Study Guide 20

Question 1

What are 2 examples of private organizations?
1 ANSI and NFPA
2 Life Safety code and ANSI
3 OSHA and NFPA
4 OIG and NLRB

Answer 1

1

Question 2

What does ANSI consider the amount necessary for a Wheelchair clearance?
1 36”
2 48”
3 40’’
4 46”

Answer 2

1

Question 3

If a resident’s care plan conference took place on June 18 what is the latest acceptable date for the next one?
1 July 14
2 Sep 13
3 Oct 15
4 Nov 15

Answer 3

2

Question 4

What is the function of an Ophthalmologist?
1 To diagnose and treat eye conditions
2 To make eyeglasses
3 To grind eyeglass lenses
4 To perform eye exams

Answer 4

1

Question 5

When does discharge planning Begin?
1 Upon admission
2 Upon issuance of a discharge order by the physician
3 72 hours prior to a planned discharge date
4 48 hours prior to a planned discharge date

Answer 5

1

Question 6

The main purpose of a preventative maintenance program is to
1 To keep residents safe
2 Extend the useful life of equipment
3 To save money
4 To prevent fires

Answer 6

2

Question 7

What is a tort?
1 A criminal infraction
2 A felony
3 A civil wrong
4 A misdemeanor

Answer 7

3

Question 8

Which of the following would be considered an example of a tort?
1 Facility double billed Medicare
2 A nursing aide charged with abuse
3 A violation of state and federal regulations
4 Facility administered the wrong treatment

Answer 8

4

Question 9

Who licenses Nursing Homes?
1 The state
2 The federal government
3 The JCAHO
4 The CMS

Answer 9

1

Question 10

If an item costs $8,000 to purchase plus $500 in taxes plus $500 shipping, and has a salvage value of $1000
what would be the “historical value or cost”?
1 $7,000
2 $9,000
3 $8,500
4 $10,000

Answer 10

2

Question 11

Which of the following would not be considered a capital expenditure?
1 Maintenance of the facility
2 A new washing machine
3 Renovations of the lobby
4 Overtime

Answer 11

4

Question 12

Constant thirst and need to urinate are symptoms of .
1. A CVA
2. Nephritis
3. A UTI
4. Diabetes Mellitus

Answer 12

4

Question 13

What does a physiatrist specialize in ?
1 Rehab
2 Neurology
3 Mental illness
4 All of the above

Answer 13

1

Question 14

If a resident thinks a large white wastebasket in the bathroom is the toilet, what should staff do before
assessing dementia as the cause?
1. Use a brightly colored waste basket near the toilet
2. Use briefs to avoid having to use the toilet
3. Ask the attending physician for an order for an indwelling catheter
4. Give the resident a vision exam and corrective glasses based on the exam
5. Place the resident on a continence training program

Answer 14

4

Question 15

What is it example of a staff authority ?
1 DON
2 The Housekeeping Director
3 A business office accountant
4 A charge nurse

Answer 15

3

Question 16

Which of the following has advisory authority.
1 When a supervisor is exercising supervision on his direct subordinate
2 The administrator giving directions to the DON
3 The Maintenance director giving direction to a maintenance assistant
4 A occupational therapy assistant having a conversation with a housekeeper

Answer 16

4

Question 17

Who owns a resident’s records?
1. The resident
2. The attending physician
3. The department of health
4. The CMS
5. The facility

Answer 17

5

Question 18

How long do you need to keep assessments in the resident’s medical record?
1 1 Month
2 12 months
3 15 months
4 24 months

Answer 18

3

Question 19

Resident medical records are kept for years”
1. 3 years
2. 5 years
3. 7 years
4. 30 years

Answer 19

2

Question 20

If the resident is a minor, how many years must you keep their medical records?
1 5 years from date of admission
2 3 years past the age of majority
3 3 years post discharge
4 7 years from date of discharge

Answer 20

2

Question 21

A blister filled with pus and the loss of skin and dermis is a stage _ decubitus sore?
1. Stage 1
2. Stage 2
3. Stage 3
4. Stage 4

