NAB Sample Exam

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Vital signs include all but which of the following? 1) Body Temperature 2) Cholesterol Count 3) Pulse Rate 4) Blood Pressure

Funds dispersed to stockholders of a sub-chapter S corporation are taxed as: 1) salary 2) bonuses 3) dividends 4) capital gains

Income less expenses before taxes: 1) Net Profit 2) Net Worth 3) Gross Profit 4) Operating Profit

The law regarding unemployment insurance: 1) FUTA 2) GAAP 3) FASB 4) FICA

The primary function of personnel management is: 1) staffing 2) planning 3) directing 4) organizing

The term ADL generally refers to: 1) the capacity to perform basic self care 2) long-term goals 3) short-term goals 4) the extent of medical decline

The maximum number of hours between the evening meal and breakfast the next morning is: 1) 12 2) 14 3) 15 4) 16

The ability to convert assets to cash: 1) Profitability 2) Amortization 3) Liquidity 4) Inventory

The principal cause of death during a fire is: 1) burns 2) cuts and bruises 3) smoke inhalation 4) trampling at exits

The use of 4 or more medicines: 1) Drug Regimen 2) GDR 3) Polypharmacy 4) RDA

What is the mandated height for a toilet seat in a resident washroom? 1) 21-23 inches 2) 15-17 inches 3) 17-19 inches 4) 19-21 inches

What is the maximum corridor length allowed without a smoke stop door? 1) 50 feet 2) 100 feet 3) 150 feet 4) 200 feet

What is the maximum number of days that can pass between discharge from the hospital and admission to a nursing home to receive reimbursement from Medicare? 1) 10 days 2) 20 days 3) 30 days 4) 40 days

What is the maximum permitted height for a window sill in a facility bedroom? 1) 24 inches 2) 30 inches 3) 36 inches 4) 32 inches

Who is responsible for monitoring drug administration, storage, labeling, receipt, disposition and reconciliation? 1) pharmaceutical committee 2) patient care committee 3) quality assessment & assurance committee 4) patient safety committee

Who is responsible for the national licensure examination for nursing home administrators? 1) NHAP 2) CAHF 3) NAB 4) PES

A bruise with unbroken skin: 1) Hematoma 2) Decubitus Ulcer 3) Laceration 4) Contusion

An unplanned and undesired weight loss would be classified as significant if the percentage of loss during a six-month interval was: 1) 5.0 percent 2) 7.5 percent 3) 8.1 percent 4) 10.0 percent

Costs incurred that are not directly involved in resident care: 1) Ancillary 2) Direct 3) Allowable 4) Indirect

Debt due within one year: 1) Deficit 2) Debit 3) Depreciation 4) Current Liability

Paid leave for employees who cannot perform job requirements due to illness: 1) Worker's Compensation 2) Vacation Leave 3) Unemployment Compensation Insurance 4) Sick Leave

Paralysis of all 4 limbs: 1) Paraplegia 2) Hemiparesis 3) Hemiplegia 4) Quadriplegia

Paralysis of the lower half of the body is referred to as: 1) paresis 2) paranoia 3) paraphia 4) paraplegia

Patient activities are based upon: 1) budget available and objectives of the family 2) space and equipment available 3) the talents of the activities director 4) the needs and interests of the patient

You expect your census to decrease, but you want to make money and still have cash available should you need it. You should place your money in: 1) marketable securities 2) six month cd's 3) a checking account 4) a savings account

employees should report injuries to the: 1) administrator 2) medical director 3) director of nursing 4) immediate supervisor

what type of accounting is used for Medicaid cost reporting? 1) cash 2) accrual 3) step down 4) individual state requirement

workers' compensation: 1) provides a lifetime income 2) is designed only for salaried employees 3) is group hospitalization and life insurance 4) provides coverage for an employee injured on the job

3. Who approves Life Safety code standards for Nursing Homes? a. NFPA b. Committee of Life Safety c. Federal Register d. Both a & c

10. What time of the day must fire drills be a coded announcement rather than a sound alarm? a1 4 a.m. to 7 a.m. b. lOp.m. to 6 a.m. c. Midnight to 5 a.m. d. 9 p.m. to 6 a.m.

13. Which of the following are required to be included in the written fire safety plan? a. Use, response and transmission of alarms b. Fire isolation & evacuation of the area c. Extinguishing the fire & physical plant readiness d. All of the above

What is the maximum sound level of an audible alarm? a. 5 Decibels b. 60 Decibels c. 15 Decibels d. 120 Decibels

A condition of myocardial damage: 1) Cebrovascular Accident 2) Congestive Heart Failure 3) Heart Attack 4) Coronary Heart Disease

A cost that is not part of the daily charge but is related to a specific resident: 1) Indirect 2) Direct 3) Allowable 4) Ancillary

A debt-equity ratio is determined by dividing the long-term debt by the stockholder's equity and that ratio should be less than: 1) 4 to 1 2) 3 to 1 3) 2 to 1 4) 1 to 1

A deed is: 1) an offer to buy or sell 2) an agreement to rent or lease 3) the division of an estate by court order 4) a written document that transfers ownership of property

A deteriorative mental state due to organic brain damage: 1) Parkinson's Disease 2) Amyotrophic Lateral Sclerosis 3) Alzheimer's Disease 4) Senile Dementia

A facility may charge a resident for all of the following except: 1) telephone 2) personal tv 3) personal reading material 4) trimming, cleaning, and filing finger nails

A facility which takes care of patients who do not require skilled nursing: 1) Skilled Nursing Facility (SNF) 2) Assisted Living Facility (ALF) 3) Continuing Care Retirement Facilities (CCRC) 4) Intermediate Care Facility (ICF)

A financial statement which summarizes net worth: 1) Cash Flow Statement 2) Earnings Statement 3) Bank Statement 4) Balance Sheet

A form listing facility failures to meet standards: 1) Malpractice 2) Plan of Correction 3) Critical Elements Protocols 4) Statement of Deficiencies

A hallucination is: 1) a retreat from reality 2) a misinterpretation of a sensory experience 3) an experience which is capable of being perceived by the resident 4) a sensory experience that is independent of stimulation from the environment

A health insurance plan where members can go to any Medicare-approved doctor or hospital: 1) HMO (Health Maintenance Organization) 2) SNP (Special Needs Plan) 3) PPO (Preferred Provider Organization) 4) PFFS (Private Fee-For-Service)

A health insurance plan where members must use specific health care providers: 1) SNP (Special Needs Plan) 2) PFFS (Private Fee-For-Service) 3) PPO (Preferred Provider Organization) 4) HMO (Health Maintenance Organization)

A health insurance plan where members with specific conditions can receive specialized care: 1) HMO (Health Maintenance Organization) 2) PPO (Preferred Provider Organization 3) PFFS (Private Fee-For-Service 4) SNP (Special Needs Plan)

A law mandating the use of engineering-controlled devices: 1) Medwatch 2) Hazard Communication Program 3) Universal Precautions 4) Needlestick Safety and Prevention Act of 1999

A loosely organized group within the facility: 1) Span of Management 2) Scalar Chain 3) Formal Organization 4) Informal Organization

A marginal return occurs when revenue equal expenses and it is also referred to as: 1) liquidity 2) net profit 3) ratio analysis 4) break-even analysis

A measurement of the facility's ability to generate sales from its assets by comparing net sales with average total assets: 1) Acid Test Ratio 2) Equity Ratio 3) Working Capital Ratio 4) Assets Turnover Ratio

A person diagnosed with dementia usually: 1) complains a lot 2) stresses failures 3) appears unconcerned 4) displays a loss of intellectual capacity

A professional activity director closely involves families in the programs by holding resident/family activities at least several times a: 1) week 2) month 3) quarter 4) year

A professional guilty of improper, careless, or ignorant treatment is guilty of: 1) liable 2) negligence 3) malfeasance 4) malpractice

A professional who advises a facility: 1) Office of the Inspector General 2) Ombudsman 3) Provider 4) Consultant

A prone position means that a person is lying: 1) on the left side 2) on the right side 3) face up 4) face down

A relationship where one person is responsible for the work of another person: 1) Staff Authority 2) Functional Authority 3) Superior/Subordinate Relationship 4) Line Authority

A required OSHA form that must be completed within 7 days of an employee being injured: 1) OSHA 600 2) OSHA 300 3) OSHA 300A 4) OSHA 301

A right to keep possession of property belonging to another person until a debt owed by that person is discharged: 1) Mortgage 2) Note 3) Liability 4) Lien

A statue of limitations specifies the: 1) type of lawsuit which may be brought 2) nature of the evidence which may be produced 3) amount of money which can be recovered in a lawsuit 4) period of time within which viable legal action can be instituted

A total quality management program will not succeed unless: 1) funds are available 2) over-time is approved 3) constraints are contracted 4) the program is endorsed by management

A w-4 form contains: 1) net salary 2) gross salary 3) number of dependents 4) taxes to be withheld from payroll

According to Title XIX, when handling the resident's personal funds: 1) each resident must have a separate bank account 2) the funds of residents can be commingled with the facility funds 3) each transaction must be verified by the resident or responsible party within 10 days 4) a written account must be made available to the resident or responsible party on a quarterly basis

According to the hazardous communication standard, which of the following does not contain a chemical that could be classified as hazardous? 1) joy 2) ajax 3) clorox 4) scope

All of the following are enforced by the wage and hour division of the fair labor standards act except the: 1) davis-bacon act 2) mcnamara-o'hara service administration 3) walsh-healey public contracts act 4) omnibus budget reconciliation act of 1980

All of the following are usually functions of the governing body of a health-care facility except the: 1) funding sources 2) organizational structure 3) creation of a mission statement 4) creation and implementation of procedures

Although the length of a budge period may vary, most facilities select a: 1) monthly accounting period 2) quarterly accounting period 3) semiannual accounting period 4) yearly accounting period

Although the length of a budget period may vary, most facilities select a: 1) monthly accounting period 2) quarterly accounting period 3) semiannual accounting period 4) yearly accounting period

Any drug regimen irregularity must be reported to the: 1) physician 2) pharmacist 3) director of nursing 4) physician and the director of nursing

Any effective sexual-harassment policy should contain all of the following essential elements except: 1) the establishment of a complaint procedure 2) a statement clearly prohibiting sexual harassment 3) a description of conduct that constitutes sexual harassment 4) a warning that anyone who violates the policy will be immediately dismissed

Assisting residents to maintain the highest possible level of independence: 1) Reality Orientation 2) Validation Therapy 3) Remotivation Therapy 4) Restorative Nursing Care

Bending back and forth: 1) Adduction 2) Abduction 3) Rotation 4) Flexion

Benign is defined as: 1) acute 2) cancer 3) terminal 4) non-malignant

Book value is defined as the: 1) true market value of stock 2) par value of a corporate stock 3) the actual amount paid per share of stock purchased 4) cost of a depreciable asset less accumulated depreciation

Control as a supervisory function is best expressed as: 1) taking remedial actions 2) demanding immediate results 3) using line authority to get results 4) the process of measuring performance against standards

Earnings before interest and taxes: 1) Net Profit 2) Gross Profit 3) Net Worth 4) Operating Profit

Expenses that are expensed in the revenue year that they occur: 1) Fixed Expense 2) Variable Expense 3) Semi-Variable Expense 4) Revenue Expenditure

Fires involving the combustion of wood: 1) Class C 2) Class K 3) Class B 4) Class A

Fires that start in cooking areas: 1) Class C 2) Class B 3) Class A 4) Class K

Following a survey, remedy category #2 does not include: 1) denial of payment for all residents 2) denial of payment for new admissions 3) civil monetary penalties up to $3,000 per day 4) immediate termination from Medicare and Medicaid programs

Formal lessons on an ongoing basis for employees: 1) Coaching 2) Mentoring 3) Monitoring 4) In-Service Education

Goods on hand: 1) Profitability 2) Amortization 3) Liquidity 4) Inventory

Group which determines how much hospitals are paid per resident: 1) Par Value 2) Revenue Center 3) Book Value 4) DRG

In a well-run facility, the balance between nursing care staff and support staff is 1) 40% nursing care / 60% support staff 2) 70% nursing care / 30% support staff 3) 50% nursing care / 50% support staff 4) 60% nursing care / 40% support staff

In dealing with habitual absenteeism, the administrator's best action is to: 1) dismiss the employee for three or more absences 2) have a program for improving morale 3) elevate the employee in rank or position 4) have methods of recording absences and warning of excessiveness

In most states a licensed nursing home administrator may be personally liable to prosecution and may incur a civil penalty if convicted for certain infractions of: 1) the facility's personnel policies 2) the administrators' code of ethics 3) the set conditions for participation in the state Medicaid program 4) state licensing requirements covering his/her nursing home facility

In most states, which of the following cannot be appointed as the agent under an advanced directive? 1) a friend 2) an attorney 3) a family member 4) the attending physician

In planning a budget, it is most important to know: 1) assets and liabilities 2) net profit and net worth 3) past cost and future cost 4) past experience and projected experience

In planning an activity calendar, one must take into consideration holidays, activities, projects, community involvement, etc. Therefore, it is more prudent to begin with a: 1) daily schedule 2) weekly schedule 3) monthly schedule 4) yearly schedule

In the Life Safety Code survey, the severity level with no actual harm with potential for minimal harm is: 1) Level 3 2) Level 2 3) Level 4 4) Level 1

Incontinence that occurs when a person has an infection: 1) Functional 2) Overflow 3) Stress 4) Transient

Incontinency means: 1) urinary blockage 2) loss of mental ability 3) inflammation of the muscles 4) involuntary passage of urine

Issued when a deficiency in the Life Safety Code is found during a survey: 1) Log 2) Work Order 3) Lock Out, Tag Out 4) K-Tag

Items such as gloves and gowns that are used to prevent exposure to infectious materials: 1) SDS 2) ABHR 3) RACE 4) PPE

Keeping a resident from contact with other residents is: 1) Mental Abuse 2) Verbal Abuse 3) Physical Abuse 4) Involuntary seclusion

Kidney failure: 1) Nephritis 2) Jaundice 3) Hepatitis 4) End-stage renal disease

LPNs qualify for overtime pay. 1) Supervisor 2) RN 3) Doctor 4) LPN

Leaving a message to be listened to at a later time: 1) Electronic Mail 2) Texting 3) Bulletin Board 4) Voice Mail

Loss of appetite: 1) Hemophilia 2) Edema 3) Apnea 4) Anorexia

Many medical supplies are now available in a disposable form, including bedpans, water pitchers, underpads, egg crates, syringes, etc. Consideration is given to cost, but many times thought is not given to: 1) training programs 2) potential overuse 3) theft and adequacy 4) acceptance by staff and residents

Marketing and public relations are different but work together. The principle way marketing uses public relations is in: 1) advertising the service being marketed 2) handling research in market conditions and potentials 3) promoting present services and identifying target groups 4) media relations and printing, as news releases and press conferences

Marketing is oriented to: 1) research 2) advertising 3) public relations 4) meeting consumers' wants and needs

Materiality principle is in reference to what? 1) evidence 2) accounting 3) fair accounting 4) GAAP

Medicare requires a hospital stay of how many consecutive days before admission to the nursing home? 1) 9 days 2) 6 days 3) 12 days 4) 3 days

Medicare's payment system is known as what? 1) case mix 2) diagnostic related groups (DRGs) 3) resource utilization group 4) prospective payment system

Meetings held with the members of one part of the facility: 1) Department Head Meetings 2) Quarterback Meetings 3) General Staff Meeting 4) Department Meetings

Metastasis is correctly defined as: 1) a disorder in which organs deteriorate 2) a condition that eventually always causes death 3) a disease of the blood system that is chronic and progressive 4) the movement of bacteria or body cells from one part of the body to another

Money placed into an account maintained by the facility: 1) Dividends 2) Per Diem Rate 3) Petty Cash 4) Resident Funds

Mrs. X's daughter is upset because she (a resident) is having a sexual relationship with a male resident. Both are mentally competent. The daughter wants this stopped. What should she do? 1) promise to stop the sexual behavior 2) tell the nurses to keep the two residents a part 3) promise to monitor her mother's competency level, and do nothing 4) tell the daughter that the right to sexual behavior is one her mother's rights

One of the major functions of a board of directors is stewardship, which is: 1) budgeting 2) forecasting 3) performance appraisals 4) conscientious use of assets

PPEs include all but what of the following? 1) Gowns 2) Gloves 3) Masks 4) Antibacterial soap

Payroll checks should include all of the following information except: 1) gross pay 2) FICA deductions 3) income tax withholding 4) federal unemployment tax

Payroll records must be kept for a minimum of how many years? 1) 1 year 2) 5 years 3) 2 years 4) 3 years

Performing the same motion frequently: 1) Force 2) Awkward Postures 3) Accident 4) Repetition

Practice of recruiting either from within the facility or not: 1) Exit Interview 2) Performance Evaluation 3) Employee Turnover 4) Promotion Policy

Prescription drugs can be administered only by: 1) a pharmacist 2) a registered nurse 3) a licensed practical nurse 4) the properly licensed person who prepares (poured) the drug

Procedures should be developed by the: 1) administrator 2) governing body 3) supervisors and their immediate subordinates 4) line workers who must execute the procedures

Provides information on the Nursing Home Compare website 1) CQI 2) QCI 3) QIES 4) NHQI

Quality control relates to: 1) quality management 2) the degree of conformity 3) the sum of all activities which maintain quality care 4) policies and procedures designed to maintain quality care

Reaching an agreement where both sides make concessions: 1) Documentation 2) Mediation 3) Arbitration 4) Negotiation

Regarding resident records and charts all of the following are true except that: 1) typing is acceptable 2) the resident's name must appear on every record page 3) all entries should include the day, month, year, and time of day 4) titles are only required for entries made by physicians and nurses

Regarding resident records and charts, all of the following are true except that: 1) typing is acceptable 2) the resident's name must appear on every record page 3) all entries should include the day, month, year, and time of day 4) titles are only required for entries made by physicians and nurses

Rehabilitation should start: 1) at the family's request 2) upon the resident's request 3) when decided by the nurse 4) at the onset of the disability

Respondeat superior does not cover: 1) supervisors 2) part-time employees 3) temporary employees 4) independent contractors

Rigidity or tightness of skin: 1) Equilibrium. 2) Stasis 3) Spasm 4) Turgor

Security has become increasingly important to long-term care facilities. For a small to average-size facility, the most efficient and effective system is to: 1) hire security personnel 2) lock all outside entrance doors at night 3) install door alarms outside each entrance 4) coordinate facility security measures with the local police department

Seeing a hallway may lead a resident to: 1) Fantasy or Reminiscent Wandering 2) Agitated Purposeful Wandering 3) Recreational Wandering 4) Environmentally Cued Wandering

Situational leadership means the supervisor: 1) treats all employees alike in a given situation 2) adopts a leadership style according to the individual situation 3) maintains the same leadership style no matter what the situation 4) changes leadership styles according to the employee and the situation.

