NJ CALA NEWEST ACTUAL EXAM & PRACTICE EXAM STUDYGUIDE QUESTIONS & DETAILED CORRECT ANSWERS, Exams of Nursing

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NJ CALA NEWEST ACTUAL EXAM AND

PRACTICE EXAM STUDYGUIDE

QUESTIONS AND DETAILED CORRECT

ANSWERS| 2024- 2025

How many does an administrator have to give a reason of denial of a prospect if requested in writing? Correct Answer 15 days Minimum notice for involuntary discharge Correct Answer 30 days Time prior to admission a physician, nurse practitioner, or PA can authorize a resident as appropriate for AL Correct Answer 30 days Resident service plan must be developed within what period of time Correct Answer 14 days of admission Health services plan must be completed within what period of time Correct Answer 14 days Health services/care plan must be reviewed when Correct Answer 3 months Resident service plan must be reviewed when Correct Answer 6 months

Menus must be kept on file for how long Correct Answer 30 days Fire drills must be done Correct Answer monthly Temperature must be kept at what temp during the day during heating season Correct Answer 72 degrees Temperature must be kept at what temp during the night during heating season Correct Answer 68 degrees Temperature not to exceed what temp during the cooling system Correct Answer 82 degrees Bathing and hand washing water temperatures should be kept between what temperatures Correct Answer 105 to 120 degrees Dishwasher/laundry water temperature should be what Correct Answer 180 degrees Minimum age required for an administrator Correct Answer 21 Nursing home level of care within 3 years Correct Answer 20 percent Emergency food supply Correct Answer 4 days Notify what office for issues with residents 60 + of age Correct Answer Ombudsman's office

Records must be maintained after discharge for how long Correct Answer 10 years a method of depreciation which allocates a greater position of cost to the early years of the life of an asset. Double-declining balance and sum-of the years digits are two types of this method Correct Answer Accelerated depreciations the process used to identify, measure, record, and report financial information Correct Answer Accounting amounts owed to suppliers for goods and services to be purchased on credit Correct Answer Accounts Payable Amounts due from residents and customers Correct Answer Accounts Receivable income is recognized when earned rather than when cash is received, and expenses are recognized as incurred regardless of whether payment is made Correct Answer Accrual Basis Accounting Total depreciation taken to date on a depreciable asset Correct Answer Accumulated Depreciation the allocation of the original cost of non-current intangible asset over a period of time specified by the Federal Government Correct Answer amortiazation

things of value, things owned as cash, equipment, buildings, and accounts receivable Correct Answer Asset Checking , reviewing, testing, and verifying the accuracy of accounting records by a third party Correct Answer Audit Financial statement summarizing assets, liabilities, and retained earnings or net worth Correct Answer Balance Sheet Periodic statement from the bank summarizing deposits, checks paid, bank charges, balances, etc. Correct Answer bank statement type of insurance covering employees who handle money Correct Answer Surety Bond cost of a depreciable asset less accumulated depreciation Correct Answer Book Value determining the break-even point when revenues equal expenses Correct Answer Break-even analysis funds acquired for use in a business Correct Answer capital revenues and expenses are not recognized until cash is received or paid out, except for depreciation expense Correct Answer Cash Basis Accounting

____ is the minimum number of hours for administrator training, plus ____ hours at a license facility Correct Answer 40 hours, 16 hours ____ number of continuing education units every ____ years to renew administrator's license Correct Answer 30 hours, three years minimum width of passageways, aisles, and corridors at ALRs Correct Answer 44 inches minimum width of passageways, aisles, and corridors at CPCH Correct Answer 36 inches Clear usable floor area for one person in an ALR Correct Answer 150 square feet Space required for an additional person in ALR Correct Answer 80 square feet Clear usable floor area for one person in an CPCH Correct Answer 80 square feet Space required for an additional person in CPCH Correct Answer 50 square feet Common or community space per resident - dining and activities Correct Answer 30 square feet Maximum travel space to a fire extinguisher Correct Answer 50 feet

