Mock National Exam 18 Flashcards

1
Q

The ___ is the fundamental law of the US that establishes the responsibilities and rights of the federal courts

A

US Constitution

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2
Q

How often does the quality assurance committee have to meet per OBRA 1987

A

quarterly

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3
Q

Patient care plans MUST be reviewed, evaluated, and updated

A

Quarterly

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4
Q

How often must the comprehensive care plan be reviewed

A

Quarterly

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5
Q

The Family Medical Leave Act allows employees ___ weeks of unpaid leave each year

A

12

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6
Q

Which document is the governance of a corporation

A

the bylaws

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7
Q

How do you calculate the acid test ratio

A

Cash + accounts receivables + money market account / current liabilities

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8
Q

Working capital = current assets___

A

minus current liabilities

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9
Q

The comprehensive assessment must be completed within___ days of admission of a resident to a facility

A

14

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10
Q

The comprehensive care plan must be completed within ___ days of completion of the comprehensive assessment

A

7

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11
Q

Title XVII (17) of the social security act is

A

medicare

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12
Q

Title 19 of the social security act is

A

Medicaid

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13
Q

Title 8 of the social security act is

A

medicare

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14
Q

title XIX (19) of the social security act is

A

medicaid

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15
Q

Hot food must be served at minimum temperature of ___F

A

135

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16
Q

Cold foods should be stored or served at ___ F and below

A

41

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17
Q

___ mandates that policies in nursing homes must be approved by the governing body

A

OBRA

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18
Q

Facility policies must be updated how often

A

Annually

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19
Q

If a resident is declared mentally incompetent by a court, the rights of the resident would be assigned to

A

a court representative or guardian

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20
Q

When must residents be informed of their resident rights

A

prior to or at the time of admission

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21
Q

How must residents be informed of their resident rights

A

Both orally and in writing

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22
Q

A nurse from the Philippines is overheard talking in her native language around facility residents. One of the residents claims to the administrator. What should the administrator do

A

Explain to the nurse that speaking a language a resident does not understand is a violation of their resident rights

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23
Q

Controlled drugs MUST be stored in their original containers and placed where

A

under double lock protection

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24
Q

Controlled drugs MUST be stored in their original containers and stored where

A

In a separate compartment

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25
Q

Which is the BEST method of quickly increasing a facility’s cash position

A

collecting accounts receivables

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26
Q

If surveyors find substandard care during a compliant survey, the facility will be then subject to a ___ survey

A

partial extended survey

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27
Q

Subpoena duces tecum means

A

An order to appear with evidence

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28
Q

A violation cited at a severity of G would correspond to which severity level per OBRA 1987

A

Level 3

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29
Q

If you had the choice to eliminate a resident snack from one of the following times which one would you choose to eliminate

A

noontime stack

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30
Q

If you had the choice to eliminate a resident snack from one of the following times which one would you not have the option to eliminate

  • morning snack
  • noontime stack
  • late afternoon snack
  • bed time snack
A

Bed time snack

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31
Q

If a resident is prescribed an antipsychotic drug or a catheter the prescribing physician must do which of the following

  • Ensure there is a written order in the file
  • ensure the resident is seen by psychiatrist every 30 days
  • ensure there is a diagnosis and written rationale for the use the medication
  • ensure the consultant pharmacist approves the use of the medication
A

-ensure there is a diagnosis and written rationale for the use the medication

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32
Q

Aside form the required annual standard survey which of the following conditions would not trigger an abbreviated standard survey?

  • change of ownership
  • change of medical director
  • change of administrator
  • change of DON
  • change of management
A

-change of medical director

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33
Q

Which therapists use heating pads

A

occupational therapist

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34
Q

Which therapist focuses on the upper body

A

occupational threapist

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35
Q

Which therapist can serve as the activities director

A

occupational therapist

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36
Q

Which type of lines on an organizational chart would show line authority and staff authority

A

straight lines and dotted lines

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37
Q

What is the first stage of a survey

A

offsite preparation

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38
Q

a facility must conduct activities ___days of the week

A

7

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39
Q

A DON can push a cart in a facility with ___ beds or less

A

60

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40
Q

Weight loss of ___% or more within 1 month is significant

A

5

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41
Q

Weight loss of ___% or more within 6 months is significant

A

10

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42
Q

how do you calculate the average percent of occupancy

A

divide the number of occupied bed days by the total number of days in the period and then divide by the total number of beds and then multiply by 100

