NHA and Core Exam Questions and Correct Answers, Exams of Nursing

Download NHA and Core Exam Questions and Correct Answers and more Exams Nursing in PDF only on Docsity! NHA and Core Exam The ___ has the ultimate legal responsibility for the OPERATION of a nursing facility. - Answer - Governing Body Per OBRA 1987, air temp is measured where in a building..? - Answer -Just above the floor Per OBRA 1987, a resident has the right to review all their records within ___ of an oral or written request. - Answer -24 hours HHS stands for - Answer -Health and Human Services The ___ has the legal responsibility to adopt and implement facility policies. - Answer -Governing Body Centralizing decision making to improve customer service is NOT an element of _____. - Answer -Total Quality Management TQM Everything must be elevated ___ inches above the floor - Answer -6 inches ___ is the most comprehensive and effective improvement model - Answer -Total Quality Mangement Adding baking soda to food will primarily affect its - Answer -Nutritional value The resident's quality of life and physical condition is the focus of a. Structure b. Process c. Outcomes d. All of the above - Answer -Outcomes The emergency generator must be VISUALLY inspected and checked how often.. - Answer -weekly Administrators consult ___ to compare outcomes to expectations - Answer -Policies and plans of action 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. - Answer -Level 3 Parking spaces must be at least ___" wide with an accessible handicap aisle at least ___" wide - Answer - 96; 60 NFPA stands for - Answer -National Fire Protection Association The emergency generator must be run under full load for ___ every ___ - Answer -30 minutes every month The fire alarm can be silenced during a fire drill conducted between the hours of ____ and _____ - Answer -10pm and 6am The Americans with Disabilities Act construction standards were developed by - Answer -ANSI A mechanism to monitor consumer satisfaction and address other concerns is called - Answer - Grievance procedure The ____ has the ultimate responsibility for management and quality of care in a facility - Answer - Governing body 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? - Answer -4 months The emergency generator must run on full load for __ every __. - Answer -30 minutes every month The ___ is the fundamental law of the US that establishes the responsibilities and rights of the federal courts. - Answer -US Constitution Written preferences regarding the use of artificial life prolonging measures is called - Answer -A living will Medicaid resident funds totaling less than $50 in funds may be maintained in ---- - Answer -Non-interest bearing account The facility must provide residents a full accounting of all monies held in trust ___ - Answer -quarterly Medicare resident funds totaling in excess of ____ must be deposited in an interest bearing account. - Answer -$100 A DON can serve as a floor nurse in a facility with ___ or fewer residents - Answer -60 A significant weight loss within 3 months would be ___% - Answer -7.5 A care plan must be reviewed ___ and completed re-assessed ___ - Answer -Quarterly Annually Palatable refers to the ____ of food served - Answer -Tastiness Asking applicants short questions and briefly talking with them about a job is called a ____ interview - Answer -Preliminary Eliciting information on the phone from a job applicant requesting an interview is called a - Answer - Telephone interview An increase in pay to adjust incomes for inflation and maintain workers purchasing power is called - Answer -COLA Discharged employees have right to present their case to ________. - Answer -Employment Security Commission ____ develops and publishes the life safety code. - Answer -NFPA A facility may not commingle trust funds with facility funds, true or false? - Answer -True Under HIPAA when a worker moves from one job to another, their new employers health plan can exclude coverage for a pre existing health condition for no more than ___ months - Answer -12 A low temp dishwasher uses hot water at _____ and bleach at _____ ppm - Answer -120 degrees and 50 ppm of bleach The facility safety committee must meet at least ___ to discuss unsafe practices and behaviors, analyze reports and identify prevention measures - Answer -monthly _____ protects workers from injury from unexpected hazardous energy discharge by the use of energy isolating devises - Answer -Lockout/tagout OSHA log ____ is a summary of all employee illnesses and injuries - Answer -300 Employers post year end summary of illnesses and injuries on OSHA form number - Answer -300A Employers with __ or more employees must maintain a record of occupational illnesses and injuries - Answer -11 Employers must report to OSHA fatal or serious injuries involving __ or more employees within ___. - Answer -3 8 hours Protein is not a carbohydrate, true or false? - Answer -True AN EYE CONDITION IN WHICH FLUID PRESSURE BUILDS UP INSIDE THE EYE - Answer -GLAUCOMA A respiratory condition where the lung tissue