CPHQ Practice Exam Questions With
Correct Explained Solutions 2024
When .considering .the .use .of .an .external .subject .matter .expert .(SME), .which .of .the
.following .is .most .critical?
A. .leadership's .personal .preference
B. .geographic .location .of .the .SME
C. .cost .of .the .SME's .services
D. .references .of .the .SME .- .correct .answer.D. .references .of .the .SME
The .positive .clinical .reputation .provides .credibility .support .to .the .project.
To .avoid .misinterpreting .variances, .which .of .the .following .statistical .tools .should .be
.used?
A. .control .chart
B. .fishbone .diagram
C. .force .field .analysis
D. .Pareto .chart .analysis .- .correct .answer.A. .control .chart
Control .charts .exhibit .points .between .control .limits, .therefore .displaying .the .variation.
An .operating .room .circulating .nurse .reported .that .the .instrument .count .indicated .a
.missing .clamp. .X-ray .findings .were .negative, .and .the .patient .showed .no .adverse .effects.
.This .occurrence .is .an .example .of
which .of .the .following?
A. .claims .management
B. .malpractice
C. .clinical .incompetency
D. .potentially .compensable .event .- .correct .answer.D. .potentially .compensable .event
Although .the .clamp .was .not .found, .this .has .potential .to .become .a .compensable .event. .A
.potentially
compensable .event .is .an .event .for .which .there .is .risk .of .future .claim .or .settlement.
Training .is .being .determined .based .on .treatment .record .review .results. .The .following
.weighted .results .are .available: .Based .on .these .results, .which .of .the .following .areas
.should .take .priority .for .training? .(Image .missing)
A. .assessment
B. .external .communication
,C. .care .plan
D. .progress .notes .- .correct .answer.C. .care .plan
When .ranked .by .weight .and .non-compliance .(weight*(100-%compliance)), .care .plan
results .in .the .highest .weighted .rank.
A .healthcare .entity .initiating .re-structuring .must .consider .the .impact .on .staff .to .ensure .the
.greatest .opportunity .for .success .by
A. .defining .the .concepts .of .re-structuring .to .the .staff .and .the .community.
B. .planning .carefully, .communicating .openly, .and .leading .effectively.
C. .developing .policies .to .assist .in .the .change .process .so .that .fear .will .be .minimized.
D. .selecting .a .consultant, .conducting .a .needs .assessment, .and .analyzing .results. .-
.correct .answer.B. .planning .carefully, .communicating .openly, .and .leading .effectively
Best .answer, .these .actions .promote .transparency .and .trust .through .communication .and
.leadership.
During .quality .management .data .analysis .activities, .Pareto .charts .are .most .appropriately
.used .for
A. .displaying .parts .of .a .whole.
B. .displaying .trends .over .time.
C. .determining .cause .and .effect .relationships.
D. .determining .priorities .among .contributing .factors. .- .correct .answer.D. .determining
.priorities .among .contributing .factors.
Pareto .charts .most .appropriately .assist .to .determine .priority .using .represented .values.
A .clinical .pathway .on .the .management .of .hip .fractures .has .been .developed .by .a .multi-
disciplinary .team .and .implemented .in .a .large .teaching .hospital. .After .monitoring .for .6
.months, .the .length .of .stay .continues .to .exceed .the .guidelines. .Which .of .the .following
.should .be .the .next .step?
A. .Evaluate .compliance .with .the .pathway.
B. .Correlate .the .pathway .with .staffing .levels.
C. .Re-educate .the .staff .on .the .purpose .of .the .pathway.
D. .Continue .to .monitor, .and .collect .additional .data. .- .correct .answer.A. .Evaluate
.compliance .with .the .pathway.
Evaluation .of .compliance .with .the .proven .(pathway) .should .be .conducted .first .to .see .if
.that .may .be
influencing .the .lack .of .change .in .the .outcome.
A .new .quality .director .has .reviewed .the .information .related .to .the .Quality .Council
.minutes, .and .notes .the .following: .- .The .council .meets .quarterly. .Meetings .last
.approximately .2 .hours. .- .The .council .roster
includes .all .clinical .department .managers .and .the .quality .director. .Attendance .ranges
.from .45-60%. .- .The .primary .role .of .the .council .is .to .receive .department .quality .reports,
.which .are .then .forwarded .to .the .organization's .governing .body. .Based .on .the .information
.above, .which .of .the .following .actions .is .most .appropriate?
A. .Require .departments .to .forward .reports .for .review .prior .to .the .meetings.
B. .Redefine .the .council's .role .to .coordinate .and .prioritize .quality .activities.
,C. .Switch .to .a .monthly .meeting .with .a .new .agenda .format.
