Colorado Regulations Ch 3 Building and Fire Safety



ILLINOIS STATE NHA EXAM

EXAM REVIEW COURSE

( Illinois Laws Exam ◘ MODULE 1

Physical Environment

Speed Reader

Examination 1

Examination 2

Stan Mucinic, LNHA

I

Legal Notices

Students enrolled in the “the “Illinois Laws and Rules Course” are purchasing the professional knowledge of the instructor to assist the student to prepare for the Illinois State Licensure Exam administered by the State of Illinois.

This is a 5-week intensive independent study program designed to provide students a unique personalized and structured learning environment where progress is monitored by the instructor through email to help students maintain focus and complete scheduled assignments timely.

THE INSTRUCTOR MAKES NO EXPRESS OR IMPLIED WARRANTY OR REPRESENTATION OF ANY KIND THAT COMPLETION OF THIS OR ANY LICENSURE PREPARATION COURSE OFFERED BY INSTRUCTOR WILL GUARANTEE A PASSING SCORE ON ANY LICENSING EXAM.

An individual’s ultimate success in passing the licensure exam is dependent on an individual’s professional experience, academic preparation, and the time and energy the individual can commit to exam study and preparation. A student’s work schedule or other commitments may require more time to prepare for an exam than allotted. The student is solely responsible for licensing exam registration/testing and retesting fees.

Contact Information

Email Stan Mucinic at smucinic@ with any questions and after you score each practice exam

Physical Environment Exam 2

|1 |The facility must provide at least __ bathtub(s) for assisted bathing per nursing unit.  |

| | |

| |1 |

| |2 |

| |3 |

| |4 |

|2 |There must be a clear area at least ___ feet wide at both sides and one end of the tub. |

| | |

| |3 |

| |6 |

| |12 |

| |20 |

|3 |In addition to fire extinguishers, additional fire protection measures would include which of the following: |

| | |

| |Fire watch |

| |Fire sprinkler system |

| |smoke detectors.  |

| |All of the above |

|4 |Fire extinguishers must be inspected _______ |

| | |

| |Monthly |

| |Quarterly |

| |Annually |

| |Bi-annually |

|5 |The facility must provide one training toilet room on each nursing floor, which is accessible from the corridor.  |

| | |

| |1 |

| |2 |

| |3 |

| |4 |

|6 |True or False - Must provide paper towel dispensers and waste receptacles or electric hand dryers at all lavatories. |

| | |

| |True |

| |False |

|7 |The facility must provide a minimum of ___ nursing station per unit with direct access to the corridor for each nursing unit.  |

| | |

| |1 |

| |2 |

| |3 |

| |4 |

|8 |One nurse station must be provided for each ____ licensed bed | |

| | | |

| |25 | |

| |50 | |

| |75 | |

| |100 | |

|9 |Not less than ____ percent of the resident beds must be in one or two bed rooms. | |

| | | |

| |30 | |

| |50 | |

| |60 | |

| |90 | |

|10 |Not less than ___ percent of the total number of the beds in the facility must be located in single bed rooms with a private bath, water |

| |closet and lavatory. |

| |  |

| |3 |

| |5 |

| |10 |

| |12 |

|11 |True or False - A lounge with a toilet room at each nurses’ station for staff use is optional. |

| | |

| |True |

| |False |

|12 |The medicine preparation room must be under the nursing staff's visual control and must contain all of the following except: |

| | |

| |A work counter |

| |Refrigerator |

| |Television |

| |Locked storage for biologicals and drugs. |

| | |

|13 |Per state regulations, a medication station must provide distribution of medicine to residents ____ hours per day.  |

| | |

| |6 |

| |12 |

| |18 |

| |24 |

|14 |True or False - A sink for hand washing and preparation of medication must be provided in the medication preparation room. |

| | |

| | |

| |True |

| |False |

|15 |An examination and treatment room for residents must be provided and must have a minimum floor area of ____ square feet |

