Montana Administrator Test Questions and Answers 2023
with complete solution
A resident was admitted to a facility on November 10. The comprehensive assessment
was completed on November 27th. Per OBRA 1987, the comprehensive assessment
was completed _______.
Late. a comprehensive assessment is due 14 days after admission or by Nov 24th.
The _____________ has ultimate legal responsibility for the operation of a nursing
facility.
Governing body.
Per OBRA 1987, air temperature is measured _____________.
Just above the floor
The _________ requires employers to give workers time off for illness or to care for a
sick family member.
Family Medical Leave Act
The _______ hires, supervises and can fire the administrator.
Governing Body
The administrator discovers the Director of Nursing has been giving nursing aides 6
months to complete their state certification requirements. The administrator should
____________.
Reprimand the DON
The rights of an individual determined by a court to be incompetent would be exercised
by a(n) ____________________.
A person appointed by a court or court guardian
The maintenance director submitted a request for family leave to care for his ailing
mother. He has worked 1,350 hours in the nine months he has worked for the facility.
The administrator should _____.
Approve the request. employee must work 1250 hours or 12 months to use Family
Medical Leave; employer must continue to pay for insurance premiums while employee
is on leave
Per OBRA 1987, a resident has the right to review all their records within ____ of an
oral or written request (excluding weekends and holidays)
24 hours
The comprehensive assessment was completed on June 1. The care plan was
completed on June 6th. The care plan was completed ________.
Timely. Care Plan must be done within 7 days of comprehensive assessment or by
June 8th
The comprehensive assessment must be signed by _________.
Registered Nurse
The _____________has legal responsibility for the day to day operation of a skilled
nursing home.
Administrator. The governing board has ultimate responsibility for resident care and
managing the facility. The administrator is responsible for day to day operation
The ____________ is responsible for the day-to-day management of the facility's
nursing program.
,DON. The DON is a registered nurse is responsible to manage the nursing staff to
follow physician orders to adhere to professional standards
CMS stands for __________________.
Centers for Medicaid and Medicare Services
HHS stands for _______________________.
Health and Human Services
The new administrator starts December 1 2007 and reviews the minutes of the Quality
Assurance Committee. The committee met the second Tuesday on January 7, 2007,
June 21 2007 and November 15, 2007. The administrator should _________.
Change the meeting dates to the first Tuesday of January, April, and October to bring
the facility into compliance with OBRA 1987
A resident was only given lunch that day, was given the wrong medication in the
morning, had her room changed without notification and was not given a bath as
requested. Per OBRA 1987, how many resident rights were violated?
3. A bath is not a resident right. RULE OF THUMB. If they give two examples then the
answer is one right was violated. if they give you three examples then 2 rights were
violated, if they give you 4 examples then 3 rights were violated.
A resident was admitted on June 1. The attending physician charted a visit and physical
examination on June 27, 2007, July 29 and Sept 4. With respect to required physician
visits per OBRA 1987, the facility _____________.
Was in compliance and would not be cited. With the 10 day grace period, the physical
has 40 days to visit and examine resident first 3 months and they have 70 days to visit
the resident from the 4th month on. the facility will be cited if the physician visits are not
timely.
The _______has legal responsibility to adopt and implement facility policies.
Governing body
A resident was admitted on June 1. The attending physician charted a visit and physical
examination of the resident on June 27, July 29, Sept 4 and November 17, 2007. Per
OBRA 1987 with respect to required physician visits, the facility ___________.
Would be cited for a late visit in November. Physician had 70 days to visit resident. The
next visit after Sept 4 was due Nov 3 and with the 10 day grace period the last day was
November 13th. The visit occurred on November 17th.
A state surveyor learns in interviews with residents that when residents are admitted,
they were provided a written list of names of physicians who cared for residents in the
facility in their admission packet. The facility assigned an attending physician to each
resident prior to admission from a rotating list of physicians. Per OBRA 1987, the facility
_______
Was out of compliance and would be cited. The facility must inform residents both orally
and in writing that they have a right to choose physician and must provide them the
names, address and phone numbers of attending physicians. Their personal physician
can see them if they agree to.
A housekeeper notices a resident is asleep in the room she needs to clean. She knocks
on the resident's door, identifies herself as a house keeper, and seeing there is no
response from the resident, decides to enter the room and begins cleaning. The
housekeeper should be ____.
