ILLINOIS STATE NHA EXAM



ILLINOIS STATE NHA EXAM

REVIEW COURSE

( Illinois State Exam ◘ MODULE 3

Resident Care

Speed Reader

Examination 1

Examination 2

Examination 3

Stan Mucinic, LNHA

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.

HOW TO USE THE STUDY GUIDES

Step 1 – VERY IMPORTANT - The personalized test organizer that comes with the program is the key to your success and sets this program apart from any other. It is critical you follow the instructions and score each exam, and file the completed exams into your binder. Try to keep to the schedule and email your test results to the instructor to stay focused.

Step 2. - Speed Reader – Read the speed reader for each module once or twice before taking the module exam(s). Read the speed reader over and over again until you familiarize yourself with its contents. THE MORE TIMES YOU LOOK IT THE MORE LIKELY YOU ARE TO REMEMBER IT.

Step 3 – Exam Packet - The exam packet contains questions designed to measure your comprehension and retention of the material you read. Take each exam over and over again until you score 100%. Make sure you score each exam and record the results in your organizer or you will not be able to gauge your progress.

CONTACT INFORMATION

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

RESIDENT CARE

|1 |An employee personnel file must contain which of the following? |

| | |

| |Completed employment application forms   |

| |Health screenings and background checks |

| |Performance evaluations |

| |All of the above |

|2 |Individual personnel files for each employee must contain which of the following: |

| | |

| |Date of birth |

| |Home address |

| |Educational background and job experience |

| |Date of employment and position employed |

| |All of the above |

|3 |An advance directive that specifies whether an individual desires or declines life prolonging treatment is called a(n) _____________ |

| | |

| |Power of Attorney |

| |Advanced directive |

| |Living will |

| |Designation of a health care surrogate |

|4 |A facility is or is not required to have an advisory physician. |

| | |

| |Is |

| |Is not |

|5 |Must have a medical advisory committee to advise the _______ on the overall medical management of the residents and the staff of the facility.  |

| | |

| |Director of Nursing |

| |Administrator |

| |Governing body |

| |All of the above |

| | |

|6 |Each facility must have a written medical program which addresses which of the following elements: |

| | |

| |The structure of the medical advisory committee |

| |How attending physician cooperation will be attained when problems arise |

| |The specific health care services to be provided |

| |All of the above. |

|7 |The facility medical program must be approved by the _______ |

| | |

| |Director of Nursing |

| |Advisory physician or the medical advisory committee |

| |Corporate |

| |State licensing agency |

|8 |.True or False - Each resident must be under the care of a physician |

| | |

| |True |

| |False |

|9 |True or False - Each resident may be assigned a physician by the facility with or without allowing the resident a choice |

| | |

| |True |

| |False |

|10 |Residents must be seen by their physician at least _______ |

| | |

| |Once every month during their stay |

| |Every other month during their stay |

| |Once every 30 days for the first 3 months and then every other month thereafter |

| |Every 2 months |

|11 |True or False - Physician orders or treatment plan may be signed by the physician using a rubber stamp |

| | |

| |True |

| |False |

|12 |True or False - A facility may employ an individual as a nurse aide before checking the nurse aide registry to verify they are certified. |

| | |

| |True |

| |False |

|13 |A nurse aide that is not certified must begin an approved Basic Nursing Assistant Training Program no later than ___ days after employment. |

| | |

| |30 |

| |45 |

| |60 |

| |90 |

|14 |The nursing assistant must successfully complete the training program within _____ days after the date of initial employment |

| | |

| |30 |

| |90 |

| |120 |

| |150 |

|15 |A nursing assistant enrolled in an approved training program must not be employed more than ___ days prior to successfully completing the |

| |program. |

| | |

| |30 |

| |90 |

| |120 |

| |150 |

|16 |Within ____ days after initial employment, the facility must submit documentation to the Department to be registered on the Nurse Aide Registry.|

| | |

| |30 |

| |90 |

| |120 |

| |150 |

| | |

| | |

|17 |Each person employed by the facility as a nursing assistant must meet which of the following requirements: |