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43
Q

How do you calculate the approximate percentage of gross profit

A

add the fixed expenses and the variable expenses and subtract from the gross income. divide the differences (net profit) by the gross income

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44
Q

ANSI establishes teh

A

width of a parking space for the handicap

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45
Q

The ___ must sign a notice of involuntary discharge based on a resident posing a threat to themselves or others, or no longer requires the services of a skilled nursing facility

A

A licensed physician

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46
Q

The ___ must sign a notice of involuntary discharge based on a residents failure to pay their bills

A

Administrator

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47
Q

How do you calculate a monthly depreciation amount using straight line depreciation

A

subtract the salvage value from the cost of the equipment and divide by the number of years to be depreciated and then divide by the number of months per year

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48
Q

Where money is borrowed for an agreed upon purpose between a lender and a borrower, this is called a __

A

promissory note

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49
Q

The air temperature in a nursing facility is measured

A

3 feet above the floow

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50
Q

Which of the following is an increase in worker salaries to adjust for inflation

A

COLA

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51
Q

A facility is cited for several deficiencies that were not cited as immediate jeopardy. The facility must submit a plan of correction within

A

10 days after receipt of the notice of the deficiency

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52
Q

Nursing facilities must file a request for formal dispute resolution within how many days of receiving deficiencies

A

20

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53
Q

____ measures the purchasing power of workers paychecks and is used to determine a cost of living adjustment for workers

A

CPI

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54
Q

How would the NHA know if there was inflation

A

The NHA would consult the consumer price index

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55
Q

One time costs of acquiring an asset (purchase price, taxes, shipping and delivery) are called ___ costs

A

Historic Costs

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56
Q

A three compartment sink has ___ compartments

A

Wash, rinse, sanitize

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57
Q

Medicare part ___ pays for drugs outside of an inpatient setting

A

Medicare Part D

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58
Q

The ___ prohibits paying for medicare referrals

A

Ethics in patient referrals

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59
Q

A ___ tag would indicate substandard care was found

A

F377 J

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60
Q

Medicare part D plan provides coverage for

A

Prescription drugs

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61
Q

NPO means

A

nothing per orally

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62
Q

A car purchased for $20,000 would be depreciated using straight line depreciation at $4000 a year for how many years

A

5

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63
Q

A handicap parking space must be a minimum of ___ feet wide

A

13

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64
Q

A charge nurse is

  • lower management
  • upper management
  • middle management
  • both 2 and 3
A

lower management

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65
Q

The DON is

  • lower management
  • upper management
  • middle management
  • both 2 and 3
A

middle management

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66
Q

Accounts receivables over 60 days past due must not exceed ___% of all accounts receivables

A

5%

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67
Q

___ pays for long term care for indigent nursing home residents

A

Medicaid

68
Q

Ading baking soda to food will primarily affects its

A

Nutritive value

69
Q

Weight loss of __% or more within 3 months is significant

A

7.5%

70
Q

Per OBRA 1987 a facility must have a REGISTERED nurse on duty at least ___ hours a day for ___ days a week

A

8 consecutive hours a day, 7 days a week

71
Q

The ___ recognized the right of workers to bargain collectively

A

Wagner Act

72
Q

Prepaid insurance is what type of expense

A

An indirect expense

73
Q

How do you calculate the average percent of occupancy

A

Divide the number of occupied bed days by the total number of days in the period and then divide by the total number of beds and then multiply by 100

74
Q

How do you calculate the approximate percentage of gross profit

A

Add the fixed expenses and the variable expenses and subtract from the gross income. Divide the differences (net profit) by gross income

75
Q

Maximum number of residents in one bedroom

A

4

76
Q

___ uses the social environment as treatment

A

Millieu therapy

77
Q

Fire extinguishers cannot be more than how many feet from each other

A

50

78
Q

A general statement that guides thinking is a

A

Policy

79
Q

The accounting equation is

A

Assets= liabilities + capital

80
Q

Revenues - Expenses =

A

income

81
Q

Employers must record all worker related injuries and illnesses in OSHA log ___ which is the summary of employee illnesses and injuries

