CPHQ Practice Test 4

Question 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?

Accepted Answer

Study — analyze why the change failed before acting

Answer

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

Question 2

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

Accepted Answer

Wrong-site surgery

Answer

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

Question 3

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

Accepted Answer

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

Answer

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.

Question 4

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

Accepted Answer

Run chart

Answer

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

Question 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?

Accepted Answer

Pareto chart

Answer

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

CPHQ - Certified Professional in Healthcare Quality Practice Test

CPHQ - Certified Professional in Healthcare Quality Practice Test

CPHQ Practice Test 4