Study Guide 13 Flashcards
(171 cards)
1
Q
A can serve as the activity director of a nursing home.
1. DON
2. Professional social worker
3. Occupational therapist
4. Physical therapist
A
3
2
Q
Which of the following contains guidelines for the determination of monetary damages regarding billing
practices?
1. Health Insurance Portability and accountability act of 1996 (HIPPA)
2. False claims act
3. MMA (Medicare modernization)
4. Sarbanes-Oxley act
A
2
3
Q
Which of the following has PRIMARY responsibility for developing comprehensive psychosocial
treatment plans for new residents?
1. Social worker
2. DON
3. Charge nurse
4. Administrator
A
1
4
Q
If a resident requests copies of records from their clinical chart on Friday, when is the soonest staff must
provide them those copies?
1. Saturday
2. Sunday
3. Monday
4. Tuesday
A
4
5
Q
Physical therapists, occupational therapists, and speech therapists must be .
1. Licensed
2. Board certified
3. Certified
4. A member of a professional organization
A
1
6
Q
Must keep the resident contract for years.
1. 3
2. 5
3. 7
4. 10
A
2
7
Q
True or False – A job applicant can be asked if they were ever arrested.
1. True
2. False
A
2
8
Q
A nurse aide cannot work more than months without completing their state certification.
1. 2
2. 3
3. 4
4. 6
A
3
9
Q
Bylaws are defined as:
1. A detailed guide to developing policies and procedures
2. Rules and regulations that govern a corporation’s internal mgmt
3. Rules and regulations that govern a corporations external mgmt
4. A process for determining whether a facility meets federal standards
A
2
10
Q
A facility must have fire drills each year.
1. 4
2. 8
3. 12
4. 16
A
3
11
Q
In order to ensure a homelike environment and assist the resident’s orientation of time of day, weather,
and general location, a resident room must have a .
1. Television
2. Window
3. Phone
4. Radio
A
2
12
Q
The comprehensive assessment must be completed within days of admission.
1. 7
2. 14
3. 21
4. 30
A
2
13
Q
How often must the comprehensive care plan be reviewed?
1. Weekly
2. Monthly
3. Quarterly
4. Annually
A
3
14
Q
FMLA stands for .
1. Federal Medical Liability Act
2. Family Medical Leave Act
3. Federal Malpractice Liability Act
4. Federal Medical Licensing Agency
A
2
15
Q
The Family Medical Leave Act allows employees weeks of unpaid leave each year.
1. 6
2. 12
3. 18
4. 24
A
2
16
Q
Under FLSA, minors under 16 years of age .
1. Are not allowed to work
2. Only need signed permission of a parent
3. Must obtain a temporary work permit from the Department of Labor
4. All of the above
A
3
17
Q
Which document is the governance of a corporation?
1. Articles of Incorporation
2. The certificate of incorporation
3. The mission statement
4. The bylaws
A
4
18
Q
What is the mission statement?
1. The culture of a corporation
2. The philosophy of a corporation
3. The purpose of a corporation
4. The document filed with the state to form a corporation
A
3
19
Q
Which organization provides research to OSHA?
1. NFPA
2. ANSI
3. OBRA
4. NIOSH
A
4
20
Q
Which organization developed the standards for the Life Safety Code?
1. NFPA
2. ANSI
3. OBRA
4. NIOSH
A
1
21
Q
According to CMS requirements, a resident has the right to access copies of his/her medical record
upon:
1. Submission of an oral or written request 24 hours before needed
2. Receiving the written consent of the DON
3. Receiving attending physician’s approval
4. Submission of a verbal request and payment of a fee
A
1
22
Q
At a staff meeting, the dietician proposes new snack times for residents. The plan would eliminate the
bedtime snack and replace it with a mid afternoon dessert and fruit cart. Should the administrator
approve the proposal?
1. No, because federal regulations mandate a daily bedtime snack
2. Yes, but the cost must be considered
3. Yes, however dietician must prepare a report that demonstrates they meet nutrition
4. standards
5. No, because the nursing staff would not have time to assist with snacks mid afternoon
A
1
23
Q
With regard to facility staffing levels, the facility must staff according to:
1. PPD standards
2. Acuity levels in the facility
3. Facility mix for Medicaid
4. Minimum state staffing hours
A
2
24
Q
How often must the comprehensive assessment plan be reviewed?
