NAHQ EXAM SCRIPT 2026 QUESTIONS
AND ANSWERS GRADED A+
●● False
Answer: The governing body is responsible for implementing strategies
and collecting measurements of quality indicators.
A. True
B. False
●● d. 80%
Answer: According to TJC (2012), how many serious medical errors
involved miscommunication between caregivers when patients are
transferred or handed-off?
a. 67%
b. 25%
c. 32%
d. 80%
●● True
Answer: Observation and documentation of interpersonal and
communication skills is an example of an FPPE.
A. True
B. False
,●● True
Answer: An example of criteria that might be tracked for OPPE is
morbidity and mortality data
A. True
B. False
●● True
Answer: Examples of data for physician profiles include data
representing major service lines, patient safety issues, and outpatient
information
A. True
B. False
●● b. Be a visible participant in the process
Answer: A CQO has the responsibility for education and implementation
of a quality improvement process. To affect cultural change, the CQO
must:
a. Receive quarterly reports
b. Be a visible participant in the process
c. Believe the costs are justified by the benefits
d. Limit training to managers and supervisors
,●● a. Meet all regulatory requirements
Answer: When a healthcare org is contracting with an outside provider
for services, the subcontractor must:
a. Meet all regulatory requirements
b. Provide a representative to the Quality Council
c. Have an active risk management program
d. Have a competitively priced service
●● a. Purpose of the request
Answer: A healthcare quality professional is developing a policy
regarding access to physician quality files. In addition to the date and
name of the person requesting the information, which of the following
should be included in the policy?
a. Purpose of the request
b. Permission from the applicable physician
c. Approval from the department chair
d. Approval from legal counsel
●● b. Assess practitioner competency
Answer: Physician profiles should be reviewed at the time of
reappointment to:
a. Review the number of complaints
b. Assess practitioner competency
, c. Compare the practitioner to their peers
d. Facilitate reappointment approval
●● a. Setting goals and objectives
Answer: Which of the following is the first step in the strategic planning
process?
a. Setting goals and objectives
b. Defining organizational structure
c. Establishing and controlling a budget
d. Determining productivity indicators
●● a. Set goals, measure performance, provide coaching and feedback,
reward and recognize positive efforts
Answer: If someone in your organization is resisting and not willing to
make the change, what is the best strategy to take?
a. Set goals, measure performance, provide coaching and feedback,
reward and recognize positive efforts
b. Communicate what, why, how, when and who of change process,
present positive outlook, have clear focus and goal for change and
expectations
c. Provide education and training in new skills and use of various
management techniques
AND ANSWERS GRADED A+
●● False
Answer: The governing body is responsible for implementing strategies
and collecting measurements of quality indicators.
A. True
B. False
●● d. 80%
Answer: According to TJC (2012), how many serious medical errors
involved miscommunication between caregivers when patients are
transferred or handed-off?
a. 67%
b. 25%
c. 32%
d. 80%
●● True
Answer: Observation and documentation of interpersonal and
communication skills is an example of an FPPE.
A. True
B. False
,●● True
Answer: An example of criteria that might be tracked for OPPE is
morbidity and mortality data
A. True
B. False
●● True
Answer: Examples of data for physician profiles include data
representing major service lines, patient safety issues, and outpatient
information
A. True
B. False
●● b. Be a visible participant in the process
Answer: A CQO has the responsibility for education and implementation
of a quality improvement process. To affect cultural change, the CQO
must:
a. Receive quarterly reports
b. Be a visible participant in the process
c. Believe the costs are justified by the benefits
d. Limit training to managers and supervisors
,●● a. Meet all regulatory requirements
Answer: When a healthcare org is contracting with an outside provider
for services, the subcontractor must:
a. Meet all regulatory requirements
b. Provide a representative to the Quality Council
c. Have an active risk management program
d. Have a competitively priced service
●● a. Purpose of the request
Answer: A healthcare quality professional is developing a policy
regarding access to physician quality files. In addition to the date and
name of the person requesting the information, which of the following
should be included in the policy?
a. Purpose of the request
b. Permission from the applicable physician
c. Approval from the department chair
d. Approval from legal counsel
●● b. Assess practitioner competency
Answer: Physician profiles should be reviewed at the time of
reappointment to:
a. Review the number of complaints
b. Assess practitioner competency
, c. Compare the practitioner to their peers
d. Facilitate reappointment approval
●● a. Setting goals and objectives
Answer: Which of the following is the first step in the strategic planning
process?
a. Setting goals and objectives
b. Defining organizational structure
c. Establishing and controlling a budget
d. Determining productivity indicators
●● a. Set goals, measure performance, provide coaching and feedback,
reward and recognize positive efforts
Answer: If someone in your organization is resisting and not willing to
make the change, what is the best strategy to take?
a. Set goals, measure performance, provide coaching and feedback,
reward and recognize positive efforts
b. Communicate what, why, how, when and who of change process,
present positive outlook, have clear focus and goal for change and
expectations
c. Provide education and training in new skills and use of various
management techniques