Sound financial management dictates that approving the annual facility budget is the responsibility of the: 1) CPA 2) owners 3) administrator 4) governing body

Staff having tendency to patronize the elderly and be overly solicitous towards them is most descriptive of what? 1) passing judgement 2) ageism 3) inappropriate 4) new ageism

Starting at the bottom of Maslow's hierarchy of needs pyramid, which of the following needs is first? 1) safety 2) security 3) acceptance 4) physiological

Subrogation refers to: 1) plea bargaining 2) moving a case to a lower court 3) pleading guilty to a lesser crime 4) the substitution of one person for another in reference to a lawful claim or right

The "employee's right to know" relates to: 1) resident rights 2) hep B virus 3) universal precautions 4) hazardous communications

The CMS adopted which edition of the Life Safety Code in 2016? 1) 2014 2) 2015 3) 2013 4) 2012

The Director of Nursing is an example of: 1) Line Management 2) Governing Body 3) Top Management 4) Middle Management

The Ombudsman program is funded nationally by the Administration on Aging and is administered by: 1) HCFA 2) OBRA 3) Medicaid 4) state agencies

The ability of a business to generate revenue: 1) Inventory 2) Liquidity 3) Amortization 4) Profitability

The ability of a joint to move: 1) Restraint 2) Ambulatory 3) Bedridden 4) Range of motion

The agency that coordinates disaster response planning: 1) NFPA 2) CDC 3) CMS 4) OEP

The agency that establishes standards for accessibility of public buildings: 1) OSHRC 2) NFPA 3) OEP 4) ANSI

The balance sheet includes many entries that are summarized from the ledger and profit and loss reports. Assets equal: 1) net worth 2) liabilities and depreciation 3) net worth minus depreciation 4) liabilities and stockholders' equity

The basic task of an organization: 1) Goal 2) Policy 3) Strategies 4) Mission

The best way to maintain an inventory is to: 1) place all orders with a single supplier 2) observe supply levels in the storeroom 3) limit access to supplies and requisitioning to specified individuals 4) record requisitions in an inventory-control system utilizing reorder levels

The budget should be updated at least every: 1) 30 days 2) 60 days 3) 90 days 4) year

The charter of a business: 1) Bylaws 2) Certification 3) Standard Operating Procedure 4) Articles of Incorporation

The chief factor in an effective fire and safety program is: 1) a qualified safety committee 2) a set of policies and procedures 3) a supportive local fire department 4) the support and participation of the administrator

The concept of community relations is to: 1) inform the community 2) insure high occupancy rates 3) replace public relation programs and marketing 4) involve the facility and the community in an intrarelationship

The desired person to resolve employee problems and grievances is the: 1) administrator 2) department head 3) shift supervisor 4) immediate supervisor

The dietary consultant is responsible for providing a written report to: 1) the resident's record 2) the medical director 3) the dietary manager 4) the administrator

The drugs prescribed for a patient: 1) Polypharmacy 2) GDR 3) RDA 4) Drug Regimen

The establishment of the position of long-term care ombudsman was provided by: 1) OBRA 2) Medicaid 3) Medicare 4) the Older Americans Act of 1965

The facility must notify each Medicaid resident when their account balance is how much less than the Supplementary Security Income (SSI) resource limit for one person? 1) $100 2) $300 3) $500 4) $200

The federal agency that monitors medical devices: 1) OSHA 2) CMS 3) CDC 4) FDA

The first person to resolve employee problems and grievances is the: 1) administrator 2) department head 3) personnel director 4) immediate supervisor

The five schedules of drugs were established by the: 1) u.s. department of health 2) social security administration 3) department of health and human resources 4) comprehensive drug and abuse prevention and control act

The flow of water from the spout of a water fountain for the use of handicapped persons must be a minimum of how high? 1) 3 inches 2) 4 inches 3) 5 inches 4) 6 inches

The goals for activities may be to provide personal satisfaction, but the focus should be the: 1) development of skills 2) completion of the task 3) activities of daily living 4) participation and enjoyment

The government agency that monitors employee safety: 1) CDC 2) FDA 3) CMS 4) OSHA

The insurance that applies only to bodily injury through accident or disease that must be caused or aggravated by the conditions of employment is referred to as workers' compensation. Which of the following is an exclusion? 1) interest on a judgement as required 2) litigation cost taxed against the insured 3) premium for bonds to release attachments 4) bodily injury occurring outside the U.S.

The key to purchasing supplies is to: 1) obtain bids and accept the lowest price available 2) purchase in the largest quantity available to reduce cost 3) let each department purchase their own supplies since they will use them and know what is needed 4) standardize the products and vendors used, organize a central purchasing department, and minimize the people authorized to purchase

The law requiring businesses to make buildings accessible to persons with disabilities: 1) ADAAG 2) SMDA 3) FFDCA 4) ADA

The level of hospice care where family members provide a significant amount of the care: 1) Respite Care 2) General In-Patient Care 3) Continuous Home Care 4) Routine Home Care

The level of hospice care which provides pain control that cannot be administered at home: 1) Respite Care 2) Routine Home Care 3) Continuous Home Care 4) General In-Patient Care

The major responsibility of an administrator is: 1) purchasing 2) supervising 3) hiring and firing 4) decision making

The manner in which assigned duties are carried out: 1) Civil Rights 2) Duty of Diligence 3) Duty of Obedience 4) Responsibility

The marginal return occurs when revenues equal expenses and is referred to as: 1) liquidity 2) net profit 3) ratio analysis 4) break even point

The muscles most affected by prolonged bed rest are: 1) abdominal muscles 2) respiratory muscles 3) muscles of arms for pulling 4) anti-gravity muscles for walking

The payback period for a capital investment of $20,000.00 which creates an annual savings of $2,500.00 is: 1) 4 years 2) 5 years 3) 6 years 4) 8 years

The permanent removal of an employee: 1) Discipline 2) Transfer 3) Suspension 4) Termination

The person designated as the clinical record clerk must be: 1) certified 2) licensed 3) a consultant 4) a full-time staff member

The primary duty of the ombudsperson program is to: 1) review resident records 2) assist in the survey process 3) counsel with residents and families 4) investigate and resolve complaints made by residents

The primary purpose for maintaining an operating budget is to: 1) determine profit or loss 2) record income and expenses 3) establish reimbursement rates 4) provide a method of ongoing study and control

The procedure to determine of a facility is eligible to participate in Medicare: 1) Articles of Incorporation 2) Bylaws 3) Standard Operating Procedure 4) Certification

The process of organizing that continues throughout the life of the facility is guided primarily by all of the following principles except: 1) authority 2) span of control 3) unity of command 4) resource allocation

The process of slowly reducing the dosage of a medication: 1) Drug Regimen 2) RDA 3) Polypharmacy 4) GDR

The resident fund file shall be available to the resident or his or her legal representative upon request: 1) weekly 2) monthly 3) quarterly 4) during the normal administrative work day

The result of making employees feel valued: 1) Corporate Compliance Programs 2) Work Attitudes 3) Harmony of Objectives 4) Positive Work Atmosphere

The right to make decisions that affect others: 1) Leadership 2) Supervision 3) Management 4)Authority

The span of management is the: 1) number of employees per shift 2) number of employees per department 3) cost of supervising a given group of employees 4) number of employees a manager can supervise effectively

The starting point for planning LTC services: 1) is the available cash flow 2) is the availability of land for expansion 3) is the market area's population census 4) is the needs and wants of those who will use the nursing facilities' services

The state is required to license all nursing facilities and to certify: 1) all facilities 2) only Medicaid facilities 3) only Medicare facilities 4) Medicare and Medicaid facilities

The stoppage of the flow of body fluids: 1) Equilibrium 2) Spasm 3) Turgor 4) Stasis

The successful decoding of the message: 1) Feedback 2) Transmission 3) Receiving 4) Understanding

The total quality management program creates a more efficient delivery of services by the support services of the departments which may improve productivity levels by: 1) 5 percent 2) 10 percent 3) 15 percent 4) 25 percent

The use of expression and gesture to convey a message: 1) Active Listening 2) Feedback 3) Positive Reinforcement 4) Nonverbal Communication

The wasting away of an organ: 1) Inflammation 2) Hemorrhage 3) Gangrene 4) Atrophy

To clean utensils, you need a three-compartment sink to wash,rinse, and: 1) dry utensils 2) scrape utensils 3) sanitize utensils 4) rinse utensils a second time

To develop effective staff rapport, an administrator should: 1) establish a program of peer review 2) discourage all formal and informal "grapevines" 3) promote employees from within the organization 4) establish clear lines of authority and responsibility

Toilet use falls into which category of activities of daily living? 1) Hygiene 2) Communication 3) Mobility 4) Elimination

Total quality management is viewed as a method to do all of the following except: 1) improve resident care 2) reduce operational costs 3) improve employee turnover 4) reduce staffing requirements

Training during normal work activities: 1) In-Service Education 2) Monitoring 3) Mentoring 4) Coaching

Training in the activities for daily living is primarily the responsibility of: 1) a nurse 2) a PT 3) a recreational therapist 4) an occupational therapist

Treating a matter as private: 1) Objectivity 2) Accountability 3) Discrimination 4) Confidentiality

Turning a limb: 1) Adduction 2) Abduction 3) Flexion 4) Rotation

Under COBRA, consolidated omnibus budget reconciliation act of 1985, for how many days does an employee have the opportunity to elect to continue the insurance coverage? 1) 10 2) 15 3) 30 4) 60

Under COBRA, continuation of employee insurance must be offered except if the: 1) employee is divorced 2) employee dies leaving a spouse 3) employee's work hours are reduced 4) employee is fired for gross misconduct

Under COBRA, the consolidated omnibus budget reconciliation act of 1985, for how many days does an employee have the opportunity of electing to continue the insurance coverage? 1) 10 2) 15 3) 30 4) 60

Under OBRA facilities must report suspected abuse to the state within: 1) 24 hours 2) 48 hours 3) 72 hours 4) 5 days

Under OBRA, F-115, the term bedfast means that except to be moved for treatment, a resident was in bed all of the time in the past: 1) 24 hours 2) 48 hours 3) 5 days 4) 7 days

Under OBRA, the responsibilities of the safety committee may be assigned to the: 1) compliance committee 2) resident rights committee 3) infection control committee 4) quality assurance committee

Usually a garnishment directs an employer to withhold a designated portion of an employee's pay and: 1) forward it to a creditor 2) hold it until the debit is paid in full 3) deposit it at a designated federal bank 4) remit it to the attorney who will give the garnishment to the creditor

What approach is used when an interviewer reviews the information and makes a hiring decision? 1) statistical 2) autocratic 3) participatory 4) clinical

What best defines double entry accounting? 1) journal entries 2) accrual basis 3) cash basis 4) debits and credits always balance zero

What is maximum permitted rise for a ramp? 1) 25 inches 2) 35 inches 3) 20 inches 4) 30 inches

What is the maximum width allowed for openings in gratings which are part of a walking surface? 1) ¾ inch 2) 1 inch 3) 1 ¼ inch 4) ½ inch

What is the minimum permitted height for dining tables? 1) 36 inches 2) 32 inches 3) 30 inches 4) 27 inches

What is the minimum width of a corridor where an alcohol-based hand rub dispenser can be placed? 1) 3 feet 2) 4 feet 3) 5 feet 4) 6 feet

What is the principal difference between Title XVIII and Title XIX of the social security act? 1) title XVIII is federally-funded and title XIX is totally state-funded 2) title XVIII is for people over age 65 and title XIX is for those under age 65 3) title XVIII provides primarily for inpatient hospital services, whereas Title XIX primarily covers nursing service 4) Title XVIII is basically an insurance program, whereas title XIX is an assistance program based upon need

What must a facility do if a resident refuses a planned meal and the alternate? 1) document the refusal 2) notify the physician 3) offer an alternate meal with similar nutritional value 4) document the refusal and notify the physician

What percentage of costs does Medicare pay for the first 20 days? 1) 0,75 2) 0,6 3) 0,5 4) 1

When a nursing home changes ownership, the medical records belong to: 1) the government 2) the fiscal intermediary 3) the previous owner 4) the new owner

When a salary increase is being considered for an employee, it is most important to review his/her: 1) age 2) tenure 3) education 4) performance

When an employee fully accepts the goals and values of the organization, he/she is said to be: 1) oriented 2) trained 3) permanent staff 4) indoctrinated

When an employee is injured on the job, regardless of the severity, he or she must immediately report the incident to the: 1) administrator 2) charge nurse 3) director of nursing 4) immediate supervisor

When an item disappears, first: 1) call the police department 2) search all cars and employees 3) check those on duty and have a meeting 4) check to determine if it could be misplaced

When interviewing a prospective employee, the interviewer cannot ask for which of the following? 1) Organizational Memberships 2) Current Address 3) Convictions 4) Proof of Citizenship

Which drug schedule contains drugs that may not require a prescription? 1) schedule II 2) schedule III 3) schedule IV 4) schedule V

Which of the following are a primary focus of the fair labor standards act? 1) minimum wage and over-time 2) child labor and equal pay 3) wage and hour act 4) both A&B

Which of the following categories of medication prevents or controls? 1) placebos 2) palliatives 3) analgesics 4) anticonvulsants

Which of the following is a common misconception about the elderly? 1) they contract infections more easily than others 2) depression is common in the elderly 3) lung cancer is the most prevalent form of cancer in nursing home patients 4) an intellectual decrease is a normal process of aging

Which of the following is not a required element of a contract? 1) consideration 2) competent parties 3) mutuality of obligation 4) recording the contract legally

Which of the following is not covered under the Americans with Disabilities Act? 1) Dyslexia 2) Depression 3) Retardation 4) Homosexuality

Which of the following is not covered under the Americans with disabilities act? 1) dyslexia 2) depression 3) retardation 4) homosexuality

Which of the following is not required on a prescription label? 1) lot number 2) expiration date 3) date dispensed 4) name of the drug company

Which of the following makes it possible for organizations to expand? 1) staffing 2) directing 3) controlling 4) departmentalizing

Which of the following mandates that all residents must be informed in writing of their rights to refuse medical treatment? 1) The Elder Justice Act of 2009 2) The IMPACT Act of 2014 3) OBRA 87 4) OBRA 90

Which of the following mandates the reporting of major falls? 1) The Elder Justice Act of 2009 2) OBRA 87 3) OBRA 90 4) The IMPACT Act of 2014

Which of the following may be used to control pests? 1) open traps 2) poison bait 3) sticky flypaper 4) pressure sprayers

Which of the following methods is not used to prevent theft by staff members? 1) Criminal background checks. 2) Regular checks of the outside of the building for suspicious activity. 3) Use only clear plastic garbage bags so contents can be seen. 4) Check-in procedures for all facility visitors.

Which of the following programs is not enforced by EEOC? 1) americans with disabilities act 2) sexual harassment act of 1980 3) pregnancy discrimination act of 1978 4) omnibus budget reconciliation act of 1987

Which of the following statements about recreational activities is incorrect? 1) They may not involve useful service to the facility unless by choice. 2) Activities should be those from which a resident derives satisfaction 3) Activities should not emphasize the finished product but rather the process. 4) Activities are primarily to assist residents in maintaining and improving their cognitive skills.

Which of the following statements concerning pharmaceutical services is incorrect? 1) Medications labels must have the medication name, strength, and expiration date. 2) The facility's pharmacist must conduct a monthly medication review (MMR) for every resident. 3) The prescription may be faxed to the pharmacy. 4) The facility must have a full-time pharmacist.

