[Q333-Q353] Download NAHQ CPHQ Sample Questions [Oct-2026]

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Download NAHQ CPHQ Sample Questions [Oct-2026]

Real CPHQ Exam Questions and Answers FREE

NEW QUESTION 333
A hospital collects patient satisfaction data by mailing surveys to patients discharged home and analyzes the responses they receive.
What is the most significant limitation of this sampling methodology?

Patients may not respond to all questions in the survey.

Responses will be time-consuming to convert from hard copy responses to soft copies for data storage.

Hospital employees have no control over which patients respond to the survey.

Patients who respond to the survey may not be representative of all discharged patients.

NEW QUESTION 334
Using the Information below, which patient population Is at the highest risk tor tailing?

has problems sleeping

falls prior to admission

needs help with toileting

uses a cane

NEW QUESTION 335
A management team is reviewing their near miss data collectively to identify potential areas of improvement.
Which high reliability principle is being demonstrated?

Preoccupation with failure

Sensitivity to operations

Reluctance to simplify

Deference to expertise

NEW QUESTION 336
A health system in an underserved area seeks to improve medication adherence in patients with hypertension. One of the barriers identified is patients with limited English proficiency.
Which of the
following solutions will best improve medication adherence?

Use clinicians with shared language as interpreters.

Use a telephonic interpreter service to communicate instructions.

Provide written medication instructions in patients’ preferred language.

Implement an automatic refill program for hypertension medications.

NEW QUESTION 337
The most important component of a successful performance improvement program is:

Establishing performance improvement teams.

Integrating data collection capabilities.

The support of organizational leaders.

Dedicating resources to the program.

NEW QUESTION 338
The quality improvement team at a hospital is prioritizing projects that could improve quality of care and reimbursement. Which project should the team prioritize?

Decreasing the current inpatient urinary catheter utilization rate

Improving access to patient care supplies in the emergency department

Increasing nursing retention on high-acuity units

Reducing wait times by increasing patient transportation staffing

NEW QUESTION 339
__________ is a term applied when the proper clinical car process is not executed appropriately, such as giving the wrong drug to a patient or incorrectly administering the correct drug.

Underuse

Overuse

Misuse

Illegal use

NEW QUESTION 340
The upper and lower limits of a control chart are

calculated from actual process measurements.

calculated by projecting future requirements.

derived from special cause variation.

derived from external regulatory standards.

NEW QUESTION 341
An emergency department’s quality Improvement report for the first quarter showed the following data:

What was the approximate overall problem rate for March?

15%

18%

NEW QUESTION 342
Which of the following best describes how a quality professional should conduct an organizational assessment to ensure safe transitions of care?

Review patient feedback about transfers to skilled nursing facilities.

Assess case management discharge and transfer records.

Evaluate processes for discharges and transfers.

Audit documentation of patient discharge summaries.

NEW QUESTION 343
The chart below reflects the 12-week period following implementation of a new electronic health record (EHR) at an outpatient clinic.

Based on the information above, which of the following conclusions can be drawn?

While e-prescribing processes are now stable, additional training is needed to improve staff competency.

There is a strong positive correlation between system-related med errors and help desk calls.

Minimal IT-related med errors and downtime events indicate that the system has improved patient safety.

Overrides, workarounds, and complaints indicate there are underlying barriers to use.

