Texas Nursing Home Administrator Exam Questions with Verified Correct Answers latest updat, Exams of Nursing

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Texas Nursing Home Administrator Exam Questions with Verified Correct Answers latest update Facility License Period --- correct answer ---2 years Licensed Nurse Ratio in 24 hr period --- correct answer ---1 to 20 TDADS approval for plans for new buildings, additions, conversion is good for... --- correct answer ---Two years Must not use any nurse aide who has worked less than... --- correct answer - --4 months A written report of suspected abuse is required by TDADs within... --- correct answer ---5 days Dietary department days of perishables supply --- correct answer ---2 days Dietary department days of staples supply --- correct answer ---7 days Days the Hep B vaccination must be offered to employees at risk --- correct answer ---10 days Frequency of review of drug regimen by a licensed pharmacist --- correct answer ---Once a month Minimum square footage for single bed --- correct answer ---100 sq ft Minimum square footage for semi-private room --- correct answer ---160 sq ft Maximum number of residents per ward --- correct answer ---4 Maximum number of residents per toilet --- correct answer ---8 The amount of time an initial Admin license is good for --- correct answer --- 1 year Maximum distance between resident room and nurse station --- correct answer ---150 feet The annual balance in the trust fund --- correct answer ---10 million Maximum time to inventory personal property of new admission --- correct answer ---72 hours Minimum discharge notice --- correct answer ---30 days CNAs must complete new training if they have not worked for... --- correct answer ---24 months Amount of days still considered timely by physician after a visit is required - -- correct answer ---10 days Annual CEU hours for CNAs --- correct answer ---12 hours Timeframe a prospective new owner must complete a license application --- correct answer ---30 days before sale Amount of time required to retain discharge resident records --- correct answer ---5 years after discharge Amount of time required to retain nursing schedules --- correct answer ---2 years Number of days required to notify TDADS that an agreement will not be renewed --- correct answer ---30 days Time of Accountability period --- correct answer ---24 months Minimum and maximum medication room temperatures --- correct answer -- -59 to 86 Minimum size of mirrors in resident rooms --- correct answer ---15" x 30" Number of inches mirrors must be off the floor --- correct answer ---40 Minimum width of fixed wire in door between kitchen and dining area --- correct answer ---1/4 inch Minimum storage room (in sq ft) per resident bed --- correct answer ---2 Maximum amount of time to screen a new employee for TB --- correct answer ---2 weeks Minimum distance of generators from facility --- correct answer ---3 feet Minimum distance of generators from a building opening --- correct answer - --5 feet Maximum distance (in feet) between outlets in corridors --- correct answer - --50 Maximum distance of an outlet in relation to the end of a corridor --- correct answer ---25 feet Height of lamps directly above resident's bed --- correct answer ---5 ft 6 in Influenza vaccinations must be completed by --- correct answer ---November 30th The number of flashlights that must be kept at each nursing station --- correct answer ---1 Schedule II drugs must be inventoried every.... --- correct answer ---8 hours Notice of vacancy of the administrator position must be reported to TDADS - -- correct answer ---Immediately An initial monthly claim must be received by TDADS within... --- correct answer ---180 days Maximum amount of days in to submit a Care Form for a new Medicaid admission --- correct answer ---20 A continued stay review must be completed every _____ days --- correct answer ---180 The amount of days a renewal application of a license must be submitted before it expires --- correct answer ---45 Penalty for not submitting renewal application on time --- correct answer --- $500 Time in which the Care Plans must be completed after the MDS assessment - -- correct answer ---7 calendar days Amount of days after an annual survey a facility can request a Rapid Response Team --- correct answer ---60 Height of commodes --- correct answer ---17 to 19 inches Number of days to correct a violation with administrative penalties --- correct answer ---45 Number of days the NHIC will accept CARE forms before expiration of LOC/MN --- correct answer ---45 Minimum area of enclosure for Alzheimers Units --- correct answer ---800 sq ft Minimum sq. feet per resident in Alzheimers Unit --- correct answer ---15 sq ft Number of days to request a hearing after TDADS notifies of a suspension action --- correct answer ---15 Number of days to give written consent or hearing