Which of the listed resident rights is sometimes very difficult to follow? 1) being treated fairly 2) refusing to perform work 3) exercising one's civil liberties 4) choosing the pharmacy of one's desire

Which of the listed resident rights is sometimes very difficult to respect? 1) Receiving unopened mail 2) exercising one's religious liberties 3) receiving adequate protective support services 4) obtaining adequate space for personal possessions

A barrier to good communication where conclusions are reached too soon: 1) Premature Evaluation 2) Distrust of the Sender 3) Poor Retention 4) Fear of Consequences

A change in one part of the facility has an effect across the organization: 1) Reciprocal Relations 2) Positive Hygiene Factors 3) Job Satisfaction 4) Teamwork

A chart of accounts is comparable to a: 1) table of contents 2) cash flow statement 3) listing of accounts payable 4) listing of accounts receivable

A complete list of all categories of accounts: 1) Chart of Accounts 2) Ledger 3) Invoice 4) Journal

A condition affecting the lens of the eye: 1) Cataract 2) AMD 3) Glaucoma 4) Conjunctivitis

An outline of the qualifications of each position: 1) Job Description 2) Job Analysis 3) Job 4) Job Classification

Hazardous means a chemical which is a physical hazard or health hazard? 1) true 2) false

Incontinence as a result of brain damage: 1) Functional 2) Overflow 3) Urge or Reflex 4) Stress

The primary purpose of controlling as part of management is to: 1) improve work performance 2) prevent employee turnover 3) eliminate those employees who make errors 4) be sure that all employees complete the work in the time allotted

The primary source of payment in a nursing facility is: 1) Medicaid 2) Medicare 3) Insurance 4) personal funds

The provision of the Affordable Care Act (ACA) intended to avoid civil or criminal actions against the institution: 1) Compliance and Ethics Committee 2) Nursing Home Compare 3) Compliance and Ethics Committee 4) Payroll Based Journal

Under OSHA (1910, 1030) bloodborne pathogens refers to pathogenic microorganisms that are: 1) present in humans and can cause disease in humans 2) not present in humans but can cause disease in humans 3) maybe found in humans and usually cause disease in humans 4) maybe found in humans but do not causes diseases in humans

Under Title XIX menus must be retained for: 1) 30 days 2) 60 days 3) 6 months 4) 1 year

Under the ADA an employer must provide "reasonable accommodations" for the disabled. Which of the following is not classified as a reasonable accommodation? 1) transportation 2) job restructuring 3) modified equipment 4) modified work schedule

What is the required width for a handicapped parking space? 1) 8 feet 2) 15 feet 3) 10 feet 4) 13 feet

What law prohibits discrimination in employment practices on the basis of race, color, religion, sex and national origion? 1) civil rights act 1964 2) EEOC act of 1964 3) equal employment act 1972 4) tower amendment to title 7 1972

Which of the following is not a primary source in health-care malpractice suits? 1) providing palliative care 2) rendering poor quality of care 3) breach or violation of a contract 4) failure to obtain effective consent

Which of the following is not a required time to clean hands? 1) When leaving work. 2) When coming to work 3) Before and after resident contact 4) Before and after changing a dressing.

Which of the following is not an acceptable method for reporting an injury or death to OSHA? 1) Mail 2) Phone 3) In Person 4) Electronic

Which of the following is not required on a container label for a workplace chemical? 1) First aid measures 2) Identity of product 3) Appropriate hazard warnings 4) Name and address of manufacturer

Which of the following is responsible for maintaining contact with residents and family regarding the resident's problems and his/her rights? 1) social worker 2) licensed nurse 3) activity director 4) nursing home administrator

Which of the following is usually not a revenue center? 1) social services 2) dietary services 3) nursing services 4) barber/beauty shop

Which of the following marketing efforts is perhaps the least effective to increase occupancy? 1) advertisement 2) word of mouth 3) physician's recommendations 4) discharge planners from hospitals

Which of the following must always use the calendar year for their fiscal year? 1) Sole Proprietorships 2) C Corporations 3) Partnerships 4) S Corporations

Which of the following outlines discrimination regarding bed assignment? 1) title VI 2) title XIX 3) section 402 4) section 504

Which of the following pre-employment checks is not mandated? 1) Contacting previous employers 2) Criminal background checks 3) Verification of licenses and certifications 4) Office of Inspector General website to make sure applicant is not prohibited from working in Medicare/Medicaid facility

Which of the following types of drugs are for external use only? 1) topical 2) sedative 3) paregoric 4) schedule II

12. It is a requirement of Life Safety Code that all employees of health care facilities be trained in Life Safety Code procedures. a. True b. False

14. Which of the following is required to be provided in all designated smoking areas? a. Metal containers with self-closing cover devices b. Ventilation c. Ashtrays d. Plenty of cigarettes and lighters

28. Portable heaters are allowed in staff and employee offices while occupied by nonsleeping staff. a. True b. False

31. All facilities must have automatic sprinkler protection. a. True b. False

32. Nursing facilities must be constructed of what? a. Both b & c b. Non-combustible materials c. Must have 2 hour fire resistance fire rating d. None of the above

A PRN medication indicated that it shall be given: 1) at once 2) as needed 3) at spaced intervals 4) at bedtime

A Safety Data Sheet (SDS) must include which of the following? 1) Transport information 2) Fire-fighting measures 3) Regulatory information 4) Disposal considerations

A barrier to good communication where the receiver is not interested: 1) Fear of Consequences 2) Inattention 3) Distrust of the Sender 4) Premature Evaluation

A bland diet would usually be prescribed for a resident who has: 1) high cholesterol 2) gastric problems 3) a heart condition 4) high blood pressure

A drug test performed because of employee behavior: 1) Random 2) Reasonable Suspicion 3) Periodic 4) Pre-employment

A facility is licensed for 120 beds and during a 30-day period had 3,000 occupied-bed days. What is the approx. average percentage of occupancy? 1) 80 percent 2) 83 percent 3) 96 percent 4) 100 percent

A facility paying for the care of a resident who is not able to pay would be called what? 1) cutting losses 2) charity care 3) a state regulation 4) a federal regulation

A poisonous substance: 1) Nosocomial Infection 2) Toxin 3) MRSA 4) Pathogen

A policy is a: 1) rule 2) general course of action to which staff decisions must adhere 3) step by step description for accomplishing a task 4) general statement of purpose

A primary symptom of glaucoma is: 1) a clouding of the lens of the eye 2) a pressure in the eyeball caused by hardening 3) a hardening of the lens of the eyeball 4) a lack of fluid in the eyeball

A receiving barrier where the employee has no confidence in the manager: 1) Premature Evaluation 2) Distrust of The Sender 3) Fear of Consequences 4) Inattention

A report showing sources and uses of cash for the year would be what? 1) changes in fund balance 2) statement of cash flow 3) balance sheet 4) statement of revenues and expenses

A specialist who diagnoses and treats ear, nose, and throat conditions: 1) Otologist 2) Otolaryngologist 3) Optometrist 4) Ophthalmologist

A state of mental confusion: 1) Hallucination 2) Delirium 3) Paranoia 4) Delusion

A statement which provides an account balance: 1) Earnings Statement 2) Bank Statement 3) Balance Sheet 4) Cash Flow Statement

A structure approved by the governing body: 1) Informal Organization 2) Formal Organization 3) Span of Management 4) Scalar Chain

A style of management characterized by daily visits to departments: 1) Open Door Policy 2) Management by Walking Around 3) Employee-Centered Management 4) Participative Management

A survey conducted after a change in ownership: 1) Extended 2) Abbreviated Standard 3) Partial Extended 4) Standard

According to OBRA, a facility must be capable of providing a comfortable indoor temperature within the range of: 1) 70 to 80 degrees fahrenheit 2) 71 to 81 degrees fahrenheit 3) 72 to 82 degrees fahrenheit 4) 74 to 83 degrees fahrenheit

According to former Senator Claude Pepper, the most frequently unrecognized and unmet resident need in a nursing facility is: 1) guilt 2) privacy 3) freedom 4) participation

According to medical device reporting, user facilities must keep records for: 1) 1 year 2) 2 years 3) 3 years 4) 5 years

According to surveyors, to determine comfortable and safe levels in resident rooms and dining areas the air temperature should be measured: 1) 2 feet above the floor 2) 3 feet above the floor 3) 4 feet above the floor 4) 4.5 feet above the floor

All details of an incident or accident that occurs to a patient in a facility must be recorded: 1) in the resident's record 2) in the medical record of the resident 3) in the facility's incident/accident file 4) in the OSHA log

All of the following will lower the break-even point except: 1) increase rates 2) reduce census 3) reduce fixed costs 4) reduce variable costs

All soiled linen carts should be decontaminated monthly with germicidal solution. 1) true 2) false

An A in measurement of food eaten is: 1) 0,95 2) 0,75 3) 0,65 4) 0,55

An HMO contracted with a facility paying a daily rate lower than what can be collected through billing Medicare direct for the same services would be an example of what? 1) charity care 2) contractual discount 3) third party discount 4) good business

An improvement to be made costing less than 500.00 goes into what account? 1) supplies or minor equipment 2) repairs and maintenance 3) capital expenditures 4) capital budget

An involuntary movement: 1) Equilibrium. 2) Spasm 3) Turgor 4) Stasis

An unplanned event that results in personal injury: 1) Hazard 2) Accident 3) Exposure Incident 4) Disaster

Darven is an example of a: 1) antibiotic 2) analgestic 3) narcotic 4) diuretic

Declining balance and straight line are both: 1) bank loan repayment methods 2) depreciation methods 3) accounting methods 4) auditing procedures

Declining balance and straight line are both: 1) bank loan repayment methods 2) depreciation schedules 3) accounting methods 4) auditing procedures

Delegation of administrative authority is a widely recommended practice primarily because it: 1) relieves the administrator from tedious details 2) leads to greater efficiency by allocating specific duties to individuals 3) divides the work load more equitably according to individual capacity 4) gives each assistant a chance to learn new skills which may lead to advancement

Depreciation of a piece of equipment is considered: 1) an asset 2) a fixed cost 3) a variable cost 4) part of net worth

Describes procedures for enforcing federal laws: 1) CMS 2) CFR 3) MIS 4) IIDR

EEOC enforces all of the following laws except the: 1) equal pay act 2) fair labor standards act 3) Title VII of civil rights act 4) age discrimination in employment act

EEOC enforces all of the following laws except the: 1) equal pay act 2) fair labor standards act 3) title VII of the civil rights act 4) age discrimination in employment act

Effective public relations in the community can be promoted through: 1) advertising 2) relationships with patients and families 3) low rates and high discharges 4) belonging to popular groups and associations

Emergency generators must be checked: 1) daily 2) weekly 3) every two weeks 4) monthly

Employees pay only 50 percent of the cost of: 1) FWT 2) FICA 3) FUTA 4) Worker's comp.

Engaging a resident's interest in their new home: 1) Restorative Nursing Care 2) Remotivation Therapy 3) Validation Therapy 4) Reality Orientation

Evaluation of employees by supervisors or other qualified persons is called: 1) counseling 2) merit rating 3) raise evaluation 4) ranking

Every chemical container must be labeled and each label must contain all of the following information except the: 1) identity of the product 2) name and address of the distributor 3) identity of any hazardous chemicals 4) name and address of the chemical manufacturer

How many working days does an employer have to contest an OSHA citation? 1) 10 days 2) 15 days 3) 30 days 4) 5 days

If a facility borrows $35,000 at an annual rate of 10% common interest for a 10-year period and agrees to pay only the interest due for the first year, the first monthly interest payment would be approx.: 1) $275.00 2) $291.67 3) $305.00 4) $325.00

If a facility permitted a nurse to practice and perform activities that were beyond the scope of her license, it would put the individual in conflict with: 1) medical peer review 2) the scope of nursing practice

In multibed rooms, the distance between beds should be at least: 1) 2 feet 2) 3 feet 3) 4 feet 4) 6 feet

In order to accomplish objectives, the objectives must be: 1) written and passed out 2) measurable and time-bound 3) exact and timely 4) appropriate to the situation

In which type of business entity does the owner have the most limited liability? 1) partnership 2) corporation 3) joint venture 4) sole proprietorship

MDS must be transmitted within what time frame after the facility completes a resident assessment? 1) 7 days 2) 14 days 3) 5 days 4) only quarterly because they are medi-cal

Making a determination about whether goals have been met: 1) Conflict Resolution 2) Evaluation 3) Communication 4) Supervision

Making decisions about how to meet goals: 1) Representing 2) Planning 3) Organizing 4) Problem Solving

Many residents in nursing facilities have additional disabilities that may not be noted in their diagnosis; one of these is visual impairment. The approx. percentage of residents with visual impairment is: 1) one fourth 2) one third 3) one half 4) two thirds

One of the major problems resulting from serving food trays to residents in their rooms is that the: 1) trays are not properly labeled 2) food is cold before it is served 3) amount of food is usually limited 4) the resident usually eats less food

One of the primary reasons for the increase in numbers of acute nursing facility residents is: 1) increased Medicare rates 2) diagnostic related groups 3) advancement of technology 4) changes in Medicaid standards

Patient incontinence is best managed by: 1) avoiding certain foods 2) increasing physical activity 3) increasing toilet training 4) recording intake and output

People are less likely to communicate with people: 1) from a subgroup 2) in a lower position 3) in a higher position 4) who help them achieve

Physician visits should be recorded in the medical record: 1) At the end of the RN's shift 2) As soon as they take place 3) On a weekly basis 4) At the end of the day

Power of attorney is: 1) a form of guardianship 2) a court issued document giving power to the designee 3) the right to vote for another by proxy 4) written permission to act for another in a specific matter

Primary risk factors for decreased range of motion include all but which of the following? 1) Pain due to arthritis 2) Overuse of pain medication 3) Strokes 4) Immobilization by being bedridden

Prolonged restraint use can cause all of the following except: 1) dystrophy 2) incontinence 3) incompetence 4) skin breakdown

Property in the form of land: 1) Asset 2) Real Estate 3) Investment Capital 4) Working Capital

Putting a message into verbal form: 1) Ideation 2) Encoding 3) Decoding 4) Transmission

Recognizing the need to communicate a message: 1) Encoding 2) Ideation 3) Transmission 4) Decoding

Regarding advanced directives, which of the following statements is not true? 1) residents must be informed of their rights 2) facilities must require advanced directives 3) a facility must have written policies and procedures 4) a facility is not required to provide care that conflicts with an advanced directive

Reimbursement systems for nursing facilities can be categorized as retrospective, prospective, or: 1) cost 2) flat rate 3) charges 4) cost plus

Rent or mortgage payments are an example of: 1) Variable Expense 2) Fixed Expense 3) Semi-Variable Expense 4) Capital Expenditure

Reports of accidents or incidents occurring in a nursing facility should be recorded or filed in the: 1) medical records 2) administrative files 3) physician's office files 4) emergency room records

Restraints must be removed every 1) 1 hour for 5 minutes 2) 2 hours for 10 minutes 3) 3 hours for 15 minutes 4) 5 hours for 30 minutes

Slander is defined as: 1) written defamation 2) oral defamation 3) a felony act committed with purpose and intent 4) the intent to bodily harm

Social services identifies patients' problems and needs primarily in the areas of: 1) attention span and performance of tasks 2) mental, social, and emotional functioning 3) financial and fiscal responsibilities 4) family relationships and nursing home placement

Social workers in a nursing home should provide all of the following services except: 1) counseling 2) psychotherapy 3) nondirective counseling 4) utilization of community resources

Starts with the sender and ends with receiver: 1) Understanding 2) Transmission 3) Receiving 4) Feedback

Strategies are plans of action and are part of which one of the following managerial functions? 1) staffing 2) planning 3) directing 4) controlling

Supervisors contribute most effectively to good morale in their department when they: 1) permit only self-discipline 2) discipline consistently and fairly 3) arrange salary increases at regular intervals 4) make a point of having coffee with the employees

The Equal Employment Opportunity Commission requires that the work-place maintain a nonhostile environment relative to: 1) disciplinary action 2) sexual harassment 3) a grievance committee 4) equal wages for equal work

The Fair Labor Standards Act requires that employees must be: 1) given sick leave 2) paid for overtime 3) paid for vacations 4) given termination pay

The appraisal of a job in relation to standards is referred to as a job: 1) analysis 2) evaluation 3) description 4) classification

The best time for the dietary supervisor to weigh, inspect, and verify food is when it is: 1) served 2) received 3) prepared 4) purchased

The break-even point in financial analysis is the point of activity when: 1) total expenses are less than total income 2) total revenue and total expenses are equal 3) the occupancy levels is greater than 75 percent 4) fixed expenses and variable expenses are less than total revenue

The cost of a depreciable asset: 1) DRG 2) Book Value 3)Revenue Center 4) Par Value

The death of tissue: 1) Atrophy 2) Gangrene 3) Hemorrhage 4) Inflammation

The leadership style using rewards and punishments: 1) Dictatorial 2) Paternal 3) Democratic 4) Laissez-faire

The percentage of Registered nurses in the nursing staff is approximately 1) 0,1 2) 0,12 3) 0,25 4) 0,18

The primary objective of utilization review for Medicare is to assure: 1) compliance with the law 2) high quality resident care 3) that Title VI is being obeyed 4) that the facility is covered by an intermediary

The primary responsibility for the implementation of a nursing facility's in-service training program belongs to: 1) the consultants 2) each supervisor 3) the administrator 4) the director of nursing

The principal cause of odors in a nursing facility is: 1) ventilation systems 2) incontinent residents 3) not using disinfectants 4) improper garbage storage

The reason for using a disciplinary action is all of the following except: 1) reinforcement of work rules 2) higher standards 3) improving working conditions 4) affect a desired behavioral change in the employee

The rehabilitative needs of residents are usually met by: 1) nurses 2) therapists 3) physicians 4) family members

The requirement that administrators do not exceed their authority: 1) Responsibility 2) Duty of Obedience 3) Duty of Diligence 4) Civil Rights

