Administrator State- North Carolina
Nursing Home Exam 2024-2025.
Questions & Correct Answers. Grade A+
____ shall collect any fees required by the Department of Justice and shall remit the
fees to the Department of Justice for expenses associated with conducting the criminal
history record check. - ANSThe Board
____ shall have exclusive authority to determine the qualifications, skill and fitness of
any person to serve as an administrator of a nursing home under the provisions of this
Article, and the holder of a license under the provisions of this Article shall be deemed
qualified to serve as the administrator of a nursing home for all purposes - ANSThe
Board
"Administrator of Record" meaning - ANSthe licensed administrator who is physically
present in the facility for an amount of time sufficient to assure the facility's substantial
compliance with applicable state and federal laws and rules.
"Brain injury long term care" definition - ANSan interdisciplinary, intensive maintenance
program for patients who
have incurred brain damage caused by external physical trauma and who have
completed a primary course
of rehabilitative treatment and have reached a point of no gain or progress for more
than three consecutive
months. Provided through a medically supervised interdisciplinary process
and is directed toward maintaining the individual at the optimal level of physical,
cognitive, and behavioral
functions
"Comprehensive, inpatient rehabilitation program" definition - ANSprogram for the
treatment of persons with
functional limitations or chronic disabling conditions who have the potential to achieve a
significant
improvement in activities of daily living, including bathing, dressing, grooming,
transferring, eating, and
using speech, language, or other communication systems. Utilizes a coordinated and
integrated, interdisciplinary approach, directed by a physician, to assess
patient needs and to provide treatment and evaluation of physical, psychosocial, and
cognitive deficits.
"duplicative therapy" meaning - ANSMultiple medications of the same pharmacological
class or category or any medication therapy that replicates a particular effect of another
medication that the individual is taking
,"excessive dose" meaning - ANSThe total amount of any medication (including
duplicate therapy) given at one time or over a period of time that is greater than the
amount recommended by the manufacturer for a resident's age and condition
"excessive duration" meaning - ANSThe medication is administered beyond the
manufacturer's recommended timeframes or facility-established stop order policies or
without either evidence of additional therapeutic benefit for the resident or clinical
evidence that would warrant the continued use of the medication
"Gradual dose reduction" meaning - ANSThe stepwise tapering of a dose to determine if
symptoms, conditions, or risks can be managed by a lower dose or if the dose or the
medication can be discontinued
"indications for the prescription" meaning - ANSA documented clinical rationale for
administering a medication that is based upon an assessment of the resident's condition
and therapeutic goals and is consistent with manufacturer's recommendations
"Medication error rate" definition and formula - ANSthe measure of discrepancies
between medication that was ordered for a patient by the health care provider and
medication that is administered to the patient.
# of errors / # of opportunities for error x 100
ex:
5 errors / 60 opportunities = 0.083 x 100 = 8.3%
"Misappropriation of property" definition - ANSthe deliberate misplacement, exploitation,
or wrongful, temporary or permanent use of a patient's belongings or money without the
patient's consent
"New facility" meaning - ANSa facility for which an initial license is sought, a proposed
addition to an existing facility, or a proposed remodeled portion of an existing facility that
will be built according to construction documents and specifications approved by the
Department of Health and Human Services for compliance which standards established
in this Subchapter [13D]
"Nurse aide" definition - ANSa person who is listed on the NC Nurse Aide Registry and
provides nursing or nursing-related services to patients in a nursing home. A nurse aide
is not a licensed health professional.
"Respite care" definition - ANSservices provided for a patient on a temporary basis, not
to exceed 30 days
(Except for designated units with higher staffing requirements noted elsewhere in this
Subchapter), Daily direct patient care nursing staff, licensed and unlicensed, must
,include a registered nurse at least ____ consecutive hours a day, ____ days a week. -
ANS8 consecutive hours, seven days a week.
This coverage may be spread over more than one shift if such need exits.
(Except for designated units with higher staffing requirements noted elsewhere in this
Subchapter), Daily direct patient care nursing staff, licensed and unlicensed, must
include at least ___ licensed nurse(s) for direct patient care at all times. - ANS1
(T/F) A comprehensive assessment may only be coordinated by an LPN or RN. -
ANSFalse
The comprehensive assessment shall be coordinated by an RN.
(T/F) A criminal history record check is required for all applicants of inital and temporary
licensure but not for license renewal. - ANSFalse
The Board, in its discretion, may require a criminal history record check of an applicant
for license renewal. Refusal to consent to a criminal history record check may constitute
grounds for the Board to deny licensure to an applicant.
