NURS FPX 6222 QUALITY IMPROVEMENT
ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED||
||BRANDNEW!!2026//////2027!!!!
Which is the aim of quality improvement?
Assess how well an organization or unit implements a specific standard of care
Correct Answer: Assess how well an organization or unit implements a specific standard of
care
Expert Rationale:
Quality improvement (QI) focuses on evaluating and improving healthcare processes to ensure
that established standards of care are consistently met in a specific clinical setting. It is centered
on identifying gaps between current practice and expected standards, then implementing changes
to improve performance and patient outcomes. Unlike nursing research, which generates new
knowledge, and evidence-based practice (EBP), which applies research findings into clinical
protocols, QI is system-focused and organization-specific. It continuously measures performance
to enhance safety, efficiency, and quality of care delivery.
DIF: Knowledge
REF: Nursing Leadership / Quality Improvement Concepts
OBJ: Identify the purpose of quality improvement
TOP: Healthcare Systems / Quality Improvement
Which model is often used to support quality improvement project implementation?
Plan-Do-Study-Act model
Correct Answer: Plan-Do-Study-Act (PDSA) model
Expert Rationale:
The Plan-Do-Study-Act (PDSA) model is a cyclical framework used in quality improvement to
test and refine changes in clinical practice. In the “Plan” phase, the problem is identified and a
change is designed. In the “Do” phase, the change is implemented on a small scale. In the
“Study” phase, data are collected and analyzed to evaluate the impact of the change. In the “Act”
phase, the change is adopted, modified, or abandoned based on outcomes. This iterative process
allows healthcare teams to improve care systematically while minimizing risk before full
implementation.
,DIF: Knowledge
REF: Quality Improvement Methodologies / PDSA Cycle
OBJ: Identify frameworks used in quality improvement
TOP: Process Improvement / Implementation Science
The intended outcome of a quality improvement project is
Improved client care
Correct Answer: Improved client care
Expert Rationale:
The goal of quality improvement projects is to enhance patient outcomes by improving
healthcare processes, systems, and adherence to established standards of care. QI focuses on
measurable improvements in safety, efficiency, and effectiveness within a specific healthcare
environment. Unlike research, which aims to produce generalizable knowledge, QI is designed to
produce immediate, practical improvements in clinical practice and patient care delivery within
an organization.
DIF: Knowledge
REF: Quality Improvement Principles / Patient Safety Outcomes
OBJ: Identify outcomes of quality improvement initiatives
TOP: Evaluation / Healthcare Quality
Click to specify whether each project is nursing research, evidence-based practice, or
quality improvement.
Nursing Research: Testing whether a treatment improves client outcomes
EBP: Developing and implementing a protocol that aligns with the evidence supporting an
intervention
Quality Improvement: Assessing how well a unit complies with implementing a best practice
treatment protocol
Implementing processes to improve compliance with a clinical practice standard
Correct Answer:
• Nursing Research: Testing whether a treatment improves client outcomes
• Evidence-Based Practice (EBP): Developing and implementing a protocol that aligns
with the evidence supporting an intervention
• Quality Improvement (QI): Assessing how well a unit complies with implementing a best
practice treatment protocol
• Quality Improvement (QI): Implementing processes to improve compliance with a
clinical practice standard
Expert Rationale:
Nursing research is designed to generate new knowledge through systematic investigation and
hypothesis testing to determine whether interventions improve outcomes. Evidence-based
,practice (EBP) integrates the best available research evidence with clinical expertise and patient
preferences to develop and implement clinical guidelines or protocols. Quality improvement (QI)
focuses on evaluating and improving existing processes within a specific healthcare setting,
particularly measuring compliance with standards and implementing changes to improve
performance. The key distinction is that research generates knowledge, EBP applies knowledge,
and QI improves processes in real-world practice settings.
DIF: Analysis
REF: Research vs EBP vs Quality Improvement Framework
OBJ: Differentiate between nursing research, EBP, and QI
TOP: Evidence-Based Practice / Quality Improvement Classification
Which is an example of information used to guide a quality improvement project?
For clients with heart failure on a cardiac unit, the 30-day readmission rate is 40%. The national
average is 20%
Correct Answer: For clients with heart failure on a cardiac unit, the 30-day readmission
rate is 40%. The national average is 20%.
Expert Rationale:
Quality improvement (QI) projects are typically driven by performance data that identify gaps
between current practice and expected benchmarks. In this scenario, the unit’s 30-day
readmission rate for heart failure patients (40%) is significantly higher than the national average
(20%), indicating a quality gap. This type of comparative outcome data is used to prioritize
improvement efforts, identify inefficiencies in care transitions, and guide targeted interventions
to improve patient outcomes and reduce readmissions. QI relies heavily on measurable, local
performance indicators rather than broad research findings.
DIF: Application
REF: Quality Improvement Data Sources / Healthcare Metrics
OBJ: Identify data used to initiate quality improvement projects
TOP: Healthcare Quality / Performance Improvement
Which is an example of how a literature review supports a quality improvement project?