Answer 21

2

Question 22

A current liability is a liability that will be paid within .
1. Less than 1 year
2. More than 1 year
3. More than 6 months
4. More than 5 years

Answer 22

1

Question 23

If a court requests a resident’s records from a facility, the facility .
1. Must secure the resident’s permission in writing to release the records
2. Does not need the resident’s consent to release the records
3. Is not required to release the records under HIPAA
4. All of the above

Answer 23

2

Question 24

Define working capital?
1 Current assets divided by current liabilities
2 Assets minus liabilities
3 Revenues – expenses
4 Current assets – current expenses
5 Current assets – current liabilities

Answer 24

5

Question 25

Which of the following would show the liquidity of a facility? 1 The income statement 2 The balance sheet 3 The general ledger 4 Look at the chart of accounts

Answer 25

2

Question 26

What is not permissible to ask pre-job offer? 1. Can you do this job with or with out reasonable accommodations 2. What is your workers comp history 3. Are you a US citizen 4. Have you been treated for mental illness in the past year

Answer 26

2

Question 27

Which budget forecasts cash receipts and disbursements for each month during the budget year? 1. Cash budget 2. Operating budget 3. Capital budget 4. Ancillary budget

Answer 27

1

Question 28

Which of the following has staff authority? 1 A supervisor exercising supervision on his direct subordinate 2 An administrator giving directions to the DON 3 The Maintenance director giving direction to a maintenance assistant 4 An occupational therapy assistant having a conversation with a housekeeper

Answer 28

4

Question 29

The primary difference between Title XVIII and Title XIX of the Social Security Act is . 1. Title XVIII is federally funded and Title XIX is totally state funded 2. Title XVIII is for people over 65 and Title XIX is for people under 65 3. Title XVIII is primarily pays for inpatient hospital stays and Title XIX primarily pays for nursing services 4. Title XVIII is an insurance program and Title XIX is an assistance program based on need

Answer 29

4

Question 30

What would the best way to prevent future cash flow problems? 1 Collect AR 2 Reduce accounts payables 3 Increase census 4 Cut administrative salaries 5 Sell stock

Answer 30

1

Question 31

What is an integrated budget? 1. A budget that is done for each separate department and then consolidated into one 2. A combination of an operating budget, capital budget and a cash budget 3. A budget that combines the operating budget and the capital budget 4. A budget that combines a cash budget and a capital budget

Answer 31

2

Question 32

A current ratio of over 1 indicates that . 1. The facility is able to pay its obligations 2. The facility is not doing well 3. The facility is insolvent 4. The facility has financial difficulties

Answer 32

1

Question 33

In the cash basis of accounting, expenses are recorded when 1. They are incurred 2. When cash is received or paid out 3. The balance sheet is prepared 4. When the profit and loss statement is prepared

Answer 33

2

Question 34

Who is responsible to ensure a facility is in compliance with privacy regulations for HIPPA? 1 A corporate compliance officer 2 A privacy officer 3 An administrator 4 The Governing body

Answer 34

3

Question 35

The primary function of the safety committee is . 1 Worker safety 2 Resident safety 3 Infection control 4 To minimize money losses

Answer 35

1

Question 36

The quality assurance committee must be composed of . 1. DON, Administrator, and at least 3 staff members 2. DON, Medical director, Administrator, and at least 3 staff members 3. DON, attending physician, and at least 3 staff members 4. DON, a physician and at least 3 staff members

Answer 36

4

Question 37

What would be considered a fixed cost? 1 Depreciation 2 The electric Bill 3 Labor costs 4 Nursing supplies

Answer 37

1

Question 38

Which organization is in charge of issuing a waiver for under age workers? 1 NLRB 2 EEOC 3 Department of labor 4 OSHA

Answer 38

3

Question 39

If a family member is concerned about how the facility did on its survey they have a right see the CMS form 1. 671 2. 672 3. 2567 4. 5673 5. 5500 6. 804

Answer 39

3

Question 40

Internal and external medications must be kept where? 1. In separate areas 2. In separate rooms 3. At the nurse’s station 4. Together by resident name

Answer 40

1

Question 41

Two employees working 1040 hours each per year and share a position are considered which of the following? 1. 1 FTE 2. 2 FTEs 3. Per Diem 4. Part-time 5. Salaried employees