Maximum travel space to a Class A extinguisher Correct Answer 75 feet There should be ___ personal care assistant awake at times and ____ additional employee Correct Answer 1, 1 Time given to provide written confirmation following a reportable event (immediate notification - 3 hour interruption (heat, light, power, food, staff) Correct Answer 72 hours financial report showing cash receipts and disbursements leading to a net change in cash in a given period Correct Answer Cash Flow Statement complete listing of the names of all categories in the ledger Correct Answer Chart of Accounts a person or party to whom merchandise is consigned or shipped Correct Answer consignee a business that is owned by either a few persons or thousands, and incorporated under the laws of a given state Correct Answer Corporation an ongoing, active program of management costs in a facility Correct Answer Cost Management

an entry on the right side of an account which increases liability, owner's equity, and revenue accounts Correct Answer Credit debts generally due within one year that usually requires use of current assets Correct Answer current liability an entry on the left side of an account that increases assets and expense accounts and decreases liability, owner's equity, and revenue accounts Correct Answer Debit a debit balance in retained earning accounts Correct Answer deficit the allocation of the original cost of a tangible asset over the period of anticipated useful life of the asset Correct Answer depreciation earnings distributed to stockholders Correct Answer dividend a method of accelerated depreciation in which the percent used in the straight-lined method is doubled Correct Answer double-declining balance accounting procedure in which each financial transaction is recorded so that each entry has equal debits and equal credits Correct Answer double-entry

those costs in a nursing facility related to providing resident care Correct Answer cost-related generated revenues which are generally not recognized until all activities to create them have been completed Correct Answer earnings compares revenues with expenses incurred to produce the income (also called profit lost statements) Correct Answer earnings statement rights of the owners in the assets of the business Correct Answer equities costs of operating a business, including capital, administrative, and other operating expenditures Correct Answer expenses establishes the standards to guide accounting practice Correct Answer Financial Accounting Standards Board (FASB) the twelve-month period for which budgets are compiled and expenditures authorized, and at the end of which accounting books are balanced Correct Answer fiscal year long-lived assets to be used in a business on a long-term basis, including land, buildings, and equipment Correct Answer fixed assets

those that remain constant without regard to volume of business, as rent and mortgage note payments Correct Answer fixed expenses the property carried by a transporter. Also the cost of transporting goods Correct Answer Freight established the Social Security program Correct Answer Federal Insurance Contributions Act (FICA) established the unemployment insurance program Correct Answer Federal Unemployment Tax Act (FUTA) legal proceedings that direct employers to withhold a designated portion of an employees pay and remit it to the proper government agency Correct Answer Garnishment an intangible asset resulting from the provision of superior services and earnings and from high resident loyalty Correct Answer Goodwill non current, non physical assets such as leaseholds, copyrights, patients, and goodwill Correct Answer intangible asset the amount of goods and materials on hand which are to be currently used producing services or held for resale Correct Answer inventory

a document prepared by the seller of merchandise or services and given or sent to the buyer Correct Answer invoice a book of original entries Correct Answer journal a complete listing of accounts payable and receivable Correct Answer ledger a claim on particular property for payment of a debt or obligation Correct Answer lien debts or obligations owed by a business Correct Answer liability one in which there is one or more special partners who are not liable for partnership debts beyond the amount of funds contributed Correct Answer limited partnership denotes how quickly an asset can be converted to cash without appreciable loss Correct Answer liquidity an obligation not due for more than one year Correct Answer long-term liability the point at which income equals expenses, the break- even point Correct Answer marginal return one that includes cash budget, capital budget, liquidity ratio, and pro-forma financial statement Correct Answer Master Budget

income over expenses before taxes and dividends are paid Correct Answer net profit assets less liabilities Correct Answer net worth an unconditional written promise to pay a definite swum of money at a certain date Correct Answer note one that includes anticipated income by source and anticipated expenditures by category Correct Answer operating budget a business owned and usually operated by two or more persons associated as partners Correct Answer partnership the value amount printed on a stock certificate, the amount per share at which par value stock is recorded in accounts Correct Answer par value a fund maintained to provide quickly available funds to make small purchases that may be urgently needed Correct Answer petty cash fund transfer of a journal entry to the ledger Correct Answer Posting the ability of a business to generate revenues to pay all expenses and realize a profit Correct Answer Profitability

