IHI QI 101 & 102 UPDATED ACTUAL
Exam Questions and CORRECT
Answers
The Transcendental Nursing Home is working on decreasing its rates of catheter-associated
urinary tract infections (UTIs) among its patients. The improvement team predicts that if they
begin providing intensive training to staff on how to place the catheters, the infection rates will
improve. They devise a plan to test this idea. After three months of testing its improvement idea,
the Transcendental team notices that infection rates on one unit are much higher than any other
unit. Frustrated, leadership decides to replace all the providers on that unit except the three with
the highest seniority.
What is the likely outcome, and why?
(A) Infection rates will not change because the leaders have not changed the system of care.
(B) Infection rates will not change because the three caregivers with seniority are probably
negligent, like their peers who were fired.
(C) Infection rates will get better because the leaders ha - CORRECT ANSWER - (A)
Infection rates will not change because the leaders have not changed the system of care.
Which of the following is a basic principle of improvement?
(A) Improvement must come from the bottom up — not the top down.
(B) Every system is perfectly designed to get the results it gets.
(C) Data should always drive improvement.
(D) When examining a complex system, consider all the parts separately. - CORRECT
ANSWER - (B) Every system is perfectly designed to get the results it gets.
Which of these questions is most strongly related to the "appreciation of a system" component of
Deming's System of Profound Knowledge?
(A) What motivates people to act as they do?
(B) What is the variation in results trying to tell you about the system?
(C) What are your predictions about the system's performance?
, (D) What is the whole system that you're trying to manage? - CORRECT ANSWER - (D)
What is the whole system that you're trying to manage?
Using Deming's System of Profound Knowledge is helpful in quality improvement because: -
CORRECT ANSWER - It can help break down complex quality issues into smaller, more
understandable parts.
Which of the following is an essential component of systems thinking included in Deming's
System of Profound Knowledge?
(A) Biology
(B) Physics
(C) Psychology
(D) All of the above - CORRECT ANSWER - (C) Psychology
Which of the following improvement efforts is the best example of increasing the efficiency of
care?
(A) Decreasing unnecessary surgical procedures by helping patients reduce their pain through
physical activity
(B) Improving patient experiences by providing reading materials in the waiting room
(C) Improving the percent of clinic patients achieving their targeted blood pressure by instituting
a series of reminders for providers about evidence-based processes
(D) Through staff development and weekly feedback, equalizing the likelihood that a patient will
receive pain medication regardless race, ethnicity, or education - CORRECT ANSWER -
(A) Decreasing unnecessary surgical procedures by helping patients reduce their pain through
physical activity
Which of the following improvement efforts is the best example of increasing the equity of care?
a. Decreasing adverse drug events by having a pharmacist on rounds in the intensive care unit
b. Shortening wait times at a clinic by allowing patients to self-register on a computer in the
waiting room
Exam Questions and CORRECT
Answers
The Transcendental Nursing Home is working on decreasing its rates of catheter-associated
urinary tract infections (UTIs) among its patients. The improvement team predicts that if they
begin providing intensive training to staff on how to place the catheters, the infection rates will
improve. They devise a plan to test this idea. After three months of testing its improvement idea,
the Transcendental team notices that infection rates on one unit are much higher than any other
unit. Frustrated, leadership decides to replace all the providers on that unit except the three with
the highest seniority.
What is the likely outcome, and why?
(A) Infection rates will not change because the leaders have not changed the system of care.
(B) Infection rates will not change because the three caregivers with seniority are probably
negligent, like their peers who were fired.
(C) Infection rates will get better because the leaders ha - CORRECT ANSWER - (A)
Infection rates will not change because the leaders have not changed the system of care.
Which of the following is a basic principle of improvement?
(A) Improvement must come from the bottom up — not the top down.
(B) Every system is perfectly designed to get the results it gets.
(C) Data should always drive improvement.
(D) When examining a complex system, consider all the parts separately. - CORRECT
ANSWER - (B) Every system is perfectly designed to get the results it gets.
Which of these questions is most strongly related to the "appreciation of a system" component of
Deming's System of Profound Knowledge?
(A) What motivates people to act as they do?
(B) What is the variation in results trying to tell you about the system?
(C) What are your predictions about the system's performance?
, (D) What is the whole system that you're trying to manage? - CORRECT ANSWER - (D)
What is the whole system that you're trying to manage?
Using Deming's System of Profound Knowledge is helpful in quality improvement because: -
CORRECT ANSWER - It can help break down complex quality issues into smaller, more
understandable parts.
Which of the following is an essential component of systems thinking included in Deming's
System of Profound Knowledge?
(A) Biology
(B) Physics
(C) Psychology
(D) All of the above - CORRECT ANSWER - (C) Psychology
Which of the following improvement efforts is the best example of increasing the efficiency of
care?
(A) Decreasing unnecessary surgical procedures by helping patients reduce their pain through
physical activity
(B) Improving patient experiences by providing reading materials in the waiting room
(C) Improving the percent of clinic patients achieving their targeted blood pressure by instituting
a series of reminders for providers about evidence-based processes
(D) Through staff development and weekly feedback, equalizing the likelihood that a patient will
receive pain medication regardless race, ethnicity, or education - CORRECT ANSWER -
(A) Decreasing unnecessary surgical procedures by helping patients reduce their pain through
physical activity
Which of the following improvement efforts is the best example of increasing the equity of care?
a. Decreasing adverse drug events by having a pharmacist on rounds in the intensive care unit
b. Shortening wait times at a clinic by allowing patients to self-register on a computer in the
waiting room
