NAHQ CPHQ 2026 REVIEW QUESTIONS AND
ANSWERS SURE A+
✔✔32- The concept of "patient safety" applies most appropriately to
A.
environmental safety measures.
B.
serious physical injuries.
C.
patient complaint management.
D.
risk prevention. - ✔✔A. According to The Joint Commission and others, the physical
environment is only one aspect of patient safety; therefore, this is an incomplete
answer.
B. According to The Joint Commission and others, patient safety encompasses not only
prevention of serious physical injury, but also the identification of risks in the
performance of tasks or the physical environment; therefore, this answer is incomplete.
C. Complaint review and management may help to identify potential patient safety
issues, but is not a reliable method to improve patient safety.
D. The Joint Commission defines safety as the degree to which the risk of an
intervention (e.g., use of drugs, procedures) in the care environment is reduced for a
patient and other persons, including healthcare practitioners. Safety risks may arise
from the performance of tasks, the structure of the physical environment, or situations
beyond the organization's control, such as weather. Therefore, risk prevention is the
correct answer because it best encompasses all areas of safety, while the other
responses are limited to one area of patient safety.
✔✔33- The use of clinical pathways and guidelines in hospitals should
A.
minimize variation in patient care.
B.
reduce length of stay.
C.
,improve patient satisfaction.
D.
identify errors in patient care. - ✔✔EXPLANATIONS:
A. The purpose of a clinical pathway and guideline is to standardize best practices.
B. Reduced length of stay may occur as a result of minimizing variation in patient care.
C. Improved patient satisfaction may occur as a result of minimizing variation in patient
care.
D. Identifying errors may occur as a result of minimizing variation in patient care.
✔✔34- A hospital is working to reduce readmissions. Which of the following is the best
approach to accomplish this goal?
A.
giving an education sheet on patient medication to the patient and family
B.
having the patient provide return demonstration of the knowledge provided
C.
showing a video to a patient and their family
D.
requesting the home health nurse provide patient instruction
EXPLANATIONS: - ✔✔EXPLANATIONS:
A. Providing an education sheet without an opportunity for dialogue is not sufficient.
B. Return demonstration is an evidence-based approach for learning.
C. Showing a video does not ensure that learning has occurred.
D. Delaying instruction until the patient reaches homecare is not appropriate.
✔✔35- The evaluation of the quality and appropriateness of patient care in the radiology
department is the responsibility of the
A.
medical director of radiology.
B.
chief medical officer.
C.
medical director of the quality department.
D.
administrator of clinical services. - ✔✔EXPLANATIONS:
A. The medical director of a department has the ultimate responsibility for everything
within that department (care, quality, technology, etc.).
B. The chief medical officer is responsible for facility-wide medical staff operations.
C. The medical director of the quality department is responsible for activities within the
quality department.
D. The administrator of clinical services is responsible for facility-wide clinical activities.
✔✔36- Benchmarking is based on identifying which of the following?
A.
best practices
B.
, competition
C.
deficiencies
D.
statistical control - ✔✔EXPLANATIONS:
A. Benchmarking is the comparison of results against a reference point, which is a best
practice.
B. See explanation A.
C. See explanation A.
D. See explanation A.
✔✔37- Which of the following sampling techniques involves selecting the medical
record of every fifth patient undergoing cardiovascular bypass?
A.
convenience
B.
systematic
C.
stratified
D.
simple random - ✔✔EXPLANATIONS:
A. Convenience sampling allows the use of any arbitrarily selected medical record and
while selecting every fifth record may be convenient, systematic sampling is the best
answer.
B. Systematic sampling is the selection of every nth element from a
population.
C. Stratified sampling allows for two or more populations, which is not appropriate in this
situation.
D. Simple random sampling allows every record an equal chance of being selected.
✔✔38- An effective facilitator should be skilled in process evaluation and the tools of
performance evaluation, and must
A.
not have a vested interest in the content.
B.
be in a salaried position.
C.
not speak unless directed by the team leader.
D.
be a front-line employee. - ✔✔EXPLANATIONS:
A. The role of the facilitator is to be the process expert and remain objective.
B. See explanation A.
C. See explanation A.
D. See explanation A.
ANSWERS SURE A+
✔✔32- The concept of "patient safety" applies most appropriately to
A.
environmental safety measures.
