PA State NHA practice exam 2023 with complete solution questions and answers

A long term care facility may order up to a _______ day supply of medications from a contract pharmacy when a selected pharmacy is not able to supply the ordered meds. 5 7 4 6 7 the medical director of a long term care facility can be employed as which of the following a medical director must be employed as full time a medical director must be employed as part time a medical director may be employed as either part time or full time medical directors are neither part time or full time but designated as contract only a medical director may be employed as either part time or full time a nurse has taken a telephone order which must be countersigned with the original signature of the physician within ______ days of receipt of the order 7 days 5 days 3 days 48 hours 48 hours physical restraints must be removed for at least ______ minutes every ______ during normal waking hours 20 minutes every 2 hours 10 minutes every 1 hour 20 minutes every 2 hours 10 minutes every 2 hours 10 minutes every 2 hours which of the following services cannot be located in the basement area without prior approval fro the division of nursing care facilities ? kitchen services central supply storage laundry services central supply A facility shall assure that dentures are ______ by the resident cleaned sanitized retained safeguarded retained there must be at least 1 nursing staff on duty per ____ resident 28 26 24 20 20 all electrical systems at your skilled facility have been upgraded and must comply with which of the following NFPA standards? NFPA 70 NFPA 101 NFPA 2000 NFPA 48 NFPA 70 according to the proper NFPA standards what is the minimum lighting level for toilets and bathing facilities ? 20 lumens 20 foot candles 30 lumens 30 foot candles 20 foot candles an exposed hot water pipe must be covered or protected to prevent injury or burns when it reaches temps above _____ F 120 F 125F 130F 135F 125F each floor in a facility must have at least on centralized bathtub with _____ feet of clearance on 3 sides 6 5 4 3 3 a resident has requested that she and her husband share a room. Is this allowed? Yes a married couple can upon request from one spouse room together No, a married couple cannot room together unless ordered by the physician Yes a married couple can room together if both consent No a married couple may never room together under any circumstances Yes a married couple can room together if both consent Plans have been submitted to the DOH for approval of an addition to the facility. The plans must be resubmitted if the construction does not begin within ____ months 24 18 12 6 24 Reasonable notice to a resident about an impending discharge is ____ days in advance. 45 30 21 14 30 A facility that violates a limitation or suspension of admissions may be subject to a civil penalty not to exceed $______ a day. 500 400 300 200 500 A facility must produce evidence of nondiscriminatory practices at least ______. every 6 months Once a year Every 2 years Every 3 years Every 3 years When must a facility notify DOH about a new health care service, such as physical therapy? At least 120 days prior At least 90 days prior At least 60 days prior At least 30 days prior At least 60 days prior A resident enjoys his new room and the window view. His bed may not be in _______? direct view of public direct natural light direct path of the door directly next to a wall direct natural light In the event of an emergency, the door to a toilet room which swings into the toilet area shall be equipped with special hardware which will permit the door to _______. be opened from the outside be removed from the outside to be locked from the inside for security reasons to be opened from the outside and swing out be removed from the outside a facility is closing and has notified all residents 30 days in advance. If a resident cannot be safely transferred to a new facility by the time the 30 days are up, the Department may require what? The facility to remain open an additional 30 days The facility to remain open an additional 14 days The facility to remain open until a safe transfer can be accomplished No changes The facility to remain open an additional 30 days storage for furniture, equipment, and resident possessions may not be less than ____ per bed. 6 sq feet 8 sq feet 10 sq feet 12 sq feet 10 sq feet Ventilation specifications for a resident room must have pressure in relationship to adjacent areas that are which of the following? positive equal negative not applicable equal When using PA's and Nurse Practitioners there must be a list maintained of the supervising physicians and whom they supervise. Where must this list be posted? In full view at the front of the building/facility At each nursing station In the office of the Director of Nursing Services In the administrators office At each nursing station Your facility is planning on doing renovations to the dining hall. After submitting the plans of the proposed renovations to the DOH, the Department shall respond within ____ days issuing an approval or disapproval. 