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Free NAHQ CPHQ Practice Exam with Questions & Answers | Set: 5

Questions 61

A surgeon left a sponge in one patient, resulting in a multi-million dollar lawsuit. The organization immediately changed the operating room procedure so that after every surgery, patients receive an x-ray before leaving the operating room. Which of the following should the organization have done prior to changing the procedure?

Options:
A.

Enforce "time-outs"

B.

Identify the root cause of the error

C.

Evaluate radiation exposure levels

D.

Conduct a cost benefit analysis

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Questions 62

Risk management identified claims for events that were not reported through the incident reporting system. Which of the following actions should be leadership’s initial priority?

Options:
A.

Conduct retrospective medical record reviews to identify elements of risk

B.

Implement a back-up paper process to the electronic reporting system

C.

Identify options for a new electronic reporting system

D.

Create an organization-wide program that promotes reporting

Questions 63

Based on the chart below, implementing which of the following technologies may have the greatest impact on reducing adverse events related to medication processes?

Options:
A.

computerized physician order entry

B.

barcode medication system

C.

automated medication cabinets

D.

clinical decision support tools

Questions 64

The control chart above indicates which of the following?

CPHQ Question 64

Options:
A.

Common cause variation

B.

Special causevariation

C.

Unique cause variation

D.

No variation

Questions 65

The quality manager needs to identify a set of process measures to improve wound cate outcomes. The firststep should be to

Options:
A.

search for evidence-based guidelines for wound care.

B.

conduct clinical record review of wound care sentinel events.

C.

perform literature search for clinical trials relating to wound care

D.

review prior three years on wound outcome best practices.

Questions 66

A healthcare quality professional's initial step in the creation of a patient safety program is to

Options:
A.

define key processes that contribute to patient complaints.

B.

assess the organization's current culture of safety.

C.

recommend software purchases to enhance the program.

D.

identify the applicable patient safety standards.

Questions 67

Which of the following is a social determinant of health?

Options:
A.

Medical care access

B.

Genetics

C.

Ethnicity

D.

Family size

Questions 68

The performance improvement team developed a prioritization matrix based on the identified improvement opportunities. Based on the information below, what would be the first improvement effort implemented?

Options:
A.

Create a paper checklist

B.

Create a sign-in sheet

C.

Modify the check-in process for patients

D.

Send education to all possible patients

Questions 69

The facility’s compliance rate on pain assessment is shown below:

Compliance Rate on Pain Assessment

January

February

March

Physicians

40%

50%

20%

Nurses

80%

75%

83%

Physical Therapists

60%

55%

50%

To improve performance, what should be done next?

Options:
A.

Disseminate the results to nursing staff

B.

Hire a pain management specialist

C.

Continue monitoring for another quarter

D.

Create an action plan with the department leaders

Questions 70

Through routine collection of incident reports, an increase in medication errors was noted over a period of 6 months on 2 nursing units. Which of the following is the best method of displaying the data to illustrate this finding?

Options:
A.

Scatter diagram

B.

Pie chart

C.

Histogram

D.

Run chart

Questions 71

A quality improvement team has been trained on writing SMART aim statements. Below are the team’s aim statements:

Reduce adverse drug events in critical care by 10% within 12 months.

Reduce the time from 911 call to intervention for cardiac complaints by 15%.

Reduce30-day readmissions from 20% to 15%.Which of the following key elements in aim development appears to have been lost after the training?

Options:
A.

time-bound

B.

achievable

C.

measurable

D.

specific

Questions 72

Which of the following is the best strategy for executive leaders to improve patient safety within an organization?

Options:
A.

Model Just Culture practices.

B.

Counsel staff involved in errors.

C.

Implement leadershiprounds.

D.

Support a blameless environment.

Questions 73

The following chart represents readmission data for 2nd quarter. Given the results, which of the following would help the quality manager identify opportunities for improvement?

Options:
A.

Take no further action because the data is not definitive.

B.

Use a scattergram to look for an association between readmissions and unit.

C.

Further analyze 2 South and 3 North to determine possible causes.

D.

Meet with the Quality Council to share the results for 4 North and 4 South.

Questions 74

To evaluate outcomes, an ambulatory/outpatient care unit should analyze:

Options:
A.

Canceled surgeries

B.

Time of surgeries

C.

Admissions to the hospital

D.

Delays in obtaining laboratory results

Questions 75

A team has identified five opportunities for improvement related to patient wait times. Which of the following is the best tool for selecting the opportunity with the highest impact?

Options:
A.

Pareto chart

B.

Ishikawa diagram

C.

Control chart

D.

Check sheet

Exam Code: CPHQ
Certification Provider: NAHQ
Exam Name: Certified Professional in Healthcare Quality Examination
Last Update: Jul 11, 2025
Questions: 603

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