NAHQ Test Questions with Answers
Perfect Score (100 out of 100)
A 69-year-old female admitted for hip replacement is taken to surgery. The patient is identified, the
surgical site is marked incorrectly, and equipment/x-rays are present. A near miss was most likely
identified as a result of - Answer -a surgical team 'time-out.'
A consulting firm has been selected by a healthcare Board of Directors to assess the quality
improvement program. Before starting the assessment, the quality professional should first -
Answer -define expectations and outcomes.
A critical difference between quality assurance (QA) and quality improvement is a shift in focus from -
Answer -identifying poor performers to improving group performance
A culture of patient safety in an organization will have been successfully created when - Answer -
staff members serve as safety advocates.
A facility is becoming part of a healthcare network. Which of the following employee education
programs is most important? - Answer -organizational change
A failure mode and effects analysis (FMEA) provides which of the following types of review? -
Answer -proactive
A health plan is required to have a mechanism for members to submit complaints. Which of the
following actions must be included in the complaint analysis to ensure the plan makes full use of this
type of information? - Answer -Review complaints to find system problems that can be improved
A healthcare network has implemented an electronic medical record system allowing data to be
transmitted, on demand, from one facility to another. Which of the following will best promote both cost
effectiveness and patient satisfaction? - Answer -decreasing repeat tests when a patient is seen in
more than one facility
A healthcare quality professional has been asked to examine a new method of reviewing adverse events
in an organization. It has been decided that a system of triggers will be established to alert the Quality
Council of a potential problem. The best example of a trigger that should be set with a threshold of zero
is a - Answer -near miss from failure to perform a 'time-out.'
A healthcare quality professional is attempting to refine the differences between an organization's
objectives and the stakeholder needs. Which of the following tools is most appropriate? - Answer -
gap analysis
A healthcare quality professional is conducting a study to determine how many patients contracted
influenza despite receiving flu shots. This study is evaluating - Answer -efficacy
, A hospice agency conducted a satisfaction survey of all 200 patients currently receiving pain
management services. When asked if they were satisfied with their pain management, 170 patients said
yes, and 30 said no. A target satisfaction rate of 90% has been set. In this situation, a healthcare quality
professional should - Answer -review all dissatisfied responses for similarities.
A hospital has recently moved to a paperless system. It is noted that some data is missing from the
obstetrics delivery record. A healthcare quality professional should recommend - Answer -
evaluating the computerized data entry process
A monitoring system is being designed in which data will be collected and compared to criteria. Which of
the following will best enhance the validity and reliability of the data? - Answer -providing a
practice-based definition and specific instructions for each element
A patient safety program can best be enhanced by which of the following technologies? - Answer -
barcode system for medication administration
A performance improvement (PI) training program for supervisors should include - Answer -rapid-
cycle process.
A physician complains to a healthcare quality professional that the nursing staff did not strictly follow
orders for a patient. The physician requests that the quality professional speak with the nurse manager.
To facilitate improved communication, the quality professional should - Answer -arrange a meeting
with the physician and nurse manager
A Quality Council has examined data on patient falls and determined that a comprehensive falls
prevention program is needed. The first step in increasing staff awareness of this initiative is to -
Answer -share unit-specific data on falls.
A quality improvement manager must decide how to present data that demonstrates the relationship
between two process characteristics. Which of the following data display techniques is most
appropriate? - Answer -scatter diagram
A review was conducted following a postoperative surgical infection rate increase. The following
information was obtained about four physicians: Which of the following should be done next? -
Answer -Initiate peer review with physician C
A staff member reports that a colon perforation occurred during a colonoscopy. Which of the following is
a healthcare quality professional's next step? - Answer -Refer the case for peer review
A strategy used in brainstorming is that ideas are - Answer -All recorded
A summary of antibiotic usage for the fourth quarter showed that an internal medicine department did
not meet pre-established criteria in 82% of the patients reviewed. Following review, the Pharmacy and
Therapeutics Committee should recommend that the results be shared first with the - Answer -
chief of the department.