90 60 45 30 45 Except during sleeping hours, a resident that in in restraints must have their position adjusted at least every _____ hours. 2 3 4 5 2 Before allowing an individual to work as a Nurse Aide, he/she must receive verification from who or what? The State Investigative Services The Registry The Department of Health CMS The Registry The DOH must be notified at least 30 days in advance prior to a transfer involving _____% or more of the stock or equity of the health care facility. Any % 2% 5% 10% 5% There a 15 members of the Board of Examiners. What is the length of each term in office? 1 year term of office 2 year term of office 3 year term of office 4 year term of office 4 year term of office What minimum percentage of AIT training must occur Monday- Friday between 7am and 7pm? 80% 50% 100% There is no minimum requirement 80% A Nursing Care Facility will be closing at the end of the fiscal year. How much notice must be given to the appropriate Division of Nursing Care Facilities field office of the intended closure? 120 days 30 days before Dec 31st 90 days 60 days 90 days If the first of two TB tests is negative a second test should be administered in what length of time? 7-10 days 1-3 weeks 1 month 3-5 weeks 1-3 weeks Single bedrooms in a facilities licensed prior to January 1975 are required to provide _____ square feet as a minimum room area clearance in addition to the area of closets, vestibules, wardrobes, and toilet rooms. 90 120 100 80 80 (100 square feet with new building after 1975) The new resident wing has just been completed and is ready to accept residents. Upon final inspection of the new wing you notice a problem with the handrails. According to section 205.9 hand rails must be what? on both sides of the corridor with a return to the wall at end rail ending made of polished wood with brass brackets 3.5 feet apart on the right side of each corridor at least one return to wall on one end of the rail on both sides of the corridor with a return to the wall at end rail ending The owner of the facility has renewed his provisional license twice while waiting for the regular license to be issued. How many times can a provisional license be renewed? as many times as the Department of Health would like to up to two times up to three times up to five times up to three times A facility is going to raise rates for the price of resident meals. In order to do this properly, they must first notify each resident "reasonably in advance", which is interpreted as ____ days. 45 30 21 14 30 according to OBRA, what is the maximum amount of time allowed between the substantial evening meal and the morning meal? no more than 10 hours no more than 12 hours no more than 14 hours no more than 16 hours no more than 14 hours In what year did it become law that all nursing homes must be administered by a duly licensed and registered nursing home administrator ? 1970 1974 1979 1981 1970 Of the ten members on the Nursing Home Administrator Advisory Council, which of the following is NOT an accurate statement about the members? at least 6 of the 10 members shall be nursing home administrators one of the members shall be a member of the clergy with a demonstrated interest in LTC one of the members shall be an owner of one or more nursing homes at least one shall be a physician one of the members shall be an owner of one or more nursing homes An individual just had his/her nursing home administrators license revoked. How soon after this revocation can it be reinstated? after a period of at least 5 years after a period of at least 4 years after a period of at least 3 years after a period of at least 2 years after a period of at least 5 years An individual has a temporary permit to act as an NHA. How long can this person serve as the NHA? 6mos 1 year 18 months 24 months 1 year Nurse aide in service education must be sufficient to ensure the continuing competence of the nurse aide and be not less than _____ hours per year. no less than 12 hours per year no less than 14 hours per year no less than 16 hours per year no less than 18 hour per year no less than 12 hours per year Your facilities new pharmacist has been on the job less than 2 months and is not sure now often she must provide the facility with a med profile. As the administrator... you remind the pharmacist that the resident profile must be supplied monthly you remind the pharmacist that the resident profile must be supplied quarterly you remind the pharmacist that the resident profile must be supplied every 6 months you remind the pharmacist that the resident profile must be supplied per physician request you remind the pharmacist that the resident profile must be supplied monthly once an