NHA Line of Service Exam Questions and Answers, Exams of Management of Health Service

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NHA Line of Service Exam 162 Questions with Verified Answers A facility which takes care of patients who do not require skilled nursing: 1.Continuing Care Retirement Facilities 2.Skilled Nursing Facility 3.Intermediate Care Facilities 4.Assisted Living Facilities - CORRECT ANSWER 3.Intermediate Care Facilities A medication that is used to treat pain: 1.Analgesic 2.Antiseptic 3.Anticoagulant 4.Antibiotic - CORRECT ANSWER 1.Analgesic Which of the following is not an appropriate method to control wandering: 1.Restricting the wanderer to bed with physical restraints 2.Locked Alzheimer wards with a door requiring a passcode to exit 3.Bracelet work by the resident that triggers a door lock as the resident approaches 4.Mesh Velcro barriers on other residents' doors - CORRECT ANSWER 1.Restricting the wanderer to bed with physical restraints Turning up for work on time is an indication of a good: 1.Work Attitude 2.Organizational Reward 3.Social Reward 4.Job Reward - CORRECT ANSWER 1.Work Attitude In a well-run facility, the balance between nursing care staff and support staff is: 1.60%Nursing care/40% support staff 2.70%Nursing care/30% support staff 3.40%Nursing care/60% support staff 4.50%Nursing care/50% support staff - CORRECT ANSWER 1.60%Nursing care/40% support staff A chronic nervous disease: 1.Parkinson's 2.Sun-downing 3.Aphasia 4.Senile Dementia - CORRECT ANSWER 1.Parkinson's Determining the task and skills required to fulfill a position: 1.Job Classification 2.Job Analysis 3.Job Description 4.Job - CORRECT ANSWER 2.Job Analysis An employee permanently leaving a position: 1.Exit Interview 2.Performance Evaluation 3.Employee Turnover 4.Promotion Policy - CORRECT ANSWER 3.Employee Turnover Instructions phrased as a suggestion: 1.General 2.Formal 3.Specific 4.Informal - CORRECT ANSWER 4.Informal How long much a resident wait before re-qualifying for medicare reimbursement after their original stay in a SNF has ended? 1.60 days 2.30 days 3.90 days 4.120 days - CORRECT ANSWER 1.60 days A corporation that pays no corporate tax: * 1.Sole Proprietorship 2.Limited Partnership 1.28 2.26 3.24 4.20 - CORRECT ANSWER 4.20 All electrical systems at your skilled facility have been upgraded and must comply with which of the following NFPA standards? * 1.NFPA 70 2.NFPA 101 3.NFPA 2000 4.NFPA 48 - CORRECT ANSWER 1.NFPA 70 According to the propper NFPA standards what is the minimum lighting level for toilets and bathing facilities? 1.20 lumens 2.20 foot candles 3. 30 Lumens 4. 30 food candles - CORRECT ANSWER 2.20 foot candles An exposed hot water pipe must be covered or protected to prevent injury or burns when it reaches temps above ____F. 1.120F 2.125F 3.130F 4.135F - CORRECT ANSWER 2.125F Each floor in a facility must have at least one centralized bathtub with ____ feet of clearance on 3 sides. 1.6 feet 2.5 feet 3.4 feet 4.3 feet - CORRECT ANSWER 4.3 feet A resident has requested that she and her husband share a room. Is this allowed? 1.Yes, married couples can room together upon the request of one spouse 2.No, a married couple cannot room together unless ordered by the physician 3.Yes a married couple may room together if they both consent 4.No a married couple may never room together under any circumstances - CORRECT ANSWER 3. Yes a married couple may room together if they both consent Plans have been submitted to the DOH for approval of an addition to the facility. The plans must be resubmitted if the construction does not begin within _____ months. * 1.24 months 2.18 months 3.12 months 4.6 months - CORRECT ANSWER 1. 24 months Reasonable notice to a resident about an impending discharge is ___ days in advance. 1.45 days 2.30 days 3.21 days 4.14 days - CORRECT ANSWER 2. 30 days A facility that violates a limitation or suspension of admissions may be subjected to a civil penalty not to exceed $_______ a day. 1.500 2.400 3.300 4.200 - CORRECT ANSWER 1.500 A facility must provide evidence of nondiscriminatory practices at least ______. * 1.Every 6 months 2.Once a year 3.Every 2 years 4.Every 3 years - CORRECT ANSWER 4.Every 3 years When must a facility notify DOH about a new health care service?* 1.At least 120 days prior 2.At least 90 days prior 3.At least 60 days prior 4.At least 30 days prior - CORRECT ANSWER 3. At least 60 days prior A resident enjoys his new room and the window view. His bed may not be in?