request after a written notice of recommended assessment of administrative penalty is sent --- correct answer ---20 The maximum gap between patient room door and floor --- correct answer -- -3/4 inch Time a medical record must be retained --- correct answer ---5 years A facility must comply with which version of the NFPA Life Safety code? --- correct answer ---2000 The facility must meet the applicable provisions of the 2000 edition of the Life Safety Code of the National Fire Protection Association (NFPA). The Life Safety Code is available for inspection at the Office of the Federal Register Information Center, Washington, D.C. How must a facility explain to the resident his/her rights, and the rules of conduct for residents in the facility? --- correct answer ---Both orally and in writing in a language the resident understands Can a resident of a facility work at the facility? --- correct answer ---Yes, if the resident agrees to and it is in the care plan A nursing home is at capacity with 58 residents; how many monthly hours of dietary consultation must they have at a minimum? --- correct answer ---8 hours monthly Brentwood Nursing Facility must have written policies that include plans for promoting ___________ and _________________ --- correct answer --- Self-care and independence Nurse aide in-service training is derived from what? --- correct answer --- Nurse aide performance reviews The facilities Medical Director is responsible for what? --- correct answer --- Implementation of resident care policies What is incorrect regarding resident personal funds? --- correct answer ---A facility can require that a resident deposit their personal funds with the facility Resident bedrooms must be able to accommodate how many people? --- correct answer ---No more than 4 If a facility provides blood bank transfusion services, they must meet the requirements for laboratories specified by what? --- correct answer ---CFR 493 A facility must assist residents with obtaining routine and __________ dental care --- correct answer ---24 hour emergency Rolling Meadows Nursing Home has Tiffany, an unlicensed nursing student, working the evening shift during the weekends. Can Tiffany administer medications to the residents? --- correct answer ---Not until she is fully licensed If a nourishing snack is provided at bedtime, and the residents agree, what is the maximum length of time allowed between evening meal and morning meals? --- correct answer ---16 hours Which of the following would not be considered an activity of daily living? -- - correct answer ---Cook If a resident has been admitted with a Class A injury, can they refuse treatment for the injury? --- correct answer ---Yes A resident has the right to refuse treatment, to formulate an advanced directive, and to refuse to participate in experimental research. If the resident refuses treatment, the resident must be informed of the possible consequences. Mr. & Mrs. Thorne have been married for 37 years and both have been admitted to the Sleepy Hollow Nursing Facility. Mrs. Thorne would like to share a room with Mr. Thorne; is this allowable? --- correct answer ---Yes, if both people agree to the arrangement A nursing facility that has multiple floors and 201 to 350 resident beds on floors other than the main entrance floor or where the major inpatient services are located, must have how many elevators? --- correct answer ---3 At least three (one of which must be hospital-type) elevators must be installed where 201 to 350 resident beds are located on floors other than the main entrance floor or where the major inpatient services are located on a floor other than those containing resident beds. Elevator service may be reduced for those floors which provide only partial inpatient services Unless another schedule is specified, how often must a resident's physician's orders be reviewed? --- correct answer ---At least every 60 days Rapid response teams can visit long-term care (LTC) facilities identified through the Department of Aging and Disability Services what? --- correct answer ---Early warning system Can a resident self-administer their own drugs? --- correct answer ---Yes, if the interdisciplinary team has determined the practice is safe. This will be reviewed periodically. Ma and Pa's nursing facility was just informed that it needs to offer its resident the pneumococcal vaccine. Which residents does it need to offer this vaccine to? --- correct answer ---To those that are 65 years or older or those that are candidates because of chronic illness If an employee that while at work is at risk of contacting potentially infectious material or blood declines the Hepatitis B vaccine at first, does the facility have to offer them the vaccine at a later date if the employee decides he/she wants to receive it? --- correct answer ---Yes (A) The facility's policy regarding hepatitis B vaccinations must address