Study Guide 5 Flashcards
(166 cards)
1
Q
The minimum qualification for a social worker in a 120 bed facility Is a(n) .
1. Associates degree with 5 years of resident care
2. Bachelors degree in social work
3. Diploma and 2 years of being a social worker assistant
4. Bachelor’s degree with 1 year as a social worker assistant
A
4
2
Q
The MDS is transmitted by .
1. Phone
2. Fax
3. Computer or Modem
4. Overnight mail
A
3
3
Q
The proper procedure for mopping the stairwell and corridor is to .
1. Mop one side and have a safe side for people to walk on.
2. Block off the stairwell and or corridor with a still wet sign so nobody can pass or use
3. Mop the entire stairwell or corridor at once
4. None of the above
A
1
4
Q
If a court determines a resident is incapable of making their own decisions, the court would appoint a
to handle their affairs.
1. Power of attorney
2. Guardian
3. Family member
4. Close relative
A
2
5
Q
A resident’s medical or financial information may be given to without the resident’s consent.
1. A third party payor pursuant to a contract
2. An independent contractor
3. A responsible party
4. A close relative to the resident
A
1
6
Q
The lighted display board that indicates the zone or location of a fire is called a(n) .
1. Fire control panel
2. Call light board
3. Enunciator panel
4. Emergency Lighting Panel
A
3
7
Q
Lighting of the means of egress must be continuous with exit floor surfaces illuminated at the level of _____ foot candle light from the____ .
1 ½ , ceiling
2. 1 , floor
3. 2, floor
4. 3, floor
A
2
8
Q
In case of a fire, the primary purpose of closing doors is to _ _.
1. Contain the fire
2. Contain the smoke
3. Prevent residents from entering a dangerous area
4. Indicate that the residents in a room were removed from the area
A
2
9
Q
is most effective to increase occupancy.
1. Word of mouth
2. Advertisement
3. Physician’s recommendations
4. Discharge planners from hospitals
A
1
10
Q
A facility must provide planned activities for residents. Residents are .
1. Required to participate in the planned activities that the majority of residents request
2. Required to participate in activities when scheduled by the activities department
3. Entitled to participate in activities that meet their personal interests
4. Not permitted to participate in activities outside the facility
A
3
11
Q
The administrator is informed a staff member from the Philippines speaks her native
language to other staff members in the presence of residents who do not speak her language. The
administrator should .
1. Tell the staff member she is violating resident rights
2. Do nothing unless the residents complain
3. Do nothing, because the staff member is allowed to speak her native language
4. Explain to the residents that they are not talking about them.
A
1
12
Q
If an employee accidentally drops a resident, the facility is covered under .
1. General Liability insurance
2. Professional Liability insurance
3. Business Interruption insurance
4. Officers and directors insurance
A
2
13
Q
All deaths related to a medical device must be reported to the .
1. Food and Drug Administration
2. American National Standards Institute
3. OSHA
4. CMS
A
1
14
Q
A clergyman enters a resident’s room to visit with her. The nurse finished giving the resident her
morning meds just as the clergyman entered the room. The nurse should now .
.
1. Stay in the room at all times
2. Ask the resident if she wants her to leave
3. Stay within view of what’s going on
4. Pull the privacy curtain shut and leave the room
A
4
15
Q
Which is the correct method to calculate a medication error?
1. The number of errors observed divided by the opportunities for error times 100
2. The number of medications not administered divided by the opportunities for errors
3. The number of medications improperly administered divided by the opportunities for
error times 100
4. The number of medications not administered plus the number improperly administered
divided by the opportunities for error
A
4
16
Q
Which is considered a fatal error?
1. Giving doxidan to the wrong resident
2. Giving 1 dose of Tylenol to the wrong resident
3. Giving the wrong amount of Insulin to a resident
4. Giving the wrong amount of doxidan to a resident
A
3
17
Q
The DON comes to the administrator and says she going to put a resident on a psychotropic drug
because the nursing staff cannot control her behavior. The resident has early stage Alzheimer’s. What
should the administrator tell the DON?
1. Commend the DON
2. Reprimand the DON
3. Suggest that the policy be implemented in all facilities
4. Request the medical director make it a facility policy
A
2
18
Q
A resident had a stroke and suffered paralysis to the left side of their body. The rehab
department should .
