Free CCHP-A Practice Questions

Question 1

A prison physician orders nephrology review within 72 hours. A security lockdown prevents routine transport for a week, but a secure video consultation is available tomorrow. The nephrologist and prison physician agree that the available laboratory results and an onsite examination will make that consultation clinically adequate. The patient agrees. What should the health services administrator authorize?

Accepted Answer

Arrange tomorrow's consultation and preserve clinician-directed escalation if the patient's condition changes.

Answer

Defer the review until transport resumes, with nursing checks during the intervening week.

Answer

Send the patient to an emergency department now to ensure an in-person specialist encounter.

Answer

Keep the offsite appointment; changing its location would compromise medical autonomy.

Question 2

During a juvenile detention intake, a 16-year-old completes the Ask Suicide-Screening Questions (ASQ). The youth denies recent death wishes, a belief that dying would benefit the youth or family, suicidal thoughts in the past week, and suicidal thoughts right now. The youth reports a suicide attempt four months ago. No other acute warning signs are observed, and a qualified clinician is available onsite. How should this result direct today's care?

Accepted Answer

Nonacute positive screen; conduct a brief suicide safety assessment now.

Answer

Negative screen; arrange routine follow-up because suicidal thoughts are not currently present.

Answer

Acute positive screen; arrange emergency hospitalization based on the recent attempt history.

Answer

Indeterminate screen; have another interviewer repeat the questions before assigning a disposition.

Question 3

A man with longstanding heavy daily alcohol use is being monitored after jail admission. His blood alcohol concentration has fallen from 0.24% to 0.09%. He now has marked tremor, sweating, a pulse of 128/min, disorientation, and visual hallucinations. His history includes a withdrawal seizure. The jail cannot provide hospital-level monitoring. Which interpretation should determine his disposition?

Accepted Answer

The findings suggest complicated alcohol withdrawal; activate emergency treatment and hospital transfer.

Answer

Residual alcohol intoxication is the principal concern; observe until the alcohol concentration reaches zero.

Answer

A primary psychotic episode; seek psychiatric clearance before arranging transfer.

Answer

Withdrawal severity is not yet established; obtain a formal withdrawal score before deciding on transfer.

Question 4

An adult prisoner with stable schizophrenia declines a newly prescribed long-term blood-pressure medication. During a private discussion, he accurately explains his condition, the risks of remaining untreated, and the available alternatives. He relates those risks to his own health, gives a consistent reason for his choice, and shows no delirium or active psychosis. There is no medical emergency. The clinician's next step is to:

Accepted Answer

Document informed refusal, discuss acceptable alternatives, and continue hypertension follow-up.

Answer

Treat disagreement with the recommendation as impaired appreciation and seek a surrogate's consent.

Answer

Accept the signed refusal and suspend hypertension follow-up until the patient requests treatment again.

Answer

Obtain formal psychiatric clearance before honoring the refusal because schizophrenia is documented.

Question 5

At 07:00, a jail nurse discovers that a vaccine refrigerator remained at 12 degrees C for three hours overnight. The affected unopened vaccines require storage at 2-8 degrees C. The refrigerator is working again, all lots are identifiable, and no affected doses have been administered. Before the manufacturer determines whether the vaccines remain usable, how should the stock be handled?

Accepted Answer

Quarantine and label the doses 'DO NOT USE,' maintaining 2-8 degrees C while obtaining viability guidance.

Answer

Discard all affected doses and replace them, documenting the event as a precautionary inventory loss.

Answer

Return the doses to usable inventory once they cool to 2-8 degrees C and record the excursion.

Answer

Check vial appearance and expiration dates, releasing the stock if both remain acceptable.

Question 6

A prison disaster drill uses adult START triage. One casualty cannot walk because of a painful lower-leg injury. He is breathing spontaneously at 24/min, has a palpable radial pulse, follows simple commands, and has no uncontrolled bleeding. The triage team is assigning initial categories, not making final treatment decisions. Where does he belong?

Accepted Answer

Yellow: delayed treatment, with reassessment while awaiting care.

Answer

Red: immediate treatment, because inability to walk indicates critical injury.

Answer

Green: minor treatment, because the injury appears confined to an extremity.

Answer

Unassigned: obtain blood pressure and oxygen saturation before applying a triage category.

Question 7

A jail's quality committee defines an on-time completed specialty referral as a visit, receipt of the specialist's report, and documented clinician action on that report, all by the referral's clinical deadline. Of 80 referrals due this quarter, 64 had on-time visits; 56 of those had reports received on time; and 48 of those had documented action on time. All 80 referrals remain eligible for the measure. A dashboard reports 80% completion. What should the committee report instead?

Accepted Answer

60%; use referrals meeting all three requirements out of all referrals due.

Answer

70%; receiving the report is sufficient to establish completed specialty care.

Answer

80%; the visit is the event that determines whether a referral was completed.

Answer

75%; documented action should be divided by the number of patients who attended.

Question 8

A patient at 18 weeks of pregnancy enters a jail while receiving methadone for opioid use disorder. Her opioid treatment program confirms her daily regimen, including yesterday's dose, and reports no missed doses. She is alert, has no respiratory depression, wants to continue treatment, and has no identified contraindication. The jail can lawfully arrange dosing through the program. A proposed admission plan calls for stopping methadone to reduce fetal opioid exposure. Which replacement plan is justified?

Accepted Answer

Continue verified methadone treatment with obstetric and addiction-care coordination.

Answer

Use a brief methadone taper, then provide counseling to avoid continued fetal opioid exposure.

Answer

Withhold methadone until withdrawal appears, then use symptoms to establish the dose required.

Answer

Arrange hospital admission for ongoing dosing because pregnancy makes onsite maintenance inappropriate.

Question 9

A newly hired agency nurse has an active license, current CPR certification, and a perfect score on the jail's written orientation test. During an onsite simulation, she cannot activate the facility's emergency alarm or identify the after-hours response contact. The staffing coordinator wants her to work alone that evening. What evidence is needed before independent assignment?

Accepted Answer

Successful demonstration of the local alarm and notification sequence after supervised practice.

Answer

Confirmation from the agency that the nurse has worked independently in another correctional facility.

Answer

A signed statement confirming that she reread the emergency-response policy.

Answer

A second passing written test focused on the alarm procedure and the after-hours contact sequence.

Question 10

Following a documented exposure to infectious pulmonary tuberculosis, a prison patient has a positive interferon-gamma release assay. He received BCG vaccination in childhood. He is HIV-negative, is not immunosuppressed, has no cough, fever, night sweats, or weight loss, and has a normal chest radiograph. There is no history of TB treatment. After the clinician's evaluation finds no evidence of active TB disease, which plan fits these findings?

Accepted Answer

Offer treatment for latent TB infection; airborne isolation is not indicated for latent infection alone.

Answer

Attribute the positive blood test to BCG vaccination and resume routine screening without treatment evaluation.

Answer

Use airborne isolation and obtain three negative sputum smears before considering ordinary housing.

Answer

Repeat the blood test after several weeks and withhold a treatment decision unless it remains positive.

Free CCHP-A Practice Questions

Domain 1: Administration

Question 1

Question 2

Domain 2: Safety and welfare

Question 3

Domain 3: Personnel

Question 4

Domain 4: Medical legal

Question 5

Domain 5: Health services

Question 6

Domain 6: Care and treatment

Question 7

Question 8

Domain 7: Special needs of an inmate population

Question 9

Question 10

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