CPHQ PRACTICE EXAM QUESTIONS WITH
CORRECT ANSWERS 2025
Which of the following is the most effective way to integrate performance improvement concepts thro
ughout an organization?
A. quarterly newsletters
B. Monthly lectures
C. quality teams
D. continuous monitoring - CORRECT ANSWER -Quality teams include participation by front-
line staff, which allows direct integration of performance improvement into practice.
Domain: Organizational Leadership
Which of the following is the best example of an outcome measure?
A. availability of computers
B. pathway compliance
C. mortality rate
D. laboratory turnaround - CORRECT ANSWER -Mortality rate -
an outcome measure is used to determine how the system or improvement project impacts the patie
nt.
Domain: Health Data Analytics
The quality improvement directory is responsible for the coordination of accreditation survey activities.
Responsibilities will most likely include:
A. facilitating self-
assessments of compliance with standards, communicating new requirements to pertinent parties, and
distributing the agenda for the survey.
B. educating staff to all standards, writing the survey report, and completing the survey application.
C. developing a protocol for a mock survey, conducting unannounced surveys, and challenging the surv
ey report.
D. preparing for unannounced surveys, disseminating the survey report, and developing new standard
s - CORRECT ANSWER -facilitating self-
,assessments of compliance with standards, communicating new requirements to pertinent parties, and
distributing the agenda for the survey -
these are essential functions for overseeing the accreditation process.
Domain: Organizational Leadership
Generic screening is an example of risk
A. evaluation
B. reduction
C. prevention
D. identification - CORRECT ANSWER -
Identification is the first step in disease management/ risk management
Domain: Patient Safety
A medication error occurred and resulted in a severe adverse outcome. In addition to informing the pa
tient and/or family, a healthcare quality professional should
A. perform a regression analysis
B. implement new technology
C. reassign the employees involved
D. conduct a root cause analysis - CORRECT ANSWER -Conduct a root cause analysis -
exploration of system and process issues should be the primary function of a root cause analysis.
Domain: Patient Safety
According to continuous quality improvement principles, which of the following concepts is most impo
rtant?
A. financial impact
B. constancy of purpose
C. resistance of change
D. performance of individuals - CORRECT ANSWER -Constancy of purpose
, Domain: Organizational Leadership
One difference between continuous quality improvement and traditional quality assurance is that quali
ty improvement always
A. requires the application of statistical process control
B. excludes monitoring and evaluation of care provided
C. focuses on systems or processes
D. addresses potential problems - CORRECT ANSWER -focuses on systems or processes -
quality improvement is focused on systems, processes, and groups to improve. Quality assurance is fo
cused on monitoring problem areas or individuals.
Domain: Organizational Leadership
Which of the following should a Quality Council provide to best ensure success of performance improv
ement teams?
A. facilitator and recorder
B. empowerment and training
C. indicators and a data analyst
D. standards and procedures - CORRECT ANSWER -Empowerment and training -
these are two key elements for ensuring success for the teams
Domain: Organizational Leadership
A root cause analysis team examined a serious medication error and recommended changes. Which of
the following should be done next?
A. Random checks for compliance should be made by patient safety staff
B. The Quality Council should review medication errors quarterly
C. The process owner should implement and assess effectiveness
D. Monthly reports should be sent to the regulatory body - CORRECT ANSWER -
The process owner should implement and assess effectiveness -
the recommended changes need to be assigned ownership
CORRECT ANSWERS 2025
Which of the following is the most effective way to integrate performance improvement concepts thro
ughout an organization?
A. quarterly newsletters
B. Monthly lectures
C. quality teams
D. continuous monitoring - CORRECT ANSWER -Quality teams include participation by front-
line staff, which allows direct integration of performance improvement into practice.
Domain: Organizational Leadership
Which of the following is the best example of an outcome measure?
A. availability of computers
B. pathway compliance
C. mortality rate
D. laboratory turnaround - CORRECT ANSWER -Mortality rate -
an outcome measure is used to determine how the system or improvement project impacts the patie
nt.
Domain: Health Data Analytics
The quality improvement directory is responsible for the coordination of accreditation survey activities.
Responsibilities will most likely include:
A. facilitating self-
assessments of compliance with standards, communicating new requirements to pertinent parties, and
distributing the agenda for the survey.
B. educating staff to all standards, writing the survey report, and completing the survey application.
C. developing a protocol for a mock survey, conducting unannounced surveys, and challenging the surv
ey report.
D. preparing for unannounced surveys, disseminating the survey report, and developing new standard
s - CORRECT ANSWER -facilitating self-
,assessments of compliance with standards, communicating new requirements to pertinent parties, and
distributing the agenda for the survey -
these are essential functions for overseeing the accreditation process.
Domain: Organizational Leadership
Generic screening is an example of risk
A. evaluation
B. reduction
C. prevention
D. identification - CORRECT ANSWER -
Identification is the first step in disease management/ risk management
Domain: Patient Safety
A medication error occurred and resulted in a severe adverse outcome. In addition to informing the pa
tient and/or family, a healthcare quality professional should
A. perform a regression analysis
B. implement new technology
C. reassign the employees involved
D. conduct a root cause analysis - CORRECT ANSWER -Conduct a root cause analysis -
exploration of system and process issues should be the primary function of a root cause analysis.
Domain: Patient Safety
According to continuous quality improvement principles, which of the following concepts is most impo
rtant?
A. financial impact
B. constancy of purpose
C. resistance of change
D. performance of individuals - CORRECT ANSWER -Constancy of purpose
, Domain: Organizational Leadership
One difference between continuous quality improvement and traditional quality assurance is that quali
ty improvement always
A. requires the application of statistical process control
B. excludes monitoring and evaluation of care provided
C. focuses on systems or processes
D. addresses potential problems - CORRECT ANSWER -focuses on systems or processes -
quality improvement is focused on systems, processes, and groups to improve. Quality assurance is fo
cused on monitoring problem areas or individuals.
Domain: Organizational Leadership
Which of the following should a Quality Council provide to best ensure success of performance improv
ement teams?
A. facilitator and recorder
B. empowerment and training
C. indicators and a data analyst
D. standards and procedures - CORRECT ANSWER -Empowerment and training -
these are two key elements for ensuring success for the teams
Domain: Organizational Leadership
A root cause analysis team examined a serious medication error and recommended changes. Which of
the following should be done next?
A. Random checks for compliance should be made by patient safety staff
B. The Quality Council should review medication errors quarterly
C. The process owner should implement and assess effectiveness
D. Monthly reports should be sent to the regulatory body - CORRECT ANSWER -
The process owner should implement and assess effectiveness -
the recommended changes need to be assigned ownership
