National Exam Supplemental Information – Part 1 of 10 · Web view10 What do the initials CVA stand for? 11 What is a CVA? (i.e., heart attack, end stage renal failure or a stroke)

NURSING HOME ADMINISTRATOR LICENSUREEXAM REVIEW COURSE

National Exam ◘ MODULE 8

referencsection

Final Comprehensive Test

Examination Answer Key

Answer Sheet

Stan Mucinic, LNHA

Final Exam Copyright © 2005-2012 by Stan Mucinic. All rights reserved. 1 of 36

LEGAL NOTICESLEGAL NOTICES

Students enrolled in the “National Nursing Home Administrator Licensing Course” are purchasing the professional knowledge of the instructor to assist the student to prepare for the national licensure exam administered by the National Association of Boards of Examiners (NAB).

This is a 5-week intensive independent study program designed to provide students a unique personalized and structured learning environment where progress is monitored by the instructor through email to help students maintain focus and complete scheduled assignments timely.

THE INSTRUCTOR MAKES NO EXPRESS OR IMPLIED WARRANTY OR REPRESENTATION OF ANY KIND THAT COMPLETION OF THIS OR ANY LICENSURE PREPARATION COURSE OFFERED BY INSTRUCTOR WILL GUARANTEE A PASSING SCORE ON ANY LICENSING EXAM. An individual’s ultimate success in passing the licensure exam is dependent on an individual’s professional experience, academic preparation, and the time and energy the individual can commit to exam study and preparation.

A student’s work schedule or other commitments may require more time to prepare for an exam than allotted. The student is solely responsible for licensing exam registration/testing and retesting fees.

Contact InformationYou may contact Stan Mucinic by email at [email protected] with any questions.


Final Comprehensive Exam

*Please use the blank answer sheet provided to record your answers)

1 The decibel range for a hearing aide compatible telephone is between ___ and ___ decibels

2 What are the main symptoms of Tardives dyskinesia?

3 What do the initials COPD stand for?

4 What do the initials CHF stand for?

5 What is blockage of the arteries called?

6 What is hardening of the artery walls called?

7 What do the initials TIA stand for?

8 What is a TIA? (i.e., heart attack, end stage renal failure or a stroke)

9 What do the initials EKG stand for?

10 What do the initials CVA stand for?

11 What is a CVA? (i.e., heart attack, end stage renal failure or a stroke)

12 What is a physiatrist?

13 Per OBRA 1987, does a resident have the right to a bath?

14 Per OBRA 1987, does a resident have the right to a shower?

15 What is gerontology?

16 What is a gerontologist?

17 Describe the 4 stages of a decubitis sore?

18 Explain what a severity of Level 1, Class 2, Class 3 and Class 4 deficiency is per OBRA 1987?

19 Which of the letters between A-L would indicate the existence of substandard care?

20 What is a myocardial infarct?

21 What is the first stage of the annual survey?


22 Which stage is where the survey team sits down with staff and discloses the results of the annual survey

23 Which stage of the annual survey involves the team leader sitting down with the facility staff and discuss the survey about to take place and what records they will need to see

24 Which stage of the survey involves the survey team walking around the facility and identifying the layout of the facility

25 Which phase of the survey involves the survey team identifying which people they want to talk to and records they want to review

26 Which phase of the survey involves identifying which deficiencies, if any, the facility will cited for

27 Which phase of the survey involves the survey team observing residents and staff, taking notes, interviewing the resident council and other residents

28 What is the correct order of the steps of an annual survey

29 Within how many days of the survey team exiting a facility and completing a survey must the facility receive a report of the results of compliance survey?

30 Within how many days must a facility submits a plan of correction in response to any alleged deficiencies?

31 When is your date certain for re-survey ( the earliest the survey team can return to verify the facility corrected all cited deficiencies

32 What is the number of the form that you will receive detailing any deficiencies found during an annual or complaint survey?

33 You have how many days to file a request for administrative hearing to dispute a citation?

34 What is an IDR?

35 What is a FDR?

36 What does OSCAR stand for?

37 Which entity created OSCAR and what is the purpose of this database?

38 Which 3 reports does a survey team pull off OSCAR before entering a facility to do an annual survey or complaint survey?

39 Which survey type is the annual survey?

40 Which survey type a complaint survey?

41 Which survey type will you have if the surveyors find substandard care during an annual survey?


42 Which survey type with you be subject to if the surveyors find substandard care during a complaint survey?

43 Which survey type is used to verify a facility corrected any cited deficiencies?

44 What is a psychiatrist?

45 What is an MDS?

46 What is the purpose of the MDS?

47 What is the standard of care a facility must provide each resident per OBRA 1987?

48 What is the standard you must provide residents with respect to the facility environment per OBRA 1987?

49 What is type 1 Diabetes and what treatment is required?

50 What is type 2 diabetes and what treatment is required?

51 What does CMS stand for?

52 How often must a facility be surveyed?

53 What is a class 1 deficiency?




57 A class A fire extinguisher would be used to put out a ___ fire?

58 A class B fire extinguisher would be used to put out a ___ fire?

59 A class C fire extinguisher would be used to put out a ___ fire?

60 A class D fire extinguisher would be used to put out a ___ fire?

61 An MDS must be signed by a _______?

62 A care plan must be signed by a _______?

63 A comprehensive assessment must be completed within ___ days of admission to a facility?

64 A care plan must be completed within ___ days of the completion of the MDS?


65 A significant change must be processed within ____ days?

66 A comprehensive assessment must be reviewed every ____ and completely updated ____.

67 A comprehensive care plan must be reviewed every ____ and completely updated ____.

68 What does HCFA stand for?

69 What does the HCFA do?

70 What does OIG stand for?

71 What does the OIG do?

72 Which national organization represents health care administrators?

73 Which national organization represents for profit nursing homes?

74 Which national organization represents non-profit long term care facilities?

75 What does DHHS stand for and what does the DHHS do?

76 Which organization provides research to OSHA?

77 What does OSHA stand for?

78 What does OSHA do?

79 Who enforces OSHA?

80 Which organization sets the standards for the Americans with Disabilities Act?

81 Which organization develops and publishes the life safety code?

82 Which life safety code do we follow?

83 What is the purpose of the life safety code?

84 The Civil Rights Act of 1964 prohibits discrimination on the basis of _____, ______, _____, _____ and ______.

85 Which entity enforces the Civil Rights Act?

86 Which entity enforces the provisions of the Americans with Disabilities Act with respect to discrimination in employment based on physical disabilities?

