SMQT PACKAGED COMPREHENSIVE STUDY
GUIDE 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
• Exudate.
Answer: Any fluid forced out of tissues/capillaries because of
inflammation/injury. It may contain serum, cellular debris, bacteria &
leukocytes
• Do Not Resuscitate (DNR) Order.
Answer: Refers to a medical order issued by a physician or other authorized
non-physician practitioner that directs healthcare providers not to administer
CPR in the event of cardiac or respiratory arrest. Existence of an advance
directive does not imply that a resident has a DNR order. The medical
record should show evidence of documented discussions leading to a DNR
order.
• "Free of accident hazards as is possible".
Answer: refers to being free of accident hazards over which the facility has
control
• Unavoidable accident.
Answer: An accident occurred despite sufficient and comprehensive facility
systems designed and implemented to: • Identify environmental hazards and
individual resident risk of an accident, including the need for supervision;
and • Evaluate/analyze the hazards and risks and eliminate them, if possible
and, if not possible, reduce them as much as possible; • Implement
interventions, including adequate supervision, consistent with the resident's
needs, goals, care plan, and current professional standards of practice in
order to eliminate or reduce the risk of an accident; and • Monitor the
effectiveness of the interventions and modify the interventions as necessary,
in accordance with current professional standards of practice.
,• Hypoxemia.
Answer: Decreased oxygen level in arterial blood
• Schedules of meals dining rooms locations copies of current menus -
including therapeutic - that will be served for duration of the survey policy
for food brought in from visitors.
Answer: Needed within 1 hour
• The following activities are included in CMS's Mission:.
Answer: - Regulating all laboratory testing (except research) performed on
humans in the United States - Helping millions of Americans & small
companies get and keep health insurance coverage with the Departments of
Labor & Treasury - Administering the State Children's Health Insurance
Program (SCHIP) with the Health Resources & Services Administration -
Helping to eliminate discrimination based on health status for people buying
health insurance
• Friction.
Answer: Mechanical force exerted on skin that is dragged across any surface
• Fall.
Answer: Refers to unintentionally coming to rest on the ground, floor, or
other lower level, but not as a result of an overwhelming external force (e.g.,
resident pushes another resident). Episode where a resident lost his/her
balance and would have fallen, if not for another person or if he or she had
not caught him/herself, is considered a fall. A fall without injury is still a
fall. Unless there is evidence suggesting otherwise, when a resident is found
on the floor, a fall is considered to have occurred
• ANH.
Answer: Artificial Nutrition & Hydration: Medical dietary treatments refers
to nutrition that is provided through routes other than usual oral route,
typically by placing a tube directly into the stomach, the intestine or a vein.
• Baseline care plan must include minimum healthcare info necessary to care
for resident including, but not limited to.
, Answer: Initial goals based on admission orders; Physician and Dietary
orders; Therapy and Social Services; PASARR recommendation, if
applicable
• The providers that may be deemed as meeting Medicare conditions of
participation based on their accreditation include:.
Answer: Home Health Agencies (HHAs) Ambulatory Surgical Centers
(ASCs) Hospices Critical Access Hospitals (CAHs)
• T/F: All CE Pathways provide investigative probes.
Answer: TRUE
• Avoidable accident.
Answer: An accident occurred because the facility failed to: • Identify
environmental hazards and/or assess individual resident risk of an accident,
including the need for supervision and/or assistive devices; and/or •
Evaluate/analyze the hazards and risks and eliminate them, if possible, or, if
not possible, identify and implement measures to reduce the hazards/risks as
much as possible; and/or • Implement interventions, including adequate
supervision and assistive devices, consistent with a resident's needs, goals,
care plan and current professional standards of practice in order to eliminate
the risk, if possible, and, if not, reduce the risk of an accident; and/or •
Monitor the effectiveness of the interventions and modify the care plan as
necessary, in accordance with current professional standards of practice.
• To determine if a facility is in compliance with resident rights and quality of
life requirements, surveyors should assess whether or not residents are given
the opportunity to choose activities and schedules that are consistent with
their: A. likes, disabilities, and diagnoses B. medical histories, physician
orders, and treatments C. mobility, medication regimens, and ability to pay
for treatment D. interests, assessments, and plans of care..
Answer: The correct answer is "D."
• Updated facility floor plan.
Answer: Entrance Conference including COVID Resident locations/separate
unit areas
, • QUIZ QUESTION: The date of compliance is based on which three
requirements?.
Answer: ANSWER: The date of compliance is based on the following: -
Compliance with all applicable Conditions of Participation (CoP) -
Substantial compliance with the requirements for SNFs & NFs -
Compliance with applicable Conditions for Coverage for suppliers.
• Health Care Financing Administration (HCFA).
Answer: Created in 1977 to combine, under one administration, the
oversight of Medicare and Medicaid under the HCFA (the predecessor of
CMS).
• substantial functional limitations in 3 or more of ADLs.
Answer: Self-care language Learning Mobility Self-direction Capacity for
independent living)
• Supervision/Adequate Supervision.
Answer: An intervention and means of mitigating the risk of an accident.
Facilities are obligated to provide adequate supervision to prevent accidents.
determined by assessing: appropriate level & number of staff required the
competency and training of the staff and the frequency of supervision
needed. This determination is based on the individual's assessed needs &
identified hazards in resident environment May vary from resident to
resident and from time to time for the same resident.
• List of rooms meeting any one of the following conditions that require a
variance: (within 4hrs).
Answer: * less than the required square footage * more than 4 residents
• Tunnel.
Answer: Passageway of tissue destruction under skin surface that has
opening at skin level from edge of wound
• Patient Assessment Data.
Answer: Standardized, publicly available info derived from post-acute care
provider's patient/resident assessment instrument e.g., Minimum Data Set
GUIDE 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
• Exudate.
