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LNHA > Mock National Exam 20 > Flashcards

Mock National Exam 20 Flashcards

1
Q

What are 2 examples of private organizations

  • ANSI and NFPA
  • life safety code and ANSI
  • OSHA and NFPA
  • OIG and NLRB
A

ANSI and NFPA

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2
Q

What does ANSI consider the amount necessary for a wheelchair clearance

A

36

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3
Q

If a residents care plan conference took place on June 18 what is the latest acceptable date for the next one

A

Sep 13

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4
Q

What is the function of an Ophthalmologist

A

to diagnose and treat eye conditions

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5
Q

When does discharge planning begin

A

upon admission

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6
Q

The main purpose of a preventative maintenance program is to

A

Extend the useful life of equipmetnt

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7
Q

What is a tort

A

a civil wrong

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8
Q

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
A

facility administer the wrong treatment

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9
Q

Who licenses nursing homes

A

the state

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10
Q

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

A

$9000

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11
Q

Which of the following would. not be considered a capital expenditure

  • maintenance of the facility
  • a new washing machine
  • renovations of the lobby
  • overtime
A

overtime

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12
Q

Constant thirst and need to urinate are symptoms of

A

diabetes mellitus

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13
Q

what does a physiatrist specialize in

A

rehab

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14
Q

if a resident thinks a large white wastebasket in the bathroom is the toilet wheat should staff do before assessing dementia as the cause

A

give the resident a vision exam and corrective glasses based on the exam

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15
Q

what is not example of a staff authority

  • DON
  • housekeeping director
  • business office accountant
  • charge nurse
A

A business office accountant

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16
Q

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
A

an occupational therapy assistant having a conversation with a housekeeper

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17
Q

Who owns a residents records

A

the facility

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18
Q

How long do you need to keep assessments in the residents medical record

A

15 months

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19
Q

Resident medical records are kept for __ years

A

5

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20
Q

If the resident is a minor how. many years must you keep their medical records

A

3 years past the age of majority

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21
Q

A blister filled with pus and the loss of skin and dermis is a stage ___ decubitus sore

A

Stage 2

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22
Q

A current liability is a liability that will be paid within

A

less than 1 year

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23
Q

If a court requests a residents records from a facility the facility

A

does not need the residents consent to release the records

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24
Q

Define working capital

A

Current assets-current liabilities

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25
Q

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
A

the balance sheet

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26
Q

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
A

what is your workers comp history

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27
Q

which budget forecasts cash receipts and disbursements for each month during the budget year

A

cash budget

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28
Q

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
A

-an occupational therapy assistant having a conversation with a housekeeper

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29
Q

The primary difference between title XVIII and Title XIX of the social security act is

A

Title XVIII (18)is an insurance program and Title XIX (19)is an assistance program based on need

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30
Q

What would the best way to prevent future cash flow problems

A

collect ar

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31
Q

what is an integrated budget

A

A combination of an operating budget, capital budget and cash budget

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32
Q

A current ratio of over 1 indicates taht

A

The facility is able to pay its obligations

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33
Q

In the cash basis of accounting expenses are recorded when

A

When case is received or paid out

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34
Q

Who is responsible to ensure a facility is in compliance with privacy regulations for HIPAP

A

administrator

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35
Q

The primary function of the safety committee is

A

Worker safety

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36
Q

The quality assurance committee must be composed of

A

DON, a physician, and at least 3 staff members

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37
Q

What would be considered a fixed cost

  • the electric bill
  • labor costs
  • nursing supplies
  • depreciation
A

depreciation

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38
Q

Which organization is in charge of issuing a waiver for under age workers

A

Department of Labor

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39
Q

If a family member is concerned about how the facility did on its survey they have a right to see the CMS form

A

2567

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40
Q

Internal and external meds must be kept where

A

in separate areas

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41
Q

Two employees working 1040 hours each per year and share a position are considered which of the following

A

1FTE

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42
Q

An employee on an 8/80 schedule would accrue overtime after

A

80 hours

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43
Q

The main function of risk management is to

A

Reduce money losses

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44
Q

If a resident is given extra medication resulting in an injury which insurance would cover the facility

A

professional

45
Q

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
A

giving the wrong dose of insulin

46
Q

What condition results in frequent urination and excessive thirst

A

diabetes mellitus

47
Q

which of the following is an anti psychotic side effect

  • drowsiness
  • hallucination
  • confusion
  • blurred vision
A

Hallucination

48
Q

The responsibility to provide services that respect an individuals dignity and uniqueness relate most directly to the ethical principle of

