Question 1

A goal of The Joint Commission ( TJC ) is prevention of health care-associated pressure ulcers.In which situation would the institution fail in complying with that goal?

Accepted Answer

A)  Charting of the Braden Risk Assessment Scale
B)  Utilization of the Braden Risk Assessment Scale to prevent pressure ulcers from developing
C)  Documentation of stages of pressure ulcers to determine appropriate action to take
D)  Turning at-risk patient every 2 hours A

Question 2

The Food and Drug Administration ( FDA ) is a department headed by the Secretary of the U.S.Department of Health and Human Services ( HHS ).Which function would be expected of this department?

Accepted Answer

A)  Regulation of herbal drugs
B)  Control of the price of medications
C)  Regulation of the safety and efficacy of medications
D)  Licensing of nurses C

Question 3

The National Institutes of Health (NIH) is a department headed by the Secretary of the U.S.Department of Health and Human Services (HHS).Which action would be expected from this department?

Accepted Answer

A)  Research of health care issues
B)  Statement regarding stem cell research
C)  Recommendation for all people to stop smoking
D)  Recommendation for use of Nicorette to stop smoking A

Question 4

The National League of Nursing Accrediting Committee ( NLNAC ) is an example of an accrediting body for nursing programs.Besides the nursing school, for what other agencies are they responsible to ensure compliance to their standards?

Accepted Answer

A)  Hospitals where students provide care to patients
B)  Medical schools
C)  Nursing homes in the area
D)  Other similar hospital settings

Question 5

During a convention at a large hotel, several attendees become very ill with respiratory symptoms for which they are diagnosed with Legionnaires' disease.Which regulatory agency is responsible for investigation of an outbreak of Legionnaires' disease?

Accepted Answer

A)  Occupational Safety and Health Administration ( OSHA ) 
B)  The Joint Commission ( TJC ) 
C)  Centers for Disease Control and Prevention ( CDC ) 
D)  National League of Nursing Accrediting Committee ( NLNAC )

Question 6

In addition to staff interviews, The Joint Commission ( TJC ) surveyors measure an institution's compliance by which action? (Select all that apply.)

Accepted Answer

A)  Review of clinical records
B)  Shadowing a nurse for a shift
C)  Passing as a patient for the day
D)  Interviews with patients
E)  Reviewing policy statements of the facility

Question 7

The state regulatory agency may impose a fine on a hospital for which patient safety infraction?

Accepted Answer

A)  Inconsistent adherence to isolation protocol
B)  Medication administration error resulting in no harm to the patient
C)  Wrong patient sent for chest radiograph
D)  Repetitive staffing shortage due to staff discontent

Question 8

The ANCC (American Nurses Credentialing Center) is an organization that recognizes excellence in nursing in hospitals.Which outcome would be expected by an institution receiving Magnet Hospital status? (Select all that apply.)

Accepted Answer

A)  Nurses as teachers
B)  Quality nursing leadership
C)  Better salaries for staff
D)  Increased use of UAPs
E)  Quality of careF) Community relationships

Question 9

The state regulatory agency may impose a fine on a hospital for which patient safety infraction?

Accepted Answer

A)  A UAP ambulating a patient
B)  A UAP checking a blood glucose level
C)  Allowing only RN staff in the medication room
D)  Leaving the medication room unlocked

Question 10

The most common impact on the nurse of The Joint Commission standards is through the management of the pain standard.Which action is necessary to comply with the standard?

Accepted Answer

A)  Documentation of the relief of pain
B)  Providing for alternative pain medications
C)  Prescribing the correct dosage of pain medication
D)  Documentation of the frequency of medication administration

Question 11

The Joint Commission ( TJC ) has made recommendations for abbreviation use, which have been instituted in most health care facilities.Which abbreviations would the nurse expect to find on the "Do Not Use" list from TJC? (Select all that apply.)

Accepted Answer

A)  Qd
B)  Qod
C)  Prn
D)  NPO
E)  STAT

Question 12

The people of the United States depend on many agencies working under the leadership of the U.S.Department of Health and Human Services (HHS) for assistance, research, and protection.Which service would be expected under the HHS leadership?

Accepted Answer

A)  Restricting the cost of prescriptions
B)  Limiting accessibility to family planning
C)  Ensuring food and drug safety
D)  Providing day care for low-income families

Question 13

The state regulatory agency may impose a fine on a hospital for which patient safety infraction?

Accepted Answer

A)  Not reporting a patient's change in condition
B)  Physical abuse to patient by staff
C)  Not documenting pain management
D)  Not feeding a confused patient

Question 14

Federal and state departments of health regulatory agencies have been established to ensure optimal standards and delivery of care.Which action is the jurisdiction of these agencies?

Accepted Answer

A)  Investigation of medication errors
B)  Investigation of patient- or family-reported complaints
C)  Investigation of patient falls
D)  Investigation of staffing shortages

Question 15

The Joint Commission ( TJC ) surveyors measure each institution's compliance by which of the following? (Select all that apply.)

