I think A gives the best overall picture of an effective quality system. The other options focus on specific audit results rather than the bigger picture of continuous improvement.
I'm pretty confident A is the right answer. An effective quality system needs to be actively in place and improving, not just passing audits without issues.
I think A is the best answer. The key is that the system is in place and there's evidence of continuous improvement, which indicates it's truly effective.
I practiced a question similar to this, and I think D might be misleading because no corrective actions could just mean nothing was reported, not that the system is effective.
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