A valid data collection tool should incorporate - Answer -the definition of data elements
Perfect Score (100 out of 100)
A 69-year-old female admitted for hip replacement is taken to surgery. The patient is identified, the
surgical site is marked incorrectly, and equipment/x-rays are present. A near miss was most likely
identified as a result of - Answer -a surgical team 'time-out.'
A consulting firm has been selected by a healthcare Board of Directors to assess the quality
improvement program. Before starting the assessment, the quality professional should first -
Answer -define expectations and outcomes.
A critical difference between quality assurance (QA) and quality improvement is a shift in focus from -
Answer -identifying poor performers to improving group performance
A culture of patient safety in an organization will have been successfully created when - Answer -
staff members serve as safety advocates.
A facility is becoming part of a healthcare network. Which of the following employee education
programs is most important? - Answer -organizational change
A failure mode and effects analysis (FMEA) provides which of the following types of review? -
Answer -proactive
A health plan is required to have a mechanism for members to submit complaints. Which of the
following actions must be included in the complaint analysis to ensure the plan makes full use of this
type of information? - Answer -Review complaints to find system problems that can be improved
A healthcare network has implemented an electronic medical record system allowing data to be
transmitted, on demand, from one facility to another. Which of the following will best promote both cost
effectiveness and patient satisfaction? - Answer -decreasing repeat tests when a patient is seen in
more than one facility
A healthcare quality professional has been asked to examine a new method of reviewing adverse events
in an organization. It has been decided that a system of triggers will be established to alert the Quality
Council of a potential problem. The best example of a trigger that should be set with a threshold of zero
is a - Answer -near miss from failure to perform a 'time-out.'
A healthcare quality professional is attempting to refine the differences between an organization's
objectives and the stakeholder needs. Which of the following tools is most appropriate? - Answer -
gap analysis
A healthcare quality professional is conducting a study to determine how many patients contracted
influenza despite receiving flu shots. This study is evaluating - Answer -efficacy
, A hospice agency conducted a satisfaction survey of all 200 patients currently receiving pain
management services. When asked if they were satisfied with their pain management, 170 patients said
yes, and 30 said no. A target satisfaction rate of 90% has been set. In this situation, a healthcare quality
professional should - Answer -review all dissatisfied responses for similarities.
A hospital has recently moved to a paperless system. It is noted that some data is missing from the
obstetrics delivery record. A healthcare quality professional should recommend - Answer -
evaluating the computerized data entry process
A monitoring system is being designed in which data will be collected and compared to criteria. Which of
the following will best enhance the validity and reliability of the data? - Answer -providing a
practice-based definition and specific instructions for each element
A patient safety program can best be enhanced by which of the following technologies? - Answer -
barcode system for medication administration
A performance improvement (PI) training program for supervisors should include - Answer -rapid-
cycle process.
A physician complains to a healthcare quality professional that the nursing staff did not strictly follow
orders for a patient. The physician requests that the quality professional speak with the nurse manager.
To facilitate improved communication, the quality professional should - Answer -arrange a meeting
with the physician and nurse manager
A Quality Council has examined data on patient falls and determined that a comprehensive falls
prevention program is needed. The first step in increasing staff awareness of this initiative is to -
Answer -share unit-specific data on falls.
A quality improvement manager must decide how to present data that demonstrates the relationship
between two process characteristics. Which of the following data display techniques is most
appropriate? - Answer -scatter diagram
A review was conducted following a postoperative surgical infection rate increase. The following
information was obtained about four physicians: Which of the following should be done next? -
Answer -Initiate peer review with physician C
A staff member reports that a colon perforation occurred during a colonoscopy. Which of the following is
a healthcare quality professional's next step? - Answer -Refer the case for peer review
A strategy used in brainstorming is that ideas are - Answer -All recorded
A summary of antibiotic usage for the fourth quarter showed that an internal medicine department did
not meet pre-established criteria in 82% of the patients reviewed. Following review, the Pharmacy and
Therapeutics Committee should recommend that the results be shared first with the - Answer -
chief of the department.
A valid data collection tool should incorporate - Answer -the definition of data elements