all circumstances requiring vaccinations and include a method to identify employees at risk of directly contacting blood or potentially infectious materials. (B) The facility must offer all of the employees identified in subparagraph (A) of this paragraph hepatitis B vaccinations within 10 days of employment. If the employee initially declines the hepatitis B vaccination but at a later date, while still at risk of directly contacting blood or potentially infectious materials, decides to accept the vaccination, the facility must make the vaccination available at that time. Services, and who receives consultation at a minimum of every 180 days from an (RHIA) or (RHIT). Mrs. Aaron, a new resident at Green Pastures Nursing Facility, has just been admitted. How often should she expect to have visits from her physician? --- correct answer ---At least once every 30 days for the first 90 days, and at least once every 60 days thereafter How long can a facility use an individual as a nurse aide prior to completing their nurse aide training? --- correct answer ---Four (4) months Prior to removing equipment or features of a building that may now be in excess, a facility must get approval from who? --- correct answer ---Life safety features and equipment that have been installed in existing buildings which are now in excess of that required by the Life Safety Code must continue to be maintained or may be completely removed if prior approval is obtained from the Texas Dept of Human Services (DHS) What does OBRA stand for what, and which year is most often referred? --- correct answer ---Omnibus Budget Reconciliation Act of 1987 How does a facility decide what are a particular residents ADL's? --- correct answer ---(!) Activities of Daily Living; based on the comprehensive assessment of the resident DAD's Rapid Response Team has just visited Happy Trails Nursing Facility 5 days after the wait period required after a survey. How long was that wait period? --- correct answer ---60 days - (b) Rapid response teams may visit facilities that request DADS assistance. A visit under this subsection may not occur before the 60th day after the date of an exit interview following an annual or follow-up survey or inspection As far as heating and coolness in a facility, what needs to be the standard given to all residents? --- correct answer ---Comfortable and safe temperature levels. Facilities initially licensed or certified after October 1, 1990, must maintain temperature ranges of 71-81° F. Upon completing a residents assessment, how long after does a facility have to be ready to transmit data to CMS? --- correct answer ---7 days (B) Transmitting data. Within seven (7) days after a facility completes a resident's assessment, a facility must be capable of transmitting to DADS information for each resident contained in the MDS in a format that conforms to standard record layouts and data dictionaries, and that passes standardized edits defined by CMS and DADS Who is CMS? --- correct answer ---Centers for Medicare and Medicaid Services Longhorn Convalescent is having a job fair, they must NOT employ anyone who has: --- correct answer ---(A) Found guilty of abusing, neglecting, or mistreating residents by a court of law; or (B) have had a finding entered into the State nurse aide registry concerning abuse, neglect, mistreatment of residents or misappropriation of their property When checking for proper lighting, how high off the floor should the person be checking? --- correct answer ---30 inches - Illumination requirements for these areas apply to lighting throughout the space and should be measured at approximately 30 inches above the floor anywhere in the room The Activities Director minimum qualifications are: --- correct answer ---(B) eligible for certification as a therapeutic recreation specialist, therapeutic recreation assistant, or an activities professional by a recognized accrediting body, such as the National Council for Therapeutic Recreation Certification, on October 1, 1990; or (2) has two years of experience in a social or recreational program within the last five years, one of which was full-time in a patient activities program in a health care setting; or (3) is a qualified occupational therapist or occupational therapy assistant; or (4) has completed an activity director training course approved by any state Electrical and Lighting systems must conform to what standards? --- correct answer ---Electrical and illumination systems must be designed and installed in accordance with NFPA 70 and the Lighting Handbook of the Illuminating Engineering Society (IES) of North America For new facility construction, what is the fee DADS charges for expedited Life Safety Code and physical plant inspections on single level and multilevel - per bed? --- correct answer ---Plant Inspection Fees: Single story $30 per bed Minimum: $3,600 Multiple story $36 per