Accepted Answer

A)  Staff education documentation
B)  Interviews with patients and staff
C)  Review of medical records
D)  Educational materials provided to patients and families
E)  Review of employee records

Question 16

The Joint Commission ( TJC ) measures the management of infections within the institution.By which method will TJC be able to measure the performance of the institution to manage infections?

Accepted Answer

A)  Employment of an infection control nurse
B)  Interviews with patients and families
C)  Staff follow-up for prevention
D)  Documentation of a patient's infection

Question 17

In which situation should the SBAR (Situation-Background-Assessment-Recommendation) tool most appropriately be used?

Accepted Answer

A)  To reduce the risk of nosocomial infections
B)  To improve response to changes in patient condition
C)  In hand-off communication
D)  For accuracy of patient identification

Question 18

The Centers for Disease Control and Prevention ( CDC ) is a department headed by the Secretary of the U.S.Department of Health and Human Services ( HHS ).Which of the following situations would be expected to be investigated by this department?

Accepted Answer

A)  Inaccessibility of the influenza shot
B)  Toxic spill near a school
C)  Outbreak of Salmonella
D)  Rubella exposure of a pregnant woman

Question 19

The Joint Commission ( TJC ) is a voluntary accrediting agency that is nationally recognized for its performance standards.A hospital accredited by the agency will most likely experience which outcome?

Accepted Answer

A)  Improved patient outcomes
B)  Dedicated staff
C)  Higher salaries
D)  Loss of practicing physicians

Question 20

The Joint Commission ( TJC ) goals include the safe and accurate delivery and reconciliation of medication administration.In which way is this goal measured?

Accepted Answer

A)  Charting medications on an MAR
B)  Use of an admission medication list
C)  Use of the six rights of medication administration
D)  Documentation of pharmacy accuracy in dispensing of medications

Exam 5: Healthcare Regulatory and Certifying Agencies

A goal of The Joint Commission ( TJC ) is prevention of health care-associated pressure ulcers.In which situation would the institution fail in complying with that goal?

The Food and Drug Administration ( FDA ) is a department headed by the Secretary of the U.S.Department of Health and Human Services ( HHS ) .Which function would be expected of this department?

The National Institutes of Health (NIH) is a department headed by the Secretary of the U.S.Department of Health and Human Services (HHS) .Which action would be expected from this department?

The National League of Nursing Accrediting Committee ( NLNAC ) is an example of an accrediting body for nursing programs.Besides the nursing school, for what other agencies are they responsible to ensure compliance to their standards?

During a convention at a large hotel, several attendees become very ill with respiratory symptoms for which they are diagnosed with Legionnaires' disease.Which regulatory agency is responsible for investigation of an outbreak of Legionnaires' disease?

In addition to staff interviews, The Joint Commission ( TJC ) surveyors measure an institution's compliance by which action? (Select all that apply.)

The state regulatory agency may impose a fine on a hospital for which patient safety infraction?

The ANCC (American Nurses Credentialing Center) is an organization that recognizes excellence in nursing in hospitals.Which outcome would be expected by an institution receiving Magnet Hospital status? (Select all that apply.)

The state regulatory agency may impose a fine on a hospital for which patient safety infraction?

The most common impact on the nurse of The Joint Commission standards is through the management of the pain standard.Which action is necessary to comply with the standard?

The Joint Commission ( TJC ) has made recommendations for abbreviation use, which have been instituted in most health care facilities.Which abbreviations would the nurse expect to find on the "Do Not Use" list from TJC? (Select all that apply.)

The people of the United States depend on many agencies working under the leadership of the U.S.Department of Health and Human Services (HHS) for assistance, research, and protection.Which service would be expected under the HHS leadership?

The state regulatory agency may impose a fine on a hospital for which patient safety infraction?

Federal and state departments of health regulatory agencies have been established to ensure optimal standards and delivery of care.Which action is the jurisdiction of these agencies?

The Joint Commission ( TJC ) surveyors measure each institution's compliance by which of the following? (Select all that apply.)

The Joint Commission ( TJC ) measures the management of infections within the institution.By which method will TJC be able to measure the performance of the institution to manage infections?

In which situation should the SBAR (Situation-Background-Assessment-Recommendation) tool most appropriately be used?

The Centers for Disease Control and Prevention ( CDC ) is a department headed by the Secretary of the U.S.Department of Health and Human Services ( HHS ) .Which of the following situations would be expected to be investigated by this department?

The Joint Commission ( TJC ) is a voluntary accrediting agency that is nationally recognized for its performance standards.A hospital accredited by the agency will most likely experience which outcome?

The Joint Commission ( TJC ) goals include the safe and accurate delivery and reconciliation of medication administration.In which way is this goal measured?