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Florida ALF Core competency multiple choice Solutions
1. You have a standard license and your resident needs to be fed. What do you do?: A. Let the staff feed the
resident* B. Give the resident a 45 day notice to relocate C. Tell the family they need to hire a person to feed the resident. D. Apply for an ECC license.
2. You Hired a maintenance worker on January 5, 2018. It is May 31, 2018 and he has already taken
the Alzheimer's level one class. What class does he need to take now?: A. Alz level 2 class B. No class unless he has been working a year C. No other alz class is needed * D. He needs to take the alz 1 class again
3. You have hired an LPN. What training does she need to take?: A. CPR *
B. CPR and first aid C. Infection control D. Band C
4. Mrs. Alverez wants to self administer her own meds. What do you tell her?: A. She needs to get an order
from her physician * B She needs to get permission from her daughter C. The staff nurse needs to evaluate her first D. All of the above
5. Assisted living facility means...: A any building or buildings, section or distinct part of the building
B private home, and one or more personal services for a period Exceeding 12 hours C 3 or more adults who are not relatives of the owner or administrators D all of them
6. You just hired a CNA. What training does she need within 30 days?: A. Three hours on residence behavior
and needs B. Three hours of providing assistance with ADLs
2 / 42 C. One hour reporting adverse incidents * D. All of the above
7. What should be in the admission package?: A list of activities offered B special diets
C policy on DNR's D all of the above *
8. Menus must be dated and planned how far in advance?: A Two weeks
B One week * C One month D Five days
9. Mrs. Howard is having problems with constipation. What should you do first?: A. Otter her some
prune juice * B Ask her daughter to bring in a laxative C. Tell her to exercise more D. Call her physician
10. What staff need to have the six our LMH training when working in a LMH facility?: A.
All staff B. Administrator C Administrator and nurse D. Administrator, managers and staff who have direct contact with residents *
11. What class violation would a personal hygiene issue be considered?: A class 1
B class 3 * C class 2 D not a violation
12. A service plan is required for each resident admitted under what licence?: A Standard
B ECC *
C LNS
D none of these
4 / 42 C 6 months * D none of these
20. A violation that presents an imminent danger to clients would be consid- ered a what
class?: A class 2 B class 1 * C class 3 D class 4
21. How long does a facility keep major incident reports?: A 2 years *
B 1 year C 5 years D 6 months
22. Can ACHA impose an administrative fine for violations not designated as one of the
four classes?: A. Yes * B No
23. You have a resident that moves into your facility today. What must you do the day of
move-in?: A put the resident on the admission and discharge log * B give them a tour of the facility C complete all paperwork D evaluate them on their evacuation capability
24. You have an at risk resident for elopement. What should you have in place?: A a
photo identification within 10 days of the resident moving in * B a photo identification within 14 days of the resident moving in C a photo identification the day the resident tried to leave the facility unattended D a photo identification the day the resident moved into your facility
25. For ECC licensure:: A the facility must obtain a license for ECC before accepting at ECC resident *
B direct care statt must complete four hours of specialized ECC training C the administrator must have one year experience serving elderly residents in a long-term care facility D all statements are correct
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26. When there is evidence of financial instability, the agency shall require the facility to
submit the following:: A delinquent accounts B receipt of residents rent payment C number of checks returned for insufficient fun's during the previous 12 months D both a and B *
27. If an ALF receives a class one violation, the fine may be levied for a maxi- mum of
$10,000.: A true * B false
28. ALFS with one or more mental health resident, enrolled in the optional state
supplementation program, must have what type of specialty licenses or license?: A ECC B LNS C LMH * D all of the above
29. What document is given by ACHA to operate an ALF?: A permit
B certification C license * D none of the above
30. A resident who self administers may use a pill organizer?: A true * B false
31. Interval between meals shall be provided with no less or more than how many hours?: A
no less than two hours and no more than four hours B no less than two hours and no more than six hours * C none of the above D no less than one hour and no more than five hours.