bed Minimum: $4,500 Emergency generators must be able restore service within how long? --- correct answer ---The emergency lighting must be automatically in operation within 10 seconds after the interruption of normal electric power supply For a facility of 60 or fewer residents, how many hours of dietary consultation must they have? --- correct answer ---At least 8 What is PASARR? --- correct answer ---Pre-Admission Screening and Annual Resident Review In the event a facilty must close voluntarily, how soon must the facility notify it's residents? --- correct answer ---RULE §19.1921 General Requirements for a Nursing Facility (d) In the event any facility ceases operation, temporarily or permanently, voluntarily or involuntarily, notice must be provided to the residents and residents' relatives or responsible parties of closure. (1) If the closure is voluntary, notice to residents' relatives or responsible parties must be in writing, not later than one week after the date on which the decision to close is made. Every registered nurse, LVN, and nurse assistant, must each year receive at least 1 hour training on caring for what type of people? --- correct answer --- Alzheimers The director of nursing may serve as a charge nurse only when the facility has an average daily occupancy of ____ or fewer residents. --- correct answer ---60 or fewer. - The director of nursing may serve as a charge nurse only when the facility has an average daily occupancy of 60 or fewer residents. The definition of Involuntary Seclusion is: --- correct answer ---Separation of a resident from others or from his room against the resident's will or the will of the resident's legal representative. Temporary monitored separation from other residents will not be considered involuntary seclusion and may be permitted if used as a therapeutic intervention as determined by professional staff and consistent with the resident's plan of care. In the event of an electrical interruption and the facility must use batteries until service is restored, how long must the batteries be capable of sustaining power? --- correct answer ---1.5 hours - Emergency electrical services by generator or battery must be provided to comply with the provisions of the National Fire Protection Association (NFPA) 70. Battery systems must be capable of sustaining power for a duration of at least 1.5 hours. After filing a phone report of abuse, the facility must conduct an investigation. A written report of the investigation must be sent no later than how many days after the oral report? --- correct answer ---A facility owner or employee who has cause to believe that the physical or mental health or welfare of a resident has been or may be adversely affected by abuse, neglect, or exploitation caused by another person must report the abuse, neglect, or exploitation. (1) The person reporting must make the telephone report immediately on learning of the alleged abuse, neglect, exploitation, conduct, or conditions. (2) The facility must conduct an investigation of the reported act(s). A written report of the investigation must be sent no later than the fifth working day after the oral report. If restraints are used for a treating a residents medical condition, they must be released how often? --- correct answer ---Every two hours for a minimum of 10 minutes, and the resident repositioned All facilities must send the Texas Department of Human Services a report of the deaths of all persons residing in the facility within how many working days after the last day of the month in which the resident death occurs. --- correct answer ---10 working days Typical ADL's include? --- correct answer ---(i) bathe, dress, and groom; (ii) transfer and ambulate; (iii) toilet; (iv) eat; and (v) use speech, language, or other functional communication systems; 1) Certain requirements are specific to Medicaid-certified facilities and are so designated. The Medicaid-specific requirements apply to all residents, including, but not limited to: --- correct answer ---Private pay, Medicaid applicants and recipients, VA patients, and Medicare recipients, who are admitted to and reside in a Medicaid-certified facility or a Medicaid- certified distinct part of a facility. "Mental/psychological abuse" is defined as what? --- correct answer --- Mistreatment within the definition of "abuse" not resulting in physical harm, including, but not limited to, humiliation, harassment, threats of punishment, deprivation, or intimidation. In the event of an emergency and loss of electrical power to the facility, the fuel storage must be capable of running the generators for how long? --- correct answer ---For at least 4 hours. - Emergency service to receptacles and equipment may be a delayed automatic connection. Receptacles connected to emergency power must be of a uniform and distinctive color. Stored fuel capacity must be sufficient for not