Mock National Exam 20 Flashcards
What are 2 examples of private organizations
- ANSI and NFPA
- life safety code and ANSI
- OSHA and NFPA
- OIG and NLRB
ANSI and NFPA
What does ANSI consider the amount necessary for a wheelchair clearance
36
If a residents care plan conference took place on June 18 what is the latest acceptable date for the next one
Sep 13
What is the function of an Ophthalmologist
to diagnose and treat eye conditions
When does discharge planning begin
upon admission
The main purpose of a preventative maintenance program is to
Extend the useful life of equipmetnt
What is a tort
a civil wrong
Which of the following would be considered an example of a tort-facility double billed medicare
- a nursing aide charged with abuse
- a violation of state and federal regulations
- facility administered the wrong treatment
facility administer the wrong treatment
Who licenses nursing homes
the state
If an item costs $8000 to purchase plus $500 in taxes plus $500 shipping and has a salvage value of $1000 what would be the historical value or cost
$9000
Which of the following would. not be considered a capital expenditure
- maintenance of the facility
- a new washing machine
- renovations of the lobby
- overtime
overtime
Constant thirst and need to urinate are symptoms of
diabetes mellitus
what does a physiatrist specialize in
rehab
if a resident thinks a large white wastebasket in the bathroom is the toilet wheat should staff do before assessing dementia as the cause
give the resident a vision exam and corrective glasses based on the exam
what is not example of a staff authority
- DON
- housekeeping director
- business office accountant
- charge nurse
A business office accountant
Which of the following has advisory authority
- when a supervisor is exercising supervision on his direct subordinate
- the administrator giving directions to the DON
- the maintenance director giving direction to a maintenance assistant
- an occupational therapy assistant having a conversation with a housekeeper
an occupational therapy assistant having a conversation with a housekeeper
Who owns a residents records
the facility
How long do you need to keep assessments in the residents medical record
15 months
Resident medical records are kept for __ years
5
If the resident is a minor how. many years must you keep their medical records
3 years past the age of majority
A blister filled with pus and the loss of skin and dermis is a stage ___ decubitus sore
Stage 2
A current liability is a liability that will be paid within
less than 1 year
If a court requests a residents records from a facility the facility
does not need the residents consent to release the records
Define working capital
Current assets-current liabilities
Which of the following would show the liquidity of a facility
- the income statement
- the balance sheet
- the general ledger
- look at the chart of accounts
the balance sheet
What is not permissible to ask pre wash offer
- can you do this job with or without reasonable accommodations
- what is your workers comp history
- are you a us citizen
- have you been treated for mental illness in the past year
what is your workers comp history
which budget forecasts cash receipts and disbursements for each month during the budget year
cash budget
Which of the following has staff authority
- a supervisor exercising supervision on his direct subordinate
- an administrator giving directions to the DON
- the maintenance director giving direction to a maintenance assistant
- an occupational therapy assistant having a conversation with a housekeeper
-an occupational therapy assistant having a conversation with a housekeeper
The primary difference between title XVIII and Title XIX of the social security act is
Title XVIII (18)is an insurance program and Title XIX (19)is an assistance program based on need
What would the best way to prevent future cash flow problems
collect ar
what is an integrated budget
A combination of an operating budget, capital budget and cash budget
A current ratio of over 1 indicates taht
The facility is able to pay its obligations
In the cash basis of accounting expenses are recorded when
When case is received or paid out
Who is responsible to ensure a facility is in compliance with privacy regulations for HIPAP
administrator
The primary function of the safety committee is
Worker safety
The quality assurance committee must be composed of
DON, a physician, and at least 3 staff members
What would be considered a fixed cost
- the electric bill
- labor costs
- nursing supplies
- depreciation
depreciation
Which organization is in charge of issuing a waiver for under age workers
Department of Labor
If a family member is concerned about how the facility did on its survey they have a right to see the CMS form
2567
Internal and external meds must be kept where
in separate areas
Two employees working 1040 hours each per year and share a position are considered which of the following
1FTE
An employee on an 8/80 schedule would accrue overtime after
80 hours
The main function of risk management is to
Reduce money losses
If a resident is given extra medication resulting in an injury which insurance would cover the facility
professional
What is considered a serious medication error
- giving stool softener to the wrong resident
- giving one does of ibuprofen to the wrong resident
- giving wrong dose of insulin
- giving wrong dose of colase
giving the wrong dose of insulin
What condition results in frequent urination and excessive thirst
diabetes mellitus
which of the following is an anti psychotic side effect
- drowsiness
- hallucination
- confusion
- blurred vision
Hallucination
The responsibility to provide services that respect an individuals dignity and uniqueness relate most directly to the ethical principle of
Autonomy
Hallways must be at least ___ feet wide
8 feet or more
Correct place to test temperature is
just above the ground
What is the minimum square footage of a private room
100sqft
Amount of space required per bed in a shared room is ___ sqft per person
80
Maximum amount of beds per room
4
Which of the following statements is correct
ANSI is mandatory law
If SSI is $840 the facility must inform residents when their account reaches
$640
Whose responsibility is it to make arrangements for an emergency dental work
The facility
A facility could not request a waiver for the electrical generator to not power which of the following
