AIT Exam 1 Study Guide 70 Questions with Verified Answers,100% CORRECT, Exams of Nursing

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AIT Exam 1 Study Guide 70 Questions with Verified Answers

The___ has ultimate legal responsibility for the operation of a nursing facility 1 Medical Director 2 Nursing home administrator 3 Long term care ombudsman 4 Governing body - CORRECT ANSWER Governing body Per OBRA 1987, air temperature is measured __________________

1. At ceiling level
2. At level with the thermostat control box
3. Just above the floor
4. 18 inches below the ceiling - CORRECT ANSWER Just above the floor The rights of an individual determined by a court to be incompetent would be exercised by a(n)__ 1 Attorney in Fact 2 A person appointed by a court or court guardian 3 Durable power of attorney 4 Ombudsman - CORRECT ANSWER A person appointed by a court or court guardian The maintenance director submitted a request for family leave to care for his ailing mother. He has worked 1,350 hours in the nine months he has worked for the facility. The administrator should___ 1 Approve the request 2 Inform the maintenance director he must have worked 12 months to be eligible for FMLA 3 Approve the request but inform the employee that he must pay for the full cost of his insurance benefits 4 Inform the employee that taking care of an ill parent is not covered under FMLA

• CORRECT ANSWER Inform the maintenance director he must have worked 12 months to be eligible for FMLA

A resident was only given lunch that day, was given the wrong medication in the morning, had her room changed without notification and was not given a bath as requested. Per OBRA 1987, how many resident rights were violated?

1. 1
2. 2
3. 3
4. 4 - CORRECT ANSWER 3. 3 A resident was admitted on June 1. The attending physician charted a visit and physical examination on June 27, July 29, September 4. With respect to required physician visits per OBRA 1987, the facility __________________.
5. Complied with required physician visits
6. Is not responsible to ensure timely physician visits
7. Was out of compliance and would be cited
8. The facility would only be cited if there was actual harm to a resident - CORRECT ANSWER Complied with required physician visits The ___has legal responsibility to adopt and implement facility policies 1 Medical Director 2 Director of Nursing 3 Governing Body 4 Administrator - CORRECT ANSWER Governing body A state surveyor learns in interviews with residents that when residents are admitted, they were provided a written list of names of physicians who cared for residents in the facility in their admission packet. The facility was assigned an attending physician to each resident prior to admission from a rotating list of physicians. Per OBRA 1987, the facility __________________.
9. Was out of compliance and would be cited
10. Fully complied with all requirements
11. Must transfer these residents to another facility
12. Must immediately transfer these residents to the care of the medical director - CORRECT ANSWER Was out of compliance and would be cited A housekeeper notices a resident is asleep in the room she needs to clean. She knocks on the resident's door, identifies herself as a housekeeper, and seeing

there is no response from the resident, decides to enter the room and begins cleaning. The housekeeper should be __________________.

1. Commended for her efficiency in keeping to her schedule
2. Promoted to director of housekeeping services
3. In-serviced
4. Transferred to the night shift - CORRECT ANSWER In-serviced All furniture, equipment, boxes and supplies must be elevated ___ inches above the floor to allow the floor directly underneath to be cleaned.
5. 3
6. 6
7. 9
8. 12 - CORRECT ANSWER 6 Adding baking soda to food will primarily affect its __________________.
9. Nutritive value
10. Palatability
11. Attractiveness
12. Temperature - CORRECT ANSWER Nutritive value The residents quality of life and physical condition is the focus of: __ 1 Structure 2 Process 3 Outcomes 4 All of the above - CORRECT ANSWER Outcomes A resident recently lost her husband and is tearful and depressed and is worried how she will pay for her stay. The administrator would ask the __________________ to help her.
13. Nursing department
14. Social services director
15. Administrator
16. Business office - CORRECT ANSWER Social services director Electrical switches must be located at a minimum of ___inches above the floor
17. 6
18. 12

4. 24 - CORRECT ANSWER 15

Nursing homes must have hearing aid compatible phones with volume control that can adjust the volume between a minimum of __________________ and a maximum of __________________ decibels above normal.

1. 6, 11
2. 12, 18
3. 15, 20
4. 20, 29 - CORRECT ANSWER 12, Federal resident care standards are now __________________ and __________________ and are no longer considered minimal standards.
5. State of the art, maximal
6. Outdated, irrelevant
7. Disputed, questioned
8. Voluntary, mammal - CORRECT ANSWER State of the art, maximal The average short-term stay for a Medicare resident is __________________.
9. 15 days
10. 30 days
11. 45 days
12. 90 days - CORRECT ANSWER 30 days Non-compliance affecting a limited number of residents and locations would be assigned a scope of ___ 1 Isolated 2 Patterned 3 Widespread 4 Saturated - CORRECT ANSWER Isolated TQM is not characterized by __________________.
13. Most comprehensive and involved
14. Minimal involvement of upper management
15. An interdisciplinary approach
16. Most effective quality improvement model - CORRECT ANSWER Minimal involvement of upper management