The scope where more than a limited number are affected by deficiencies: 1) Isolated 2) Pattern 3) Widespread 4) Persistent

The severity level where there is actual harm but no immediate danger: 1) Level 1 2) Level 3 3) Level 4 4) Level 2

The staff person is usually a specialist while a line manager has to: 1) fire people 2) be a generalist 3) be a greater specialist 4) be trained by a specialist

The state Medicaid agency must contact the long-term care ombudsperson under all of the following circumstances except: 1) when a facility is scheduled for a survey 2) for participation in the state survey process 3) to allow the ombudsperson to observe the exit conference 4) if the state grants a waiver of licensed nursing requirements

The temporary removal of an employee: 1) Transfer 2) Suspension 3) Termination 4) Discipline

The terms fifo and lifo refer to: 1) depreciation schedules 2) inventory valuing methods 3) the aging of accounts payable 4) the aging of accounts receivable

The total depreciation taken to date: 1) Accelerated Depreciation 2) Accumulated Depreciation 3) Double-Declining Balance 4) Straight-Line Depreciation

The total quality management theory implies that overtime, absenteeism, and employee turnover may be signs of: 1) low salaries 2) dissatisfaction 3) poor supervision 4) limited fringe benefits

The two most important risk management tools are education and: 1) insurance 2) quality control 3) documentation 4) accident reports

The use of calendars, clocks, and signs is an internal part of a program of: 1) virtual reality 2) reality orientation 3) facility orientation 4) experience education

The use of corporal punishment to control behavior is: 1) Mental Abuse 2) Physical Abuse 3) Sexual Abuse 4) Verbal Abuse

Therapeutic recreation refers to the performance of activities designed to: 1) provide pleasure 2) increase capabilities 3) refresh the individual 4) provide social benefits

There are many factors that make a person more vulnerable to the stresses of rehabilitation but age is not one of them 1) true 2) false

There is little evidence indicating that employee benefits result in: 1) higher morale 2) higher productivity 3) lower turnover rates 4) less absenteeism and tardiness

These rewards come from fellow workers: 1) Organizational Rewards 2) Social Rewards 3) Personal Goals 4) Job Rewards

This is also called morale: 1) Reciprocal Relations 2) Job Satisfaction 3) Teamwork 4) Positive Hygiene Factors

To allow wheelchair access, what is the minimum width for doorways? 1) 30 inches 2) 32 inches 3) 34 inches 4) 36 inches

To be tax deductible, an employee group retirement program must: 1) treat all employees equally 2) treat all employees equally within classes 3) be utilized by all employees 4) keep abreast of inflationary factors

To be tax deductible, an employee group retirement program must: 1) treat all employees equally 2) treat all employees equally within classes 3) be utilized by all employees equally 4) keep abreast of inflationary factors

Turning up for work on time is an indication of a good 1) Social Reward 2) Work Attitude 3) Job Reward 4) Organizational Reward

Under ADA, an employer may: 1) test the applicant for drugs 2) require a "fitness for duty exam" providing it is job related 3) ask questions relative to family members who may have disabilities 4) require a pre-employment medical examination to determine if the applicant has a disability

Under FMLA, unpaid leave can be for any of the following reasons except: 1) birth of a child 2) divorce and/or legal separation 3) placement of a child for adoption 4) caring for a spouse with a serious health condition

Under OBRA, the regulations for a SNF require that residents must be seen by a physician every 30 days for the first 90 days after admission and thereafter: 1) once every 30 days 2) once every 60 days 3) once every 90 days 4) only as deemed necessary

Under the ADA, an employer must make reasonable accommodations and studies indicate that the percentage of accommodations that are cost free is: 1) 10 percent 2) 25 percent 3) 40 percent 4) 60 percent

Under the fair labor standards act, if an employee, on a regular 40-hour workweek, works a total of 48 hours during a designated workweek and is paid $6 per hour for regular time, what is the employee's gross salary? 1) 280 2) 312 3) 336 4) 576

Upon the death of a resident, facility must convey funds and final accounting within how many days to the executor? 1) 60 days 2) 30 days 3) 75 days 4) 20 days

Using a third party to help the two sides reach an agreement: 1) Arbitration 2) Mediation 3) Negotiation 4) Documentation

Using specific types of testing scores to predict whether a job candidate will be successful is called what? 1) participatory approach 2) statistical approach 3) autocratic approach 4) clinical approach

Using the straight-line method of depreciation for a 10-year period on a piece of equipment costing $20,000 with a salvage value of $3,000, the approx. annual depreciation would be: 1) $2,000 2) $1,700 3) $1,467 4) $1,200

Usually when staff morale is low: 1) salaries are lower than other facilities 2) the turnover rate of employees is high 3) qualified supervisors have been difficult to obtain 4) the in-service education program has not been successesful

Vehicles are covered under comprehensive general liability insurance? 1) true 2) false

Walks must be at least: 1) 24 inches wide 2) 36 inches wide 3) 48 inches wide 4) 52 inches wide

What act recognized the need to minimize the institutional environment of the nursing facility? 1) older americans act 2) nursing home reform act 3) taft hartley 4) wagner act

What an individual hopes to get from their job: 1) Social Rewards 2) Personal Goals 3) Organizational Rewards 4) Work Attitudes

What is associated to each RUG representing the average daily cost of nursing care in that group compared to the other residents? 1) RUG's 2) case mix 3) PPS 4) DRG

What is minimum allowable distance between alcohol-based hand rub dispensers? 1) 3 feet 2) 4 feet 3) 5 feet 4) 6 feet

What is the approx. average cost per resident day for a 100-bed facility with an average occupancy of 95 percent for a designated 30-day period during which the monthly operating costs were $150,000? 1) $48.00 2) $52.63 3) $55.00 4) $57.35

What is the average daily absentee rate for a facility with a total of 120 full-time employees per day and 144 lost workdays or absences during a 60-day period? 1) 1.9 2) 2.0 3) 4.4 4) 5.0

What is the mandated height for grab bars in a resident washroom? 1) 29-31 inches 2) 33-36 inches 3) 31-33 inches 4) 36-38 inches

What is the maximum fine for a needlestick violation when there is wilful intent? 1) $100,000 2) $70,000 3) $17,000 4) $7,000

What is the minimum length of time that resident medical records must be retained? 1) 7 years 2) 5 years 3) 10 years 4) 3 years

39. What are the required measurements for the positioning of a handrail? a. Between 34" -38" from the edge of the step or level floor to the top of the rail b. Approximately 34"-38" from the edge of the step or level floor to the top of the rail c. 38" minimum from the edge of the step or level floor to the top of the rail d. 34"minimum from the edge of the step or level floor to the top of the rail

What is the purpose of preventative maintenance? 1) routine cleaning 2) to keep equipment operating 3) to fill in time for maintenance

What percentage of nursing home are medicaid facilities? 1) 60-70% 2) 75 - 80% 3) 85 - 95% 4) 40 - 50%

What type of on the job training program uses a person who is not the employee's superior and/or is external to the organization? 1) rotations 2) coaching 3) internship 4) mentoring

When hiring a health-care facility administrator, which of the following factors do companies rank the highest? 1) peer respect 2) promotion of teamwork 3) commitment to high profitability 4) involvement in professional and trade associations

Which of the following can set a fiscal year other than the calendar year only with IRS approval? 1) C Corporations 2) S Corporations 3) Partnerships 4) Sole Proprietorships

Which of the following cannot be asked on an employment application form? 1) Special training related to job 2) Religion 3) Education 4) Citizenship

Which of the following could be a revenue or an expense? 1) utilities 2) interest 3) postage 4) office supplies

Which of the following days does Medicare not require an MDS? 1) 60 2) 75 3) 5 4) 30

Which of the following is an indirect care cost? 1) licensed nurses 2) administrator 3) CNAs 4) RNAs

51. Aisles, corridors and ramps serving as exits must be a least 8' in width. a. True b. False

55. The distance from a resident bed to an exit access may not exceed what distance? a. 200' b. 300' C. 150' D. 350'

Which of the following is not one of the eight guidelines of the managerial function of planning? 1) goals 2) staffing 3) policies 4) budgets

Which of the following is required to participate as a member of the Quality Assessment and Assurance QAA committee? 1) Owner 2) Director of nursing 3) Administrator 4) Housekeeper

Which of the following is the most effective form of communication? 1) computer 2) face-to-face 3) written fax 4) oral-telephone

Which of the following marketing efforts is most effective to increase occupancy? 1) advertisement 2) word of mouth 3) physicians' recommendations 4) discharge planners from hospitals

Which of the following staff members is not required to provide input for a comprehensive care plan? 1) Physician 2) Housekeeper 3) Registered Nurse 4) Food and nutrition staff member

Which of the following statements about housekeeping is incorrect? 1) When mopping hallways, mop one side at a time. 2) Mop from one wall of the corridor to the other to ensure complete coverage. 3) Cleaning materials must never be left unattended in a cart or in an unlocked closet. 4) Place a wet floor sign so that residents and staff can avoid those areas.

Which of the following work environments do not favor unionization? 1) poor supervision 2) high staff morale 3) low wages 4) lack of grievance procedure

Which of the following would not be supervised by a Director of Environmental Services? 1) Maintenance Workers 2) Certified Nurse Aide 3) Housekeeping Staff 4) Laundry Aides

Which of the following would not usually be included in a meeting of the quality improvement committee? 1) safety issues 2) budget issues 3) infection control 4) pharmaceutical services

Which way must fire doors open? 1) towards an exit 2) towards an egress - route you'd take to evacuate a building 3) away from an exit 4) away from an egress

Who can request the decertification of a union? 1) a union employee 2) any employee in bargaining unit 3) the national labor relations board 4) a union representative

Who files Form 940 and pays (FUTA) federal unemployment tax? 1) employee 2) employer 3) half state and half employee 4) half state and half federal

Why are there more women then men in nursing facilities? 1) genes and DNA 2) longer life expectancy and lack of spouse as a care giver 3) better health habits 4) lower rate of heart disease

Within how many days must a facility answer a Statement of Deficiencies? 1) 15 days 2) 10 days 3) 20 days 4) 3 days

Within how many hours must a serious work-related injury of an employee be reported to OSHA? 1) 48 hours 2) 24 hours 3) 8 hours 4) 4 hours

what best defines downward communications? 1) electronic communication 2) written memo from administrator to department heads 3) written communication 4) oral communication

95. A NF parking lot with 400 parking spaces is required to have how many accessible spaces? a. 8 b. 9 C. 10 D. 11

99. What is the allowable limit of a door threshold of an exterior sliding door? a. ¾" b. ½" C. 1" D. 2"

All sign age is required to be visible at a minimum distance of what? a. 3' b. 2' C. 6' D. 4'

A C in measurement of food eaten is: 1) 95% 2) 75% 3) 35% 4) 55%

A facility which provides 24-hour skilled nursing: 1) Continuing Care Retirement Facilities (CCRC) 2) Assisted Living Facility (ALF) 3) Skilled Nursing Facility (SNF) 4) Intermediate Care Facility (ICF)

A facility's budget must be reviewed and updated every: 1) quarter 2) 6 months 3) year 4) 5 years

A fear: 1) Trauma 2) Psychosomatic 3) Phobia 4) Neurosis

A financial report showing receipts and disbursements: 1) Earnings Statement 2) Balance Sheet 3) Cash Flow Statement 4) Bank Statement

A fiscal intermediary is usually: 1) a CPA 2) a HMO 3) an insurance company 4) a state nursing home association

A fiscal intermediary is usually: 1) a CPA 2) an HMO 3) an insurance company 4) a state nursing home association

A group of symptoms which occur together are referred to as a: 1) sign 2) diagnosis 3) syndrome 4) prognosis

A guide for achieving a management objective is a: 1) philosophy 2) procedure 3) policy 4) goal

A health care professional who can diagnose and treat patients: 1) Licensed Practical Nurse (LPN) 2) Certified Nurse Aide (CNA) 3) Physician Assistant 4) Registered Nurse (RN)

A health insurance plan where members pay more for seeing out-of-network providers: 1) SNP (Special Needs Plan) 2) PFFS (Private Fee-For-Service 3) PPO (Preferred Provider Organization 4) HMO (Health Maintenance Organization)

A levin tube is a: 1) drainage tube 2) breathing tube 3) nasogastric tube 4) urinary bladder catheter

A method of depreciation which allocates a greater portion of cost to the early years of the life of an asset: 1) Accumulated Depreciation 2) Straight-Line Depreciation 3) Accelerated Depreciation 4) Double-Declining Balance

A patient termed "non-ambulatory" is 1) incontinent 2) bedfast 3) unable to walk 4) restrained

A resident of a nursing facility has all but which of the following rights? 1) Privacy in sending and receiving mail 2) Use telephone in privacy 3) Private room 4) Privacy of the body

A step-by-step guide to action: 1) Rule 2) Program 3) Procedure 4) Budgets

A sudden loss of consciousness: 1) Cebrovascular Accident 2) Heart Attack 3) Stroke 4) Coronary Heart Disease

A summation what is needed to execute a plan: 1) Budgets 2) Rule 3) Program 4) Procedure

A supervisor never gives excellent ratings even if the employee deserves it rather they consistently give all employees a mediocre rating to avoid conflict is called what? 1) halo effect 2) the leniency error 3) error of central tendency 4) global rating

ANSI (American National Standards Institute) establishes the: 1) schedule for fire drill 2) availability of the water source and supply 3) width of a parking space for the handicapped 4) requirement for at least one window to the outside for every bedroom

ANSI standards apply to all: 1) nursing homes 2) private dwellings 3) buildings used by the public 4) government buildings

Accidents in nursing facilities are primarily caused by unsafe behavior and: 1) ignorance 2) reacting too quickly 3) unsafe working conditions 4) using the wrong equipment

According to the Life Safety Code, there must be at least one fire extinguisher for every: 1) 1,500 square feet 2) 2,000 square feet 3) 2,500 square feet 4) 3,000 square feet

According to the Total Quality Management programs, acuity-based work-load-measurement systems can improve resident satisfaction by: 1) improving the resident admission standards 2) increasing the staff in the nursing department 3) scheduling the right staff level at the right time 4) creating more definitive policies and procedures

All of the following are correct procedures in handwashing except: 1) using liquid soap 2) using paper towels 3) filling the bowl with warm water 4) using paper towels to turn the water faucet on and off

All public buildings must meet what two codes? 1) ABC / life safety 2) ABC / ANSI 3) ANSI / life safety 4) ANSI / NLRB

All smoke stop partitions in a nursing home must be fire resistant and rated as such for a period of: 1) 15 min. 2) 30 min. 3) 1 hr. 4) 2 hrs.

An OSHA safety requirement: 1) Log 2) Work Order 3) Lock Out, Tag Out 4) K-Tag.

An OSHA violation where an employer has had a previous citation for a similar violation: 1) Wilful 2) Serious 3) Repeated 4) Other-Than-Serious

Anorexia correctly defined as: 1) a fear 2) obesity 3) the loss of appetite 4) a language disorder

Confusion common to Alzheimer patients: 1) Parkinson's Disease 2) Aphasia 3) Sundowning 4) Senile Dementia

During a union election, the voting unit is determined by the: 1) union 2) management 3) national labor relations board 4) federal medication and conciliation service

Each facility must have a capital expense plan which covers a period of at least: 1) 1 year 2) 2 years 3) 3 years 4) 5 years

Fires involving grease and flammable liquids: 1) Class K 2) Class A 3) Class B 4) Class C

Grouping activities and employees: 1) Representing 2) Problem Solving 3) Organizing 4) Planning

How high above the floor can a threshold on an exit door be? 1) 1 inch 2) ¾ inch 3) ½ inch 4) 1 ¼ inch

How much Medicare will pay for Part A services: 1) Resident Funds 2) Petty Cash 3) Per Diem Rate 4) Dividends

If a physician reports a drug error to the nursing facility administrator, the administrator should: 1) consult the facility's attorney 2) redesign the drug control system 3) ascertain whether disciplinary action is necessary 4) allow the physician to take further action regarding the problem

If employees are not receiving a good orientation to their new workplace, they tend to leave within 1) 30 days 2) 1-5 years 3) 31-90 days 4) 91 days- 1 year

Investigates complaints made by residents: 1) Consultant 2) Provider 3) Ombudsman 4) Office of the Inspector General

It is generally accepted that the two most important psychological need of employees are: 1) security and comfort 2) seniority and discipline 3) recognition and security 4) discipline and recognition

It is recommended that food inventory at all times should have: 1) 4 days of perishables and 7 days of staples 2) 3 days of perishables and 3 days of staples 3) 3 days of perishables and 7 days of staples 4) 1 day of perishables and 3 days of staples

Items costing more than 500.00 with a useful life of one or more years is a part of what budget? 1) revenue budget 2) cash budget 3) capital budget 4) operating budget

Making a distinction between people based on group: 1) Objectivity 2) Confidentiality 3) Discrimination 4) Accountability

Medical records are the property of the: 1) government in the case of Medicaid 2) attending physician 3) governing body of the facility 4) patient

Medicare payment system where reimbursement is based on the cost of providing a service: 1) HMO 2) ACA 3) PPS 4) CMS

Remitting part of employee pay to an agency: 1) Fidelity Bond 2) Surety Bond 3) Garnishment 4) Goodwill

Resident rights are very important and so are employee rights. Which of the following is usually not considered to be an employee right? 1) going on strike 2) forming a union 3) changing policies and procedures 4) refusing to participate on behalf of a union

Revenue less expenses: 1) Break-Even Analysis 2) Trial Balance 3) Profit Margin 4) Ratio Analysis