1. Figure out what caused the stroke
2. Work on ROM
3. Work to get resident back to highest functional ability
4. Work to get the resident to ambulate
A
3
19
Q
The designated parking space for the handicapped must be at least .
1. 10 feet wide
2. 13 feet wide
3. 15 feet wide
4. 18 feet wide
A
2
20
Q
A resident room is required to have .
1. Direct access to an exit corridor
2. Two access exits that are remotely located from each other
3. A floor at or above grade level leading to the outside
4. 100 square feet for a multi-resident room per resident
A
1
21
Q
Communication would get lost along the way if it were .
1. Upward
2. Downward
3. Vertical
4. Horizontal
A
4
22
Q
Respondent superior would not apply to .
1. A nursing aide
2. The DON
3. A private duty nurse
4. The administrator
A
3, a private duty nurse is not a employee of the facility
23
Q
An organized and effective maintenance program emphasizes .
1 Adequate inventory
2 Maintenance Contracts
3 Preventative maintenance
4 Employing competent personnel
A
3
24
Q
General liability insurance provides the facility protection against .
1. Residents injured by staff while providing care
2. Claims made by employees for work related injuries
3. Claims not exempted under charitable immunity
4. Injuries sustained by visitors on the facility property
A
4
25
A resident is being kept up at night by a cart that has a squeaky wheel. What should you do?
1 Fix the wheel
2 Not use the cart anymore
3 Instruct staff to keep the door to the residents’ rooms closed at night
4 All of the above
1
26
A nurse, while using a lift, notices that it is not working properly. The nurse should
.
1. Write a work order and continue using the lift
2. Call maintenance
3. Immediately pull the lift from service and fill out a work order and do not use it until
it is fixed
4. Ignore it
3
27
The Secretary of DHHS has the same authority to impose penalties on nursing facilities as
the .
1. State
2. Senate
3. Federal courts
4. Minimum Wage and Hour Act
1
28
The final step before you can be approved for a nursing home is to .
1. Disclose all operating expenses
2. Disclose the names of all corporate officers
3. Disclose the names of all governing body members
4. Secure a certificate of need
4
29
would require extra special handling to dispose of properly and safely.
1. A trash can with an AIDS patient’s waste
2. An empty vaccine bottle
3. Drinking paper cups
4. Dry paper towels
1
30
A resident is restrained without physician’s orders and has not had a bath today. How many
resident rights were violated?
1. 0.
2. 1
3. 2
4. 3
2
31
Resident rehabilitation is a process that .
1. Occurs only at specific times with specific therapists
2. Is provided only by physical and occupational therapy
3. Does not involve the services of nurses
4. Is an interdisciplinary responsibility
4
32
No soliciting on facility premises would be contained in the .
1. Business office policies
2. Resident care policies
3. Administrative policies
4. Employee handbook
4
33
fire drills are required in a facility per year.
1. 3
2. 9
3. 12
4. 14
3
34
You must test the generator _ for __ .
1. Every month, 30 minutes
2. Every quarter, 60 minutes
3. Semi annually, 15 minutes
4. Annually, 30 minutes
1
35
When a resident is admitted to a facility, an attending physician must visit and examine them
.
1. Within 72 hours of admission and every month thereafter
2. At least every 3 months
3, Once every 30 days for the first 90 days and then every 60 days thereafter
4. As often as appropriate
3
36
A curtain or decoration that does not burn easily is called .
1. Flame retardant
2. Combustible
3. Fire resistant
4. Fire-proof
3
37
Emergency generators are checked .
1. Daily
2. Weekly
3. Every 10 days
4. Monthly
2
38
Residents do not have the right to a .
1. Vinyl chair in their room
2. Window to the outside
3. Closet
4. Dresser
1
39
How do you calculate the average percent of occupancy?
1. Divide the total number of beds by the number of total beds and multiply by 100
2. Divide the number of occupied beds by the number of total beds and multiply by 100 percent
3. Subtract the number of vacant beds from the number of occupied beds and divide by the total
number of beds and multiply by 100
4. Divide the number of occupied bed days by the total number of days in the period and then
divide by the total number of beds and then multiply by 100
4
40
How do you calculate the approximate percentage of gross profit?
1. Divide the expenses by the income
2. Divide the income by the expenses
3. Add the fixed expenses and the variable expenses and subtract from the gross income. Divide
the differences(net profit) by the gross income
4. Subtract the income from the expenses and multiply by 100
3
41
How do you calculate a monthly depreciation amount using straight-line depreciation?