loses elasticity and the lungs cannot properly expand and deflate, causing breathing problems is called - Answer -Emphysema The ___ must determine if a resident requires isolation - Answer -Physician All employee injuries that require medical attention or loss of time must be entered into the OSHA log within ___ - Answer -7 days If a resident was injured from a defective wheelchair, the administrator must notify the ___ and the manufacturer with ___ days - Answer -FDA 10 An OSHA violation must be posted at site of violation a minimum of ____ - Answer -3 working days NPO - Answer -Nothing by mouth A facility must maintain a __ day emergency food supply per OBRA 1987 - Answer -3 day Travel distance from within any resident room to an exit access door must not exceed - Answer -200 ft. Both eyes are abbreviated as - Answer -OU To calculate the value of an investors investment in a business you need to look at the - Answer -Balance sheet Acid Test Ratio is used to calculate funds available in a few days to pay current liabilities and is expressed as - Answer -Cash and current receivables dived by current liabilities An administrator would refer to the ___ to determine if revenues were sufficient to cover expenses - Answer -profit/loss statement and income statement If a court determines a resident is incapable of making their own decisions the court would appoint a ___ to handle their affairs - Answer -Guardian Lighting of the means of egress must be continuous with exit floor surfaces illuminated ag the levels of ___ foot candle light from the floor - Answer -1 foot I'm case of a fire, the primary purpose of closing doors is to ___ - Answer -Contain the smoke Insurance that protects the facility from employee accidents - Answer -Professional liability insurance The designated parking space for the handicapped must be at least ___ - Answer -13 ft wide Insurance that protects the facility against injuries sustained by visitors on facility property is - Answer - General liability insurance ___ fire drills are required in a facility per year - Answer -12 (1 / shift every quarter) A curtain or decoration that does not burn easily is called ___ - Answer -Fire resistant What is the temp of a hot rinse dishwasher? - Answer -180 An abuse allegation must be investigated and reported to the state within ___ - Answer -5 working days Labor costs in a nursing home usually total approximately ___ to ___ % - Answer -50 to 60 Per ANSI the telephone cord on a public phone must be at least - Answer -29 inches The EEOC does not enforce the Fair Labor Standards Act, true or false? - Answer -True A smoke proof enclosure must have a _____ hour fire resistance and a door with _____ hour fire protection rating. - Answer -2 hour ; 1 1/2 hour Budgets are usually prepared ___ - Answer -Annually The decrease in value due to obsolescence, wear and tear is called - Answer -Depreciation One who is "bedfast" must remain in their bed all the time for ___ days - Answer -7 ___ mandates that policies in nursing homes must be approved by the governing bodies - Answer -OBRA A "Resource Utilization Group" is a type of - Answer -Resident classification system A testator is one who: - Answer -Dies leaving a will The sum of all activities to create desired changes in quality care is the definition of - Answer -Quality improvement The "physicians desk" refers to - Answer -Drugs All cost reports are due - Answer -90 days after the end of the fiscal year The monitoring and enforcement of ANSI standards is the responsibility of - Answer -The agency within the state The travel distance between a class B and C fire extinguishers cannot be more than - Answer -50 feet The ___ and ___ must be listed on the resident trust fund surety bond - Answer -Resident and state Per OBRA, the ___ is not required to attend the QA meetings. - Answer -Administrator Fringe benefits are outlined in the ___ - Answer -Personnel policies The term lockout tagout refers to controlling ____ - Answer -Hazardous energy Emergency generators must be tested - Answer -weekly Procedures should be prepared by - Answer -Supervisors The time period in which a lawsuit may be filed is called the - Answer -Statute of limitations Per Title XIX of the Social Security Act, menus for food actually served residents must be retained for ___ days - Answer -30 Management by Walking Around is a concept developed by - Answer -Peters After a comprehensive assessment is done, a comprehensive care plan is due within ___ days - Answer - 7 Coordination primary deals with unifying the ___ of people - Answer -efforts Class D fire extinguishers are used for - Answer -metals such as magnesium and titanium Class A fire extinguishers are used for - Answer -burning paper, lumber, cardboard and plastics Class C fire extinguishers are used for - Answer -electrical appliances, outlets and power tools Class B fire extinguishers are used for - Answer -combustible or flammable liquids such as kerosene and gasoline A court appointed guardian is also called a - Answer -conservator Allegations of Medicare fraud