less than 4-hours operation of required generators Licenses expire every ___ years --- correct answer ---Two (b) General information required. An applicant must file with DADS an application which contains: (1) for initial applications and change of ownership only, evidence of the right to possession of the facility at the time the application will be granted, which may be satisfied by the submission of applicable portions of a lease agreement, deed or trust, or Heating, ventilating, and air-conditioning must be designed and installed in accordance with what two groups standards? --- correct answer ---(3) Heating, ventilating, and air-conditioning systems must be designed and installed in accordance with NFPA 90A and the Heating, Ventilating, and Air- Conditioning Guide of the American Society of Heating, Refrigeration, and Air-Conditioning Engineers (ASHRAE). An application for renewal will be considered timely is it received in DADS' Licensing and Credentialing Section, Regulatory Services Division within how many days after the postmark? --- correct answer ---15 days. (c) If the application is postmarked by the submission deadline, the application will be considered timely if received in DADS' Licensing and Credentialing Section, Regulatory Services Division within 15 days after the postmark. When a resident is being discharged, the physician has how long to sign all the order for discharge? --- correct answer ---Within 20 workdays of being notified by the facility of the discharge (4) write, sign, and date a physician's discharge summary within 20 workdays of being notified by the facility of the discharge. A change of ownership license is only a temporary license that is good for how many days? --- correct answer ---90 days. (e) A change of ownership license is a 90- day temporary license issued to an applicant who proposes to become the new operator of a nursing facility that exists on the date the application is submitted. As part of Self-Determination, the resident has the right to: --- correct answer ---Self-determination and participation. The resident has the right to: (A) choose activities, schedules, and health care consistent with the resident's interests, assessments, and plans of care; (B) interact with members of the community both inside and outside of the facility; and (C) make choices about aspects of the resident's life in the facility that are significant to the resident. When a facility performs an investigation of an alleged violation such as abuse, how soon must the results of the investigation be reported to the state survey agency? --- correct answer ---The results of all investigations must be reported to the administrator or his designated representative and to other officials in accordance with Texas law (including to the state survey and certification agency) within five workdays of the incident, and if the alleged violation is verified, appropriate corrective action must be taken. A facility must have a full-time qualified social worker if they have how many beds or more? --- correct answer ---120 or more. (a) The facility must provide medically- related social services to attain the highest practicable physical, mental, or psychosocial well-being of each resident. See also §19.901 of this title (relating to Quality of Care) for information concerning psychosocial functioning. (1) A facility with more than 120 beds must employ a qualified social worker on a full-time basis. How many hours of continuing education must an Activities Director have each year? --- correct answer ---8 Hours. Activity directors must complete eight hours of approved continuing education or equivalent continuing education units each year. For a facility with 50 residents, how many hours of Dietary consultation must they have? --- correct answer ---(a) The facility must ensure a qualified dietitian is available as frequently and for such time as is necessary to assure each resident a diet that meets the daily nutritional and special dietary needs of each resident, based upon the acuity and clinical needs of the resident. The facility must ensure that monthly dietary consultant hours are provided, at a minimum, as follows: (1) facility population: 60 residents or under - eight hours; Menu's must be prepared how far in advance? --- correct answer ---(a) Menus must: (1) meet the nutritional needs of residents in accordance with the recommended dietary allowances of the Food and Nutrition Board of the National Research Council, National Academy of Sciences; (2) be prepared at least one week in advance When can the Director of Nursing serve as a charge nurse? --- correct answer ---When there are 60 or fewer residents. (C) The director of nursing may serve as a charge nurse only when the facility has an average daily occupancy of 60 or fewer residents. How many months worth of Resident Assessments must a facility keep in a patients