Literature is found that guides successful implementation of catheter-associated urinary tract
infection (CAUTI) bundle.
Correct Answer: Literature is found that guides successful implementation of catheter-
associated urinary tract infection (CAUTI) bundle.
Expert Rationale:
A literature review supports quality improvement by identifying evidence-based strategies that
have been shown to improve outcomes in similar clinical settings. In this case, reviewing
research on successful implementation of a catheter-associated urinary tract infection (CAUTI)
prevention bundle helps guide the design of interventions, ensures alignment with best practices,
and increases the likelihood of successful implementation. Unlike QI data, which identifies local
, performance gaps, literature provides external evidence on effective interventions that can be
adapted to the specific unit or organization.
DIF: Application
REF: Evidence-Based Practice / Literature Review in QI
OBJ: Explain the role of literature in quality improvement projects
TOP: Evidence-Based Practice Integration in QI
A primary care office aims to increase influenza vaccination rates using the Plan-Do-Study-
Act model. Select each phase of the model from the drop-down options to match the team's
corresponding actions.
Correct Answer:
• Plan: A primary care office that aims to increase their vaccination rates
• Do: Staff implemented the intervention and collected performance metrics (e.g., number
of adult clients who received vaccinations)
• Study: Leadership monitored performance metrics and evaluated results; minor changes
were made based on findings
• Act: Staff adopted the most successful interventions, such as adding posters to exam
rooms as visual reminders
Expert Rationale:
The Plan-Do-Study-Act (PDSA) model is an iterative quality improvement framework used to
test and refine changes in practice. In the “Plan” phase, the team identifies a goal and designs an
intervention. In the “Do” phase, the intervention is implemented on a small scale while data is
collected. In the “Study” phase, results are analyzed to determine effectiveness and identify
needed modifications. In the “Act” phase, successful strategies are standardized and
implemented more broadly, while less effective interventions are revised or discontinued. This
cycle promotes continuous improvement in clinical outcomes such as vaccination rates.
DIF: Application
REF: PDSA Cycle / Quality Improvement Models
OBJ: Apply the steps of the PDSA cycle to clinical scenarios
TOP: Process Improvement / Implementation Science
An interdisciplinary team is implementing a quality improvement project to reduce fall
rates on a medical surgical unit. The team identifies measures to evaluate the following:
percent of older adults screened for fall risk upon admission, number of times a client fall
with injury occurred, frequency that bed alarms were on as indicated, and percent of beds
in low position. Which phase of the Plan-Do-Study-Act is the team completing?
Correct Answer: Plan
ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED||
||BRANDNEW!!2026//////2027!!!!
Which is the aim of quality improvement?
Assess how well an organization or unit implements a specific standard of care
Correct Answer: Assess how well an organization or unit implements a specific standard of
care
Expert Rationale:
Quality improvement (QI) focuses on evaluating and improving healthcare processes to ensure
that established standards of care are consistently met in a specific clinical setting. It is centered
on identifying gaps between current practice and expected standards, then implementing changes
to improve performance and patient outcomes. Unlike nursing research, which generates new
knowledge, and evidence-based practice (EBP), which applies research findings into clinical
protocols, QI is system-focused and organization-specific. It continuously measures performance
to enhance safety, efficiency, and quality of care delivery.
DIF: Knowledge
REF: Nursing Leadership / Quality Improvement Concepts
OBJ: Identify the purpose of quality improvement
TOP: Healthcare Systems / Quality Improvement
Which model is often used to support quality improvement project implementation?
Plan-Do-Study-Act model
Correct Answer: Plan-Do-Study-Act (PDSA) model
Expert Rationale:
The Plan-Do-Study-Act (PDSA) model is a cyclical framework used in quality improvement to
test and refine changes in clinical practice. In the “Plan” phase, the problem is identified and a
change is designed. In the “Do” phase, the change is implemented on a small scale. In the
“Study” phase, data are collected and analyzed to evaluate the impact of the change. In the “Act”
phase, the change is adopted, modified, or abandoned based on outcomes. This iterative process
allows healthcare teams to improve care systematically while minimizing risk before full
implementation.
,DIF: Knowledge
REF: Quality Improvement Methodologies / PDSA Cycle
OBJ: Identify frameworks used in quality improvement
TOP: Process Improvement / Implementation Science
The intended outcome of a quality improvement project is
Improved client care
Correct Answer: Improved client care
Expert Rationale:
The goal of quality improvement projects is to enhance patient outcomes by improving
healthcare processes, systems, and adherence to established standards of care. QI focuses on
measurable improvements in safety, efficiency, and effectiveness within a specific healthcare
environment. Unlike research, which aims to produce generalizable knowledge, QI is designed to
produce immediate, practical improvements in clinical practice and patient care delivery within
an organization.
DIF: Knowledge
REF: Quality Improvement Principles / Patient Safety Outcomes
OBJ: Identify outcomes of quality improvement initiatives
TOP: Evaluation / Healthcare Quality
Click to specify whether each project is nursing research, evidence-based practice, or
quality improvement.
