National Exam Supplemental Information – Part 1 of 10



NURSING HOME ADMINISTRATOR LICENSURE

EXAM REVIEW COURSE

| |

(National Exam Module 7

Mock National Exam 1

This is a timed exam. You have exactly 3 hours to complete the exam

Stan Mucinic, LNHA

Legal Notices

Individuals enrolled in the “national nursing home administration licensing course” are purchasing the professional knowledge of the instructor to assist the student to prepare for the national “nursing home administrator’s” exam.

The course is a 5-week intensive self-study test preparation program designed to provide the student 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 student and instructor can negotiate additional instruction time and fees if necessary.

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

You may contact Stan Mucinic by email smucinic@ with any questions or after you score each exam.

Mock National Exam 1

|1 |A resident was admitted to a facility on November 10. The comprehensive assessment was completed on November 27th. Per OBRA |

| |1987, the comprehensive assessment was completed _______. |

| | |

| |Late |

| |Timely |

| |Within the grace period |

| |In accordance with OBRA 1987 |

|2 |The _____________ has ultimate legal responsibility for the operation of a nursing facility |

| | |

| |Medical Director |

| |Nursing home Administrator |

| |Long term care ombudsman |

| |Governing body |

|3 | Per OBRA 1987, air temperature is measured _____________. |

| | |

| |At ceiling level |

| |At level with the thermostat control box |

| |Just above the floor |

| |18 inches below the ceiling |

|4 |The _________ requires employers to give workers time off for illness or to care for a sick family member. |

| | |

| |Equal Employment Opportunity Act |

| |Family Medical Leave Act |

| |Health Insurance Portability and Accountability Act |

| |Civil Rights Act |

|5 |The _______ hires, supervises and can fire the administrator |

| | |

| |State health department |

| |CMS |

| |Governing body |

| |State nursing home licensing board |

|6 |The administrator discovers the Director of Nursing has been giving nursing aides 6 months to complete their state certification |

| |requirements. The administrator should ____________. |

| | |

| |Be very pleased |

| |Commend the Director of Nursing for thoroughly training staff |

| |Recommend other facilities implement the same practice |

| |Reprimand the DON |

| | |

|7 |The rights of an individual determined by a court to be incompetent would be exercised by a(n) ____________________. |

| | |

| |Attorney in Fact |

| |A person appointed by a court or court guardian |

| |Durable power of attorney |

| |Ombudsman |

| | |

|8 |The maintenance director submitted a request for family leave to care for his ailing mother. He has worked 1,350 hours in the nine |

| |months he has worked for the facility. The administrator should _____. |

| | |

| |Approve the request |

| |Inform the maintenance director he must have worked 12 months to be eligible for FMLA |

| |Approve the request but inform the employee that he must pay for the full cost of his insurance benefits. |

| |Inform the employee that taking care of an ill parent is not covered under the FMLA |

| | |

|9 |Per OBRA 1987, a resident has the right to review all their records within ____ of an oral or written request (excluding weekends and |

| |holidays). |

| | |

| |24 hours |

| |36 hours |

| |48 hours |

| |72 hours |

| | |

|10 |The comprehensive assessment was completed on June 1. The care plan was completed on June 6th. The care plan was completed ________. |

| | |

| |Late |

| |Timely |

| |Out of compliance with OBRA 1987 |

| |Within the grace period |

| | |

|11 |The comprehensive assessment must be signed by _________. |

| | |

| |MDS Coordinator |

| |Registered Nurse |

| |Medical Director |

| |Attending Physician |

| | |

|12 |The _____________has legal responsibility for the day to day operation of a skilled nursing home. |

| | |

| |Governing body |

| |Medical Director |

| |Director of Nursing |

| |Administrator |

|13 |The ____________ is responsible for the day-to-day management of the facility’s nursing program. |

| | |

| |Governing body |

| |Medical Director |

| |Director of Nursing |

| |Administrator |

|14 |CMS stands for __________________. |

| | |

| |Central Medicaid Services |

| |Centers for Medicaid and Medicare Services |

| |Center for Medicare Services |

| |Center for Medical Services |

| | |

| | |

| | |

|15 |HHS stands for _______________________ |

| | |

| |Health and Human Services |

| |Human and Health Services |

| |Higher Health Services |

| |Health Services Administration |

|16 |The new administrator starts December 1 2007 and reviews the minutes of the Quality Assurance Committee. The committee met the second |

| |Tuesday on January 7, 2007, June 21 2007 and November 15, 2007. The administrator should _________. |

| | |

| |Be reassured the meetings were held timely |

| |Change future meeting dates to January, May, July and September to bring the facility |

| |into compliance with OBRA 1987 |

| |Change the meeting dates to ensure he or she can attend the meetings are required |

| |Change the meeting dates to the first Tuesday of January, April, July and October to |

| |bring the facility into compliance with OBRA 1987 |

| | |

|17 |A resident was only given lunch that day, was given the wrong medication in the morning, had her room changed without notification and was |

| |not given a bath as requested. Per OBRA 1987, how many resident rights were violated? |

| | |

| |1 |

| |2 |

| |3 |

| |4 |

|18 |A resident was admitted on June 1, 2007. The attending physician charted a visit and physical examination on June 27, 2007, July 29, 2007 |

| |and Sept 4, 2007. With respect to required physician visits per OBRA 1987, the facility _____________. |

