NURSING HOME ADMINISTRATOR EXAM
WITH ALL QUESTIONS AND CORRECT
ANSWERS
The _____________ has ultimate legal responsibility for the operation of
a nursing facility.
1 Medical Director
2 Nursing home Administrator
3 Long term care ombudsman
4 Governing body - ANSWER Governing body has ultimate
responsibility
3 Per OBRA 1987, air temperature is measured _____________.
1 At the ceiling level
2 At level with the thermostat control box
3 Just above the floor
4 18 inches below the ceiling - ANSWER Air temperature is measured
just off the floor
The rights of an individual determined by a court to be incompetent
would be exercised by a(n) ____________________.
1 Attorney in Fact
2 A person appointed by a court or court guardian
3 Durable power of attorney
4. Ombudsman - ANSWER Ombudsman
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? - ANSWER 3 (bath is not a right)
The _______has legal responsibility to adopt and implement facility
policies.
1. Medical Director
2. Director of Nursing
3. Governing body
4. Administrator - ANSWER 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 ___________.
Complied with required physician visits
Would be cited for a late visit in November
Is not responsible for late physician visits and would not be cited
The facility would only be cited if there was actual harm to a resident -
ANSWER Would be cited for a late visit in November
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
Fully complied with all requirements
Must transfer these residents to another facility
Must immediately transfer these residents to the care of the medical
director - ANSWER Was out of compliance and would be cited
______ is the most comprehensive and effective improvement model.
Total Quality Management
Quality Assurance
Continuous Improvement
Performance Improvement - ANSWER Total Quality Management
HCFA stands for ________________.
Health Care Financing Authority
Health Costs Financing Administration
Health Care Financing Administration
Health Care Financing Agency - ANSWER Health Care Financing
Administration
Telephone cords must be a minimum length of ______ .
12 inches
,15 inches
24 inches
29 inches - ANSWER 29 inches
Adding baking soda to food will primarily affect its ________.
Nutritive value
Palatability
Attractiveness
Temperature - ANSWER Nutritive value
The resident's quality of life and physical condition is the focus
of:________.
Structure
Process
Outcomes
All of the above - ANSWER Outcomes
Electrical switches must be located at a minimum of ___ inches above
the floor.
1. 6
2. 12
3. 15
4. 24 - ANSWER 12
Nursing homes must have hearing aid compatible phones with volume
control that canadjust the volume between a minimum of ____ and a
maximum of ____ decibels above normal.
6,11
12, 18
15, 20
20, 29 - ANSWER 12, 18
The emergency generator must be visually inspected and checked
________.
1. Daily
2. weekly
3. Monthly
4. Quarterly - ANSWER WEEKLY
, Federal resident care standards are now ___ and ___ and are no longer
considered minimal standards.
State of art, maximal
Outdated, irrelevant
Disputed, questioned
Voluntary, mammal - ANSWER State of art, maximal
The average short term stay for a Medicare resident is ______.
15 days
30 days
45 days
90 days - ANSWER 30 days
A resident with Parkinson's would not benefit by _________________.
Range of motion exercises
Bed rest
Reality orientation using clocks and, calendars
Attending church services and visits with friends and family - ANSWER
Reality orientation using clocks and, calendars
A _____ violation is where the severity of negative outcomes that
compromises a resident's ability to maintain the highest physical, mental
and psychosocial well-being.
Level 1
Level 2
Level 3
Level 4 - ANSWER Level 3
A broad statement of goals is a ________.
1. Plan of action
2. Mission statement
3. Policy
4. Procedure - ANSWER Policy
NFPA stands for _______________________.
National Fire Protection Agency
National Fire Publications Administration
WITH ALL QUESTIONS AND CORRECT
ANSWERS
The _____________ has ultimate legal responsibility for the operation of
a nursing facility.
1 Medical Director
2 Nursing home Administrator
3 Long term care ombudsman
4 Governing body - ANSWER Governing body has ultimate
responsibility
3 Per OBRA 1987, air temperature is measured _____________.
1 At the ceiling level
2 At level with the thermostat control box
3 Just above the floor
4 18 inches below the ceiling - ANSWER Air temperature is measured
just off the floor
The rights of an individual determined by a court to be incompetent
would be exercised by a(n) ____________________.
1 Attorney in Fact
2 A person appointed by a court or court guardian
3 Durable power of attorney
4. Ombudsman - ANSWER Ombudsman
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? - ANSWER 3 (bath is not a right)
The _______has legal responsibility to adopt and implement facility
policies.
1. Medical Director
2. Director of Nursing
3. Governing body
4. Administrator - ANSWER 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 ___________.
Complied with required physician visits
Would be cited for a late visit in November
Is not responsible for late physician visits and would not be cited
The facility would only be cited if there was actual harm to a resident -
ANSWER Would be cited for a late visit in November
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
Fully complied with all requirements
Must transfer these residents to another facility
Must immediately transfer these residents to the care of the medical
director - ANSWER Was out of compliance and would be cited
______ is the most comprehensive and effective improvement model.
Total Quality Management
Quality Assurance
Continuous Improvement
Performance Improvement - ANSWER Total Quality Management
HCFA stands for ________________.
Health Care Financing Authority
Health Costs Financing Administration
Health Care Financing Administration
Health Care Financing Agency - ANSWER Health Care Financing
Administration
Telephone cords must be a minimum length of ______ .
12 inches
,15 inches
24 inches
29 inches - ANSWER 29 inches
Adding baking soda to food will primarily affect its ________.
Nutritive value
Palatability
Attractiveness
Temperature - ANSWER Nutritive value
The resident's quality of life and physical condition is the focus
of:________.
Structure
Process
Outcomes
All of the above - ANSWER Outcomes
Electrical switches must be located at a minimum of ___ inches above
the floor.
1. 6
2. 12
3. 15
4. 24 - ANSWER 12
Nursing homes must have hearing aid compatible phones with volume
control that canadjust the volume between a minimum of ____ and a
maximum of ____ decibels above normal.
6,11
12, 18
15, 20
20, 29 - ANSWER 12, 18
The emergency generator must be visually inspected and checked
________.
1. Daily
2. weekly
3. Monthly
4. Quarterly - ANSWER WEEKLY
, Federal resident care standards are now ___ and ___ and are no longer
considered minimal standards.
State of art, maximal
Outdated, irrelevant
Disputed, questioned
Voluntary, mammal - ANSWER State of art, maximal
The average short term stay for a Medicare resident is ______.
15 days
30 days
45 days
90 days - ANSWER 30 days
A resident with Parkinson's would not benefit by _________________.
Range of motion exercises
Bed rest
Reality orientation using clocks and, calendars
Attending church services and visits with friends and family - ANSWER
Reality orientation using clocks and, calendars
A _____ violation is where the severity of negative outcomes that
compromises a resident's ability to maintain the highest physical, mental
and psychosocial well-being.
Level 1
Level 2
Level 3
Level 4 - ANSWER Level 3
A broad statement of goals is a ________.
1. Plan of action
2. Mission statement
3. Policy
4. Procedure - ANSWER Policy
NFPA stands for _______________________.
National Fire Protection Agency
National Fire Publications Administration