Straight line and accelerated relate to: 1) forms of equities 2) cash flow statements 3) depreciation schedules 4) amortization schedules

The RAP review process impacts current alert documentation systems for: 1) need statements 2) system approaches 3) changes in the resident status 4) interdisciplinary care planning

The agency which establishes guidelines for good accounting practice: 1) FICA 2) GAAP 3) FASB 4) FUTA

The break-even point cannot be lowered by: 1) increasing prices 2) reducing fixed costs 3) changing the fiscal year 4) reducing variable costs

The cause of a disease: 1) Symptom 2) Prognosis 3) Etiology 4) Modality

The concept of quality improvement has many benefits, one of which is not: 1) education 2) better utilization 3) reducing the responsibility of the facility 4) improvement of interdepartmental relations

The facility management and employees are working for the same outcome: 1) Positive Work Atmosphere 2) Work Attitudes 3) Harmony of Objectives 4) Corporate Compliance Programs

The final cooking temperature for poultry is 1) 185°F 2) 175°F 3) 165°F 4) 155°F

The key person to establish a public relations program is the: 1) staff 2) owners 3) administrator 4) family members

The law regarding the rights of employees to family leave: 1) DEA 2) ADA 3) FMLA 4) EEOC

The major cause of fire in health-care facility is: 1) oxygen 2) cooking 3) smoking 4) frayed electrical cords

The maximum number of subordinates that a manager should be assigned to supervise: 1) Formal Organization 2) Informal Organization 3) Span of Management 4) Scalar Chain

The medical record manager is not responsible for: 1) setting up a record on each resident 2) disposal of records at appropriate times 3) the adequacy and accuracy of all records 4) supervising the checking in and out of records

The most common effect of mass communication is: 1) selling 2) educating 3) reinforcing 4) creating a market

The non-directed interview is all of the following except: 1) unpatterned 2) unguided 3) unscheduled 4) unstructured

The number of times a year an item is replaced: 1) Economic Order Quantity 2) Physical Inventory 3) Turnover Rate 4) Perpetual Inventory

The outcome of a union vote is determined by 1) 0,75 2) 0,55 3) 50%+1 4) 0,5

The payback period for a capital investment of $30,000 which creates an annual savings of $3,000 is: 1) 5 years 2) 7 years 3) 10 years 4) 11 years

The payback period of a piece of equipment that costs $18,000 and creates an annual savings of $3,000 is approx.: 1) 3.0 years 2) 5.4 years 3) 6.0 years 4) 15.0 years

The per-resident-day standard of pounds laundered in a SNF is approx: 1) 4 to 6 lbs 2) 6 to 8 lbs 3) 8 to 10 lbs 4) 10 to 12 lbs

The percentage of gross profit for a facility with a gross income of $555,000, fixed expenses of $195,000, and variable expenses of $305,000 is approx.: 1) 2.5 percent 2) 5.5. percent 3) 9.9 percent 4) 11.1 percent

The percentage of weight loss for a person who previously weighed 120 pounds and now weighs 114 is approx.: 1) 2 percent 2) 3 percent 3) 5 percent 4) 7 percent

The percentage of weight loss for a person who previously weighed 150 pounds and now weighs 141 pounds is approx.: 1) 3.0 percent 2) 4.0 percent 3) 6.0 percent 4) 9.0 percent

The percentage of weight loss for a person who previously weight 120 lbs and now weighs 114 lbs is approx.: 1) 2.0 percent 2) 3.0 percent 3) 5.0 percent 4) 7.0 percent

The permanent record of the employee's relationship with the employer: 1) Handbook 2) Human resource Manual 3) Personnel File 4) Employee/Employer agreement

The primary purpose of departmentalization is to: 1) reduce cost 2) increase personal goals 3) promote efficient operation 4) prevent employee arguments

The primary purpose of medical records is to: 1) follow physician orders 2) meet state and federal laws 3) provide for continuity of care 4) provide for legal documentation

The safe harbor regulations prohibit: 1) ownership, in excess of 40 percent of a hospital by a physician 2) a facility purchasing from any supplier with common ownership 3) illegal payments for services or items reimbursed under Medicare or Medicaid 4) nursing facility providers investing only in publicly

The scalar chain is most frequently used to accomplish all of the following except: 1) show relationships 2) indicate lines of authority 3) replace the organizational structure 4) characterize a vertical flow of authority

The severity level where there is the potential for more than minimal harm: 1) Level 3 2) Level 4 3) Level 2 4) Level 1

The social worker must function as a counselor and as such spends most of his/her time: 1) making decisions 2) outlining plans of correction 3) listening and asking questions 4) finding the most feasible solutions to problems

The total personal daily goal for fluid intake, based upon the weight of the resident, is usually about: 1) 1,200 cc 2) 1,500 cc 3) 2,400 cc 4) 3,600 cc

Therapy must be available at least how many times per week? 1) 1 day 2) 3 days 3) 5 days 4) 7 days

This includes a formal conference with the employee: 1) Grievance 2) Docking Pay 3) Written Reprimand 4) Oral Reprimand

This involves responding to both the words and feelings of the sender: 1) Positive Reinforcement 2) Feedback 3) Active Listening 4) Nonverbal Communication

To calculate the payback period, you divide the: 1) consumption rate by the cost 2) cost of the item by the original price 3) cost of the item by the yearly savings 4) savings by the expected years of use

To determine the capability to meet short-term cash needs, an administrator would use the: 1) trial balance 2) balance sheet 3) cash flow statement 4) profit and loss statement

To help insure work is completed on time, the administrator should: 1) establish work teams 2) assign only one person to one task 3) schedule the work and observe the progress 4) delegate the work load evenly to the employees

To meet the requirements, all doors except for the bathroom and toilet doors must be at least: 1) 32 inches wide 2) 36 inches wide 3) 44 inches wide 4) 48 inches wide

To properly analyze a budget, one should not: 1) be timely 2) broadly view variances 3) accept only strict adherence 4) compare actual performances to budgeted performance

Today our approach to managing quality should be focused upon: 1) quality control 2) quality assurance 3) customer satisfaction 4) total quality management

Unable to stand or walk: 1) Restraint 2) Range of motion 3) Bedridden 4) Ambulatory

Under OBRA the quality assurance committee is required to meet at least: 1) weekly 2) monthly 3) quarterly 4) annually

Under Title XVIII, case mix reimbursement is based upon: 1) the discharge potential 2) illness 3) level of care required 4) rehabilitative progress

Used to analyze financial strength and profitability: 1) Trial Balance 2) Break-Even Analysis 3) Ratio Analysis 4) Profit Margin

What is a placebo? 1) an unordered medication 2) an analgesic 3) used for psychological reasons, but not an analgesic 4) used to increase hydration of patient

What is the allowable temperature range for facilities certified after Oct 1 1990? 1) 70-80° F 2) 68-75° F 3) 71-81° F 4) 72-82° F

What is the first step when drawing up a job description? 1) list educational requirements 2) list qualifications 3) list tasks to be done 4) list who to report to

What management function involves developing job descriptions? 1) planning 2) controlling 3) organizing 4) staffing

What would be the approx. average daily absentee rate for a facility with a total of 120 full-time employees and 90 lost work days or absences in a 30-day period? 1) 1.0 2) 2.0 3) 3.0 4) 5.0

When a person comes into contact with potentially infectious materials: 1) Accident 2) Hazard 3) Exposure Incident 4) Disaster

When income merely covers expense, the facility is said to have: 1) a not-for-profit status 2) a peer administration 3) a marginal return 4) frozen assets

When income merely covers expense, the facility is said to have: 1) a not-for-profit status 2) a poor administrator 3) a marginal return 4) frozen assets

Which of the following applies if the administrator and the board of governors carry out their respective duties? 1) the governing body should be equally concerned about management techniques and their effectiveness 2) the governing body not only hire the administrator, but also should review and approve the management techniques he/she will use 3) the administrator is responsible for management and the governing board is responsible for determining effectiveness of management 4) the governing body is primarily concerned with the management techniques the administrator uses and the administrator is concerned about effectiveness

Which of the following consultants is not required by Medicare or Medicaid? 1) dietitian 2) pharmacist 3) geriatrician 4) medical record librarian

Which of the following is not a survey task? 1) tour of the facility 2) information gathering 3) reviewing the budget and financial reports 4) information analysis for deficiency determination

Which of the following is not a way to be removed from the Special Focus Facilities (SFF) list? 1) Making a commitment to improve within a year. 2) Showing a trend of improvements. 3) Being replaced by a facility with a worse record of deficiencies. 4) Improving operations to meet standards.

Which of the following should guide the selection of program content in an employee-training program? 1) experience 2) availability of trainers 3) instructional objectives 4) amount of time available

Within how many days must the designated staff member a device-related serious injury to the manufacturer? 1) 30 days 2) 15 days 3) 10 days 4) 2 days

Workplace conditions that improve morale: 1) Teamwork 2) Job Satisfaction 3) Positive Hygiene Factors 4) Reciprocal Relations

amortization is correctly defined as a: 1) loan interest schedule 2) depreciation schedule 3) declining proration of asset cost 4) schedule indicating reduction of value

changes that occur in sensory and perceptual processes, mental functioning (e.g. memory, learning and intelligence), adaptive capacities and personalities are what type of aging? 1) biological 2) social 3) psychological 4) chronological

15. Areas where smoking is not allowed such as the oxygen tank storage room must be marked as what? a. No smoking signs b. An internationally recognized symbol for "no smoking" sign c. Areas must be listed at the nursing station d. Both a & b

16. Which of the following are not allowed to be in a smoking area? a. Oxygen tanks and concentrators b. Laundry hampers and helium tanks c. Flammable liquids such as cleaning supplies d. All of the above

17. All furnishings, decorations, bedding, draperies, etc. must be what? a. Flame resistant b. Bought from a known supply chain such as Target c. Tested and approved by the NFPA d. Both a & c

2. Who establishes and revises Life Safety Code standards for Nursing Homes? a. NFPA b. Committee on Safety to Life c. Federal Government of Register d. Both a & b

30. What is the best way to ensure that furniture, bedding, drapes, room trash cans, bins, and construction materials such as doors are approved by NFPA and are safe per code for nursing facilities? a. Shopping Target and Bed Bath and Beyond b. Purchase items from commercial vendors who distribute only NFPA approved supplies c. Obtain approval and rating confirmation from the vendor d. Both b & c

91. A nursing facility with 1-100 parking spaces must have at a minimum how many accessible parking spaces? a. 4 b. 1 Per 25 C. 5 D. BOTH A & b

93. What is the requirement of a passenger loading zone? a. 20" Wide and 60' long b. 60" Wide and 20' long c. Must be adjacent and parallel to the vehicle space d. Both b and c

96. Accessible parking spaces must be marked by what? a. Inside of the space covered by a parked vehicle b. Standard handicapped symbol c. Not covered by a parked vehicle d. Both b & c

Toilets in resident rooms must be how tall? A. 17" TO 19" from floor to the top of the rim b. 17" c. 19" d. 17" - 19" from the floor to top of the toilet seat

Which of the following is required of an accessible telephone? a. 30"x48" Clear floor space b. Within 15"-48" of forward reach and a 29" or longer phone cord c. Volume between 12-18 decibels above normal d. All of the above

11 Bedridden residents must be moved to the safe areas during a fire drill? a. True b. False

19. A mattress while burning shall not exceed a heat release rate (HHR) of what within the first 5 minutes of burning? a. 40mj(HHR) b. 250kw(HHR) c. 260kw(HHR) d. 100mj(HHR)

20. Upholstered furniture while burning must not exceed a heat release rate (HHR) of what within the first 5 minutes of burning? a. 40mj(HHR) b. 250kw(HHR} c. 260kw(HHR} d. 100mj(HHR)

22. What is the maximum capacity for any trash or laundry receptacle before it would be considered hazardous? a. 30 Gallons b. 32 Gallons within a 64 square foot area c. 64 Gallons d. 72 Gallons

25. Which of the following is not allowed? a. Laundry hampers stored in shower rooms while not in use b. Laundry hampers on rollers in excess of 32 gallons sitting in the hallway while not in use c. Laundry bins in laundry area d. Trash bins in kitchen area

27. Portable heaters are allowed in resident rooms? a. True b. False

38. Handrails must be on at least one side of a hallway. a. True b. False

41. Side rail surfaces are allowed to be rough or smooth. a. True b. False

42. What is the required fire protection rating of a door in a stairwell? a. 2 Hour b. 1.2 Hour c. 3 Hour d. 2.5 Hour

71. Each story with an occupant load of 50 or more regardless of use must be divided into at least how many smoke compartments? a. 1 b. 2 C. 3 D. 4

75. Smoke barrier doors must be how thick and have a fire resistance rating of what? a. 2" And 1 hour b. 11/2"' And 20 minutes C. 1" and 30 minutes d. 1 ½" And 2 hours

76. The maximum allowable height of a window sill is 3611 above the floor and the window must be operable. a. True b. False

78. Life Safety Code is to fire/disaster safety like ADA is to what? a. Safe physical environment b. "Handicapped accessible" nursing facility c. State law d. Adult day care

82. There must be a 60" passing space at least how often? a. Every 100' b. At least every 200' C. 80' D. At all times

85. A protruding object 27" or less like a small night stand is allowed in an accessible route. a. True b. False

86. An object 27" tall or less and not in an accessible route may only protrude from the wall how many inches? A 4" b. No limits C. 3 1/2 d. 2"

88. What is the allowable height of carpet? a. 1" b. ½" c. No requirement d. Comfortable and safe

89. How wide is a parking space required to be? a. 60" b. 96" C. 3' D. 5'

92. It is not allowed for two 9611 wide accessible parking spaces to share one or the same 6011 accessible parking aisle. a. True b. False

98. What is the allowable height of the door threshold with the exception of an exterior sliding door? a. ¾" B. 1/2" C. 1" D. 2"

21. Which of the following scenarios of combustible decorations would be acceptable as fire safe? a. The activity room walls 100% covered with cardboard puzzles b. A 10 x 10 bulletin board covered with paper greeting cards c. A paper calendar hanging alone on a residents wall d. A residents' wall covered from floor to ceiling with family photos

23. Once an area exceeds the 32 gallon limit therefore automatically making the area hazardous what would be the new size and density requirements for the containers/receptacle in a hazardous area? a. 33 Gallons b. 32 Gallons c. There are no such limits in a hazardous area d. 64 Gallons

54. The door of a resident room to an exit access may not exceed what distance? a. 200' b. 300' C. 150' D. 350'

79. According to the ADA Guidelines at least what percentage of resident rooms, toilets, public and common use areas in a NF are required to be designed and constructed to be handicapped accessible? a. At least half b. 50% or more c. At least 50% d. 60%

84. Passing spaces of 60" wide occurring at least every 200' on an accessible route must also have how much turning room within the passing spaces? a. 60" b. 32" c. 80" d. 36"

94. A NF parking lot with 151 parking spaces is required to have how many accessible parking spaces? a. 5 b. 7 C. 6 D. 8

How much weight or pressure is a handrail and/or grab bar required to sustain? a. Maximum of 250 lbs. b. 450 Lbs. c. 250 Lbs. or more d. Up to 250 lbs.