would be reported to the ___ - Answer -OIG (Office of Inspector General) Aside from the required survey, which of the following would not trigger an abbreviated standard survey? - Answer -Change in Medical Director Nursing homes much follow the Life Safety Code of which year? - Answer -2012 The RAI is now called the - Answer -CAA (Care Area Assessment) How many CAA triggers are there? - Answer -20 Under new CMS regulations, nursing home are now required to integrate actual payroll and census data into required reporting to the CMS. What is this system called? - Answer -Payroll Based Journal The payroll based journal must be submitted to CMS every ___ - Answer -Quarter Individuals, corporations, the surrounding community or governmental entities who are directly affected by the actions taken by a business are known as - Answer -Stakeholders Employees, residents, family members, and corporate managers or owners are called - Answer -Internal stakeholders Hospital case managers, referring physicians, the surrounding community and state surveyors are called - Answer -External stakeholders No more than __ hours can pass between dinner and breakfast - Answer -14 hours No more than __ hours can pass between dinner and breakfast if residents have a snack - Answer -16 hours A facility can extend the time between meals if it is approved by - Answer -a resident group The facility must do a pain assessment for each resident how often? - Answer -Quarterly A resident in restraints must be released from their restraints for how many minutes? - Answer -10 A specific law that mandates an employer is responsible for work related injuries and lost time for their employees is called - Answer -The Federal Employer Liability Act A concept recognized in civil law that an employer is responsible for the acts of their employees where their parties are injured is called - Answer -Respondent Superior The American Health Care Association is the national association that advocates for - Answer -For-profit health care organizations The system responsible for circulating blood throughout the body is called the - Answer -Cardiovascular system A naso-gastric tube is many times referred to as an NG tube or as a - Answer -Stomach tube Current Ratio - Answer -current assets divided by current liabilities The number of disaster drills is determined by: - Answer -Life safety code The best way to assess a resident with complicated medical conditions is to do a ___ - Answer -RAI The cost to maintain capital equipment in a nursing home will justify replacement within ___ - Answer - 10 years Gerontology is the study of - Answer -the aging process An earning statement that compares revenues to expenses is also referred to as a - Answer -profit and loss statement The ___ prohibits paying for Medicare referrals - Answer -Ethics in Patient Referrals Act A facility must submit a request for a formal administrative hearing within ___ days - Answer -20 The ___ is permitted to dispense medications - Answer -Pharmacist Adequate required living space in a resident room does not include - Answer -the bathroom, vestibule or hallway A colostomy bag is connect to the - Answer -stomach wall A ___ is the most comprehensive way to measure a job applicant's skills - Answer -Aptitude test A resident who enters a facility without an indwelling catheter can be catheterized when - Answer -the residents clinical condition demonstrates a need for one The process in which an administrator can contest in writing a citation for non-compliance? - Answer - Informal dispute resolution process Which management style provides least direction and support to staff? - Answer -Delegation Nursing facilities must file a request for formal dispute resolution within how many days of receiving deficiences - Answer -20 Reality orientation is most appropriate for residents who have ___ stage dementia - Answer -Early The best investment vehicle for funds that must remain liquid is usually a ___ - Answer -Money Market Fun (MMF) The safety program in a nursing home would fall under the ___ program - Answer -Risk management A resident has a right to request their clinical records and receive them in __ hours (excluding weekends and holidays) - Answer -24 A nursing facility must offer its employees ___ insurance - Answer -Unemployment Transmission difficulties, premature evaluations and filtering are all forms of ____ barriers - Answer - communication On balance sheets of nonprofit companies, which of the following are most often listed as restricted net assets - Answer -donor imposed restrictions Controlled drugs must be stored in their original containers and placed under ___ protection - Answer - double lock A document that summarizes the financial position of a nursing facility at a particular point in time is known as ___ - Answer -balance sheet When an administrator takes steps to resolve a deficient situation this is called - Answer -controlling quality subpoena duces tecum - Answer -an order to appear with evidence Marketing of healthcare is a new trend that focuses on