, in-serviced. Although the house keeper knocked and announced who she was, the
resident had to acknowledge her presence and give permission to enter the room and it
did not happen.
_______ is not an element of a Total Quality Management (TQM) program.
Centralize decision making to improve customer services. The main focus of TQM is to
train front line workers to make decisions.
The ______ is responsible to prepare and serve nutritious meals under sanitary
conditions.
Dietary Department
All furniture, equipment, boxes and supplies must be elevated ____ inches above the
floor to allow the floor directly underneath to be cleaned.
6 inches
______ is the most comprehensive and effective improvement model.
Total Quality Management
The ______ coordinates all work activities in the facility and resolves conflict between
departments.
Administration Department
HCFA stands for ________________.
Health Care Financing Administration
Telephone cords must be a minimum length of ______ .
29 inches
To save money, the administrator of a 100 bed facility reduced the hours of the dietary
service manager to 20 hours per week. The governing body should ______.
Reprimand the administrator. Must employ a dietary manager full time.
Adding baking soda to food will primarily affect its ________.
Nutritive value. Overcooking food in boiling water, adding baking soda and poorly
storing food diminishes the vitamin and mineral content of food.
The resident's quality of life and physical condition is the focus of:________.
Outcomes. Outcomes are focused on actual results
____________ is not typical of a TQM program.
Minimal training of staff.
A resident recently lost her husband and is tearful and depressed and is worried how
she will pay for her stay. The administrator would ask the ________ to help her.
Social Service Director. social service provides emotional support and interventions for
psycho-social and financial problems.
Electrical switches must be located at a minimum of ___ inches above the floor.
15
Stooped posture, shuffling gait, garbled speech and tremors are symptoms of ______.
Parkinson's disease
Nursing homes must have hearing aid compatible phones with volume control that can
adjust the volume between a minimum of ____ and a maximum of ____ decibels above
normal.
12, 18. Any public telephones or other telephones available to residents should be
hearing aid compatible with volume controls.
Grab bars and railings must support a minimum weight of ______ pounds.
250
with complete solution
A resident was admitted to a facility on November 10. The comprehensive assessment
was completed on November 27th. Per OBRA 1987, the comprehensive assessment
was completed _______.
Late. a comprehensive assessment is due 14 days after admission or by Nov 24th.
The _____________ has ultimate legal responsibility for the operation of a nursing
facility.
Governing body.
Per OBRA 1987, air temperature is measured _____________.
Just above the floor
The _________ requires employers to give workers time off for illness or to care for a
sick family member.
Family Medical Leave Act
The _______ hires, supervises and can fire the administrator.
Governing Body
The administrator discovers the Director of Nursing has been giving nursing aides 6
months to complete their state certification requirements. The administrator should
____________.
Reprimand the DON
The rights of an individual determined by a court to be incompetent would be exercised
by a(n) ____________________.
A person appointed by a court or court guardian
The maintenance director submitted a request for family leave to care for his ailing
mother. He has worked 1,350 hours in the nine months he has worked for the facility.
The administrator should _____.
Approve the request. employee must work 1250 hours or 12 months to use Family
Medical Leave; employer must continue to pay for insurance premiums while employee
is on leave
Per OBRA 1987, a resident has the right to review all their records within ____ of an
oral or written request (excluding weekends and holidays)
24 hours
The comprehensive assessment was completed on June 1. The care plan was
completed on June 6th. The care plan was completed ________.
Timely. Care Plan must be done within 7 days of comprehensive assessment or by
June 8th
The comprehensive assessment must be signed by _________.
Registered Nurse
The _____________has legal responsibility for the day to day operation of a skilled
nursing home.
Administrator. The governing board has ultimate responsibility for resident care and
managing the facility. The administrator is responsible for day to day operation
The ____________ is responsible for the day-to-day management of the facility's
nursing program.
,DON. The DON is a registered nurse is responsible to manage the nursing staff to
follow physician orders to adhere to professional standards
CMS stands for __________________.
Centers for Medicaid and Medicare Services
HHS stands for _______________________.