1. Weekly
2. Monthly
3. Quarterly
4. Annually
A
3
25
Who must certify the comprehensive assessment?
1. The Medical director
2. A licensed nurse
3. A registered nurse
4. The DON
3
26
Which of the following management styles provides least direction and support to staff?
1. Coaching
2. Directing
3. Delegating
4. Supporting
3
27
A facility is cited for several deficiencies that were not cited as immediate jeopardy. The facility
must submit a plan of correction within .
1. 10 days after notice of the deficiency
2. 14 days after survey completion
3. 30 days after survey completion
4. 30 days after notified
1
28
Nursing facilities must file a request for formal dispute resolution within how may days of receiving
deficiencies?
1. 2
2. 5
3. 10
4. 20
4
29
The most significant cost for a nursing facility is .
1. Labor
2. Mortgage
3. Supplies
4. Equipment
1
30
A nursing facility fire protection standards are specified by .
1. Life Safety Code
2. ANSI
3. OSHA
4. Underwriter’s Laboratory
1
31
Reality orientation is most appropriate for residents who .
1. Are blind
2. Are depressed
3. Have late stage dementia
4. Have early stage dementia
4
32
Management of communications between the nursing facility and the public is called .
1. Marketing
2. Public Relations
3. Market segmentation
4. Market opportunity analysis
2
33
Which of the following nutritional interventions is considered the last resort to ward off significant
weight loss?
1. Supplements with meds
2. Larger than normal or double portions
3. Feeding artificially such as a PEG tube
4. Enriched meals and milk shakes as snacks
3
34
The BEST investment vehicle for funds that must remain liquid is usually a:
1. Treasury bond
2. Money market fund (MMF)
3. Certificates of Deposit (COD)
4. Interest bearing checking account
2
35
The OSHA General Duty Clause requires employers to .
1. Review accident and incident reports
2. Develop written safety procedures
3. Provide a safe workplace
4. Monitor personal safety programs
3
36
In long term care, the method of depreciation used for buildings, improvements, land
improvements, and fixed assets is:
1. Sum of years digits
2. Accelerated
3. Straight line
4. Step down
3
37
In conducting an objective appraisal of an employee’s current job performance, which of the
following should be done FIRST?
1. Compare employee’s performance with standards
2. Gather opinions from supervisor
3. Solicit opinions from co-workers
4. Assess Interpersonal skills
1
38
Which therapist can serve as the activities director?
1. Physical Therapist
2. Speech therapist
3. Occupational therapist
4. Respiratory therapist
3
39
Must have an RN how many hours each day?
1. 8
2. 12
3. 16
4. 24
1
40
A quality assurance committee must meet at least .
1 Biannually
2 Quarterly
3 Once per month
4 Annually
2
41
Excluding weekends and holidays, a resident has the right to access clinical records within .
1 12 hours
2 24 hours
3 48 hours
4 72 hours
2
42
Emergency electrical power systems are required to provide enough power to illuminate .
1. Exits
2. Elevators
3. Nurses’ stations
4. Bathrooms
1
43
The responsibility to provide services that respect an individual’s dignity and uniqueness relates most
directly to the ethical principle of .
1 Compliance
2 Autonomy
3 Privacy
4 Beneficence
2
44
When a resident who is not covered by Medicare places money in a resident trust fund, the facility is
.
1 Required to pay interest if in an interest bearing bank account
2 Required to pay interest only if contains more than $50.00
3 Always required to pay interest
4 Never required to pay interest
2
45
The best way to prevent the spread of infection in the storage and transportation of linens, the facility
should:
1 Provide annual in-service meetings for member of the laundry dept.
2 Store in a nursing facility unit
3 Transport at end of each shift
4 Implement procedures that reduce cross contamination
4
46
Must store pots and pans how many inches off the floor?
1 6
2 9
3 12
4 18
1
47
A nursing facility must offer its employees .