| | |

| |25 |

| |50 |

| |75 |

| |100  |

|16 |The minimum room dimension examination and treatment of must be ____ feet.  |

| | |

| |10 |

| |30 |

| |60 |

| |100 |

|17 |Which is NOT TRUE of a resident call system? |

| | |

| |Each resident room must be served by at least one calling station and each bed must be provided with a call station. |

| |Calls must register at the nurses' station and must only activate a visible signal in the corridor at the resident's door.  |

| |In rooms containing two or more calling stations, identifying lights must be provided at the nurse's station. |

| |In multi-corridor nursing units, additional visible signals must be installed at corridor intersections |

| | |

|18 |The call system signal cord must be long enough to reach within ___ inches off the floor |

| | |

| | |

| |3 |

| |6 |

| |12 |

| |18 |

|19 |Meal service operations must be separated from living and sleeping quarters by complete, ceiling-high walls, and a minimum _____ inch solid |

| |wood core, self-closing doors with positive latching hardware. |

| | |

| |1 |

| |1 ½ |

| |1 ¾ |

| |2 |

|20 |The kitchen, consisting of food preparation, cooking and serving areas, must be approximately ___square feet per resident bed with a minimum |

| |area of at least 200 square feet.  |

| | |

| |10 |

| |30 |

| |50 |

| |100 |

|21 |The kitchen storage supply space must be approximately __________ square feet per patient bed, for bulk and daily food storage, located in a |

| |room convenient to the kitchen. |

| | |

| |2 ½ |

| |3 |

| |5 |

| |½ |

|22 |True or False - Hand washing facilities for kitchen staff may be located outside the food preparation area. |

| | |

| |True |

| |False |

| | |

|23 |A janitors' closet for the exclusive use of the food preparation area must be located _______ |

| | |

| |Near the dietary department |

| |Within the dietary department |

| |On the same floor as the dietary department |

| |Just outside the dietary department. |

| | |

|24 |True or False – Must use self-dispensing ice making machines |

| | |

| |True |

| |False. |

| | |

|25 |Clean utility rooms must have _____ room pressure |

| | |

| |Negative |

| |Neutral |

| |Positive |

| |Any one of the above |

|26 |True or false - The soiled utility room must have direct access to a corridor.  |

| | |

| |True |

| |False |

|27 |The soiled utility room must have _____ room pressure |

| | |

| |Positive |

| |Negative |

| |Neutral |

| |Any one of the above |

|28 |The main entrance and all exit doors must swing ____ and be provided with door closers and panic hardware.  |

| | |

| |Inward |

| |Outward |

| |Both Directions |

| |Any one of the above choices |

|29 |Which of the following is NOT CORRECT? |

| | |

| |Locks installed on resident bedroom doors must be so arranged that they can be quickly and easily unlocked from the corridor side.  |

| |Locks must be arranged to permit exit from the room by a simple operation without the use of a key. |

| |The door may be lockable by the occupant if the door can be unlocked from the corridor side and keys are carried by the staff at all times.  |

| |Resident toilet rooms must open into the toilet room and not into the resident bedroom. |

| | |

|30 |The doors for the toilet rooms used by residents must have a minimum door width of ___ feet.  |

| | |

| |2 |

| |3 |

| |5 |

| |6 |

|31 |Which of the following statements is CORRECT? |

| | |

| |No toilet or bathroom door can have hardware which could allow a resident to become locked in the room.  |

| |All toilet or bathroom doors and hardware must be designed to permit emergency egress to the room.  |

| |Doors and windows must fit snugly and be weather tight, yet open and close easily. |

| |All doors to resident's sleeping rooms must be provided with automatic closers actuated by smoke detectors in the resident room. |

| |All of the above |

| | |

| | |

| | |

|32 |True or False – A facility is not required to have a centrally located monitoring station that can identify which resident room a smoke |

| |detector is located that signaled an alarm |

| | |

| |True |

| |False |

|33 |True or False - The smoke detector system must be wired into the fire alarm system.  |