A

300

82
Q

OSHA protects primarily. ___ from workplace injuries and death

A

Wage earners

83
Q

OSHAs general duty clause requires employers to

A

Provide a workplace free of recognizable hazards that can cause injuries

84
Q

Most often cited OSHA violation is

A

Failure to post materials safety data sheets

85
Q

Employers must post year end summary of injuries and illnesses between ___ and ___ of each year

A

Feb 1, April 30

86
Q

Employers post year end summary of illness and injuries on OSHA form

A

300A

87
Q

Employers with ___ or more employees must maintain a record of occupational illnesses and injureis

A

11

88
Q

A facility must keep OSHA medical records for a minimum of ___years

A

30

89
Q

Which document would record non-recurring entries that do not fit into any of the journals

A

General journal

90
Q

A smoke proof enclosure must have a __ hours fire resistance and a door with ___ hour fire protection rating

A

2 hour fire resistance

1.5 hour fire protection

91
Q

Except for the bathroom door, all other doors in a facility must be a minimum of ___ inches wide

A

44

92
Q

Every patient room must have a door leading directly to which of the following

A

Exit access cooridor

93
Q

The travel distance within a residents room to an access corridor cannot exceed __ feet

A

50

94
Q

The travel distance from a residents door on an exit access corridor to an exit door cannot exceed

A

150

95
Q

The travel distance within any patient room to an exit door cannot exceed

A

200

96
Q

The percentage of weight loss for a person previously weighing 150 lbs and now weights 142 pounds

A

5.3

97
Q

The bathroom door in the resident room must be a minimum of ___ inches wide

A

32

98
Q

Influenza vaccinations for all residents AGE 65 AND OVER must be offered between ___ and ___ of each year

A

October 1 and March 31

99
Q

A facility must provide or arrange for pneumococcal vaccination fo residents )pneumonia vaccine) to each resident who is age 65 prior to or upon admission to the facility between ___ and ___

A

November 1 and February 28

100
Q

which requirement must facilities meet to participate in Medicare and Medicaid

A

Disclosure of ownership

101
Q

The allowable medication error rate in a facility is ___%

A

5%

102
Q

Calculate the medication error rate where 120 doses of medication were prescribed and 5 doses were not given and 4 doses were administered incorrectly

A

7.5 %

103
Q

Which is the correct method to calculate a medication error

A

The number of medications not administered plus the number improperly administered divided by the opportunities for error

104
Q

Anti psychotic medication would not cause which of the following side effects

  • drowsiness
  • dizziness
  • disorientation
  • allergic reactions
  • tardive dyskenesia
  • itching
A

itching

105
Q

Medical records belong to the

A

facility

106
Q

PRN means

A

Pro re nata

107
Q

A gradual loss of hearing in the elderly resulting in total hearing loss is called

A

presbycusis

108
Q

A colostomy bag is attached to the

A

Stomach wall

109
Q

The administrator receives a phone call at 2am from the facility that a team of state surveyors are outside the front entrance to the facility requesting to enter the building to begin the annual survey. What should the administrator instruct all staff to do

A

allow them to enter the facility and to start the survey immediately

110
Q

A 200 bed facility spent $15000 on food in June with an average daily occupancy of 80%. how much did the facility spend per resident per day

A

$3.12

111
Q

___ publishes and promotes the life safety code

A

NFPA

112
Q

Which of the following provides the tasks of a job, who the job reports to, salary and job title

  • job statement
  • job description
  • job analysis
  • job group
A

job description

113
Q

___ is hypertension abbreviated

A

HTN

114
Q

Low blood pressure is called

A

hypotension

115
Q

high blood pressure is called

A

hypertension

116
Q

which of the following would be considered severe hypertension

A

140 and above

117
Q

Fire drills must be conducted ___ on all three shifts for a total of ___ drills a year

A

quarterly, 12

118
Q

The main criteria for a lawful selection process is whether

A

an adverse impact occured

119
Q

A physician who specializes in diagnostic procedures and treatment that do not involve surgical procedures is called an