* 1.Direct view of the public 2.Direct natural light 3.Direct path of the door 4.Directly next to a wall - CORRECT ANSWER 2.Direct natural light In the event of an emergency, the door to a toilet room that swings into the toilet area shall be equipped with special hardware which will permit the door to ____. * 1.Open from the outside 2.Remove from the outside 3.Locked from the inside for security reasons 4.Opened from the outside and swing-out - CORRECT ANSWER 2.Removed from the outside A facility is closing and has notified all residents 30 days in advance. If a resident cannot be safely transferred to a new facility by the time the 30 days are up, the DOH may require a facility to: 1.Remain open an additional 30 days 2.Remain open an additional 14 days 3.Remain open until a safe transfer can be accomplished 4.No changes - CORRECT ANSWER 1. Remain open a additional 30 days Storage for furniture, equipment, and resident possessions may not be less than ____ per bed. * 1.6 sq feet 2.8 sq feet 3.10 sq feet 4.12 sq feet - CORRECT ANSWER 3.10 sq feet Ventilation specifications for a resident room must have pressure in relationship to adjacent areas that are which of the following:* 1.Positive 2.Equal 3.Negative 4.Not applicable - CORRECT ANSWER Equal The new resident wing has just been completed and is ready to accept residents. Upon final inspection of the new wing you notice a problem with the handrails. According to section 205.9 handrails must be what? 1.On both sides of the corridor with a return to the wall as end rail ending 2.Made of polished wood with brass brackets 3.5 feet apart 3.On the right side of each corridor 4.At least one return to wall on one end of the rail - CORRECT ANSWER 1.On both sides of the corridor with a return to the wall as end rail ending The owner of the facility has renewed his provisional license twice while waiting for the regular license be issued. How many times can a provisional license be renewed? 1.As many times as the Department of Health would like to 2.Up to two times 3.Up to three times 4.Up to five times - CORRECT ANSWER 3. Up to three times A facility is going to raise rates for the price of resident meals. In order to do this properly, they must first notify each resident "reasonably in advance", which is interpreted as ___ days. 1.45 2.30 3.21 4.14 - CORRECT ANSWER 2.30 Days According to OBRA, what is the maximum amount of time allowed between the substantial evening meal and the morning meal? 1.No more than 10 hours 2.No more than 12 hours 3.No more than 14 hours 4.No more than 16 hours - CORRECT ANSWER 3.No more than 14 hours In what year did it become law that all nursing homes must be administered by a duly licensed and registered Nursing Home Administrator?* 1.1970 2.1974 3.1979 4.1981 - CORRECT ANSWER 1.1970 Of the ten members on the Nursing Home Administrator Advisory Council, which of the following is NOT an accurate statement about the members?* 1.At least 6 of the 10 members shall be nursing home administrators 2.One of the members shall be a member of the clergy with a demonstrated interest in LTC 3.One of the members shall be an owner of one or more nursing homes 4.At lease one shall be a physician - CORRECT ANSWER 3.One of the members shall be an owner of one or more nursing homes An individual just had his/her nursing home administrators license revoked. How soon after this revocation can it be reinstated? 1.After a period of at least 5 years 2.After a period of at least 4 years 3.After a period of at least 3 years 4.After a period of at least 2 years - CORRECT ANSWER 1.After a period of at least 5 years An individual has a temporary permit to act as an HNA. How long can this person serve as the NHA? 1.6 months 2.1 year 3.18 months 4.24 months - CORRECT ANSWER 2.1 year Nursing aid in service education must be sufficient to ensure the continuing competence of the nurse can not be less than ___ hours per year. 1.No less than 12 hours per year 2.No less than 14 hours per year 3.No less than 16 hours per year 4.No less than 18 hours per year - CORRECT ANSWER 1.No less than 12 hours per year Your facilities new pharmacist has been on the job less than 2 months and is not sure how often she must provide the facility with a med profile. As the administrator... 1.You remind the pharmacist that the resident profile must be supplied monthly 2.You remind the pharmacist that the resident profile must be supplied quarterly 3.You remind the pharmacist that the resident profile must be supplied every 6 months 4.You remind the pharmacist that the resident profile must be supplied per physician request - CORRECT ANSWER 1. You remind the pharmacist that the resident profile must be supplied monthly Once an individual holds a valid license as an NHA how often is he/she required to apply to the board for a new certificate of registration?