Study Guide 7

Question 1

When a change in a resident’s condition is significant, the facility must assess the resident’s
physical or mental condition within _ days of identifying a significant change.
1. 7
2. 10
3. 14
4. 21

Answer 1

3

Question 2

A facility must maintain months of assessments in a resident’s active medical chart.
1 6 months
2 12 months
3 15 months
4 18 months

Answer 2

3

Question 3

Within days of completing an assessment, the facility must electronically transmit the
assessment data to the state.
1. 7
2. 10
3. 14
4. 21

Answer 3

1

Question 4

A negligent or civil wrong is called a .
1. Subpoena
2. Tort
3. Indictment
4. Judgment

Answer 4

2

Question 5

Protecting residents and staff from accidental or inadvertent electrical discharge from electrical outlets
and devices is the purpose of the .
1. Hazard Communication Standard
2. Blood Borne Pathogen Program
3. Lock Out/Tag Out
4. Life Safety Code

Answer 5

3

Question 6

would cover a facility where the nursing staff gives a resident the wrong medication resulting
in injury to the resident.
1. General Liability Insurance
2. Business Interruption Insurance
3. Property and Casualty Insurance
4. Professional Liability Insurance

Answer 6

4

Question 7

Nursing home administrators can .
1. Ask workers if they attend union meetings
2. Attend union meetings
3. Contribute money to a union
4. Express their personal opinion as to the value of a union

Answer 7

4

Question 8

CIO stands for .
1. Congress of Industrial Organizations
2. Consortium of Industrial Organizations
3. Congress of Independent Organizations
4. Consolidated Industrial Organizations

Answer 8

1

Question 9

Residents most at risk for pressure ulcers are usually .
1. Obese
2. Bed or chair ridden
3. On a low sodium diet
4. Ambulatory

Answer 9

2

Question 10

The organization responsible for researching safety protocols to protect workers in the work place from
diseases and occupational hazards is NIOSH. NIOSH stands for .
1. National Institute for Organizational Safety and Health
2. National Institute for Occupational Safety and Health
3. Out of compliance with OBRA 1987
4. Within the grace period

Answer 10

2

Question 11

Planning in-service education for nursing aides would not include .
1. At least 12 hours of in-services per year
2. In-services based on training needs identified in performance reviews
3. Performance reviews every 18 months
4. Providing training on caring for cognitively impaired residents

Answer 11

3

Question 12

Per OBRA 1987, resident medical records must be retained for a minimum of year(s) from
discharge.
1. 1 year
2. 3 years
3. 5 years
4. 7 years

Answer 12

3

Question 13

The is responsible for the day-to-day management of the facility’s nursing program.
1. Governing body
2. Medical Director
3. Director of Nursing
4. Administrator

Answer 13

3

Question 14

CMS stands for .
1. Central Medicaid Services
2. Centers for Medicare and Medicaid Services
3. Center for Medicare Services
4. Center for Medical Services

Answer 14

2

Question 15

HHS stands for .
1. Health and Human Services
2. Human and Health Services
3. Higher Health Services
4. Health Services Administration

Answer 15

1

Question 16

Per OBRA 1987, medical records for minors must be retained for at least year(s) after the individual
reaches legal age.
1. 1 year
2. 3 years
3. 5 years
4. 7 years

Answer 16

2

Question 17

would not be covered by Medicare.
1. Meals
2. Laundry
3. Activities
4. Television

Answer 17

4

Question 18

A public telephone in a nursing facility must _.
1. Be free of charge
2. Have adjustable volume for hearing impaired
3. Be located in resident rooms
4. Be cleaned daily

Answer 18

2

Question 19

The has legal responsibility to adopt and implement facility policies.
1. Medical Director
2. Director of Nursing
3. Governing body
4. Administrator

Answer 19

3

Question 20

PHS stands for .
1. Public Health Service
2. Prescribed Health Service
3. Post Hospitalization Service
4. Pre Hospitalization Service

