10 free, exam-style Certified Professional in Patient Safety (CPPS) practice questions with answers and
explanations. No signup required. Work through them below, then take the
full free CPPS practice test to study every exam domain.
These 10 free CPPS questions are organized by exam domain, so you can see how each part of the Certified Professional in Patient Safety blueprint is tested. Reveal the answer and explanation under each question.
Domain 1: Culture (Leadership, Teamwork, Patient and Family Engagement)
Question 1
A pharmacist accidentally dispenses the wrong dose of a medication because she was interrupted during the dispensing process. According to Just Culture, what is the MOST appropriate managerial response?
- Require the pharmacist to complete a comprehensive medication safety training program and review protocols
- Document the incident thoroughly and provide detailed counseling to the pharmacist on maintaining focus
- Issue a formal written warning to the pharmacist and place her on performance monitoring
- Investigate the system factors that allowed the interruption and console the pharmacist
Show answer & explanation
Correct answer: D - Investigate the system factors that allowed the interruption and console the pharmacist
Question 2
During a surgical time-out, a circulating nurse notices that the consent form lists the left knee but the site marking is on the right knee. Despite feeling intimidated by the surgeon's reputation, she stops the procedure. This action BEST demonstrates:
- Inappropriate questioning of established surgical protocols and procedures
- Psychological safety enabling a team member to speak up regardless of hierarchy
- Excessive caution that undermines the surgeon's clinical judgment and authority
- Professional misconduct by challenging the surgical team's predetermined decisions
Show answer & explanation
Correct answer: B - Psychological safety enabling a team member to speak up regardless of hierarchy
Domain 2: Systems Thinking, Human Factors Engineering, and Design
Question 3
A physician is told by the previous shift that a patient 'is just drug-seeking' and does not perform a thorough evaluation. The patient is later found to have a fracture. The physician's reliance on the initial characterization BEST demonstrates:
- Anchoring bias
- Confirmation bias
- Availability bias
- Appropriate clinical handoff
Show answer & explanation
Correct answer: A - Anchoring bias
Question 4
A nurse adjusts her medication administration routine to accommodate an unexpected patient emergency on the unit, successfully managing both situations without error. A Safety II perspective would view this as:
- A protocol deviation requiring immediate system review and corrective action
- An example of adaptive performance demonstrating successful complexity management
- Evidence that existing protocols lack sufficient flexibility for real-world scenarios
- An unsafe workaround that coincidentally resulted in positive patient outcomes
Show answer & explanation
Correct answer: B - An example of adaptive performance demonstrating successful complexity management
Question 5
A patient safety officer discovers that surgical count procedures have been shortened over time, with some steps being consistently skipped. No retained foreign objects have occurred yet. The officer should:
- Praise the surgical team for efficiency
- Wait until a retained object event occurs to justify intervention
- Immediately address the drift and restore full compliance
- Document the finding and include it in the annual report
Show answer & explanation
Correct answer: C - Immediately address the drift and restore full compliance
Domain 3: Safety Risks and Responses (Identification, Mitigation, Disclosure)
Question 6
A hospital's medication error data shows that the highest rate of errors occurs during the administering phase. Which system intervention would MOST directly address this?
- Implementing barcode medication administration (BCMA) at the point of care
- Establishing comprehensive medication reconciliation protocols at patient transitions
- Implementing computerized physician order entry (CPOE) systems for prescribing
- Installing automated dispensing cabinets with biometric access controls
Show answer & explanation
Correct answer: A - Implementing barcode medication administration (BCMA) at the point of care
Question 7
A nurse is caring for 6 patients on a medical unit. She notices that one patient's oxygen saturation has dropped from 96% to 91% over her shift. She is too busy with other patients to investigate immediately. This scenario illustrates:
- An oxygen saturation that does not require urgent attention
- Appropriate prioritization of patient care
- Normal variation in oxygen saturation
- Failure to rescue due to competing demands
Show answer & explanation
Correct answer: D - Failure to rescue due to competing demands
Domain 4: Performance Measurement, Analysis, Improvement and Monitoring
Question 8
During an RCA, the team identifies 'nurse did not follow the medication verification protocol' as a contributing factor. The BEST next step is to:
- Recommend disciplinary action for the nurse
- Recommend additional training for the nurse
- Ask WHY the nurse did not follow the protocol
- Document the finding and proceed to corrective actions
Show answer & explanation
Correct answer: C - Ask WHY the nurse did not follow the protocol
Question 9
A failure mode has Severity=8, Occurrence=3, Detection=7. The RPN is:
- 168
- 240
- 18
- 56
Show answer & explanation
Correct answer: A - 168
Question 10
An RCA team recommends mandatory annual training as the SOLE corrective action for a serious medication error. According to the hierarchy of hazard reduction, this is concerning because:
- Training is not an appropriate corrective action for medication errors
- Training alone is at the bottom of the hierarchy and insufficient for serious events
- The RCA process does not require corrective actions
- Training is the most effective intervention available
Show answer & explanation
Correct answer: B - Training alone is at the bottom of the hierarchy and insufficient for serious events