| | |

| |True |

| |False |

|34 |True or False - Each exterior door must be equipped with a signal that will alert staff if a resident leaves the building |

| | |

| |True |

| |False |

|35 |Must have a minimum of ___ elevator(s) in all buildings of two or more stories in height.  The basement must be considered as one story if it|

| |is used by residents. |

| | |

| |1 |

| |2 |

| |3 |

| |4 |

|36 |If 80 to 200 beds are located above the first floor, at least __ additional elevator(s) must be provided. |

| | |

| |1 |

| |2 |

| |3 |

| |4 |

|37 |A minimum of ___car(s) must be of institutional type having inside dimensions that will accommodate a stretcher and attendants and must be at|

| |least five feet by seven feet, six inches |

| | |

| |1 |

| |2 |

| |3 |

| |4 |

|38 |The elevator car door must have a clear opening of not less than _______. |

| | |

| |2 feet 4 inches |

| |3 feet 8 inches |

| |5 feet |

| |6 feet 6 inches |

|39 |True or False - Floors must be smooth, free from cracks and finished so that they can be easily and properly cleaned.  |

| | |

| | |

| |True |

| |False |

|40 |The pot washing sink must be a three compartment sink with one compartment at least __ inches deep. |

| | |

| |6 |

| |12 |

| |14 |

| |18 |

|41 |Hand washing lavatories used by nursing staff and food handlers must be operated ________ |

| | |

| |With the use of one hand only |

| |With both hands |

| |Without the use of any hands |

| |Any one of the above choices |

| |  |

|42 |Handrails must be provided on ____ of all corridors and ramps used by residents. |

| | |

| |One side |

| |Both Sides |

|43 |True or False - Handrails must be provided on all sides of an elevator cab except the door. |

| | |

| |True |

| |False |

| | |

|44 |True or False - The ends of handrails and grab bars must return to the wall.  |

| | |

| |True |

| |False |

| | |

|45 |True or False - Grab bars are not required for all resident use toilets, showers, and tubs.  |

| | |

| |True |

| |False |

| 46 |The combined area of the dining, activities and living rooms must not be less than ____ square feet per resident bed. |

| | |

| |25 |

| |50 |

| |75 |

| |100 |

| | |

| | |

|47 |Handrails on stairs used by residents must be provided on ____ of the stairs including the platforms and landings.  |

| | |

| |Just one side |

| |Both sides |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

|48 |Must provide a total area of approximately ____ square feet per resident bed for storage areas |

| | |

| |10 |

| |30 |

| |50 |

| |90 |

| | |

|49 |True or False - Throw or scatter rugs are allowed in a nursing home. |

| | |

| |True |

| |False |

|50 |An adequate supply of clean linen is ___ set(s) of sheets, draw sheets, and pillow cases |

| | |

| |1 |

| |2 |

| |3 |

| |4 |

|51 |True or False - If washers and dryers are provided for personal use of residents, they must be located in the main laundry room. |

| | |

| |True |

| |False |

| | |

|52 |True or False – A facility is not be required to have an autoclave to sanitize equipment and supplies |

| | |

| |True |

| |False |

| | |

|53 |Utensils must be sanitized, either mechanically or manually, through the use of steam, hot water, or chemicals approved by the _____ |

| | |

| |CMS |

| |CDC |

| |U.S. Environmental Protection Agency (EPA) |

| |OSHA  |

| | |

| | |

| |Individual bed pans, urinals, wash basins, and similar equipment must be washed and rinsed after each use, and be sanitized at least _____.  |

|54 | |

| | |

| |After each use |

| |Weekly |

| |Monthly |

| |Quarterly |

| | |

| | |

|55 |If individual equipment is not provided, the equipment must be washed, rinsed, and sanitized ______ |

| | |

| |After each use |

| |Weekly |

| |Monthly |

| |Quarterly |

|56 |When construction involving a nursing home is contemplated, construction plans must be submitted to __________. |