(T/F) A decision to issue a provisional license is stayed during the pendency of an
administrative appeal and the licensee may continue to display full license during the
appeal - ANSTrue
(T/F) A dedicated critical branch circuit per bed for ventilator-dependent patients is
required. - ANSTrue
(T/F) A facility is designed with patient or resident household units, a patient and
resident dietary area located within the patient or resident household unit may substitute
for the nourishment station. - ANSTrue
(T/F) A facility shall provide handgrips at all toilet and bath facilities used by residents.
Handrails shall be provided on one side of all corridors where corridors are defined by
walls and used by residents. - ANSFalse
Handrails shall be provided on both sides of all corridors where corridors are defined by
walls and used by residents.
(T/F) A janitor's closet shall be provided for each nursing unit. - ANSTrue
(T/F) A patient may deny DHSR access to his or her medical record. - ANSTrue
At the time of the inspection, a facility shall inform the surveyor of the name of any
patient who has denied the Department access to his or her medical record pursuant to
G.S. 131E-105
, (T/F) A patient may self-administer medication if the DON determines that this practice
is safe. - ANSFalse
(T/F) A pharmacist must be included in the quality assessment and assurance
committee. - ANSTrue
(T/F) A temporary license applicant must pass the state examination administered by
the Board prior to being issued the license. - ANSFalse
After an applicant is issued a temporary license he or she shall submit a fingerprint
card, necessary forms, and the required fee for a criminal background check, and pass
the state examination administered by the Board at the next exam date to retain the
temporary license.
(T/F) Acute changes in the patient's physical, mental, or psychosocial status shall be
evaluated and reported to the physician or other persons legally authorized to perform
medical acts. - ANSTrue
(T/F) All drugs shall be maintained under locked security except when under the direct
physical supervision of a registered nurse or physician. - ANSFalse
All drugs shall be maintained under locked security except when under the direct
physical supervision of a nurse or pharmacist.
(T/F) All education credit shall be documented by a copied sealed college transcript. -
ANSFalse
All education credit shall be documented by an official originally sealed college
transcript.
(T/F) All members of the Board shall be individuals representative of the professions
and institutions concerned with the care and treatment of chronically ill or infirm elderly
patients. - ANSTrue
(T/F) All seven members of the Board are voting members. - ANSTrue
(T/F) An administrator licensed by reciprocity/endorsement who held an active
preceptor certificate in another state may also receive a North Carolina preceptor
certificate if all other requirements are met. - ANSTrue
(T/F) An AIT applicant shall maintain at all times a current residential mailing address
with the Board office. - ANSTrue
Nursing Home Exam 2024-2025.
Questions & Correct Answers. Grade A+
____ shall collect any fees required by the Department of Justice and shall remit the
fees to the Department of Justice for expenses associated with conducting the criminal
history record check. - ANSThe Board
____ shall have exclusive authority to determine the qualifications, skill and fitness of
any person to serve as an administrator of a nursing home under the provisions of this
Article, and the holder of a license under the provisions of this Article shall be deemed
qualified to serve as the administrator of a nursing home for all purposes - ANSThe
Board
"Administrator of Record" meaning - ANSthe licensed administrator who is physically
present in the facility for an amount of time sufficient to assure the facility's substantial
compliance with applicable state and federal laws and rules.
"Brain injury long term care" definition - ANSan interdisciplinary, intensive maintenance
program for patients who
have incurred brain damage caused by external physical trauma and who have
completed a primary course
of rehabilitative treatment and have reached a point of no gain or progress for more
than three consecutive
months. Provided through a medically supervised interdisciplinary process
and is directed toward maintaining the individual at the optimal level of physical,
cognitive, and behavioral
functions
"Comprehensive, inpatient rehabilitation program" definition - ANSprogram for the
treatment of persons with
functional limitations or chronic disabling conditions who have the potential to achieve a
significant
improvement in activities of daily living, including bathing, dressing, grooming,
transferring, eating, and
using speech, language, or other communication systems. Utilizes a coordinated and
integrated, interdisciplinary approach, directed by a physician, to assess
patient needs and to provide treatment and evaluation of physical, psychosocial, and
cognitive deficits.
"duplicative therapy" meaning - ANSMultiple medications of the same pharmacological
class or category or any medication therapy that replicates a particular effect of another
medication that the individual is taking
,"excessive dose" meaning - ANSThe total amount of any medication (including
duplicate therapy) given at one time or over a period of time that is greater than the
amount recommended by the manufacturer for a resident's age and condition
"excessive duration" meaning - ANSThe medication is administered beyond the
manufacturer's recommended timeframes or facility-established stop order policies or
without either evidence of additional therapeutic benefit for the resident or clinical
evidence that would warrant the continued use of the medication
"Gradual dose reduction" meaning - ANSThe stepwise tapering of a dose to determine if
symptoms, conditions, or risks can be managed by a lower dose or if the dose or the
medication can be discontinued
"indications for the prescription" meaning - ANSA documented clinical rationale for
administering a medication that is based upon an assessment of the resident's condition
and therapeutic goals and is consistent with manufacturer's recommendations
"Medication error rate" definition and formula - ANSthe measure of discrepancies
between medication that was ordered for a patient by the health care provider and
medication that is administered to the patient.