A __violation is where the severity of negative outcomes that compromises a resident's ability to maintain the highest physical, mental and psychosocial well- being. 1 Level 1 2 Level 2 3 Level 3 4 Level 4 - CORRECT ANSWER Level 3 Parking spaces must be at least ____ "wide with an accesible handicap aisle at least" wide 1 36'' 48'' 2 96'' 60'' 3 46' 52'' 4 24'' 38'' - CORRECT ANSWER 96'' 60'' A broad statement of goals is a ___ 1 Plan of action 2 Mission statement 3 Policy 4 Procedure - CORRECT ANSWER Policy Which is not true of Joint Commission on Accreditation of Healthcare Organizations (JCAHO) 1 JCAHO is a private organization that accredits hospitals and nursing homes 2 JCAHO can impose civil fines 3 JCAHO accreditation and membership is voluntary for nursing homes 4 A healthcare facility accredited by JCAHO is exempt from state and federal inspections - CORRECT ANSWER JCAHO can impose civil fines NFPA stands for 1 National Fire protection 2 National Fire publications administration 3 National fire protection association 4 Nursing facilties protection act - CORRECT ANSWER National fire protection association

The emergency generator must be run under full load for __ every)___ 1 30 minutes, month 2 30 minutes, quarter 3 60 minutes, month 4 60 minutes, week - CORRECT ANSWER 30 minutes, month The ___ is responsible to assemble and analyze incident reports, infection rates, safety issues, medication errors and restraint use. 1 Safety committee 2 Risk management committee 3 Quality assurance committee 4 Social committee - CORRECT ANSWER Quality assurance committee publishes and promotes fire safety in nursing homes 1 OSHA 2 NFPA 3 ANSI 4ADA - CORRECT ANSWER NFPA Patients and family look for__when selecting a nursing home 1 Variety and quality of food 2 Good rehab department 3 Timely communication with nursing staff 4 Well known corporate name - CORRECT ANSWER Variety and quality of food The Americans with Disabilities Act construction standards are enforced by 1 NFPA 2 ANSI 3 Architecture and Transporation Barriers Compliance Board 4 EEOC - CORRECT ANSWER Architecture and Transportation Barriers Compliance Board A mechanism to monitor consumer satisfaction and address other concerns is called the __________________.

1. Grievance procedure
2. Mediation procedure
3. Arbitration procedure

4. Satisfaction procedure - CORRECT ANSWER Grievance procedure Facilities that are licensed by the state and certified to receive Medicare and Medicaid reimbursement must submit to___ 1 State inspection only 2 State and federal inspection 3 Federal inspection only 4 CMS - CORRECT ANSWER State and federal inspection Quality indicator (QI) reports for nursing homes available through the CMS would not include which of the following? 1 Facility charactersitics 2 Nursing home watch list 3 Facility profile 4 Resident level summary - CORRECT ANSWER Nursing home watch list Nursing homes must be inspected every __________________.
5. 12 months
6. 15 months
7. 24 months
8. 30 months - CORRECT ANSWER 15 months A finding of "substandard care" requires the survey team to have evidence of __________________.
9. Insufficient nursing staff
10. Immediate jeopardy to resident care that has or likely to cause serious injury or death
11. Inadequate policies and procedures
12. Financial instability - CORRECT ANSWER Immediate heopardy to resident care that has or likely to cause serious injury or death A ___tag would indicate substandard care was found. 1 F250 D 2 F371 E 3 F377 J 4 F251 F - CORRECT ANSWER F377 J

The administrator has___days to prepare a plan of correction for all deficiencies cited in the survey 1 10 days 2 15 days 3 30 days 4 45 days - CORRECT ANSWER 10 days Short term residents should be surveyed__ about satisfaction with services 1 Upon admission 2 Weekly 3 Monthly 4 Within 30 days from discharge - CORRECT ANSWER Within 30 days from discharge The key consideration in determining the minimum level of staffing in a nursing facility is ___ 1 Patient acuity level 2 Direction from corporate 3 Federal and state staffing requirements 4 Facility census - CORRECT ANSWER Patient acuity level A parking lot with 100 parking spaces would require___ handicap accessible parking spots.

1. 1
2. 2
3. 4
4. 6 - CORRECT ANSWER 4 A violation with no more than minimal physical, mental or psychological discomfort is a ___deficiency 1 Level 1 2 Level 2 3 Level 3 4 Level 4 - CORRECT ANSWER Level 2 Non-compliance affecting more than a limited number of residents and locations would be assigned a scope of ___

1 Isolated 2 Patterned 3 Widespread 4 Saturated - CORRECT ANSWER Patterned The nosing on a stair must project no more than___