The first usable shelf in a medicine cabinet can be no higher than what? a. Less than 44" b. 4' c. No higher than 44" d. 36"

Toilet flush handles must be what? a. Right handled only b. Left handled only c. Right or left handled d. No requirement

What is the maximum height of the resident clothing rod from the floor? a. 24" b. 54' C. 54" D. 24'

The decline in value of an asset: 1) Debit 2) Depreciation 3) Deficit 4) Current Liability

The delivery of the message: 1) Transmission 2) Receiving 3) Understanding 4) Feedback

The top manager and immediate subordinates: 1) Governing Body 2) Executive Staff 3) Advisory Board 4) Board

The end result of activity: 1) Mission 2) Goal 3) Strategies 4) Policy

A combination of universal precautions and body substance isolation guidelines is known as what? 1) infection control 2) investigating, controlling, and preventing 3) standard precautions 4) CDC

An infection resistant to antibiotics: 1) Toxin 2) Pathogen 3) MRSA 4) Nosocomial Infection

Payroll accounts for how much of a nursing home cost? 1) 50% 2) 60% 3) 70% 4) 80%

1. The National fire Protection Association is all of the following except which one? a. government agency b. private non-profit organization c. nursing home law d. included in Life Safety Code

18. Upholstered furniture and mattresses must be cigarette ignition resistant according to what testing method? a. NFPA 260-Cigarette Ignition Resistance Test b. NFPA 701-Cigarette Ignition Resistance Test c. NFPA 101-Cigarette Ignition Resistance Test d. OBRA

24. A shower room that is used during the day to store 8 laundry hampers on rollers and each in excess of 32 gallons would make the shower room area what during the time of the day when it was being used to store the hampers? a. Hazardous area b. Just a shower room c. Laundry storage d. Non-hazardous area

The sprout on a drinking fountain is allowed to be how high/tall? A. 36" or more b. No more than 36 C. 4" d. 40"

Title XVIII accounting must be: 1) double entry 2) cash 3) accrual 4) externally audited

A sudden event that causes great damage or loss of life: 1) Exposure Incident 2) Disaster 3) Accident 4) Hazard

An excess of expenditure over income: 1) Current liability 2) Deficit 3) Debit 4) Depreciation

If a facility has 60 parking spaces, how many must be accessible to the disabled? 1) 1 space 2) 2 spaces 3) 3 spaces 4) 4 spaces

Facility records are retained according to: 1) Medicare regulations 2) Medicaid regulations 3) the medical records librarian act 4) state law

The law regarding the Social Security Program: 1) FUTA 2) GAAP 3) FASB 4) FICA

Which of the following is a fixed asset? 1) equipment 2) cash 3) inventory 4) payroll taxes

Which of the following is covered by Medicare, part A? 1) home health 2) private duty nurses 3) physical check-ups 4) outpatient diagnostic services

Money available for small purchases: 1) Per Diem Rate 2) Petty Cash 3) Resident Funds 4) Dividends

Mortality rates are statistics which relate to: 1) births 2) deaths 3) disease 4) aging

A swelling containing blood: 1) Decubitus Ulcer 2) Laceration 3) Hematoma 4) Contusion

A growth that is likely to spread: 1) Tumor 2) Hypertrophy 3) Metastasis 4) Carcinoma

A guide with no exception: 1) Program 2) Budgets 3) Procedure 4) Rule

A sphygmanometer is used to: 1) remove imp actions 2) measure hearing 3) screen eyesight 4) take blood pressure

A business owned by more than one person: 1) Corporation 2) Sole Proprietorship 3) LLC 4) Limited Partnership

A pressure sore: 1) Decubitus Ulcer 2) Contusion 3) Hematoma 4) Laceration

Ambulate means to: 1) walk 2) inject 3) reduce 4) increase

Equal pay act relates to: 1) sex 2) age 3) disabilities 4) race, creed, and national origin

Normal psychological changes in the elderly include all but: 1) Receptive to change 2) Confusion 3) Depression 4) Memory Loss

A computer-assisted survey: 1) QA 2) QIES 3) QIS 4) OIG

The ADA is enforced by: 1) ANSI 2) FLRB 3) EEOC 4) OSHA

Which paid fringe benefit is usually the most costly? 1) holidays 2) jury duty 3) vacations 4) sick leave

A position that creates stress: 1) Accident 2) Repetition 3) Force 4) Awkward Posture

No more than how many hours can separate dinner and breakfast? 1) 12 2) 10 3) 16 4) 14

Which of the following provides for the creation of an Ombudsman program to deal with abuse and neglect complaints? 1) OBRA 87 2) The IMPACT Act of 2014 3) OBRA 90 4) The Elder Justice Act of 2009

Which of the following relationships is not regarded as having "privileged communication?" 1) husband/wife 2) attorney/client 3) physician/patient 4) administrator/family

Which of the following sections is not mandatory on an SDS? 1) Hazards and appropriate warnings 2) First aid measures 3) Handling and storage guidelines 4) Transport information

Who is eligible to form a union? 1) professionals 2) non professionals 3) physicians 4) everyone

How far from the floor must electrical switches be located so that a person in a wheelchair can access the switch? a. At least 15" b. 15" Or less c. 45" d. 24"

How much space is required to be between a wall and a grab bar mounted to the wall? a. 1" b. 1 ½" c. 2" d. 3 ½"

Resident restrooms are not required to have alarms. a. True b. False

The controls of a water fountain must be usable with at least 2 hands or operable with 5lbs. of pressure/force. A. TRUE B. FALSE

The shower hose in both the tub and the shower must be how long? a. 24" b. 60" c. 2' d. Both a & c

The top of an accessible table shall be how far above the floor level? a. Less than 28" but not more b. Between 28" and 34" c. No more than 28" d. No more than 34"

All switches and controls which are essential and frequently used should be within the reach of wheelchair users. Therefore, the maximum height of the forward reach is 48 inches. What is the maximum height of the wide reach? 1) 54 inches 2) 56 inches 3) 58 inches 4) 60 inches

An OSHA violation that will not result in lasting injury: 1) Other-Than-Serious 2) Repeated 3) Serious 4) Wilful

An OSHA violation where the employer chose to not comply with a legal requirement: 1) Wilful 2) Other-Than-Serious 3) Serious 4) Repeated

An accident is defined as all of the following except: 1) an incident 2) an unexpected occurrence 3) unintentional injury to a person 4) unintentional damage to an object

An accounting entry that increases an asset or decreases an equity account: 1) Debit 2) Deficit 3) Current Liability 4) Depreciation

An advanced directive to not to receive treatment if the heart or breathing stops: 1) Do Not Resuscitate (DNR) 2) Living Will 3) Health Care Durable Power of Attorney (POA) 4) Financial POA

An agreement to compensate a resident who loses funds: 1) Surety Bond 2) Garnishment 3) Fidelity Bond 4) Goodwill

An amortization schedule would usually include all of the following information except: 1) depreciation 2) interest payment 3) new balance due 4) principal payment

An asset resulting from providing quality services: 1) Goodwill 2) Intangible 3) Tangible 4) Fixed

An asset that is used for a long period of time: 1) Fixed 2) Intangible 3) Tangible 4) Goodwill

An asset with physical characteristics: 1) Tangible 2) Goodwill 3) Intangible 4) Fixed

An early warning to an employee: 1) Oral Reprimand 2) Written Reprimand 3) Docking Pay 4) Grievance

An employee-wage-evaluation program should be based primarily on: 1) merit 2) seniority 3) personality 4) experience

An employee-wage-evaluation program should be based primarily on: 1) merit 2) seniority 3) personality 4) wages paid in comparable facilities

An employee-wage-evaluation program should be based primarily on: 1) merit 2) seniority 3) personality 4) wages paid in the community

An environment with adequate lighting levels: 1) Comfortable 2) Homelike 3) Safe 4) Orderly

An example of a variable expense is: 1) payroll taxes 2) property taxes 3) liability insurance 4) property insurance

A legal document that specifies a person's preference concerning life-sustaining treatment is referred to as a: 1) living will 2) statutory will 3) holographic will 4) power of attorney

A legend drug: 1) is nongeneric 2) is nonpresribed 3) cannot be refilled 4) is sold over the counter

A listing of all accounts: 1) Trial Balance 2) Profit Margin 3) Break-Even Analysis 4) Ratio Analysis

A listing of every account in the general ledger and the corresponding debit or credit balance is called a: 1) trial balance 2) balance sheet 3) general jouranl 4) profit and loss statement

A listing of every account in the general ledger and the corresponding debit or credit balance is called a: 1) trial balance 2) balance sheet 3) general ledger 4) profit and loss statement

A management style where any employee can speak to the executive staff: 1) Open Door Policy 2) Management by Walking Around 3) Participative Management 4) Employee-Centered Management

A medication that has a tranquilizing effect: 1) Sedative 2) Placebo 3) Palliative 4) Antipsychotic

A medication that neutralizes poisons: 1) Antitoxin 2) Antitussive 3) Diuretic 4) Laxative

A medication that treats coughs: 1) Antitussive 2) Antitoxin 3) Laxative 4) Diuretic

A message here can be read by all facility staff: 1) Bulletin Board 2) Electronic Mail 3) Voice Mail 4) Texting

A nasogastric tube is a: 1) stomach tube 2) breathing tube 3) urinary drainage tube 4) tube for intravenous solutions

A needed piece of equipment costing less than 500.00 goes into what account? 1) supplies or minor equipment 2) repairs and maintenance 3) capital expenditures 4) capital budget

A nurse who can perform medical examinations and prescribe medications: 1) Nurse Practitioner 2) Licensed Practical Nurse (LPN) 3) Registered Nurse (RN) 4) Physician Assistants

A patient who has lost or damaged dentures must be referred to a denturist within: 1) 3 days 2) 10 days 3) 5 days 4) 7 days

A policy on sexual harassment should include all of the following except: 1) disciplinary actions such as fines 2) the definition of sexual harassment 3) the establishment of action for violations 4) prohibit retaliation against reporting complaints

A promise to pay a sum of money: 1) Note 2) Liability 3) Lien 4) Mortgage

A property title held by a lender: 1) Mortgage 2) Lien 3) Note 4) Liability

A relationship where one person gives advice and counsel to another employee: 1) Staff Authority 2) Functional Authority 3) Line Authority 4) Superior/Subordinate Relationship

A report showing increases and decreases in owners equity or fund balance during the year would be what? 1) statement of changes in fund balance 2) statement of cash flow 3) balance sheet 4) statement of revenues and expenses

A required form that is a yearly summary of employee injuries and illnesses with the names of employees: 1) OSHA 300 2) OSHA 301 3) OSHA 300A 4) OSHA 600

A resident can receive some reimbursement for up to how many days in an SNF? 1) 100 days 2) 50 days 3) 40 days 4) 20 days

A resident with a hearing loss would normally be referred to: 1) an otologist 2) a pathologist 3) a neurologist 4) an ophthalmologist

A specialist who diagnoses and treats cancer: 1) Oncologist 2) Otologist 3) Proctologist 4) Pathologist

A specialist who diagnoses and treats disorders of the colon and rectum: 1) Proctologist 2) Otologist 3) Pathologist 4) Oncologist

A specialist who diagnoses and treats gum conditions: 1) Periodontist 2) Urologist 3) Rheumatologist 4) Orthopedist

A specialist who diagnoses and treats kidney conditions: 1) Nephrologist 2) Cardiologist 3) Hematologist 4) Dermatologist

A specialist who works on rehabilitation therapies: 1) Physiatrist 2) Proctologist 3) Pathologist 4) Oncologist

A state of balance: 1) Equilibrium 2) Spasm 3) Turgor 4) Stasis

A strong current ratio is approx.: 1) 2.0 to 1.0 2) 1.5 to 1.0 3) 1.0 to 1.0 4) less than 1.0 to 1.0

A suit for libel may ensue from: 1) written statements that are untrue and damaging 2) verbal statements that are damaging 3) the destruction of property 4) the unintentional injury of another where a duty was owed

A system to ensure that employees are aware of their responsibilities: 1) Corporate Compliance Programs 2) Criminal Background Check 3) Harmony of Objectives 4) Positive Work Atmosphere

A system where employees receive raises based on the quality of their work performance: 1) Merit System 2) Mixed System 3) Seniority System 4) Increment Pay Plan

A system where raises are given for both job performance and length of employment: 1) Mixed System 2) Seniority System 3) Increment Pay Plan 4) Merit System

A therapist who focuses on functional performances in daily activities is called a what? 1) O.T. 2) P.T. 3) S.T. 4) R.T.

A type of constipation: 1) Fecal Impaction 2) Incontinence 3) Cathartic Colon 4) Cystitis

A unit of a facility that generates income: 1) Revenue Center 2) Book Value 3) Par Value 4) DRG

A yearly summary of employee injuries and illnesses without employee names: 1) OSHA 300A 2) OSHA 300 3) OSHA 301 4) OSHA 600

A.N.S.I. requires that in a special toilet room, the mirror and towel racks should be mounted no higher than: 1) 36 inches above the floor 2) 40 inches above the floor 3) 44 inches above the floor 4) 48 inches above the floor

An example of cash basis would be what? 1) revenues and expenses recorded when money is literally received and paid 2) GAAP 3) revenues and expenses recorded when earned and owed 4) general ledger

An example of the accrual basis would be what? 1) revenues and expenses recorded when earned and owed 2) GAAP 3) revenues and expenses recorded when money is literally received and paid 4) general ledger

An infection contracted within a facility: 1) Nosocomial Infection 2) Pathogen 3) Toxin 4) MRSA

An invoice is usually a: 1) list 2) receipt 3) statement 4) receivable

An office safety checklist: 1) OSHA 600 2) OSHA 300A 3) OSHA 301 4) OSHA 300

An ophthalmologist treats residents with: 1) visual disorders 2) hearing disorders 3) speech disorders 4) arthritic disorders

An orientation program for new employees should not include: 1) a lecture on treatment procedures 2) an introduction to resident's rights 3) a review of personnel policies 4) training in fire and disaster procedures

An uncluttered environment: 1) Orderly 2) Comfortable 3) Safe 4) Homelike

Any outbreak of illness related to the dietary department should be reported to the local health unit and records should be kept to help with the follow up: 1) true 2) false

Approx. what percent of residents in health-care facilities are currently bedridden? 1) 12 percent 2) 24 percent 3) 36 percent 4) 48 percent

Available for facilities to resolve disputes with Medicare or Medicaid: 1) IIDR 2) CMS 3) CFR 4) MIS

Basic personal laundry includes: 1) ironing 2) mending 3) dry cleaning 4) washing by hand

Basing a judgement on facts: 1) Objectivity 2) Confidentiality 3) Discrimination 4) Accountability

Bathroom and toilet doors must be at least: 1) 32 inches wide 2) 36 inches wide 3) 42 inches wide 4) 48 inches wide

Before hiring a person to work as a nurses' aide, the administrator must: 1) contact the state CNA registry 2) complete a form for the CNA registry 3) require the applicant to successfully pass a state test 4) request copies of the applicant's CNA card and certificate

Being able to walk: 1) Ambulatory 2) Bedridden 3) Restraint 4) Range of motion

Between the time you pay for insurance and the time the policy can be written, you are protected by: 1) a binder 2) a rider 3) an inclusion 4) your agent and the insurance company collectively

Blind ANSI standards do not require: 1) brail telephones 2) brail elevators 3) easy identifications of hazardous areas 4) audible fire alarms

Builds upon traditional quality assurance methods by emphasizing the organization and system: 1) CQI 2) QCI 3) NHQI 4) QIES

By law how long must employee applications be kept? 1) 1 year 2) 3 years 3) 2 years 4) 5 years

Caused by the occlusion of a coronary artery: 1) Heart Attack 2) Stroke 3) Angina Pectoris 4) Coronary Heart Disease

Collection procedures usually require that the percentage of accounts outstanding for more than 60 days should never exceed: 1) 5 percent 2) 10 percent 3) 15 percent 4) 20 percent

According to ANSI 4.2.3, the space required for a wheelchair to make a 180 degree turn shall be a clear space: 1) 60 inches in diameter 2) 66 inches in diameter 3) 72 inches in diameter 4) 78 inches in diameter

According to IRS, records of employment taxes must be kept for at least: 1) 4 years 2) 5 years 3) 6 years 4) 10 years

According to OBRA, which of the following committees may not be included in the quality assurance committee: 1) ethics 2) safety 3) pharmaceutical 4) infection control

According to OSHA, all contaminated sharps shall be discarded in sharp containers: 1) immediately after use 2) at the end of every shift 3) within a reasonable time period 4) after being sheared and broken

According to Title XIX, records of menus as actually served must be retained for at least: 1) 30 days 2) 90 days 3) 6 months 4) 1 year

According to current nutritional standards, which of the following diets would be inadequately prescribed: 1) liquid diet 2) bland diet 3) 1500 calorie diabetic diet 4) pureed diet

According to the life safety code, no room shall be more than: 1) 100 feet from an exit 2) 120 feet from an exit 3) 150 feet from an exit 4) 300 feet from an exit

Account aging is very important because the older the account, the more difficult it is to collect and: 1) accounts receivable are very costly 2) after a certain time period accounts cannot be collected 3) Medicare and Medicaid will not honor any account past due 4) all accounts past 90 days must be given to a collection agency

Acting as an intermediary between subordinates and upper management: 1) Representing 2) Planning 3) Organizing 4) Problem Solving

Actions taken to ensure compliance with policy: 1) Internal Controls 2) Utilization Review 3) Uniform Cost Report 4) Operating Budget

After interruption of normal power the emergency generator must start and transfer power within? 1) 10 seconds 2) 15 seconds 3) 30 seconds 4) 60 seconds

All deaths resulting from a medical device must be reported to the: 1) food and drug administration 2) omnibus budget and reconciliation act 3) the life safety code, product surveillance division

All exit doors must swing: 1) to the egress 2) to the ingress 3) one to the egress and the one to the ingress 4) in either direction but never propped open

All internal and external medications should be kept: 1) in separate areas 2) in a locked area 3) in a secure area 4) at the nurses station

All internal and external medications should be kept: 1) in separate areas 2) in separate rooms 3) at the nurses' station 4) together by resident name

All menus must be approved by the: 1) dietitian 2) medical director 3) director of nursing 4) food service director

All nursing homes must offer immunization against which disease to all residents if they received their first before the age of 65? 1) Pneumonia 2) Influenza 3) Shingles 4) Measles

All of the following are advantages of C corporations as compared to Sub chapter "S" corporations except: 1) taxation 2) limited liability 3) centralized authority 4) limited legal exposure

All residents' drug regimens must be reviewed at least monthly by the: 1) pharmacist 2) medical director 3) director of nurses 4) attending physician

Commodities and services that have been purchased for consumption but that are unconsumed at the end of the accounting period are called: 1) prepaid expenses 2) accrued expenses 3) adjusted expenses 4) unearned expenses

Gerontology is best defined as the study of the: 1) aging process 2) psychology of aging 3) illnesses of the aged 3) ADL levels of the aged

Handwashing is critically important except: 1) before putting on gloves 2) after handling soiled linen 3) before passing medication 4) before handling clean linen

Historic cost concept relates to: 1) original cost 2) replacement cost 3) appreciated value 4) original cost minus depreciation

Hospitals control cost by accelerating discharges because they get paid for DRGs regardless of length of stay. 1) true 2) false

How far must an alcohol-based hand rub dispenser be placed from an ignition source? 1) 1 inch 2) 2 inches 3) 3 inches 4) 4 inches

How many months does a nursing home have to correct problems or there will be a denial of payment for new admissions? 1) 3 months 2) 12 months 3) 9 months 4) 6 months

How many square feet must be allotted for each occupant of a shared room? 1) 80 square feet 2) 70 square feet 3) 60 square feet 4) 50 square feet