| | |

| |Was in compliance and would not be cited |

| |Is not responsible to ensure timely physician visits |

| |Was out of compliance and would be cited |

| |The facility would only be cited if there was actual harm to a resident |

|19 |The _______has legal responsibility to adopt and implement facility policies. |

| | |

| |Medical Director |

| |Director of Nursing |

| |Governing body |

| |Administrator |

|20 |A resident was admitted on June 1, 2007. The attending physician charted a visit and physical examination of the resident on June 27, |

| |2007, July 29, 2007, Sept 4, 2007 and November 17, 2007. Per OBRA 1987 with respect to required physician visits, the facility ___________|

| | |

| |Complied with required physician visits |

| |Would be cited for a late visit in November |

| |Is not responsible for late physician visits and would not be cited |

| |The facility would only be cited if there was actual harm to a resident |

| | |

| | |

| | |

| | |

| | |

| | |

|21 |A state surveyor learns in interviews with residents that when residents are admitted, they were provided a written list of names of |

| |physicians who cared for residents in the facility in their admission packet. The facility assigned an attending physician to each resident|

| |prior to admission from a rotating list of physicians. Per OBRA 1987, the facility _______. |

| | |

| |Was out of compliance and would be cited |

| |Fully complied with all requirements |

| |Must transfer these residents to another facility |

| |Must immediately transfer these residents to the care of the medical director |

|22 |A housekeeper notices a resident is asleep in the room she needs to clean. She knocks on the resident’s door, identifies herself as a |

| |housekeeper, and seeing there is no response from the resident, decides to enter the room and begins cleaning. The housekeeper should be |

| |____. |

| | |

| |Commended for her efficiency in keeping to her schedule |

| |Promoted to Director of Housekeeping Services |

| |In-serviced |

| |Transferred to the night shift |

| | |

|23 |_______ is not an element of a Total Quality Management (TQM) program |

| |Constantly improving production and service |

| |Making workers responsible for quality at the source |

| |Total involvement of management |

| |Centralize decision making to improve customer service |

|24 |The ______ is responsible to prepare and serve nutritious meals under sanitary conditions. |

| | |

| |Nursing Department |

| |Activities Department |

| |Dietary Department |

| |Administration Department |

| | |

|25 |All furniture, equipment, boxes and supplies must be elevated ____ inches above the floor to allow the floor directly underneath to be |

| |cleaned |

| | |

| |3 |

| |6 |

| |9 |

| |12 |

|26 |______ is the most comprehensive and effective improvement model |

| | |

| |Total Quality Management |

| |Quality Assurance |

| |Continuous Improvement |

| |Performance Improvement |

| | |

|27 |The ______ coordinates all work activities in the facility and resolves conflict between departments. |

| | |

| |Nursing Department |

| |Activities Department |

| |Dietary Department |

| |Administration Department |

| | |

| | |

| | |

|28 |HCFA stands for ________________. |

| | |

| |Health Care Financing Authority |

| |Health Costs Financing Administration |

| |Health Care Financing Administration |

| |Health Care Financing Agency |

|29 |Telephone cords must be a minimum length of ______ . |

| | |

| |12 inches |

| |15 inches |

| |24 inches |

| |29 inches |

| | |

|3O |To save money, the administrator of a 100 bed facility reduced the hours of the dietary service manager to 20 hours per week. The governing |

| |body should ______. |

| | |

| |Commend the administrator for substantial cost savings |

| |immediately increase the manager’s hours to 30 hours per week |

| |Restore the dietary manager’s hours to full time and eliminate the consultant dietician |

| |Reprimand the administrator |

| | |

|31 |Adding baking soda to food will primarily affect its ________. |

| | |

| |Nutritive value |

| |Palatability |

| |Attractiveness |

| |Temperature |

| | |

|32 |The resident’s quality of life and physical condition is the focus of:________. |

| |Structure |

| |Process |

| |Outcomes |

| |All of the above |

|33 |____________ is not typical of a TQM program |

| | |

| |Empowering employees |

| |Use of teams |

| |Individual responsibility |

| |Minimal training of staff |

|34 |A resident recently lost her husband and is tearful and depressed and is worried how she will pay for her stay. The administrator would |

| |ask the ________ to help her |

| | |

| |Nursing department |

| |Social Services director |

| |Administrator |

| |Business office |

| | |

|35 |Electrical switches must be located at a minimum of ___ inches above the floor |

| | |

| |6 |

| |12 |

| |15 |

| |24 |

|36 |Stooped posture, shuffling gait, garbled speech and tremors are symptoms of ______. |

| | |

| |Senile dementia |

| |Alzheimer’s |

| |Parkinson’s disease |

| |Muscular Sclerosis |

| | |

|37 |Nursing homes must have hearing aid compatible phones with volume control that can |

| |adjust the volume between a minimum of ____ and a maximum of ____ decibels above normal. |

| | |

| | 6, 11 |

| |12, 18 |

| |15, 20 |

| |20, 29 |

| | |

|38 |Grab bars and railings must support a minimum weight of ______ pounds |

| | |

| |100 |

| |150 |

| |200 |

| |250 |

| | |

|39 |The emergency generator must be visually inspected and checked ________. |

| | |

| |Daily |

| |weekly |

| |Monthly |

| |Quarterly |

| | |

|40 |Federal resident care standards are now ___ and ___ and are no longer considered minimal standards. |

