Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

LNHA > Mock National Exam 10 > Flashcards

Mock National Exam 10 Flashcards

1
Q

Which is NOT the correct food storage temperature

  • Milk at 50F
  • Dry cereal at 52F
  • Fish at -5F
  • Hamburger at 40F
A

Milk at 50F

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Procedures to prevent loss or theft of supplies or assets in a facility are called

A

Inventory control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Laws passed by a state legislature are known as

A

Statutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Laws passed by a municipality are known as

A

Ordinances

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Regulations are published in a set of books called

A

Codes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The quality assurance committee must be composed of

A

DON, a physician and at least 3 staff members

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The ___ must review the medications taken by each resident in the facility

A

Consultant pahrmacist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A facility is now required to report to state licensing agency when the ___ leaves or when the position is refilled

A

Social Worker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A mechanically altered diet is where the

A

Texture of the food is altered mechanically

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which is NOT the correct dietary staffing requirement

  • FT dietary manager who holds the qualifications of a registered dietician
  • FT registered dietician with a dietary managers certification
  • FT dietary manager and part time registered dietician
  • Part time dietary manager
A

Part time dietary manager

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The ___ approves and supervises union elections

A

National Labor Relations Board

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

The ___ recognized the right of workers to bargain collectively

A

Wagner act

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which requirement must facilities meet to participate in Medicare and Medicaid

A

Disclosure of ownership

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

___ is not a revenue center

A

Maintenance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

HIPAA is amended in 2001

A

Prohibited insurers from charging individuals a higher premium than other individuals based on health problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

If a resident wants to bring in their own bed, the facility

A

Must allow them to do so

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Holistic medicine pertains to

A

Attending the whole person and treating the underlying disease and not just the symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

The ___ is the most comprehensive way to measure a job applicant’s skills

A

Aptitude test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

The ___ is the best tool to evaluate an applicant’s interpersonal skills and personality

A

Interview

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

The ___ is responsible for quality of medical care in a facility

A

Medical director

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

___ is a major cause of decubitus sores

A

Incontinence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

___ would cover an indigent individual residing in a skilled nursing home

A

Medicaid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

___ is the first task for surveyors when conducting an annual survey

A

Offsite preparation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

The ___ survey is used for a complaint survey

A

Abbreviated standard survey

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

A resident who had a cerebral vascular accident would benefit most by

A

Anti-coagulant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

The ___ survey is the annual survey

A

Standard

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

A facility that practices universal precautions can admit residents with HIV/AIDS. However a resident with HIV could not be isolated if

A

The resident had been restricted from participating in teh activities program but the infectious disease has since been resolved

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

A facility must provide residents adequate space in dining, health services and recreation. That requirement WOULD NOT BE ET if

A

A resident at the dining table in a wheel chair was not able to back away from the table without assistance from staff

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

The primary objective of utilization review for Medicare is to ensure

A

Quality of care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Overhead expenses such as depreciation are considered an ___ cost

A

Indirect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

The major purpose of a maintenance program is to

A

Extend the useful life of building s and equipment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

A ___ fire extinguisher would be used for a kerosene fire

A

Class B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

A ___ fire extinguisher would be used for an electrical fire

A

Class C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

The ___ journal would be used to record a transaction that did not fit in any of the other journals

A

General

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Workers 16 or under must get a work permit from

A

The department of labor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

An employer must have ___ in teh workplace regarding chemical hazards

A

MSDS sheets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

The governing body’s main function is the ___ function

A

Governance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

TID means

A

Three times a day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

___ is an ancillary expense

A

Laboratory tests

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Ultimate financial and operational control of a facility belongs to the

A

Governing body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

___ is not a nosocomial disease

A

HIV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

___ IS NOT a chronic disease

A

Pneumonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

___ is a sentinel event

A

Fecal impaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

When expenses equal revenues and there is no net loss or gain, this is called the

A

Break even point

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

When census increases or decreases tehn

A

Variable costs will increase or decrease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Procedures are a step by step guide to

A

Attain a goal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Standardize patterns of required behavior developed by the facility to enable staff to accomplish necessary work are called

A

Norms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

“Treating all residents with respect” is described as a

A

Value

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

A statement which broadly defines the purpose and values held by a facility is called a

A

Mission statement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Per OBRA dignity is caring for residents in a manner that maintains full recognition of a resident

A

Individuality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

The minimum data set is a ___ requirement

A

Federal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

A resident who enters a facility with an indweling catheter can be catheterized when