How many working days does an employee have to contest an employer's Petition for Modification of Abatement? 1) 10 days 2) 5 days 3) 30 days 4) 15 days

How often must Special Focus Facilities (SFF) be surveyed? 1) Twice as often as other facilities 2) Once a month 3) Every 3 months 4) Once a year

How soon after admission must a baseline care plan be created? 1) 48 hours 2) 96 hours 3) 24 hours 4) 72 hours

How soon must a resident be able to see their medical record? 1) 24 hours 2) 1 hour 3) 48 hours 4) 12 hours

Identifies problem areas: 1) QA 2) QIES 3) QIS 4) OIG

Identifying a condition: 1) Diagnosis 2) Modality 3) Prognosis 4) Symptom

If a facility borrows $50,000 at an annual rate of 9% common interest for a 10-year period and agrees to pay only the interest due for the first year, the first monthly interest payment would be approx.: 1) 375 2) 416.66 3) 500 4) 541.66

Before a resident is eligable under title XVIII for inpatient care in a SNF, the resident must be in a hospital for the same condition for at least: 1) 2 consecutive days 2) 3 consecutive days 3) 3 intermittent days 4) 5 intermittent days

The implementation of rehabilitation programs to maximize the resident's optimal levels of function is the primary responsibility of the: 1) therapist 2) physician 3) registered nurse 4) quality assessment team

The inventory method that divides by the total number of units: 1) Average Cost Method 2) First-In, First-Out 3) Last-In, First Out 4) Perpetual

The law that gives the FDA the power to pursue charges against facilities that use medical devices improperly, leading to death or injury: 1) FFDCA 2) SMDA 3) ADAAG 4) ADA

The leadership style using the knowledge and skills of employees by encouraging input: 1) Democratic 2) Laissez-faire 3) Dictatorial 4) Paternal

The leadership style where a leader leaves the staff to achieve goals on their own: 1) Laissez-faire 2) Democratic 3) Paternal 4) Dictatorial

The leadership style which motivates through fear: 1) Dictatorial 2) Paternal 3) Democratic 4) Laissez-faire

The life safety code was developed by the: 1) national fire protection association 2) health care finance administration 3) american national standards institute 4) occupational safety and health administration

The loss of ability to speak: 1) Aphasia 2) Sundowning 3) Senile Dementia 4) Parkinson's Disease

The major payment source for health-care facility residents is: 1) Medicaid 2) Medicare 3) private funds 4) insurance companies

The major problem with fire drills is that: 1) there is really no fire 2) not all of the staff is involved 3) all residents are not evacuated 4) drills are conducted every month

The management function of control occurs: 1) as the last function 2) whenever necessary 3) when there is conflict 4) with all other functions

The managerial function of influencing usually results in: 1) initiating action 2) reducing morale 3) increasing salaries 4) increasing job security

The most common accident occurring to employees in a health-care facility is caused by: 1) lifting 2) burns 3) falling 4) lacerations

The number of residents per bathroom / toilet is established by: 1) the state 2) the fire marshal 3) Title XVIII and XIX 4) the fire prevention bureau

The value of shares issued by a company: 1) Equities 2) Revenue 3) Gross income 4) Earnings

The yearly summary of death and serious injury reports must be submitted by what day in the next year? 1) January 1 2) March 15 3) July 4 4) December 31

This is used to penalize an employee for tardiness or absenteeism: 1) Docking Pay 2) Oral Reprimand 3) Written Reprimand 4) Grievance

Thorazine is in what category of psychotropic drugs? 1) Antipsychotic 2) Hypnotic 3) Antidepressant 4) Antianxiety

Those who have implemented total quality management programs unanimously agree that the key to success is: 1) training 2) team building 3) quality analysis 4) problem solving

To attain high employee morale, the administrator should: 1) be fair and impartial 2) insist on strong discipline 3) give praise to all employees 4) be able to perform all of the work assigned

To be effective, communication must: 1) be received and understood 2) be written and explained 3) be from an immediate supervisor 4) be delivered with enthusiasm and conviction

To determine those activities in which a resident would prefer to participate, the choice should focus on the: 1) desire of the resident 2) availability of the activity 3) ability of the activity director 4) current activities of the resident

Transferring entries to a ledger: 1) Posting 2) Double-Entry Bookkeeping 3) Reconciliation 4) Audit

Under the Fair Labor Standards Act, if an employee who earns $5.00 per hour during a regular 40 hour week (Sunday through Saturday), works eight hours Monday, eight hours Tuesday, Twelve hours Wednesday, and Twelve hours Thursday, their total salary should be: 1) 200.00 2) 240.00 3) 260.00 4) 280.00

Under the fair labor standards act, if an employee who earns $5.00 per hour during a regular forty (40) hour week (Sunday through Saturday), works eight hours Monday, eight hours Tuesday, twelve hours Wednesday, and Twelve hours Thursday, the total salary would be: 1) $200.00 2) $240.00 3) $260.00 4) $280.00

Under the minimum wage, section 206, enforced by EEOC, no employer shall be allowed to adjust wages based upon an employee's: 1) sex 2) training 3) education 4) years of employment

Unity of command means that if possible: 1) each employee is responsible to only one supervisor 2) the number of employees per supervisor will be limited 3) all supervisors can supervisors can supervise various areas of operations 4) all supervisors agree on the action to be taken by the entire organization

Universal precautions are prepared by: 1) CDC 2) ANSI 3) OBRA 4) OSHA

Universal precautions were established by: 1) CDC 2) ANSI 3) OSHA 4) OBRA

Upon giving an oral or written request, excluding weekends and holidays, a resident has the right to access all records pertaining to himself/herself within: 1) 24 hours 2) 48 hours 3) 72 hours 4) 5 days

Used to determine compliance by a facility: 1) Critical Elements Protocols 2) Plan of Correction 3) Malpractice 4) Statement of Deficiencies

Using a third party to make the final decision in a dispute: 1) Arbitration 2) Mediation 3) Documentation 4) Negotiation

Using cleaning materials to destroy bacteria: 1) Aseptic Cleaning 2) Housekeeping 3) Preventive Maintenance 4) Maintenance

What does a balance sheet show? 1) assets, liabilities, and net worth 2) daily transactions 3) intangible assets 4) profit and loss

What duties can be assigned to a nursing service employee? 1) Bed Making 2) Dusting 3) Laundry Collection 4) Mopping Floors

What has to be reported quarterly to the federal government? 1) FICA & payroll taxes 2) overtime 3) workman's comp. 4) income taxes

What height are temperatures measured at? 1) 3 feet 2) 4 feet 3) 5 feet 4) 6 feet

Which of the following programs is paid for in part by the employee? 1) FICA 2) FUTA 3) state unemployment 4) workers' compensation

Which of the following requires that the action stipulated in the document takes place prior to death? 1) living will 2) probated will 3) holographic will 4) nuncupative will

Which of the following statements concerning isolation rooms is not correct? 1) An isolation room can be shared between 2 patients. 2) An isolation room should be ventilated to the outside. 3) An isolation room should have its own handwashing facilities. 4) An isolation room should have a private toilet.

Which of the following statements concerning the needs of the elderly is not true? 1) sexuality drastically reduces with age 2) relationships are needed to combat loneliness 3) the need for closeness is never lost by most of the elderly 4) independence to do their "own thing" is very important to the elderly

Which of the following statements regarding a resident's rights is incorrect? 1) It is sufficient for a resident to be informed of their rights orally. 2) There must be documentation that the resident has been informed of their rights. 3) The resident must receive a copy of their rights in a language the resident understands. 4) The resident or a legally responsible party must sign that they have been informed of their rights.

A charge of battery may ensue from: 1) a contract tort 2) a physical attack on another person 3) verbally abusing an older person 4) pointing a gun at someone in a threatening manner

A chart of accounts is a complete listing of: 1) the accounts receivable 2) all of the categories in the ledger 3) the monthly entries in the journal 4) all of the authorized vendors for the facility

A chemically restrained resident should be observed every: 1) 1 hour 2) 4 hours 4) 5 hours 4) 24 hours

A committee of persons organized to advise, or govern an organization: 1) Executive Staff 2) Board 3) Advisory Board 4) Governing Body

A computer system to aid in analyzing information: 1) CFR 2) MIS 3) CMS 4) IIDR

A condition affecting body tissues: 1) Hemophilia 2) Edema 3) Apnea 4) Anorexia

A condition affecting the joints: 1) Hypertension 2) Arthritis 3) Osteoporosis 4) Benign Disequilibrium of Aging

A condition that dates from birth: 1) Iatrogenic 2) Congenital 3) Idiopathic 4) Hereditary

A condition where a patient can see only straight ahead: 1) Cataract 2) AMD 3) Glaucoma 4) Conjunctivitis

A contusion is correctly defined as a: 1) burn 2) bruise 3) fracture 4) laceration

A corporation that pays no corporate tax: 1) Sole Proprietorship 2) S Corporation 3) Partnership 4) Limited Partnership

A debt: 1) Note 2) Liability 3) Lien 4) Mortgage

A decedent is correctly defined as: 1) the defendant 2) a deceased person 3) a person who is deformed 4) a person who gives consent

A discrimination of prejudice action towards a person because of age is known as what? 1) passing judgement 2) ageism 3) inappropriate 4) new ageism

A document showing how deficiencies will be remedied: 1) Malpractice 2) Plan of Correction 3) Critical Elements Protocols 4) Statement of Deficiencies

A document which sets forth basic rules and standards that govern employee and employer relations during the duration of a union contract is: 1) a union grievance procedure 2) a collective bargaining agreement 3) an employee / employer agreement 4) the standards of the national labor relations board

A drug test performed as part of the hiring process: 1) Reasonable Suspicion 2) Pre-Employment 3) Random 4) Post-Accident

A facility which has a range of different accommodation and service options depending on the resident: 1) Assisted Living Facility (ALF) 2) Continuing Care Retirement Facilities (CCRC) 3) Skilled Nursing Facility (SNF) 4) Intermediate Care Facility (ICF)

A toilet seat for the disabled must be: 1) 16 to 18 inches from the floor 2) 17 to 19 inches from the floor 3) 18 to 20 inches from the floor 4) 19 to 21 inches from the floor

A toliet seat for the disabled must be: 1) 16 to 18 inches from the floor 2) 17 to 19 inches from the floor 3) 18 to 20 inches from the floor 4) 19 to 21 inches from the floor

A totally private-pay health-care facility must be: 1) certified 2) licensed 3) medicaid approved 4) medicare approved

A warranty is correctly defined as: 1) a legal declaration of a person's wishes 2) an expressed or implied assurance or promise 3) a note indicating a promise to pay within a certain period 4) a contract designed to join two or more persons together

A way of determining the need for specific services: 1) Public Image 2) Feasibility Study 3) Marketing 4) PR

A written record of actions, often used in building maintenance: 1) Lock Out, Tag Out 2) Log 3) K-Tag. 4) Work Order

ABC facility borrows $10,000. Which two accounts are affected? 1) cash/accounts receivable 2) cash/notes payable 3) cash/accounts payable 4) cash/payroll

Abbreviations are used by nurses in completing charts and other medical records. The abbreviation t.i.d. means: 1) triple dosage 2) three times daily 3) continue for three days 4) administered every three days

About how much revenue for the nursing home industry comes from Medicaid? 1) 75% 2) about 50% 3) 80% 4) 60%

What type of facility would be most apt or able to use funded depreciation method? 1) a facility in the red 2) a facility breaking even 3) a facility with a current ratio of 100 4) an assisted living

What type of fire extinguisher is used for electrical fires? 1) flammables (wood, paper 2) oils (motor oil) 3) electrical (sparks) 4) burning metal (sodium)

When interviewing a one-armed nursing assistant for employment, which of the following can be done: 1) require a pre-employment physical 2) refuse to hire 3) ask them to demonstrate lifting technique 4) tell them you are no longer hiring

When residents under Title XVIII and Title XIX of the Social Security Act are discharged from a nursing home, the residents may take medications with them if the: 1) medications are not narcotic 2) pharmacist approves the request 3) attending physician has given written permission 4) residents or their responsible parties sign a release

When the administrator of a facility requests a meeting with the director of nursing for the purpose of requiring budget information, this would be an example of: 1) vertical communication 2) upward communication 3) downward communication 4) horizontal communication

When the annual net income of a facility is divided by the total shareholder's equity, the result is the: 1) cash flow 2) net worth 3) return on equity 4) change in fund balance

When two parties accept the binding decision of a mutually selected third party, this is called: 1) negotiation 2) consulting 3) arbitration 4) contracting

Which form of therapy helps residents who have trouble eating? 1) Respiratory 2) Occupational 3) Speech 4) Physical

Which item may the Wage and Hour Administration determine to be part of wages? 1) travel expense 2) group insurance 3) board and lodging 4) uniform allowance

Which item may the wage and hour administration determine to be part of wages? 1) travel expense 2) group insurance 3) board and lodging 4) uniform allowance

Which of the following actions should be taken first in case of fire? 1) Sound the alarm and notify fire department of exact location of fire. 2) Control by closing all doors and windows. 3) Rescue any patients in immediate danger, if possible. 4) Extinguish small fires or evacuate.

Which of the following activities of daily living (ADLs) is a late loss ADL? 1) Dressing 2) Personal Hygiene 3) Bed Mobility 4) Walk in Room

Which of the following applies if the administrator and the board of governors carryout their respective duties? 1) the governing body should be equally concerned about management techniques and their effectiveness 2) the governing body not only hires the administrator, but also should review and approve the management techniques he/she will use 3) the administrator is responsible for management and the governing body is responsible for determining effectiveness of management 4) the governing body is concerned with the management techniques the administrator uses and the administrator is concerned about effectiveness

Which of the following are employers not required to provide for employees? 1) Social Security 2) Family and Medical Leave 3) Vacation Pay 4) Workers Compensation

Which of the following best defines line and consultant relationships? 1) line positions always have authority allocated to them, whereas consultant positions are never allocated authority 2) both line and consultant positions have superior/subordinate relationships down the scale and each may be advisory to the other 3) line positions have superior/subordinate relationships down the scale, whereas consultant relationships are advisory/problem solving 4) line positions are directly responsible for accomplishing the organizational goals, whereas consultant positions do not necessarily contribute to these goals

Which of the following does not have to be included in a Certified Nurse Aide (CNA) in-service education program? 1) Patient Abuse Prevention 2) Dementia Management 3) Fall Prevention 4) Areas of employee weakness as indicated on the annual evaluation

Which of the following employees in a nursing facility usually has the least training? 1) nurses 2) supervisors 3) housekeepers 4) nursing assistants

Which of the following is a both long stay and short stay quality measure? 1) moderate/severe pain 2) pressure ulcers 3) both a & b 4) excessive weight loss

Which of the following is a poor practice in the laundry department? 1) Sorting items for drying 2) Cleaning filters 3) Stamping linens with the facility name 4) Labelling resident clothing

Which of the following is an advantage in using an outside maintenance specialist? 1) there is more waiting time 2) fix-up charges are more costly 3) there is less investment in measurement devices 4) there is a need fore more repair equipment and supplies

Which of the following is based upon open communication, trust, and mutual respect between employees and management? 1) risk management 2) conflict resolution 3) total quality management 4) management by walking around

Which of the following is considered essential nursing home equipment by CMS? 1) Television 2) Refrigerators in resident rooms 3) Laundry Equipment 4) Whirlpool therapy tub

Which of the following is covered under Consolidated Billing? 1) Physician Services 2) Hospice Care 3) Hospitalization 4) Catheterization

A condition affecting the ear: 1) Hypertension 2) Arthritis 3) Osteoporosis 4) Benign Disequilibrium of Aging (BDA)

A condition that can be spread by contact: 1) Hereditary 2) Congenital 3) Iatrogenic 4) Communicable

A condition that has no known cause: 1) Hereditary 2) Communicable 3) Congenital 4) Idiopathic

A condition transferred genetically: 1) Iatrogenic 2) Communicable 3) Idiopathic 4) Hereditary

A condition which lasts for a long time: 1) Degenerative 2) Malignant 3) Acute 4) Chronic

A controllable cost is one over which the administrator has some control and influence. It has been determined that salaries could make up about: 1) 33% of controllable costs 2) 40% of controllable costs 3) 55% of controllable costs 4) 85% of controllable costs

A growth of non-inflammatory tissue: 1) Metastasis 2) Carcinoma 3) Hypertrophy 4) Tumor

A hallucination is: 1) a retreat from reality 2) a misinterpretation of a sensory experience 3) an experience which may be perceived by the resident 4) a sensory experience that is independent of stimulation from the environment

A market-opportunities analysis is: 1) the diversity of need within a given market 2) the general view people hold of a long-term care facility 3) planned courses of action to purchase available LTC facilities 4) the systematic means of developing and maintaining information that reflects the needs and desires of potential consumers and markets

A medication that is used for mental disorders: 1) Palliative 2) Placebo 3) Sedative 4) Antipsychotic

A mental condition in which there is deterioration of the brain: 1) Sundowning 2) Aphasia 3) Parkinson's Disease 4) Senile Dementia

A nurse with a 4-year college degree: 1) Certified Nurse Aide (CNA) 2) Licensed Practical Nurse (LPN) 3) Paid Feeding Assistant (PDA) 4) Registered Nurse (RN)

A person diagnosed with depression usually: 1) relies on memory aids 2) conceals the disability 3) has a history of hypertension 4) makes little effort to perform a simple task