| |State of art, maximal |

| |Outdated, irrelevant |

| |Disputed, questioned |

| |Voluntary, minimal |

| | |

|41 |The largest payor source for long term care is ________. |

| | |

| |Private pay |

| |Managed care |

| |Medicare |

| |Medicaid |

|42 |The average short term stay for a Medicare resident is ______. |

| | |

| |15 days |

| |30 days |

| |45 days |

| |90 days |

| | |

|43 |ANSI stands for ________________. |

| | |

| |American National Standards Institute |

| |Association of National Safety Inspectors |

| |Architectural National Safety Institute |

| |Agency for National Safety Initiatives |

| | |

|44 |Non-compliance affecting a limited number of residents and locations |

| |would be assigned a scope of _______. |

| | |

| |Isolated |

| |Patterned |

| |Widespread |

| |Saturated |

| | |

|45 |TQM is not characterized by ___________ |

| | |

| |Most comprehensive and involved |

| |Minimal involvement of upper management |

| |An interdisciplinary approach |

| |Most effective quality improvement model |

|46 |Administrators consult ______ to compare outcomes to expectations. |

| | |

| |Governing body |

| |State surveyors |

| |Policies and plans of actions |

| |Residents and families |

|47 |A resident with Parkinson’s would not benefit by _________________ |

| | |

| |Range of motion exercises |

| |Bed rest |

| |Reality orientation using clocks and, calendars |

| |Attending church services and visits with friends and family |

| | |

|48 |The states cannot ___________to compel facilities to correct class 1 deficiencies found during |

| |Inspections |

| | |

| |Require a plan of action by facility to correct deficiencies |

| |Impose daily fines |

| |Impose a moratorium on new admissions, suspension or revocation of license |

| |Impose civil or criminal penalties |

|49 |A _____ violation is where the severity of negative outcomes that compromises a |

| |resident’s ability to maintain the highest physical, mental and psychosocial well-being |

| | |

| |Level 1 |

| |Level 2 |

| |Level 3 |

| |Level 4 |

| | |

|50 |Parking spaces must be at least ___” wide with an accessible handicap aisle at least __” wide. |

| | |

| |36”, 48” |

| |96”, 60” |

| |46’, 52” |

| |24”, 38” |

| | |

| | |

| | |

| | |

| | |

|51 |A broad statement of goals is a ________. | |

| | | |

| |Plan of action | |

| |Mission statement | |

| |Policy | |

| |Procedure | |

|52 |Long term residents should be surveyed regarding satisfaction with services _____. | |

| | | |

| |Just before state inspection/survey | |

| |Annually | |

| |As requested by resident council | |

| |Shortly after discharge | |

|53 |Which is not true of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)? |

| | |

| |JCAHO is a private organization that accredits hospitals and nursing homes |

| |JCAHO can impose civil fines |

| |JCAHO accreditation and membership is voluntary for nursing homes |

| |A healthcare facility accredited by JCAHO is exempt from state and federal inspections |

|54 |Communication occurs when _________. |

| | |

| |A message is transmitted from one individual to another |

| |A message is transmitted by one person and received by another |

| |A message is transmitted by one person and received and decoded by another person |

| |A message is transmitted by one person and received and decoded and understood by the other person |

|55 |NFPA stands for _______________________. |

| | |

| |National Fire Protection Agency |

| |National Fire Publications Administration |

| |National Fire Protection Association |

| |Nursing Facilities Protection Act |

| | |

|56 |The emergency generator must be run under full load for _____ every ____.. |

| | |

| |30 minutes, month |

| |30 minutes, quarter |

| |60 minutes ,month |

| |60 minutes, week |

| | |

|57 |The fire alarm can be silenced during a fire drill conducted between the hours of _____. |

| | |

| |11 AM and 7 PM |

| |10 PM and 6 AM |

| |11 AM and 3PM |

| |8 AM and 4 PM |

| | |

|58 |The ________ is responsible to assemble and analyze incident reports, infection rates, safety issues, medication errors and |

| |restraint use |

| | |

| |Safety committee |

| |Risk management committee |

| |Quality assurance committee |

| |Social committee |

| | |

|59 |__________ publishes and promotes fire safety in nursing homes |

| | |

| |OSHA |

| |NFPA |

| |ANSI |

| |ADA |

| | |

|60 |Listening intently, acceptance, empathy and understanding the message describes ________ |

| | |

| |Unconditional positive regard |

| |Active listening |

| |Compassionate communication |

| |None of the above |

| | |

|61 |Patients and family look for ____ when selecting a nursing home. |

| | |

| |Variety and quality of food |

| |Good rehab department |

| |Timely communication with nursing staff |

| |Well known corporate name |

|62 |The Americans with Disabilities Act construction standards are enforced by _______. |

| | |

| |NFPA |

| |ANSI |

| |Architecture and Transportation Barriers Compliance Board |

| |EEOC |

|63 |The Americans with Disabilities Act construction standards were developed by _______. |

| | |

| |NFPA |

| |ANSI |

| |Architecture and Transportation Barriers Compliance Board |

| |EEOC |

|64 |A mechanism to monitor consumer satisfaction and address other concerns is called the _______. |