health care assessments shall be conducted by a RN within how many days of admission Correct Answer 14 days initial nursing assessments must be completed by who Correct Answer RN An annual physical examination must be completed by Correct Answer physician or nurse practitioner/ clinical nurse specialist An initial nursing assessment is not required if a physician within ___ days prior to admission that the resident has no health care service needs and is appropriate for assisted living Correct Answer 60 days Health service plan needs to be reassessed by RN at a minimum of how often Correct Answer every quarter ( months) General service plan needs to be reassessed by RN at a minimum of how often Correct Answer 6 months In the event of loss of service (food, electricity, water), you have how long to report it, but should really report immediately Correct Answer 72 hours How should RN assess pain? Correct Answer RN assesses pain. RN then needs to reassess pain after. Then discuss with physician

What does GAAP mean? Correct Answer Generally Accepted Accounting Principles (GAAP) What is double-entry accounting? Correct Answer the recording of a debit and a credit for each transaction (debits must always equal credits). Debits and credits are used when making entries in journals, general ledger and trial balances What is a debit? Correct Answer an entry made on the left side of a standard account What is a credit? Correct Answer an entry made on the right side of a standard account formula for assets Correct Answer assets = liabilities + equity formula for net worth or equity Correct Answer assets - liabilities = net worth or equity you are required to have an electrical inspection how often by a licensed electrician Correct Answer once a year You are required to have a fire drill how often? Correct Answer Once a month and one out of 12 drills needs to be on a different shift (ex: night shift) Disaster/evacuation drills need to be done how often? Correct Answer Once a year

What are the 5 R's of Nursing? Correct Answer Right resident Right medication Right time Right dose Right route Residents receiving short-term scheduled medications for analgesia, and injections, other than pre-dawn insulin, must be reassessed by the RN at least every ___ hours to determine if the medication is still required Correct Answer 72 hours It is recommended that supervision of medication administration occur at least ___________ during the first month after certification and ________ thereafter Correct Answer weekly, quarterly a log of where resident is (date/time/name/where they went) Correct Answer register CNA's are licensed by who? Correct Answer Department of Health Home Health Aide's are licensed by who? Correct Answer New Jersey Board of Nursing Required to have a written agreement with at least how many acute care hospitals? Correct Answer One

Required to have a written agreement with how many psych units or other AL that they will accept your residents as needed? Correct Answer One Usually occurs in the 40's and results in difficulty reading fine print and seeing nearby objects clearly Correct Answer Presbyobia A clouding of the normally clear lens of the eye. It is an actual change within the lens, not a growth or film over the eye Correct Answer Cataracts gradual loss of peripheral vision, which is what makes you aware of things beside, above and around you, even when you look straight ahead Correct Answer glaucoma damage or breakdown of the macular, an area 3/16 inch in diameter, in the retina. It causes loss of central or straight- ahead vision Correct Answer macular degeneration sound waves are not conducted to the inner ear. The cause may be an obstruction in the outer ear (an accumulation of wax or blockage caused by swelling and pus) or a problem in the middle ear (fluid in the middle ear or fixation of one or more of the middle ear bones) Correct Answer conductive loss sound waves reach the inner ear, but are not properly transmitted to the brain Correct Answer sensorineural loss

the synovial membrane surrounding the joint becomes inflamed. The disease shifts from one part of the body to another, but affects both sides similarly. It usually involves the small joints of the wrists, knuckles of the hands, and balls of the feet, at different times Correct Answer rheumatoid arthritis How do you treat rheumatoid arthritis? Correct Answer reduce pain and inflammation and preventing muscles from wasting away involves the major moveable, weight-bearing joints (hips, knees, lower spine) and the joints nearest the fingertips and at the base of the thumb big toe Correct Answer Osteoarthritis How do you treat osteoarthritis? Correct Answer manage pain (and inflammation), reduce stress on joints, maintain flexibility and muscle strength, and prevent further harm to joints. Treatment plan usually involves a combination of exercise, medication, heat and cold treatments, and joint protection Symptoms of DM 1 Correct Answer Increased thirst, frequent urination (increased volume), rapid weight loss, blurred vision Symptoms of DM 2 Correct Answer tiredness/fatigue; blurred vision/difficulty focusing; numbness and tingling hands and feet; frequent infections, slow healing cuts and