B.
serious physical injuries.
C.
patient complaint management.
D.
risk prevention. - ✔✔A. According to The Joint Commission and others, the physical
environment is only one aspect of patient safety; therefore, this is an incomplete
answer.
B. According to The Joint Commission and others, patient safety encompasses not only
prevention of serious physical injury, but also the identification of risks in the
performance of tasks or the physical environment; therefore, this answer is incomplete.
C. Complaint review and management may help to identify potential patient safety
issues, but is not a reliable method to improve patient safety.
D. The Joint Commission defines safety as the degree to which the risk of an
intervention (e.g., use of drugs, procedures) in the care environment is reduced for a
patient and other persons, including healthcare practitioners. Safety risks may arise
from the performance of tasks, the structure of the physical environment, or situations
beyond the organization's control, such as weather. Therefore, risk prevention is the
correct answer because it best encompasses all areas of safety, while the other
responses are limited to one area of patient safety.
✔✔33- The use of clinical pathways and guidelines in hospitals should
A.
minimize variation in patient care.
B.
reduce length of stay.
C.
,improve patient satisfaction.
D.
identify errors in patient care. - ✔✔EXPLANATIONS:
A. The purpose of a clinical pathway and guideline is to standardize best practices.
B. Reduced length of stay may occur as a result of minimizing variation in patient care.
C. Improved patient satisfaction may occur as a result of minimizing variation in patient
care.
D. Identifying errors may occur as a result of minimizing variation in patient care.
✔✔34- A hospital is working to reduce readmissions. Which of the following is the best
approach to accomplish this goal?
A.
giving an education sheet on patient medication to the patient and family
B.
having the patient provide return demonstration of the knowledge provided
C.
showing a video to a patient and their family
D.
requesting the home health nurse provide patient instruction
EXPLANATIONS: - ✔✔EXPLANATIONS:
A. Providing an education sheet without an opportunity for dialogue is not sufficient.
B. Return demonstration is an evidence-based approach for learning.
C. Showing a video does not ensure that learning has occurred.
D. Delaying instruction until the patient reaches homecare is not appropriate.
✔✔35- The evaluation of the quality and appropriateness of patient care in the radiology
department is the responsibility of the
A.
medical director of radiology.
B.
chief medical officer.
C.
medical director of the quality department.
D.
administrator of clinical services. - ✔✔EXPLANATIONS:
A. The medical director of a department has the ultimate responsibility for everything
within that department (care, quality, technology, etc.).
B. The chief medical officer is responsible for facility-wide medical staff operations.
C. The medical director of the quality department is responsible for activities within the
quality department.
D. The administrator of clinical services is responsible for facility-wide clinical activities.
✔✔36- Benchmarking is based on identifying which of the following?
A.
best practices
B.
, competition
C.
deficiencies
D.
statistical control - ✔✔EXPLANATIONS:
A. Benchmarking is the comparison of results against a reference point, which is a best
practice.
B. See explanation A.
C. See explanation A.
D. See explanation A.
✔✔37- Which of the following sampling techniques involves selecting the medical
record of every fifth patient undergoing cardiovascular bypass?
A.
convenience
B.
systematic
C.
stratified
D.
simple random - ✔✔EXPLANATIONS:
A. Convenience sampling allows the use of any arbitrarily selected medical record and
while selecting every fifth record may be convenient, systematic sampling is the best
answer.
B. Systematic sampling is the selection of every nth element from a
population.
C. Stratified sampling allows for two or more populations, which is not appropriate in this
situation.
D. Simple random sampling allows every record an equal chance of being selected.
✔✔38- An effective facilitator should be skilled in process evaluation and the tools of
performance evaluation, and must
A.
not have a vested interest in the content.
B.
be in a salaried position.
C.
not speak unless directed by the team leader.
D.
be a front-line employee. - ✔✔EXPLANATIONS:
A. The role of the facilitator is to be the process expert and remain objective.
B. See explanation A.
C. See explanation A.
D. See explanation A.