individual holds a valid license as an NHA how often is he/she required to apply to the board for a new certificate of registration? annually semi-annually bi-annually never bi-annually According to the DOH, how often should inservice training be occur for accident prevention? once every 6 months at least annually only at the request of the department never at least annually Elevators service must be provided to all residents when a resident use area is located above or below first floor level entrance in a building. What exception is in place if it was set in use prior to what year and has not been converted or constructed since? if it was prior to 1979 if it was prior to 1977 if it was prior to 1976 if it was prior to 1975 if it was prior to 1975 Each facility must install and test battery-operated single station smoke alarms in each resident bedroom unless they have a system based smoke detector that is installed and maintained in accordance with which NFPA standard? NFPA 13 NFPA 2001 NFPA 72 NFPA 101 NFPA 72 For treating and managing persons with confirmed tb infection, recommendations from which two organizations must be followed? the US Heath and Human Services (HHS) and the Center for Disease Control (CDC) the CDC and National Health and Safety Board The US Dept of Health and Human Services and Centers for Medicare/Medicaid (CMS) CMS and the CDC the US Heath and Human Services (HHS) and the Center for Disease Control (CDC) The DON may also serve as a charge nurse when the average daily occupancy is _____ or fewer residents? 40 49 60 75 60 A female resident was admitted to your facility nine months ago; her quarterly assessment is due today. How many more quarterly assessments do you need to keep in her active record? -this new one and the last one -no more, only the most current one should be kept in her active records -2 more; the facility must always keep the last 5 quarterly assessments -Whatever the state asks for; OBRA has no guidelines for quarterly assessments -2 more; the facility must always keep the last 5 quarterly assessments A facility is expanding their main building for additional resident rooms. A pre occupancy survey has granted early approval. When can a formal authorization from the DOH be expected? 30 days 45 days 60 days 90 days 30 days The current therapeutic diet manual must be jointly approved by which two people? the medical director and DON the administrator and the dietitian the administrator and the DON the medical director and the dietitian the medical director and the dietitian When a facility uses outside resources and services they must insure that they meet all necessary licensure and certification requirements including those required by which government office? Dept of Health and Human Services Dept of Labor- Wage and Hour Division The Bureau of Professional and Occupancy Affairs CMS The Bureau of Professional and Occupancy Affairs A resident just admitted to your facility wants to know how high the ceilings are. As the administrator what would your answer be? 7 feet 3 inches 7 feet 6 inches 8 feet 8 feel 4 inches 7 feet 6 inches How long after completing the Resident Assessment does the facility need to be capable of transmitting the MDS to CMS? -Within 7 days after completing the resident assessment -within 10 days after completing the resident assessment -within 14 days after completing the resident assessment -within 21 days after completing the resident assessment -Within 7 days after completing the resident assessment Which type of abuse is a written threat of violence? physical abuse mental abuse verbal abuse it would not be considered abuse verbal abuse A resident with a long history of smoking has recently undergone back surgery and is unable to get out of bed. He would like to have a cigarette after his morning meal. Can he smoke a cigarette in his bed? no yes as long as he is under observation and the facility permits smoking yes he can smoke in bed any time he wishes no smoking in bed is only permitted if his roommate is a smoker too yes as long as he is under observation and the facility permits smoking Your facility has just added a new resident wing. How wide do the bathroom doors need to be? at least 46 inches at least 44 inches at least 40 inches at least 36 inches at least 36 inches A facility has been neglecting mandatory fire drills. How many fire drills per year should be conducted? 4 fire drills per year 4 fire drills per year per shift 2 fire drills per shift per year 2 fire drilss per year 4 fire drills per year per shift How long after admission should the residents initial medical assessments be completed? 