Cardiac Vascular Nursing Exam Regulatory Frameworks & Compliance 4

Question 1

Which national patient safety goal from The Joint Commission specifically addresses anticoagulation safety in cardiac vascular patients?

Accepted Answer

NPSG 03.05.01 — anticoagulation therapy

Answer

NPSG 03.05.01 requires organizations to reduce patient harm associated with anticoagulant therapy through evidence-based practices and patient education.

Question 2

A vascular nurse observes an unlicensed assistive personnel (UAP) independently performing a post-procedural pedal pulse assessment on a patient after femoral artery access. The correct response is to:

Accepted Answer

Intervene and clarify that vascular assessments after arterial procedures are within the RN scope of practice

Answer

Post-procedural vascular assessments require clinical judgment and fall within the RN scope of practice; they cannot be delegated to UAPs under the Nurse Practice Act.

Question 3

Under the False Claims Act, which action by a cardiovascular unit could expose the hospital to significant financial penalties?

Accepted Answer

Billing Medicare for a cardiac monitoring level not documented in the medical record

Answer

Submitting claims to Medicare or Medicaid for services not documented or not rendered constitutes fraud under the False Claims Act and carries substantial financial penalties.

Question 4

The Centers for Medicare & Medicaid Services (CMS) Hospital-Acquired Condition (HAC) Reduction Program penalizes hospitals for which cardiovascular-related complication?

Accepted Answer

Catheter-associated urinary tract infections in cardiac ICU patients

Answer

CAUTI is one of the CMS-designated hospital-acquired conditions for which hospitals face payment reductions if rates exceed national benchmarks.

Question 5

When a cardiac vascular nurse suspects a colleague is practicing while impaired by alcohol, the priority obligation under most state Nurse Practice Acts is to:

Accepted Answer

Remove the impaired nurse from patient care and report per facility policy

Answer

Patient safety is the priority; the nurse must immediately remove an impaired colleague from patient care and report through facility and state board protocols.

Cardiac Vascular Nursing Exam Practice Test

Cardiac Vascular Nursing Exam Practice Test

Cardiac Vascular Nursing Exam Regulatory Frameworks & Compliance 4