Answer: Any fluid forced out of tissues/capillaries because of
inflammation/injury. It may contain serum, cellular debris, bacteria &
leukocytes
• Do Not Resuscitate (DNR) Order.
Answer: Refers to a medical order issued by a physician or other authorized
non-physician practitioner that directs healthcare providers not to administer
CPR in the event of cardiac or respiratory arrest. Existence of an advance
directive does not imply that a resident has a DNR order. The medical
record should show evidence of documented discussions leading to a DNR
order.
• "Free of accident hazards as is possible".
Answer: refers to being free of accident hazards over which the facility has
control
• Unavoidable accident.
Answer: An accident occurred despite sufficient and comprehensive facility
systems designed and implemented to: • Identify environmental hazards and
individual resident risk of an accident, including the need for supervision;
and • Evaluate/analyze the hazards and risks and eliminate them, if possible
and, if not possible, reduce them as much as possible; • Implement
interventions, including adequate supervision, consistent with the resident's
needs, goals, care plan, and current professional standards of practice in
order to eliminate or reduce the risk of an accident; and • Monitor the
effectiveness of the interventions and modify the interventions as necessary,
in accordance with current professional standards of practice.
,• Hypoxemia.
Answer: Decreased oxygen level in arterial blood
• Schedules of meals dining rooms locations copies of current menus -
including therapeutic - that will be served for duration of the survey policy
for food brought in from visitors.
Answer: Needed within 1 hour
• The following activities are included in CMS's Mission:.
Answer: - Regulating all laboratory testing (except research) performed on
humans in the United States - Helping millions of Americans & small
companies get and keep health insurance coverage with the Departments of
Labor & Treasury - Administering the State Children's Health Insurance
Program (SCHIP) with the Health Resources & Services Administration -
Helping to eliminate discrimination based on health status for people buying
health insurance
• Friction.
Answer: Mechanical force exerted on skin that is dragged across any surface
• Fall.
Answer: Refers to unintentionally coming to rest on the ground, floor, or
other lower level, but not as a result of an overwhelming external force (e.g.,
resident pushes another resident). Episode where a resident lost his/her
balance and would have fallen, if not for another person or if he or she had
not caught him/herself, is considered a fall. A fall without injury is still a
fall. Unless there is evidence suggesting otherwise, when a resident is found
on the floor, a fall is considered to have occurred
• ANH.
Answer: Artificial Nutrition & Hydration: Medical dietary treatments refers
to nutrition that is provided through routes other than usual oral route,
typically by placing a tube directly into the stomach, the intestine or a vein.
• Baseline care plan must include minimum healthcare info necessary to care
for resident including, but not limited to.
, Answer: Initial goals based on admission orders; Physician and Dietary
orders; Therapy and Social Services; PASARR recommendation, if
applicable
• The providers that may be deemed as meeting Medicare conditions of
participation based on their accreditation include:.
Answer: Home Health Agencies (HHAs) Ambulatory Surgical Centers
(ASCs) Hospices Critical Access Hospitals (CAHs)
• T/F: All CE Pathways provide investigative probes.
Answer: TRUE
• Avoidable accident.
Answer: An accident occurred because the facility failed to: • Identify
environmental hazards and/or assess individual resident risk of an accident,
including the need for supervision and/or assistive devices; and/or •
Evaluate/analyze the hazards and risks and eliminate them, if possible, or, if
not possible, identify and implement measures to reduce the hazards/risks as
much as possible; and/or • Implement interventions, including adequate
supervision and assistive devices, consistent with a resident's needs, goals,
care plan and current professional standards of practice in order to eliminate
the risk, if possible, and, if not, reduce the risk of an accident; and/or •
Monitor the effectiveness of the interventions and modify the care plan as
necessary, in accordance with current professional standards of practice.
• To determine if a facility is in compliance with resident rights and quality of
life requirements, surveyors should assess whether or not residents are given
the opportunity to choose activities and schedules that are consistent with
their: A. likes, disabilities, and diagnoses B. medical histories, physician
orders, and treatments C. mobility, medication regimens, and ability to pay
for treatment D. interests, assessments, and plans of care..
Answer: The correct answer is "D."
• Updated facility floor plan.
Answer: Entrance Conference including COVID Resident locations/separate
unit areas
, • QUIZ QUESTION: The date of compliance is based on which three
requirements?.
Answer: ANSWER: The date of compliance is based on the following: -
Compliance with all applicable Conditions of Participation (CoP) -
Substantial compliance with the requirements for SNFs & NFs -
Compliance with applicable Conditions for Coverage for suppliers.
• Health Care Financing Administration (HCFA).
Answer: Created in 1977 to combine, under one administration, the
oversight of Medicare and Medicaid under the HCFA (the predecessor of
CMS).
• substantial functional limitations in 3 or more of ADLs.
Answer: Self-care language Learning Mobility Self-direction Capacity for
independent living)
• Supervision/Adequate Supervision.
Answer: An intervention and means of mitigating the risk of an accident.
Facilities are obligated to provide adequate supervision to prevent accidents.
determined by assessing: appropriate level & number of staff required the
competency and training of the staff and the frequency of supervision
needed. This determination is based on the individual's assessed needs &
identified hazards in resident environment May vary from resident to
resident and from time to time for the same resident.
• List of rooms meeting any one of the following conditions that require a
variance: (within 4hrs).
Answer: * less than the required square footage * more than 4 residents
• Tunnel.
Answer: Passageway of tissue destruction under skin surface that has
opening at skin level from edge of wound
• Patient Assessment Data.
Answer: Standardized, publicly available info derived from post-acute care
provider's patient/resident assessment instrument e.g., Minimum Data Set