* 1.Annually 2.Semi-annually 3.Bi-annually 4.Never - CORRECT ANSWER 3.Bi-annually According to the DOH, how often should in service training occur for accident prevention? 1.Once every 6 months 2.At least annually 3.Only at the request of the department 4.Never - CORRECT ANSWER 2.At least annually Elevators service must be provided to all residents when a resident area is located above or below first floor level entrance in the building. What exception is in place if it was set in use prior to what year and has not been converted or constructed since? 1.prior to 1979 2.prior to 1977 3.prior to 1976 4.prior to 1975 - CORRECT ANSWER 4.Prior to 1975 Each facility must install and test battery-operated single station smoke alarms in each resident bedroom unless they have a system based smoke detector that is installed and maintained in accordance with which NFPA standard? * 4.It would not be considered abuse - CORRECT ANSWER 3.Verbal abuse A resident which a long history of smoking has recently undergone back surgery and is unable to get out of bed. He would like to have a cigarette after his morning meal. Can he smoke a cigarette in his bed? 1.No 2.Yes as long as he is under observation and the facility permits smoking 3.Yes he can smoke in bed any time he wishes 4.No smoking in bed is only permitted if his roommate is a smoker too - CORRECT ANSWER 3. Yes as long as he is under observation and the facility permits smoking Your facility has just added a new resident wing. How wide does the bathroom doors need to be? 1.At least 46 inches 2.At least 44 inches 3.At least 40 inches 4.At least 36 inches - CORRECT ANSWER 4. At least 36 inches A facility has been neglecting mandatory fire drills. How many fire drills per year should be conducted? 1.4 fire drills per year 2.4 fire drills per year per shift 3.2 fire drills per shift per year 4.2 fire drills per year - CORRECT ANSWER 2. 4 fire drills per year per shift How long after admission should the residents initial medical assessments be completed? 1.14 days after admission 2.21 days after admission 3.10 days after admission 4.7 days after admission - CORRECT ANSWER 1.14 days after admission Along with the pharmacist, who develops written policies and procedures for drug therapy, distribution, administration, control, accountability and use? 1.The administrator 2.The Inventory Control Board 3.The Quality Assurance Committee 4.The DON - CORRECT ANSWER 3. The Quality Assurance Committee As part of the AIT program, 80% of the training must occur from M-F between ____ am and ___pm. 1.8am-8pm 2.8am-7pm 3.6am-6pm 4.7am-7pm - CORRECT ANSWER 4.7am-7pm A resident at your facility needs to have surgery on his knee.Surgeries must only be performed in an acute hospital or in a _____,______, or ____ ambulatory surgical facility. 1.Class A, Class B, or Class C 2.5 Star, 4 Star, or 3 Star 3. Government paid, non-profit, or Volunteer - CORRECT ANSWER 1.Class A, Class B, or Class C Physician orders for restraints must be reviewed at-least ____. 1.Quarterly 2.Bi-weekly 3.Monthly 4.Every 45 Days - CORRECT ANSWER 3. Monthly A dietitian can be someone who is registered by: 1.The Commission on Dietetic Registration of the American Dietetic Association 2.The Dietetic and Food Service Association of America 3.The National Food and Nutritional Dietary Association - CORRECT ANSWER 1.The Commission on Dietetic Regulation of the American Dietetic Association A resident was just admitted to your facility and assigned a private room. How many sq feet of clearance should there be? 1.At least 80 sq feet 2.At least 90 sq feet 3.At least 100 sq feet 4.At least 110 sq feet - CORRECT ANSWER 3.At least 100 sq feet Hot water used by the residents must not exceed _____ F. 1.105 2.110 3.115 4.120 - CORRECT ANSWER 2. 110 Line and trash chute rooms much have air pressure which is? 1.Negative 2.Positive 3.Equal 4.Adjacent Rooms - CORRECT ANSWER 1.Negative By August 13, 2013 all LTC facilities must have installed automatic sprinklers in accordance with NFPA ___ Standard for the Installation of Sprinkler Systems. 1.NFPA 2000 2.NFPA 75 3.NFPA 13 4.NFPA 1999 - CORRECT ANSWER 3.NFPA 13 Your facility has just upgraded all the lights. What minimum lighting requirement for the recreation area? 1.100 footcandles 2.80 footcandles 3.65 footcandles 4.50 footcandles - CORRECT ANSWER 4.50 footcandles A facility has just opened its doors and must build up their supplies. How much food needs to be in storage? 1.1 extra day of food 2.3 extra days of food 3.5 extra days of food 4.7 extra days of food - CORRECT ANSWER 2.3 extra days of food How often should outdated or recalled medications be returned to the pharmacy for proper disposal? 