1 Health insurance
2 Unemployment insurance
3 Life
4 Personal liability
2
48
Most long term care services in the United States are provided by the family. Which of the following
statements describes family dynamics in regard to care giving and institutionalization?
1 In most cases, it is the individual who decides on institutionalization
2 Role of the family in LTC typically ends with admission of dependent elderly person into nursing
facility
3 Most families find that time goes on it gets easier
4 Institutionalization typically results in feelings of guilt and anger by family members
4
49
Which one of the following statements is correct with regard to nurse aid regular in service education?
1 It is a remedial process restricted to those who are lacking technical expertise
2 It is the responsibility of individual employees
3 It should be based on areas of weakness identified in evaluations
4 It should be provided at workshops outside the facility
3
50
The facility kitchen must be open a minimum of hours a day.
1 8
2 12
3 16
4 24
2
51
No more than hours can pass between the evening meal and breakfast.
1 12
2 14
3 16
4 24
2
52
No more than hours can pass between the evening meal and breakfast with a snack.
1. 12
2. 14
3. 16
4. 24
3
53
The initial comprehensive assessment must be transmitted to the state within days of completion
of the assessment.
1. 5
2. 7
3. 14
4. 21
2
54
The initial comprehensive assessment must be transmitted to the state no more than days of
admission of the resident.
1. 5
2. 7
3. 14
4. 21
4
55
After the initial comprehensive assessment is transmitted to the state, the comprehensive assessments
for all residents must be transmitted to the state every days thereafter.
1. 14
2. 30
3. 60
4. 90
2
56
The consultant pharmacist must check the drug regimen of each resident how often?
1 Weekly
2 Monthly
3 Quarterly
4 Semi-Annually
2
57
ABC union is planning a strike on November 1. The union must give notice to the facility administrator
by which date?
1. November 10
2. November 20
3. October 22
4. October 27
3 or 10 days
58
A union must secure what percentage of workers in a facility to vote to establish a union?
1 30%
2 50%
3 50% plus 1
4 A simple majority
3
59
Heating and cooling systems should be monitored to ensure temperatures are between .
1. 65-75
2. 68-78
3. 71-81
4. 75-85
3
60
With regard to budget preparation, which is true:
1. Projected income and operating expenses should be established so that operating expenses
remain within the amount established for income projections
2. Income projections should always be increased to at least the projections of expenses
3. When projecting expenses, one must make a careful review of liabilities
4. Income and expense budgets have no relations to one another
2
61
To ensure all essential mechanical, electrical, and resident care equipment are maintained in safe and
working condition, the facility must have an effective .
1. Environment services program
2. Safety program
3. Restorative nursing program
4. Preventative maintenance program
4
62
Which federal law requires employers to bargain collectively with the union?
1. Taft Hartley
2. Fair Labor Standards Act
3. Wagner Act
4. Landrum Griffin Act
3
63
To reduce the risk of a UTI, catheters should be changed aseptically every .
1. 3-5 days
2. Week
3. 2 weeks
4. Month
4
64
The consultant pharmacist must report any drug irregularities to the:
1. Attending physician and/or DON
2. Applicable state board of pharmacy
3. Administrator and DON
4. Ombudsman
1
65
Which federal law governs union elections?
1. Norris LaGuardia
2. Wagner
3. Taft Hartley
4. Landrum Griffin
3
66
Title 18 of the Social Security Act is the program.
1. Medicare
2. Medicaid
3. Older American’s Act
4. Nursing Reform Act
1
67
Which program would pay for the nursing home stay of an indigent person?
1. Older American’s Act
2. Medicare
3. Medicaid
4. The Ryan White Act
3
68
An individual cannot make more than $ in income each month to qualify for Medicaid.
1. $2000
2. $1860
3. $1530
4. $2500
2
69
When an administrator communicates what is to be accomplished by each employee and helps them
accomplish these goals this is called .
1. Controlling
2. Staffing
3. Organizing
4. Directing
4
70
Under the quality indicator reports system, which is not a QI report?