Nursing Research: Testing whether a treatment improves client outcomes
EBP: Developing and implementing a protocol that aligns with the evidence supporting an
intervention
Quality Improvement: Assessing how well a unit complies with implementing a best practice
treatment protocol
Implementing processes to improve compliance with a clinical practice standard
Correct Answer:
• Nursing Research: Testing whether a treatment improves client outcomes
• Evidence-Based Practice (EBP): Developing and implementing a protocol that aligns
with the evidence supporting an intervention
• Quality Improvement (QI): Assessing how well a unit complies with implementing a best
practice treatment protocol
• Quality Improvement (QI): Implementing processes to improve compliance with a
clinical practice standard
Expert Rationale:
Nursing research is designed to generate new knowledge through systematic investigation and
hypothesis testing to determine whether interventions improve outcomes. Evidence-based
,practice (EBP) integrates the best available research evidence with clinical expertise and patient
preferences to develop and implement clinical guidelines or protocols. Quality improvement (QI)
focuses on evaluating and improving existing processes within a specific healthcare setting,
particularly measuring compliance with standards and implementing changes to improve
performance. The key distinction is that research generates knowledge, EBP applies knowledge,
and QI improves processes in real-world practice settings.
DIF: Analysis
REF: Research vs EBP vs Quality Improvement Framework
OBJ: Differentiate between nursing research, EBP, and QI
TOP: Evidence-Based Practice / Quality Improvement Classification
Which is an example of information used to guide a quality improvement project?
For clients with heart failure on a cardiac unit, the 30-day readmission rate is 40%. The national
average is 20%
Correct Answer: For clients with heart failure on a cardiac unit, the 30-day readmission
rate is 40%. The national average is 20%.
Expert Rationale:
Quality improvement (QI) projects are typically driven by performance data that identify gaps
between current practice and expected benchmarks. In this scenario, the unit’s 30-day
readmission rate for heart failure patients (40%) is significantly higher than the national average
(20%), indicating a quality gap. This type of comparative outcome data is used to prioritize
improvement efforts, identify inefficiencies in care transitions, and guide targeted interventions
to improve patient outcomes and reduce readmissions. QI relies heavily on measurable, local
performance indicators rather than broad research findings.
DIF: Application
REF: Quality Improvement Data Sources / Healthcare Metrics
OBJ: Identify data used to initiate quality improvement projects
TOP: Healthcare Quality / Performance Improvement
Which is an example of how a literature review supports a quality improvement project?
Literature is found that guides successful implementation of catheter-associated urinary tract
infection (CAUTI) bundle.
Correct Answer: Literature is found that guides successful implementation of catheter-
associated urinary tract infection (CAUTI) bundle.
Expert Rationale:
A literature review supports quality improvement by identifying evidence-based strategies that
have been shown to improve outcomes in similar clinical settings. In this case, reviewing
research on successful implementation of a catheter-associated urinary tract infection (CAUTI)
prevention bundle helps guide the design of interventions, ensures alignment with best practices,
and increases the likelihood of successful implementation. Unlike QI data, which identifies local
, performance gaps, literature provides external evidence on effective interventions that can be
adapted to the specific unit or organization.
DIF: Application
REF: Evidence-Based Practice / Literature Review in QI
OBJ: Explain the role of literature in quality improvement projects
TOP: Evidence-Based Practice Integration in QI
A primary care office aims to increase influenza vaccination rates using the Plan-Do-Study-
Act model. Select each phase of the model from the drop-down options to match the team's
corresponding actions.
Correct Answer:
• Plan: A primary care office that aims to increase their vaccination rates
• Do: Staff implemented the intervention and collected performance metrics (e.g., number
of adult clients who received vaccinations)
• Study: Leadership monitored performance metrics and evaluated results; minor changes
were made based on findings
• Act: Staff adopted the most successful interventions, such as adding posters to exam
rooms as visual reminders
Expert Rationale:
The Plan-Do-Study-Act (PDSA) model is an iterative quality improvement framework used to
test and refine changes in practice. In the “Plan” phase, the team identifies a goal and designs an
intervention. In the “Do” phase, the intervention is implemented on a small scale while data is
collected. In the “Study” phase, results are analyzed to determine effectiveness and identify
needed modifications. In the “Act” phase, successful strategies are standardized and
implemented more broadly, while less effective interventions are revised or discontinued. This
cycle promotes continuous improvement in clinical outcomes such as vaccination rates.
DIF: Application
REF: PDSA Cycle / Quality Improvement Models
OBJ: Apply the steps of the PDSA cycle to clinical scenarios
TOP: Process Improvement / Implementation Science
An interdisciplinary team is implementing a quality improvement project to reduce fall
rates on a medical surgical unit. The team identifies measures to evaluate the following:
percent of older adults screened for fall risk upon admission, number of times a client fall
with injury occurred, frequency that bed alarms were on as indicated, and percent of beds
in low position. Which phase of the Plan-Do-Study-Act is the team completing?
Correct Answer: Plan
