(Updated for 2026) Exam Prep Pack | A+ Questions
200+
& Verified Answers
VERIFIED ANSWERS
Question 1
Written policies and procedures are used by the facility for all of the following except:
1. To communicate what management expects in any situation
2. To prepare staff for dealing with emergency situations
3. To establish the management style for operating the facility
4. To set guidelines for staff to follow in delivery of care
Correct Answer
3
Rationale:
Written policies and procedures are used to communicate what management expects in any situation, prepare staff for emergency situations,
and set guidelines for staff to follow in delivering care, which are all essential aspects of effective management and service delivery. Option 3,
"To establish the management style for operating the facility", is not a primary purpose of written policies and procedures, as management
style is often determined by the facility's overall approach or philosophy, which may not be explicitly outlined in policies and procedures.
Question 2
When admitted to the nursing home, which of the following is not required to be given to the resident?
1. The resident's rights and rules and regulations governing resident conduct and responsibilities during the stay in the
facility
2. Services to be provided and their associated cost
3. The federal standards and state licensing rules for nursing facilities
4. information regarding an advance directive
Correct Answer
3
Rationale:
The correct answer is because nursing facilities are not required to provide detailed information about the federal standards and state licensing
rules for nursing facilities to residents upon admission, as this information is more about the facility's compliance and operational standards
rather than the services and care provided directly to the resident. This information is generally available through other means, such as the
facility's website, state licensing agency, or online resources, and is not typically something that would be presented to residents upon
admission.
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,Question 3
In the case of non-Medicare Part A residents, the initial resident assessment must be completed:
1. Within 10 days of admission
2. Within 14 days of admission
3. Within the first week of admission
4. Prior to formally admitting the resident
Correct Answer
2
Rationale:
The correct answer is based on the typical timeframe for initial resident assessments in non-Medicare Part A settings, where a standardized
process is usually followed to ensure timely completion of the assessment after admission. The 10-day window allows for a balance between
promptness and flexibility in case of any admission complexities or delays, aligning with industry best practices.
Question 4
According to the federal certification standards, the QA committee is required to meet?
1. When a problem arises that requires immediate attention
2. At least twice a year
3. At least quarterly
4. When directed by the medical director
Correct Answer
3. CMS requires the QA committee to meet quarterly
Rationale:
This answer is correct because it directly aligns with federal certification standards that emphasize regular meetings to ensure quality
assurance and effective management of issues. Meeting quarterly allows the QA committee to proactively address problems and maintain a
consistent level of quality, as required by federal regulations.
Question 5
A resident is admitted to a nursing home that has been certified as a SNF only. Which of the following is not required to be
adhered to by the facility?
1. State medicaid standards for payment
2. SNF regulations
3. State licensing regulations
4. Office of civil rights laws
Correct Answer
1
Rationale:
The correct answer is "1" because State Medicaid standards for payment are specific to Medicaid programs, which can vary by state, and do
not apply universally to all SNFs certified under Medicare, unlike SNF regulations, state licensing regulations, and Office of Civil Rights laws,
which are more broadly applicable. This means that while other options are required to be adhered to by the facility across the board, state
Medicaid standards can differ, making them not universally required for SNFs certified under Medicare.
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,Question 6
Unless a waiver has been secured, a registered nurse is required to be in the facility?
1. At least eight hours within every 24 hour period
2. At least eight consecutive hours a day, seven days a week
3. At least eight consecutive hours Monday through Friday
4. There is no minimum number of hours required
Correct Answer
2
Rationale:
The correct answer is related to the concept of minimum staffing requirements for registered nurses in healthcare facilities, which are often
regulated by laws and standards to ensure patient safety and care. The correct answer is supported by the requirement for a registered nurse
to be present in the facility at all times, necessitating a continuous presence, rather than just meeting an hourly minimum within a 24-hour
period.
Question 7
Restorative care must be provided:
1. Only with the order of the facility's physical therapist
2. By specialized qualified staff for which the facility has contracted services
3. Only if the resident can't provide his/her own care
4. By nursing staff based on a comprehensive assessment
Correct Answer
4
Rationale:
Restorative care is a nursing intervention aimed at restoring a resident's function and independence, which is typically conducted based on a
comprehensive assessment of the resident's needs. Therefore, option 4 is the correct answer because it emphasizes the importance of a
thorough evaluation by nursing staff to determine the appropriateness and scope of restorative care.
Question 8
The facility staff will determine what the needs of the resident are based on:
1. Quality indicator reports
2. Family interviews
3. The MDS assessments
4. Quality measures
Correct Answer
3
Rationale:
The correct answer is "3" because the MDS (Minimum Data Set) assessments are a standardized and comprehensive tool for evaluating
residents' needs, providing a detailed and systematic approach to care planning. This standardized tool is essential for facility staff to accurately
determine the needs of residents, making it the most relevant option among the choices.
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, Question 9
Physician vists are required:
1. Monthly after the initial required visits
2. Quarterly after the initial required visits
3. Every 60 days after the inital required visits
4. Twice a year after the initial required visits
Correct Answer
3
Rationale:
The correct answer "3" is based on the fact that it converts to a specific time frame, typically 60 days, which is a common interval for physician
visits after the initial required visits. This allows for regular monitoring and follow-up care without being overly frequent, striking a balance
between patient needs and resource management.
Question 10
Which one below is an exception to when a facility may release resident identifiable information under the HIPAA Privacy
Standard without the residents permission?
1. For a research study conducted by CMS
2. When any immediate family member requests it
3. To consumer groups
4. When a resident is transferred to another health care institution
Correct Answer
4
Rationale:
When a resident is transferred to another healthcare institution, the facility is typically required to transfer the resident's medical records with
the resident, which is an exception to obtaining prior authorization under the HIPAA Privacy Standard. This is because the transfer is necessary
for the continuity of the resident's care, and therefore, the release of identifiable information is justified without the resident's explicit consent.
Question 11
Standard precautions are to be used when providing personal care to:
1. All residents
2. Residents with AIDS
3. Residents with Hepatitis
4. Residents with Tuberculosis
Correct Answer
1
Rationale:
Standard precautions are implemented as a general safety measure to prevent the transmission of bloodborne pathogens and other infectious
diseases, regardless of the resident's specific condition, emphasizing the universal application of these precautions. By adopting standard
precautions for all residents, caregivers can ensure consistent protection against potential risks and minimize the likelihood of transmission,
making it a crucial aspect of personal care.
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