Answer 41

1

Question 42

An employee on an 8/80 schedule would accrue overtime after . 1. 30 hours 2. 40 hours 3. 60 hours 4. 80 hours

Answer 42

4

Question 43

The main function of risk management is to . 1. Reduce accidents 2. Reduce money losses 3. Increase profits 4. Reduce unnecessary expenses

Answer 43

2

Question 44

If a resident is given extra medication resulting in an injury, which insurance would cover the facility? 1 General 2 Professional 3 Officer’s and Director’s Insurance 4 Business interruption Insurance

Answer 44

2

Question 45

What is considered a serious medication error? 1. Giving stool softener to wrong resident 2. Giving one dose of ibuprofen to wrong resident 3. Giving wrong dose of insulin 4. Giving wrong dose of Colace

Answer 45

3

Question 46

What condition results in frequent urination and excessive thirst? 1. High blood pressure 2. Stress incontinence 3. Nephritis 4. Diabetes Mellitus

Answer 46

4

Question 47

Which of the following is an anti psychotic side effect? 1. Drowsiness 2. Hallucination 3. Confusion 4. Blurred vision

Answer 47

2

Question 48

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 Benevolence

Answer 48

2

Question 49

Hallways must be at least feet wide? 1. 8 feet or less 2. More than 8 feet if there is a waiver 3. Exactly 8 feet 4. 8 feet or more

Answer 49

4

Question 50

Correct place to test temperature is . 1. At ground level 2. Below the ceiling 3. Just above the ground 4. A minimum of 5 feet from the floor

Answer 50

3

Question 51

What is the minimum square footage of a private room?i 1. 60 square feet 2. 80 square feet 3. 100 square feet 4. 120 square feet

Answer 51

3

Question 52

Amount of space required per bed in shared room is square feet per person 1 60 square feet 2 80 square feet 3 100 square feet 4 120 square feet

Answer 52

2

Question 53

Maximum amount of beds per room? 1. 2 2. 4 3. 6 4. 8

Answer 53

2

Question 54

Which of the following statements is correct? 1. ANSI is a voluntary law 2. ANSI is a mandatory law 3. ANSI is state law 4. ANSI is enforced by OSHA

Answer 54

2

Question 55

If SSI is $840 the facility must inform residents when their account reaches . 1 $2000 2 $840 3 $640 4 $240

Answer 55

3

Question 56

Whose responsibility is it to make arrangements for an emergency dental work? 1 The physician 2 The facility 3 The family 4 The Medicaid agency

Answer 56

2

Question 57

A facility could not request a waiver for the electrical generator to not power which of the following? 1. Exit lighting 2. Nursing stations 3. Fire alarm system 4. Refrigerators and freezers

Answer 57

1

Question 58

A Physician visit is timely if it occurs within days of a required visit 1. 5 days 2. 10 days 3. 15 days 4. 30 days

Answer 58

2

Question 59

The primary purpose of medical records is . 1. Continuity of care 2. Legal documentation 3. Follow physician orders 4. Conform to state and federal laws

Answer 59

1

Question 60

Who must conduct a comprehensive assessment? 1. A physician 2. A registered nurse 3. The medical director 4. The director of nursing

Answer 60

2

Question 61

A resident has the right to copies of their medical records within what time frame? 1. 24 hours of the request 2. 48 hours (excluding weekends and holidays 3. 24 hours (excluding weekends and holidays 4. 10 days

Answer 61

2

Question 62

A request to inspect resident records or to get copies of resident records must be submitted by the resident . 1. Orally 2. In writing 3. Either orally or in writing 4. None of the above

Answer 62

3

Question 63

How many days does the facility have to inform the state of the outcome of an abuse investigation? 1 1 working day 2 5 days 3 3 days 4 5 working days

Answer 63

4

Question 64

The main function of the HR manager is to . 1. Hire and discipline facility staff 2. Maintain personnel policies 3. Perform employee performance reviews 4. Supervise facility staff

