SMQT, SMQT STUDY GUIDE, SMQT-
SURVEY & CERTIFICATION
BACKGROUND, SMQT STUDY
GUIDE, SMQT- SURVEYORS
Exam
Resident Care & Rights
1. A resident with advanced dementia is unable to participate in decision-
making. Who makes care decisions?
A. Resident’s family or legal representative
B. Nursing staff
C. Surveyor
D. Physician only
Answer: A
Rationale: When residents cannot make decisions, legally authorized
representatives must make informed choices. Nursing staff and
physicians provide input but cannot override legal authority.
,2. A resident refuses a treatment deemed medically necessary. Nurse’s
best action:
A. Respect resident’s autonomy, document refusal, notify physician
B. Force treatment
C. Ignore the refusal
D. Remove resident from facility
Answer: A
Rationale: Respecting autonomy is a legal and ethical requirement;
documentation ensures compliance and communication with care team.
3. Resident complains of pain not documented in care plan. Nurse
should:
A. Assess pain, document, notify provider, update care plan
B. Ignore complaint
C. Give pain medication without documenting
D. Wait until next shift
Answer: A
Rationale: Pain assessment and documentation are critical for regulatory
compliance and resident safety.
4. Which action violates resident rights?
A. Restricting access to personal belongings without consent
B. Assisting with ADLs upon request
C. Providing privacy for personal hygiene
D. Encouraging participation in recreational activities
Answer: A
Rationale: Residents have the right to access personal property; others
are acceptable care practices.
,5. Best way to prevent pressure injuries:
A. Frequent repositioning, skin assessment, pressure-relieving devices
B. Only apply lotion
C. Limit food intake
D. Keep resident immobile
Answer: A
Rationale: Pressure injury prevention requires repositioning, monitoring
skin, and support surfaces; other options are insufficient or harmful.
6. Resident’s care plan requires diet modification due to dysphagia. Nurse
should:
A. Provide thickened liquids, monitor swallowing, update plan
B. Give thin liquids only
C. Ignore diet instructions
D. Encourage self-feeding without supervision
Answer: A
Rationale: Thickened liquids reduce aspiration risk; monitoring and
documentation are essential.
7. A resident with diabetes shows blood glucose of 320 mg/dL. Nurse’s
first action:
A. Notify provider and implement sliding-scale insulin per protocol
B. Ignore, check again next day
C. Provide only oral fluids
D. Give insulin without verifying order
, Answer: A
Rationale: Hyperglycemia requires timely intervention; actions should
follow protocol and provider orders.
8. Which action ensures dignity in care?
A. Providing privacy during bathing
B. Forcing resident to participate in group activity
C. Ignoring preferences
D. Restricting choice of clothing
Answer: A
Rationale: Respecting privacy and preferences upholds dignity; coercion
or ignoring choices violates rights.
9. Resident experiences sudden confusion and agitation. Nurse should
first:
A. Assess for acute causes (infection, hypoxia, pain, meds)
B. Restrain immediately
C. Ignore behavior
D. Move resident to another unit
Answer: A
Rationale: Acute delirium can indicate underlying medical issues;
assessment is priority before other interventions.
10. Which statement about resident rights is correct?
A. Residents have the right to refuse treatment and participate in care
planning
B. Residents cannot refuse medications
SURVEY & CERTIFICATION
BACKGROUND, SMQT STUDY
GUIDE, SMQT- SURVEYORS
Exam
Resident Care & Rights
1. A resident with advanced dementia is unable to participate in decision-
making. Who makes care decisions?
A. Resident’s family or legal representative
B. Nursing staff
C. Surveyor
D. Physician only
Answer: A
Rationale: When residents cannot make decisions, legally authorized
representatives must make informed choices. Nursing staff and
physicians provide input but cannot override legal authority.
,2. A resident refuses a treatment deemed medically necessary. Nurse’s
best action:
A. Respect resident’s autonomy, document refusal, notify physician
B. Force treatment
C. Ignore the refusal
D. Remove resident from facility
Answer: A
Rationale: Respecting autonomy is a legal and ethical requirement;
documentation ensures compliance and communication with care team.
3. Resident complains of pain not documented in care plan. Nurse
should:
A. Assess pain, document, notify provider, update care plan
B. Ignore complaint
C. Give pain medication without documenting
D. Wait until next shift
Answer: A
Rationale: Pain assessment and documentation are critical for regulatory
compliance and resident safety.
4. Which action violates resident rights?
A. Restricting access to personal belongings without consent
B. Assisting with ADLs upon request
C. Providing privacy for personal hygiene
D. Encouraging participation in recreational activities
Answer: A
Rationale: Residents have the right to access personal property; others
are acceptable care practices.
,5. Best way to prevent pressure injuries:
A. Frequent repositioning, skin assessment, pressure-relieving devices
B. Only apply lotion
C. Limit food intake
D. Keep resident immobile
Answer: A
Rationale: Pressure injury prevention requires repositioning, monitoring
skin, and support surfaces; other options are insufficient or harmful.
6. Resident’s care plan requires diet modification due to dysphagia. Nurse
should:
A. Provide thickened liquids, monitor swallowing, update plan
B. Give thin liquids only
C. Ignore diet instructions
D. Encourage self-feeding without supervision
Answer: A
Rationale: Thickened liquids reduce aspiration risk; monitoring and
documentation are essential.
7. A resident with diabetes shows blood glucose of 320 mg/dL. Nurse’s
first action:
A. Notify provider and implement sliding-scale insulin per protocol
B. Ignore, check again next day
C. Provide only oral fluids
D. Give insulin without verifying order
, Answer: A
Rationale: Hyperglycemia requires timely intervention; actions should
follow protocol and provider orders.
8. Which action ensures dignity in care?
A. Providing privacy during bathing
B. Forcing resident to participate in group activity
C. Ignoring preferences
D. Restricting choice of clothing
Answer: A
Rationale: Respecting privacy and preferences upholds dignity; coercion
or ignoring choices violates rights.
9. Resident experiences sudden confusion and agitation. Nurse should
first:
A. Assess for acute causes (infection, hypoxia, pain, meds)
B. Restrain immediately
C. Ignore behavior
D. Move resident to another unit
Answer: A
Rationale: Acute delirium can indicate underlying medical issues;
assessment is priority before other interventions.
10. Which statement about resident rights is correct?
A. Residents have the right to refuse treatment and participate in care
planning
B. Residents cannot refuse medications