14 days after admission 21 days after admission 10 days after admission 7 days after admission 14 days after admission Along with the pharmacist, who develops written policies and procedures for drug therapy, distribution, administration, control, accountability, and use? The administrator The Inventory Control Board The Quality Assurance Committee The DON The Quality Assurance Committee As part of the AIT program, 80% of the training must occur from M-F between _____ am and ____pm. 8am-8pm 8am-7pm 6am-6pm 7am-7pm 7am -7pm A resident at your facility needs to have surgery on his knee,. Surgeries must only be performed in an acute hospital or in a _____, ______, or ______ ambulatory surgical facility. Type 1, Type 2 or Type 3 ambulatory surgical facility Class A, Class B, or Class C ambulatory surgical facility 5 Star, 4 Star or 3 Star ambulatory surgical facility Government paid, Non-profit, or Volunteer ambulatory surgical facility Class A, Class B, or Class C ambulatory surgical facility Physician orders for restraints must be reviewed at LEAST _______. Quarterly Bi-weekly Monthly Every 45 days Monthly A dietitian can be someone who is registered by: The Commission on Dietetic Registration of the American Dietetic Association The American Dietetic Association The Dietetic and Food Services Association of America The National Food and Nutritional Dietary Association The Commission on Dietetic Registration of the American Dietetic Association Who is a mandatory member of the IDT team ? The administrator The DON The Activities Director The attending physician The attending physician A resident was just admitted to your facility and assigned a private room. How many sq feet of clearance should there be? at least 80 sq feet at least 90 sq feet at least 100 sq feet at least 110 sq feet at least 100 sq feet Hot water used by the resident must not exceed _____F. 105 110 115 120 110 Line and trash chute rooms must have air pressure which is negative, positive or equal to adjacent rooms? negative By August 13, 2013 all LTC facilities must have installed automatic sprinklers in accordance with NFPA _____Standard for the Installation of Sprinkler Systems. NFPA 2000 NFPA 75 NFPA 13 NFPA 1999 NFPA 13 Your facility has just upgraded all of the lights. What is the minimum lighting requirement for the recreation area? 100 footcandles 80 footcandles 65 footcandles 50 footcandles 50 footcandles A facility has just opened its doors and must build up their supplies. How much food needs to be in storage? 1 extra day of food 3 extra days of food 5 extra days of food 7 extra days of food 3 extra days of food How often should outdated or recalled medications be returned to the pharmacy for proper disposal? immediately annually quarterly monthly quarterly Resident care policies including facility policies on admissions, transfer, and discharge planning shall be reviewed at least _______. annually twice a year quarterly monthly annually A facility uses a LPN as the nurse in charge during the night shift; as RN must be available within how many minutes from the facility? 90 minutes 60 minutes 40 minutes 20 minutes 20 minutes There must be a minimum of how many sq feet per bed in the dining room for the first 100 beds? at least 20 sq feet at least 15 sq feet at least 10 sq feet at least 6 sq feet at least 15 sq feet The nurse's station must not be more than ____ from the most remote resident room served. 160 feet 140 feet 120 feet 100 feet 120 feet how far from the main building can a distinct part SNF of NF be? -under 1 mile -anywhere -it must be attached to the main building -anywhere as long as it is on the same campus -anywhere as long as it is on the same campus A facility is having some remodeling done in the bathrooms. For a shower designated for wheelchair use they must be no less than ______ sq feet. a minimum of 4 sq feet a minimum of 3 and half sq feet a minimum of 5 sq feet a minimum of 4 and half sq feet a minimum of 4 sq feet Residents toilets can service up to _____ bedrooms. 1 bedroom 2 bedrooms 3 bedrooms 4 bedrooms 2 bedrooms A physician has phoned in several orders for medication. How soon does he/she need to sign these verbal orders? within 2 weeks within 72 hours within 48 hours within 24 hours within 48 hours Two residents are sharing a room. What is the minimum sq feet of clearance per bed in this multi-resident bedroom? a least 115 sq feet at least 110 sq feet at least 80 sq feet at least 80 sq feet A facility wants to add a new addition to their current office building. Once construction plans have been approved, how long to do they have to begin construction or to resubmit the plans for re-approval? within 12 months within 24 months within 16 months within 6 months within 24 months A former resident passed away five years ago; how long does the facility need to keep the resident's clinical record? 2 more years 1 more year No more time; 5 years is the record retention time The clinical records should already be archived/destroyed as the time period for record retention is 3 years after a resident death 2 more years What is the minimum number of nursing hours for direct patient care in a 24 hour period? 