Orthopaedic Nurse Test Regulatory Frameworks & Compliance 4

Question 1

The Centers for Medicare & Medicaid Services (CMS) Surgical Care Improvement Project (SCIP) includes which orthopaedic-specific measure to reduce surgical site infections?

Accepted Answer

Prophylactic antibiotic administered within 60 minutes before incision and discontinued within 24 hours

Answer

SCIP Inf-1 requires prophylactic antibiotics to be given within 60 minutes before incision, and SCIP Inf-3 requires discontinuation within 24 hours post-surgery (48 hours for cardiac) to reduce SSI risk.

Question 2

Under HIPAA's Minimum Necessary standard, an orthopaedic nurse sharing a patient's records with a consulting physical therapist should:

Accepted Answer

Share only the information reasonably necessary for the PT to provide care

Answer

The Minimum Necessary standard requires covered entities to limit PHI disclosures to the least amount needed to accomplish the intended purpose.

Question 3

Which organization publishes evidence-based clinical practice guidelines that orthopaedic nurses must be familiar with, such as VTE prophylaxis recommendations for joint replacement patients?

Accepted Answer

American Academy of Orthopaedic Surgeons (AAOS)

Answer

AAOS publishes clinical practice guidelines, including those on VTE prophylaxis after total joint arthroplasty, which inform evidence-based orthopaedic nursing care.

Question 4

A state's Nurse Practice Act is most relevant to orthopaedic nurses regarding which situation?

Accepted Answer

Defining the legal scope of nursing practice and required licensure

Answer

Each state's Nurse Practice Act defines the legal scope of nursing practice, licensure requirements, and grounds for disciplinary action within that state.

Question 5

When an orthopaedic patient is deemed a 'never event' victim due to a retained surgical sponge, CMS policy requires which of the following?

Accepted Answer

Hospitals are prohibited from billing Medicare for the additional treatment costs

Answer

CMS does not reimburse hospitals for the additional costs of care resulting from serious reportable events (never events), including retained foreign objects after surgery.

Orthopaedic Nurse Test Practice Test

Orthopaedic Nurse Test Practice Test

Orthopaedic Nurse Test Regulatory Frameworks & Compliance 4