1. Divide the cost of the equipment by 12
2. Divide the salvage value by the number of years to be depreciated and then divide by 12
3. Add the salvage value to the cost of the equipment and divide by the number of years to be
depreciated times 12
4. Subtract the salvage value from the cost of the equipment and divide by the number of years to
be depreciated and then divide by the number of months per year
4
42
Bedrooms are required to have .
1. 80 square feet per resident in multi-resident rooms
2. 100 square feet per resident in multi-resident rooms
3. 130 square feet per resident in multi-resident rooms
4. 150 square feet per resident in multi-resident rooms
1
43
The minimum width of a resident bedroom is determined by .
1. ANSI
2. OBRA
3. The state
4. Life safety code
3
44
The role of developing and implementing a written hazard communication program is the
responsibility of the .
1. Facility
2. OSHA
3. Manufacturer
4. CMS
1
45
is the most important way to prevent the spread of disease and infection.
1. Hand washing
2. Proper waste disposal
3. Use of disinfectants
4. Identification of infective agents
1
46
is considered a comfortable atmospheric temperature range for a facility.
1. 51-61 degrees
2. 61-71 degrees
3 71-81 degrees
4. 81-91 degrees
3
47
What is the temperature of a hot rinse dishwasher?
1. 100 degrees
2. 130 degrees
3 150 degrees
4. 180 degrees
4
48
ANSI establishes the .
1. Schedule for fire drills
2. Availability for water source and supply
3. Width of a parking space for the handicap
4. Requirement for at least one window to the outside for every bedroom
3
49
The best marketing program is .
1. The news media
2. Printed material
3. A tour of the facility
4. Sponsoring charitable community events
3
50
To assure an accurate resident assessment, each resident must be examined by a physician as deemed
appropriate, but no less than every .
1. Month
2. Quarter
3. Semi-annual
4. Annual
2
51
Discharge planning begins .
1. Upon admission
2. Upon completion of physical therapy
3. When the utilization committee determines discharge is safe
4. When ordered by the attending physician
1
52
The best method to obtain information regarding a potential employee is the .
1. Resume
2. Interview
3. Job application
4. Letters of reference from previous employers
2
53
is/are the best method to recruit new employees.
1. A job posting
2. Newspaper ads
3. Employment agencies
4. The state employment office
1
54
A key principle in delegation of authority by administrators to staff is to .
1. Keep authority centralized
2. Personally confirm all decisions
3. Delegate as much authority as possible
4. Make sure all details are cleared by the administrator
3
55
An abuse allegation must be reported to the administrator and the administrator must do an investigation
and report the investigation results to the proper state authorities within .
1. 24 hours
2. 48 hours
3. 5 days
4. 5 working days
4
56
The ADA has 5 titles. The title that affects administrators most is title .
1. I
2. II
3. III
4. IV
1
57
OSHA requires all non fatal accidents to be recorded within .
1. 3 days
2. 5 days
3. 6 days
4. 7 days
4
58
Sound financial management dictates that approving the annual facility budget is the responsibility of the
.
1. CPA
2. Administrator
3. Stockholders
4. Governing body
4
59
e value of financial management is to provide accounting information enabling the administrator to
.
1. Make decisions
2. prepare tax returns
3. inform the home office
4. Discuss financial information with the CPA
1
60
is not a revenue center
1. Social services
2. Dietary services
3. Nursing services
4. Barber and beauty salon
1
61
is a non-cash expense
1. FICA
2. Payroll
3. Insurance
4. Depreciation
4
62
Labor costs in a nursing home usually total approximately .
1. 30 to 40 percent
2. 40 to 50 percent
3. 50 to 60 percent
4. 60 to 70 percent
3
63
Hazardous areas must be protected by fire barriers with a fire resistance rating of 1 hour or a completely automated extinguishing system. The _____ would usually not be considered a
hazardous area.
1. Laundry
2. Resident dining room
3. Handicraft store
4. Beauty salon
2
64
is not a correct hand washing procedure
1. Using liquid soap
2. Filling a bowl with warm water
3. Using paper towels to dry hands
4. Using paper towels to turn the water faucet off
2
65
Work orders should be simple written requests indicating .
1. The problem and its location
2. When the work is to be accomplished
3. The time and money needed to fix the problem
4. Who will correct the situation and when it will be fixed
1
66
The minimum amount of square footage in a private room is .