Health and Human Services
The new administrator starts December 1 2007 and reviews the minutes of the Quality
Assurance Committee. The committee met the second Tuesday on January 7, 2007,
June 21 2007 and November 15, 2007. The administrator should _________.
Change the meeting dates to the first Tuesday of January, April, and October to bring
the facility into compliance with OBRA 1987
A resident was only given lunch that day, was given the wrong medication in the
morning, had her room changed without notification and was not given a bath as
requested. Per OBRA 1987, how many resident rights were violated?
3. A bath is not a resident right. RULE OF THUMB. If they give two examples then the
answer is one right was violated. if they give you three examples then 2 rights were
violated, if they give you 4 examples then 3 rights were violated.
A resident was admitted on June 1. The attending physician charted a visit and physical
examination on June 27, 2007, July 29 and Sept 4. With respect to required physician
visits per OBRA 1987, the facility _____________.
Was in compliance and would not be cited. With the 10 day grace period, the physical
has 40 days to visit and examine resident first 3 months and they have 70 days to visit
the resident from the 4th month on. the facility will be cited if the physician visits are not
timely.
The _______has legal responsibility to adopt and implement facility policies.
Governing body
A resident was admitted on June 1. The attending physician charted a visit and physical
examination of the resident on June 27, July 29, Sept 4 and November 17, 2007. Per
OBRA 1987 with respect to required physician visits, the facility ___________.
Would be cited for a late visit in November. Physician had 70 days to visit resident. The
next visit after Sept 4 was due Nov 3 and with the 10 day grace period the last day was
November 13th. The visit occurred on November 17th.
A state surveyor learns in interviews with residents that when residents are admitted,
they were provided a written list of names of physicians who cared for residents in the
facility in their admission packet. The facility assigned an attending physician to each
resident prior to admission from a rotating list of physicians. Per OBRA 1987, the facility
_______
Was out of compliance and would be cited. The facility must inform residents both orally
and in writing that they have a right to choose physician and must provide them the
names, address and phone numbers of attending physicians. Their personal physician
can see them if they agree to.
A housekeeper notices a resident is asleep in the room she needs to clean. She knocks
on the resident's door, identifies herself as a house keeper, and seeing there is no
response from the resident, decides to enter the room and begins cleaning. The
housekeeper should be ____.
, in-serviced. Although the house keeper knocked and announced who she was, the
resident had to acknowledge her presence and give permission to enter the room and it
did not happen.
_______ is not an element of a Total Quality Management (TQM) program.
Centralize decision making to improve customer services. The main focus of TQM is to
train front line workers to make decisions.
The ______ is responsible to prepare and serve nutritious meals under sanitary
conditions.
Dietary Department
All furniture, equipment, boxes and supplies must be elevated ____ inches above the
floor to allow the floor directly underneath to be cleaned.
6 inches
______ is the most comprehensive and effective improvement model.
Total Quality Management
The ______ coordinates all work activities in the facility and resolves conflict between
departments.
Administration Department
HCFA stands for ________________.
Health Care Financing Administration
Telephone cords must be a minimum length of ______ .
29 inches
To save money, the administrator of a 100 bed facility reduced the hours of the dietary
service manager to 20 hours per week. The governing body should ______.
Reprimand the administrator. Must employ a dietary manager full time.
Adding baking soda to food will primarily affect its ________.
Nutritive value. Overcooking food in boiling water, adding baking soda and poorly
storing food diminishes the vitamin and mineral content of food.
The resident's quality of life and physical condition is the focus of:________.
Outcomes. Outcomes are focused on actual results
____________ is not typical of a TQM program.
Minimal training of staff.
A resident recently lost her husband and is tearful and depressed and is worried how
she will pay for her stay. The administrator would ask the ________ to help her.
Social Service Director. social service provides emotional support and interventions for
psycho-social and financial problems.
Electrical switches must be located at a minimum of ___ inches above the floor.
15
Stooped posture, shuffling gait, garbled speech and tremors are symptoms of ______.
Parkinson's disease
Nursing homes must have hearing aid compatible phones with volume control that can
adjust the volume between a minimum of ____ and a maximum of ____ decibels above
normal.
12, 18. Any public telephones or other telephones available to residents should be
hearing aid compatible with volume controls.
Grab bars and railings must support a minimum weight of ______ pounds.
250