Active Record? --- correct answer ---The last 15 months. (4) Use. A facility must maintain all resident assessments completed within the previous 15 months in the resident's active record and use the results of the assessments to develop, review, and revise the resident's comprehensive plan of care as specified in §19.802 of this title (relating to Comprehensive Care Plans). Use of Outside Resources), from a provider of specialized rehabilitative services. The Diet Manual must not be older than? --- correct answer ---5 Years. (c) The facility must ensure that a current diet manual, approved by the facility dietitian or the consultant dietitian, is readily available to dietary service personnel and the supervisor of nursing service. To be current, the diet manual must be no more than five years old. How often must a facility perform performance reviews of the nurse aides? --- correct answer ---The facility must complete a performance review of every nurse aide at least once every 12 months If an applicant is determined to be eligible and in need of nursing facility care, what is the effective date of vendor coverage? Is it the date the individual entered the facility, the date of application, or the date the need for nursing facility care was established? --- correct answer ---Which ever is the latest. If an applicant is determined to be eligible and in need of nursing facility care, the effective date of vendor coverage is either the date the individual entered the facility, the date of application, or the date the need for nursing facility care was established, whichever date is the latest. Interest on civil money penalties accrue at what rate? --- correct answer --- Interest on civil money penalties accrues at the rate of 10% from the date specified in Code of Federal Regulations §488.442 until paid. How must a facility inform a resident of their rights? --- correct answer --- Orally and in Writing. (a) The facility must inform the resident, the resident's next of kin or guardian, both orally and in writing, in a language that the resident understands, of the resident's rights and all rules and regulations governing resident conduct and responsibilities during the stay in the facility. Resident rooms are designed to accommodate no more than how many residents? --- correct answer ---No more than 4 residents. (4) Resident rooms. Resident rooms must be designed and equipped for adequate nursing care, comfort, and privacy of residents. (A) Bedrooms must: (i) accommodate no more than four residents; For Resident Assessments of (minors) children, what should be included that is not included for adults? --- correct answer ---Parents or Guardians. (A) Pediatric assessments should be performed by licensed facility staff experienced in the care and assessment of children. Parents or guardians should be included in the assessment process. The potential for community transition should be discussed with the parents or guardians whenever an assessment occurs. The automatic fixed fire extinguishment system that is mounted in the kitchen range hoods must be inspected and serviced at least every _____ months. --- correct answer ---(g) A facility must ensure that a person licensed by the State Fire Marshal's office inspects and services automatic fixed fire extinguishment systems mounted in kitchen range hoods at least once every six months in accordance with NFPA 96. The facility must maintain, onsite, a written and signed report of the inspection and service performed. The facility must keep the hood, exhaust ducts, and filters clean and free of accumulated grease. (2) Additional Requirements for facilities or distinct parts of facilities that are certified for Medicare-only participation are in? --- correct answer --- Chapter 42, Code of Federal Regulations, §§483.5- 483.75. OBRA What are "Barrier precautions"? --- correct answer ---Precautions including the use of gloves, masks, gowns, resuscitation equipment, eye protectors, aprons, faceshields, and protective clothing for purposes of infection control. Every facility must keep a supply of how much Staple Food? --- correct answer ---(f) The dietary department must keep a seven-day supply of staple foods. Water in the kitchen for sanitizing must be what degrees Fahrenheit? --- correct answer ---(5) The kitchen must have an adequate supply of hot and cold water. Hot water for sanitizing purposes must be 180 degrees Fahrenheit. In order to verify staffing, assurance of emergency egress, resident care, medication security, food service or nourishments, sanitation, and other items, a number of inspections take place between what times? --- correct answer ---5pm and 8am (1) In order to ensure continuous compliance, a sufficient number of inspections will be conducted between the hours of 5:00 p.m. and 8:00 a.m. in randomly selected institutions. This cursory after-hours inspection will be conducted to