tool. Which of the following actions
should the unit manager take in response to this event?
A. Document the incident in the employee's performance review.
B. Investigate system failures and recognize the employee for reporting
a near-miss event.
C. Notify the director of pharmacy about the pharmacist's error.
, D. No action, since the incident did not cause patient harm. - ANSWER
B. Investigate system failures and recognize the employee for
reporting a near-miss event.
In a culture of safety, staff members are free to report patient safety events,
including close calls or near misses. Managers should have a non-punitive
response to staff involved in errors and reward staff who report safety issues.
Even though the error did not reach the patient or cause harm, it needs further
investigation to identify any system failures, and to ensure that a process is in
place to prevent an error from reaching the patient and causing harm.
8. You are educating clinical managers in your health care facility on how to
identify appropriate events for conducting a root cause analysis (RCA).
Which event provides the BEST opportunity for an RCA?
A. A post-operative 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. In the last four months, there have been three occurrences of
depressed respirations related to sedation in the same department. -
ANSWER C. The biopsy samples from a colonoscopy are never
received by pathology after the procedure.
Although a one-time event, the missing biopsy samples are the strongest
contender for RCA because the problem may result in very significant harm
(e.g., if there is no option for additional biopsy and a diagnosis cannot be
made) and because the situation clearly represents deviation from practice
standards, in this case related to chain of custody of a specimen. An RCA would