sores; dry, itching skin; increased thirst (less common); frequent urination (less urination) Hypoglycemic medication side effects Correct Answer rashes, redness, itching, yellow color, nausea/vomiting, heartburn, abdominal fullness, gas, diarrhea, fever, tiredness, sore throat, unusual bleeding, decreased appetite During the initial interview with a resident, the Administrator of an ALF, should inform the resident of Correct Answer Orientation to the facilities policies Residents right's and criteria for admission and discharge Business hours, fee schedule and services provided Accounts payable are considered: Correct Answer Liabilities To view revenue and expenses at a given point in time, one would look at the Correct Answer Balance Sheet One of the top reasons for failure of Assisted Livings is due to poor Correct Answer Cash Flow The initial assessment is completed by the Correct Answer RN A willful mental attack on a resident is considered Correct Answer Abuse

Hazardous materials must be locked Correct Answer At all times Reportable events must be called in immediately and provided in writing within Correct Answer 72 hours A plan of corrections must be submitted within Correct Answer 10 business days A Health Service Plan should be developed for a resident requiring health service needs for Correct Answer More than 14 days If a facility has a food budget of $4.50 per resident day and has a census of 90 residents in a 30 day month, what is the maximum they can spend on food costs? Correct Answer 90 x 30 = 2,700 resident days. 2,700 x $4.50 = 12, Fire drills must be conducted at least Correct Answer Once per shift quarterly The agency that is responsible to advocate for the elderly is Correct Answer Ombudsman (OOIE) Standard precautions are put in place to Correct Answer Prevent infections Laundry should be kept covered so as to Correct Answer Prevent spread of infections

Documenting in a resident's medical record at change of condition is done so as to Correct Answer To accurately show that the staff is aware of changes and occurrences with the resident A copy of the facility's Emergency plan shall be provided to the DHSS and forwarded to Correct Answer Other agencies as required by State and local laws (8:36 - 14. pg. 75) A document indicating end-of-life choices is called Correct Answer Living will , Advance Directives A residents' legal guardian has the right to Correct Answer Sign a Do Not Resuscitate on behalf of the resident DNR stands for Correct Answer Do Not Resuscitate FMLA stands for Correct Answer Family Medical Leave Act HIPAA is in place to provide for confidentiality of resident's records Correct Answer True The OSHA log 300 is used to track employee work related injury or illness incidents from the Correct Answer Current year (300A is a summary of the incidents from the previous year. It is posted from 2/1 to 4/30 each year. Both the Form 300 and 300A should be kept on file for 5 years)

An involuntary discharge must include Correct Answer The name and number of the Ombudsman (Based on Resident Rights #37 - Page 31 of regulations) A notification of involuntary discharge, unless an emergency, must be provided at least _____ prior to discharge Correct Answer 30 days If care is provided to residents with psychiatric disorders, a facility must have a written agreement with Correct Answer A mental health clinic & An inpatient psychiatric hospital A male resident who wishes to wear women's clothing is Correct Answer Allowed to do so to promote their independence A managed risk agreement is put in place so as to Correct Answer Minimize negative outcomes to the resident In an apparent medical emergency, the responding staff should first Correct Answer Call 911 Staff must use soap to wash their hands and must scrub for at least Correct Answer 20 seconds A resident who is not interested in eating should be Correct Answer Offered Alternatives The menus are reviewed and signed off by the Correct Answer Dietician