Answer 20

1

Question 21

A facility would need a minimum of square feet in a semi private room for with 2 residents.
1. 60
2. 80
3. 160
4. 240

Answer 21

3

Question 22

A private room must have a minimum of square feet
1. 60 3. 100
2. 80 4. 120

Answer 22

3

Question 23

is a stage 3 pressure ulcer.
1. Extensive tissue loss down to the bone and muscle
2. Tissue loss of the upper and lower layers of the epidermis
3. A red patch of skin that is warm to the touch
4. A blistering or opening of the upper layer of the skin

Answer 23

2

Question 24

OBRA stands for .
1. Omnibus Budget Reconciliation Act
2. Omnibus Budget Reconstruction Act
3. Oversight and Budget Reconciliation Agency
4. None of the above

Answer 24

1

Question 25

The width required for 2 wheelchairs to pass is . 1. 30 inches 4. 96 inches 2. 60 inches 3. 80 inches

Answer 25

2

Question 26

The automatic smoke and fire detection systems must be connected to each other . 1. Manually 2. Electronically 3. Digitally 4. Remotely

Answer 26

2

Question 27

is not an advantage of doing business as a corporation. 1 Perpetual existence 2 Limited liability 3 The ability to raise capital 4 Unrestricted liability of officers and directors

Answer 27

4

Question 28

Managing only by responding to exceptions is called . 1 Variance analysis 2 Statistical analysis 3 Financial Analysis 4 Analytical management

Answer 28

1

Question 29

When the administrator asks the charge nurse to come to her office, this is an example of . 1 Upward communication 2 Horizontal communication 3 Downward communication 4 Vertical communication

Answer 29

3

Question 30

FICA stands for the . 1. Federal Insurance Contributions Act 2. Federal Income Contributions Act 3. Federal institutional Commitment Act 4. Federal Institutional Consolidation Act

Answer 30

1

Question 31

An unnecessary drug would not include . 1. A drug whose side effects are worse than the condition it is meant to treat 2. A drug whose use is not demonstrated by the resident’s condition 3. A drug which duplicates the actions of another drug being taken by the resident 4. A drug that is administered at optimal stabilization levels

Answer 31

4

Question 32

Gathering information from the community to determine what needed services the facility can offer the community is called a . 1 Market mix 2 Market audit 3 Product line 4 Market implementation

Answer 32

2

Question 33

SMDA requires reporting injuries to the . 1. OSHA and the Dept of Labor 2. FDA and OSHA 3. FDA and the manufacturer 4. EPA and OSHA

Answer 33

3

Question 34

SMDA stands for _. 1. Safe Mechanical Devices Association 2. Safe Medical Devices Association 3. Safe Medical Devices Agency 4. Safe Medical Devices Act

Answer 34

4

Question 35

Per SMDA, an injury must be reported within days. 1. 3 2. 6 3. 10 4. 14

Answer 35

3

Question 36

A nursing aide must have provided nursing related services for compensation at least during the previous months to maintain their certification status. 1. 1 day or 8 hours, 24 months 2. 2 days or 16 hours, 12 months12 3. 3 days or 36 hours, 18 months 4. 7 days or 56 hours, 24 months

Answer 36

1

Question 37

A SNF must have fire drills . 1. Monthly 2. Quarterly 3. Semi annually 4. Annually

Answer 37

2

Question 38

The air temperature in a nursing facility is measured . 1. At floor level 2. Just above the floor 3. At ceiling level 4. Inside the wall

Answer 38

2

Question 39

The comfortable temperature range in a facility is degrees. 1 51-61 3. 71-81 2 61-71 4. 81-91

Answer 39

3

Question 40

An infection that develops inside the facility is called . 1. MRSA 2. Nosocomial 3. Iatrogenic 4. Comorbid

Answer 40

2

Question 41

Per OBRA 1987, the emergency generator does not have to power _ . 1. The emergency lighting system that illuminates all entrances and exits 2. The fire detection and alarm and extinguishment system 3. The life support systems 4. The air Conditioning system