A

The resident’s clinical condition demonstrates a need for one

53
Q

A catheter must be changed

A

Every month

54
Q

Resident water temperature should not exceed ___ F

A

110

55
Q

Food poisoning is most often caused by

A

Salmonella

56
Q

The primary difference between Title XVIII (18) and Title XIX (19) of the Social Security Act is

A

Title XVIII is an insurance program and Title XIX is an assistance program based on need

57
Q

The consultant pharmacist is responsible to

A

Check all resident medication records

58
Q

The Title XIX fiscal intermediary is selected by the

A

State

59
Q

___ IS NOT a major function of a governing board

  • Hiring facility staff
  • Stewardship
  • Approving budgets
  • Approval of policies and procedures
A

Hiring facility staff

60
Q

The main objective of utilization review for Medicare is

A

High quality care

61
Q

The Social Security Act was enacted in

A

1935

62
Q

The main purpose of the job interview is to

A

Determine if the applicant is suitable for the job

63
Q

Which is true

  • The governing body should be equally concerned about the administrators management techniques and effectiveness
  • the governing body not only hires the administrator but should review and approve his/her management techniques
  • the administrator is responsible fo managing the facility, and the governing body is responsible to determine the effectiveness of the administrators management efforts
  • The governing body is concerned with management techniques that the administrator uses and the administrator is concerned with effectiveness
A

-the administrator is responsible fo managing the facility, and the governing body is responsible to determine the effectiveness of the administrators management efforts

64
Q

Strategies are plans of action that largely focus on

A

Long range goals

65
Q

Nursing home administrators need to understand how case mix determines Medicare reimbursement rates. The higher the case mix or RUG score is

A

The higher the acuity and the higher the reimbursemetn

66
Q

Resident acuity levels determine the

A

Severity of care and types of services required

67
Q

Food preparation equipment should be

A

Air dried

68
Q

Excess cash on hand should be invested in

A

Money market accounts

69
Q

Internal and external meds must be kept

A

In separate rooms

70
Q

Fire drills must be conducted

A

Quarterly on each shift

71
Q

Fringe benefits do not include

  • vacation
  • sick leave
  • life insurance
  • overtime
A

Overtime

72
Q

___ is the largest source of funding for nursing home beds

A

Medicaid

73
Q

Under Title XVII and XIX ‘mandatory’ means

  • may
  • shall
  • could
  • should
A

Shall

74
Q

Nursing homes are required to transmit MDS data to the state MDS data system as part of their Medicaid and Medicare services agreement that is overseen by HCFA. If a state wants to subcontract administration to their state MDS data system to a private contractor, the state would need to have provisions in their contract to provide which of the following

  • a provision as to who will maintain and update the system
  • a provision that protects confidentiality of the MDS data
  • a provision that provides the state real time access
A

all the above

75
Q

Which would not meet federal requirements for lab and radiological tests

-tests must be timely and accurate
0test results must be documented and filed in the resident chart
-the attending physician must be notified within 72 hours of all test results
-only a licensed physician can order lab or radiological test

A

-the attending physician must be notified within 72 hours of all test results

76
Q

A device that uses radio waves to detect abnormalities in the brain is called an

A

EEG

77
Q

A device that measures the electrical functioning of the heart muscle is called an

A

EKG

78
Q

A device that uses magnetic waves to diagnose abnormalities in the body is called a

A

MRI

79
Q

A device that uses radiation to produce images of the body is called an

A

XRAY

80
Q

Feeding assistants must be supervised by a

A

Registered nurse and licensed practical nurse

81
Q

With respect to dental care for Medicaid residents the facility must pay for

A

Emergency dental care if the resident cannot pay for it

82
Q

___would have the most adverse impact if administered to the wrong resident

  • coumadin
  • tylenol
  • motrin
  • colace
A

coumadin

83
Q

___ would not be a significant error if administered in the wrong dosage

  • mellaril (AP)
  • insulin
  • dilantin(AntiSeiz)
  • colase
A

Colase

84
Q

An indwelling catheter should be changed every ___ days

A

30

85
Q

Ramp handrails must extend horizontally ___ inches beyond the top and bottom of ramp runs

A

12

86
Q

___ is not an antipsychotic drug

  • Seroquel
  • Haldol
  • Risperiodal
  • Ativan
A

Ativan

87
Q

When administering anti psychotic drugs to residents which of the following is correct

-A physicians order is sufficient to demonstrate the need for medication
-a lab test is sufficient to demonstrate need for the medication
-the physician must document an adequate rationale for the need for the medication
the medical director must approve administration of antipsychotic medication

A

-the physician must document an adequate rationale for the need for the medication