87 Which federal law prohibits discrimination against workers 40 years and older?

88 How many employees does an employer need to have to be subject to the federal law Final Exam Copyright © 2005-2012 by Stan Mucinic. All rights reserved. 6 of 36

identified in question 87 above?

89 Which entity enforces the Equal Employment Opportunity Act?

90 What is the standard we use today to determine if discrimination in hiring employees has occurred per the EEOA?

91 If I hire 10 white people (the majority group), then how many minority people do I have to hire per EEOA?

92 If I need to hire additional minorities because I did not meet the minimum required by the EEOA, this is called ____ hiring.

93 What does NFPA stand for?

94 What does the NFPA do?

95 What does ANSI stand for?

96 What does ANSI do?

97 Which entity enforces the Life Safety Code?

98 Which entity enforces the ADA with respect to access to public buildings by the handicapped?

99 Which entity enforces the Discrimination in Pregnancy Act?

100 What is the main objective of the Equal Pay Act?

101 What is “Plegia”?

102 What is Paraplegia?

103 What is quadriplegia?

104 What is Hemiplegia?

105 What does FMLA stand for?

106 How long do you have to work for an employer to be eligible for FMLA?

107 How many compensatory hours can you accrue each year?

108 True or False – the employer must provide an employee paid leave while on FMLA?

109 True or False – the employer is not required to pay for health insurance premiums while an employee is on FMLA?


110 True or False – If an employee worked 11 months and 1300 hours they would not be entitled to FMLA because they need to work 12 months to qualify?

111 The administrator of a facility is considered ________ and may not be entitled to paid overtime pay?

112 An exempt employee would or would not be entitled to over time pay?

113 An employee who punches in on a time clock is considered _______ for purposes of over time pay?

114 A salaried employee would or would not be entitled to overtime pay?

115 An hourly employee is or is not an overtime exempt employee?

116 What is Respondeat Superior?

117 What is the federal employer liability Act?

118 Which entity licenses nursing homes?

119 Which entity certifies nursing homes for Medicaid and Medicare

120 If a facility is subject to a federal survey, which type of tag would they receive? (F or N or K tag)

121 If a facility is subject only to a state survey which type of tag would they receive? (F or N or K tag)

122 If a facility had any life safety violations, which type of tag would they receive? (F or N or K tag)

123 Which federal agency administers Medicare and Medicaid contracts?

124 What do we mean by substandard care?

125 How often do business file business taxes?

126 Which tax form do businesses use to file FICA and workers compensation taxes?

127 Which tax form do employers provide employees at the end of year that is a statement of their wages and taxes paid?

128 Which tax form do you fill out to declare your tax individual exemptions?

129 Which law requires workers to complete an I-9?

130 How many days does the I-9 need to be completed from the date of hire?

131 Which federal law requires employers to pay their employees a minimum federal wage?Final Exam Copyright © 2005-2012 by Stan Mucinic. All rights reserved. 8 of 36

132 What does SMDA stand for?

133 How many days do you have to report any injuries from a medical device?

134 Who do you report injuries to related to any medical device?

135 What is the difference between a power of attorney and a durable power of attorney?

136 If a person were declared not competent to make their own decisions by a court, who would make decisions for that individual?

137 What is a living will?

138 What does the PSDA stand for?

139 What does the PSDA require a facility to do?

140 How many years do you have to keep the OSHA medical records?

141 You must enter all injuries into the OSHA summary log of occupational injuries and illnesses with in how many days?

142 Which types of injuries must be reported to OSHA?

143 How do you report injuries to OSHA?

144 How many employees do you need to be subject to the OSHA injury reporting requirement?

145 Who requires a safety committee?

146 How often must the safety committee meet?

147 How often must the quality assurance committee per OBRA 1987

148 Who requires nursing home staff to use universal precautions?

149 What is the difference between universal precautions and standard precautions?

150 What does the OSHA Bloodborne Pathogen Program require an employer to do?

151 What is the focus of the OSHA Hazard communication standard?

152 What do we mean by an “employee’s right to know”?

153 True or False – OSHA requires employees to have a physical exam?

154 If 153 is true, what physical exam does OSHA require employees to have post hire but before they work with any residents?


155 How often do workers have to have a physical exam?

156 What is the OSHA general duty clause?

157 If 3 or more workers are hospitalized or killed, how must you notify OSHA and within what timeframe? How long do you have?

158 What does HIPAA stand for?

159 What did HIPAA require when first passed?

160 Which federal labor law required employers to bargain collectively with unions?

161 Which federal law prohibited federal courts from issuing an order preventing unions from striking?

162 Which federal law created the National Labor Relations Board?

163 A union must give employers ____ days notice before they can strike

164 Must provide ____ days notice of an intent to change an existing union contract.

165 Employers must provide employees training in any changes in OSHA laws within ____ days

166 A nursing home may can only have ___ bargaining units.

167 The _____ must approve any bargaining unit

168 The nursing home bargaining units may only represent which employees?

169 The president may halt a union strike for how many days?

170 What is the only thing an employer or manager may tell workers about the benefits of a union?

171 What is a mission statement?

172 Which document is the governance of a corporation?

173 Which document is filed with the state to form a corporation?

174 Which document details the name of a corporation, the officers and directors, the number and amount of stock to be issued, and how the corporation will be run?