the recognition of the provision of health care services and is increasingly becoming a - Answer -buyers market Normal psychological aging in the elderly would not include - Answer -loss of memory Sensitivity training has not proven to be effective for residents with ___ - Answer -Dementia Who is responsible for the implementation of resident care policies? - Answer -Medical director Does FMLA provide leave for a sick sibling? - Answer -No The main purpose of a ____ program is to reduce occurrences that may result in legal action against the facility - Answer -Risk Management If a resident requests copies of records from their chart on Friday, when is the soonest staff must provide them those copies? - Answer -Tuesday A nurse aide cannot work more than ___ months without completely their state certification. - Answer - 4 Under the FLSA, minors under 16 years of age must - Answer -Obtain temp work permit from the department of labor What is a mission statement? - Answer -The purpose of a corporation Which organization developed the standards for the Life Safety Code? - Answer -NFPA A Union must give how many days notice before a strike? - Answer -10 days Which federal law governs union elections? - Answer -Taft Hartley Title 18 of Social Security Act is the __ program - Answer -Medicare If a union wishes to renegotiate a contract with an employer it must notify the employer within how many days of the expiration date? - Answer -90 Which of the following determines the number of fire drills each year in a nursing home? - Answer -Life safety code The emergency electrical generators must switch on within ___ seconds of a loss of power - Answer -10 Which organization enforces the life safety code? - Answer -The state licensing agency The ___ was organized in 1935 - Answer -CIO The ___ represents most workers in the nursing home industry - Answer -SEIU The ___ is responsible for the day to day management of the facility - Answer -Administrator OSHA form 300A must be posted during what time frame? - Answer -Feb 1 - April 30 Exit signs must be placed no more than ___ feet from eachother - Answer -100 side reach from a wheelchair is between _____ & _______ off the floor. - Answer -9/54 Where an individual makes a written statement that hurts another persons reputation, this is called - Answer -Libel Which of the following would not have the power to make healthcare decisions for a resident who lacks capacity? - Answer -Power of attorney A complaint survey is a ___ survey - Answer -Abbreviated standard Liabilities that will be paid within 16 months are - Answer -Non-current liabilities Which of the following forms is the CMS resident census form? - Answer -HCFA form 672 You must have emergency battery power for at least ___ hours - Answer -1 & 1/2 ___ is the federal law that prohibits a Medicare provider from self referring patients to diagnostic center they own or fixing prices for services provided to Medicare beneficiaries - Answer -Robinson Patman Act Which of the following is best suited for residents with mild dementia? - Answer -Reality orientation Which of the following is the correct footage for a semi-private room? - Answer -320 (160 square feet) Must report the death or hospitalization of 3+ employees to OSHA by which of the following methods? - Answer -Calling OSHA within 8 hours What reports do surveyors look ya from OSCAR prior to survey? - Answer -CASPER reports 3 and 4, QI report With E-verify, an employer can verify a job applicants citizenship status within - Answer -Seconds Employee time cards must be retained for __ years - Answer -2 The air in a nursing home must be changed every ___ minutes - Answer -6 Under OBRA, a Medicaid resident is entitled to ___ days of paid leave for hospitalization - Answer -14 Under OBRA, a Medicaid resident is entitled to __ days of paid leave for therapeutic leave - Answer -5 The wash cycle of a hot water dishwasher is ___ degrees - Answer -150 Pots and pans sanitizer using just hot water is sanitized in a 3 compartment sink then must be submerged in hot water at a minimum temp of ___ degrees for 30 seconds - Answer -170 If a resident in rehab is not walking, the resident should be offered a ___ - Answer -Walker The attending physician must visit their nursing home patients how often - Answer -Every 30 days for first 90 days and then 60 days thereafter A ___ would have interest in the financial well being of a compant - Answer -Shareholder Accounts receivables over 69 days past due must not exceed __% of all accounts receivables - Answer - 5% What is the best method to control monetary risks in a nursing home? - Answer -Purchase insurance Which two management styles are most effective? - Answer -MBO & MBWA Must notify residents within ___ days of any change in laws, facility policies or changes in charges? - Answer -14 Which federal law requires an I-9 form? - Answer -Immigration Reform Act Which management type would be most effective for physicians, nursing and social workers? - Answer - Paternal What percentage of residents must be interviewable