88
Q

The percentage of weight loss is calculated as

A

(Usual weight- actual weight)/usual weight x100

89
Q

Where a resident was admitted without a decubitis sore and developed an avoidable state IV decuibitis sore the facility would be cited for

A

Level 4 citation- immediate jeopardy

90
Q

Where a resident was admitted with a state IV decubitis sore and it became infected because the facility failed to provide adequate care, the facility would be cited for

A

Level 4 citation immediate jeopardy

91
Q

Where a resident was not admitted with a decubitis sore but shortly afterward developed an avoidable state III decubitis sore the facility would be cited for a

A

Level 3 actual harm but not immediate jeopardy

92
Q

If surveyors find substandard care during an annual survey the facility will be subject to

A

An extended survey

93
Q

If a nursing home holds a licensee in good standing it will have a ___ license

A

Standard

94
Q

___ is a sentinel event

  • dehydration
  • scabies
  • pneumonia
  • fecal impaction
A

fecal impaction

95
Q

An RN is required to complete

A

A college course in nursing an da nursing license

96
Q

The RAI consists of the

A

RAPs, Utilization guidelines and MDS

97
Q

___ is not a survey task

-facility tour
-information gathering
-reviewing budget and financial records
0analyzing information gathered to determine deficiencies

A

reviewing budget and financial reports

98
Q

___ is the least contributing factor to high employee turnover

  • limited orientation
  • inadequate in services
  • lack of policies and procedures
  • incomplete background checks and hiring policies
A

lack of policies and procedures

99
Q

The first person who should attempt to resolve an employee grievance is the

A

immediate supervisor

100
Q

The need for continued restraints should be reevaluated and documented every

A

2 hours

101
Q

___ uses the social environment as treatment

A

Mileu therapy

102
Q

Metastasis is defined as

A

Movement of bacteria or body cells from one part of the body to another

103
Q

A plan of care where a resident is receiving psychotropic drugs must document

A

an acceptable diagnosis and rationale

104
Q

OSHA

A

protects worker safety

105
Q

___ limits the time in which a lawsuit can be filed

A

Statute of limitations

106
Q

A contractor hired by a nursing home ot input MDS data into the MDS data system would be bound by

A

Medicare and Medicaid Rules

107
Q

Per teh IRs employee tax records must be kept for

A

4 years

108
Q

The national standard to budget housekeeping staff to clean a facility is one hour of staff time per

A

1000 sqft

109
Q

Cash flow will be improved if there is

-an increase in census
-an increase in inventory
0a decrease in accounts payable
-a decrease in accounts receivables

A

A decrease in accounts receivables

110
Q

___ requires specific employee training

A

FLSA

111
Q

The single indicator of a job applicant’s success in a job is

A

Past job performance

112
Q

Standard precautions relate to

A

Handling bodily fluids

113
Q

A maintenance program should emphasize

A

Preventative maintenance

114
Q

The NFPA does not

A

Enforce the life safety code

115
Q

When the supervisor and the employee jointly set goals this is called

A

Management by objectives

116
Q

A detailed plan of action of what each employee is to do when the fire alarm sounds is called

A

Procedures

117
Q

The administrator begins work when the owners or governing body set forth the ___ for the organization

A

Mission statement

118
Q

The charge nurse functions at the ___ level of management

A

Lower

119
Q

The overarching consideration in deciding what level of staffing is required is

A

The medical complexity of care required

120
Q

The person responsible for resident rights is teh

A

Nursing home administrator

121
Q

Activities such as empowering dept heads, setting the tone and settling territorial disputes are associated with teh

A

Administrators office

122
Q

Federal requirements for the Medical Director are

A

Brief and vaguie

123
Q

A podiatrist is an important component of foot care in a nursing home because

A

Diabetics need podiatrists for special food care needs

124
Q

Resident characteristics are assessed in the

A

Comprehensive assessment

125
Q

A facility must clean a minimum of ___ lbs of clothing, bedding and linen per resident per day

A

10 lbs

126
Q

A facility with 120 beds and an average daily census of 112 residents has an occupancy rate for a 30 day period of

A

93.3

127
Q

If $80,000 is borrowed at 9% common interest for 10 years and only interest paid for the first year, he first monthly interest payment would be approximately

A

$600

128
Q

Section 1902 of the Social Security Act amended 1965 provides that

A

Nursing home administrators must be licensed by the states

129
Q

An accurate measurement of net income is obtained when accrued income for each resident is allocated to the period of

A

Expenditures related to resident care was incurred

LNHA (26 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions