IHI Verified Multiple Choice and Conceptual
Actual Exam Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!Current Update
1. Michael S., a 49-year-old factory worker, is brought to the hospital after
developing chest pain at work. He is quickly diagnosed with an acute
myocardial infarction (heart attack). However, he waits almost two hours to
get to the catheterization lab and have his blocked coronary artery opened.
Ultimately, he suffers permanent damage to his heart.
The hospital where Michael is recovering reviews its patient satisfaction survey
results in order to improve its care and patient outcomes. Leaders poring over the
data note that 90 to 100 percent of patients rate staff as "excellent" in the
following categories: listening, answering questions, being friendly and courteous,
and giving good advice based on specific needs and preferences. Which aim is the
hospital generally achieving?
(A) Equitable
(B) Safe
(C) Effective
(D) Efficient
(E) Timely
(F) Patient-centered - ANSWER F
2. Which of the following improvement efforts is the best example of increasing
the effectiveness of care?
, (A) Decreasing adverse drug events by having a pharmacist on rounds in the
intensive care unit
(B) Shortening wait times at a clinic by allowing patients to self-register on a
computer in the waiting room
(C) Improving the percent of clinic patients achieving their goal blood pressure by
instituting a series of reminders for providers about evidence-based processes
(D) Instituting quarterly focus groups of patients seen in the emergency
department to better identify patient concerns - ANSWER C
3. Which of the following improvement efforts is the best example of increasing
the equity of care?
(A) Decreasing adverse drug events by having a pharmacist on rounds in the
intensive care unit
(B) Shortening wait times at a clinic by allowing patients to self-register on a
computer in the waiting room
(C) Instituting quarterly focus groups of patients seen in the emergency
department to better identify patient concerns
(D) Through staff development and weekly feedback, equalizing the likelihood
that a patient will receive pain medication regardless of race, ethnicity, or
education - ANSWER D
4. Which of the following is a basic principle of improvement?
(A) Improvement must come from the bottom up — not the top down.
(B) Every system is perfectly designed to get the results it gets.
(C) Data should always drive improvement.
,(D) When examining a complex system, consider all the parts separately. -
ANSWER B
5. Using Deming's System of Profound Knowledge is helpful in quality
improvement because:
(A) It's a systematic set of procedures for implementing improvement.
(B) It can help break down complex quality issues into smaller, more
understandable parts.
(C) It can help figure out who is to blame after an error.
(D) It's a helpful way to secure funding from external sources for planned
improvements. - ANSWER B
Transcendental Nursing Home is working on decreasing its rates of catheter-
associated urinary tract infections (UTIs) among its residents. While reviewing
data, the improvement team notices that the UTI rate on Floor 3 is half that of the
rest of the floors. They decide to visit the unit and find out what it is doing
differently.
6. Which component of Deming's System of Profound Knowledge is the team
about to harness?
(A) Appreciation of a system
(B) Understanding variation
(C) Theory of knowledge
(D) Psychology (human behavior) - ANSWER B
Transcendental Nursing Home is working on decreasing its rates of catheter-
associated urinary tract infections (UTIs) among its residents. While reviewing
, data, the improvement team notices that the UTI rate on Floor 3 is half that of the
rest of the floors. They decide to visit the unit and find out what it is doing
differently.
7. After speaking with caregivers on Floor 3, the improvement team discovers that
there is a particularly dedicated head nurse on the unit whose mother died after a
catheter-associated UTI. This nurse orients all new providers and also provides
feedback when she sees that catheters are being placed unnecessarily in patients.
Which component of Deming's System of Profound Knowledge do this nurse's
actions best represent?
(A) Appreciation of a system
(B) Understanding variation
(C) Theory of knowledge
(D) Psychology (human behavior) - ANSWER D
8. Which of these is a question particularly associated with the "theory of
knowledge" component in Deming's System of Profound Knowledge?
(A) What motivates people to act as they do?
(B) What is the variation in results trying to tell you about the system?
(C) What are your predictions about the system's performance?