1. Facility quality indicator profile
2. Resident level summary
3. Resident choice summary
4. Facility characteristics
3
71
Controlled drugs MUST be stored in their original containers and placed:
1. Under double lock protection
2. In a locked area
3. At the nursing station
4. In the appropriate residents’ medicine boxes
1
72
If a union wishes to renegotiate a contract with an employer, it must notify the employer within how
many days of the expiration date?
1. 120
2. 90
3. 60
4. 30
2
73
An individual cannot have more than $ in assets and still qualify for Medicaid.
1. $2000
2. $1500
3. $1800
4. $1860
1
74
Which of the following determines the number of fire drills required each year in a nursing home?
1. ADA
2. Life Safety Code
3. OSHA
4. CMS
2
75
The emergency electrical generators must switch on within seconds of a loss of power.
1. 10
2. 15
3. 30
4. 60
1
76
When an administrator projects future trends and needs this is called .
1. Controlling Quality
2. Forecasting
3. Organizing
4. Directing
2
77
When an administrator compares actual results to projected results this is called .
1. Controlling Quality
2. Forecasting
3. Staffing
4. Evaluating
4
78
When an administrator takes steps to resolve a deficient situation this called .
1. Controlling Quality
2. Forecasting
3. Staffing
4. Evaluating
1
79
A handicap parking space must be a minimum of feet wide.
1. 5
2. 8
3. 13
4. 20
3
80
A full time social worker is required in certified nursing facilities with more than beds.
1. 50
2. 75
3. 100
4. 120
4
81
Occupational therapy is focused PRIMARILY on:
1. Rehab of gross motor activity
2. Functional performance in ADLs
3. Increasing safety awareness in those with sensory losses
4. Poor hygiene in the workplace
2
82
Which facility committee can the infection control program be assigned to?
1. Safety committee
2. Risk Management committee
3. Quality assurance committee
4. Quality improvement committee
3
83
According to the Omnibus Budget Reconciliation Act (OBRA), a plan of care for a resident receiving
psychotropic meds must include:
1. Behavioral interventions
2. Acceptable diagnoses
3. Disciplinary measures
4. Appropriate lab tests
2
84
Which of the following enforces the Life Safety Code?
1. ANSI
2. NFPA
3. CMS
4. The state licensing agency
4
85
All meals are prepared in accordance with the orders of the:
1. Resident
2. Attending physician
3. Medical director
4. Dietitian
2
86
What are the best types of questions to ask in a job interview?
1. Closed ended questions
2. Open ended questions
3. Directed questions
4. Only pre-approved questions by the nursing home administrator
2
87
When a resident develops an active communicable infection, which of the following will be required?
1. Quarantine
2. Restrictive activity
3. Transfer to hospital
4. Specific isolation techniques
4
88
A nursing facility’s fire protection standards are specified by:
1. NFPA life safety code
2. ANSI
3. OSHA
4. Underwriter’s lab
1
89
Which is the BEST method of increasing a facility’s cash position?
1. Issuing shares of stock
2. Increasing the census
3. Admitting more Medicare residents
4. Collecting accounts receivables
4
90
Anyone receiving social security is automatically covered under:
1. Medicare part A and Medicare part B
2. Part A only
3. Part B and D
4. Part B only
2
91
Subpoena duces tecum means:
1. An order to appear with evidence
2. That a deposition will be required
3. That all personnel involved must meet to agree
4. A court order to search a house for evidence
1
92
A nursing home is required to employ a licensed social worker full time with how many beds?
1. 60
2. 100
3. 120
4. More than 120
4
93
Unless superseded by state law, a facility MUST maintain medical records that include clinical,
medical, and psychosocial information on every resident until:
1. 5 years after date of discharge/death of the resident
2. Facility is audited and all audit questions are resolved
3. Facility is sold
4. All expenses incurred have been paid
1
94
The facility must refund to the resident or legal representative any money held by the facility belonging
to a discharged resident within of discharge.
1. 10
2. 15
3. 30
4. 60
5. 90
3
95
The facility must provide a resident notice of intent to involuntary discharge the resident at least
days in advance of the proposed discharge date.
1. 10
2. 15
3. 30
4. 60
5. 90
3
96
When must residents be informed of their rights?