Answer 41

4

Question 42

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

Answer 42

2

Question 43

is not the responsibility of the consultant pharmacist. 1. Reviewing resident drugs monthly for unnecessary drugs 2. Ensuring medication records are in order 3. Destroying expired meds 4. Establishing a system to record receipt and disposition of all drugs

Answer 43

3

Question 44

The most common cause of pressure sores is . 1. Shearing and friction 2. Incontinence 3. Senility 4. Poor nutrition

Answer 44

1

Question 45

The acceptable medication error rate for a facility is % or less. 1. 1% 3, 5% 2. 2% 4. 7%

Answer 45

3

Question 46

A major cause of malnutrition in nursing home residents is . 1. Poor dentition 2. Unhealthy snacks 3. Dehydration 4. Poor cognition

Answer 46

1

Question 47

A full time social worker is required in a facility with . 1. 30 beds 2. 59 beds 3. 61 or more beds 4. 121 or more beds

Answer 47

4

Question 48

A management theory where a manager believes workers like to work and want to do a good job is called . 1. Theory W 2. Theory X 3. Theory Y 4. Theory Z

Answer 48

3

Question 49

A management theory where a manager believes workers do not like to work and are lazy is called . 1. Theory W 2. Theory X 3. Theory Y 4. Theory Z

Answer 49

2

Question 50

states that employee morale is affected by negative perception of the care provided by a facility and employees are less comfortable working there. 1. Theory W 2. Theory X 3. Theory Y 4. Theory Z

Answer 50

4

Question 51

Communication occurs when . 1. A message is transmitted from one individual to another 2. A message is transmitted by one person and received by another 3. A message is transmitted by one person and received and decoded by another person 4. A message is transmitted by one person and received and decoded and understood by another person

Answer 51

4

Question 52

The Americans with Disabilities Act construction standards are enforced by . 1. NFPA 2. ANSI 3. Architecture and Transportation Barriers Compliance Board 4. EEOC

Answer 52

3

Question 53

The Americans with Disabilities Act construction standards were developed by . 1. NFPA 2. ANSI 3. Architecture and Transportation Barriers Compliance Board 4. EEOC

Answer 53

2

Question 54

A Medicaid resident receiving $1500 a month in Social Security pension is within _ of losing their Medicaid eligibility. 1. $200 2. $360 3. $420 4. $500

Answer 54

2

Question 55

provides research and recommendations to OSHA regarding workplace safety. 1. NFPA 2. ANSI 3. NIOSH 4. DHHS

Answer 55

3

Question 56

The federal government matches state Medicaid expenditures ranging from . 1. 50% to 83% 2. 50% to 95% 3. 40% to 60% 4. 25% to 45%

Answer 56

1

Question 57

fire extinguishers would be used for fires from burning paper, lumber, cardboard and plastics. 1. Class A 2. Class B 3 Class C 4. Class D

Answer 57

1

Question 58

fire extinguishers would be used for metals such as magnesium and titanium. 1. Class A 2. Class B 3 Class C 4. Class D

Answer 58

4

Question 59

fire extinguishers would be used for electrical appliances, outlets, power tools. 1. Class A 2. Class B 3 Class C 4. Class D

Answer 59

3

Question 60

fire extinguishers would be used for combustible or flammable liquids such as kerosene, and gasoline 1. Class A 2. Class B 3 Class C 4. Class D

Answer 60

2

Question 61

A court appointed guardian is also called a . 1. Testator 2. Solicitor 3. Conservator 4. Proxy

Answer 61

3

Question 62

The main reason for informing a resident and any roommate(s) of a room change in advance is because . 1. Residents need time to pack 2. A room change could result in an avoidable decline in physical, mental and psychosocial well being 3. Residents have the right to appeal room changes to the ombudsman 4. The resident’s attending physician must be notified in advance

Answer 62

2

Question 63

Allegations of Medicare fraud would be reported to the . 1 CMS 2. OIG 3. HCFA 4. State licensing agency

Answer 63

2

Question 64

Maintaining a record of incidents and corrective actions regarding infections is assigned to the . 1. Infection control program 2. Medial director 3. Quality control program 4. Administrator