Implementing a new electronic health record (EHR) system in an outpatient clinic often introduces challenges that impact patient safety and workflow. NAHQ CPHQ study materials emphasize that post-implementation evaluation should focus on identifying barriers to effective use, as these can undermine the system’s benefits, such as improved medication safety and care coordination. Common metrics in such evaluations include system-related medication errors, help desk calls, downtime events, overrides, workarounds, and staff complaints, which reflect user experience and system performance.
Since the chart is not provided, I’ll base the answer on typical CPHQ scenarios for EHR implementation. The options suggest the chart includes data on e-prescribing stability, system-related medication errors, help desk calls, downtime events, overrides, workarounds, and complaints. Option D, “Overrides, workarounds, and complaints indicate there are underlying barriers to use,” aligns with a common finding in EHR post- implementation reviews. Overrides (e.g., bypassing alerts), workarounds (e.g., using paper notes instead of the EHR), and complaints typically signal usability issues, such as a poorly designed interface, inadequate training, or system inefficiencies. These barriers can lead to errors, staff frustration, and reduced patient safety, requiring targeted interventions like workflow redesign or additional support.
Option A, “While e-prescribing processes are now stable, additional training is needed to improve staff competency,” assumes e-prescribing stability, which may not be supported without specific chart data showing consistent performance (e.g., no recent errors). It also assumes training is the primary issue, which isn’t directly indicated without evidence of competency gaps. Option B, “There is a strong positive correlation between system-related med errors and help desk calls,” requires specific data showing a statistical correlation (e.g., both metrics trending together), which cannot be confirmed without the chart. Option C, “Minimal IT- related med errors and downtime events indicate that the system has improved patient safety,” assumes low error and downtime rates, but the presence of overrides, workarounds, and complaints (implied by option D) suggests ongoing safety risks, contradicting this conclusion. NAHQ emphasizes identifying and addressing barriers to EHR adoption to ensure patient safety, making option D the most likely conclusion based on typical post-implementation challenges.
Reference: NAHQ CPHQ Study Guide, Patient Safety Section, “EHR Implementation and Patient Safety”; NAHQ CPHQ Practice Exam, Post-Implementation Evaluation of Health IT Systems.

NEW QUESTION 344
A program to improve individuals’ dietary habits has had success in some neighborhoods but not others.
Based on the data (higher poverty and non-English speakers correlate with lower success), what is an approach that would make the program successful in more neighborhoods?

Increase efforts to disseminate program information at senior centers.

Distribute vouchers to subsidize the cost of healthy food.

Hire dieticians to specifically reach out to adults who have not completed college.

Make program-related information available in common languages spoken.

NEW QUESTION 345
A patient was in the operating room when a piece of a surgical instrument broke off and was left in the patient’s body. The patient was readmitted for removal of the foreign object.
Which of the following would most likely apply in this situation?

Res ipsa loquitur

Contributory negligence

Contractual liability

Tort liability

NEW QUESTION 346
An organization has compiled the scatter plots below:

Based on these plots, which of the following conclusions can be made by the quality professional?

Setting 2 has a significant correlation between complication rate and time to positive outcome.

Complication rates arenot causing longer time to positive outcome at setting 2.

Setting 1 has a strong positive correlation between complication rate and time to positive outcome.

Complication rates are causing longer time to positive outcome at settling 1.

* A scatter plot is a graphical tool that shows the relationship between two continuous variables by plotting data points at their corresponding values on the x-axis and y-axis1.
* To interpret a scatter plot, we need to look at the direction, strength, and shape of the relationship between the variables2.
* The direction of the relationship indicates whether the variables tend to increase or decrease together (positive correlation) or in opposite directions (negative correlation).
* The strength of the relationship indicates how closely the data points cluster around a line or curve that best fits the data. A common measure of the strength of the linear relationship is the correlation coefficient , which ranges from -1 to 1. The closer the absolute value of R is to 1, the stronger the linear relationship2.
* The shape of the relationship indicates whether the data points follow a straight line (linear relationship) or a curved pattern (nonlinear relationship).
* Based on these criteria, we can analyze the scatter plots for Setting 1 and Setting 2 as follows:
* Setting 1: The scatter plot shows a clear upward trend, indicating a positive correlation between complication rate and time to positive outcome. The data points are tightly clustered around a line, indicating a strong linear relationship. The R^2 value of 0.9533 on the plot is close to 1, which means that the linear model explains 95.33% of the variation in the complication rate. Therefore, we can conclude that Setting 1 has a strong positive correlation between complication rate and time to positive outcome.
* Setting 2: The scatter plot shows a scattered pattern, indicating a weak or no correlation between complication rate and time to positive outcome. The data points are widely spread around a line, indicating a weak linear relationship. The R^2 value of 0.4923 onthe plot is far from 1, which means that the linear model explains only 49.23% of the variation in the complication rate.
Therefore, we cannot conclude that Setting 2 has a significant correlation between complication rate and time to positive outcome, or that complication rates are causing longer time to positive outcome at setting 2.
References: 1: 8.8 Scatter Plots, Correlation, and Regression Lines 2: Scatterplots: Using, Examples, and Interpreting

NEW QUESTION 347
The strategic plan for an organization calls for expansion of information technology. The following information is available:
If equal weight is given to each consideration, which of the following options should be the primary choice?

