NJ CALA Test Questions & Solved Answers: Guide for Assisted Living Professionals, Exams of Nursing

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NJ CALA Test Questions with Solved Answers

1. During the initial interview with a resident, the Administrator of an ALF, should inform the resident of: Orientation to the facilities policies Residents right's and criteria for admission and discharge Business hours, fee schedule and services provided 2.Accounts payable are considered:: Liabilities
2. To view revenue and expenses at a given point in time, one would look at the: Balance Sheet
3. One of the top reasons for failure of Assisted Livings is due to poor: Cash Flow 5.The initial assessment is completed by the: RN 6.A willful mental attack on a resident is considered: Abuse 7.Hazardous materials must be locked: At all times
4. Reportable events must be called in immediately and provided in writing within: 72 hours 9.A plan of corrections must be submitted within: 10 business days 10.A Health Service Plan should be developed for a resident requiring health service needs for: More than 14 days

11.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?: 90 x 30 = 2,700 resident days. 2,700 x $4.50 = 12, 12.Fire drills must be conducted at least: Once per shift quarterly 13.The agency that is responsible to advocate for the elderly is: Ombudsman (OOIE) 14.Standard precautions are put in place to: Prevent infections 15.Laundry should be kept covered so as to: Prevent spread of infections 16.Documenting in a resident's medical record at change of condition is done so as to: To accurately show that the staff is aware of changes and occurrences with the resident 17.A copy of the facility's Emergency plan shall be provided to the DHSS and forwarded to: Other agencies as required by State and local laws (8:36 - 14.2 pg. 75) 18.A document indicating end-of-life choices is called: Living will, Advance Directives 19.A residents' legal guardian has the right to: Sign a Do Not Resuscitate on behalf of the resident

20.DNR stands for: Do Not Resuscitate 21.FMLA stands for: Family Medical Leave Act 22.HIPAA is in place to provide for confidentiality of resident's records: True 23.The OSHA log 300 is used to track employee work related injury or illness incidents from the: 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) 24.An involuntary discharge must include: The name and number of the Om- budsman (Based on Resident Rights #37 - Page 31 of regulations) 25.A notification of involuntary discharge, unless an emergency, must be provided at least prior to discharge: 30 days 26.If care is provided to residents with psychiatric disorders, a facility must have a written agreement with: A mental health clinic & An inpatient psychiatric hospital 27.A male resident who wishes to wear women's clothing is: Allowed to do so to promote their independence 28.A managed risk agreement is put in place so as to: Minimize negative outcomes to the resident

29.In an apparent medical emergency, the responding staff should first: Call 911 30.Staff must use soap to wash their hands and must scrub for at least: 20 seconds 31.A resident who is not interested in eating should be: Offered Alternatives 32.The menus are reviewed and signed off by the: Dietician 33.Resident records shall be accessible at all time to: State Surveyors 34.Snacks shall be: Always made available 35.Residents in Assisted Living are allowed to: Have a right to their privacy

36. 3 years after opening, a facility shall have nursing home appropriate residents: 20% 37.Fire extinguishers must be examined: Monthly 38.The fire sprinkler system must be in inspected: Based on manufacturer recommendations 39. The facility must collect all of the following information from the resident- : a. Diet b. ADL Needs

c. Health Status 40.A resident is admitted to the facility and speaks a language other than Eng- lish, the facility must: Implement a process for communicating with this resident 41.A facility has 120 beds and during a 30-day period, they have 3,000 occu- pied bed days. What is the average percentage of occupancy:: 120 x 30 = 3,600 max bed days. 3,000/3,600 = 83% 42.CVA is a: Stroke (Cerebrovascular Accident) 43.The profile of a 'standard' Assisted Living resident is:: A female in her late eighties 44.High blood pressure is: A result of Hypertension 45.In order to properly solve a problem, the Administrator must first: Under- stand the problem 46.If the assessment indicates that the resident requires assistance with 3- ADLs:: A General Service Plan must be developed 47.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 :: 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). 48.The RN shall be responsible for all except which of the following: Assess- ment of the health care service needs of all residents monthly 49.The administration of medication remains the responsibility of: The RN 50.A standing order for Percocet every 6 hours for 10 days may be adminis- tered by: CMA 51.According to OSHA standards, the Hepatitis B vaccination must be made available to: 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). 52.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?: Staffing ratios in compliance with the regulations 53.The rates of which of the following infections are higher for person over 65 than any other age groups?: Pneumonia

54.During the heating season, the facility temperature must be maintained: At a minimum of 72 degrees F during the day and 68 F degrees at night (8:36-17.5 pg. 88) 55.In accordance with regulations, soiled laundry shall be stored in a venti- lated area which is also: Vermin-proof (8:36-17.8 pg. 89) 56.The distance between fire extinguishers should not be more than feet?: 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_placement.h tml 57.The meaning of EGRESS is: Exit

58. A 100 bed capacity building has 80% occupancy rate. 50 private-pay resi- dents 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?: 80 total residents 50 x $3,600 = $180, 30 x $2,200 = $66, $180,000 + $66,000 = $246,

59.What is Arthritis: Pain on joints 60.What will be the possible outcome or result of unmanaged diabetes: Am- putation 61.Which of the following is not a Reportable Event: Substituting meals for two days 62.A Managed Risk Agreement: 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. 63.A Hazard Communication Plan has all the following components: Material Safety Data Sheets Inventory of solutions containing toxic chemicals Hazardous locations with the facility and treatment areas 64.Medical records of employees who were exposed to bloodborne pathogens must be kept for: Length of employment plus 30 years 65.Which of the following are required services: RN on call 24/7 a planned schedule of activities based on residents preferences and a

Food Service Coordi- nator 66.The Assisted Living can require visiting hours and not allow visitors to enter the building from 11pm - 7am: False

67. What is the difference between a 'Power of Attorney' and a 'Legal Guardian- : A Legal Guardian is appointed by the courts; Power of Attorney is a voluntary decision made by the elderly person 68.Name the specific qualifications and training for a Certified Medication Aide: Must be a CHHA, CNA or PCA who has taken the CMA training, as approved by the Board of Nursing and DHSS 69.A CMA may administer PRN Medications: True 70.A CMA may administer standing orders for pain medication: True 71.Staff Education Plan and a Staff Orientation Plan are: Required 72.Firewalls of the room that is designated for commercial type laundry equipment must be at least rated construction: 1 hour (8:36- 16.2 pg. 82) 73.One could find the following in the Purchase Journals, prior to positing in the General Ledger: New lawn mower Replacement

Linens Office Supplies 74.Mandatory Overtime is: Required to be identified in a policy of the ALF (based on 8:43E-8.8 - Pg. 33 (or page 161 of the regs in PDF format)

75. Cold food must be served at a temperature of degrees or less: - 41°F 76.Quality Assurance Plan does not need: To be done quarterly