| |  |

| |Be at least sixteen years of age, of temperate habits and good moral character, honest, reliable and trustworthy |

| |Be able to speak and understand the English language or a language understood by a substantial percentage of the facility's residents |

| |Provide evidence of prior employment or occupation, if any, and residence for two years prior to present employment as a nursing assistant |

| |Have completed at least eight years of grade school or provide proof of equivalent knowledge |

| |All of the above |

|18 |True or False - During a survey, surveyors may not require a nursing assistant to demonstrate competency in nursing assistant functions and |

| |duties if their competency is in question |

| | |

| |True |

| |False |

|19 |An individual who assists residents with eating and drinking, personal hygiene limited to washing a resident's hands and face, brushing and |

| |combing a resident's hair, and oral hygiene, shaving residents with an electric razor, and applying make up. is called a ______ |

| | |

| |Nurse aide |

| |Nurse |

| |Resident attendant |

| |Private duty nurse |

|20 |The term "resident attendant" does not include : |

| | |

| |A licensed health professional |

| |A registered dietitian |

| |Nursing assistant |

| |Unpaid volunteer |

| |All of the above |

|21 |If a facility uses resident attendants to assist the nurse aides with resident care, the resident attendants must or must not be counted in the |

| |minimum required staffing hours |

| | |

| |Must |

| |Must not |

| | |

|22 |Each person employed by the facility as a resident attendant must meet the following requirements: |

| |  |

| |Be at least 16 years of age; and |

| |Be able to speak and understand the English language or a language understood by a substantial percentage of the facility's residents. |

| |Resident attendants must be supervised by and must report to a nurse |

| |All of the above |

|23 |True or False - An individual will be placed on the Nurse Aide Registry when he/she has successfully completes a state approved training program|

| |and passes a background check: |

| | |

| |True |

| |False |

| | |

| | |

| | |

| | |

|24 |An individual must notify the Nurse Aide Registry of any change of address within ____ days and of any name change within 30 days and must |

| |submit proof of any name change to the Department. |

| | |

| |2 days |

| |14 days |

| |30 days |

| |60 days |

|25 |The facility ____utilize student interns to perform basic nursing assistant skills if they have been evaluated and deemed competent by an |

| |approved evaluator |

| | |

| |May |

| |May not |

|26 |Must not allow interns to provide rehabilitation nursing, in-bed bathing, assistance with skin care, foot care, or to administer enemas, except |

| |under the direct, immediate supervision of ______ |

| | |

| |Nurse aide |

| |Medical director |

| |Licensed nurse |

| |Occupational therapist |

|27 |A facility may not have more than ___ percent of its nursing assistant staff positions held by student interns. |

| | |

| |10 |

| |15 |

| |25 |

| |30 |

|28 |Each resident must have a physical examination at least _______ |

| | |

| |3 days prior to admission or 2 days after admission |

| |24 hours prior to admission or 2 days after admission |

| |5 days prior to admission or 3 days after admission |

| |2 days prior to admission or 5 days after admission |

|29 |Nursing staff must make notations in a resident’s chart at least ______. |

| | |

| |Daily |

| |Weekly |

| |Monthly |

| |Quarterly |

|30 |Which of the following is true? |

| | |

| |The facility must obtain and record the physician's plan of care for the care or treatment of such accident, injury or change in condition at |

| |the time of notification.  |

| |Outbreaks of scabies and other skin infestations must be reported to the Department |

| |The facility must notify the resident's physician of any accident, injury, or significant change in a resident's condition that threatens the |

| |health, safety or welfare of a resident, |

| |All of the above |

| | |

| | |

| | |

| | |

| | |

|31 |Any outbreak of reportable communicable diseases (Flu, TB, food poisoning, sexually transmitted diseases) must be reported to the ______ |

| | |

| |The Illinois Department of Health |

| |The local health department. |

| |The CDC |

| |The CMS |

|32 |True or False – Residents should be encouraged to wear a facility issued gown and discouraged from wearing street clothes and shoes. |