1. 1/2''
2. 1'' 3.1 1/2'' 4.2'' - CORRECT ANSWER 1 1/2'' Minimum wheelchair passing width for two wheel chairs is __________________ inches.
3. 30''
4. 34''
5. 60''
6. 72'' - CORRECT ANSWER 60'' There must be a passing space in an accessible route for wheelchairs every ____ feet.
7. 100 feet
8. 150 feet
9. 200 feet
10. 400 feet - CORRECT ANSWER 200 feet Minimum wheelchair turning space is ___inches
11. 30'' 2.34'' 3.60''
12. 72'' - CORRECT ANSWER 60 '' High forward reach for a wheelchair is...
13. 24''
14. 36''
15. 42'' 4.48'' - CORRECT ANSWER 48''

A change between 1/4 and 1/2 inch in level surface__ 1 May be vertical and without edge 2 Requires ramp treatment 3 Requires a beveled edge 4 Requires handrails - CORRECT ANSWER Requires a beveled edge A fire extinguisher is checked _and serviced 1 Monthly, semiannually 2 quarterly, annually 3 Annually, bi-annually 4 Semi-annually, annually - CORRECT ANSWER Quarterly, annually Vision panels are __________________ in swinging doors.

1. Optional
2. Not allowed
3. Required
4. None of the above - CORRECT ANSWER Required The maximum window sill height for a window in a resident's room is __ inches above the floor.
5. 24''
6. 34''
7. 36'' 4.38'' - CORRECT ANSWER 36'' Doors must be __________________ thick, solid bodied __________________ core, or with __________________ minutes of resistance fire rating.
8. 1 1/2", composite, 60 minutes
9. 1 3/4", wood, 20 minutes
10. 1", metal, 15 minutes
11. 2", wood, 30 minutes - CORRECT ANSWER 1 3/4'', wood, 20 minutes The QA&A Committee does not need to include___ 1 THe administrator 2 A registered nurse 3 A physician 4 Three staff members - CORRECT ANSWER The administrator

The maximum audible alarm decibel level is _

1. 95
2. 105
4. 130 - CORRECT ANSWER 120 Activating or pulling a fire alarm automatically activates all of the following except:
5. Fire alarms
6. Fire sprinklers
7. Door releases
8. Emergency generator - CORRECT ANSWER Emergency generator Landings are required at the bottom and top of each stairway run and must have a minimum width of _______. 1 36 square feet 2 48 square feet 3 60 square feet 4 96 square feet - CORRECT ANSWER 60 square feet The ___ specifices the number of directors, number of shares to be issued, and governs how the corporation is to be run. 1 BYlaws 2 Certificate of incorporation 3 Stock certificate 4 Debenture - CORRECT ANSWER By laws Middle managers do not___ 1 Report to upper management 2 Adopt policies 3 Need good communication skills to deal with upper and lower managers 4 Include the director of nursing - CORRECT ANSWER Adopt policies Management by Walking around does not involve __ 1 Walking around each day 2 Engaging in listening

3 Talking informally to staff 4 Taking action on the spot - CORRECT ANSWER Taking action on the spot An employee who has decision making authority with the same force and effect as if made by the administrator has___ 1 Line authority 2 Staff or advisory role 3 Supervisory role 4 Executive authority - CORRECT ANSWER Line authority Upper managers do not __________________.

1. Interact with the owners and governing body
2. Have responsibility for overall management of a facility
3. Make policy that affects all employees
4. Usually write procedures - CORRECT ANSWER Usually write procedure The___ultmately determines if a nurse aide is competent 1 Administrator 2DON 3 State surveyors 4 Long term care ombudsman - CORRECT ANSWER State surveyors A nurse aide enrolled in a state approved training program but has not completed the program at time of hire has ___ to complete the program 1 3 months 2 4 months 3 9 months 4 12 months - CORRECT ANSWER 4 months A nurse aide must complete 16 hours of initial training in all of the following except? 1 Basic restorative skills 2 basic nursing skills 3 Social services needs 4 How to apply physical restraints - CORRECT ANSWER How to apply physical restraints

An intentional act or threat causing fear in another with reasonable expectation of harm is called a(n)____ 1 Assault 2 Battery 3 Tort 4 All of the above - CORRECT ANSWER Assault The ___is the foundation that guides an organization. 1 Mission statement 2 Philosophy 3 Bylaws 4 Charter - CORRECT ANSWER Philosophy The establishes the strategic plan. 1 Administrators 2 Governing body 3 State Department of corporations 4 Department managers - CORRECT ANSWER Governing body The overall style of governing how people relate to each other and that binds an organization is called 1 Corporate culture 2 Norms 3 Values 4 Vision - CORRECT ANSWER Corporate culture Authority granted to the governing body by state law is called... 1 Express authority 2 Implied authority 3 Line authority 4 Staff Authority - CORRECT ANSWER Express authority The ___has ultimate responsibility for management and quality of care in a facility. 1 Administrator 2 Medical Director 3 Governing body

4Director of nursing - CORRECT ANSWER Governing body A violation with a severity requiring immediate action due to risk of injury, harm, imperment or death to resident is a blank... 1 Level 1 2 Level 2 3 Level 3 4 Level 4 - CORRECT ANSWER Level 4