1. Prior to or at the time of admission
2. When they apply for Medicaid benefits
3. During the first 30 days of admission
4. When requested
1
97
Which of the following is the management style associated with leaders who value their workers and
solicit their participation:
1. Team management
2. Task management
3. Management by objectives
4. Country club mgmt
3
98
Equity theory states:
1. Employees seek an exchange in which their wages and benefits equal their effort
2. Employees will have the same benefits at all levels
3. Employees have a direct say in compensation levels
4. In companies with multiple worksites, employees will be reimbursed the same at all sites
1
99
Which of the following is true of a facility survey process?
1. Surveyors can request that all resident interviews be conducted privately
2. Management can insist on their presence during all interviews as an observer
3. Residents must participate in the interviews
4. Management is encouraged to speak on behalf of residents who are not able to speak
and be interviewed
1
100
The policies of a nursing facility must be approved by the .
1. MD
2. Administrator
3. QAC
4. Governing body
4
101
The was organized in 1935.
1. CIO
2. AFL
3. SEIU
4. AFSCME
1
102
The is the largest union in the United States.
1. United Food and Commercial Workers
2. AFL-CIO
3. SEIU
4. AFSCME
2
103
The represents most workers in the nursing home industry.
1. United Food and Commercial Workers
2. AFL-CIO
3. SEIU
4. AFSCME
3
104
The initials ‘SEIU” stand for .
1. State Employees International Union
2. Service Employees International Union
3. South Eastern International Union
4. State Employees Industrial Union
2
105
Non fatal employee injuries must be recorded in the OSHA 300 log within days of the incident.
1. 3
2. 5
3. 7
4. 10
3
106
Which part of Medicare do you have to enroll in and pay a monthly premium?
1. Part A
2. Part B
3. Part C
4. All of the above
2
107
The is responsible to develop and implement policies.
1. Nursing Home Administrator
2. Department heads
3. Governing Body
4. State licensing agency
3
108
The is responsible to make critical decisions for the facility.
1. State licensing agency
2. Nursing Home Administrator
3. Department heads
4. Governing Body
4
109
The has ultimate legal responsibility for the care provided in the facility.
1. Nursing Home Administrator
2. Governing Body
3. Department heads
4. State licensing agency
2
110
The is responsible for the day to day management of the facility.
1. Nursing Home Administrator
2. Governing Body
3. Department heads
4. State licensing agency
1
111
OSHA Form 300A must posted during what time frame each year?
1. January 1 through March 1
2. February 1 through April 30
3. February 1 through March 31
4. January 1 through June 30
2
112
Which taxes fund the social security program?
1. FUTA Which taxes fund
2. Federal income taxes
3. FICA
4. Federal Workers Compensation Tax Act
3
113
Which document is the governance of a corporation?
1. FUTA Which taxes fund
2. Bylaws
3. FICA
4. Federal Workers Compensation Tax Act
2
114
Which of the following taxes fund the social security program?
1. FUTA
2. Federal income taxes
3. FICA
4. Federal Workers Compensation Tax Act
3
115
How often must the facility send a statement to each resident of the balance of their resident funds
in the resident trust fund?
1. Monthly
2. Quarterly
3. Annually
4. Only when requested
2
116
A facility must submit a plan of correction within days of receiving the 2567?
1. 10
2. 14
3. 30
4. 60
1
117
Surveyors must send a facility cited during a survey the form 2567 within days of the exit
conference?
1. 10
2. 14
3. 30
4. 60
1
118
Which document would a family member be reading if they were reviewing the results of your
facility survey?
1. 941
2. 1099
3. 2567
4. 6237
5. 2587
3
119
A statement of a job that specifies job title, required qualifications, who the job reports to, duties
and performance expectations is called a .
. 1. Job analysis 3. Job specification
2. Job description 4. Job title
2
120
An increase in pay to adjust incomes for inflation and maintain workers purchasing power is called
.
1. COLA 3. SSI
2. CPI 4. FICA
1
121
measures the purchasing power of worker paychecks and is used to determine the cost of
living adjustments to worker paychecks. 1. COLA 3. SSI
2. CPI 4. FICA
2
122
Must provide a resident a notice of involuntary discharge a minimum of days in advance of
the date or planned discharge.