| | |

| |True |

| |False |

|33 |The facility must have written procedures to address which of the following medical emergencies: |

| | |

| |Pulmonary failure or arrest |

| |Heart attack or stroke |

| |Burns, fractures, lacerations |

| |Drug interaction or overdose |

| |Convulsions, seizures and shock |

| |All of the above |

|34 |Each facility must maintain emergency equipment at all times including: |

| | |

| |Portable oxygen |

| |Face mask and cannula |

| |Bag-valve mask manual ventilating device |

| |All of the above |

|35 |Must have at least ___ person(s) on duty at all times certified in basic life support |

| | |

| |One |

| |Two |

| |Three |

| |Four |

|36 |True or False - Residents have the right under federal and state law to make decisions relating to their own medical treatment, including the |

| |right to accept, reject, or limit life-sustaining treatment.  |

| | |

| |True |

| |False |

|37 |Physician orders limiting resuscitation is referred to as ______ |

| | |

| |A cease and desist order |

| |A do-not-resuscitate order (DNR) |

| |Withhold All Resuscitation Order (WAR) |

| |A living will  |

|38 |Which of the following are life sustaining procedures: |

| | |

| |Assisted ventilation |

| |Renal dialysis |

| |Blood transfusions |

| |Artificial nutrition and hydration |

| |1 and 4 |

| |All of the above |

| | |

|39 |Each long-term care facility must have a dental program which must provide for in-service education on which of the following topics: |

| |  |

| |1. Nutrition and diet control measures which are dental health oriented. |

| |2. Proper oral hygiene methods. |

| |3. Maintenance of proper oral hygiene when resident leaves the long-term care facility |

| |4. All of the above |

|40 |The direct care staff must receive in-service education on dental care at least ______. |

| | |

| |Weekly |

| |Monthly |

| |Quarterly |

| |Annually |

|41 |Using a drug to restrain a resident that is not required to treat medical symptoms or behavior problems is called a _____.  |

| | |

| |Discipline |

| |Corporal punishment |

| |Chemical restraint |

| |Convenience |

|42 |Using any restraint to control resident behavior or maintain a resident, for the convenience of the staff, but not in the best interest of the |

| |resident, is called _____ |

| | |

| |Discipline |

| |Corporal punishment |

| |Chemical restraint |

| |Convenience |

|43 |True or False – A facility must individually mark denture cups for denture storage at night. |

| | |

| |True |

| |False |

|44 |True or False - A facility must provide residents access to comprehensive dental treatment services including emergency treatment by a |

| |qualified dentist |

| | |

| |True |

| |False |

|45 |Physical restraints include which of the following: |

| | |

| |Leg restraints |

| |Arm restraints |

| |Hand mitts\ |

| |Lap trays |

| |Tucking in a sheet so tightly that a bed-bound resident cannot move |

| |Bed rails used to keep a resident from getting out of bed |

| |Chairs that prevent rising |

| |All of the above |

|46 |True or False - Persons under 18 years of age may be cared for in a facility for adults without prior written approval from the Department. |

| | |

| |True |

| |False |

|47 |True or False - Adaptive equipment is not considered a physical restraint.  |

| | |

| |True |

| |False |

|48 |Policies on restrains must be developed by the ___________. |

| | |

| |Medical advisory committee or the advisory physician |

| |The nursing staff |

| |Administrative personnel |

| |All of the above |

|49 |True or false – May use physical restraints with a lock. |

| | |

| |True |

| |False |

|50 |True or False – Per state law, a nursing facility can use chemical restraints on residents. |

| | |

| |True |

| |False |

|51 |Which of the following is not true? |

| | |

| |A physical restraint may be used only with the informed consent of the resident or other authorized representative. |

| |The effectiveness of the physical restraint in treating medical symptoms and any negative impact on the resident must be assessed by the |