Option A

Option B

Option C

Option D

NEW QUESTION 348
Using the Information below, which patient population Is at the highest risk tor tailing?

has problems sleeping

falls prior to admission

needs help with toileting

uses a cane

NEW QUESTION 349
Which of the following charts has upper and lower control limits?

Shewhart chart

Gantt chart

Run chart

Pareto chart

NEW QUESTION 350
The upper and lower limits on a control chart are:

Used to display the distribution of data.

The same as thresholds.

Used to determine if the long-range average is changing.

Statistically calculated from the related data.

NEW QUESTION 351
A hospital Is anticipating an accreditation survey In the next four months, and the quality director forms a team to ensure compliance with current requirements. This indicates the hospital Is

practicing just-in-time readiness.

preparing for sustained compliance following the survey.

minimizing resources needed to demonstrate compliance.

Implementing continuous survey readiness.

NEW QUESTION 352
In recent months, the amount of time It takes for Insurance claimsto be submitted has increased significantly, resulting in the hospital not being paidina timely manner. Which of the following Is the quality professional’s best course of action?

Assemble a work group and facilitate the development of a fishbone diagram.

Work with Involved stakeholders to develop a radar chart.

Design a check sheet for the employees to systematically record the completed tasks.

Work with the claims manager to develop a Gantt chart.

When dealing with a significant increase in the time it takes for insurance claims to be submitted, which results in the hospital not being paid in a timely manner, the best course of action for ahealthcare quality professional is to assemble a work group and facilitate the development of a fishbone diagram12.
A fishbone diagram, also known as a cause-and-effect diagram or Ishikawa diagram, is a visual tool used to systematically identify and present all the possible causes of a particular problem in order to find its root causes1. This approach is particularly useful in this scenario because it allows the team to visualize the many potential factors contributing to the increase in submission time for insurance claims.
Here are the steps that the healthcare quality professional would take:
* Assemble a Work Group: Gather a team of individuals who are familiar with the process and can contribute to identifying potential causes of the problem1.
* Define the Problem: Clearly articulate the problem of increased time for insurance claims submission. This is typically written at the head or mouth of the fish in the fishbone diagram1.
* Identify Major Cause Categories: Common categories include methods, machines (equipment), people (manpower), materials, measurement, and environment. These are drawn as the “bones” of the fish1.
* Identify Possible Causes: Brainstorm all the possible causes of the problem that fall into each category. These are written on the smaller “bones” off of the major cause categories1.
* Analyze and Prioritize Causes: Discuss and analyze the identified causes, and prioritize them based on their impact on the problem1.
* Identify Solutions: For each high-priority cause, develop strategies or changes to address the cause1.
* Implement and Monitor Solutions: Implement the identified solutions, monitor their effectiveness, and make adjustments as necessary1.
By following these steps, the healthcare quality professional can systematically address the problem of increased insurance claim submission time, ultimately improving the hospital’s revenue cycle2.

NEW QUESTION 353
Efficiency refers how well resources are used in achieving a given result. Efficiency whenever the resources used to
produce a given output are _____________.

Reduces, reduced

Increases, increased

Improves, reduced

It is truly situation dependent

NAHQ CPHQ examination is an important certification for healthcare quality professionals. It is designed to test the knowledge and skills required to assess, plan, implement, and evaluate healthcare quality and patient safety practices. CPHQ exam is comprehensive and covers a range of topics related to healthcare quality and patient safety. Candidates who pass the exam are recognized as experts in the field of healthcare quality and patient safety, which can help them advance their careers and make a positive impact on the healthcare industry.

The CPHQ examination is a computer-based exam that consists of 140 multiple-choice questions. Candidates have three hours to complete the exam. CPHQ exam is offered at testing centers throughout the United States and internationally. Candidates must meet certain eligibility requirements before they can take the exam, including having a minimum of two years of experience in healthcare quality and patient safety.

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