| | |

| |Department of Construction and Permits |

| |Department of Professional Regulation |

| |Department of Health |

| |Department of Administration |

| | |

|57 |Final construction and working drawings and specifications must be submitted to the Department for review and approval prior to beginning of |

| |construction.  For final approval to remain valid, construction contracts must be signed within ____ of the date of final approval.  |

| | |

| |6 months |

| |12 months |

| |18 months |

| |24 months |

| | |

|58 |The Department must be notified at least __ days before construction on a facility has been completed.  The Department will then complete a |

| |final inspection.  |

| | |

| |15 |

| |30 |

| |60 |

| |90 |

|59 |True or False - The facility must provide a special care room for each nursing unit. |

| | |

| |True |

| |False |

|60 |True or False - The special care room must have a private toilet room with a bathtub or shower |

| | |

| |True |

| |False |

|61 |All rooms occupied or used by residents must have ceilings not less than ____ feet. |

| | |

| |4 |

| |6 |

| |8 |

| |10 |

|62 |Boiler rooms must have ceiling clearances not less than ________ inches above the main boiler header and connecting piping. |

| | |

| |2 feet 6 inches |

| |3 feet |

| |feet 6 inches |

| |feet |

|63 |Must have a fire alarm system that is _____ operated fire alarm system must be installed. |

| | |

| |Manually and automatically |

| |Automatically |

| |Manually |

| |Electrically |

|64 |Automatic smoke detectors must be installed in all resident sleeping rooms and at ___ feet on center in all corridors other than sleeping |

| |area corridors.  |

| |  |

| |10 |

| |30 |

| |50 |

| |90 |

|65 |True or False - A complete automatic sprinkler system throughout a facility is not required by state law. |

| | |

| |True |

| |False |

|66 |True or false - Drainage piping must not be installed above the ceiling nor installed in an exposed location in food preparation centers, |

| |food serving facilities, food storage areas, and other critical areas |

| | |

| |True |

| |False |

|67 |There must be at least ___ approved fire extinguisher(s) in all basements, furnace rooms, and kitchens, laundry rooms and beauty shops.  |

| | |

| |1 |

| |2 |

| |3 |

| |4 |

|68 |The travel distance from one fire extinguisher to another cannot exceed ____ feet from any one point. |

| | |

| |25 |

| |50 |

| |75 |

| |100 |

|69 |True or False – Per state law, stop valves must be installed on all water fixtures |

| | |

| |True |

| |False |

|70 |Must provide hot water at a minimum temperature of ___ degrees F at each hot water fixture or outlet (faucet) at all times. |

| | |

| |96 degrees F |

| |100 degrees F |

| |110 degrees F |

| |120 degrees F |

| | |

|71 |Hot water supplied to showers, bathtubs and handwashing facilities must not exceed 110 degrees Fahrenheit.  |

| | |

| |96 degrees F |

| |100 degrees F |

| |110 degrees F |

| |120 degrees F |

| | |

| | |

| | |

| | |

|72 |Must install a ____ to water fixtures to regulate the water temperature (mixes and hot and cold water to maintain maximum temperature) |

| | |

| |Backflow preventer device |

| |1/8th inch control valve |

| |Mixing valve |

| |Thermal regulator valve |

| | |

| | |

|73 |Staff must check the water temperature at various fixtures throughout the facility ____. |

| | |

| |1. Monthly |

| |2. Weekly |

| |3. If requested by residents |

| |4. Daily |

| | |

|74 |Radiators, hot water or steam pipes, baseboard heaters, or therapy equipment or other surface temperature that exceeds ______ degrees F. must|

| |be provided with partitions, screens, shields, or other thermal insulation to protect residents from injury.  |

| | |

| |100 |

| |110 |

| |120 |

| |140 |

| | |

|75 |True or False - Must be able to supply sufficient hot water to resident during peak demand times (early morning |