1.Immediately 2.Annually 1.50 feet 2.35 feet 3.25 feet 4.15 feet - CORRECT ANSWER 3.25 feet Records of menus must be kept for how long? 1.2 weeks 2.30 days 3.45 days 4.60 days - CORRECT ANSWER 2.30 days The nurses station must be equipped to receive calls from all the following except? 1.The dining area 2.The resident toilets 3.The resident bedrooms 4.The resident bathing facilities - CORRECT ANSWER 1.The dining area Each facility must publish to the community their Civil Rights policy as evidence of non-discriminatory practices. How often must a facility do this? 1.Only once 2.Once every 5 years 3.Once every 4 years 4.Once every 3 years - CORRECT ANSWER 4. Once every 3 years A report is required if the DOH finds deficiencies due to the practices of a licensed nursing home administrator. Within how many days is the report due? 1.Within 120 days 2.Within 60 days 3. Within 45 days 4.Within 30 days - CORRECT ANSWER 2.Within 60 days A minimum size of a resident bathroom that only has a toilet is ____ by ____. 1.3 feet by 5 feet 2.3 feet by 6 feet 3.4 feet by 5 feet 4.4 feet by 6 feet - CORRECT ANSWER 2.3 feet by 6 feet Floors or units in a nursing facility with more than eight residents shall be provided with separate toilet fixtures in that ratio? 1.1:4 2.2:1 3.:1 4.2:8 - CORRECT ANSWER 1.1:4 The State Board of Examiners of Nursing Home Administrators consists of how many members? 1.10 2.12 3.13 4.15 - CORRECT ANSWER 4.15 The clinical records of discharged resident must be completed within how many days? 1.45 days 2.30 days 3.21 days 4.14 days - CORRECT ANSWER 2.30 days A facility must comply with which edition of the Life Safety Code of the National Fire Protection Association? 1.2000 Edition 2.2010 Edition 3.2001 Edition 4.2011 Edition - CORRECT ANSWER 1. 2000 Edition A facility must employ a full time social worker if it has more than _____ residents. 1.85 2.100 3.110 4.120 - CORRECT ANSWER 4.120 residents How long is the term of office for a member of the Board of Examiners? 1.5 years 2.4 years 3.3 years 4.2 years - CORRECT ANSWER 2. 4years Handrails in the bathroom must support up to a weight of ____ pounds. 1. 300 2. 280 3. 250 4. 225 - CORRECT ANSWER 3. 250 pounds A Physicians Assistant has given orders for a new treatment plan. How soon must the attending physician countersign the order? 1.7 days 2.14 days 3.21 days 4.30 days - CORRECT ANSWER 1. 7 days Menus must be prepared how far in advance? 1. The same day 2. 1 month 3. 21 days 4. 2 weeks - CORRECT ANSWER 4. 2 weeks A practical nurse shall be designated by the facility as a charge nurse only on the ___ tour of duty in facilities with a census of ____ or less. 1. day, 100 2.day, 59 3.night, 100 4.night, 59 - CORRECT ANSWER 4. Night, 59 To be considered to be a full time employee you must work a minimum of ___ hours a week. 1.40 2.35 3.25 4.30 - CORRECT ANSWER 2.35 hours 3.missing laundry 4. the spread of infection - CORRECT ANSWER The spread of infection The travel distance to reach a resident room door to another section of the facility is: 1.50 feet 2.100 feet 3.120 feet 4. 200 feet - CORRECT ANSWER 50 feet Skilled health care nursing facilities must provide a safe, clean, comfortable, and homelike environment that allows residents to use their personal belongings: 1.To the extent possible after considerations of safety, cleanliness and comfort 2.Regardless of administrator objection stemming out of facility logistical challenges 3.If a roommates preferences and autonomy are considered and respected 4. As long as the personal belongings are made of non-combustible material - CORRECT ANSWER 1. To the extent possible after consideration of safety, cleanliness and comfort An administrator is evaluating an old building for a possible renovation as a nursing facility. To meet ANSI standards, the building should be adapted by. 1.Providing wheelchair passage width 2.Installing commercial-grade carpeting 3.Upgrading lighting 4.Installing a new fire alarm system - CORRECT ANSWER 4. Installing a new fire alarm system Which of the following maintenance programs is a proactive approach to extending the life of equipment and systems? 1.General 2.Comprehensive 3.Preventative 4.Operational - CORRECT ANSWER 3. Preventative All of the following are factors in determining whether nursing facility dining and activity rooms are well-ventilated except: 1.Odors 2.Humidity 3.Temperature 4.Room Square Footage - CORRECT ANSWER 2.Humidity The Occupational Safety and Health Administration (OSHA) requires form 300A to be displayed in which of the following months? 