A

internist

120
Q

Management by walking around MBWA does not involve

A

Taking action on the spot

121
Q

FLSA does not

A

Require employers to provide employees 12 weeks of unpaid family leave

122
Q

Under FLSA minors under 16 years of age

A

Must obtain a temporary work permit from the DOL

123
Q

Under FLSA a worker cannot accrue more than ___hours of compensatory time in a single year

A

240

124
Q

___ is an operating expense

A

weekend overtime wages

125
Q

an adverse impact occurs if the employee selection rate is less than __% of the selection rate of the majority group

A

80%

126
Q

Which of the following is not a capital expense

  • purchasing a new computer
  • raw food purchases
  • repaving the parking lot
  • installing wall partitions
A

raw food purchases

127
Q

Two housekeepers chatting while on break in the freak room about a patients status is using which type of communication

A

horizontal

128
Q

A physician specializing in diagnostic procedures and treatment of non surgical cases is which type of physiian

A

internist

129
Q

Diag means

A

diagnosis

130
Q

stat means

A

immediate

131
Q

___ induces vomiting

A

an emetic

132
Q

The director of housekeeping asks an applicant her age and religious beliefs. This is

A

illegal

133
Q

NPO stands for

A

nothing passed orally

134
Q

A resident who is classified as ‘not responsible’ may smoke when

A

under direct supervision of facility staff

135
Q

Hallways used for exiting must be a minimum of ___ wide and unobstructed

A

8 feet

136
Q

Illumination of the means of egress must be continuous and must provide at least ___ foot candle measured at the

A

1 foot from the floor

137
Q

Hallways throughout the resident sleeping area must have a/an

A

automatic smoke detector system

138
Q

The minimum passing width for two wheel chairs is

A

60 inches

139
Q

Every story used y residents must be divided into

A

two smoke compartments

140
Q

The Fair Labor Standards Act requires that the overtime rate of ___ times the hourly rate to be paid for all hours over ___ during the week

A

1.5 times the hourly rate

40 during the week

141
Q

The suffix ‘otomy’ means

A

incision

142
Q

Current assets divided by current liabilities =

A

Current ratio

143
Q

Current assets minus current liabilities =

A

working capital

144
Q

An example of a fixed cost would be which of the following

A

Salary of the administrator or DON

145
Q

Bills from supplier or office supplies are classified as among

A

Current liabilities

146
Q

Depreciation is an expense associated with the use of an

A

asset

147
Q

Organizing is the first step in implementing a

A

plan

148
Q

responsibility to maintain the facility medical records must be assigned to a

A

full time employee

149
Q

prohibiting discrimination on the basis of race color religion gender and national origin is the

A

Civil rights act

150
Q

People who have only moderate achievement needs, are less competitive and more satisfied with moderation are characterized as ___ personality

A

Type B

151
Q

People who are hard driven and achievement oriented, who strive constantly to achieve higher levels are characterized as ___ personality

A

Type A

152
Q

A written statement given under oath before a notary public is an

A

affidavit

153
Q

Statutes and regulations are collected int eh

A

Code

154
Q

A physician specializing in the treatment of older people are called

A

Geriatrician

155
Q

A resident with a blood pressure consistently greater than 160/95

A

Hypertensive

156
Q

A resident with a blood pressure of ___ over ___ is considered to have hypertension

A

140/90

157
Q

Psychotropic drugs affect the

A

Brain

158
Q

a DON can serve as the charge nurse in a facility with ___ beds or less

A

60

159
Q

Therapeutic diets are prescribed by a ___ and approved by a __

A

physician and dietitian

160
Q

The time between dinner and breakfast cannot exceed ___ hours

A

14

161
Q

If given a bed time snack, what is the time allowed between dinner and breakfast

A

16

162
Q

The temperature of the final rinse cycle of hot water dishwasher is __ _degrees F

A

180

163
Q

Assets, liabilities, capital and equity would be found on the

A

Balance sheet

164
Q

If a nursing aide drops a resident which insurance policy will cover the facility

A

profesional liability

165
Q

if the administrator wants to see the journals he/she wants to see

A

The books of original entry