| | |

| |True |

| |False |

| | |

|76 |An automatic battery operated systems must be effective for ___ or more hours |

| | |

| |2 |

| |3 |

| |4 |

| |5 |

| | |

|77 |An automatic battery operated system is not required to provide to power to light which of the following: |

| | |

| |Exit signs |

| |Exit corridors and stairways |

| |Nurses' stations |

| |Administrator’s office |

| |Communication system |

| |Alarm systems |

| |Nurses' call system |

|78 |A nurses' emergency call station must be provided for residents' in which of the following resident areas: |

| | |

| |Toilet |

| |Bath |

| |Shower |

| |Resident bedroom |

| |All of the above  |

| | |

| | |

|79 |The nurse call pull cord must be long enough to reach within ___ inches of the floor.  |

| | |

| |3 |

| |6 |

| |9 |

| |12 |

|80 |True or False – A facility must have an approved fire detection and alarm system installed throughout the facility. |

| | |

| |True |

| |False |

| | |

|81 |The fire alarm signal system transmit an alarm ______ to the local fire department by direct private line or through an approved central |

| |station . |

| | |

| |Manually |

| |Digitally |

| |Automatically |

| |Electrically |

|82 |Fire alarms must be activated ______   |

| | |

| |Manually |

| |Digitally |

| |Automatically |

| |Electrically |

|83 |The facility kitchen must a minimum square footage equal to approximately ___ square feet per resident bed |

| | |

| |5 |

| |10 |

| |15 |

| |20 |

| | |

|84 |Dishes, pots, pans and utensils must be washed and sanitized in a _______ |

| | |

| |Utility sink |

| |A single compartment sink |

| |2 compartment sink |

| |Food preparation sink |

|85 |True or False – a kitchen is not required to have a hand washing lavatory.  |

|] | |

| |True |

| |False |

|86 |True or False – A facility is not required to provide each resident a reading lamp |

| | |

| |True |

| |False |

|87 |Must screen all windows, doors and openings to the outside during fly season. Screen doors are or are not required to have a self-closing |

| |device |

| | |

| |Are |

| |Are not |

|88 |Must provide approximately 2 ½ square feet per patient bed for bulk and daily food storage located in a room convenient to the kitchen. |

| | |

| |1 |

| |2 |

| |2 ½ |

| |3 ½ |

| |5 |

| | |

|89 |The range hood's extinguishment system is ort is not connected to the building fire alarm system |

| | |

| |Is |

| |Is not |

|90 |Must provide a 7 ½ square feet per resident of storage space for personal possessions of residents and staff, linens, supplies, and other |

| |items.  |

| | |

| |5 |

| |6 ½ |

| |7 |

| |7 ½ |

| |8 |

|91 |The mechanical system must be capable of maintaining a temperature of at least 75 degrees Fahrenheit. |

| | |

| |69 |

| |71 |

| |75 |

| |78 |

|92 |The air-conditioning system must be able to maintain an ambient air temperature of between ___ degrees F and ___ degrees F. |