| |facility throughout the use of the physical restraint. |

| |A physical restraint may be applied by any staff member |

| |Only a physician can order a physical restraint |

|52 |True or False - A recipient who has a guardian may request that a person or organization of his or her choosing be notified of the physical |

| |restraint, whether or not the guardian approves such action by the resident |

| |True |

| |False |

|53 |Whenever a physical restraint is used on a resident whose primary mode of communication is sign language, the resident must be permitted to have|

| |his or her hands free from restraint for brief periods each ___, except when this freedom may result in physical harm to the resident or |

| |others.   |

| | |

| |Half hour |

| |Hour |

| |2 hours |

| |3 hours |

|54 |A resident wearing a physical restraint must have it released for a few minutes at least once every ____, |

| | |

| |30 minutes |

| |1 hour |

| |2 hours |

| |3 hours  |

|55 |True or False - If a resident needs emergency care, physical restraints may be used for brief periods to permit treatment even though the |

| |facility has notice that the resident has previously made a valid refusal of the use of physical restraints |

| | |

| |True |

| |False |

|56 |If a resident needs emergency care, a physical restraint may be used briefly to permit treatment to proceed provided the ____ is contacted |

| |immediately for orders to apply a physical restraint.  |

| |Administrator |

| |Attending physician |

| |Medical director or advisory physician |

| |a nurse with supervisory responsibility |

|57 |If the attending physician is not available, the facility's _______ must be contacted to approve, in writing, the use of physical restraints. . |

| | |

| |Administrator |

| |Attending physician |

| |A nurse with supervisory responsibility |

| |Medical director or advisory physician |

|58 |All illnesses required to be reported under the Control of Communicable Diseases Code and Control of Sexually Transmissible Diseases Code must |

| |be reported immediately to the Department and ________ |

| | |

| |The State Contagious Disease Control Office |

| |The CDC |

| |The CMS |

| |The local health department   |

|59 |A confirming order must be obtained by telephone from a licensed physician as soon as possible, but no later than within ___ hours from |

| |application of a physical restraint  |

| | |

| |3 hours |

| |8 hours |

| |24 hours |

| |48 hours |

|60 |A facility must take appropriate measures to protect resident safety and comfort when the heat index in the facility exceeds ____F or higher. |

| | |

| |76 |

| |79 |

| |80 |

| |85 |

|61 |True or False - The resident in restraints must be in view of a staff person at all times until either the resident has been examined by a |

| |physician or a physical restraint is removed.  |

| | |

| |True |

| |False |

|62 |The emergency use of a physical restraint must be documented in the resident's record, including which of the following: |

| |  |

| |The behavior incident that prompted the use of the physical restraint; |

| |The date and times the physical restraint was applied and released; |

| |The name and title of the person responsible for the application and supervision of the physical restraint; |

| |The action by the resident's physician upon notification of the physical restraint use; |

| |The new or revised orders issued by the physician; |

| |The effectiveness of the physical restraint in treating medical symptoms or as a therapeutic intervention and any negative impact on the |

| |resident |

| |The date of the scheduled care planning conference or the reason a care planning conference is not needed, in light of the resident's emergency |

| |need for physical restraints |

| |All of the above |

|63 |An unnecessary drug is any drug used ____________ |

| |  |

| |In an excessive dose |

| |For excessive duration; |

| |Without adequate monitoring; |

| |Without adequate indications or rationale for its use |

| |In the presence of adverse consequences that indicate the drugs should be reduced or discontinued |

| |All of the above |

|64 |True or False - Psychotropic medication may be prescribed or administered without the informed consent of the resident, the resident's guardian,|

| |or other authorized representative.  |

| | |

| |True |

| |False |

|65 |True or False - Residents may be prescribed antipsychotic drugs without documenting in the resident chart and comprehensive assessment a |

| |rationale for its use |

| | |

| |True |

| |False |

|66 |True or False - Residents who use antipsychotic drugs must receive gradual dose reductions and behavior interventions in an effort to |