| | |

| |Grievance procedure |

| |Mediation procedure |

| |Arbitration procedure |

| |Satisfaction procedure |

|65 |The nursing home survey/inspection process focuses on ______. |

| | |

| |Structure |

| |Process |

| |Outcomes |

| |None of the above |

|66 |All nursing facilities must be licensed by the _____. |

| | |

| |State |

| |County |

| |HCFA |

| |None of the above |

| | |

|67 |Facilities that are licensed by the state and certified to receive Medicare and Medicaid reimbursement must submit to _________. |

| | |

| |State inspection only |

| |State and federal inspection |

| |Federal inspection only |

| |None of the above |

|68 |When the administrator writes a letter to the local state survey office to challenge the findings and citations issued during a |

| |survey, the administrator is using the ________. |

| | |

| |Informal dispute resolution process |

| |Formal dispute resolution process |

| |Civil court mediation |

| |By filing an appeal directly to the U.S. Supreme Court |

| | |

|69 |Per OBRA 1987, a nursing home must provide residents which standard of care and quality of life? |

| | |

| |Physical, mental and psychosocial well being |

| |Psychosocial and physical status |

| |Social, dietary and ambulatory well being |

| |Physical and mental well being |

| | |

|70 |When a facility requests a hearing before an administrative law judge to challenge the findings made during a state survey, the |

| |facility is using the _____. |

| | |

| |Informal dispute resolution process |

| |Formal dispute resolution process |

| |Civil court mediation |

| |By filing an appeal directly to the U.S. Supreme Court |

|71 |Federal inspection of resident care in nursing facilities is overseen by ______. | |

| | | |

| |Long term care ombudsman | |

| |Area Agency on Aging | |

| |CMS | |

| |OSHA | |

| | | |

| | | |

| | | |

| | | |

| | | |

|72 |Quality indicator (QI) reports for nursing homes available through the CMS would not include which of the following? | |

| | | |

| |Facility characteristics | |

| |Nursing home watch list | |

| |Facility profile | |

| |Resident level summary | |

|73 |Prior to entering a facility, a state survey team would not review the ________ | |

| | | |

| |Facility compliance report | |

| |Most recent compliance survey/inspection | |

| |Ombudsman reports and investigations | |

| |Resident council minutes | |

|74 |The _________ is responsible to identify and address safety hazards that can injure residents and staff and is required by OSHA | |

| | | |

| |Safety committee | |

| |Risk management committee | |

| |Quality assurance committee | |

| |Social committee | |

| | | |

|75 |The federal nursing home certification survey program has a total of ______ different survey types. | |

| | | |

| |1 | |

| |2 | |

| |5 | |

| |7 | |

| | | |

|76 |The phase of the state survey where the survey team gathers information from OSCAR, the ombudsman and other sources prior to | |

| |entering a facility is called _______. | |

| | | |

| |Initial tour | |

| |Exit conference | |

| |Offsite preparation | |

| |Entrance conference | |

| | | |

|77 |The phase of the state survey where the survey team analyzes and compares observations and findings and determines if any | |

| |violations were found and their severity is called _______. | |

| | | |

| |Sample selection | |

| |Exit conference | |

| |Information gathering | |

| |Information analysis | |

| | |

|78 |Nursing homes must be inspected every ______ |

| | |

| |12 months |

| |15 months |

| |24 months |

| |30 months |

|79 |An electronic medium that allows instantaneous communication internally and externally to thousands of people through a computer|

| |server is called ______ |

| | |

| |Email |

| |Firewire |

| |Bluetooth |

| |High frequency radios |

|80 |A finding of ‘substandard care” requires the survey team to have evidence of _________ |

| | |

| |Insufficient nursing staff |

| |Immediate jeopardy to resident care than has or likely to cause serious injury or death |

| |Inadequate policies and procedures |

| |Financial instability |

| | |

| | |

| | |

|81 |A _____ tag would indicate substandard care was found |

| | |

| |F250 D |

| |F371 E |

| |F377 J |

| |F251 F |

| | |

|82 |The phase of the state survey where the survey team sits down with the administrator, the DON and department heads to discuss the|

| |findings of the survey team is called ______. |

| | |

| |Entrance conference |

| |Exit conference |

| |Information gathering |

| |Information analysis |

|83 |When services in a facility are not consistent from day to day and from shift to shift this is called ___________ |

| | |

| |Intangibility rule |

| |Inconsistency rule |

| |Inseparability rule |

| |None of the above |

|84 |Communication between staff of equal rank or status is called _______. |

| | |

| |Upward communication |

| |Downward communication |

| |Horizontal communication |

| |None of the above |

|85 |When consumers perceive a facility renders poor care because of the performance of one employee, this is called ______ |

| | |

| |Intangibility rule |

| |Inconsistency rule |

| |Inseparability rule |

| |None of the above |

| | |

| | |

| | |

| | |

| | |

|86 |Upon completion of a survey, the survey team sends the administrator which of the following if the facility was substantially in |

| |compliance, had only isolated or minor problems which caused no actual harm, and no plan of correction is required? |

| | |

| |Form 2567 |

| |Notice of isolated deficiencies |

| |Form W-2 |

| |Form I-9 |

|87 |The administrator has _____ days to prepare a plan of correction for all deficiencies cited in the survey. |

| | |

| |10 days |

| |15 days |

| |30 days |

| |45 days |

|88 |Communication from subordinates directed to upper management is called _____. |

| | |

| |Downward communication |

| |Horizontal communication |

| |Upward communication |

| |None of the above |

|89 |A violation or deficiency with the potential for no more than minor negative impact on a resident is a ______ deficiency. |