3.5 hours of direct care for each resident 3.2 hours of direct care for each resident 3 hours of direct care for each resident 2.7 hours of direct care for each resident 2.7 hours of direct care for each resident Outdoor air intakes can be no LESS than _____ feet from waste air discharges. 50 feet 35 feet 25 feet 15 feet 25 feet Records of menus must be kept for how long? 2 weeks 30 days 45 days 60 days 30 days The nurses station must be equipped to receive calls from all the following except? The dining area The resident toilets The resident bedrooms The resident bathing facilities The dining area Each facility must publish to the community their Civil Rights policy as evidence of non-discriminatory practices. How often must a facility do this? only one once every 5 years once every 4 years once every 3 years once every 3 years A report is required if the DOH finds deficiencies due to the practices of a licensed nursing home administrator. Within how many days is the report due? within 120 days within 60 days within 45 days within 30 days within 60 days A distinct part SNF or NF must be financially integrated with the institution of which it is a DP. This is evident by the sharing of which of the following? employees electrical power income and expenses equipment and supplies income and expenses The minimum size of a resident bathroom that only has a toilet is ____ by _____. 3 feet by 5 feet 3 feet by 6 feet 4 feet by 5 feet 4 feet by 6 feet 3 feet by 6 feet Floors or units in a nursing facility with more that eight residents shall be provided with separate toilet fixtures in what ratio? 1:4 2:1 4:1 2:8 1:4 The State Board of Examiners of Nursing Home Administrators consists of how many members? 10 12 13 15 15 The clinical records of a discharged resident must be completed within how many days? 45 30 21 14 30 A facility must comply with which edition of the Life Safety Code of the National Fire Protection Association? The 2000 Edition The 2010 Edition The 2001 Edition The 2011 Edition The 2000 Edition A facility must employ a FT social worker if it has more than ______ residents. 85 100 110 120 120 How long is the term of office for a member of the Board of Examiners? 5 years 4 years 3 years 2 years 4 years Handrails in the bathroom must support up a weight of ____ pounds. 300 280 250 225 250 A Physicians Assistant has given orders for a new treatment plan. How soon must the attending physician countersign the orders? within 7 days within 14 days within 21 days within 30 days within 7 days Menus must be prepared how far in advance? The same day 1 month 21 days 2 weeks 2 weeks a practical nurse shall be designated by the facility as a charge nurse only on the _______ tour of duty in facility with a census of _____ or less night, 59 Full time is a minimum of a ______ hour work week 35 NFPA = National Fire Protection Agency RRA= Registered Records Administrator AHIMA= American Health Information Managment Association Proprietary drug= a drug which does no contain a quantity of controlled substance, can be purchased without a prescription, ay be purchased from sources other than a pharmacy an is usually sold under a patented or trade name Nonproprietary drug= a drug containing biologicals or substances of glandular origin (except intestinal enzymes and liver products) and drugs which are administered parenterally 5 types of ownership are - individual, partnership, association, corporation, or combination thereof A __________ license is issued for a specific period, not more than 6 months and may be renewed at the discretion of the DOH no more than _____ times provisional, 3 the ____________ is not required to name a responsible person if the resident is __________ of managing the resident's own affairs Resident, capable A facility may not obtain from or on behalf of residents a _________ ______ __________ or duties imposed by law or the subpart EXCEPT as part of formal settlement in litigation release from liabilities POA may not be assumed for a resident by the licensee, owner/operator, members of the governing body an employee or anyone having a financial interest in the facility unless ordered by a ______ of ________ __________. court of common jurisdiction a facility shall ________ the applicable edition of the National Fire Protection Association 101 ___________ ____________ __________. meet, Life Safety Code __________ ____________ shall be given if part of the building is to be used for a purpose other than ________ _______ Special authorization, health care Basements and cellars may be used for storage, laundry, kitchen, heat, electric and water equipment. _______ shall be secured before areas may be used for purposes such as ___________ therapy, ____________supply, _____________ therapy etc. approval, physical, central , occupational etc Ceiling heights may be 7 feet 6 inches except in the ________ room where a minimum of ______ inches shall