Answer 64

2

Question 65

If an attending physician is not performing to facility and state and federal standards, who should address these compliance issues with the physician? 1. Have the administrator talk to the attending physician 2. Have the director of nursing talk to the attending physician 3. Have the medical director address the matter with the attending physician 4. Have the governing body talk to the attending physician

Answer 65

3

Question 66

A policy prohibiting soliciting on facility premises would be found in the . 1. Facility policies 2. Personnel handbook 3. Facility procedures manual 4. Bylaws

Answer 66

2

Question 67

If an employee or a resident comes to the governing body instead of the administrator with a problem, what should the governing body do? 1. Handle the problem themselves 2. Refuse to listen to the individual 3. Listen to the problem and then give instructions to the administrator as to what to do 4. Refer the matter to the administrator and let the administrator handle it

Answer 67

4

Question 68

A resident has a right to 1 Know about a new roommate 2 Furnish his room however he wants 3 A bedside phone 4 A television

Answer 68

1

Question 69

How many months can you retain an unlicensed nursing aide? 1. 4 months 2. 6 months 3. 12 months 4. 24 months

Answer 69

1

Question 70

How many hours of in-services does a nursing aide need each year? 1. 12 hours 2. 18 hours 3. 20 hours 4. 24 hours

Answer 70

1

Question 71

How many fire drills are required annually? 1. 12 drills, one per shift per quarter 2. 12 drills, one per shift per month 3. 36 drills a year 4. One per shift per month

Answer 71

1

Question 72

End of life care that focuses on making a patient comfortable is called what kind of care? 1. Hospice care 2. Acute care 3. Palliative care 4. Respite care

Answer 72

3

Question 73

The advantage of doing moderate exercise for aging adults would not include which of the following? 1 Remove extra body fat and build muscle 2 Improving longevity 3 Improving blood flow 4 Preventing the likelihood of heart attack and strokes

Answer 73

4

Question 74

With respect to the care of an incontinent resident, which of the following statements would be correct? 1. Incontinence is irreversible 2. Incontinence can be reversed with a proper program and increased exercise 3. Incontinence can be reversed with a proper program and decreased exercise 4. Incontinence can best be treated with briefs and pads

Answer 74

2

Question 75

The resident drug regimen must be reviewed by which of the following? 1 A pharmacist monthly 2 An attending physician monthly 3 A pharmacist and attending physician quarterly 4 A pharmacist quarterly

Answer 75

1

Question 76

Which of the following must sign the comprehensive assessment? 1 A licensed nurse 2 A physician 3 An MDS coordinator 4 An RN

Answer 76

4

Question 77

Which of the following cannot take oral orders from a doctor? 1 A licensed nurse 2 A physician 3 A pharmacist 4 A ward clerk

Answer 77

4

Question 78

If a family has a complaint, when is the best time to address it? 1 A care plan conference 2 At a resident council meeting 3 At a family council 4 During annual survey

Answer 78

1

Question 79

If a resident complains that a roommate has regular visitors past 9 PM which is keeping up the resident, what should the administrator do? 1. Educate the roommate about visiting hours 2. Change the resident to quieter room 3. Give the roommate and his visitors an alternate place to meet for the late hour visits 4. Prohibit the resident from entertaining late night visitors

Answer 79

3

Question 80

Who decides how to alter food to conform to a mechanically altered diet? 1. The physician 2. The food service manager 3. The dietician 4. An RN

Answer 80

3

Question 81

1. Colon 2. Stomach wall 3. Large intestine 4. Pancreas

Answer 81

2

Question 82

A patch of skin that has redness and is warm to the touch is a stage decubitus sore? 1. Stage 1 2. Stage 2 3. Stage 3 4. Stage 4

Answer 82

1

Question 83

What is NOT a nosocomial disease? 1. AIDS/HIV 2. influenza 3. UTI 4. Pneumonia 5. Scabies

Answer 83

1

Question 84

The purpose of closing doors in a fire is to . 1 Remove oxygen 2 Keep doors open 3 identify resident rooms 4 Contain the smoke

Answer 84

4

Question 85

Clocks and calendars are used in what kind of therapy? 1. Milieu 2. Validation 3. Reality orientation 4. Re-motivation