| | |

| |Level 1 |

| |Level 2 |

| |Level 3 |

| |Level 4 |

|90 |__________ has/have the least impact on influencing a resident or their family in choosing a facility |

| | |

| |Physician referrals |

| |Hospital discharge planners |

| |Media ads |

| |Word of mouth |

|91 |Short term residents should be surveyed ____ about satisfaction with services. |

| | |

| |Upon admission |

| |Weekly |

| |Monthly |

| |Within 30 days from discharge |

|92 |A technology that connects cell phones, hand held devices and keyboards to a computer by high speed cable is called ________. |

| | |

| |Email |

| |Fire wire |

| |Bluetooth |

| |Facsimile machines |

|93 |Implementation of a TQM program takes between ___________ |

| |1-2 years |

| |2-5 years |

| |5-10 years |

| |10-15 years |

|94 |The key consideration in determining the minimum level of staffing in a nursing facility is _______. |

| | |

| |Patient acuity levels |

| |Direction from corporate |

| |Federal and state staffing requirements |

| |Facility census |

| | |

| | |

| | |

| | |

|95 |Managing risks of negative outcomes is called ______. |

| | |

| |Risk management |

| |Arbitration |

| |Conflict resolution |

| |Mediation |

| | |

|96 |The key to a successful TQM program is _________. |

| | |

| |Leadership |

| |Training |

| |Processes |

| |Commitment to customer service |

|97 |An organizational chart shows the reporting relationship between staff. A solid line on the chart denotes _______________. |

| | |

| |Staff authority |

| |Line authority |

| |Volunteer status |

| |Advisory authority |

|98 |A parking lot with 100 parking spaces would require _____ handicap accessible parking spots |

| | |

| |1 |

| |2 |

| |4 |

| |6 |

|99 |The most effective marketing tool for a nursing home to attract new residents is/are_______. |

| | |

| |Ads in newspapers |

| |Ads on television |

| |A tour of the facility |

| |Health care fairs |

|100 |A violation with no more than minimal physical, mental or psychological discomfort is a ______ deficiency. |

| |Level 1 |

| |Level 2 |

| |Level 3 |

| |Level 4 |

|101 |Communication between social and peer groups is an example of _______. |

| | |

| |Formal communication |

| |Informal communication |

| |Information flow |

| |Grapevine |

|102 |Communication directed from upper management to lower level managers and staff is called _____. |

| | |

| |Upward communication |

| |Horizontal communication |

| |Downward communication |

| |Vertical integration |

| | |

|103 |Non-compliance affecting more than a limited number of residents and locations would be assigned a scope of _______. |

| | |

| |Isolated |

| |Patterned |

| |Widespread |

| |Saturated |

|104 |_______________ can provide nursing aide services and be included in calculating |

| |minimum staffing hours |

| | |

| |Student nurses |

| |Volunteers |

| |Private duty nurses |

| |A licensed practical nurse employed by the facility |

| | |

|105 |Managing risks of negative outcomes is called ______. |

| | |

| |Risk management |

| |Arbitration |

| |Conflict resolution |

| |Mediation |

| | |

|106 |The nosing on a stair must project no more than ___” |

| | |

| |½” |

| |1” |

| |1 ½” |

| |2” |

|107 |Smoke detectors must be located no further than ___ feet apart and no more than ___feet from any wall. |

| | |

| |10, 3 |

| |6, 6 |

| |30, 15 |

| |50, 20 |

|108 |Minimum wheelchair passing width for two wheelchairs is ___inches. |

| | |

| |30” |

| |34” |

| |60” |

| |72” |

|109 |Minimum clear width for a single wheelchair is ___” continuously and ___” at any one point. |

| | |

| |24” ,32” |

| |36”, 32” |

| |34”, 29” |

| |32”, 46” |

|110 |There must be a passing space in an accessible route for wheelchairs every ____ feet |

| |100 feet |

| |150 feet |

| |200 feet |

| |400 feet |

| | |

|111 |A passenger loading zone must be at least ____” wide and ___” long. |

| | |

| |30” wide and 15 feet long |

| |36’ wide and 20 feet long |

| |45” wide and 15 feet long |

| |60” wide and 20 feet long |

| | |

|112 |The force required to open all doors, flush a toilet, operate faucet handles, and operate a water fountain cannot exceed ___ lbs |

| |of pressure. |

| | |

| |5 |

| |7 |

| |10 |

| |15 |

| | |

|113 |Minimum wheelchair turning space is _______ inches. |

| | |

| |30” |

| |34” |

| |60” |

| |72” |

| | |

|114 |The high forward reach from a wheel chair is _____. |

| | |

| |24” |

| |36” |

| |42” |

| |48” |

| | |

|115 |The side reach from a wheelchair is between ____” and ___” off the floor. |

| | |

| |6” – 24” |

| |9” – 54” |

| |12” – 24” |

| |18” – 36” |

| | |

|116 |A change in level surface over ½ inch ______. |

| | |

| |May be vertical and without edge |

| |Requires ramp treatment |

| |Requires a beveled edge |

| |Requires handrails |

| | |

|117 |A change between ¼ and ½ inch in level surface ______. |

| | |

| |May be vertical and without edge |

| |Requires ramp treatment |

| |Requires a beveled edge |

| |Requires handrails |

| | |

|118 |A fire extinguisher is checked ___ and serviced _____. |

| |Monthly, semiannually |

| |Quarterly, annually |

| |Annually, bi - annually |

| |Semi-annually, annually |

| | |

|119 |Each level or story of a building that houses patient sleeping and treatment areas must be divided into ___ smoke compartments. |