D. .Eliminate .the .council .and .directly .report .quality .data .to .the .governing .body. .- .correct
.answer.B. .Redefine .the .council's .role .to .coordinate .and .prioritize .quality .activities.
This .is .the .best .answer .available.
An .annual .evaluation .of .a .laboratory's .quality .program .identified .no .opportunities .for
.improvement. .Which .of .the .following .elements .of .the .program .should .be .reviewed?
A. .performance .indicators
B. .format .of .data .display
C. .committee .meeting .attendance
D. .frequency .of .data .collection .- .correct .answer.A. .performance .indicators
Performance .indicators .need .to .be .reviewed .for .need .for .revision.
The .following .table .shows .the .percentage .of .hospital-acquired .pressure .ulcers: .Which .of
.the .following .should .the .healthcare .quality .professional .do .next?
A. .Implement .a .new .pressure .ulcer .protocol.
B. .Re-educate .staff.
C. .Continue .to .track .and .trend .the .data.
D. .Conduct .a .focused .analysis .of .pressure .ulcer .cases. .- .correct .answer.D. .Conduct .a
.focused .analysis .of .pressure .ulcer .cases.
Advanced-stage, .hospital-acquired .pressure .ulcers .are .considered .never-events.
.Because .this .is .a
significant .patient .safety .issue, .it .is .important .to .not .delay .analysis .so .that .trends .and
.opportunities .for
improvement .can .be .determined.
Medication .reconciliation .is .a .process .intended .to
A. .identify .and .resolve .discrepancies.
B. .investigate .formulary .discrepancies.
C. .increase .use .of .electronic .medication .administration.
D. .improve .efficiency .of .medication .administration. .- .correct .answer.A. .identify .and
.resolve .discrepancies.
Correct; .the .definition .of .medication .reconciliation .is .a .process .of .identifying .the .most
.accurate .list .of
all .medications .by .comparing .the .medical .record .to .an .external .list .of .medications.
One .difference .between .continuous .quality .improvement .and .traditional .quality
.assurance .is .that .quality .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.C. .focuses .on .systems .or .processes
Quality .improvement .is .focused .on .systems, .processes, .and .groups .to .improve. .Quality
.assurance .is
focused .on .monitoring .problem .areas .or .individuals. .Statistical .process .control .may .be
.employed .a .tool .to
, facilitate .quality .improvement, .but .is .not .a .required .component .of .quality .improvement.
According .to .continuous .quality .improvement .principles, .which .of .the .following .concepts
.is .most .important?
A. .financial .impact
B. .constancy .of .purpose
C. .resistance .to .change
D. .performance .of .individual .- .correct .answer.B. .constancy .of .purpose
This .is .the .best .answer
In .lean .thinking, .a .process .step .is .defined .as ."value .added" .if .the
A. .customer .recognizes .the .value.
B. .customer .corrects .a .mistake .to .add .value.
C. .process .owner .recognizes .the .value.
D. .process .owner .changes .the .value .of .the .product. .- .correct .answer.A. .customer
.recognizes .the .value.
Customer .value .is .the .key .concept .of .lean .thinking .and .improvement .efforts.
One .aspect .of .a .quality .process .that .integrates .with .risk .management .is .the .review .and
.evaluation .of
A. .adverse .drug .events.
B. .encounter .data.
C. .case-mix .analysis .reports.
D. .accreditation .survey .reports. .- .correct .answer.A. .adverse .drug .events.
Risk .management .has .a .role .related .to .incident .reporting.
Which .of .the .following .action .plans .is .the .first .step .in .correcting .inappropriate .blood .usage
.in .an .emergency .department?
A. .in-service .on .ordering .blood .usage .for .the .physicians
B. .elimination .of .wasted .blood
C. .improvements .in .documentation
D. .development .of .a .new .procurement .procedure .- .correct .answer.A. .in-service .on
.ordering .blood .usage .for .the .physicians
Educating .the .physicians .on .the .critical .use .of .blood .products .will .assist .to .better .utilize
.blood .supply.
A .physician .who .has .a .high .inpatient .mortality .rate .compared .to .others .in .a .facility .should
.first .be
A. .counseled .by .the .department .chairperson.
B. .reviewed .by .the .credentialing .committee.
C. .suspended .in .the .interest .of .patient .safety.
D. .evaluated .via .a .more .in-depth .review .of .cases. .- .correct .answer.D. .evaluated .via .a
.more .in-depth .review .of .cases
Required .to .make .a .determination .based .on .quantity .of .cases .and .quality
The .primary .purpose .of .an .organization's .quality .improvement .(QI) .strategic .plan .is .to
Correct Explained Solutions 2024
When .considering .the .use .of .an .external .subject .matter .expert .(SME), .which .of .the
.following .is .most .critical?
