Nurse Executive Test Regulatory Frameworks & Compliance 5

Question 1

A nurse executive is preparing for a deemed status survey. 'Deemed status' means the organization:

Accepted Answer

Has been accredited by an approved accrediting organization, which substitutes for CMS direct surveys

Answer

Deemed status means an accredited organization is presumed to meet CMS Conditions of Participation because the accrediting body's standards have been approved as equivalent to CMS requirements.

Question 2

Under the Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens Standard, employers must provide hepatitis B vaccinations to at-risk employees:

Accepted Answer

At no cost to the employee, within 10 working days of initial assignment to at-risk duties

Answer

OSHA's Bloodborne Pathogens Standard requires employers to offer hepatitis B vaccination at no cost within 10 working days of initial assignment to tasks involving potential exposure.

Question 3

A nurse executive is notified of a large-scale HIPAA breach affecting more than 500 individuals in a state. Under the Breach Notification Rule, the covered entity must notify the Secretary of HHS:

Accepted Answer

Without unreasonable delay and no later than 60 days after discovery, via the HHS web portal

Answer

For breaches affecting 500 or more individuals, covered entities must notify HHS without unreasonable delay and within 60 days of discovery using the HHS breach reporting web tool.

Question 4

A nurse executive receives a federal subpoena for patient records as part of a fraud investigation. The MOST appropriate initial action is to:

Accepted Answer

Notify legal counsel and place a litigation hold on the relevant documents

Answer

Upon receiving a subpoena, the organization should immediately notify legal counsel and implement a litigation hold to preserve relevant documents pending legal review.

Question 5

The Corporate Integrity Agreement (CIA) is a tool used by the OIG primarily to:

Accepted Answer

Allow providers to continue participating in federal programs under enhanced monitoring after a settlement

Answer

A CIA is negotiated as part of a civil fraud settlement, permitting the provider to maintain Medicare/Medicaid participation in exchange for implementing rigorous compliance obligations under OIG oversight.

Nurse Executive Test Practice Test

Nurse Executive Test Practice Test

Nurse Executive Test Regulatory Frameworks & Compliance 5