1. 10
2. 14
3. 30
4. 60
3
123
Which of the following must sign a notice of discharge due to non payment of the resident’s bills?
1. The medical director
2. A physician
3. The CMS
4. Nursing home administrator
4
124
Which of the following is not a legal reason to involuntarily discharge a resident?
1. The resident is a danger to themselves
2. The resident is a danger to others
3. The resident changes payor source from Medicare to Medicaid
4. The resident did not pay their bill
5. The facility cannot meet their needs
6. The resident no longer requires skilled nursing care
3
125
Medicare/Medicaid would pay for which of the following?
1. A bed side phone
2. A private room
3. A television
4. A wheelchair
5. A liver transplant
4
126
Hot food must be held or served at a minimum temperature of degrees F. or higher.
1. 120
2. 135
3. 140
4. 141
5. 161
2
127
Cold food must be stored or served at a minimum temperature of degrees F. or lower.
1. 0
2. 32
3. 40
4. 41
5. 55
4
128
Exit signs must be placed no more than feet from each other.
1. 30
2. 50
3. 100 4. 200
3
129
A worker is entitled to COBRA benefits for months.
1. 12
2. 14
3. 16
4. 18
5. 24
4
130
The final rinse cycle of a hot water dishwasher is degrees F.
1. 120
2. 140
3. 160
4. 180
4
131
The high forward reach from a wheelchair is inches.
1. 36
2. 40
3. 48
4. 54
5. 60
3
132
The side reach from a wheelchair is between and inches.
1. 6 - 36
2. 9 - 40
3. 6 - 48
4. 9 - 54
5. 6 - 60
4
133
A worker is entitled to weeks of unemployment benefits.
1. 12
2. 18
3. 24
4. 26
5. 36
6. 48
4
134
A worker is entitled to months of HIPAA benefits.
1. 12
2. 18
3. 24
4. 26
5. 36
6. 48
1
135
A facility must report any injuries resulting from a medical device to the and .
1. CMS and OSHA
2. Manufacturer and OSHA
3. Manufacturer and the FDA
4. Manufacturer and the DEA
5. CMS AND OSHA
3
136
Which OSHA program relates to protecting staff and residents from the inadvertent discharge of
electricity from an electrical appliance or outlet?
1. The Blood Borne Pathogen Program
2. Hazard Communication Standard
3. Universal precautions
4. ‘Lock Out/Tag Out
4
137
Fire extinguishers cannot be more than how many feet from each other?
1. 25 feet
2. 50 feet
3. 75 feet
4. 100 feet
2
138
Which insurance policy would cover your facility if the roof was damaged from a storm?
1. General liability
2. Professional liability
3. Property insurance
4. Burglary insurance
3
139
Diabetes that requires insulin to regulate sugar levels in the blood is called TYPE diabetes?
1. Type 1
2. Type 2
3. Type 3
4. Type 4
1
140
Which of the following would investigate Medicaid/Medicare fraud?
1. The CMS
2. OIG
3. ANSI
4. The Long Care Ombudsman
2
141
A statement of a job that specifies job title, required qualifications, who the job reports to, duties
and performance expectations is called a .
1. Job analysis
2. Job specification
3. Job description
4. Job title
3
142
How soon must the emergency medication kit be refilled once opened?
1. 24 hours
2. 48 hours
3. 72 hours
4. As soon as possible
4
143
The length of a smoke compartment cannot exceed feet.
1. 100
2. 150
3. 200
4. 250
2
144
The resident contract and medical chart must be kept for years?
1. 3
2. 5
3. 7
4. 10
2
145
Which federal survey is the complaint survey?
1. Standard survey
2. Extended Survey
3. Partial extended survey
4. Abbreviated standard survey
4
146
OSHA records, other than OSHA medical records, must be kept for years.
1. 5
2. 7
3. 10
4. 15
1
147
The must audit the facility financial statements?
1. The NHA
2. The facility accountant
3. The business office manager
4. A CPA
4
148
What is the absentee rate for a facility with 200 full time employees and 120 lost work days in a 30
day period?