to participate in surveyors interviews of facility residents? - Answer -50% If a CEO or director is sued, which insurance would cover the liability? - Answer -Officers and directors insurance Where a manager and staff get together and jointly decide priorities to be worked on, this is called ____ - Answer -Management by objectives The ____ has the ultimate legal responsibility of a nursing home - Answer -Governing body The ombudsman must have patient consent to access their medical records, true or false? - Answer - True The ___ is responsible to review and implement resident care policies and coordinate the medical care in a facility - Answer -Medical director ____ % of workers is needed in a company to sign a union interest card or union card which is the first step in getting the NLRB to hold a union election - Answer -30% Nursing home must have hearing aide compatible phones with volume control that can adjust the volume between a minimum of ___ and a maximum of ___ decibels above normal - Answer -12 18 Must limit travel in a smoke compartment barrier to ___ feet - Answer -200 ft A broad statement of goals is a ___ - Answer -policy NFPA stands for - Answer -National Fire Protection Association According to OBRA, the facility is required to offer therapeutic activities that are based upon - Answer - past interests and hobbies Flexion, rotation, abduction and addution are all terms referring to - Answer -exercise The Equal Pay Act, Title VII of the Civil Rights Act and Age Discrimination in Employment Act is all enforced by ___ - Answer -EEOC The accrual method of accounting is required by Medicaid and Medicare and therefore income and expenses are recorded when ___ - Answer -they are incurred The income of a proprietary corporation remaining after all costs, taxes and dividends have been paid is known as ___ - Answer -retained earnings ____ is identifying and solving problems that only involve a legal risk - Answer -risk management The best way to maintain _____ is to limit access to supplies - Answer -inventory The ____ typically serves as the fiscal intermediary - Answer -insurance company A resident who dies without leaving a will is said to have died: - Answer -Interstate Facility policies must be updated how often? - Answer -Annually Controlled drugs must be stored in their original containers and stored - Answer -in a separate compartment If surveyors find substandard care during an annual survey the facility will be subject to - Answer -Partial extended survey If you had the choice to eliminate a resident snack from one of the following times, which one would you not have the option to eliminate? - Answer -Bed time snack Which type of lines on an organizational chart would show line authority and staff authority? - Answer - straight lines and dotted lines ___ measures the purchasing power of worker paychecks and is used to determine a cost of living adjustment for workers. - Answer -CPI (Consumer Price Index) Medicare Part __ pays for drugs outside of an inpatient setting - Answer -Part D The DON is considered ___ management - Answer -middle Prepaid insurance is what type of expense? - Answer -indirect expense Except for the bathroom door, all doors must be __ inches wide? - Answer -44 Medical records belong to the ___ - Answer -facility PRN stands for: - Answer -pro re nata meaning as needed, or as the occasion arises A gradual loss of hearing in the elderly resulting in total hearing loss is called - Answer -Presbycusis Low blood pressure is called ____ High blood pressure is called ____ - Answer -Hypotension ; Hypertension The main criteria for a lawful selection process is whether ___ occured - Answer -adverse impact The suffix "otomy" means - Answer -incision What is the width of a single wheelchair? - Answer -30 inches If a union had a complaint against an employer, it would file the complaint with which of the following? - Answer -National Labor Relations Board Who is responsible for ensuring that resident rights are respected by the staff? - Answer -Administrator The administrator beings work when the owners or governing body set forth the ___ for the organization? - Answer -Mission Statement A medication order not specifically limiting the time or number of doses must be _____ - Answer - automatically stopped The dietitian must be registered with the ____ - Answer -American Dietetic Association Which federal law sets the standards for overtime and minimum wage? - Answer -Fair Labor Standards Act Which federal law establishes adverse impact as the current standard for discrimination in employment? - Answer -EEOA Another name for a prescription drug is a - Answer -legend drug Exercising limited authority or a specific restricted function is called - Answer -Functional What two ratios tell you how much the facility has available immediately to pay urgent bills? - Answer - Quick ratio and the acid test ratio What does ANSI consider the amount necessary for wheelchair clearance? - Answer -36" Constant thirst and need for urination are symptoms of ___ - Answer -diabetes mellitus