Answer 64

1

Question 65

What is the average daily occupancy rate for June for a facility with a total of 3000 resident days for the month? 1. 85 2. 95 3. 100 4. 110

Answer 65

3

Question 66

A facility is cited for F371 H during an annual survey. The facility was cited for scope and severity of ? 1. No Harm – No Potential for Harm – Patterned 2. No Harm – But Potential for Harm – Isolated 3. Actual Harm – Immediate Jeopardy – Patterned 4. Actual Harm – Not Immediate Jeopardy – Patterned

Answer 66

4

Question 67

Clear width for a wheelchair is inches wide. 1. 24 2. 30 3. 36 4. 44

Answer 67

3

Question 68

An individual who was determined to lack capacity to make decisions for themselves was reassessed and determined to have capacity or has regained capacity. Who would now be able to make decisions for the resident? 1. A guardian 2. A power of attorney 3. A proxy 4. A durable power of attorney 5. A designated health care surrogate 6. The resident can make decisions for themselves 7. A spouse or sibling

Answer 68

6

Question 69

The percentage of weight loss is calculated as . 1. Weight loss – usual weight divided by usual weight x 100 2. Usual weight – actual weight divided by usual weight x 100 3. Actual Weight – usual weight divided by usual weight x 100 4. Ideal Weight – usual weight divided by usual weight x 100

Answer 69

2

Question 70

Which of the following is the definition of a sentinel event? 1. An event in which the resident’s physician must be notified 2. An event that presents serious injury or death 3. An event which requires nursing staff to closely monitor a resident for a minimum of 48 hours 4. All of the above

Answer 70

4

Question 71

The activities department must be open days a week? 1. 3 2. 5 3. 6 4. 7

Answer 71

4

Question 72

Aside from the required annual standard survey, which of the following conditions would not trigger an abbreviated standard survey? 1. Change of ownership 2. Change of Medical Director 3. Change of Administrator 4. Change of Director of Nursing 5. Change of Management

Answer 72

2

Question 73

What must the surveyors hand the administrator in the entrance conference? 1. The Form 2567 2. A list of all deficiencies identified by the team 3. A copy of the long term care ombudsman’s report of investigations 4. A copy of the facility QM/QI and the OSCAR 3 and 4 reports to give the facility an opportunity to explain any discrepancies before the sample selection list if finalized

Answer 73

4

Question 74

True or False - A surveyor can request access to a resident in the middle of the night. 1. True 2. False

Answer 74

1

Question 75

Nursing homes must follow the Life Safety Code of which year? 1. 1995 2. 2000 3. 2012 4. 2015

Answer 75

3

Question 76

The MSDS is now called which of the following? 1. DMS 2. MDS 3. SDS 4. OSHA form 900

Answer 76

3

Question 77

The RAI (resident assessment instrument) is now called called what? 1. Resident Assessment Protocols 2. Care Assessment Protocols 3. Care Area Assessment 4. Care Assessment Protocols

Answer 77

3

Question 78

What are the triggers called in the assessment done in question 77 above? 1. Resident Assessment Triggers 2. Care Area Triggers 3. Clinical Assessment Triggers 4. Resident Assessment Triggers

Answer 78

2

Question 79

How many triggers are there in question 78 above? 1. 10 2. 15 3. 18 4. 20 5. 25

Answer 79

4

Question 80

Under new CMS regulations, nursing homes are now required to integrate actual payroll and census data into required reporting to the CMS. What is this system called? 1. Payroll Based Reporting 2. Payroll Based Journal 3. Minimum Data Set 4. Payroll Data Reports

Answer 80

2

Question 81

The payroll information in question 80 above must be submitted to the CMS how often? 1. Weekly 2. Monthly 3. Quarterly 4. Semi-annually

Answer 81

3

Question 82

Individuals, corporations, the surrounding community or governmental entities who are directly affected by the actions taken by a business are known as 1. Shareholders 2. Stakeholders 3. Investors 4. Regulators