| | |

| |2 |

| |4 |

| |6 |

| |8 |

| | |

|120 |Vision panels are ___ in swinging doors. |

| | |

| |Optional |

| |Not allowed |

| |Required |

| |None of the above |

| | |

|121 |The maximum window sill height for a window in a resident’s room is ___ inches above the floor. |

| | |

| |24” |

| |34” |

| |36” |

| |38” |

| | |

|122 |Doors must be ____’ thick, solid bodied ___ core, or with ____ minutes of resistance fire rating. |

| | |

| | |

| |1 ½ “, composite, 60 minutes |

| |1 ¾”, wood, 20 minutes |

| |1”, metal, 15 minutes |

| |2”, wood, 30 minutes |

| | |

|123 |The facility quality assessment and assurance committee must meet at least ________ |

| | |

| |Monthly |

| |Quarterly |

| |Annually |

| |Semi-annually |

| | |

| | |

| | |

|124 |The QA&A Committee does not need to include _______ |

| |The Administrator |

| |A registered nurse |

| |A physician |

| |Three staff members |

|125 |Communicating through memos, meetings and follows lines of the organization chart is an example of _________________. |

| | |

| |Informal communication |

| |Formal communication |

| |Vertical communication |

| |Downward communication |

| | |

|126 |Staff chatting informally in the break room is an example of ________________ |

| | |

| |Informal communication |

| |Formal communication |

| |Vertical communication |

| |Downward communication |

| | |

|127 |ADA guidelines and standards are developed and approved by _____. |

| | |

| |ANSI |

| |NFPA |

| |Architectural and Transportation Barriers Compliance Board |

| |EEOC |

| | |

|128 |Railings and grab bars must bear the weight of ____ lbs or more. |

| | |

| |50 lbs |

| |150 lbs |

| |200 lbs |

| |250 lbs |

|129 |The maximum audible alarm decibel level is ______. |

| | |

| |95 |

| |105 |

| |120 |

| |130 |

| | |

|130 |A nursing home must have a(n)______ operated fire alarm system that is _________ monitored |

| | |

| |Automatically, visually |

| |Manually, electronically |

| |Digitally, continuously |

| |Mechanically, periodically |

| | |

|131 |Activating or pulling a fire alarm automatically activates all of the following except: |

| |Fire Alarms |

| |Fire Sprinklers |

| |Door releases |

| |Emergency Generator |

| | |

|132 |Phones must be fitted with a cord no shorter than ____inches. |

| | |

| |16” |

| |30” |

| |29” |

| |60” |

|133 |Landings are required at the bottom and top of each stairway run and must have a minimum width of _______. |

| | |

| |36 square feet |

| |48 square inches |

| |60 square feet |

| |96 square inches |

| | |

|134 |Doors must have a clear width of ___” at openings and must be at a ___” angle to an accessible route. |

| | |

| |24”, 45( |

| |44”, 60( |

| |32”, 90( |

| |46”, 180( |

|135 |The automatic smoke and fire detection systems must be connected to each other _______. |

| |Electronically |

| |Manually |

| |Digitally |

| |Visually |

| | |

|136 |The ________ specifies the number of directors, number of shares to be issued, and governs how the corporation is to be run |

| | |

| |Bylaws |

| |Certificate of Incorporation |

| |Stock certificate |

| |Debenture |

| | |

|137 |A review of care provided patients for appropriateness and cost effectiveness is called ________. |

| | |

| |Utilization review |

| |Literature review |

| |Peer review |

| |Billing review |

|138 |A permit required before a nursing facility can begin construction is called a _____. |

| | |

| |Certificate of waiver |

| |Certificate of need |

| |Certificate of occupancy |

| |None of the above |

| | |

| | |

| | |

| | |

| | |

| | |

|139 |A violation with a severity requiring immediate action due to risk of injury, harm, impairment or death to a resident is a |

| |________. |

| | |

| |Level 1 |

| |Level 2 |

| |Level 3 |

| |Level 4 |

|140 |The states and the CMS cannot impose _____________________.: |

| | |

| |Temporary management of the facility |

| |Termination of certification/licensure |

| |Daily money fines up to $10,000 |

| |Civil and criminal penalties |

|141 |A leader who makes decisions based on staff consensus is using the ________________ |

| | |

| |Dictatorial style |

| |Democratic style |

| |Laizze faire style |

| |Punitive style |

| | |

|142 |A leader who delegates decision making to subordinates while setting larger objectives is using the ________________. |

| | |

| |Dictatorial style |

| |Democratic style |

| |Laizze faire style |

| |Punitive style |

|143 |An effective leader would not _______ |

| | |

| |Take advantage of future opportunities |

| |Make good decisions and few disastrous ones |

| |Demonstrate caring for employees |

| |Have one set response for every situation |

| | |

|144 |The fastest growing sector of the health care industry is ______. |

| | |

| |Long term care |

| |Acute care |

| |Home health care |

| |Congregate living |

|145 |The current trend is to move individuals from institutional care to ____ which is less expensive. |

