Certified Correctional Health Professional – RN
(CCHP-RN)EXAM LATEST QUESTIONS AND
CORRECT ANSWERS(100% CORRECT VERIFIED
ANSWERS)ALREADY GRADED A+
,Domain 1: Clinical Practice
1. During intake screening, an inmate reports a history of active tuberculosis (TB) treated 10 years ago. What is the most
appropriate initial action?
- A) Order a chest X-ray immediately
- B) Place the inmate in respiratory isolation
- C) Perform a tuberculin skin test (TST)
- D) Ask about treatment completion and review old records
Answer: D
Rationale: A history of treated TB means the patient is not currently infectious. The first step is to confirm adequate
treatment through history and records. A TST will likely remain positive, and isolation/CXR without current symptoms is
not the immediate priority.
2. An inmate with diabetes has a blood glucose of 58 mg/dL and is confused but able to swallow. What should the nurse
administer first?
- A) Glucagon 1 mg IM
,- B) 4 oz of orange juice
- C) A carbohydrate snack with protein
- D) 50 mL of D50 IV push
Answer: B
Rationale: For a conscious patient with hypoglycemia who can protect their airway, the "Rule of 15" applies: administer 15
grams of fast-acting sugar like 4 oz of juice. IV dextrose and IM glucagon are reserved for patients with altered
consciousness who cannot swallow.
3. Which scenario constitutes a medical emergency requiring immediate removal from the cell?
- A) Reported shoulder pain after recreation
- B) Uncontrollable nosebleed that has soaked two towels
- C) Request for detoxification from heroin
- D) Discovery of a superficial fungal rash on the chest
Answer: B
Rationale: Uncontrollable hemorrhage, especially posterior epistaxis that does not respond to pressure, can lead to airway
compromise and hemorrhagic shock. This is a true emergency.
4. What is the primary purpose of the 14-day health assessment in correctional facilities?
, - A) To establish a baseline for chronic disease management
- B) To identify acute injuries from the arrest
- C) To satisfy litigation requirements
- D) To complete the psychological autopsy
Answer: A
Rationale: The 14-day physical assessment (often done sooner) focuses on evaluating chronic conditions, reviewing the
intake screening positives, and establishing a treatment plan for ongoing care.
5. A patient on warfarin has an INR of 4.8 and small gum bleeding. What should the nurse do first?
- A) Administer vitamin K IV push
- B) Hold the next dose of warfarin and notify the provider
- C) Apply pressure to the gums and send to the ER
- D) Draw a stat CBC
Answer: B
Rationale: An INR of 4.8 with minor bleeding is a significant elevation but not a massive hemorrhage crisis. The priority is
to hold the anticoagulant, assess for other bleeding, and contact the provider for orders (which may include low-dose oral
vitamin K). IV vitamin K is for life-threatening bleeds.
(CCHP-RN)EXAM LATEST QUESTIONS AND
CORRECT ANSWERS(100% CORRECT VERIFIED
ANSWERS)ALREADY GRADED A+
,Domain 1: Clinical Practice
1. During intake screening, an inmate reports a history of active tuberculosis (TB) treated 10 years ago. What is the most
appropriate initial action?
- A) Order a chest X-ray immediately
- B) Place the inmate in respiratory isolation
- C) Perform a tuberculin skin test (TST)
- D) Ask about treatment completion and review old records
Answer: D
Rationale: A history of treated TB means the patient is not currently infectious. The first step is to confirm adequate
treatment through history and records. A TST will likely remain positive, and isolation/CXR without current symptoms is
not the immediate priority.
2. An inmate with diabetes has a blood glucose of 58 mg/dL and is confused but able to swallow. What should the nurse
administer first?
- A) Glucagon 1 mg IM
,- B) 4 oz of orange juice
- C) A carbohydrate snack with protein
- D) 50 mL of D50 IV push
Answer: B
Rationale: For a conscious patient with hypoglycemia who can protect their airway, the "Rule of 15" applies: administer 15
grams of fast-acting sugar like 4 oz of juice. IV dextrose and IM glucagon are reserved for patients with altered
consciousness who cannot swallow.
3. Which scenario constitutes a medical emergency requiring immediate removal from the cell?
- A) Reported shoulder pain after recreation
- B) Uncontrollable nosebleed that has soaked two towels
- C) Request for detoxification from heroin
- D) Discovery of a superficial fungal rash on the chest
Answer: B
Rationale: Uncontrollable hemorrhage, especially posterior epistaxis that does not respond to pressure, can lead to airway
compromise and hemorrhagic shock. This is a true emergency.
4. What is the primary purpose of the 14-day health assessment in correctional facilities?
, - A) To establish a baseline for chronic disease management
- B) To identify acute injuries from the arrest
- C) To satisfy litigation requirements
- D) To complete the psychological autopsy
Answer: A
Rationale: The 14-day physical assessment (often done sooner) focuses on evaluating chronic conditions, reviewing the
intake screening positives, and establishing a treatment plan for ongoing care.
5. A patient on warfarin has an INR of 4.8 and small gum bleeding. What should the nurse do first?
- A) Administer vitamin K IV push
- B) Hold the next dose of warfarin and notify the provider
- C) Apply pressure to the gums and send to the ER
- D) Draw a stat CBC
Answer: B
Rationale: An INR of 4.8 with minor bleeding is a significant elevation but not a massive hemorrhage crisis. The priority is
to hold the anticoagulant, assess for other bleeding, and contact the provider for orders (which may include low-dose oral
vitamin K). IV vitamin K is for life-threatening bleeds.