Answer 82

2

Question 83

Employees, residents, family members and corporate managers or owners are called . 1. Internal shareholders 2. internal Investors 3. Internal regulators 4. Internal stakeholders

Answer 83

4

Question 84

Hospital case managers, referring physicians, the surrounding community, and state surveyors called . 1. External shareholders 2. External Investors 3. External regulators 4. External stakeholders

Answer 84

4

Question 85

The acceptable medication error rate is . 1. Below 5% 2. 5% 3. 5% or above 4. Determined by facility policy with approval of the Department of Health

Answer 85

1

Question 86

No more than hours can pass between dinner and breakfast 1. 10 hours 2. 12 hours 3. 14 hours 4. 16 hours

Answer 86

3

Question 87

No more than hours can pass between dinner and breakfast if residents have a snack 1. 10 hours 2. 12 hours 3. 14 hours 4. 16 hours

Answer 87

4

Question 88

A facility can extend the time between meals to the time specified in question 87 above if it is approved by which of the following? 1. The governing body 2. The state health department 3. The administrator 4. The medical director 5. A resident group 6. The local long term care ombudsman

Answer 88

5

Question 89

The facility must do a pain assessment for each resident how often? 1. Daily 2. Weekly 3. Monthly 4. Quarterly

Answer 89

4

Question 90

anagement by Walking Around (MBWA) is now called 1. Leading by Walking Around (LBWA) 2. Leadership by Objectives (LBO) 3. Management By Example (MBE) 4. Leadership by Walking Around (LBWA)

Answer 90

4

Question 91

Which of the following requires using the latest technology and safest syringes to avoid needle sticks? 1. Needle-Stick Prevention Act 2. The OHSA Duty Clause 3. Lockout/Tagout 4. Safety Medical Devices Act

Answer 91

1

Question 92

What do we call face masks, gloves and gowns that must be used by staff in a nursing home? 1. Protective equipment (PE) 2. Personal Protective Equipment (PPE) 3. Personal Safety Equipment (PSE) 4. Personal Safety Measures (PSM)

Answer 92

2

Question 93

An ulcer that forms on the extremities due to peripheral vascular disease or venous insufficiency and not by direct pressure is called a 1. Pressure ulcer 2. Decubitus sore 3. Gastric ulcer 4. Stasis ulcer

Answer 93

4

Question 94

A resident in restraints must be released from their restraints for how many minutes? 1. 10 2. 30 3. 60 4. 120

Answer 94

1

Question 95

The facility must provide surveyors a copy of Form 802 - Roster and Sample Matrix within what time- frame when requested by the surveyors in the entrance conference? 1. 1 hour 2. 8 hours 3. 24 hours 4. 48 hours

Answer 95

1

Question 96

The facility must provide surveyors a copy of Form 672 - Census and Conditions of Residents within what time-frame when requested by the surveyors in the entrance conference? 1. 1 hour 2. 8 hours 3. 24 hours 4. 48 hours

Answer 96

1

Question 97

The facility must provide surveyors a copy of Form 671 - Application for Long Term Care Facility Medicaid and Medicare Certification within what time-frame when requested by the surveyors in the entrance conference? 1. 1 hour 2. 8 hours 3. 24 hours 4. 48 hours

Answer 97

1

Question 98

he facility must provide surveyors a list of all residents admitted within the last 30 days within what time- frame when requested by the surveyors in the entrance conference? 1. 1 hour 2. 8 hours 3. 24 hours 4. 48 hours

Answer 98

1

Question 99

The facility must provide surveyors a list of all residents receiving anti-psychotic medications within what time-frame when requested by the surveyors in the entrance conference? 1. 1 hour 2. 8 hours 3. 24 hours 4. 48 hours

Answer 99

1

Question 100

The facility must provide surveyors a list of all residents who requested Medicare Demand Notices in the last 6 months within what time-frame when requested by the surveyors in the entrance conference? 1. 1 hour 2. 8 hours 3. 24 hours 4. 48 hours

Answer 100

1