175 Who has ultimate legal responsibility for the operation of a nursing home?

176 Who has responsibility for the day-to-day operation of a nursing home?


177 Who must supervise union elections?

178 Who must make the critical decisions for a nursing home?

179 Who must approve the budget for a nursing home?

180 Who must implement facility policies in a nursing home?

181 Who must develop the mission statement for a nursing home?

182 What question or questions can you ask a job applicant about their prior criminal background?

183 What questions can you ask a job applicant about their health?

184 Who must determine if a job applicant requires special accommodation under the ADA?

185 Use the following scenario to answer questions 186 - 190

John Smith was newly hired by ABC nursing home today. John came from another nursing home where he participated in the company’s major medical plan. John’s new health insurance plan with his new employer will become effective in 90 days. John has a serious heart condition and is worried about having continuous coverage to pay for his expensive monthly health bills

186 Under HIPAA, can the new insurance company preclude coverage for John’s heart condition, which is a pre-existing condition, and if so, for how long?

187 How could John secure insurance coverage for his medical expenses during his 90 day probationary period and during any period of time coverage would be excluded under his new policy?

188 Under what circumstances would John be covered from day 1 by his new insurance plan without any exclusionary period?

189 What is the minimum time John would be entitled to COBRA?

190 What is purpose for the COBRA and how would it help your employees if you had to counsel them upon termination of their employment and insurance benefits?

191 What is a facility policy?

192 Why do we have policies for everything we do in a nursing home?

193 What is a procedure?

194 If a resident was harmed because a nurse gave the resident the wrong medication, which insurance policy would cover you?

195 If an employee damages the facility van resulting in costly repairs, which insurance policy Final Exam Copyright © 2005-2012 by Stan Mucinic. All rights reserved. 11 of 36

would cover you?

196 If a nursing aide punches a visiting family member, causing serious injury, which insurance policy will cover you?

197 If a wind storm blows the roof off the facility, which insurance policy would cover you?

198 An electric power transformer blows up down the block, and your facility loses power for a week and you lose $100,000 in income. Which insurance policy would cover you?

199 Some one breaks into the facility safe and steals $1000. Which insurance policy will cover you?

200 The CEO is sued by shareholders for mismanaging the company and losing money. Which policy will cover you?

201 How many fire drills do you need per year?

202 The emergency generator must switch on within _______ if there is a loss of power

203 It cannot take more than ____ lbs of pressure to operate a faucet?

204 It cannot take more than ____ lbs of pressure to operate a water fountain?

205 It cannot take more than ____ lbs of pressure to flush a toilet?

206 A railing or grab bar must support a minimum of _____ lbs?

207 A telephone cord must be minimum of _____ inches long?

208 You must have _____ days of emergency food

209 Must prepare the menu _____ days in advance

210 Must keep the menu _____ days

211 What information is recorded on the OSHA Summary Log of Injuries?

212 What information is recorded on the OSHA Supplemental Log?

213 When do you have to post the OSHA year end summary?

214 What information is on the OSHA year end summary?

215 What does MSDS stand for?

216 What is Hepatitis?

217 What is Arthritis


218 What is Nephritis

219 Who must approve resident care policies?

220 How often must all facility policies be reviewed?

221 Who must attend the quality assurance committee meeting?

222 What is respondent superior?

223 A window sill cannot be higher than ____ inches

224 The livable space in a resident room would not include?

225 A semi private room must have a minimum of ____ square feet of living space per person?

226 A private room must have a minimum of ____ square feet?

227 High forward reach from a wheel chair is ____ inches?

228 Side reach from a wheel chair is ____ inches?

229 Toe clearance is _____ inches?

230 Knee clearance is ____ inches?

231 What are the requirements for a closet in a resident room?

232 What furniture are you required to provide residents in the resident bedroom per OBRA 1987

233 What is the temperature of the final rinse cycle of a hot water dishwasher?

234 What is in each compartment of a 3 compartment sink?

235 Must have a wheelchair passing lane every ____ feet?

236 Two wheelchairs require ___ inches to pass?

237 A wheelchair is ____ inches wide?

238 The width of the bathroom door in a resident bedroom is a minimum of ___ inches wide?

239 A door on the fire exit corridor must be ____ inches thick with a ____ core and ____ minutes of fire rating

240 Lighting of the means of egress must be continuous with exit floor surfaces illuminated at the level of ____ foot candle light from the _____.

241 Every facility must be divided into a minimum of ___ smoke compartments Final Exam Copyright © 2005-2012 by Stan Mucinic. All rights reserved. 13 of 36