A. .leadership's .personal .preference
B. .geographic .location .of .the .SME
C. .cost .of .the .SME's .services
D. .references .of .the .SME .- .correct .answer.D. .references .of .the .SME
The .positive .clinical .reputation .provides .credibility .support .to .the .project.
To .avoid .misinterpreting .variances, .which .of .the .following .statistical .tools .should .be
.used?
A. .control .chart
B. .fishbone .diagram
C. .force .field .analysis
D. .Pareto .chart .analysis .- .correct .answer.A. .control .chart
Control .charts .exhibit .points .between .control .limits, .therefore .displaying .the .variation.
An .operating .room .circulating .nurse .reported .that .the .instrument .count .indicated .a
.missing .clamp. .X-ray .findings .were .negative, .and .the .patient .showed .no .adverse .effects.
.This .occurrence .is .an .example .of
which .of .the .following?
A. .claims .management
B. .malpractice
C. .clinical .incompetency
D. .potentially .compensable .event .- .correct .answer.D. .potentially .compensable .event
Although .the .clamp .was .not .found, .this .has .potential .to .become .a .compensable .event. .A
.potentially
compensable .event .is .an .event .for .which .there .is .risk .of .future .claim .or .settlement.
Training .is .being .determined .based .on .treatment .record .review .results. .The .following
.weighted .results .are .available: .Based .on .these .results, .which .of .the .following .areas
.should .take .priority .for .training? .(Image .missing)
A. .assessment
B. .external .communication
,C. .care .plan
D. .progress .notes .- .correct .answer.C. .care .plan
When .ranked .by .weight .and .non-compliance .(weight*(100-%compliance)), .care .plan
results .in .the .highest .weighted .rank.
A .healthcare .entity .initiating .re-structuring .must .consider .the .impact .on .staff .to .ensure .the
.greatest .opportunity .for .success .by
A. .defining .the .concepts .of .re-structuring .to .the .staff .and .the .community.
B. .planning .carefully, .communicating .openly, .and .leading .effectively.
C. .developing .policies .to .assist .in .the .change .process .so .that .fear .will .be .minimized.
D. .selecting .a .consultant, .conducting .a .needs .assessment, .and .analyzing .results. .-
.correct .answer.B. .planning .carefully, .communicating .openly, .and .leading .effectively
Best .answer, .these .actions .promote .transparency .and .trust .through .communication .and
.leadership.
During .quality .management .data .analysis .activities, .Pareto .charts .are .most .appropriately
.used .for
A. .displaying .parts .of .a .whole.
B. .displaying .trends .over .time.
C. .determining .cause .and .effect .relationships.
D. .determining .priorities .among .contributing .factors. .- .correct .answer.D. .determining
.priorities .among .contributing .factors.
Pareto .charts .most .appropriately .assist .to .determine .priority .using .represented .values.
A .clinical .pathway .on .the .management .of .hip .fractures .has .been .developed .by .a .multi-
disciplinary .team .and .implemented .in .a .large .teaching .hospital. .After .monitoring .for .6
.months, .the .length .of .stay .continues .to .exceed .the .guidelines. .Which .of .the .following
.should .be .the .next .step?
A. .Evaluate .compliance .with .the .pathway.
B. .Correlate .the .pathway .with .staffing .levels.
C. .Re-educate .the .staff .on .the .purpose .of .the .pathway.
D. .Continue .to .monitor, .and .collect .additional .data. .- .correct .answer.A. .Evaluate
.compliance .with .the .pathway.
Evaluation .of .compliance .with .the .proven .(pathway) .should .be .conducted .first .to .see .if
.that .may .be
influencing .the .lack .of .change .in .the .outcome.
A .new .quality .director .has .reviewed .the .information .related .to .the .Quality .Council
.minutes, .and .notes .the .following: .- .The .council .meets .quarterly. .Meetings .last
.approximately .2 .hours. .- .The .council .roster
includes .all .clinical .department .managers .and .the .quality .director. .Attendance .ranges
.from .45-60%. .- .The .primary .role .of .the .council .is .to .receive .department .quality .reports,
.which .are .then .forwarded .to .the .organization's .governing .body. .Based .on .the .information
.above, .which .of .the .following .actions .is .most .appropriate?
A. .Require .departments .to .forward .reports .for .review .prior .to .the .meetings.
B. .Redefine .the .council's .role .to .coordinate .and .prioritize .quality .activities.
,C. .Switch .to .a .monthly .meeting .with .a .new .agenda .format.
