ACTUAL EXAM PAPER 2026 QUESTIONS
WITH ANSWERS GRADED A+
◍ Do all residents of nursing homes have Alzheimer's disease or dementia?.
Answer: No, not all residents have Alzheimer's disease or some form of
dementia.
◍ When staff are assisting residents with their medications, they should1)
ensure privacy2) ensure dignity3) follow the community's infection control
policies4) all of the above.
Answer: 4) all of the above- ensure privacy- ensure dignity- follow the
community's infection control policies
◍ for residents placed by the department of children and families, the 1823
must be completed1) within 30 days following admission2) within 30 days
prior to admission3) within 60 days prior to admission4) within 60 days
prior to admission or 30 days following admission.
Answer: 2) within 30 prior to admission
◍ What is predicted for Floridians by the year 2030?.
Answer: One in four Floridians will be 65 years of age and older.
◍ What is the average rehab stay for Medicare patients?.
Answer: 33 days.
◍ if resident has a health care surrogate or power of attorney1) this must be
documented on the admission/discharge log2) this must be documented in
the major incident log3) this must be documented in the resident record4)
this must be documented on the medication observation record (MOD).
Answer: 3) this must be documented in the resident record
,◍ Who is the largest payer for long term care services?.
Answer: Medicaid.
◍ How often should care plan meetings be held?.
Answer: At least every 90 days for each resident.
◍ Does Medicare pay for long term residency in a nursing home?.
Answer: No, Medicare does NOT pay for long term residency.
◍ what is the minimum number of fire drills per shift for a non-sprinkled
building for the night shift?1) 4 fire drills annually2) 5 fire drills annually3)
6 fire drills annually4) 12 frie drills annually.
Answer: 1) 4 fire drills annually
◍ Temperatures must be maintained at ____ when the residents are normally
awake1) at least 65 degrees2) no more than 95 degrees3) at least 72
degrees4) at least 85 degrees.
Answer: 3) at least 72 degrees
◍ Is an out-patient clinic considered a long-term care agency?.
Answer: No, an out-patient clinic is NOT considered a long-term care
agency.
◍ What are common ethico-legal issues in nursing homes?.
Answer: Advanced directives, resident abuse, decisions about life-sustaining
treatment.
◍ What are the components of the Resident Assessment Instrument?.
Answer: Minimum data set, care area assessment, and RAI utilization
guidelines.
◍ menus should be revised and approved when?1) every year2) every
quarter3) every 6 months4) every 2 years.
Answer: 1) every year
◍ What are the Joint Commission's national patient safety goals for LTC?.
Answer: Identify residents correctly, use medicines safely, prevent infection,
prevent falls, and prevent bed sores.
,◍ What is long term care?.
Answer: Services and supports necessary to meet health or personal care
needs over an extended period of time.
◍ What does Medicaid cover in long term care?.
Answer: Skilled care such as rehabilitation and tube feedings, covering a
maximum of 100 days with a prior 3-day hospital stay.
◍ What is a typical nursing home resident demographic?.
Answer: An elderly non-Hispanic white female.
◍ What is the average length of stay for Medicaid and private pay patients?.
Answer: 386 days.
◍ when ALF provides safekeeping for a resident's money or property1) a
quarterly statement must be provided detailing income and expense
records2) a monthly statement must be provided when an ALF administrator
or staff members serves as a resident's attorney in fact3) within 30 days of
receipt of advance rent or security deposit, the facility shall notify the
resident in writing of how the ALF is holding advance rent or deposit4) all
of the choices apply and are correct.
Answer: 4) all of the choices apply and are correct- a quarterly statement
must be provided detailing income and expense records- a monthly
statement must be provided when an ALF administrator or staff members
serves as a resident's attorney in fact- within 30 days of receipt of advance
rent or security deposit, the facility shall notify the resident in writing of
how the ALF is holding advance rent or deposit
◍ What are common myths about nursing homes?.
Answer: Residents are sick and dying, nursing homes are for people with
memory problems, nursing homes smell and are dirty, residents are lonely.
◍ What are the most frequent infections in nursing homes?.
Answer: Urinary infections, respiratory infections, and skin and soft tissue
infections.
, ◍ Do LTC ombudsmen arrange transport for residents to specialists?.
Answer: No, LTC ombudsmen do NOT arrange for transport of a resident to
his specialist.
◍ When a representative of the department of children and families or the
agency for health care or the long term care ombudsman comes to your
ALF1) staff have the option of refusing entry until the administrator
arrives2) you may ask to see identification3) you can ask them to come back
during normal business hours4) you can ask them to reschedule their visit
for more convenient time.
Answer: 2) you may ask to see identification
◍ Mr. Billings requires assistance to get to his neurologist1) his family must
provide transportation to and from the neurologist2) a friend may take him
to the neurologist3) the facility is not required to arrange transportation
since the neurologist is not a preferred provider of the facility4) the facility
may required Mr. Billings to see a neurologist who comes to the facility so
transportation is not an issue.
Answer: 2) a friend may take him to the neurologist
◍ Mr. Williams is no longer able to participate in dressing himself and needs
his medications administered. your ALF does not have a nurse to administer
medications. under what circumstances would Mr. Williams be able to
remain living in your ALF?1) Mr. Williams is admitted to hospice and an
interdisciplinary plan of care is developed2) Mr. Williams' daughter comes
in to administer his medications3) Mr. Williams no longer meets the
residency criteria for your ALF4) Mr. Williams may remain in your ALF as
long as the family contracts with a private duty aide to provide the
additional needed services.
Answer: 3) Mr. Williams no longer meets the residency criteria for your
ALF
◍ What law established a residents' bill of rights in nursing homes?.
Answer: The Nursing Home Reform Law, part of the Omnibus
Reconciliation Act of 1987 (OBRA 87).