242 Fire exists must be located ____ from each other

243 A fire exit corridor (hallway) cannot be longer than ____ feet

244 The distance from inside a resident room to the fire exit corridor (hallway) cannot exceed ____ feet

245 The distance from inside a resident’s room to the outside fire exit cannot exceed ___ feet

246 The emergency electrical generator must be inspected ______.

247 The emergency generator must be tested under full load for ____ minutes every ____

248 Food must be stored _____ inches off the floor

249 Cannot store any object above ____ inches from the ceiling

250 Must keep the resident contract for ___ years

251 Must keep the resident chart for _____ years

252 The resident chart belongs to the ______.

253 Must make records available for inspection within ___ hours of request by a resident

254 Must provide copies of a resident’s records within ___ hours of request

255 What can you specifically charge a resident when providing photocopies of their records

256 Can you charge a resident for the time to locate records?

257 Can you charge a resident a per page photocopy charge?

258 Can you charge a resident for the time to locate records?

259 Can you charge for the time to type a bill?

260 Air temperature is measured from the ____?

261 Per OBRA 1987, the comfortable air temperature range in a facility is between ____ and ___ degrees?

262 A handrail on a staircase must extend ____ inches beyond the bottom and top step?

263 The landing on a stair case must be a minimum of ____ square inches?

264 A hallway or ramp must have a minimum width of ___ feet wide?

265 A carpet cannot have a pile higher than ____ inches?


266 True or False – you can use extension cords in a facility?

267 What does R-A-C-E stand for?

268 How often must your emergency plan be approved and by whom?

269 Who must approve your fire plan and how often?

270 True or false – must have glass panels in the double doors of a fire compartment?

271 True or false – the double doors of a fire compartment must both swing in the same direction?

272 True or false – the walls of a smoke compartment have a fire rating of 1 hour?

273 Must have battery power to power the emergency lighting for _____ hours?

274 The width of an interior staircase must be a minimum of ____ inches?

275 How is the fire alarm activated (automatically, electronically or manually)?

276 The fire exit door swings inward or outward?

277 The door that leads from a resident room to the main hallway must be a minimum of ___ inches wide?

278 True or False – the window in a resident’s room must open?

279 An incline or slope of more than ½ inch requires ______?

280 An incline or slope of less than ½ inch requires ______?

281 A semi private room with 4 residents would require ____ square feet?

282 Every resident should have a physical exam at least _____?

283 A sidewalk must be a minimum of ____ feet wide?

284 Skilled therapy that focuses on the lower body and strengthening weight bearing muscles is called _______?

285 Which therapists are concerned with the upper body and ADL’s?

286 Which therapists evaluate residents for speech and swallowing problems?

287 Who can prescribe skilled therapy?

288 Who can dispense medication?

289 The maximum number of residents you can have in a resident bedroom is ____ people?


290 Which therapy uses heating pads?

291 Name three types of liquid thickeners?

292 What is a therapeutic diet?

293 Who can prescribe a therapeutic diet?

294 What are examples of a therapeutic diet?

295 How many hours can pass from the evening meal till breakfast without a snack?

296 How many hours can pass from the evening meal till breakfast with a snack?

297 Who must prepare the menu?

298 What does palatable mean?

299 What are examples of mechanically altered food?

300 Name 3 ways food can be prepared or stored that destroys its nutritive value?

301 The CEO is sued by shareholders for mismanaging the company and losing money. Which insurance policy will cover you?

302 Physical restraints are checked every ______ and removed every _____ for ____ hour(s)

303 The loss of urine and bowel control is called ________.

304 When urine is accidently released when an individual sneezes or laughs, this is called __________.

305 Minimum daily nursing hours are set by _______

306 Infections residents develop after an individual is admitted to a facility is called ______.

307 Nursing home placement causes anxiety because of ___________

308 A _____ would exercise the rights of a person declared incompetent by a court

309 A resident _____ be required to sign an advance directive as a condition of admission

310 An attending physician must visit residents every ____ days for the first 3 months (90 days) and then ________ thereafter

311 The facility must make dental services available. The _____ is responsible to pay for such services

312 An Otologist deals with _______

313 What kind of activities should residents be encouraged to participate in and offered?Final Exam Copyright © 2005-2012 by Stan Mucinic. All rights reserved. 16 of 36

314 Activities should focus on _______

315 Reality orientation involves ______________

316 Assessment of a resident’s condition produces a description of their _____ status

317 _______ provides pain relief

318 Outdated, deteriorated or discontinued drugs may or may not stored in the drug room

319 Ambulate means to _________

320 Listening intently, connecting with the speaker and acknowledging you hear their concerns is called ________.

321 The most effective form of communication is _____

322 The most you can earn each month and still be eligible for Medicaid is ______.

323 A court order to deduct monies from a worker’s paycheck to repay a debt is called a ___________

324 The main function of personnel management is ______

325 Referrals from ______ is best source for new hires

326 Solid lines show _____ on an organizational chart

327 Department managers have _____authority.

328 A charge nurse has ______ authority

329 ______ depreciation depreciates evenly over a set period of years

330 True of false - the medical director has line authority

331 The DON is responsible to supervise the ______

332 The medical director coordinates the _______in the facility

333 The _____ can act in the place of an attending physician in an emergency

334 The ______ is responsible to ensure resident rights are respected

335 Overtime is required by the ___________

336 Vacation, sick leave are required by law or provided at the employers discretion?

337 Personnel policies are found in the ______


338 Which accident accounts for most resident injuries?

339 _______ depreciation claims most depreciation deduction in the first years of an assets life

340 Assets appear on which financial statement_____

341 Expenses appear on which financial statement ______

342 Liabilities appear on which financial statement _______

343 How do you calculate working capital?

344 What is the accounting equation?

345 What is your business plan?

346 _____ inventory keeps count of inventory supplies throughout the year

346A ______ is where the inventory is only counted once a year

347 _____ is first in and first out – older inventory used first

348 _____ is last in and first out – newer inventory is used first

349 Current ratio is calculated by ________

350 When your assets are able to meet your current liabilities this is called ______

351 What is FUTA?

352 How often is the balance sheet prepared?

353 What document summarizes the assets, liabilities and capital (or net worth or equity) on a certain date?

354 If you wanted to know how much your business was worth you would look at the ______

355 Annual audits are done by _______ and are necessary to verify the information in financial statements

356 An effective maintenance program emphasizes _____________

357 Work orders must include ____, ____and _____.

358 The maintenance cost of aging capital equipment justifies replacement in ___ years

359 Must close doors in a fire to contain ______

360 Facilities are constructed of ______ materials

361 The terms “lock out and tag out” refer to _________Final Exam Copyright © 2005-2012 by Stan Mucinic. All rights reserved. 18 of 36

362 Pest control programs can or cannot use open traps, sticky fly paper or poison bait

363 MSDS material sheets are required by _____

364 Under respondent superior, is the employer or the employee liable for wrongful acts by the employee to third parties (residents and visitors)