- exit lighting
- nursing stations
- fire alarm system
- refrigerators and freezers
Exit lighting
A physician visit is timely if it occurs within ___ days of a required visit
10
The primary purpose of medical record is
continuity of care
who must conduct a comprehensive assesment
a registered nurse
A resident has the right to copies of their medical records with what time frame
48 hours excluding weekends and holidays
A request to inspect resident records or to get copies of resident records must be submitted by the resident
either orally or in writing
How many days does the facility have to inform the state of the outcome of an abuse investigation
5 working days
The main function of the HR manager is to
maintain personnel policies
If an attending physician is not performing up to facility and state and federal standards, who should address these compliance issues with the physician
have the medical director address the matter with the attending phayician
A policy prohibiting soliciting no facility premises would be found in the
personnel handbook
if an employee or a resident comes to the governing body instead of the administrator with a problem. what should the governing body do
refer the matter to the administrator and let the administrator handle it
A resident has a right to
- know about a new roommate
- furninsh his room however he wants
- a bedside phone
- a television
know about a new roommate
How many months can you retain an unlicensed nursing aide
4 months
How many hours of inservice does a nursing aide need each year
12 hours
How many fire drills are required annually
12 drills, one per shift per quarter
End of life care that focuses on making a patient comfortable is called what kind of care
palliative care
The advantage of doing moderate exercise for aging adults would not include which of the following
- remove extra body fat and build muscle
- improving longevity
- improving blood flow
- preventing the likelihood of heart attack and strokees
preventing the likelihood of heart attack and strokes
With respect to the care of an incontinent resident which of the following statements would be correct
- incontinence is irreversible
- incontinence can be reversed with a proper program and increased exercise
- incontinence can be reversed with a proper program and decreased exercise
- incontinence can best be treated with briefs and pads
Incontinence can be reversed with a proper program and increased exercise
The resident drug regimen must be reviewed by which of the following
- a pharmacist monthly
- an attending physician monthly
- a pharmacist and attending physician quarterly
- a pharmacist quarterly
a pharmacist monthly
which of the following must sign the comprehensive assessment
- licensed nurse
- physician
- MDS coordinator
- RN
RN
Which of the following cannot take oral orders from a doctor
- licensed nurse
- physician
- pharmacist
- ward clerk
ward clerk
If a family has a complaint when is the best time to address it
at a care plan conference
If a resident complains that a roommate has regular visitors past 9pm which is keeping up the resident, what should the administrator do
give the roommate and his visitors an alternate place to meet for the late hour visits
Who decides HOW to alter food to conform to a mechanically altered diet
dietician
A colostomy bag is attached to the
stomach wall
a patch of skin that has redness and is warm to the touch is a stage ___ decubitus sore
State 1
What is not a nosocomial disease
- AIDS/HIV
- influenza
- UTI
- Pneumonia
- Scabies
AIDS/HIV
The purpose of closing doors in a fire is to
contain the smoke
clocks and calendars are used in what kind of therapy
reality orientation
the mission statement is the
the purpose of the corporation
Individuals and organizations that have a financial interest in the nursing home are called
stockholders
where should drugs for external used be stored
in a separate compartment
with an automatic stop order, which of the following statements is correct
- must notify the physician before the last does is given
- must notify the physician after the last dose is given
- must notify the physician 24 hours before the last dose is scheduled to be given
- must notify the physician 48 hours before the last dose is scheduled to be given
must notify the physician before the last dose is given
who decides if the resident can self administer drugs
- the attending physician
- the DON
- Interdisciplinary team
- medical director
the interdisciplinary team
a railing in a stairway must e between ___ and ___ inches
34-38
Which of the following indicates if a resident did not want to be resuscitated
- a living will
- a durable POA
- a DNR
- a POA
DNR
How long after a survey would the next one be
9-15 months
Main reason employees try to unionize is
poor communication between management and workers
Best method of communication is
Face to face
True or false
the growing concern in the nursing industry is that residents are staying longer and that residents have higher acuity and shorter stays
True
Restorative nursing is performed by
nursing aides
an employer cannot ask a potential employee which of the following
-if they can work easter or Christmas
-if they are US citizen
0if the applicant can perform the tasks of the job
-if the applicant uses illegal drugs
if they can work eater or christmas
Which of the following would be considered an acceptable employment ad by the EEOC
- 4ft female needed to model children dresses
- strong man needed for heavy lifting
- young college student to work late at night
- female nurses for hospice assignments
four foot female needed to model children’s dresses
Best way for the administrator to audit the maintenance in the facility is
MBWA
The purpose of closing doors in a fire is to
contain the smoke
which fire extinguisher will put out a fire from a gas range
ABC
Disaster plans vary based primarily on which of the following
The specific region and disasters common to the area
Strategic planning takes how many years
3-5
Who at a minimum would be invited to a care conference
the resident and family
A 67 year old has been a resident for 3 years in a nursing home. His stay was most likely paid fo rby
state medicaid
A resident has the right to see their medical records within what frame
24 hours (excluding weekends and holdiays)
What is considered too long between meals form the dinner meal to breakfast
16 hours
