NAHQ TEST ACTUAL TEST 2025/2026
WITH CORRECT COMPLETE
ANSWERS
For a continuous quality improvement team to be successful, who must be included on the team? - ANS-
person preforming the process
When examining the relationship between staff and patient outcomes, which of the following is the
most appropriate to assess? - ANS-patient safety data and overtime data
Which of the following adverse events is NOT considered a sentinel event? - ANS-suicide threat by a
patient in a confined 24-hour care setting
Which of the following is always true regarding a sentinel event? - ANS-The occurrence requires an
immediate investigative response
A valid data collection tool should incorporate - ANS-the definition of data elements
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? - ANS-
Initiate peer review with physician C
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? - ANS-gap
analysis
Which of the following is the best example of use of human factors engineering? - ANS-designing
products to prevent tubing misconnections
, The success of a performance improvement program will be most influenced by the - ANS-culture of the
organization
The best reason to evaluate team meetings is to - ANS-assess progress
A facility is becoming part of a healthcare network. Which of the following employee education
programs is most important? - ANS-organizational change
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 - ANS-review all dissatisfied responses for similarities.
The evolution of quality improvement in healthcare has shifted the primary focus from performance of
individuals to the performance of the - ANS-organization's systems
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 - ANS-evaluating the
computerized data entry process
A staff member reports that a colon perforation occurred during a colonoscopy. Which of the following
is a healthcare quality professional's next step? - ANS-Refer the case for peer review
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 - ANS-a surgical team 'time-out.'
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? - ANS-scatter diagram
The clinical competency of a physician is determined by - ANS-a committee of peers.
WITH CORRECT COMPLETE
ANSWERS
For a continuous quality improvement team to be successful, who must be included on the team? - ANS-
person preforming the process
When examining the relationship between staff and patient outcomes, which of the following is the
most appropriate to assess? - ANS-patient safety data and overtime data
Which of the following adverse events is NOT considered a sentinel event? - ANS-suicide threat by a
patient in a confined 24-hour care setting
Which of the following is always true regarding a sentinel event? - ANS-The occurrence requires an
immediate investigative response
A valid data collection tool should incorporate - ANS-the definition of data elements
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? - ANS-
Initiate peer review with physician C
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? - ANS-gap
analysis
Which of the following is the best example of use of human factors engineering? - ANS-designing
products to prevent tubing misconnections
, The success of a performance improvement program will be most influenced by the - ANS-culture of the
organization
The best reason to evaluate team meetings is to - ANS-assess progress
A facility is becoming part of a healthcare network. Which of the following employee education
programs is most important? - ANS-organizational change
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 - ANS-review all dissatisfied responses for similarities.
The evolution of quality improvement in healthcare has shifted the primary focus from performance of
individuals to the performance of the - ANS-organization's systems
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 - ANS-evaluating the
computerized data entry process
A staff member reports that a colon perforation occurred during a colonoscopy. Which of the following
is a healthcare quality professional's next step? - ANS-Refer the case for peer review
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 - ANS-a surgical team 'time-out.'
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? - ANS-scatter diagram
The clinical competency of a physician is determined by - ANS-a committee of peers.