(D) What is the whole system that you're trying to manage? - ANSWER C
9. The Model for Improvement begins with three questions designed to clarify
the following concepts:
(A) Plan, do, act
(B) Mission, goal, strategy
(C) Aims, measures, changes
Actual Exam Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!Current Update
1. Michael S., a 49-year-old factory worker, is brought to the hospital after
developing chest pain at work. He is quickly diagnosed with an acute
myocardial infarction (heart attack). However, he waits almost two hours to
get to the catheterization lab and have his blocked coronary artery opened.
Ultimately, he suffers permanent damage to his heart.
The hospital where Michael is recovering reviews its patient satisfaction survey
results in order to improve its care and patient outcomes. Leaders poring over the
data note that 90 to 100 percent of patients rate staff as "excellent" in the
following categories: listening, answering questions, being friendly and courteous,
and giving good advice based on specific needs and preferences. Which aim is the
hospital generally achieving?
(A) Equitable
(B) Safe
(C) Effective
(D) Efficient
(E) Timely
(F) Patient-centered - ANSWER F
2. Which of the following improvement efforts is the best example of increasing
the effectiveness of care?
, (A) Decreasing adverse drug events by having a pharmacist on rounds in the
intensive care unit
(B) Shortening wait times at a clinic by allowing patients to self-register on a
computer in the waiting room
(C) Improving the percent of clinic patients achieving their goal blood pressure by
instituting a series of reminders for providers about evidence-based processes
(D) Instituting quarterly focus groups of patients seen in the emergency
department to better identify patient concerns - ANSWER C
3. Which of the following improvement efforts is the best example of increasing
the equity of care?
(A) Decreasing adverse drug events by having a pharmacist on rounds in the
intensive care unit
(B) Shortening wait times at a clinic by allowing patients to self-register on a
computer in the waiting room
(C) Instituting quarterly focus groups of patients seen in the emergency
department to better identify patient concerns
(D) Through staff development and weekly feedback, equalizing the likelihood
that a patient will receive pain medication regardless of race, ethnicity, or
education - ANSWER D
4. Which of the following is a basic principle of improvement?
(A) Improvement must come from the bottom up — not the top down.
(B) Every system is perfectly designed to get the results it gets.
(C) Data should always drive improvement.
,(D) When examining a complex system, consider all the parts separately. -
ANSWER B
5. Using Deming's System of Profound Knowledge is helpful in quality
improvement because:
(A) It's a systematic set of procedures for implementing improvement.
(B) It can help break down complex quality issues into smaller, more
understandable parts.
(C) It can help figure out who is to blame after an error.
(D) It's a helpful way to secure funding from external sources for planned
improvements. - ANSWER B
Transcendental Nursing Home is working on decreasing its rates of catheter-
associated urinary tract infections (UTIs) among its residents. While reviewing
data, the improvement team notices that the UTI rate on Floor 3 is half that of the
rest of the floors. They decide to visit the unit and find out what it is doing
differently.
6. Which component of Deming's System of Profound Knowledge is the team
about to harness?
(A) Appreciation of a system
(B) Understanding variation
(C) Theory of knowledge
(D) Psychology (human behavior) - ANSWER B
Transcendental Nursing Home is working on decreasing its rates of catheter-
associated urinary tract infections (UTIs) among its residents. While reviewing
, data, the improvement team notices that the UTI rate on Floor 3 is half that of the
rest of the floors. They decide to visit the unit and find out what it is doing
differently.
7. After speaking with caregivers on Floor 3, the improvement team discovers that
there is a particularly dedicated head nurse on the unit whose mother died after a
catheter-associated UTI. This nurse orients all new providers and also provides
feedback when she sees that catheters are being placed unnecessarily in patients.
Which component of Deming's System of Profound Knowledge do this nurse's
actions best represent?
(A) Appreciation of a system
(B) Understanding variation
(C) Theory of knowledge
(D) Psychology (human behavior) - ANSWER D
8. Which of these is a question particularly associated with the "theory of
knowledge" component in Deming's System of Profound Knowledge?
(A) What motivates people to act as they do?
(B) What is the variation in results trying to tell you about the system?
(C) What are your predictions about the system's performance?
(D) What is the whole system that you're trying to manage? - ANSWER C
9. The Model for Improvement begins with three questions designed to clarify
the following concepts:
(A) Plan, do, act
(B) Mission, goal, strategy
(C) Aims, measures, changes
