Nursing Law ,Illinois supplemental nursing home administrator &Nursing 140
COMBINATION examination 2025 -2026 QUESTIONS WITH CORRECT
ANSWERS VERIFIED 100% GRADED A+
Illinois supplemental nursing home administrator exam
The Department may issue licenses or renewals for periods of not less than
___ months nor more than __ months for facilities with annual licenses
6 months; 18 months
The Department may issue licenses or renewals for periods of not less than
___ months nor more than __ months for facilities with 2-year licenses
18 months; 30 months
Permits must be obtained from whom before construction or modification of a
LTC facility may take place?
Health Facilities Planning Board
How many days notice shall a licensee give prior to voluntarily closing any
part of the facility if it requires transfer or discharge of more than 10 percent of
the residents
90 days
What percentage of residents must be transfered or discharged during a
voluntary closing before a 90 day notice is required?
10 percent
All LTC facility license applications shall be accompanied by an annual
application fee of...
1990
Annual Financial Statement must be filed within how many days following the
designated reporting period?
90 days
Things that a facility must conspicuously display what documents in its
offices accessible to residents, employees, and visitors
current license, complaint procedures and complaint contact info , a copy of any
department or court order pertaining to the facility issued, list of material available for
public inspection
Things that a facility must publicly display what documents for public
inspection
,every inspection report for the past 5 years, court/IDPH orders, chargemaster,
Statement of ownership, record of all staff licensure
Ownership Disclosure to Department must be made if a person owns more
than what percent of the building or business?
5 Percent
Conditional license shall be granted for what type of violations while any
license held by the facility shall be revoked
Type A & Type B
Longest duration in which a conditional license shall be issued?
1 year
Department may place an employee or agent to serve as a monitor in a facility
when any of the following conditions exist
facility is operating without a license, Department has suspended, revoked, or
refused the facilities existing license, facility is closing or intends to close,
department determines that an emergency exists, terminated from medicare
reimbursement
How long is the first comment period for the facility to the Department?
10 Days
How long is the second comment period after the response from the
Department for the facilities first comments?
5 days
What is a level AA violation?
that proximately caused a resident's death
What is a level A violation?
substantial probability that the risk of death or serious mental or physical harm will
result therefrom or has resulted in actual physical or mental harm to a resident
What is a level B violation?
is more likely than not to cause more than minimal physical or mental harm to a
resident
What is a level C violation?
that creates a substantial probability that less than minimal physical or mental harm
to a resident will result therefrom
How many days must a correction be made for a level A violation?
Correction must be taken within 15 days
In how many days must a facility submit a plan of correction for a level B
violation?
Request that the facility submit a plan of correction within 10 days
When will an administrative warning be granted?
If the department finds a situation that violates the act but does not constitute a Type
classification, an administrative warning will be granted
What should be submitted if a level B violation is corrected within 10 days?
In lieu of submission of a plan of correction, a facility may submit a report of
correction if the corrective action has been completed
Potential penalties assessed for type AA violation
,Automatically issued conditional license for period of 6 months and a fine up to
$25,000
Potential penalties assessed for type A violation
Automatically issued a conditional license for a period of 6 months and fine up to
$12,500
Potential penalties assessed for type B Automatically issued a conditional
license for a period of 6 months and fine up to $12,500violation
Assessed fine of up to $1,100 per violation, Automatically issued conditional license
if it fails to comply with accepted plan of correction
Written policies shall include, at a minimum the following...
ADT, Resident Care Services, A policy prohibiting blood transfusions, policy to
identify/assess/develop strategies to control risk of injury associated with transfers
Determination of Need Screening and Request for Resident Criminal History
Record Information
determination of SNF need prior to being admitted, 24 hours after admission criminal
background check must be completed, check on sex offender database
Two General Requirements for nursing and personal care
comprehensive care plan, Restorative measures
Restorative measures will include at a minimum the following elements...
Restorative nurse will have completed 60 hours of coursework in rehab nursing, no
reduction in limited range of motion if it can be prevented, Incontinence receives the
appropriate treatments to prevent UTI and restore normal bladder function as
possible, no diminish in ADL, Assist and encourage safe ambulation
Brief general nursing care that SNF shall provide
Medication delivery, physician orders treatments, watch changes in resident
condition,
Personal cleanliness care that must provided 24/7 by a SNF
attention to hygiene, bath per week or more, clean clothes, clean bed weakly or
more, program to prevent/treat pressure sores, environment free of hazards
CNA Requirements for training
Training shall begin no more than 45/120 before/after employment, 16 years old,
speaks english, 8 years of grade school completed
CAN Requirements for employment
16 y/o and good moral character, speaks english and has completed atleast 8 years
of grade school
Comprehensive Care Plan (quick facts)
includes measurable objectives, active participation of resident/guardian if interested
Nursing 140 Final Exam
After a procedure that requires PPE including gown, N95 respirator, face
shield and gloves, what should the nurse remove first?