verify staffing, assurance of emergency egress, resident care, medication security, food service or nourishments, sanitation, and other items as deemed appropriate. To the greatest extent feasible, any disruption of the residents will be minimal. When a resident has a communicable disease, the facility must immediately report what to who? --- correct answer ---The residents name to the city health officer or county health officer or whoever has jurisdiction. (4) The name of any resident with a reportable disease as specified in 25 Texas Administrative Code §§97.1 - 97.14 (relating to Control of Communicable Diseases) must be reported immediately to the city health officer, county health officer, or health unit director having jurisdiction, and in a locked cabinet in the resident's room. When medications are self- administered, the facility remains responsible for medication security, accurate information, and medication compliance. Passenger elevators must be inspected how often? --- correct answer --- Every 6 months. Passenger elevators and escalators must be inspected by a qualified agent at least every six months. Freight elevators must be inspected every 12 months. Resident bedrooms must have at least one ____ to the outside and a floor that is? --- correct answer ---(4) Resident rooms. Resident rooms must be designed and equipped for adequate nursing care, comfort, and privacy of residents. (A) Bedrooms must: (vi) have at least one window to the outside; and (vii) have a floor at or above grade level. The Nursing Home Administrator is required to work at least how many hours a week? --- correct answer ---40 hours a week. (b) The facility must operate under the supervision of a nursing facility administrator who is: (1) licensed by the Texas Board of Nursing Facility Administrators; (2) responsible for management of the facility; and (3) required to work at least 40 hours per week on administrative duties Specialized Services are physical, occupational, and speech therapy evaluations and services provided to eligible Medicaid recipients identified by? --- correct answer ---Specialized Services are physical, occupational, and speech therapy evaluations and services provided to eligible Medicaid recipients identified by the Preadmission Screening and Resident Review (PASARR) team If a resident enters (admits) and leaves(departs) a facility on the same day, does DAD's pay for any of that day? --- correct answer ---Yes, the whole day. (1) If entrance and departure are on the same day, and the recipient does not enter another Title XIX facility on that day, DADS pays for the entire day. Golden Cross Skilled Nursing needs 5 members for their Quality Assessment and Assurance committee. They currently have a physician, an LVN, and 2 nurse aides, who are they missing? --- correct answer ---The Director of Nursing. a) The facility must maintain a Quality Assessment and Assurance Committee consisting of: (1) the director of nursing services; (2) a physician designated by the facility; and (3) at least three other members of the facility's staff. A facility must have a minimum of how many days supply of nonperishable staple foods? --- correct answer ---7 days. (k) Food storage areas. (1) Food storage areas must provide for storage of a 7- day minimum supply of nonperishable staple foods and a 2-day supply of perishable foods at all times. Except when a nourishing snack is provided at bedtime, there must be not more than ___ hours between a substantial evening meal and breakfast the following day. --- correct answer ---14 How many hours does the consultant pharmacist have to devote to pharmaceutical services? --- correct answer ---There is no specific amount of time as long as the review of drug regimen, etc. is sufficient to meet the needs of the residents Regulation says: The number of hours per month the consultant pharmacist devotes to the pharmaceutical services for ordering, storage, administration, disposal, recordkeeping (documentation) of drugs and medications, and drug regimen review must be sufficient to meet the needs of the residents. The facility must provide wheelchair access into the building by use of ramps and curb breaks, and Ramps must not slope more than ____ unit(s) of rise to ____unit(s) of run. --- correct answer ---Ramps must not slope more than 1:12 (one unit of rise to 12 units of run) The maximum room temperature for food storage must not exceed __ degrees Fahrenheit at all times. The measurement must be taken at the ____-____ level. --- correct answer ---85° F; five-foot The fire alarm system must be designed so that whenever the general alarm is sounded by activation of any device (such as manual pull, smoke sensor, sprinkler, or kitchen range hood extinguisher), the following must occur automatically: --- correct answer ---(1) smoke and fire doors which are held open by approved devices must be released to close;