C430 Healthcare Quality Improvement
and Risk Management – WGU Exam
2025 Questions and Answers
A hospital officer reports that there were multiple incidences in which toxic chemicals were
incorrectly labeled that led to severe injuries of two lab employees. The regulatory department that
oversees this area of workplace accidents is the Occupational Safety and Health Administration
(OSHA).
What is the role of OSHA in providing oversight for this issue? - ANSWER✔️✔️-To promote
safety by investigating the incidents
A hospital officer reports the presence of multiple incidences of skin breakdown among the
Medicare/Medicaid eligible patients who were admitted to the hospital. Admission assessment
supports that the skin breakdown was not present at the time of admission.
What is the initial role of the Centers for Medicare and Medicaid in providing oversight for this
issue? - ANSWER✔️✔️-To deny reimbursement to the facility
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
,A home health agency has audited occurrences of falls over the last 12 months. The organization
was cited by The Joint Commission for having insufficient fall prevention measures.
What should the home health agency do to resolve this issue?
A.) Provide at-risk patients with 24-hour care
B.) Educate patients on actions to take after a fall
C.) Report patient falls for the next two months and take action if falls continue to increase
D.) Institute a policy to identify patients most likely to fall and procedures to assist in ambulating -
ANSWER✔️✔️-Institute a policy to identify patients most likely to fall and procedures to assist in
ambulating
A doctor's office recently received results from a National Committee for Quality Assurance survey,
which indicated that 75% of patients at this office are dissatisfied with long wait times in the waiting
room.
What should the doctor's office do to increase patient satisfaction? - ANSWER✔️✔️-Reduce the
number of patients scheduled per time slot
An administrator wants to improve patient relations in a clinic and starts by implementing a new
survey to track patient satisfaction in key areas.
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
, Which methodology should the administrator use to integrate the survey into current patient flow? -
ANSWER✔️✔️-Business process re-engineering
An administrator notices the clinic's inventory does not meet patient demand. The clinic wants to
add an inventory management system to track patient visits versus supplies used on any given day.
Which methodology should be used to ensure successful implementation of the system with
minimal disruption? - ANSWER✔️✔️-Business process re-engineering
A data report reveals a facility is not maintaining the biohazard sharps containers according to
standards. The medical staff continues to add additional needles after the containers are full.
Which regulatory agency requires immediate action? - ANSWER✔️✔️-Occupational Safety and
Health Administration
A hospital recently reviewed its data report for patient satisfaction and found that pain management
is falling below the hospital's 80% performance expectations.
How can the hospital reach this performance expectation? - ANSWER✔️✔️-Increase staff
awareness on patient pain control techniques
Per the workers compensation policy, a quarterly employee injury report was submitted to a
hospital's safety committee. The committee noted low compliance with the requirement that
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
and Risk Management – WGU Exam
2025 Questions and Answers
A hospital officer reports that there were multiple incidences in which toxic chemicals were
incorrectly labeled that led to severe injuries of two lab employees. The regulatory department that
oversees this area of workplace accidents is the Occupational Safety and Health Administration
(OSHA).
What is the role of OSHA in providing oversight for this issue? - ANSWER✔️✔️-To promote
safety by investigating the incidents
A hospital officer reports the presence of multiple incidences of skin breakdown among the
Medicare/Medicaid eligible patients who were admitted to the hospital. Admission assessment
supports that the skin breakdown was not present at the time of admission.
What is the initial role of the Centers for Medicare and Medicaid in providing oversight for this
issue? - ANSWER✔️✔️-To deny reimbursement to the facility
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
,A home health agency has audited occurrences of falls over the last 12 months. The organization
was cited by The Joint Commission for having insufficient fall prevention measures.
What should the home health agency do to resolve this issue?
A.) Provide at-risk patients with 24-hour care
B.) Educate patients on actions to take after a fall
C.) Report patient falls for the next two months and take action if falls continue to increase
D.) Institute a policy to identify patients most likely to fall and procedures to assist in ambulating -
ANSWER✔️✔️-Institute a policy to identify patients most likely to fall and procedures to assist in
ambulating
A doctor's office recently received results from a National Committee for Quality Assurance survey,
which indicated that 75% of patients at this office are dissatisfied with long wait times in the waiting
room.
What should the doctor's office do to increase patient satisfaction? - ANSWER✔️✔️-Reduce the
number of patients scheduled per time slot
An administrator wants to improve patient relations in a clinic and starts by implementing a new
survey to track patient satisfaction in key areas.
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
, Which methodology should the administrator use to integrate the survey into current patient flow? -
ANSWER✔️✔️-Business process re-engineering
An administrator notices the clinic's inventory does not meet patient demand. The clinic wants to
add an inventory management system to track patient visits versus supplies used on any given day.
Which methodology should be used to ensure successful implementation of the system with
minimal disruption? - ANSWER✔️✔️-Business process re-engineering
A data report reveals a facility is not maintaining the biohazard sharps containers according to
standards. The medical staff continues to add additional needles after the containers are full.
Which regulatory agency requires immediate action? - ANSWER✔️✔️-Occupational Safety and
Health Administration
A hospital recently reviewed its data report for patient satisfaction and found that pain management
is falling below the hospital's 80% performance expectations.
How can the hospital reach this performance expectation? - ANSWER✔️✔️-Increase staff
awareness on patient pain control techniques
Per the workers compensation policy, a quarterly employee injury report was submitted to a
hospital's safety committee. The committee noted low compliance with the requirement that
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