32. All resident records must be retained for how many years?: A 3
B 1
C 5
D 2 *
33. If an AL F license is up for renewal, how many days at a minimum before the license
7 / 42 D 5 minutes
40. ALF's with a bed capacity of 16 or less do not have to have planned menus?-
: A true B false *
41. ALF staffing hours is determined by its census?: A true * B false
42. OTC medication that is prescribed should only contain the residents name somewhere
on the medication bottle?: A true B false *
43. What is the minimum number of fire drills for a non-sprinklered building?: A 10 fire drills
annually B 6 fire drills annually C 12 fire drills annually * D 24 fire drills annually
44. How many years must DOH inspection to be kept on file?: A 2
B 5 *
C 3
D 4
45. ALF's that act as power of attorney for their
resident must provide the resident or the resident legal representative with a statement of accounting for all transactions, which is ?: A a monthly statement B a quarterly statement * C every two months D an annual statement
46. ALF residents who do not require supervision may be left alone in an ALF?: A true
B false *
47. In a standard license ALF, a CNA may not be delegated to provide nursing services
(tritation of portable oxygen). However, the CNA made apply antiem- bolism stockings without the supervision of the nurse?: A true*
8 / 42 B false
48. Narcotic medication must be kept locked and separate from non-narcotic medication?: A
true B false *
49. Residents bedrooms are either private or semi private. Residents choosing to live in a
semi private bedroom can expect at a minimum how many square feet of living area excluding the bathroom and closet's for each resident?: A 50 ft.² B 70 ft.² C 80 ft.² D 60 ft.² *
50. ALF's are required to obtain and maintain a surety bond if it is
the power of attorney or if it is a ?: A guardian B trustee C representative payee * D all of the above
51. Individuals who are bedridden cannot be admitted to an ALF. However residents may
be bedridden in a standard, limited nursing, or limited mental health licensed facilities. These residents cannot be bedridden for more than how many days consecutively?: A five days B 14 days C 7 days * D days
52. How many days written notice must be given before a rate increase?: A two weeks
B 10 days C 15 days D 30 days *
53. ALF's must secure
fire safety and health department inspections. These inspections must be done and submitted to ACHA : A every quarter B every six months
10 / 42 C 7 residents D 3residents
62. A healthcare providers order is required when a nurse provides assistance with self
administration or administration of OTC products?: A true * B false
63. When a resident returns from her doctors visit with a sample supply of medication,
you do not need a written prescription to give the resident his or her meds.: A true B false *
64. A MOR must be kept on all residents
who receive assistance or administra- tion with meds and must contain ?: A known allergies B health providers phone number C C missed dosages D all of the above *
65. It is best practice to store medications for the eyes, ears, and nose separate from each
other?: A true * B false
66. Use of the medication observation record (MOR) is not required for which of the following::
A medication provided at an outpatient clinic * B assistance with self administration of medication C medications administered while on leave with family D none of the above
67. If the resident complains of tingling or numbness in the leg after the antiembolism
stockings are applied, the caregiver should:: A call the resident's family and ask them to bring in a large set of hosiery B monitor the situation C call the resident's physician and get an order for discontinuation of hosiery D notify the administrator or facility nurse immediately *
68. The caregiver should notify the administrator or facility nurse of the follow- ing
observations during colostomy bag replacement:: A leaking from around the pouch system and change in size or appearance of the stoma
11 / 42 B observation of any skin rashes, irritations or rawness around the stoma site C bleeding from the stoma or any complaint of pain by the resident D A and B E all of the above *
69. Hyperglycemia typically occurs when a resident with diabetes misses a meal or snack.
The most common symptoms of hypoglycemia include:: A cold, clammy skin B confusion and fatigue C nausea and headache D all of the above *
70. CPAP means:: A constant positive airway pushing
B continuous positive active pressure C continuous positive airway pressure* D constant pressure airway pushing
71. You assist Mrs. Jones with her glucometer and her blood sugar reading is
- Your best response would be to:: A call the physician and get a new order for additional insulin B call Mrs. Jones family and have them bring in a new glucometer C notify the administrator or facility nurse * D wait a few hours and retake the blood sugar reading
72. What is a normal respiratory rate per minute in a resting adult?: A 12 to 16 *
B 9 to 10 C 25 to 32 D there is no normal rate since everyone is ditterent
73. The purpose of specialty licenses is to:: A allow individuals to Age in place in familiar surroundings *
B allow individuals to get 24 hour nursing care C A and B D none of the above
74. "direct care staff" means staff in regular contact or staff in direct contact with residents
that provide personal or nursing services to residents, includ- ing administrators and managers
13 / 42 B the resident knows the month, day and year C. the resident knows their name and date of birth D all of these
81. If you have a policy that states to weigh residents monthly but the regula- tions state
that weight should be done every six months, how often do you weigh your residents?: A monthly * B every 6 months C every 9 months D every 12 months
82. A resident is leaving to go to their daughters house for the day and asks for their evening
pills, what do you do?: A pull out their evening dose of medication and put it in an envelope and give it to the daughter B tell the resident you have to call the healthcare provider first C give the daughter the bubble pack of meds that contain her evening medication * D hand the dose of medication to the daughter and ask her to sign for it
83. You have a hospice resident who has a stage 2 pressure ulcer. It is getting progressively
worse and turning into a stage 3. What do you do?: A call hospice and ask for direct treatment for wound care B give the family member a 45 day notice * C leave the resident where they are since they are on hospice D call the healthcare provider and ask for a ditterent hospice