| |discontinue these drugs |

| | |

| |True |

| |False |

|67 |"Duplicative drug therapy" means _________ |

| | |

| |The use of two or more drugs, whether from the same drug category or not, that produce the same effect |

| |Skipping a dose to reduce the amount in the resident’s blood stream |

| |Using several different medications at the same time |

| |Using anti-coagulants to thin the blood |

|68 |Which of the following IS NOT TRUE about incident reports: |

| | |

| |The facility must document and maintain a file of all written reports of each incident (incident report) that results in an unexpected outcome |

| |of a resident's condition or disease process (without serious injury or harm (i.e., a fall without injury, a skin tear, etc.).  |

| |A descriptive summary of each incident affecting a resident must be recorded in the progress notes or nurse's notes for that resident. |

| |The facility must immediately fax or phone all incident reports to the state licensing agency |

| |All of the above |

|69 |True or False - The facility must notify the Department by phone or fax of any serious incident or accident (adverse incident) that causes |

| |physical harm or injury to a resident |

| | |

| |True |

| |False |

|70 |The facility must, fax or phone the Regional Office of the Department of Health within ____ hours after each reportable resident related |

| |incident or accident.  |

| | |

| |8 |

| |24 |

| |48 |

| |72 |

|71 |The facility must send a narrative summary of each reportable incident to the Department within ___ days after the occurrence of a resident |

| |related reportable incident.. |

| | |

| |3 |

| |7 |

| |14 |

| |30 |

|72 |True or False - If the facility is unable to contact the Regional Office, it must notify the Department's toll-free complaint registry hotline. |

| | |

| |True |

| |False |

|73 |All incidents of scabies and other skin infestations must be reported to the ___________ |

| | |

| |The Department |

| |Local health department |

| |CDC |

| |Long term care ombudsman |

|74 |Each facility must have a denture marking system that marks individual dentures within ___ days of admission |

| | |

| |5 |

| |10 |

| |20 |

| |30 |

|75 |A facility must _____ administer a vaccination against influenza (Flu shot) to each resident, unless the vaccination is medically |

| |contraindicated or the resident has refused the vaccine. |

| | |

| |Weekly |

| |Monthly |

| |Quarterly |

| |Annually |

| | |

|76 |Influenza vaccinations for all residents age 65 and over must be completed by ____ of each year |

| | |

| |January 31 |

| |June 30 |

| |November 30 |

| |December 31 |

|77 |True or False - Residents admitted after November 30, during the flu season, and until February 1 must, as medically appropriate, receive an |

| |influenza vaccination prior to or upon admission or as soon as practicable if vaccine supplies are not available at the time of the admission, |

| |unless the vaccine is medically contraindicated or the resident has refused the |

| | |

| |True |

| |False |

|78 |True or false – The facility can store fully charged medical gas vessels with empty vessels |

| | |

| |True |

| |False |

| | |

| | |

|79 |Which of the following is true? |

| | |

| |All personnel who will be handling medical gases must be trained to recognize the various medical gas labels.  |

| |All facility personnel responsible for changing or installing medical gas vessels must be trained to connect medical gas vessels properly. |

| |Personnel must understand how vessels are connected to the oxygen supply system  and must be alerted to the serious consequences of changing |

| |connections |

| |All of the above |

| | |

|80 |The facility must comply with directions for use of oxygen systems as established by the _________ |

| | |

| |Manufacturer and the NFPA Life Safety Code   |

| |OSHA |

| |The ADA |

| |State licensing authority |

|81 |All medications having an expiration date that has passed, and all medications of residents who have been discharged or who have died must be |

| |disposed of in accordance with _________ |

| | |

| |Federal regulations |

| |State law |

| |Facility policies and procedures |

| |Local department of health regulations |

|82 |When a resident is transferred from one facility to another, the resident’s current medications must or must not be transferred with the |

| |resident, upon the order of the resident's physician |

| | |

| |Must |

| |Must not |

|83 |All discontinued controlled substances must be ________ |

| | |

| |Destroyed by the facility by flushing down a toilet |

| |Used within 30 days of the “discontinue by” date |

| |Returned to the dispensing pharmacy |

| |All of the above |

|84 |Medications for any resident who has been temporarily transferred to a hospital must be ________ |