| | |

| |Nursing homes |

| |Hospitals |

| |Adult day care |

| |Home health care |

| | |

| | |

|146 |Management by Walking Around does not involve _____________: |

| | |

| |Walking around each day |

| |Engaging in listening |

| |Talking informally to staff |

| |Taking action on the spot |

| | |

| | |

| | |

|147 |An employee who has decision making authority with the same force and effect as if made by the administrator has ________. |

| | |

| |Line authority |

| |Staff or advisory role |

| |Supervisory role |

| |Executive authority |

|148 |Upper managers do not _____________ |

| | |

| |Interact with the owners and the governing body |

| |Have responsibility for overall management of a facility |

| |Make policy that affects all employees |

| |Usually write procedures |

|149 |Middle managers do not ______________ |

| | |

| |Report to upper management (administrator) |

| |Adopt policies |

| |Need good communication skills to deal with upper and lower managers |

| |Include the director of nursing and other department heads |

|150 |Nursing aides are required to have a minimum of ______ hours of in-service training per year under OBRA 1987 |

| | |

| |16 hours |

| |12 hours |

| |18 hours |

| |24 hours |

|151 |The ____ ultimately determines if a nurse aide is competent |

| | |

| |Administrator |

| |DON |

| |State surveyors |

| |Long term care ombudsman |

|152 | A charge nurse is ________. |

| | |

| |Lower management |

| |Upper management |

| |Middle management |

| |Both 2 and 3 above |

| | |

| | |

|153 |A nurse aide enrolled in a state approved training program but has not completed the program at time of hire, has ______ to |

| |complete the program. |

| | |

| |3 months |

| |4 months |

| |9 months |

| |12 months |

| | |

|154 |A nurse aide must complete 16 hours of initial training in all of the following except? |

| | |

| |Basic restorative skills |

| |Basic nursing skills |

| |Social Services needs |

| |How to apply physical restraints |

|155 |A nurse aide must complete initial 16 hours of training in all of the following except? |

| | |

| |Resident rights |

| |Respecting resident rights |

| |How to administer medication |

| |Promoting resident rights |

|156 |An intentional act or threat causing fear in another with reasonable expectation of harm is called a(n) _______. |

| | |

| |Assault |

| |Battery |

| |Tort |

| |All of the above |

|157 |The _________ is the foundation that guides an organization |

| | |

| |Mission statement |

| |Philosophy |

| |Bylaws |

| |Charter |

| | |

|158 |The ___________ communicates the purpose of the organization |

| | |

| |Mission statement |

| |Philosophy statement |

| |Bylaws |

| |Articles of incorporation |

| | |

|159 |The _________ specifies the composition of the governing body, functions, timing of corporate meetings and the purpose of a |

| |corporation. |

| | |

| |Mission statement |

| |Philosophy |

| |Bylaws |

| |All of the above |

| | |

|160 |The __________ establishes the strategic plan |

| | |

| |Administrator |

| |Governing Body |

| |State Department of Corporations |

| |Department managers |

|161 |The overall style of governing how people relate to each other and that binds an organization is called _______. |

| | |

| |Corporate culture |

| |Norms |

| |Values |

| |Vision |

|162 |Authority granted to the governing body by state law is called _______. |

| | |

| |Express authority |

| |Implied authority |

| |Line authority |

| |Staff authority |

| | |

|163 |The ________ has ultimate responsibility for management and quality of care in a facility |

| | |

| |Administrator |

| |Medical Director |

| |Governing Body |

| |Director of nursing |

|164 |The governing body of a facility is generally ___ for acts of employees. |

| |Not personally liable |

| |Legally personally liable |

| |Liable if bylaws impose such personal liability |

| |None of the above |

| | |

|165 |The mission statement and facility policies are created and implemented by the _______. |

| | |

| |Administrator |

| |Governing body |

| |OBRA ‘97 |

| |Corporate bylaws |

| | |

| | |

Mock Exam 1 - ANSWER KEY

|Quest # |Answer |Explanation |

| | | |

|1 |1 |A comprehensive assessment is due 14 days after admission or by Nov 24th. It was late |

|2 |4 |The governing body has ultimate responsibility for management of the facility |

|3 |3 |Air temperature is measured just off the floor |

|4 |2 | |

|5 |3 |There is a federal 10 day grace period |

|6 |4 |Per OBRA 1987 nurse aides must receive state certification within 4 months of hire. |

|7 |2 | |

|8 |1 |Employee must work1250 hours or 12 months to use Family Medical Leave; employer must continue to pay for insurance premiums |

| | |while employee is on leave |

|9 |1 | |

|10 |2 |Care plan must be done within 7 days of comprehensive assessment or by June 8th |

|11 |2 | |

|12 |4 |The governing board has ultimate responsibility for resident care and managing the facility. The administrator is |

| | |responsible for day to day operation |

|13 |3 |The DON is a registered nurse is responsible to manage the nursing staff to follow physician orders to adhere to professional|

| | |standards |

|14 |2 | |

|15 |1 | |

|16 |4 |The quality assurance committee must meet at least quarterly per OBRA 1987 |

|17 |3 | A bath is not a resident right. RULE OF THUMB. If they give two examples then the answer is one right was violated, If |

| | |they give you three examples then 2 rights were violated, if they give you 4 examples then 3 rights were violated. |

|18 |1 |With the 1o day grace period, the physician has 40 days to visit and examine resident First 3 months and they have 70 days to|

| | |visit the resident from the 4th month on .The facility will be cited if the physician visits are not timely. |