D. .Eliminate .the .council .and .directly .report .quality .data .to .the .governing .body. .- .correct
.answer.B. .Redefine .the .council's .role .to .coordinate .and .prioritize .quality .activities.
This .is .the .best .answer .available.
An .annual .evaluation .of .a .laboratory's .quality .program .identified .no .opportunities .for
.improvement. .Which .of .the .following .elements .of .the .program .should .be .reviewed?
A. .performance .indicators
B. .format .of .data .display
C. .committee .meeting .attendance
D. .frequency .of .data .collection .- .correct .answer.A. .performance .indicators
Performance .indicators .need .to .be .reviewed .for .need .for .revision.
The .following .table .shows .the .percentage .of .hospital-acquired .pressure .ulcers: .Which .of
.the .following .should .the .healthcare .quality .professional .do .next?
A. .Implement .a .new .pressure .ulcer .protocol.
B. .Re-educate .staff.
C. .Continue .to .track .and .trend .the .data.
D. .Conduct .a .focused .analysis .of .pressure .ulcer .cases. .- .correct .answer.D. .Conduct .a
.focused .analysis .of .pressure .ulcer .cases.
Advanced-stage, .hospital-acquired .pressure .ulcers .are .considered .never-events.
.Because .this .is .a
significant .patient .safety .issue, .it .is .important .to .not .delay .analysis .so .that .trends .and
.opportunities .for
improvement .can .be .determined.
Medication .reconciliation .is .a .process .intended .to
A. .identify .and .resolve .discrepancies.
B. .investigate .formulary .discrepancies.
C. .increase .use .of .electronic .medication .administration.
D. .improve .efficiency .of .medication .administration. .- .correct .answer.A. .identify .and
.resolve .discrepancies.
Correct; .the .definition .of .medication .reconciliation .is .a .process .of .identifying .the .most
.accurate .list .of
all .medications .by .comparing .the .medical .record .to .an .external .list .of .medications.
One .difference .between .continuous .quality .improvement .and .traditional .quality
.assurance .is .that .quality .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.C. .focuses .on .systems .or .processes
Quality .improvement .is .focused .on .systems, .processes, .and .groups .to .improve. .Quality
.assurance .is
focused .on .monitoring .problem .areas .or .individuals. .Statistical .process .control .may .be
.employed .a .tool .to
, facilitate .quality .improvement, .but .is .not .a .required .component .of .quality .improvement.
According .to .continuous .quality .improvement .principles, .which .of .the .following .concepts
.is .most .important?
A. .financial .impact
B. .constancy .of .purpose
C. .resistance .to .change
D. .performance .of .individual .- .correct .answer.B. .constancy .of .purpose
This .is .the .best .answer
In .lean .thinking, .a .process .step .is .defined .as ."value .added" .if .the
A. .customer .recognizes .the .value.
B. .customer .corrects .a .mistake .to .add .value.
C. .process .owner .recognizes .the .value.
D. .process .owner .changes .the .value .of .the .product. .- .correct .answer.A. .customer
.recognizes .the .value.
Customer .value .is .the .key .concept .of .lean .thinking .and .improvement .efforts.
One .aspect .of .a .quality .process .that .integrates .with .risk .management .is .the .review .and
.evaluation .of
A. .adverse .drug .events.
B. .encounter .data.
C. .case-mix .analysis .reports.
D. .accreditation .survey .reports. .- .correct .answer.A. .adverse .drug .events.
Risk .management .has .a .role .related .to .incident .reporting.
Which .of .the .following .action .plans .is .the .first .step .in .correcting .inappropriate .blood .usage
.in .an .emergency .department?
A. .in-service .on .ordering .blood .usage .for .the .physicians
B. .elimination .of .wasted .blood
C. .improvements .in .documentation
D. .development .of .a .new .procurement .procedure .- .correct .answer.A. .in-service .on
.ordering .blood .usage .for .the .physicians
Educating .the .physicians .on .the .critical .use .of .blood .products .will .assist .to .better .utilize
.blood .supply.
A .physician .who .has .a .high .inpatient .mortality .rate .compared .to .others .in .a .facility .should
.first .be
A. .counseled .by .the .department .chairperson.
B. .reviewed .by .the .credentialing .committee.
C. .suspended .in .the .interest .of .patient .safety.
D. .evaluated .via .a .more .in-depth .review .of .cases. .- .correct .answer.D. .evaluated .via .a
.more .in-depth .review .of .cases
Required .to .make .a .determination .based .on .quantity .of .cases .and .quality
The .primary .purpose .of .an .organization's .quality .improvement .(QI) .strategic .plan .is .to