84. Which staff members should receive DNRO training?: A administrators B direct care
staffC admission director D all of the above *
85. How often do you update an 1823 health assessment?: A. every year
B every 3 years C when there is a significant change D both B and C *
86. Scheduled activities must be available for at least six days a week for a total of not less
than how many hours per week?: A 12 hours * B 14 hours C 20 hours
14 / 42 D 24 hours
87. At a minimum the facility must have a photo identification of at risk resi- dents ( for
elopement) on file that is accessible to all faculty staff and law-en- forcement as necessary. The facility's file must contain the resident photo identification within how many days of admission or within how many days of being assessed at risk for elopement subsequent to admission.: A 10 days and 20 days B 10 days and 15 days C 10 days and 10 days * D 15 and 15 days
88. At least how many staff members who have access to facility and resident records in
case of an emergency must to be in the facility at all times when residents are in the facility?: A one * B two C one on each floor D zero
89. Staff who provide direct care to residents, other than nurses, CNA's, or home health
aides, must receive how many hours of in-service training within 30 days of employment that covers the following subjects: resident behavior and needs and providing assistance with the activities of daily living?: A 1 hour B 3 hours * C 2 hours D none of the above
90. Assistance with
medications does not include : A mixing, compounding, converting, or calculating dosages B giving injections or suppositories C medications which require judgment D. All of the above *
91. "Advertise" means:: A electronic promotion *
16 / 42 B assistance with self administration of medications C self administration of medications * D none of the above
97. Mrs. Benson lives in your memory care unit. As a trained and licensed staff member you
observe Mrs. Benson saying ouch when the staff assist her to transfer. She has an order for Tylenol as needed for pain. Can you give her the Tylenol?: A yes B no *
98. You noticed that Mr. Martin is having frequent falls. The staff reports that he is
unsteady on his feet. What should you do?: A notify the healthcare provider B ask the healthcare provider for an order for PT C document that you called the healthcare provider D all of the above *
99. Under ECC license, at least how often a nursing assessment of the resident must be
conducted?: A monthly * B daily C weekly D twice a week
100. Who can assist a resident with a pill organizer in an ALF in Florida?: A a nurse
B a family member C A and B * D unlicensed statt
101. During periods of temporary absence of the administrator or manager of more than
how many hours when residents are on the premises, a staff member who is at least 21 years of age must be physically present and designated in writing to be in charge of the facility.: A 48 hours * B 24 hours C 12 hours D 72 hours
102. How many specialty licenses are there?: A 2
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B 4
C 3 *
D 1
103. What are the specialty licenses?: LNS, LMH, ECC
104. When assisting with medication, the med tech can do all of the following except?: A put the
medication in the resident hand B put the medication in a cup C but the medication in the resident mouth * D get water for the resident
105. The deficiency statement shall include:: A description of the deficiency *
B the name of the person who violated the rule C the number of times this rule has been violated by the facility D all of the above
106. Who is ultimately responsible for determining which type of medication management
a resident requires?: A the facility administrator B the facility nurse C the resident D the healthcare provider *
107. Which of the following is not a LNS service?: A applying a cold compress
B inserting an Indwelling catheter C cutting the toenails of a resident * D performing ear irrigation's
108. Refrigerator temperatures should be kept at a range of?: A 32 to 40°F
B 35 to 45°F C 30 to 35°F D 30 to 40°F *
109. How many continuing education credits does the Administer need to keep their license?: A
12 every two years *
19 / 42 B ECC license C LNS license D both A and B *
117. Food items need to be how many inches from the ceiling?: A 15 inches
B 10 inches C 18 inches * D 12 inches
118. Mr. Roger has no more lisinopril in his medication bottle. What do you do?: A call the
pharmacy for a refill immediately * B report it to the next shift C notify the administrator D call the pharmacy the next day
119. Mr. Hughes fell in his bathroom and suffered a fractured hip. Which of the following
steps would you do?: A call DCF to report the incident B do an initial adverse incident report* C issue the resident a 45 day notice D A & B
120. Beth Moore has been hired to work in your ALF. Her start date is February 1, 2017. She
brings you a copy of her last TB test. It is dated July 1, 2016. Does she need to have another TB test done?: A yes because it is too old * B no because it is in within the last year
121. Sally has brought in a copy of an HIV certificate dated last year. Can you accept it?: A no
because it has not been within the last six months B yes because it is still good C you have to in-service on HIV within 30 days * D none of the above
122. Leftovers in the refrigerator should be discarded after?: A 3 days *
B 2 days
20 / 42 C 1 day D 4 days
123. How many servings of milk or milk products should a resident have per day?: A 3
servings a day B 2 servings a day * C 3 to 4 servings a day D 1 serving a day
124. Which president is at the greatest risk of developing pressure sores?: A the resident who ambulates
but has frequent falls B the resident who cannot ambulate and uses a wheelchair C the resident who is incontinent * D the resident who refuses to bathe
125. Sample prescription drugs must be kept in a container that has a label containing?: A
physician name B expiration date C date dispensed D all of the above *
126. No staff members shall be in charge of a facility for a consecutive. How many days, or
for a total of how many days with in a calendar year, without being an administrator or manager.: A 14 days and a total of 60 days B 30 days and a total of 90 days C 45 days and a total of 90 days D 21 days in a total of 60 days *
127. Dentures need to be cleaned at least how often?: A once a day *
B twice a day C only when dirty D every other day
128. Any person who fraudulently altars,
defaces, or falsifies any medical or other record of an assisted living facility, or causes or
