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Practice Test Flashcards

7 cards from real CPHQ practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A hospital implements a new hand hygiene protocol. Three months later, hand hygiene compliance rates have not improved. Which PDSA phase should the team enter?

    Answer: Study — analyze why the change failed before acting

    The Study phase involves analyzing test results before deciding whether to adopt, adapt, or abandon the change.

  2. Which type of hospital-acquired condition (HAC) was designated by CMS as 'Never Events,' meaning it should never occur in healthcare?

    Answer: Wrong-site surgery

    Wrong-site surgery is considered a Never Event — a serious preventable patient safety event that should never occur with proper verification protocols.

  3. Under HIPAA, which of the following is required when a covered entity discovers a breach of unsecured PHI affecting more than 500 individuals?

    Answer: Notify HHS and prominent media outlets in the affected area within 60 days

    For breaches affecting 500 or more individuals in a state, covered entities must notify HHS and prominent media outlets in the affected area within 60 days of discovery.

  4. Which data display tool is best for showing a trend in monthly patient satisfaction scores over a 12-month period?

    Answer: Run chart

    A run chart displays data over time and is ideal for identifying trends, shifts, or cycles in sequential measurements.

  5. A quality director wants to prioritize which of 20 patient safety issues to address first. Which tool would BEST help focus improvement efforts on the most impactful issues?

    Answer: Pareto chart

    The Pareto chart applies the 80/20 rule, helping teams identify the vital few causes that contribute to the majority of problems.

  6. In the context of accreditation, what does 'tracer methodology' involve?

    Answer: Following a patient's care experience through the organization to evaluate standards compliance

    Tracer methodology, used by The Joint Commission, follows an individual patient's care path through an organization to evaluate adherence to standards.

  7. Which chart is used to determine whether a process is in statistical control and can predict future performance?

    Answer: Control chart (Shewhart chart)

    Control charts display process data over time with upper and lower control limits to distinguish common cause variation from special cause variation.

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  1. nahq.org — Score validity, eligibility, exam format, retake policy, time limit, test delivery, fees, passing score, registration, score release · verified Oct 2026