NCCHC (CCHP-RN) EXAM STUDY GUIDE
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED ANSWER ||
100% GUARANTEED PASS
<RECENT VERSION>
1. Pharmaceutical Operations - ANSWER ✔ -The facility complies with all
applicable regulations.
-The facility maintains a formulary for clinicians
-Proecudes for the timely procurement, dispensing, distribution, accounting
and disposal of pharmaceuticals.
-Maintains records to ensure adequate control of all medications.
-Maintains maximum security storage of DEA controlled substances.
-Adequate method for notifying practitioners of the impending expiration of
a drug order.
-Medications are kept under the control of appropriate staff.
-Inmates do not work with medications, except for KOP medications
-Drug storage and medication areas are devoid of outdated or recalled
medications.
-A consulting pharmacist is used, not less than quarterly
-All meds are stored under proper conditions.
-An adequate and proper supply of antidotes are readily available to the staff
2. Medication Services - ANSWER ✔ -Prescription meds are administered or
delivered to the patient only on the order of a physician or other legally
authorized individual.
-Responsible physician determines prescriptive practices
-Medications are prescribed only when clinically indicated.
-Inmates entering the facility on medication continue to receive the meds in
a timely fashion.
,3. Mental Health Services - ANSWER ✔ -Mental health needs are addressed
on site or by referral.
-Basic on-site outpatient services include: identification and referral of
inmates with MH needs, crisis intervention services, psychotropic
medication management, individual counseling, group counseling,
psychosocial/educational programs, and treatment documentation
-When transfer to an inpatient setting is indicated, transfer occurs in a timely
fashion.
-Outpatients receiving basic mental health services are seen as indicated, but
not less than every 90 days.
-Services are sufficiently coordinated such that management is appropriately
integrated and medical issues are adequately addressed.
4. Intoxication and Withdrawal - ANSWER ✔ -Protocols are approved by the
responsible physician.
-Detoxification is done only under physician supervision in accordance with
laws.
-Inmates experiencing severe, life-threatening intoxication or withdrawal are
transferred immediately to a licensed acute care facility.
-Individuals at risk for progression to more severe levels of intoxification or
withdrawal are kept under constant observation.
-If a pregnant inmate is admitted with a history of opiate use, a physician is
contacted so that the opiate dependence can be assessed and treated.
-The facility has a policy that addresses the management of inmates on
methadone. Inmates entering the facility on such substances have their
therapy continued.
5. Care of the Pregnant Inmate - ANSWER ✔ -Prenatal care includes; medical
examinations, lab and diagnostic tests (including HIV testing), and advice on
appropriate levels of activity, safety precautions, and nutritional guidance.
-A list of specialized obstetrical services is maintained.
There is a written agreement with a community facility for delivery.
-There is documentation of appropriate postpartum care.
, -A list is kept of all pregnancies and their outcomes.
6. Care of Pregnant Juvenile - ANSWER ✔ -Orders include level of activity,
nutrition, medication, housing, safety precautions.
-Vaccines administered per national guidelines
-Emergency Delivery Kits are available within the facility
-Custody restraints are avoided at all point in pregnancy and 12 week PP
period except single handcuffs in front when necessary
7. Which of the following best defines a "procedure"?
A. Detailed description for carrying out policy
B. A measurable objective to be achieved
C. Official position on a work-related issue
D. Rules and regulations - ANSWER ✔ A. Detailed description for
carrying out policy
8. Emergency Response Plan - ANSWER ✔ Includes responsibilities of health
staff, procedures for triage, predetermination of site for care, phone numbers
and procedures for calling staff and community responders, procedures for
evacuating patients, alternate backups for each of the plan's elements, and
time frames for response
9. Table top exercises - ANSWER ✔ Discussion about health staff's projected
response to emergencies
10.Examples of special needs inmates - ANSWER ✔ Chronically ill, on
dialysis, adolescents in adult facilities, have communicable diseases,
physically disabled, pregnant, frail/elderly, terminally ill, mentally ill or
suicidal, developmentally disabled, suspected victims of physical or sexual
abuse
, 11.Clinical encounters - ANSWER ✔ Interactions between patients and health
care professionals that involve a treatment and/or exchange of confidential
information
12.Death procedures - ANSWER ✔ All deaths are reviewed within 30 days,
consists of administrative review, clinical mortality review, and
psychological autopsy if suicide, treating staff are informed of review and
findings, all aspects of the standard are addressed by written policy and
defined procedures
13.Administrative review (death procedure) - ANSWER ✔ Assessment of
correctional and emergency response actions surrounding a death
14.Clinical mortality review - ANSWER ✔ Assessment of clinical care
provided and the circumstances leading up to a death. May be conducted by
a physician not involved in the inmate's care. Results should be shared with
the unit health staff involved.
15.Psychological autopsy - ANSWER ✔ Written reconstruction of an
individual's life with an emphasis on factors that led up to and may have
contributed to the death. Usually conducted by a psychologist or other
QMHP
16.Grievance - ANSWER ✔ Address inmate complaints about health services
17.Exposure Control Plan - ANSWER ✔ Approved by responsible physician,
reviewed and updated annually. Medical equipment is decontaminated,
sharps and biohazard waste is disposed of property, surveillance to detect
serious infection and communicable disease, immunizations, affected
patients receive indicated care, medical isolation if necessary
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED ANSWER ||
100% GUARANTEED PASS
<RECENT VERSION>
1. Pharmaceutical Operations - ANSWER ✔ -The facility complies with all
applicable regulations.