| | |

| |Immediately returned to the dispensing pharmacy |

| |Destroyed in the facility |

| |Kept in the facility. |

| |Sent with the resident to the hospital |

|85 |Medications may be given to a discharged resident only upon the order of _____________ |

| | |

| |A licensed prescriber |

| |The interdisciplinary team |

| |Consultant pharmacist |

| |Director of Nursing |

|86 |A person who is reasonably expected to self-inflict serious physical harm or to inflict serious physical harm on another person in the near |

| |future may or may not be admitted to a nursing facility |

| | |

| |May |

| |May not |

|87 |Each resident must have at a complete bath and hair wash at least ______ each week. |

| | |

| |Once |

| |Twice |

| |Three times |

| |Four times |

|88 |True or False - Each resident must have clean suitable clothing in order to be comfortable, sanitary, free of odors, and decent in appearance.  |

| | |

| |True |

| |False |

|89 |Each resident must have clean bed linens at least _____ weekly |

| | |

| |Once |

| |Twice |

| |Three times |

| |Four Times |

|90 |True or False - A facility, must develop and implement a comprehensive care plan for each resident that includes measurable objectives and |

| |timetables to meet the resident's medical, nursing, and mental and psychosocial needs that are identified in the resident's comprehensive |

| |assessment |

| | |

| |1. True |

| |2. False |

|91 |True or False – Neither the resident nor the resident's guardian or representative should be encouraged to participate in developing the |

| |resident’s care plan. |

| | |

| |1. True |

| |2. False |

|92 |A nursing assistant must meet which of the following requirements: |

| |         |

| |Be at least 16 years of age, of temperate habits and good moral character, honest, reliable and trustworthy. |

| |Provide evidence of employment or occupation, if any, and residence for 2 years prior to his present employment. |

| |Have completed at least 8 years of grade school or provide proof of equivalent knowledge. |

| |All of the above |

|93 |A CNA who is not certified must begin a current course of training approved by the Department, within ____ days of initial employment |

| | |

| |30 |

| |45 |

| |90 |

| |120 |

|94 |A CNA who is not certified must complete their training course_____ days of initial employment in the facility. |

| | |

| |30 |

| |45 |

| |90 |

| |120 |

| | |

| | |

|95 |Each skilled nursing facility that admits persons who are diagnosed as having Alzheimer's disease or related dementias must require all nursing |

| |assistants to receive _____ hours of training in the care and treatment of such residents |

| | |

| |3 |

| |6 |

| |12 |

| |20 |

|96 |A certified nursing assistant who has not performed nursing or nursing-related services for a period of ___ consecutive months will be listed as|

| |"inactive" and cannot perform services as a nurse aide. |

| | |

| |12 |

| |16 |

| |24 |

| |30 |

|97 |True or False - All persons age 18 or older seeking admission to a nursing facility must be screened to determine the need for nursing facility |

| |services prior to being admitted, regardless of income, assets, or funding source. |

| | |

| |True |

| |False |

|98 |True or False - Any person who seeks to become eligible for medical assistance from the Medical Assistance Program for long term care services |

| |while residing in a facility must be screened prior to receiving those benefits. |

| | |

| |True |

| |False |

|99 |A facility must adopt and ensure implementation of a policy to identify, assess, and develop strategies to control risk of injury to residents |

| |and nurses and other health care workers associated with which of the following: |

| | |

| |Lifting |

| |Transferring |

| |Repositioning |

| |Movement of a resident |

| |All of the above. |

|100 |The Resident Safe Handling policy must include which of the following: |

| | |

| |Analyzing risk of injury to residents |

| |Educating nurses in the identification, assessment, and control of possible risks |

| |Evaluating alternative ways to reduce risks associated with resident handling |

| |Using mechanical equipment to aid in lifting residents to the extent possible |