|19 |3 | |

|20 |2 |Physician had 70 days to visit resident. The next visit after Sept 4 was due Nov 3.and with the 10 day grace period the last|

| | |day was Nov 13th. The visit occurred on Nov 17th |

|21 |1 |Facility must inform residents both orally and in writing that they have a right choose physician and must provide them the |

| | |names, address and phone numbers of attending physicians. Their personal physician can see them if they agree to. |

|22 |3 |Although the house keeper knocked and announced who she was, the resident had to acknowledge her presence and give permission|

| | |to enter the room and it did not happen. |

|23 |4 |The main focus of TQM is to train front line workers to make decisions |

|24 |3 | |

|25 |2 | |

|26 |1 | |

|27 |4 | |

|28 |3 | |

|29 |4 | |

|30 |4 |Must employ a dietary manager fill time. The administrator should be reprimanded. |

|31 |1 |Overcooking food in boiling water, adding baking soda and poorly storing food diminishes the vitamin and mineral content of |

| | |food |

|32 |3 |Outcomes are focused on actual results and not processes |

|33 |4 |Extensive staff training so residents do need to wait for the NHA to come in for a bed pan |

|34 |2 |Social services provides emotional support and interventions for psycho-social and financial problems |

|35 |3 | |

|36 |3 | |

| | | |

| | | |

|37 |2 |Any public telephones or other phones available to residents should be hearing aid compatible with volume controls |

|38 |4 | |

|39 |2 | |

| 40 |1 | |

| 41 |4 | |

| 42 |2 |They leave after 21 - 30 days when their $124 a day co-pay kicks in or $3000 a month |

|43 |1 | |

|44 |1 | |

|45 |2 |TQM involves engagement by upper management |

|46 |3 | |

|47 |2 |Parkinson’s involves muscle rigidity and cognitive impairment resident benefit by exercise programs and reality |

| | |orientation and memory exercised |

|48 |4 | |

|49 |3 | |

|50 |2 | |

|51 |3 | |

| 52 |2 | |

| 53 |2 | |

| 54 |4 | |

| 55 |3 | |

| 56 |1 | |

| 57 |2 | |

| 58 |3 | |

| 59 |2 | |

| 60 |2 | |

| 61 |1 | |

| 62 |3 | |

| 63 |2 |ANSI is a private organization that researches and publishes the ADA |

| 64 |1 | |

| 65 |3 | |

| 66 |1 | |

| 67 |2 | |

| 68 |1 | |

| 69 |1 | |

| 70 |2 | |

| 71 |3 | |

| 72 |2 | |

| 73 |4 | |

| 74 |1 | |

| 75 |3 | |

| 76 |3 |The Online Survey and Certification Reports contains all MDS data is setup by the CMS |

| 77 |4 | |

| 78 |2 | |

| 79 |1 | |

| 80 |2 | |

| 81 |3 |A tag of “G” or above is indicative of substandard care |

| 82 |2 | |

| 83 |2 | |

| 84 |3 | |

| 85 |3 | |

| | | |

| | | |

| | | |

| | | |

| | | |

|Quest # |Answer |Explanation |

| | | |

| 86 |2 | |

| 87 |1 |You only have 30 days from the time the survey team exits to achieve full compliance – your date certain for resurvey is 30 days,|

| | |they have 10 days to submit the 2567 to you and you have 10 days to the plan of correction |

| 88 |3 | |

| 89 |1 | |

| 90 |3 | |

| 91 |4 | |

| 92 |2 | |

| 93 |3 | |

| 94 |1 | |

| 95 |1 | |

|96 |2 | |

|97 |2 | |

|98 |3 |Need 1 handicap parking space per 25 parking slots |

|99 |3 | |

|100 |2 |A level 1 would be no more than minor impact a level 2 involves actual discomfort |

|101 |2 | |

|102 |3 | |

|103 |2 | |

|104 |4 | |

|105 |1 | |

|106 |3 | |

|107 |3 | |

|108 |3 | |

|109 |2 | |

|110 |3 | |

|111 |4 | |

|112 |1 | |

|113 |3 | |

|114 |4 | |

|115 |2 | |

|116 |2 | |

|117 |3 | |

|118 |2 | |

|119 |1 | |

|120 |3 | |

|121 |3 | |

|122 |2 | |

|123 |2 | |

|124 |1 | |

|125 |2 | |

|126 |1 | |

|127 |1 | |

|128 |4 | |

|129 |3 | |

|130 |2 |The fire alarm is manually operated because you need to “pull” the alarm |

|131 |4 | |

|132 |3 | |

|133 |3 | |

|134 |3 | |

|135 |1 | |

|136 |1 | |

|137 |1 | |

|138 |2 | |

|139 |4 | |

|140 |4 | |

|141 |2 | |

|142 |3 | |

|143 |4 |A manager must adapt their style and response to different situations |

|144 |3 | |

|145 |4 | |

|146 |4 | |

|147 |1 | |

|148 |4 | |

|149 |2 | |

|150 |2 | |

|151 |3 | |

|152 |1 | |

|153 |2 | |

|154 |4 | |

|155 |3 | |

|156 |1 | |

|157 |2 | |

|158 |1 | |

|159 |3 | |

|160 |2 | |

|161 |1 | |

|162 |1 | |

|163 |3 | |

|164 |1 | |

|165 |2 | |

| | | |

Answer Sheet – Mock National Exam 1

| | |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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