| | |

| |71 - 76 |

| |73 - 80 |

| |75 - 80 |

| |76 - 81 |

| | |

Module 1 – Physical Environment – Exam 2 - Answer Key

|Quest # |Answer |Explanation |

| | | |

|1 |1 | |

|2 |1 | |

|3 |4 | |

|4 |3 | |

|5 |1 | |

|6 |1 | |

|7 |1 | |

|8 |3 | |

|9 |3 | |

|10 |1 | |

|11 |2 | |

|12 |3 | |

|13 |4 | |

|14 |1 | |

|15 |4 | |

|16 |1 | |

|17 |2 |Must also activate a light or signal at the nurse’s station too |

|18 |2 | |

|19 |3 | |

|20 |1 | |

|21 |1 | |

|22 |2 | |

|23 |2 | |

|24 |1 | |

|25 |3 | |

|26 |1 | |

|27 |2 | |

|28 |2 | |

|29 |4 |into a corridor or into a resident bedroom. |

|30 |2 | |

|31 |5 | |

|32 |2 | |

|33 |1 | |

|34 |1 | |

|35 |1 | |

|36 |1 | |

|37 |1 | |

|38 |2 | |

|39 |1 | |

|40 |3 | |

|41 |3 | |

|42 |2 | |

|43 |1 | |

|44 |1 | |

|45 |2 | |

|46 |1 | |

|47 |2 | |

|48 |1 | |

|49 |2 | |

|50 |3 | |

|51 |2 | |

|Quest # |Answer |Explanation |

| | | |

| 52 |2 | |

| 53 |3 | |

|54 |2 | |

|55 |1 | |

|56 |3 | |

|57 |2 | |

|58 |2 | |

|59 |1 | |

|60 |1 | |

|61 |3 | |

|62 |1 | |

|63 |1 | |

|64 |2 | |

|65 |2 | |

|66 |1 | |

|67 |1 | |

|68 |2 | |

|69 |2 |It is only recommended – not required |

|70 |2 | |

|71 |3 | |

|72 |3 | |

|73 |4 | |

|74 |4 | |

|75 |1 | |

|76 |3 | |

|77 |4 | |

|78 |5 | |

|79 |2 | |

|80 |1 | |

|81 |3 | |

|82 |1 | |

|83 |2 | |

|84 |3 | |

|85 |2 | |

|86 |2 | |

|87 |1 | |

|88 |3 | |

|89 |1 | |

|90 |4 | |

|91 |3 | |

|92 |3 | |

Module 1 – Physical Environment – Exam 2 - Answer Sheet

| | |36 | | |73 | | |110 | | | 147 | | | |1 | | |37 | | |74 | | |111 | | | 148 | | | |2 | | |38 | | |75 | | |112 | | | 149 | | | |3 | | |39 | | |76 | | |113 | | | 150 | | | |4 | | |40 | | |77 | | |114 | | | 151 | | | |5 | | |41 | | |78 | | |115 | | | 152 | | | |6 | | |42 | | |79 | | |116 | | | 153 | | | |7 | | |43 | | |80 | | | 117 | | | 154 | | | |8 | | |44 | | |81 | | |118 | | | 155 | | | |9 | | |45 | | |82 | | |119 | | |156 | | | |10 | | |46 | | |83 | | |120 | | |157 | | | |11 | | |47 | | |84 | | |121 | | |158 | | | |12 | | |48 | | |85 | | |122 | | |159 | | |13 | | |49 | | |86 | | |123 | | |160 | | | |14 | | |50 | | |87 | | |124 | | |161 | | |15 | | |51 | | |88 | | |125 | | |162 | | | |16 | | |52 | | |89 | | |126 | | |163 | | | |17 | | |53 | | |90 | | |127 | | |164 | | | |18 | | |54 | | |91 | | |128 | | |165 | | | |19 | | |55 | | |92 | | |129 | | | | | | |20 | | |56 | | |93 | | |130 | | | | | | |21 | | |57 | | |94 | | |131 | | | | | | |22 | | |58 | | |95 | | |132 | | | | | | |23 | | |59 | | |96 | | |133 | | | | | | |24 | | |60 | | |97 | | |134 | | | | | | |25 | | |61 | | |98 | | |135 | | | | | | |26 | | |62 | | |99 | | |136 | | | | | | |27 | | |63 | | |100 | | |137 | | | | | | |28 | | |64 | | |101 | | |138 | | | | | | |29 | | |65 | | |102 | | |139 | | | | | | |30 | | |66 | | |103 | | |140 | | | | | | |31 | | |67 | | |104 | | |141 | | | | | | |32 | | |68 | | |105 | | |142 | | | | | | |33 | | |69 | | |106 | | |143 | | | | | | |34 | | |70 | | |107 | | |144 | | | | | | |35 | | |71 | | |108 | | |145 | | | | | | | | | |72 | | |109 | | |146 | | | | | | |

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