Answer 85

3

Question 86

The mission statement is the ? 1. The foundation of the corporation 2. The governance of the corporation 3. Strategic plan 4. The purpose of the corporation

Answer 86

4

Question 87

Individuals and organizations that have a financial interest in the nursing home are called? 1. Stockholders 2. Stakeholders 3. Interested parties 4. All of the above

Answer 87

1

Question 88

Where should drugs for external use be stored? 1 In a separate room 2 In a separate area 3 In a separate compartment 4 In the medication room

Answer 88

3

Question 89

With an automatic stop order, which of the following statements is correct? 1 Must notify the physician before the last dose is given 2 Must notify the physician after the last dose is given 3 Must notify the physician 24 hours before the last dose is scheduled to be given 4 Must notify the physician 48 hours before the last does is scheduled to be given

Answer 89

1

Question 90

Who decides if the resident can self administer drugs? 1, The Attending physician 2. The DON 3. The interdisciplinary team 4. The medical director

Answer 90

3

Question 91

A railing in a stairway must be between and inches. 1. 30 – 34 2. 32 – 36 3. 34 – 36 4. 34 - 38

Answer 91

4

Question 92

Which of the following indicates if a resident did not want to be resuscitated 1. A living will 2. A durable POA 3. A DNR 4. A POA

Answer 92

3

Question 93

How long after a survey would the next one be? 1 12-15 months 2 12 months 3 9-15 months 4 24 months

Answer 93

3

Question 94

Main reason employees try to unionize is . 1 Poor communication between management and workers 2 To negotiate better wages 3 The facility offers poor benefits 4 History of management with employees

Answer 94

1

Question 95

Best method of communication is 1. Email 2. Memos 3. Face to face 4. By phone

Answer 95

3

Question 96

True or False - The growing concern in the nursing industry is that residents are staying longer and that residents have higher acuity and shorter stays. 1. True 2. False

Answer 96

1

Question 97

Restorative nursing is performed by 1. Occupational therapists 2. Physical therapists 3. Recreational activities specialists 4. nursing aides

Answer 97

4

Question 98

An employer cannot ask a potential employee which of the following?. 1 if they can work Easter or Christmas 2 If they are US citizen 3 If the applicant can perform the tasks of the job 4 If the applicant uses illegal drugs

Answer 98

1

Question 99

Which of the following would be considered an acceptable employment ad by the EEOC? 1. A four foot female needed to model children’s dresses 2. A strong man needed for heavy lifting 3. Young college student to work late at night 4. Female nurses for hospice assignments

Answer 99

1

Question 100

Best way for the administrator to audit the maintenance in the facility is . 1 Review preventative maintenance logs 2 Management by walking around 3 Monitor resident complaints 4 Review maintenance repair bills

Answer 100

2

Question 101

The purpose of closing doors in a fire is to . 1 Remove the oxygen 2 Keep doors open 3 identify resident rooms 4 Contain the smoke

Answer 101

4

Question 102

Which fire extinguisher will put out a fire from a gas range? 1 ABC 2 A 3 C 4 AB

Answer 102

1

Question 103

Disaster plans vary based primarily on which of the following? 1 The specific region and disasters common to the area 2 The priorities of the governing body 3 Directives from the CMS 4 The available resources In the facility

Answer 103

1

Question 104

Strategic planning takes how many years? 1. 1 year 2. 1-2 years 3. 3-5 years 4. All of the above

Answer 104

3

Question 105

Who at a minimum would be invited to a care conference? 1 Just the resident 2 The resident and family 3 Just the family 4 The resident and the attending physician

Answer 105

2

Question 106

A 67 yr old has been a resident for 3 years in a nursing Home. His stay was most likely paid for by 1 State Medicaid 2 Medicare 3 Private Insurance 4 SSI

Answer 106

1

Question 107

A resident has the right to see their medical records within what frame? 1. 24 hours of the request 2. 48 hours (excluding weekends and holidays 3. 24 hours (excluding weekends and holidays 4. 10 days

Answer 107

3

Question 108

What is considered too long between meals from the dinner meal to breakfast? 1 8 hours 2 12 hours 3 14 hours 4 16 hours

Answer 108

4