Gloves. They are the most contaminated.
, You are caring for a patient diagnosed with mycoplasma pneumonia. Droplet
precautions have been instituted, what must you do? Why?
Protect your eyes. Droplet transmission involves infectious, large-particle droplets
with conjunctivae or mucous membranes. Droplets are generated by patient
sneezing, coughing or talking.
When must a nurse wash his or her hands with soap and water?
After removing gloves. Before leaving patient care area/unit. Prior to patient contact.
Whenever hands are visibly dirty.
Contact precautions would be mandated for hospitalized adult patient
diagnosed with _______.
Infectious diarrhea
How long must you wash your hands?
At least 15 seconds
Standard precautions mandate __________.
Disinfecting hands immediately after removing gloves.
To decontaminate your hands with an alcohol-based gel, you rub them
together until all of the gel has evaporated and your hands are dry. Why?
Drying provides the full antiseptic effect.
What is a healthcare-associated infection (HAI)? What causes of this?
An infection acquired while hospitalized. Pathogens transmitted from one patient to
another by staff who do not practice good hand washing.
What can affect the permeability of gloves?
Petroleum-based hand lotion; impairs integrity of the gloves.
When irrigating a patients's open wound, besides gloves what other form of
PPE must you wear?
A face shield
When taking an adult patient's temp rectally, it is important to _________.
Why?
Insert the probe about an inch and a half into the patients anus. Ensures sufficient
exposure of the probe to the blood vessels of rectum.
While assessing vitals of a newly admitted patient how do you establish an
accurate baseline of the PT's respirations.
Observe the patients chest movements while appearing to assess his pulse.
When assessing a patients respirations, it is recommended that the patient
_________.
Have the head of the bed elevated 45-60 degrees. This is a comfortable position and
allows for full ventilatory movement.
When assessing a 45 yo patient vitals, which of the following requires
immediate attention?
-Oral temp of 100*
-Blood pressure of 148/88
-Respiratory Rate 30 per min
-Pulse 90 per min
Respiratory rate of 30 per min; above normal range
COMBINATION examination 2025 -2026 QUESTIONS WITH CORRECT
ANSWERS VERIFIED 100% GRADED A+
Illinois supplemental nursing home administrator exam
The Department may issue licenses or renewals for periods of not less than
___ months nor more than __ months for facilities with annual licenses
6 months; 18 months
The Department may issue licenses or renewals for periods of not less than
___ months nor more than __ months for facilities with 2-year licenses
18 months; 30 months
Permits must be obtained from whom before construction or modification of a
LTC facility may take place?
Health Facilities Planning Board
How many days notice shall a licensee give prior to voluntarily closing any
part of the facility if it requires transfer or discharge of more than 10 percent of
the residents
90 days
What percentage of residents must be transfered or discharged during a
voluntary closing before a 90 day notice is required?
10 percent
All LTC facility license applications shall be accompanied by an annual
application fee of...
1990
Annual Financial Statement must be filed within how many days following the
designated reporting period?
90 days
Things that a facility must conspicuously display what documents in its
offices accessible to residents, employees, and visitors
current license, complaint procedures and complaint contact info , a copy of any
department or court order pertaining to the facility issued, list of material available for
public inspection
Things that a facility must publicly display what documents for public
inspection
,every inspection report for the past 5 years, court/IDPH orders, chargemaster,
Statement of ownership, record of all staff licensure
Ownership Disclosure to Department must be made if a person owns more
than what percent of the building or business?
5 Percent
Conditional license shall be granted for what type of violations while any
license held by the facility shall be revoked
Type A & Type B
Longest duration in which a conditional license shall be issued?
1 year
Department may place an employee or agent to serve as a monitor in a facility
when any of the following conditions exist
facility is operating without a license, Department has suspended, revoked, or
refused the facilities existing license, facility is closing or intends to close,
department determines that an emergency exists, terminated from medicare
reimbursement
How long is the first comment period for the facility to the Department?
10 Days
How long is the second comment period after the response from the
Department for the facilities first comments?
5 days
What is a level AA violation?
that proximately caused a resident's death
What is a level A violation?
substantial probability that the risk of death or serious mental or physical harm will
result therefrom or has resulted in actual physical or mental harm to a resident
What is a level B violation?
is more likely than not to cause more than minimal physical or mental harm to a
resident
What is a level C violation?
that creates a substantial probability that less than minimal physical or mental harm
to a resident will result therefrom
How many days must a correction be made for a level A violation?