# of errors / # of opportunities for error x 100
ex:
5 errors / 60 opportunities = 0.083 x 100 = 8.3%
"Misappropriation of property" definition - ANSthe deliberate misplacement, exploitation,
or wrongful, temporary or permanent use of a patient's belongings or money without the
patient's consent
"New facility" meaning - ANSa facility for which an initial license is sought, a proposed
addition to an existing facility, or a proposed remodeled portion of an existing facility that
will be built according to construction documents and specifications approved by the
Department of Health and Human Services for compliance which standards established
in this Subchapter [13D]
"Nurse aide" definition - ANSa person who is listed on the NC Nurse Aide Registry and
provides nursing or nursing-related services to patients in a nursing home. A nurse aide
is not a licensed health professional.
"Respite care" definition - ANSservices provided for a patient on a temporary basis, not
to exceed 30 days
(Except for designated units with higher staffing requirements noted elsewhere in this
Subchapter), Daily direct patient care nursing staff, licensed and unlicensed, must
,include a registered nurse at least ____ consecutive hours a day, ____ days a week. -
ANS8 consecutive hours, seven days a week.
This coverage may be spread over more than one shift if such need exits.
(Except for designated units with higher staffing requirements noted elsewhere in this
Subchapter), Daily direct patient care nursing staff, licensed and unlicensed, must
include at least ___ licensed nurse(s) for direct patient care at all times. - ANS1
(T/F) A comprehensive assessment may only be coordinated by an LPN or RN. -
ANSFalse
The comprehensive assessment shall be coordinated by an RN.
(T/F) A criminal history record check is required for all applicants of inital and temporary
licensure but not for license renewal. - ANSFalse
The Board, in its discretion, may require a criminal history record check of an applicant
for license renewal. Refusal to consent to a criminal history record check may constitute
grounds for the Board to deny licensure to an applicant.
(T/F) A decision to issue a provisional license is stayed during the pendency of an
administrative appeal and the licensee may continue to display full license during the
appeal - ANSTrue
(T/F) A dedicated critical branch circuit per bed for ventilator-dependent patients is
required. - ANSTrue
(T/F) A facility is designed with patient or resident household units, a patient and
resident dietary area located within the patient or resident household unit may substitute
for the nourishment station. - ANSTrue
(T/F) A facility shall provide handgrips at all toilet and bath facilities used by residents.
Handrails shall be provided on one side of all corridors where corridors are defined by
walls and used by residents. - ANSFalse
Handrails shall be provided on both sides of all corridors where corridors are defined by
walls and used by residents.
(T/F) A janitor's closet shall be provided for each nursing unit. - ANSTrue
(T/F) A patient may deny DHSR access to his or her medical record. - ANSTrue
At the time of the inspection, a facility shall inform the surveyor of the name of any
patient who has denied the Department access to his or her medical record pursuant to
G.S. 131E-105
, (T/F) A patient may self-administer medication if the DON determines that this practice
is safe. - ANSFalse
(T/F) A pharmacist must be included in the quality assessment and assurance
committee. - ANSTrue
(T/F) A temporary license applicant must pass the state examination administered by
the Board prior to being issued the license. - ANSFalse
After an applicant is issued a temporary license he or she shall submit a fingerprint
card, necessary forms, and the required fee for a criminal background check, and pass
the state examination administered by the Board at the next exam date to retain the
temporary license.
(T/F) Acute changes in the patient's physical, mental, or psychosocial status shall be
evaluated and reported to the physician or other persons legally authorized to perform
medical acts. - ANSTrue
(T/F) All drugs shall be maintained under locked security except when under the direct
physical supervision of a registered nurse or physician. - ANSFalse
All drugs shall be maintained under locked security except when under the direct
physical supervision of a nurse or pharmacist.
(T/F) All education credit shall be documented by a copied sealed college transcript. -
ANSFalse
All education credit shall be documented by an official originally sealed college
transcript.
(T/F) All members of the Board shall be individuals representative of the professions
and institutions concerned with the care and treatment of chronically ill or infirm elderly
patients. - ANSTrue
(T/F) All seven members of the Board are voting members. - ANSTrue
(T/F) An administrator licensed by reciprocity/endorsement who held an active
preceptor certificate in another state may also receive a North Carolina preceptor
certificate if all other requirements are met. - ANSTrue
(T/F) An AIT applicant shall maintain at all times a current residential mailing address
with the Board office. - ANSTrue