365 Where oxygen is in use in a room you are required to ______as required by rule not law

366 Where would you correct a mistake made in the journals?

367 Preparing for future eventualities and uncertainties is called ______

368 Rookie managers make the mistake of _________

369 What are general statements that guide thinking?

370 What is the most effective way for an administrator to verify what is actually going on in a facility?

371 What is MBWA?

372 The ombudsman program is funded by the _____________

373 Where would you record prepaid expenses?

374 Which form of therapy uses the environment as treatment?

375 True or false - Seniors lose interest in intimacy and sex as they age

376 State survey process is _____based

377 Attracting customers to buy the facility’s services and fill empty beds is called _____.

378 Managing communication between the facility and the public and managing the facility’s image is called ______

379 _____ is the least effective way to market a facility

380 _____ is the most effective way to market a facility

381 True or False - A facility is unable to manage a resident with AIDS and must not admit a resident with that diagnosis or discharge if a current resident

382 Name the 5 legal reasons to involuntarily discharge a resident against their will?

383 If a resident is given an anti-psychotic, the physician must document _______ in the chart per OBRA 1987


384 Name 2 revenue centers in a nursing home

385 Name 3 expense centers in a nursing home

386 CARF stands for the _________

387 Must monitor physical restraints every ____ minutes

388 DON can serve as a charge nurse with ______ beds

389 True or false – the administrator must implement all recommendations of the Resident council

390 How soon should supplies just delivered to the facility be secured behind locked doors?

391 When supplies are delivered to a facility, what is the correct procedure to verify the items delivered?

392 Carcinoma is _____

393 A doctor involved with identifying diseases is a ________

394 Who is responsible to implement resident care policies in a SNF?

395 Physicians must write, date and sign progress notes at _____

396 True or False - A facility may but is not required to have a transfer agreement with one or more hospitals approved for participation under Medicare and Medicaid

397 Under OBRA, the quality improvement committee must meet at least _____

398 Significant weight loss for 1 month is _____ percent

399 Significant weight loss for 3 months is __ percent

400 Significant weight loss for 6 months is __ percent

401 The maximum in assets in you can have and qualify for Medicaid is $_______

402 Care plans address activities appropriate for each resident based on the ______

403 Main job of the activity director is to ___________

404 What three things must the facility written fire plan address?

405 _____ mandates that the governing body approve all facility policies

406 Requests by a resident to see their medical records can be submitted _____

407 Topical drugs are for ______ use


408 Drugs should be administered _______ after they are prepared

409 STAT means _______

410 The sum of all activities to create desired changes in quality care is the definition of _____.

411 Who is responsible to ensure drug records are in order and accounted for?

412 Who must store and record drugs self administered by residents?

413 Residents have the right to self administer drugs if approved by the ________

414 If a medication has a stop order – when must the nurse notify the physician?

415 Must offer therapeutic activities based on a resident’s _____

416 Management by walking around would not involve _____

417 The primary purpose of a safety program is to ______

418 Administrator communication with family is or is not privileged communication (protected from disclosure by law)

419 HIPAA limits the exclusion period for pre existing conditions to ___ months

420 Under the Family Medical Leave Act, an employee can or cannot be required to use up leave time as part of the 12 weeks of FMLA they are entitled to each year

421 Under the ADA, employees can or cannot be required to submit to a fitness for duty exam relevant to their job after being hired

422 True or False - Can you require medical exams prior to an offer to hire

423 The process of determining job tasks, employee behavior and skills necessary for a job is called a ________.

424 A collection of tasks that can be performed by one person is called a ____.

425 Affirmative action relates to ______.

426 What is the difference between a leader and a manager?

427 True or false – Employees not formally evaluated by their supervisor can be expected to make good progress

428 Which entity enforces the Fair Labor Standards Act?

429 Employment at will allows an employer to _____

430 Budgets are based on _______________


431 Under GAAP, what is the entity principle?

432 The accrual method of accounting is required by ______

433 Income and expenses are recorded in the accrual method when _____

434 Depreciation is correctly defined as the decrease in value due to ______

435 An amortization is a schedule showing _______

436 Working capital is calculated by ________

437 Which law requires overtime?

438 Identifying and solving problems before they get out of hand is called _____.

439 Workers compensation premiums are based on ________

440 The key to inventory control is to ________

441 A fiscal intermediary is an _______ who processes Medicare and Medicaid claims

442 Employees pay ____of their FICA tax

443 When is a transaction recorded in the cash accounting system?

444 How does a business pay its payroll taxes? Which form?

445 Which federal law requires written policies and procedures to protect patient info

446 Principal cause of odors in nursing homes is _____

447 Most common accident in nursing homes to employees is ______

448 All personal appliances brought into a facility must be inspected by the ______ ensure it is safe before it can be plugged in

449 Egress is _____

450 Ingress is ____

451 In GAAP, what is the Conservatism principle?

452 In GAAP, what is the Objective Evidence Principle?

453 Disclosure of ownership requires facilities to ______

454 Which form of doing business provides the most limited liability?

455 True or False – Non profit corporations own most nursing homes


456 Which document contains rules, regulations and a mission statement?

457 Other than an emergency, must give a resident ____days advance notice of transfer or discharge

458 A resident can work for the facility provided it is recorded in the ________

459 What are source documents under GAAP?

460 True or False – the Governing body creates or implements procedures

461 The conscientious use of assets is called ____________

462 Who hires most staff in a nursing home

463 What is Time Period Principle under GAAP?

464 A person who dies without a will is ________

465 What is the Consistency Principle under GAAP?

466 True or False – The ombudsman can review a resident’s records without the resident’s consent

467 Demographic information relates to ______

468 What is the Continuing Concern Principle under GAAP?

469 Marketing is concerned with _____

470 When decisions are made at lowest level authorized to make them this called _____

471 Becoming neurotic is a psychological or physiological change

472 Slowed reflexes is a psychological or physiological change

473 Becoming incontinent is a psychological or physiological change

474 Autism is or is not a developmental illness

475 What percentage of residents selected to be interviewed during a survey must be interviewable?

476 The purpose of a transfer agreement between facilities is to provide ______

477 A resident to be admitted to a nursing home must have a physical evaluation or examination done ___ days prior to admission or ___ hours after admission