A resident assessment must be done at least once every: 1) month 2) 60 days 3) 90 days 4) year

A resident assessment must be done at least one every: 1) month 2) 60 days 3) 90 days 4) year

A resident must be discharged from therapy if they miss how many consecutive sessions? 1) 6 sessions 2) 5 sessions 3) 4 sessions 4) 3 sessions

A resident with a skin rash may normally be referred to a: 1) otologist 2) cardiologist 3) hematologist 4) dermatologist

A resident with hemiparesis has paralysis of: 1) the facial muscles 2) the lower part of the body, including both legs 3) the upper part of the body, including both arms 4) one side of the body, including both the arm and the leg on that side

A rider on an insurance policy will always: 1) increase the coverage 2) decrease the coverage 3) increase the premium 4) change some condition of the policy

A sensory experience: 1) Delirium 2) Paranoia 3) Delusion 4) Hallucination

A severe pain around the heart: 1) Cebrovascular Accident 2) Congestive Heart Failure 3) Stroke 4) Angina Pectoris

A simple definition of strategic planning is: 1) long-range budget planning 2) marketing and public relations 3) utilization and allocation of resources 4) preparing for future eventualities and uncertainties

A specialist who diagnoses and treats ear conditions: 1) Optometrist 2) Ophthalmologist 3) Otolaryngologist 4) Otologist

A specialist who diagnoses and treats heart conditions: 1) Nephrologist 2) Hematologist 3) Dermatologist 4) Cardiologist

A specialist who fits eyeglasses: 1) Otologist 2) Otolaryngologist 3) Ophthalmologist 4) Optometrist

A statement which compares revenues to expenses: 1) Balance Sheet 2) Bank Statement 3) Cash Flow Statement 4) Earnings Statement

A survey conducted when a survey after a change in Director of Nursing shows that the facility does not meet standards: 1) Standard 2) Extended 3) Abbreviated Standard 4) Partial Extended

A survey that must be conducted at least every 15 months: 1) Extended 2) Abbreviated Standard 3) Partial Extended 4) Standard

A system where employees who have worked longer for the employer are paid a higher wage: 1) Merit System 2) Mixed System 3) Job-based System 4) Seniority System

A thing of value that is owned: 1) Working Capital 2) Investment Capital 3) Real Estate 4) Asset

A union will be established if the results of the election indicated that the number voting to join a union is at least: 1) 33 percent 2) 50 percent 3) 50 percent plus one employee 4) 51 percent

A way of determining the reason for an employee leaving their position: 1) Promotion Policy 2) Performance Evaluation 3) Employee Turnover 4) Exit Interview

A widely used method of making objectives operational by making them specific to each departmental in an organization is commonly referred to as: 1) value analysis 2) objectives by design 3) people-oriented goals 4) management by objectives

Abbreviations are used by nurses in completing charts and other medical records. The abbreviation stat means: 1) status 2) statistic 3) continue 4) immediately

Accelerated depreciation schedules versus straight-line schedules: 1) are for a longer period of time 2) do not consider any salvage value 3) are limited according to the cost of the item to be depreciated 4) depreciate higher percentages of the cost of the item during the fiscal year

According to Maslow, a person's highest order of need is: 1) social 2) safety 3) physical 4) self-realization

According to title XIX, when handling the residents' personal funds: 1) each resident must have a separate bank account 2) the funds of residents can be commingled with the facility funds 3) each transaction must be verified by the resident or responsible party within 10 days 4) a written account must be made available to the resident or responsible party on a quarterly basis

Accrual refers to: 1) profit 2) audits 3) inventory control 4) an accounting system

Adaptive eating and feeding equipment is required to be: 1) purchased upon request after the resident assessment 2) approved by the rehabilitation and therapy departments 3) prescribed by the attending physician or the medical directors 4) available to residents to assist them to achieve a better quality of life

Adaptive feeding equipment can be prescribed by the physician or the: 1) family 2) speech therapist 3) director of nursing 4) occupational therapist

All marketing should be oriented to: 1) adjust income 2) increase profit 3) revamp services 4) meet consumer needs

All of the following are barriers to communication except: 1) poor retention 2) fear of consequences 3) distrust of the speaker 4) the age and sex of the receiver

All of the following are intangible assets except: 1) leases 2) good will 3) copyrights 4) accounts receivable

All of the following are intangible assets except: 1) leases 2) goodwill 3) copyrights 4) accounts receivable

All of the following are staffing alternatives that can usually help to achieve the goal of reducing cost except the use of: 1) part-time help 2) peak-time staffing 3) a varied work week 4) agencies for temporary employment

Although the length of a budget period may vary, most facilities select a: 1) monthly accounting period 2) quarterly accounting period 3) semiannual accounting period 4) yearly accounting period

An accounting method where each entry has equal debits and credits: 1) Audit 2) Reconciliation 3) Posting 4) Double-Entry Bookkeeping

An advanced directive designating a person to make medical decisions on behalf of the resident: 1) Living Will 2) Do Not Resuscitate (DNR) 3) Financial POA 4) Health Care Durable Power of Attorney (POA)

An application for employment may request all of the following except: 1) education 2) references 3) work history 4) arrest history

An approved method for cleaning hands in most departments of a facility: 1) PPE 2) RACE 3) SDS 4) ABHR

An end to be achieved by management is: 1) a plan 2) an element 3) a goal 4) an objective

An end to be achieved by management" describes: 1) long range planning 2) a goal 3) profit motive 4) an objective

An environment that does not feel like an institution: 1) Orderly 2) Safe 3) Comfortable 4) Homelike

An environment that protects from hazards: 1) Orderly 2) Homelike 3) Comfortable 4) Safe

An inflammation of the eye: 1) Cataract 2) AMD 3) Glaucoma 4) Conjunctivitis

An inflammation of the kidneys: 1) Jaundice 2) End-stage renal disease 3) Hepatitis 4) Nephritis

An inflammation: 1) Fecal Impaction 2) Incontinence 3) Cathartic Colon 4) Cystitis

An intense and often fatal condition: 1) Benign 2) Degenerative 3) Chronic 4) Acute

An organizational chart fails to show: 1) the top levels of management 2) every position in the organization 3) the relationships between departments 4) the informal channels of an organization

Annual audits are necessary to: 1) verify budgets 2) calculate net worth 3) establish depreciation schedules 4) verify the accuracy of financial records

Any employee witnessing a device-related serious injury must report to the designated staff member within how many hours? 1) 4 hours 2) 48 hours 3) 8 hours 4) 24 hours

Aphasia relates to: 1) paralysis 2) incontinence 3) loss of memory 4) language disorder

Bedrooms must meet all of the following standards except: 1) have a floor at or above grade level 2) have direct access to an exit corridor 3) accommodate no more than four residents 4) provide 100 square feet per resident in a multiple-resident bedroom

Before communicating with an employee, it is more important that the supervisor: 1) obtain a witness 2) prepare an outline 3) write the remarks out first 4) anticipate the employee's reaction

Benign is defined as: 1) acute 2) cancer 3) terminal 4) non-malignant

Chemical manufacturers and importers must convey the hazard information to employers by means of labels and: 1) seminars 2) suppliers 3) a list provided by OSHA 4) material safety data sheets

Chemical manufactures and importers must convey the hazard information to employers by means of labels and: 1) seminars 2) suppliers 3) a list provided by OSHA 4) MSDS

Confidentiality of records would be included in the category of 1) Working Conditions 2) Employee Behavior 3) Employment Practices 4) Communications

Contributing factors relating to oral/dental problems are very broad and could include all of the following except: 1) vision decline 2) hearing decline 3) cognitive decline 4) ambulation decline

Demographic information primarily relates to: 1) topography 2) health care institutions 3) educational institutions 4) statistics about populations

Demographic information relates primarily to: 1) topography 2) health care institutions 3) educational institution 4) statistics about populations

Discharge summary must include all but one of the following: 1) Summary of entire resident stay 2) Reconciliation of all pre-discharge medications 3) Post-discharge plan of care 4) Complete medical record

The most effective way to find a new laundry aide would be through 1) Hosting Nursing Programs. 2) Professional Publications 3) Internal Job Posting 4) Advertising in a local newspaper

The most valid generalization is that a majority of the elderly: 1) want to work 2) are dependent on others 3) want to live with their children 4) function well despite increasing disabilities

The organization that has developed the National Electrical Code: 1) ANSI 2) OEP 3) OSHRC 4) NFPA

The period of insurance continuation under COBRA shall begin on the date coverage would otherwise have ended and shall continue up to a maximum of: 1) 6 months 2) 12 months 3) 24 months 4) 36 months

The primary duty of the ombudsman program is to: 1) review resident records 2) assist in the survey process 3) counsel with residents and families 4) investigate and resolve complaints made by residents

The primary purpose of a job description for each employee is to: 1) establish job procedures 2) establish a work schedule 3) standardize job performance 4) outline the functions of each job

The primary reason for promoting an employee is to: 1) reward the employee 2) reduce employee turnover 3) give the employee more status 4) give the employee a greater potential in a new position

Using the straight-line method of depreciation for a 10-year period on a piece of equipment costing $15,000 with a salvage value of $1,000, for a 10-year period, the approx. annual depreciation would be: 1) 120 2) 140 3) 1,200 4) 1,400

Wandering while upset about something is: 1) Environmentally Cued Wandering 2) Fantasy or Reminiscent Wandering 3) Recreational Wandering 4) Agitated Purposeful Wandering

Waste management is monitored by: 1) ANSI 2) EEOC 3) HCFA 4) OSHA

Well capitalized companies have a debt-equity ratio of: 1) more than 2.0 to 1.0 2) 2.0 to 1.0 3) 1.0 to 1.0 4) less than 1.0 to 1.0

What best defines cash budget? 1) operating revenues and non-operating revenues 2) current assets minus current liabilities 3) planned revenues and planned expenses 4) cash available to pay current liabilities

What does MSDS and SDS stand for? 1) minimum systems data sheet and safety data sheet 2) minimum data set and safety data sheet 3) minimum safety date sheet and safety data sheet 4) material safety data sheet & safety data sheet

What insurance covers lawsuits against managers alleging they were improperly discharged? 1) workers comp insurance 2) professional liability insurance 3) business interruption insurance 4) directors and officers insurance

What is a community acquired infection? 1) infection that developed before admission 2) a non infectious infection 3) infection that developed after admission 4) present on admission and developed within 48 to 72 hours after admission

What is the approx. average length of stay for Medicaid and private-pay residents in a health-care facility? 1) 600-700 days 2) 700-800 days 3) 800-900 days 4) 1,000-1,100 days

4. Nursing Facility Federal Regulations and/or OBRA literally refer us to Life Safety Code as law which are dictated and created by NFPA. a. True b. False

44. What is the required general area of exit space to be provided to each person in all areas of common space such as resident rooms, hallways, dining areas, treatment rooms, etc.? a. 30 sq. Ft. per resident b. 64 sq. Ft. per resident c. 240 sq. Ft. per resident d. 260 sq. Ft. per resident

64. Enclosures such as stairways, elevators, laundry chutes, etc. in a 1-3 story building must be protected with 1 hour fire resistance rating and buildings over 3 stories must be protected with what? a. 2 Hour b. 1 Hour c. 3 Hour d. 1.2-2Hour

66. Hazardous areas must be protected by 1 hour fire resistance or what alternative? a. Automatic extinguishing system b. Hose close by c. Be close to the kitchen d. Extra fire extinguishers

74. Which of the following are forbidden on corridor doors? a. Roller latches b. Positive latch c. Latches that hold the door in closed position d. Polyurethane coat

81. What size must a door be in order to meet the requirement of "accessible"? a. 32" b. 60" C. 8' D. 36"

87. Objects 27" to 80" are allowed to protrude how far from the wall? a. 4" b. No limit C. 3 1/2 D. 2"

Before a resident is eligible under Title XVIII for inpatient care in a SNF, the resident must be in a hospital for at least: 1) 2 consecutive days 2) 3 consecutive days 3) 2 intermittent days 4) 3 intermittent days

Bioethics committee decisions should be reached by: 1) vote 2) consensus 3) bargaining 4) negotiation

Broad principles to guide decision-making: 1) Strategic Plans 2) Policy 3) Guidelines 4) Standards

Budget comparisons should be reviewed at least: 1) weekly 2) monthly 3) quarterly 4) annually

By using the total quality management program, the return on investment should average more than the total cost of implementation by: 1) one to two times 2) two to three times 3) three to four times 4) four to five times

Cash used to purchase property: 1) Asset 2) Investment Capital 3) Working Capital 4) Real Estate

Category 2 sanctions for a facility found to be out of substantial compliance include: 1) Civil money penalties of $3050-$10,000 per day of non-compliance 2) Denial of payment for new Medicare and Medicaid admissions 3) State monitoring 4) Temporary management

Certified Nurse Aide (CNA) includes which of the following? 1) Paid Feeding Assistants 2) Dressing and Bathing Assistants 3) Private-Duty Nurse Aides 4) Volunteers

How long must a resident wait before requalifying for Medicare reimbursement after their original stay in a SNF has ended? 1) 30 days 2) 60 days 3) 90 days 4) 120 days

How many fire drills must be held at a minimum each year? 1) 6 2) 12 3) 3 4) 9

If a medication error is made, the first person to be notified is the: 1) family 2) physician 3) pharmacist 4) director of nursing

If a resident drank rubbing alcohol what in house reference would you refer to? 1) poison control 2) MSDS or SDS 3) MDS 4) life safety code

If a resident wants to self-administer medication, who is responsible for drug storage and recording the self-administered doses? 1) the resident 2) the nursing staff 3) a family member 4) the legal guardian

If an employee works 50 hours in a work-week period of 168 hours during seven consecutive 24-hour periods, not on an 8/80 schedule, and is paid $5 per for regular time, the employee should be paid: 1) $250.00 2) $275.00 3) $300.00 4) $325.00

If the medicaid regulations of a given state require that a resident in a non-skilled nursing facility must have 2.5 hours of nursing care per day, excluding care given by the director of nursing, and the facility is licensed for 120 beds and currently has a 92% occupancy rate, approx. how many full-time employees would be required if each employee worked 7.5 hours per 8 hour shift? 1) 31 2) 37 3) 39 4) 40

If the possibility of a business transaction between a nursing facility and one of its board members occurs, the board member should: 1) take no specific action 2) give full disclosure and not vote on the matter 3) propose that an outside party conduct the transaction 4) suggest that the transaction be conducted by use of sealed bids

If you borrow $60,000 @ 8% common interest for five years and pay only interest for the first year, your monthly interest payment would be approx.: 1) $240.00 2) $400.00 3) $480.00 4) $500.00

If you wanted to check a facilities ability to pay current debt what method would you use? 1) current liabilities 2) current ratio 3) current assets 4) break even analysis

Immediate jeopardy deficiencies must be corrected in in how many days? 1) 30 days 2) 23 days 3) 13 days 4) 10 days

In a health-care facility before a union goes on strike, it must give the facility: 1) 5 - days' notice 2) 10 - days' notice 3) 24 - hrs. notice 4) 48 - hrs. notice

In a nursing facility what are the groups called that categorize residents into their distinctive groups defined in terms of selected information from the MDS? 1) DRG's 2) RUG's 3) PPS 4) case mix

In broad terms, the concept of budgeting is really: 1) used to reduce cost 2) business forecasting 3) a method to increase profit 4) a tool to accumulate capital

In case of a fire, the primary purpose of closing doors is to: 1) contain the fire 2) contain the smoke 3) prevent residents from entering the danger area 4) indicate that the residents have been removed from the area

In correcting an error, it is important for the supervisor to do all but which of the following? 1) Indicate how to correct the error 2) Report the error to the facility administrator 3) Point out the error to the employee 4) Make sure the employee understands how to properly perform the work task

In developing capital budgets what tool would most likely be used? 1) creative financing 2) debt financing or equity financing 3) increased marketing budget 4) solicit investors

In-service education for a Certified Nurse Aide (CNA) must be a minimum of how many hours a year? 1) 25 2) 12 3) 15 4) 22

Income before deductions: 1) Revenue 2) Gross income 3) Earnings 4) Equities

Incontinence common to men with enlarged prostates: 1) Functional 2) Overflow 3) Urge or Reflex 4) Transient

Incontinence that occurs when a person sneezes: 1) Transient 2) Stress 3) Overflow 4) Urge or Reflex

Instructions phrased as a direct order: 1) Informal 2) Formal 3) General 4) Specific

Instructions that go into detail: 1) General 2) Specific 3) Informal 4) Formal

Internal Revenue Service specifies that all of the following authorities are usually required to use a calendar year as their fiscal year except: 1) a partnership 2) a "c" corporation 3) an "s" corporation 4) a sole proprietorship

It is best for a nursing facility to be located: 1) on a main highway 2) in a residential area 3) in an industrial area 4) in a commercial area

It is reasonable to expect that employees who are formally evaluated by their supervisor will: 1) make less progress than those who are evaluated 2) make more progress than those who are not evaluated 3) experience no adverse effect from the lack of evaluation 4) make about the same progress as those who are elevated

Keeping a facility clean and orderly: 1) Aseptic Cleaning 2) Housekeeping 3) Preventive Maintenance 4) Maintenance

Land or buildings: 1) Investment Capital 2) Real Estate 3) Working Capital 4) Asset

MBWA, management by walking around, is a: 1) method of staffing 2) management style 3) focus on improving skills 4) method used to develop work teams

Measuring work performance and correcting errors: 1) Directing 2) Controlling 3) Motivating 4) