CCN Inmate Health Assessment & Chronic Care Management 2

Question 1

During a chronic care clinic visit for an inmate with hypertension, the nurse notes a blood pressure of 178/112 mmHg despite reported medication adherence. What is the most appropriate immediate action?

Accepted Answer

Assess for medication nonadherence and perform a focused cardiovascular assessment

Answer

A significantly elevated BP requires immediate assessment for nonadherence, secondary causes, and cardiovascular risk before any medication changes.

Question 2

When screening a newly incarcerated individual for tuberculosis, which test is preferred for someone who has a history of BCG vaccination?

Accepted Answer

QuantiFERON-TB Gold Plus (IGRA)

Answer

Interferon-gamma release assays (IGRAs) are preferred over TST in BCG-vaccinated individuals because they are not affected by BCG vaccination.

Question 3

An inmate with type 2 diabetes reports frequent hypoglycemic episodes occurring after meals. The nurse should first assess for which condition?

Accepted Answer

Postprandial hypoglycemia related to insulin secretagogues

Answer

Postprandial hypoglycemia is commonly caused by insulin secretagogues (sulfonylureas) stimulating excess insulin release after meals.

Question 4

A correctional nurse is conducting a chronic care review for a patient with hepatitis C. Which lab value most directly reflects current liver fibrosis progression?

Accepted Answer

FIB-4 index or liver biopsy/elastography

Answer

The FIB-4 index and liver elastography are validated noninvasive tools for staging hepatic fibrosis in hepatitis C patients.

Question 5

During an intake health screening, an inmate discloses a history of opioid use disorder (OUD). Which action best aligns with evidence-based correctional health standards?

Accepted Answer

Initiate or continue medications for opioid use disorder (MOUD) if clinically indicated

Answer

NCCHC and evidence-based guidelines support continuation or initiation of MOUD (e.g., methadone, buprenorphine) in correctional settings.

(CCN) Certified Corrections Nurse Practice Test

(CCN) Certified Corrections Nurse Practice Test

CCN Inmate Health Assessment & Chronic Care Management 2