1. 80 square feet per person
2. 100 square feet
3. 120 square feet per person
4. 150 square feet per person
2
67
Under OBRA, the responsibility of the safety committee may be assigned to the .
1. Compliance committee
2. Resident Rights Committee
3. Infection Control Committee
4. Quality Improvement Committee
4
68
The minimum square footage per person in a resident room would include the .
1. Bed
2. Toilet
3. Closet
4. Wardrobe
1
69
An isolation room is not required to have .
1. A private toilet
2. Single occupancy
3. A bathtub or shower
4. Hand washing facilities
3
70
Under OSHA, the hazards of a product are determined by the .
1. Employer
2. OSHA
3. Manufacturer
4. NFPA
3
71
To determine the comfortable and safe air temperature in resident rooms and public spaces, the
air temperature is measured .
1. 2 feet above the floor
2. 3 feet above the floor
3. 4 fee above the floor
4. 5 feet above the floor
2
72
Per ANSI, the telephone cord on a public telephone must be at least .
1. 24 inches
2. 26 inches
3. 29 inches
4. 36 inches
3
73
The EEOC does not enforce the _ _.
1. Equal Pay Act
2. The Civil Rights Act
3. Age discrimination in employment
4. Fair Labor Standards Act
4
74
Under the Equal Pay Act, an employee’s wages cannot be adjusted based on .
1, Training
2. Education
3. Gender
4. Years of employment
3
75
According to the FMLA, an employee cannot take leave for .
1. The birth of a child
2. Divorce or separation
3. Placement of a child for adoption
4. Caring for an ill spouse or parent
2
76
The best source of new employees is usually .
1. Employment agencies
2. Current employee referrals
3. Newspaper advertisements
4. State unemployment offices
2
77
Well capitalized companies should have a equity to debt ratio of .
1. More than 2.0 to 1.0
2. 2.0 to 1.0
3. 1.0 to 1.0
4. More than 1.0 to 1.0
1
78
percent of resident accidents occur in resident bedrooms.
1. 20
2. 30
3. 50
4. 70
4
79
Lighting of the means of egress must be continuous with exit floor surfaces illuminated at the level of ___ foot candle from the___ .
1. ½ , ceiling
2. 1 , floor
3. 2, floor
4. 3, floor
2
80
The written fire plan must address .
1. The use of alarms
2. Transmitting an alarm to the fire department
3. Procedures to respond to an alarm
4. All of the above
4
81
The written fire plan does not need to include .
1. The procedure to isolate a fire
2. A maintenance schedule to clean air dampers
3. The procedure to evacuate the fire area
4. Preparation for building evacuation
2
82
When extinguishing a fire, aim the extinguisher at the ____ of a fire.
1. Top
2. Middle
3. Base
4. Hottest part
3
83
Which is not a key objective of the Life Safety Code?
1. Closing as many doors as possible to prevent the spread of fire
2. Confining a fire to the room of origin
3. Evacuating all residents from a building as quickly as possible
4. To protect residents and staff with smoke and fire barriers
3
84
Soiled linen and trash containers must be limited to ___ gallons within any ___square foot area.
1. 12, 24
2. 6, 18
3. 24, 72
4. 32, 64
4
85
Mobile soiled linen and trash containers larger than 33 gallons or more need to be .
1. Stored in a resident’s room
2. Stored in a protected hazardous area when unattended
3. Emptied weekly
4. Kept uncovered
2
86
A smoke proof enclosure must have a ___ hour fire resistance and a door with ____ hour fire protection rating.
1. 1, 1 ½ hour
2. 1 ½ hour, 1 hour
3. 2 hour, 1 ½ hour
4. ½ hour, 2 hour
3
87
The must sign a notice of involuntary discharge based on a resident posing a threat to themselves
or others, or no longer requires the services of a skilled nursing facility.
1. Administrator
2. A licensed physician
3. Director of Nursing
4. Medical Director
2
88
Which is not true of egress?
1. Every patient room must have a door leading directly to an exit access corridor
2. The travel distance within a resident’s room to an access corridor cannot exceed 50 feet
3. The travel distance from a resident’s door in an access corridor to an exit door cannot exceed 150’
4. The travel distance within any patient room to an exit door cannot exceed 250
3
89
do not need both 1 hour fire resistance rating and a completely automatic extinguishing
system.