1. 2 percent 3. 4 percent
2. 3 percent 4. 6 percent
1
149
An employee with an hourly rate of $8 works 48 hours in a 40 hour week. What is the worker’s
gross salary per the Fair Labor Standards Act?
1. $384 3. $416
2. $400 4. $520
3
150
A phone cord must be a minimum length of inches.
1. 19
2. 29
3. 36
4. 48
2
151
The comprehensive care plan and the comprehensive assessment must be reviewed every
days.
1. 7
2. 14
3. 30
4. 60
5. 90
5
152
A significant change must be completed within days?
1. 7
2. 14
3. 21
4. 30
2
153
A stage 2 decubitus sore is characterized by which of the following?
1. Redness and inflammation
2. Tissue loss down to the bone
3. Tissue loss of the upper epidermis and down into the muscle
4. A blister filled with pus
4
154
Which advanced directive specifically states the wishes of an individual regarding the provision of
artificial life prolonging measures?
1. Designation of a health care surrogate
2. Durable power of attorney
3. Living will
4. DNR
3
155
A facility has days to file for a formal administrative hearing?
1. 10
2. 20
3. 30
4. 40
2
156
Which financial document would tell the administrator the net worth of the company?
1. Profit and Loss statement
2. Income Statement
3. Balance Sheet
4. General Ledger
3
157
Which document summarizes the debits and credits?
1. Profit and Loss statement
2. General journal
3. Balance Sheet
4. General Ledger
4
158
What is the main cause of a decubitus sore?
1. Not eating well
2. Lack of hygiene
3. Immobility
4. Poor dentition
3
159
Which federal agency oversees Medicare/Medicaid contracts and is responsible for oversight of
compliance surveys for nursing homes.
1. CMS
2. HCFA
3. OSHA
4. Long term care ombudsman
1
160
Adverse impact occurs when the hiring rate of minority applicants is less then % of the hiring
rate of the majority group.
1. 50%
2. 70%
3. 80%
4. 90%
3
161
The facility must follow the Life Safety Code of .
1. 1995
2. 1998
3. 2000
4. 2006
5. 2012
5
162
Which organization sets the fire safety standards of building materials?
1. ANSI/CABO
2. OSHA
3. CMS
4. NFPA
4
163
A nursing home had $300,000 in gross income and $110,000 in fixed expenses and $135,000 in
variable expenses. What is the approximate percentage of gross profit?
1. 20 percent 3. 25 percent
2. 23 percent 4. 28 percent
1
164
A nursing home with 100 beds pays the administrator $90,000 a year. The current occupancy rate
is 80%? What is the administrator’s approximate fixed salary cost per resident day?
1. $2.75 3. $3.75
2. $3.01 4. $4.00
2
165
A 200 bed facility spent $15,000 on food in June with an average daily occupancy of 80%. How
much did the facility spend per resident per day?
1. $1.91 3. $3,12
2. $2.97 4. $4.40
3
166
If you invest $200,000 and expect to receive $50,000 in return annually. What is the payback
period?
1. 2 years 3. 4 years
2. 3 years 4. 5 years
3
167
Where the nursing home administrator provides residents an environment with lots of plants and
flowers, and residents can be responsible to care for facility pets and set the table at meal times
and fold napkins, this is called .
1. The Green initiative
2. The Eden Alternative
3. De-institutionalization
4. Re-motivation initiative
2
168
Which GAAP principle prohibits a shareholder or employee from taking money or assets from a
company without recording those transactions?
1. Entity principle
2. Continuing concern principle
3. Conservatism principle
4. Objective evidence principle
1
169
Developing and implementing facility specific programs that help ensure safety of employees is a
responsibility of the NHA. The safety program in the nursing home would fall under the .
1. Risk management program
2. Material safety data program
3. Accident reporting program
4. Life Safety code program
1
170
How many square feet do you need for 2 people in a semi private room?
1 80
2 100
3 160
4 320
3
171
A is a person who is certified as a registered records administrator (RRA) or a health
information technologist or accredited record technician by the American Health Information
Management Association (AHIMA)
1. Medical Record Clerk
2. Medical Record Practitioner
3. Medical Ward Clerk
4. Clinical practitioner
2