478 Adaptive feeding equipment must be prescribed by a ______ or an_______


479 An ophthalmologist is a medical doctor that treats _______

480 A professional who grinds lenses for glasses is called ______

481 The main purpose for a resident council is _______

482 The RAPs has __ triggers

483 The ____ is responsible to check resident drug regimens monthly

484 The ____ consultant is responsible to verify facility drug records

485 The pharmacist consultant is or is not required to dispense or dispose of drugs

486 A private room, television and phone are or are not covered by Medicare or Medicaid

487 PRN means ______

488 STAT means ______

489 P.O. – means ______

490 NPO – means ______

491 True or False - Internal and external meds may kept in the same drawer or area.

492 True or False - Sexuality drastically diminishes with age

493 A resident must be given a physical examination at least ______

494 Discharge planning is started ____

495 The most common cause of infections in a nursing home is ______

496 Bedfast means being confined to a bed all of the time within the past __ days

497 Privacy considerations include privacy curtains, knocking on doors and understanding each individuals need for privacy

498 Calculate percentage of occupancy where you have 120 beds and 87 are occupied?

499 Which document specifies an individuals preference for the use of life prolonging measures such as tube feedings and ventilators?

500 A person who makes a will is called a ________.

501 An individual who executes or carries out a will is called an _____

502 A power of attorney covers __________

503 A durable power of attorney covers _____Final Exam Copyright © 2005-2012 by Stan Mucinic. All rights reserved. 24 of 36

504 Involuntary movements of the head, lips, tongue, face and extremities, including lip smacking movement is called _______

505 If an administrator notices a resident is deteriorating, he should ______.

506 Which program must have an active volunteer program?

507 The primary reason residents should be encouraged to eat in the main dining room is to ____

508 When surveyors review a resident chart, they want to see primarily ____?

509 When two or more drugs are taken at the same time and produce unwanted side effects this called _______?

510 ROM means _____?

511 True or false - Sitters and private duty nurses are employees of a facility

512 Main goal of physical therapy is to _____

513 Using labor pools can substantially _____

514 The best way to evaluate a job applicant is the _____?

515 Cannot hire a non certified aide for more than ____ months

516 The results of all abuse investigations by facility staff must be reported to the state within ___ days

517 What are the minimum requirements for a social worker?

518 OBRA requires ___hours of nursing aide in services each year

519 Primary purpose of financial information is to ______

520 Weekend overtime wages are what type of expense?

521 Buying a computer or repaving the parking lot are what type of expenses?

522 All cost reports to Medicaid are due within _____ days of end of fiscal year

523 A hazard area needs ____ hour fire protection of automatic extinguishing system

524 The most effective way to prevent spread of germs in a nursing home is _____.

525 An isolation room does or does not need a private bath or shower

526 Who determines the hazards of a product and prints the MSDS?


527 A handicapped parking spot must be at least ___ feet wide

528 A walkway must be at least __ feet wide

529 The fire rating of building materials is determined by the _____

530 Thee travel distance between a class b or C fire extinguisher cannot be more than __ feet

531 Which entity enforces the SMDA?

532 OSHA’s color is ____

533 Ultimate mission of a nursing home is to ____

534 GAAP means _____________

535 Which document contains rules and regulations that detail purpose and mission, corporate membership and overall financial management?

536 Who must be notified in the event of a significant change in a resident’s condition?

537 Medicare is an insurance program for ____

538 Medicaid provides health care for ____________

539 What is a resident classification system used by nursing homes to determine reimbursement from Medicare?

540 Main job of the local ombudsman is to ______

541 The open market ruling in 1977 relates to ________

542 If contacted by a union representative for collective bargaining, the administrator should ______

543 Resident funds held in trust must be refunded to his or her estate within ____ days of death with a final accounting

544 What is the main cause of a decubitis sore?

545 Which skilled therapist can work as a therapeutic activities director or assistant?

546 Who can supervise feeding assistants in a nursing home?

547 Dealing with press releases and news conferences is called ______

548 Who enforces HIPAA violations?

549 Mental changes in elderly is usually caused by _____________


550 What is an LPN?

551 What is a LVN?

552 True or False - State and federal agencies can impose civil or criminal penalties

553 Must inform residents of their rights _______

554 The most common psychological problem of the elderly is ______

556 Regulations are published in the _____

557 Benign means a cell mass is _____

558 Residents can take home medications if approved in writing by ________

559 Aphasia is ______

560 Dysphasia is _______

561 What is MBWA?

562 When the DON requests a meeting with the administrator, this is _______ communication

563 Which manager should be the first to resolve a worker grievance?

564 Work should be assigned to staff based on __________.

565 An employee wage evaluation program should be based on _____.

567 Need a vote of _____ of all workers to vote in a union

568 True or false - Employees on medical leave must be given their jobs back when they return

569 True or False – You can request family leave for divorce or separation

570 Need a ___ day qualifying stay in a hospital to be admitted to a skilled nursing facility

571 Which type of corporation can choose any 12 month period as its fiscal year?

572 Which expense is the largest expense in a nursing home?

573 Must complete a tax form ____ for employees receiving compensation other than regular salary

574 IRS records must be saved for ___ years

575 Must notify the _____ if management changes the administrator changes of officers of the company change

576 The owner’s assets of a business are called ______.Final Exam Copyright © 2005-2012 by Stan Mucinic. All rights reserved. 27 of 36

577 Medicare resident funds totaling less than ____ do or do not need to be placed in an interest bearing account

578 The air in a nursing home must be changed every ____ minutes

579 _______ do not clean the kitchen to prevent cross infection from resident rooms