be provided above the main boiler heater and connecting piping boiler room, 30 Resident ____________ shall have a ____________ on both sides with a return to the wall at each rail ending and bracket may not ________ the continuous progress of hands along the railing corridors, handrail, impede Areas used for corridor traffic may not be considered as areas for ________, storage, __________ or __________ activities dining, diversional, social Doors into bathrooms and toilet rooms used by residents shall be at least _____ inches wide, except for an existing facility where the minimum width for each toilet room doors is ______ inches 36, 32 A door into the resident room shall swing _______ the room into A door to a toilet room which swings into the toilet area shall be equipped with ________ ______________ which permits the door to be opened from the ___________ and swing out in care of emergency special hardware, outside Resident and visitor toilet stall doors shall swing _______and curtains or equivalent shall be considered as meeting this requirement out A door to the basement or cellar may not be located in a _________ room. resident The cab platform of an elevator shall measure no less than _____ feet by ________ 5 feet by 7 feet 6 inches Cab and shaft doors may have not less than a _____ inch opening and shall be ________ _________. 44, power operated Floor traveled by residents shall be of _________ material non skid Floors in the kitchen, bathroom, toilet room, shower room, utility room, bedpan and hopper room be of __________and _______________ material and easily ________ nonskid, nonabsorbent, cleaned Doors into rooms used by residents may not be __________ from the outside when the ________ is in the room locked, resident Stairs used by resident shall have no locked _______ or ______ ________ doors obstructing the ascent or descent gates, free swinging Single bedroom shall provide minimum of ______ square feet (80 feet if licensed prior to January 1975) 100 Minimum dining area of ____ square feet per bed for the first _____ beds and 13.5 square feet or beds over 100. Tables and spaces shall be provided to accommodate wheelchairs with trays and other devices. This space is required in __________ to the space required for lounge and recreation rooms. 15, 100 addition _________ linen may not be transported thru areas where clean linen in stored Soiled There shall be a minimum of _____ square feet of floor space per bed for rec or lounge rooms provided for the first 100 beds and 13.5 square feet for all beds over 100 . There shall be rec or lounge rooms for residents on each floor 15 a nurses station may not be more than ____ feet from the most remote resident room served 120 feet nurses station shall have facilities for a _______ ______ _______, charting and __________, medication storage and prep and a _________ locked __________ compartment within the medication area. nurse call system, supplies double, narcotic a med cart may not be stored in the _______ corridor general storage space shall be provided for supplies, furniture, equipment and resident possessions and may be be less than ________ square feet per bed 10 A least one janitor closet shall be provided in a unit and a___________ janitor closet is required for the ___________. separate, kitchen Separate clean and soiled utility rooms may not be more than ______ feet from the most remote room served and ________ ________ facilities she be available in both 120 feet, hand washing bathing fixtures for either the tub or shower room shall be provided at a ratio of _______ fixure per _______ beds or major fractions thereof one fixture per 15 beds showers designed for wheel chair use may be no less than ______ feet square, without curbs and shall have _____________ and ___________ 4 feet square, handrails and curtains ______ controls for handicapped shower areas shall be located _________ the shower stall water, outside the facility shall have at least one ______ in each centralized _______ area on each floor that is accessible from 3 sides with a minimum of ______ feet clearances on each side and ______ feet clearance from the foot of tub to adjacent wall bathtub, bath, 3 feet, and 4 feet Grab bars shall have sufficient strength to sustain a weight of ____ pounds for ____ min 250 pounds, 5 minutes In no case may one toilet service more than ____ bedrooms 2 Minimum dimension of a resident toilet room containing only 1 toilet shall be ____ feet by ____ feet. 3 feet by 6 feet there may be no less than _________ feet of space from the front of the toilet to opposite wall or fixtures 3.5 feet there shall be at least ______ toilet on each ______ to accommodate residents in wheel chairs one, floor at least one toilet room shall be provided for ________ training, shall be accessible from the corridor and may service the bathing area. toilet toilet training room dimensions are 5 by 6 feet