1. Soiled linen rooms
2. Employee locker rooms
3. Repair shops
4. Trash collection rooms
2
90
would not be a goal for residents who use psychotropic drugs.
1. Drug holidays
2. Abrupt drug elimination
3. Gradual dose reduction
4. Behavioral programming
2
91
A naso-gastric tube is many times referred to as an NG tube or as a .
1. Stomach tube
2. Breathing tube
3. Urinary drainage tube
4. Tube for intravenous solutions
1
92
A hematoma is a(n) .
1. Low red blood cell count
2. White blood cell count
3. Darkened area under the skin containing blood
4. Deep gash in the upper layers of the skin
3
93
Individuals over the age of 65 take an average ___ of different drugs.
1. 3.6
2. 4.1
3. 7.2
4. 9.9
3
94
Anorexia is .
1, Weight gain
2. The loss of appetite
3. A language disorder
4. The inability to digest lactose
2
95
A person with depression usually .
1. Conceals their illness
2. Gains weight
3. Has a history of diabetes
4. Makes little effort to perform simple tasks
4
96
A weight loss of within 6 months would be considered significant.
1. 5 percent
2. 8 percent
3. 10 percent
4. 12 percent
3
97
Fringe benefits (vacation and sick leave, health insurance, 401K plan) are .
1. Required by law
2. Considered a right by workers
3. Considered part of the Wage and Hour Act
4. Considered a benefit determined by employees
2
98
The responsibility for initially explaining resident rights to residents is the responsibility of the .
1. Social worker
2. Licensed nurses
3. Activity director
4. Administrator
1
99
do not have line authority.
1. Accountants
2. Administrators
3. Charge nurses
4. Dietary managers
1
100
An employment application can request an applicant’s .
1. Birth place
2. Citizenship
3. Marital status
4. Welfare benefits history
2
101
A subjective measurement of an employee’s performance would be based on .
1. Work Quality
2. Personality
3. Attitudes toward other employee
4. Ability to work with other employees
2
102
is/are not an intangible asset.
1. Trademarks
2. Goodwill
3. Copyrights
4. Accounts receivables
4
103
Budgets are usually prepared .
1. Monthly
2. Quarterly
3. Annually
4. As needed
3
104
The should approve a facility’s budget.
1. Administrator
2. Governing Body
3. Chief financial officer
4. CMS
2
105
is a capital expense.
1. Re-stocking the kitchen pantry
2. Leasing a car
3. Replacing the electrical generator
4. The cost of replacing light bulbs
3
106
is an operating expense.
1. Purchasing of a new computer
2. Weekend overtime wages
3. Paving the parking lot
4. Installing wall partitions
2
107
is the largest expense in a nursing home.
1. Labor
2. Inventory
3. Insurance
4. Equipment
1
108
The key to purchasing supplies is to .
1. Obtain competitive bids
2. Purchase in bulk to get volume discounts
3. Let each department purchase their own supplies
4. Standardize all products, implement a central purchasing process, and minimize people authorized
to purchase goods
4
109
Employees only pay 50% of .
1. FICA
2. FUTA
3. Workers comp
4. SIT
1
110
Depreciation is .
1. A declining balance
2. The cost allocation of equipment
3. The change in value over time
4. The decrease in value due to obsolescence, wear and tear
4
111
is covered by Medicare Part A and B.
1. Home health
2. Private duty nurses
3. Physical check ups
4. Outpatient diagnostic services
1
112
The main protective elements in a nursing home in the event of a fire are .
1. Sprinkler systems and alarm pulls
2. Smoke detectors and direct telephone lines
3. Smoke barriers, corridor walls and resident doors
4. The use of Internal fire fighting equipment and hand held extinguishers
3
113
The minimum period of insurance coverage under COBRA is .
1. 8 months
2. 12 months
3. 18 months
4. 36 months
3
114
COBRA covers employees who have been separated from an employer for a maximum of months.
1. 12
2. 18
3. 24
4. 36
4
115
A resident who is “bedfast” remains in their bed all of the time for the past .
1. 24 hours
2. 48 hours
3. 3 days
4. 7 days
4
116
mandates that policies in nursing homes must be approved by the governing body.
1. CMS
2. OSHA
3. OBRA
4. EEOC
3
117
The does not need to be notified of a significant change in a resident’s clinical status.
1. Attending physician
2. Resident
3. Ombudsman
4. Resident’s legal representative
3
118
A written notice of involuntary discharge does not need to include a notice of the .
