CPHRM PRACTICE EXAM
PART 1 QUESTIONS 1-40
Question 1: A hospital wants to identify how a new smart-infusion-pump process
could fail before implementation. Which risk tool is most appropriate?
Choices:
1) Claims trend analysis 2) Root cause analysis 3) Failure mode and e�ects analysis 4) Peer review hearing
Correct Answer: Failure mode and e�ects analysis
Explanation: Failure mode and e�ects analysis is a proactive tool used to anticipate process failures, estimate their e�ects, and prioritize preventive controls before harm occurs. Root cause analysis is generally used after an event.Page 1
Question 2: A hospital is considering retaining predictable low-severity losses while purchasing insurance for catastrophic losses. Which arrangement best supports that strategy?
Choices:
1) No insurance and no reserves 2) First-dollar coverage with no retention 3) A self-insured retention with excess coverage 4) A claims-made policy with no limit
Correct Answer: A self-insured retention with excess coverage
Explanation: A self-insured retention allows the organization to fund losses up to a speci�ed amount while excess insurance protects against larger losses above that retention.
Question 3: A Medicare-participating hospital emergency department receives an
uninsured patient with chest pain. Under EMTALA, what must occur before �nancial considerations may delay care?
Choices:
1) An appropriate medical screening examination must be o�ered 2) The patient's primary care physician must approve evaluation 3) The patient must pay a deposit 4) The hospital may redirect the patient without screening Correct Answer: An appropriate medical screening examination must be o�ered Explanation: EMTALA requires an appropriate medical screening examination to determine whether an emergency medical condition exists. Insurance questions may be asked only if they do not delay required examination or stabilizing treatment.Page 2
Question 4: A health system plans to open a hospital-at-home service. What should the risk manager do before launch?
Choices:
1) Conduct a multidisciplinary risk assessment of clinical, operational, regulatory, technology, sta�ng, and emergency-response exposures 2) Purchase insurance without reviewing the care model 3) Wait for the �rst adverse event to identify risks 4) Limit review to marketing materials Correct Answer: Conduct a multidisciplinary risk assessment of clinical, operational, regulatory, technology, sta�ng, and emergency-response exposures Explanation: New services should undergo a prospective, multidisciplinary risk assessment so hazards and controls can be identi�ed before implementation. The assessment should address the full care model, not just insurance or marketing.Question 5: A nurse tells risk management that a patient's family is threatening to sue after an unexpected severe injury. What is the most appropriate claims- management action?
Choices:
1) Evaluate the event as a potential compensatory event and notify the carrier or claims administrator as required by policy 2) O�er a settlement without investigation 3) Wait until a lawsuit is formally �led before documenting anything 4) Tell sta� to delete related emails Correct Answer: Evaluate the event as a potential compensatory event and notify the carrier or claims administrator as required by policy Page 3