Practice Quiz

Nurse Manager Exam #1: Financial Management - Question List

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1. In the acute care setting, patient condition can fluctuate quickly. Choose the correct CMS reimbursement requirement for history and physical completion for inpatient care.
  1. The requirement shortens the timeframe for completion of the history and but expands the number of permissible professional categories of individuals who may perform it for full payment
  2. The history & physical completion timeframe remained unchanged for eligible payments
  3. The history & physical completion timeframe has been lengthened, but only payable at 70%
  4. The requirement expands the timeframe for completion of the history and physical and expands the number of permissible professional categories of individuals who may perform it for full payment
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2. In the absence of a state law specifying the timeframe for authentication of verbal orders, the nurse manager must assure CMS verbal order authentication within:
  1. 12 hours
  2. 24 hours
  3. 36 hours
  4. 48 hours
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3. CMS guidelines for inpatient postanesthesia evaluation reimbursement states:
  1. The nurse manager must evaluate the patient personally
  2. The assistant unit director must evaluate the patient personally
  3. Postanesthesia evaluation for inpatients must be completed and documented by only the individual who administered the anesthesia
  4. Postanesthesia evaluation for inpatients must be completed and documented by any individual qualified to administer anesthesia instead of only the individual who administered the anesthesia
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4. CMS financial reimbursement guidelines state that upon inspection, medications must be secured at all times. The oversight role of the nurse manager is to:
  1. Make sure that the nurse manager and the shift supervisor are the only people holding keys to locked schedule narcotics
  2. Make sure that locked schedule narcotic cabinets are accessible by combination lock only
  3. See that all drugs and biologicals are kept in secure areas, and locked when appropriate
  4. See that all attending physicians as well as the shift supervisor are the only people holding keys to locked schedule narcotics
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5. In recent years, healthcare professionals have become visibly more accountable. Nurse managers are in the front line of dealing with a wide range of fiscal interests, and the repercussions if things go wrong. Challenges in financial management can include health care economics and health care policy. Generally, financial management challenges are presented in the areas of:
  1. Hospital policy
  2. Staffing vs. patient care load
  3. Lack of formal education in the financial field
  4. All of the above
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