1. Right to refuse the transfer
2. Location where the resident is being transferred
3. Right to appeal the transfer
4. Name, address and telephone number of the state nursing home association
4
119
When there is a change of ownership, the administrator or the director of nursing, a facility may be subject to
a(n) .
1. Standard survey
2. Extended survey
3. Partial Extended survey
4. Abbreviated standard survey
4
120
Any event that can lead to a loss, injury or damage is called a(n) .
1. Risk
2. Lawsuit
3. Claim
4. Accident
1
121
A “Resource Utilization Group” is a .
1. Case mix index
2. Grouping of revenue
3. Resident classification system
4. Method of grouping income from Medicare and Medicaid
3
122
The chief factor for an effective fire safety program is .
1. A set of policies and procedures
2. An effective safety committee
3. A supportive fire department
4. The support and involvement of the administrator
4
123
The Long Term Care Ombudsman program was established by .
1. OBRA
2. Medicare Act
3. Social Security Act
4. Older Americans Act
4
124
What requirement must a facility meet to participate in the Medicare/Medicaid programs?
1. A social worker on staff
2. Disclosure of facility ownership
3. An occupancy rate of 80% or higher
4. Have at least 60 beds
2
125
is not a primary purpose for the ombudsman program.
1. Investigating a decision made by a provider
2. Making frequent unannounced surveys of the facility
3. Investigating and resolving complaints made by or on behalf of residents
4. Counseling and assisting residents in receiving benefits they are entitled to
1
126
The open market ruling of 1977 relates to .
1. Price controls
2. Transfer agreements
3. Recruiting employees
4. Advertising health services
4
127
tour of a facility should be .
1. As short as possible
2. Comprehensive and involve the entire facility
3. Conducted by the admissions staff
4. Scheduled for groups to save time
2
128
An effective public relations campaign should create .
1. Immediate cash flow
2. A strong relationship with the local hospital
3. An Improved visual attractiveness of the facility
4. A favorable image and exposure in the community
4
129
A marketing plan should not be .
1. A democratic process
2. A flexible plan
3. Detailed and precise
4. Effective in communicating a facility’s mission and purpose
1
130
To ensure a resident’s assessment is accurate, the facility must ensure each resident is given a physical
examination at least .
1. Monthly
2. Every 2 months
3. Every 3 months
4. Every 6 months
3
131
accounts for most infections in a facility.
1. The frequent use of invasive devices
2. The exposure by residents to employees and visitors
3. The presence of chronic diseases in a facility
4. An Increase in immobility and incontinence
2
132
Which is not true regarding the elderly?
1. The elderly require relationships to offset loneliness
2. The need for independence is still very strong in the elderly
3. Sexuality greatly diminishes as we age
4. The need for closeness and intimacy is still very strong in the elderly
3
133
is normally not a problem with the elderly
1. Depression
2. Paranoia
3. Feelings of worthlessness
4. Self actualization
4
134
Assume 130 doses of medication where ordered for a resident. Two doses were not given and 3 doses
were incorrectly administered as prescribed. What is the approximate medication error rate?
1. 1.5 percent
2. 2.3 percent
3. 3.8 percent
4. 5.0 percent
3
135
The laws which control nursing activities in each state are called .
1. Federal statutes
2. Nurse practice acts
3. Practice control acts
4. Professional function laws
3
136
The social worker’s primary function in a nursing facility is to .
1. Counsel the residents and families concerning their personal problems
2. Reduce resident anxiety in adjusting to placement in a facility
3. Represent the resident’s interests in interdisciplinary meetings
4. Develop a close relationship with the resident to enable accurate and current social assessments
and progress notes
4
137
Resident councils allow: .
1. Residents to provide input into staffing requirements
2. Residents the opportunity to change their resident rights
3. Residents a sense of control over their lives
4. Residents involvement in the management of the facility
3
138
A _____ is a legal document that specifies a person’s preference concerning artificial life-sustaining
measures.
1. Living will
2. Statutory will
3. Holographic will
4. Power of attorney
1
139
A testator is one who .
1. Is the executor of an estate
2. Dies leaving a will
3. Is appointed a legal guardian
4. Is an executrix
2
140
The percentage of weight loss for a person previously weighing150 pounds and now weighs 142 pounds?