| |Allowing nursing staff to refuse to participate in an unsafe situation |

| |All of the above |

|101 |When identification bracelets are required, they must identify all of the following EXCEPT: |

| | |

| |Resident name |

| |The name and address of the facility |

| |Blood type |

| |All of the above |

| | |

| | |

|102 |Medication that is used for antipsychotic, antidepressant, anti-manic, or anti-anxiety behavior is called ___________. |

| | |

| |An anti psychotic medication |

| |An anti-anxiety medication |

| |A psychotropic medication |

| |An anti-depressant medication |

|103 |A Facility is or is not required to ensure a resident and the resident's physician, a registered pharmacist (who is not a dispensing pharmacist |

| |for the facility where the resident lives), or a licensed nurse, have a discussion about the possible risks and benefits of a recommended |

| |medication and the use of a standardized consent form |

| | |

| |Is |

| |Is not |

|104 |True or False - Each time a psychotropic medication is administered, a facility is not required to obtain the signatures of 2 licensed health |

| |care professionals on each informed consent signed by a resident for the administration of a psychotropic medication, and which certifies the |

| |personal knowledge of each health care professional that the consent was obtained in compliance with state law. |

| | |

| |True |

| |False |

|105 |An identification wristlet may or may not be placed on a resident without an order from a physician documenting the need for such identification|

| |in the resident's clinical record. |

| | |

| |May |

| |May not |

|106 |All persons age 18 or older seeking admission to a nursing facility are or are not required to be screened to determine the need for nursing |

| |facility services prior to being admitted, regardless of income, assets, or funding source. |

| | |

| |Are |

| |Are not |

|107 |True or False - Any person who seeks to become eligible for medical assistance from the Medical Assistance Program under the Illinois Public Aid|

| |Code (Medicaid) to pay for long term care services while residing in a facility must be screened prior to receiving those benefits. |

| | |

| |True |

| |False |

|108 |An adult who has capacity and objects, orally or in writing, to admission to a nursing home, may or may not be admitted to the facility against |

| |his wishes. |

| | |

| |May |

| |2. May not |

|109 |For a licensed long-term care facility to be approved for a day care program, the facility must meet which of the following minimum requirements|

| | |

| |Sufficient personnel to provide services that meet the total needs of the day care residents, without detracting from the services given to the |

| |residents in the SNF |

| |An area designated as available for the Day Care residents to nap or rest.  |

| |An area equipped with beds or cots and portable screens |

| |All of the above  |

|110 |True or False - A statement is required by a physician that he evaluated a resident for Day Care placement within the last 30 days and the |

| |resident is free of communicable and infectious disease, and any medication and treatments and diet needed by the resident during the period of |

| |time in the facility.  |

| | |

| |True |

| |False |

|111 |True or False – A Medication or Treatment record is not required for any medications or treatments given during resident stay in the day care |

| |program |

| | |

| |True |

| |False |

|112 |Must have at least one registered nurse on duty seven days per week, ___ consecutive hours per day, in a skilled nursing facility.  |

| | |

| |8 |

| |12 |

| |16 |

| |24 |

|113 |There must be at least ____ registered nurse(s) or licensed practical nurse(s) on duty at all times |

| | |

| |1 |

| |2 |

| |3 |

| |4 |

|114 |There must be at least ___ registered nurse(s) or licensed practical nurse(s) on duty on each floor housing residents in a skilled nursing |

| |facility.  |

| | |

| |1 |

| |2 |

| |3 |

| |4 |

|115 |True or False - The Department can require a facility to retain a nurse to serve as a "house supervisor" on certain shifts whose sole duties |

| |will consist of supervising the nursing services of the facility, |

| | |

| |True |

| |False |

|116 |Must have a licensed nurse as a charge of nurse on ________ |

| | |

| |7 to 3 shift |

| |3-11 shift |

| |11-7 shift |

| |All shifts |

|117 |If registered nurses and licensed practical nurses are on duty on the same shift, the nurse in charge must be a _______________. |