Correction must be taken within 15 days
In how many days must a facility submit a plan of correction for a level B
violation?
Request that the facility submit a plan of correction within 10 days
When will an administrative warning be granted?
If the department finds a situation that violates the act but does not constitute a Type
classification, an administrative warning will be granted
What should be submitted if a level B violation is corrected within 10 days?
In lieu of submission of a plan of correction, a facility may submit a report of
correction if the corrective action has been completed
Potential penalties assessed for type AA violation
,Automatically issued conditional license for period of 6 months and a fine up to
$25,000
Potential penalties assessed for type A violation
Automatically issued a conditional license for a period of 6 months and fine up to
$12,500
Potential penalties assessed for type B Automatically issued a conditional
license for a period of 6 months and fine up to $12,500violation
Assessed fine of up to $1,100 per violation, Automatically issued conditional license
if it fails to comply with accepted plan of correction
Written policies shall include, at a minimum the following...
ADT, Resident Care Services, A policy prohibiting blood transfusions, policy to
identify/assess/develop strategies to control risk of injury associated with transfers
Determination of Need Screening and Request for Resident Criminal History
Record Information
determination of SNF need prior to being admitted, 24 hours after admission criminal
background check must be completed, check on sex offender database
Two General Requirements for nursing and personal care
comprehensive care plan, Restorative measures
Restorative measures will include at a minimum the following elements...
Restorative nurse will have completed 60 hours of coursework in rehab nursing, no
reduction in limited range of motion if it can be prevented, Incontinence receives the
appropriate treatments to prevent UTI and restore normal bladder function as
possible, no diminish in ADL, Assist and encourage safe ambulation
Brief general nursing care that SNF shall provide
Medication delivery, physician orders treatments, watch changes in resident
condition,
Personal cleanliness care that must provided 24/7 by a SNF
attention to hygiene, bath per week or more, clean clothes, clean bed weakly or
more, program to prevent/treat pressure sores, environment free of hazards
CNA Requirements for training
Training shall begin no more than 45/120 before/after employment, 16 years old,
speaks english, 8 years of grade school completed
CAN Requirements for employment
16 y/o and good moral character, speaks english and has completed atleast 8 years
of grade school
Comprehensive Care Plan (quick facts)
includes measurable objectives, active participation of resident/guardian if interested
Nursing 140 Final Exam
After a procedure that requires PPE including gown, N95 respirator, face
shield and gloves, what should the nurse remove first?
Gloves. They are the most contaminated.
, You are caring for a patient diagnosed with mycoplasma pneumonia. Droplet
precautions have been instituted, what must you do? Why?
Protect your eyes. Droplet transmission involves infectious, large-particle droplets
with conjunctivae or mucous membranes. Droplets are generated by patient
sneezing, coughing or talking.
When must a nurse wash his or her hands with soap and water?
After removing gloves. Before leaving patient care area/unit. Prior to patient contact.
Whenever hands are visibly dirty.
Contact precautions would be mandated for hospitalized adult patient
diagnosed with _______.
Infectious diarrhea
How long must you wash your hands?
At least 15 seconds
Standard precautions mandate __________.
Disinfecting hands immediately after removing gloves.
To decontaminate your hands with an alcohol-based gel, you rub them
together until all of the gel has evaporated and your hands are dry. Why?
Drying provides the full antiseptic effect.
What is a healthcare-associated infection (HAI)? What causes of this?
An infection acquired while hospitalized. Pathogens transmitted from one patient to
another by staff who do not practice good hand washing.
What can affect the permeability of gloves?
Petroleum-based hand lotion; impairs integrity of the gloves.
When irrigating a patients's open wound, besides gloves what other form of
PPE must you wear?
A face shield
When taking an adult patient's temp rectally, it is important to _________.
Why?
Insert the probe about an inch and a half into the patients anus. Ensures sufficient
exposure of the probe to the blood vessels of rectum.
While assessing vitals of a newly admitted patient how do you establish an
accurate baseline of the PT's respirations.
Observe the patients chest movements while appearing to assess his pulse.
When assessing a patients respirations, it is recommended that the patient
_________.
Have the head of the bed elevated 45-60 degrees. This is a comfortable position and
allows for full ventilatory movement.
When assessing a 45 yo patient vitals, which of the following requires
immediate attention?
-Oral temp of 100*
-Blood pressure of 148/88
-Respiratory Rate 30 per min
-Pulse 90 per min
Respiratory rate of 30 per min; above normal range