580 Minimum width of a resident bedroom is determined by _____

581 A wheelchair needs ____ inches in diameter to make a 180 degree turn

582 Privacy curtain and all other obstacles must hang or sit ___ inches from the ceiling to avoid blocking the water sprinklers

583 ____ establishes the standards for the width of a parking space for the handicapped

584 The ______ is required to develop a written hazard communication policy

585 _____ is main cause of death from a fire

586 What does a citation or deficiency with a “K” denote

587 A facility with 60 parking space must have ___ handicapped spaces

588 Handrails must be ____ inches from the floor on ramps and stairways

589 The word _____ means mandatory in laws and regulations

590 The word _____ means it is optional

591 A violation with an “N” tag means the violation was a state or federal requirement?

592 An organizational chart does or does not show informal relationships

593 Management by objectives is where ________

594 A sensory experience that is independent of stimulation from the environment is called a(n) _____________.

595 Subtracting current assets from current liabilities gives you the _______

596 A civil wrong is a _____

597 A subpoena requires _____________

598 Trial subpoena requires attendance at _____

599 True or False – A facility can require a resident to sign advanced directive

600 A law passed by an agency is called a _______Final Exam Copyright © 2005-2012 by Stan Mucinic. All rights reserved. 28 of 36

601 Which document outlines job duties

602 A law passed by a town or city is called a _____

603 The complaint survey is an ______ survey

604 Which therapy uses the social environment?

605 Which document or documents would include revenues, expenses, assets, liabilities and capital ?

606 Which federal law recognized workers’ rights to bargain collectively

607 A law passed by the state legislature is called a ______

608 A legal document that spells out a person’s preferences concerning life sustaining treatment is a _____

609 A federal law that provides union members a bill of rights is called ______

610 Which federal law recognized workers right to strike?

611 Must provide residents___ days advance notice of any changes in charges or policies

612 An _____ provides training in adaptive feeding devices

613 _____is where fluid in the eye builds up pressure in the optic nerve causing intense pain and blindness

614 Federal regulations are published in the ______

615 What is the primary reason you would invite the fire department to provide staff training in fire emergency measures at your facility?

616 Intentionally not providing a prescribed dose to the lower concentration of a drug in body is called a _______

617 Where a facility has an outside provider provide in-house dialysis, the facility must a ______ to protect resident rights?

618 To determine the capability of a facility to meet short term cash needs, you would look at the ______.

619 I have 120 residents and need 2 hours of nursing care for that day. My nurses work 8 hour shifts. How many nurses do I need to staff that day?

620 I spent $15,000 on food in June. I had an average of 100 residents each day that month. How much did I spend on per resident per day in June?

621 I spend $9000 in June on maintenance supplies. I have 100 beds with 100% occupied on


average each day. Approximately how much did I spend per resident per day?

622 Which federal laws require a poster?

623 Cash flow is the cash receipts minus ______

624 Ramps and corridors must be a minimum of __ feet wide

625 What is the procedure to wash hands?

626 Labor costs total between ___

627 Social security is a ___ tax

628 Name 2 inventory valuing methods

629 True or False - Filling a bowl with standing warm water to wash hands is an acceptable practice

630 Mirrors and towel racks are mounted no more than ___ inches from floor

631 A debt to equity ratio should be less than _______

632 Which federal law requires employers to notify a job applicant if a consumer credit check is required?

633 Which federal law limits how much creditors can garnish from your paycheck?

634 The life safety code sets fire rating of buildings and was developed and published by _________

635 Which law requires an employer to pay for injuries to third parties caused by employees is called _____.

636 Which federal law requires the employer to pay for worker on the job injuries

637 A facility that has no deficiencies would have a _____ license

638 A facility with outstanding deficiencies would have a _____ license

639 Long term goals are for ____or more years

640 A change in ownership, DON or management could trigger a _____ survey

641 A facility that takes only private pay residents would be subject to a ____ survey

642 A stage 4 pressure sore that developed from a stage 1 or stage 2 while in your facility would warrant ________ citation

643 It is best to use ______ questions in eliciting info during a job interview


644 The number of required fire drills is determined by ________

645 Which federal law requires a Director of Nursing, Medical director, Registered Dietician and Consultant Pharmacist?

646 Which law requires a Quality Assurance Committee?

647 A resident must have a medical evaluation must be done within __ days unless examined within ___ days prior to admission (at the hospital)

648 Which federal law regulates the federal minimum wage?

649 Which federal law requires overtime?

650 What is the formula to determine body weight loss ______

651 How many days do you have to report non-fatal accidents to OSHA?

652 How many employees do you need to be subject to the EEOA

653 Which federal law specifies the requirements for handicap access to public buildings

654 True or False - Must provide and pay for emergency dental care for Medicaid residents if they cannot afford such care

655 Who is the corporate compliance officer in the nursing home?

656 What is the RAI and what is it comprised of?

657 Employees must be trained in safety procedures (Lock out, Tag out, Universal Precautions, Hazard Communication Policy) within what time frame?

658 Which federal law requires employers to provide health insurance?

659 Which Federal law requires employers to provide vacation and sick time?

660 Which federal law requires overtime be paid to employees?

661 Which federal law requires employers to provide terminated employees a certificate of coverage upon termination or separation?