| | |

| |Licensed practical nurse |

| |Vocational nurse |

| |Registered nurse |

| |Certified nurse |

| | |

| | |

| | |

|118 |Which of the following statements is true? |

| | |

| |A medication administration record must be maintained, which contains the date and time each medication is given, name of drug, dosage, and by |

| |whom administered. |

| |Treatment sheets must be maintained recording all resident care procedures ordered by each resident's attending physician.  |

| |The progress record must indicate significant changes in the resident's condition.  Any significant change must be recorded upon occurrence by |

| |the staff person observing the change. |

| |All of the above |

|119 |There must be at least ___ staff member(s) awake, dressed and on duty at all times in each separate nursing unit.  |

| | |

| |1 |

| |2 |

| |3 |

| |4 |

|120 |The ADON must work a minimum of _____ days per week |

| | |

| |2 |

| |4 |

| |5 |

| |6 |

Module 3 – Resident Care – Exam 2 - Answer Key

|Quest # |Answer |Explanation |

|1 |4 | |

|2 |5 | |

|3 |3 | |

|4 |1 | |

|5 |2 | |

|6 |4 | |

|7 |2 | |

|8 |1 | |

|9 |2 | |

|10 |3 | |

|11 |2 | |

|12 |2 | |

|13 |2 | |

|14 |3 | |

|15 |3 | |

|16 |3 | |

|17 |5 | |

|18 |2 | |

|19 |3 | |

|20 |5 | |

|21 |2 | |

|22 |4 | |

|23 |1 | |

|24 |3 | |

|25 |1 | |

|26 |3 | |

|27 |2 | |

|28 |3 | |

|29 |4 | |

|30 |4 | |

|31 |2 | |

|32 |2 | |

|33 |6 | |

|34 |4 | |

|35 |1 | |

|36 |1 | |

|37 |2 | |

|38 |5 | |

|39 |4 | |

|40 |4 | |

|41 |3 | |

|42 |4 | |

|43 |1 | |

|44 |1 | |

|45 |8 | |

|46 |2 | |

|47 |1 | |

|48 |4 | |

|49 |2 | |

|50 |2 |With certain limitations |

|51 |3 | |

| | | |

| | | |

|Quest # | | |

| 52 |1 | |

| 53 |1 | |

|54 |3 | |

|55 |2 | |

|56 |2 | |

|57 |4 | |

|58 |4 | |

|59 |2 | |

|60 |3 | |

|61 |1 | |

|62 |8 | |

|63 |6 | |

|64 |2 | |

|65 |2 | |

|66 |1 | |

|67 |1 | |

|68 |3 |Not required to fax or phone incident reports – only incidents where resident harmed |

|69 |1 | |

|70 |2 | |

|71 |2 | |

|72 |1 | |

|73 |1 | |

|74 |2 | |

|75 |4 | |

|76 |3 | |

|77 |1 | |

|78 |2 |Full and empty medical gas Oxygen tanks must be stored separately |

|79 |4 | |

|80 |1 | |

|81 |3 | |

|82 |1 | |

|83 |3 | |

|84 |3 | |

|85 |1 | |

|86 |2 | |

|87 |1 | |

|88 |1 | |

|89 |1 | |

|90 |1 | |

|91 |2 | |

|92 |4 | |

|93 |2 | |

|94 |4 | |

|95 |3 | |

|96 |3 | |

|97 |1 | |

|98 |1 | |

|99 |5 | |

|100 |6 | |

|101 |3 | |

|102 |3 | |

|103 |1 | |

|104 |2 | |

|105 |2 | |

|106 |1 | |

|107 |1 | |

|108 |2 | |

|109 |4 | |

|110 |1 | |

|111 |2 | |

|112 |1 | |

|113 |1 | |

|114 |1 | |

|115 |1 | |

|116 |4 | |

|117 |3 | |

|118 |4 | |

|119 |1 | |

|120 |2 | |

| | | |

|Module 3 – Resident Care – 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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