1. 1.9 percent
2. 5.3 percent
3. 7.5 percent
4. 8.0 percent
2
141
To clean utensils, a three compartment sink is used to wash, rinse and .
1. Dry utensils
2. Scrape utensils
3. Sanitize utensils
4. Clean utensils
3
142
The dietary department maintains the various adaptive feeding equipment to assist residents in eating.
Which of the following trains residents how to use adaptive equipment?
1. Licensed nurses
2. Activities staff
3. Occupational therapists
4. Speech therapists
3
143
Incontinence means _.
1. A urinary infection
2. Dehydration
3. Inflammation of the joints
4. Involuntary passage of urine and feces
4
144
An oncologist specializes in .
1. Hearing disorders
2. Cancer
3. Mental illness
4. Blood infections
2
145
The administrator notices a deterioration in a resident’s condition. The administrator’s most appropriate
action would be .
1. Discuss the changes with the physician
2. Enter the observations in the residents medical chart
3. Require the nurses to report further changes to the administrator
4. Request the nurse to evaluate the resident’s condition and report it to the attending physician if
necessary
4
146
If dental work is planned for a resident, which would not be potentially impacted by dental work?
1. Artificial hip replacement
2. Heart valve replacement
3. Kidney condition
4. Knee replacement
3
147
The sum of all activities to create desired changes in quality care is the definition of .
1. Quality improvement
2. Quality control
3. Quality assurance
4. Quality measurement
1
148
Per OBRA, the determines if a resident can self administer medications.
1. Interdisciplinary team
2. Pharmacist
3. Director of nursing
4. Medical director
1
149
Per OBRA, resident medical records must be maintained for at least
1. 5 years
2. 5 years after admission
3. 5 years after discharge
4. 5 years after discharge or 3 years after a discharged resident reaches the age of 18
4
150
A drug interaction means that .
1. A combination of drugs became fatal
2. A drug did not achieve desired effect
3. A resident’s system counteracted the intended effect of a drug
4. Two or more drugs taken simultaneously produced an unwanted effect
4
151
P.R.N. means .
1. When needed or requested
2. Every Hour
3. As prescribed
4. Per registered nurse
1
152
The physician’s desk reference refers to .
1. Drugs
2. DRG’s
3. Diagnoses
4. Prognoses
1
153
Resident drug regimens must be reviewed monthly by the .
1. Medical director
2. Consulting pharmacist
3. Attending physician
4. Administrator
2
154
is responsible to ensure contracted rehabilitation specialists are qualified.
1. State surveyors
2. Medical director
3. The administrator
4. The CMS
3
155
The terms LIFO and FIFO refer to .
1. Depreciation schedules
2. Inventory valuing methods
3. Aging of accounts receivables
4. Aging of accounts payables
2
156
The purpose of perpetual inventory is to .
1. Increase assets
2. Eliminate loss through theft
3. Reflect costs based on actual usage
4. Reduce cost based on mass purchasing
3
157
All cost reports are due .
1. 30 days at the end of the calendar year
2. 60 days after the end of the fiscal year’
3. 90 days after the end of the fiscal year
4. April 15 of each year
3
158
Nationally, the monitoring and enforcement of ANSI standards is the responsibility of .
1. EEOC
2. OBRA
3. Life Safety Code
4. An agency within the state
4
159
All deaths related to a medical device must be reported to the .
1. Food and Drug Administration
2. American National Standards Institute
3. OSHA
4. CMS
1
160
The travel distance between a class B and C fire extinguishers cannot be more than .
1. 50 feet
2. 75 feet
3. 100 feet
4. 150 feet
1
161
The National Fire Protection Association does not .
1. Publish codes
2. Provide research
3. Establish standards
4. Enforce life safety codes
4
162
Per OSHA, the color of an oxygen tank is .
1. Red
2. Green
3. White
4. Blue
2
163
Policies and plans guide and channel thinking and they must .
1. Be specific and authoritative
2. Allow flexibility in decision making
3. Outline step by step how tasks are to be performed
4. Pinpoint costs for a project before started
2
164
Per the Hazardous Communication Program, ____ is not required on all hazardous container
labels.
1. An appropriate warning
2. The identity of the product
3. The antidote to use if consumed
4. The name and address of the manufacturer
3
165
Which of the following must be on the resident trust fund surety bond?
1. Resident and the State
2. The resident and the facility
3. The facility
4. The residents
1
166
What is egress?
The action of going out or leaving a place