Resident records shall be accessible at all time to Correct Answer State Surveyors Snacks shall be Correct Answer Always made available Residents in Assisted Living are allowed to Correct Answer Have a right to their privacy 3 years after opening, a facility shall have _____ nursing home appropriate residents Correct Answer 20% Fire extinguishers must be examined Correct Answer Monthly The fire sprinkler system must be in inspected Correct Answer Based on manufacturer recommendations The facility must collect all of the following information from the resident Correct Answer a. Diet b. ADL Needs c. Health Status A resident is admitted to the facility and speaks a language other than English, the facility must Correct Answer Implement a process for communicating with this resident A facility has 120 beds and during a 30-day period, they have 3,000 occupied bed days. What is the average

percentage of occupancy: Correct Answer 120 x 30 = 3,600 max bed days. 3,000/3,600 = 83% CVA is a Correct Answer Stroke (Cerebrovascular Accident) The profile of a 'standard' Assisted Living resident is: Correct Answer A female in her late eighties High blood pressure is Correct Answer A result of Hypertension In order to properly solve a problem, the Administrator must first Correct Answer Understand the problem If the assessment indicates that the resident requires assistance with 3-4 ADLs: Correct Answer A General Service Plan must be developed Upon admission, the resident assessment indicates that the resident will receive physical therapy 3 times per week as per physician's orders while recovering from a hip fracture. A Health Service Plan must be developed and must : Correct Answer Physician's orders (based on 8:36- 7.3(d) - pg. 52 of regulations. The MD order is kept in the chart but is not part of the HSP). The RN shall be responsible for all except which of the following Correct Answer Assessment of the health care service needs of all residents monthly

The administration of medication remains the responsibility of Correct Answer The RN A standing order for Percocet every 6 hours for 10 days may be administered by Correct Answer CMA According to OSHA standards, the Hepatitis B vaccination must be made available to Correct Answer All employees who have reasonably anticipated occupational blood exposure within 10 working days of assignment - (based on OSHA guidelines http://www.immunize.org/catg.d/p2109.pdf). In accordance with AL regulations related to housekeeping operation, each AL residence and CPCH must establish and implement a written work plan that includes all except which of the following? Correct Answer Staffing ratios in compliance with the regulations The rates of which of the following infections are higher for person over 65 than any other age groups? Correct Answer Pneumonia During the heating season, the facility temperature must be maintained Correct Answer At a minimum of 72 degrees F during the day and 68 F degrees at night (8:36- 17.5 pg. 88)

In accordance with regulations, soiled laundry shall be stored in a ventilated area which is also Correct Answer Vermin-proof (8:36-17.8 pg. 89) The distance between fire extinguishers should not be more than____ feet? Correct Answer c. 75 ft (for type A) and 50 ft for type B and type C) Based on NFPA rules (https://www.osha.gov/SLTC/etools/evacuation/portable_pl acement.html The meaning of EGRESS is Correct Answer Exit A 100 bed capacity building has 80% occupancy rate. 50 private-pay residents pay a monthly rate of $3,600. The remaining residents are Medicaid and are paying $2,200 monthly. How much will the facility get from all residents in a month? Correct Answer 80 total residents 50 x $3,600 = $180,000 30 x $2,200 = $66,000 $180,000 + $66,000 = $246,000 What is Arthritis Correct Answer Pain on joints What will be the possible outcome or result of unmanaged diabetes Correct Answer Amputation Which of the following is not a Reportable Event Correct Answer Substituting meals for two days A Managed Risk Agreement Correct Answer is a written document that includes issues of concern, resident

preference and choices, identification of possible or probable consequences, alternate options, final agreement and decision if agreement will be re-evaluated at a later date. A Hazard Communication Plan has all the following components Correct Answer Material Safety Data Sheets Inventory of solutions containing toxic chemicals Hazardous locations with the facility and treatment areas Medical records of employees who were exposed to bloodborne pathogens must be kept for Correct Answer Length of employment plus 30 years Which of the following are required services Correct Answer RN on call 24/7 a planned schedule of activities based on residents preferences and a Food Service Coordinator The Assisted Living can require visiting hours and not allow visitors to enter the building from 11pm - 7am Correct Answer False What is the difference between a 'Power of Attorney' and a 'Legal Guardian Correct Answer A Legal Guardian is appointed by the courts; Power of Attorney is a voluntary decision made by the elderly person Name the specific qualifications and training for a Certified Medication Aide Correct Answer Must be a CHHA, CNA or