1.January, February, and March 2.February, March, and April 3.March, April, and May 4.April, August, And December - CORRECT ANSWER 2.February, March, and April A nursing facility must have a full-time director or nursing services. full time is defined as working how many hours per week? 1.It depends on the size of the facility 2.No less than 40 3.No more than 35 4.It depends on the case mix of residents - CORRECT ANSWER 3.No more than 35 hours According to current labor laws, during union solicitation in a nursing facility, the facility's administrator: 1.Cannot conduct employee meetings to discuss disadvantages of unions 2.Cannot prohibit or interfere with union solicitation during lunch breaks or off- duty time 3.Should begin immediate bargaining with labor leaders 4.Must allow on-duty time for employees to talk with union organizers. - CORRECT ANSWER 2. Cannot conduct or interfere with union solicitation during lunch breaks or off-duty time The Occupational Safety and Health Administration's (OSHA) Access to Employee Exposure and Medical Records Standard requires that long-term care employers ensure the preservation and retention of medical records of employees with exposure to blood-borne pathogens for at least: 1.Six months from date of severance from employment 2.The duration of employment plus 30 years 3.The duration of employment plus seven years 4.Seven years from the date of employment - CORRECT ANSWER 2.The duration of employment plus 30 years What is the cost per resident if this resident is admitted and stays for 15 days? -Routine Nursing Care:$900 -Therapy:$1,500 -Attending physician visit:$300 -Room:$3,000 -Medications:$600 1.300 2.360 3.400 4.420 - CORRECT ANSWER 4.420 The public policy that was initially responsible for the protection of resident funds is the: 1.Safe Harbor Act 2.Omnibus Budget Reconciliation Act (OBRA) 3.Health Insurance Portability and Accountability Ave (HIPPA) 4.Consumer Protection Act - CORRECT ANSWER 2.Omnibus Budget Reconciliation Act (Obra) Facility X has the following information on its balance sheet: -Total current assets: $405,000 -Total fixed assets: $7,500,000 -Total assets: $7,905,000 -Total current liabilities: $375,000 -Total non-current liabilities: $4,135,000 -Total Liabilities: $4,510,000 -Total retained earnings: $370,000 The total working capital of this facility is: 1.$30,000 2.$35,000 3.$3,365,000 4.3,765,000 - CORRECT ANSWER 4.$3,765,000 1.Have an acute or chronic medical condition 2.Be under the care of a licensed physician 3.Be in need of assistance with ADL's 4.Have at least one payer source - CORRECT ANSWER 2.Be under the care of a licensed physician If a nourishing snack in served at bedtime, what is the maximum number of hours that may elapse between a substantial evening meal and breakfast? 1.12 2.13 3.15 4.16 - CORRECT ANSWER 4.16 hours An activity program must be directed by a qualified professional who has: 1.Completed a training course approved by the state 2.Completed eligibility for recreational therapy certification 3.1 Year of experience in a recreational program within the last 5 years 4.2 years of experience in a recreational program within the last 10 years - CORRECT ANSWER 2.Completed eligibility for recreational therapy certification Which of the following must be made available to a nursing facility at the time of a resident's admission? 1.Orders containing medications and care 2.Copies of the resident's insurance cards 3.Summary of treatment in a previous healthcare facility 4.Rehabilitation potential from a physician or therapist - CORRECT ANSWER 1.Orders containing medications and care The plan of care for each resident must include: 1.a complete list of medications 2.timeframes for achieving resident goals 3.Resident of responsible party's signature 4.Documentation of method of payment - CORRECT ANSWER 1.A complete list of medication How often should the attending physician visit his/her patients during the first 90 days? 1.Every 10 days 2.Every 14 days 3.Every 30 days 4.Every 60 days - CORRECT ANSWER 3. Every 30 days A resident wishes to have his/her child visit after the child gets off from work at 11pm. The administrator should allow the child to visit: 1.At the time requested only if they are supervised by staff 2.Only during posted visiting hours in accordance with nursing facility policy 3.At the time requested by the resident 4.Only if the child agrees to visit in the lobby - CORRECT ANSWER 2. Only during posted visiting hours in accordance with nursing facility policy When updating the residents rights poster, a nursing facility is required to post the name and the telephone number of each of the following except the: 1.State Survey Agency 2.Medicaid fraud control unit 3.State Ombudsman 4.Medicare Hotline - CORRECT ANSWER 2.Medicaid fraud control unit