PRACTICE EXAM QUESTIONS WITH
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1) The Model for Improvement begins with three questions designed to clarify the
following concepts:
(A) Plan, do, act
(B) Mission, goal, strategy
(C) Aims, measures, changes
(D) Will, ideas, and execution - ANSWER (C) Aims, measures, changes
2) After assembling a team and working through the three questions of the Model for
Improvement, the orthopedic clinic decides to implement an automated reminder
phone call 24 hours prior to each clinical appointment. The clinic's improvement team
hopes that this small change will improve scheduling.
What is the team's next step?
(A) Take a well-deserved break.
(B) Develop their project-level measures.
(C) Test their change plan using the PDSA cycle.
(D) Report their results to clinic leadership and prepare a poster for a national
meeting. - ANSWER (C) Test their change plan using the PDSA cycle.
3) The orthopedic clinic plans the change to improve scheduling, and then it carries out a
small test of change with three patients on Tuesday morning. What's the next thing the
clinic's improvement team should do?
, (A) Change their measures.
(B) Measure to see if the change led to improvement.
(C) Report their results to the clinic leadership and prepare a poster for a national
meeting.
(D) Implement the new scheduling process based upon their initial impressions of
how everything is working. - ANSWER (B) Measure to see if the change
led to improvement.
4) When trying to improve a process, one reason to use PDSA cycles rather than a more
traditional version of the scientific method (such as a randomized, controlled trial) is
that:
(A) PDSA cycles are easier to run with a large team of people.
(B) The results of PDSA cycles are more generalizable than other methods.
(C) PDSA cycles are simpler to use than other methods.
(D) PDSA cycles provide a mechanism to adjust improvement ideas as the project
progresses.
(E) Both C and D - ANSWER (E) Both C and D
5) We aim to reduce harm and improve patient safety for all of our internal and external
customers.
(A) Strong
(B) Weak - ANSWER (B) Weak
6) By June of 2015, we will reduce the incidence of pressure ulcers in the critical care
unit by 50 percent.
(A) Strong
(B) Weak - ANSWER (A) Strong
7) We will reduce all types of hospital-acquired infections.
(A) Strong
(B) Weak - ANSWER (B) Weak
8) Our most recent data reveal that, on average, we reconcile the medications of only 35
percent of our discharged inpatients. We intend to increase this average system-wide
to 50 percent by April 1, 2017, and to 75 percent by August, 31, 2017.
(A) Strong
(B) Weak - ANSWER (A) Strong
,9) Having a clear aim statement is important in quality improvement work because:
(A) Aim statements provide a clear and specific goal for the organization to reach.
(B) All grant agencies require clear aim statements when they are considering
funding requests.
(C) Aim statements remove all obstacles from quality improvement projects.
(D) The leaders of all organizations expect to see these types of goals. -
ANSWER (A) Aim statements provide a clear and specific goal for the
organization to reach.
10) An aim statement should include the following:
(A) Specific time frame, team membership, and numeric goals
(B) Numeric goals, specific time frame, and the patient population or system
affected
(C) Patient population or system affected, estimated cost of improvement, and
numeric goals
(D) All of the above - ANSWER (B) Numeric goals, specific time frame, and
the patient population or system affected
11) Brenda, an emergency room nurse, notes that there seems to be a significant delay
between the ordering and the administration of pain medications in her department.
She decides to conduct a small improvement project to reduce this delay and obtains
the support of the charge nurse (head nurse). Which of the following is the most
effective aim statement for this project?
(A) Within one month, 95 percent of physicians will tell nurses when a pain
medication is ordered on emergency room patients.
(B) Within three months, the emergency department will administer all pain
medications within 45 minutes of order time.
(C) Within two months, improve the timeliness of pain medication delivery by
allowing nurses to stock the most commonly used medications in the
emergency unit
(D) Within three months, the emergency department will improve the timeliness
of pain medication delivery to 100 percent of patients. - ANSWER (B)
Within three months, the emergency department will administer all pain
medications within 45 minutes of order time.
, 12) The charge nurse in the emergency room asks Brenda to assemble a team to improve
the delivery of pain medication. As she considers who to place on the team, Brenda
should:
(A) Review the aim statement to make sure the team includes representatives of
all processes affected by the team's aim.
(B) Create a team of volunteers.
(C) Create a team of managers and administrators.
(D) Make sure only nurses are on the team, as they are the most likely to help her
achieve her aim. - ANSWER (A) Review the aim statement to make sure
the team includes representatives of all processes affected by the team's aim.
13) During Brenda's first group meeting, the members ask to review the aim statement to
make sure they agree it addresses the current problem. With Brenda's approval, they
all decide to rewrite it. However, when they meet to consider what would be a better
aim statement, the group loses direction. In order to help them, Brenda might want to:
(A) Reconsider who should be on the improvement team.
(B) Move the meeting to a later date, so that she can come better prepared.
(C) Explain to the group that the aim is set, as both she and the charge nurse have
already agreed on the wording.
(D) Remind the team of the Institute of Medicine's dimensions of health care
quality. - ANSWER (D) Remind the team of the Institute of Medicine's
dimensions of health care quality.
14) Aim: Reduce the incidence of ventilator-associated pneumonia (VAP) by reducing the
number of ventilator days in the intensive care unit (ICU) by 20 percent within five
months.
Average number of days on mechanical ventilation
(A) Outcome measure
(B) Process measure
(C) Balancing measure - ANSWER (B) Process measure
15) Aim: Reduce the incidence of ventilator-associated pneumonia (VAP) by reducing the
number of ventilator days in the intensive care unit (ICU) by 20 percent within five
months.