662 Which federal law prohibits paying for Medicare referrals?

663 COBRA provides workers the right to keep their insurance for ___ months after termination

664 A ___ corporation can choose any 12 month period as its fiscal year

665 What type of drugs are Schedule 1 drugs?

666 A group of symptoms which occur together is called a ______Final Exam Copyright © 2005-2012 by Stan Mucinic. All rights reserved. 31 of 36

667 A Levin tube is a _____

668 Which staff members have the least training?

669 Salary increases should be based on what?

670 True or False – Money is the number one reason for employee longevity

671 The budget should be reviewed every ___ and prepared _____

672 Shareholders of a _____ corporation are taxed as a partnership or as salary

673 All doors in a facility except for bathroom and toilet must be ___ inches wide

674 Toilet seat for disabled must be between ___ and ___ inches high

675 Per resident per day standard to launder sheets, blankets etc is ___ pounds

676 The maximum corridor length allowed without a smoke stop is ___ feet

678 Must have one fire extinguisher every ____ square feet

679 Which federal law prohibits providers from entering into agreements with other providers to set Medicare rates or to self refer to their own facilities

680 True or False – A non-profit can issue stock.

681 Must provide residents with vision problems a copy of their resident rights in ______

682 If resident does not speak predominate language, then the facility must provide _______

683 Blind residents must be provided a copy of their resident rights in _____________

684 True or False – If a resident has been provided a written copy of their resident rights then the facility has met their legal obligation

685 Which manager should do an employee’s performance appraisal?

686 What is Maslow’s most basic need in the hierarchy of needs?

687 What is Maslow’s highest need in the hierarchy of needs?

688 A resident with audiological problems would be referred to a __________________?

689 If a resident suffered a myocardial infarction, which therapy would be best for them?

690 When all nursing staff report directly to the director of nursing, this is called _____

691 Residents that are both _____ and ____ are most at risk for injuries because they are able Final Exam Copyright © 2005-2012 by Stan Mucinic. All rights reserved. 32 of 36

to move around but exercise poor risk awareness

692 E-coli comes from _____

693 A dark area under the skin containing fluid is called a _____

694 Salmonella comes from ______.

695 Persons over 65 use an average of __ drugs

696 What are two major reasons for the increased stress nurses are experiencing in long term care

697 A loss of appetite is called ______

698 The best source of new hires is ______

699 The number of accounts outstanding for more than 50 days should not exceed ____%

700 Overtime is an ____ expense

701 The _____ lists all accounts in the General Ledger

702 The debt to equity ratio should be less than ______

703 65 percent of resident accidents occur in the ____

704 In multi bed rooms, the minimum distance between beds is ___ feet

705 The minimum width for 2 wheelchairs to pass is ___ inches

706 Which is the best recovery program a resident who suffered a cerebrovascular accident

707 Bathroom and toilet doors must be at least __ inches wide

708 The ___ enforces the FLSA

709 Substituting one person for another in regard to a lawful claim is called _____

710 The _____ specifies time limit to bring a lawsuit

711 How soon must sharps be discarded after use?

712 Which federal law categorizes resident rights?

713 When an agitated resident is given a drug to calm them down, this is an example of a _______

714 Doxidan is a _____

715 Schedule II drugs can or cannot be refilled without a physicians new prescription


716 The facility needs to provide adequate space in the dining room and spacing between tables to ______.

717 Where bacteria or cells (Cancer) move from one part of the body to another this is called ____.

718 How do you calculate adequate required living space in a resident room?

719 The need for physical restraints should be re-evaluated every __ hours

720 A resident who is permitted to self administer drugs overdoses and is hospitalized. When the resident is ready to be released and returns to facility, what should the facility do if the resident wants to continue self administering drugs?

721 The consultant dietician is responsible to _______________

722 Low sodium diets are for ______

723 A facility must keep ____ months of resident assessments in the resident chart?

724 Must have a charge nurse on which shift (7-3, 3-11 or 11-7)?

725 In the cash system, transactions are recorded when _______?

726 Major cause of overtime is _______?

727 Best indicator of new hires ability to succeed in a job is ______?

728 In accrual system, income and expenses are recorded when ____

729 The national standard is to staff one hour per day of housekeeper time per ____ sq feet

730 When inventory is increased cash is ______.

731 Nonprofits can or cannot pay dividends?

732 Current ratio should be no less than _______

733 Restorative nursing is provided by ______

734 Standard precautions deals with handling ____

735 Prior to hiring a nurse aide, the administrator must check the _____.

736 The principal difference between Medicare and Medicaid is that Medicare is _________and Medicaid is _______________

737 Medicare fraud is reported to the _______

738 Recreational therapist is or is not a specialized therapist?


739 Per Theory X, employees do or do not want to work

740 Short term residents should be surveyed _____

741 An ostomy bag is connected to the body through the _____

742 Long term residents are surveyed how often?

743 An anti-coagulant is used to treat what medical condition?

744 A bruising of the skin is called a ______

745 Must have a registered nurse ____ hours per day, 7 days a week

746 A sphygmomanometer is used to measure _____

747 A nurse aide must have _____ hours of in-services per year

748 What information do you need on a drug label?

749 What information do you not need on a drug label?

750 The _____ summarizes the debits and credits

751 If I wanted to know the financial well being of a company I would look at the _____.

752 If I wanted to know how much I was worth I would look at the _____.?

753 Who must approve and implement resident care policies?

754 Employment at will means that an employer can _________?

755 If I wanted to know how much money I made last month, I would look at the _____?.

756 Who enforces the Rehabilitation Act of 1973?

757 Reaching out to the community and strengthening your relationship with community organizations is called ____________

758 What would be the basis for a resident to file a tort against a nursing home?

759 How many beds do you need to be required to have an assistant director of nursing?

760 How many facilities can a administrator manage at one time?

761 Which OSHA law requires the MSDS?

762 Where are federal regulations published?

763 When is the last date the care plan can be completed?


764 What is a UTI?

765 What is the main cause of a UTI?

766 What is the best way to prevent a UTI

767 Must record employee injuries in the OSHA injury log within ___ days

768 The OSHA Year End report is form number ____

769 The OSHA supplemental injury form is form number ____

770 Employee injuries must be recorded in OSHA Injury Log number _____


National Exam Supplemental Information – Part 1 of 10 · Web view10 What do the initials CVA stand for? 11 What is a CVA? (i.e., heart attack, end stage renal failure or a stroke)

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