-The facility maintains a formulary for clinicians
-Proecudes for the timely procurement, dispensing, distribution, accounting
and disposal of pharmaceuticals.
-Maintains records to ensure adequate control of all medications.
-Maintains maximum security storage of DEA controlled substances.
-Adequate method for notifying practitioners of the impending expiration of
a drug order.
-Medications are kept under the control of appropriate staff.
-Inmates do not work with medications, except for KOP medications
-Drug storage and medication areas are devoid of outdated or recalled
medications.
-A consulting pharmacist is used, not less than quarterly
-All meds are stored under proper conditions.
-An adequate and proper supply of antidotes are readily available to the staff
2. Medication Services - ANSWER ✔ -Prescription meds are administered or
delivered to the patient only on the order of a physician or other legally
authorized individual.
-Responsible physician determines prescriptive practices
-Medications are prescribed only when clinically indicated.
-Inmates entering the facility on medication continue to receive the meds in
a timely fashion.
,3. Mental Health Services - ANSWER ✔ -Mental health needs are addressed
on site or by referral.
-Basic on-site outpatient services include: identification and referral of
inmates with MH needs, crisis intervention services, psychotropic
medication management, individual counseling, group counseling,
psychosocial/educational programs, and treatment documentation
-When transfer to an inpatient setting is indicated, transfer occurs in a timely
fashion.
-Outpatients receiving basic mental health services are seen as indicated, but
not less than every 90 days.
-Services are sufficiently coordinated such that management is appropriately
integrated and medical issues are adequately addressed.
4. Intoxication and Withdrawal - ANSWER ✔ -Protocols are approved by the
responsible physician.
-Detoxification is done only under physician supervision in accordance with
laws.
-Inmates experiencing severe, life-threatening intoxication or withdrawal are
transferred immediately to a licensed acute care facility.
-Individuals at risk for progression to more severe levels of intoxification or
withdrawal are kept under constant observation.
-If a pregnant inmate is admitted with a history of opiate use, a physician is
contacted so that the opiate dependence can be assessed and treated.
-The facility has a policy that addresses the management of inmates on
methadone. Inmates entering the facility on such substances have their
therapy continued.
5. Care of the Pregnant Inmate - ANSWER ✔ -Prenatal care includes; medical
examinations, lab and diagnostic tests (including HIV testing), and advice on
appropriate levels of activity, safety precautions, and nutritional guidance.
-A list of specialized obstetrical services is maintained.
There is a written agreement with a community facility for delivery.
-There is documentation of appropriate postpartum care.
, -A list is kept of all pregnancies and their outcomes.
6. Care of Pregnant Juvenile - ANSWER ✔ -Orders include level of activity,
nutrition, medication, housing, safety precautions.
-Vaccines administered per national guidelines
-Emergency Delivery Kits are available within the facility
-Custody restraints are avoided at all point in pregnancy and 12 week PP
period except single handcuffs in front when necessary
7. Which of the following best defines a "procedure"?
A. Detailed description for carrying out policy
B. A measurable objective to be achieved
C. Official position on a work-related issue
D. Rules and regulations - ANSWER ✔ A. Detailed description for
carrying out policy
8. Emergency Response Plan - ANSWER ✔ Includes responsibilities of health
staff, procedures for triage, predetermination of site for care, phone numbers
and procedures for calling staff and community responders, procedures for
evacuating patients, alternate backups for each of the plan's elements, and
time frames for response
9. Table top exercises - ANSWER ✔ Discussion about health staff's projected
response to emergencies
10.Examples of special needs inmates - ANSWER ✔ Chronically ill, on
dialysis, adolescents in adult facilities, have communicable diseases,
physically disabled, pregnant, frail/elderly, terminally ill, mentally ill or
suicidal, developmentally disabled, suspected victims of physical or sexual
abuse
, 11.Clinical encounters - ANSWER ✔ Interactions between patients and health
care professionals that involve a treatment and/or exchange of confidential
information
12.Death procedures - ANSWER ✔ All deaths are reviewed within 30 days,
consists of administrative review, clinical mortality review, and
psychological autopsy if suicide, treating staff are informed of review and
findings, all aspects of the standard are addressed by written policy and
defined procedures
13.Administrative review (death procedure) - ANSWER ✔ Assessment of
correctional and emergency response actions surrounding a death
14.Clinical mortality review - ANSWER ✔ Assessment of clinical care
provided and the circumstances leading up to a death. May be conducted by
a physician not involved in the inmate's care. Results should be shared with
the unit health staff involved.
15.Psychological autopsy - ANSWER ✔ Written reconstruction of an
individual's life with an emphasis on factors that led up to and may have
contributed to the death. Usually conducted by a psychologist or other
QMHP
16.Grievance - ANSWER ✔ Address inmate complaints about health services
17.Exposure Control Plan - ANSWER ✔ Approved by responsible physician,
reviewed and updated annually. Medical equipment is decontaminated,
sharps and biohazard waste is disposed of property, surveillance to detect
serious infection and communicable disease, immunizations, affected
patients receive indicated care, medical isolation if necessary