A

Autonomy

49
Q

Hallways must be at least ___ feet wide

A

8 feet or more

50
Q

Correct place to test temperature is

A

just above the ground

51
Q

What is the minimum square footage of a private room

A

100sqft

52
Q

Amount of space required per bed in a shared room is ___ sqft per person

A

80

53
Q

Maximum amount of beds per room

A

4

54
Q

Which of the following statements is correct

A

ANSI is mandatory law

55
Q

If SSI is $840 the facility must inform residents when their account reaches

A

$640

56
Q

Whose responsibility is it to make arrangements for an emergency dental work

A

The facility

57
Q

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
A

Exit lighting

58
Q

A physician visit is timely if it occurs within ___ days of a required visit

A

10

59
Q

The primary purpose of medical record is

A

continuity of care

60
Q

who must conduct a comprehensive assesment

A

a registered nurse

61
Q

A resident has the right to copies of their medical records with what time frame

A

48 hours excluding weekends and holidays

62
Q

A request to inspect resident records or to get copies of resident records must be submitted by the resident

A

either orally or in writing

63
Q

How many days does the facility have to inform the state of the outcome of an abuse investigation

A

5 working days

64
Q

The main function of the HR manager is to

A

maintain personnel policies

65
Q

If an attending physician is not performing up to facility and state and federal standards, who should address these compliance issues with the physician

A

have the medical director address the matter with the attending phayician

66
Q

A policy prohibiting soliciting no facility premises would be found in the

A

personnel handbook

67
Q

if an employee or a resident comes to the governing body instead of the administrator with a problem. what should the governing body do

A

refer the matter to the administrator and let the administrator handle it

68
Q

A resident has a right to

  • know about a new roommate
  • furninsh his room however he wants
  • a bedside phone
  • a television
A

know about a new roommate

69
Q

How many months can you retain an unlicensed nursing aide

A

4 months

70
Q

How many hours of inservice does a nursing aide need each year

A

12 hours

71
Q

How many fire drills are required annually

A

12 drills, one per shift per quarter

72
Q

End of life care that focuses on making a patient comfortable is called what kind of care

A

palliative care

73
Q

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
A

preventing the likelihood of heart attack and strokes

74
Q

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
A

Incontinence can be reversed with a proper program and increased exercise

75
Q

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

a pharmacist monthly

76
Q

which of the following must sign the comprehensive assessment

  • licensed nurse
  • physician
  • MDS coordinator
  • RN
A

RN

77
Q

Which of the following cannot take oral orders from a doctor

  • licensed nurse
  • physician
  • pharmacist
  • ward clerk
A

ward clerk

78
Q

If a family has a complaint when is the best time to address it

A

at a care plan conference

79
Q

If a resident complains that a roommate has regular visitors past 9pm which is keeping up the resident, what should the administrator do

A

give the roommate and his visitors an alternate place to meet for the late hour visits

80
Q

Who decides HOW to alter food to conform to a mechanically altered diet

A

dietician

81
Q

A colostomy bag is attached to the

A

stomach wall

82
Q

a patch of skin that has redness and is warm to the touch is a stage ___ decubitus sore

A

State 1

83
Q

What is not a nosocomial disease

  • AIDS/HIV
  • influenza
  • UTI
  • Pneumonia
  • Scabies
A

AIDS/HIV

84
Q

The purpose of closing doors in a fire is to

A

contain the smoke

85
Q

clocks and calendars are used in what kind of therapy

A

reality orientation

86
Q

the mission statement is the

A

the purpose of the corporation

87
Q

Individuals and organizations that have a financial interest in the nursing home are called

A

stockholders

88
Q

where should drugs for external used be stored

A

in a separate compartment

89
Q

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
A

must notify the physician before the last dose is given

90
Q

who decides if the resident can self administer drugs

  • the attending physician
  • the DON
  • Interdisciplinary team
  • medical director
A

the interdisciplinary team

91
Q

a railing in a stairway must e between ___ and ___ inches

A

34-38

92
Q

Which of the following indicates if a resident did not want to be resuscitated

  • a living will
  • a durable POA
  • a DNR
  • a POA
A

DNR

93
Q

How long after a survey would the next one be

A

9-15 months

94
Q

Main reason employees try to unionize is

A

poor communication between management and workers

95
Q

Best method of communication is

A

Face to face

96
Q

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

A

True

97
Q

Restorative nursing is performed by

A

nursing aides

98
Q

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

A

if they can work eater or christmas

99
Q

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
A

four foot female needed to model children’s dresses

100
Q

Best way for the administrator to audit the maintenance in the facility is

A

MBWA

101
Q

The purpose of closing doors in a fire is to

A

contain the smoke

102
Q

which fire extinguisher will put out a fire from a gas range

A

ABC

103
Q

Disaster plans vary based primarily on which of the following

A

The specific region and disasters common to the area

104
Q

Strategic planning takes how many years

A

3-5

105
Q

Who at a minimum would be invited to a care conference

A

the resident and family

106
Q

A 67 year old has been a resident for 3 years in a nursing home. His stay was most likely paid fo rby

A

state medicaid

107
Q

A resident has the right to see their medical records within what frame

A

24 hours (excluding weekends and holdiays)

108
Q

What is considered too long between meals form the dinner meal to breakfast

A

16 hours

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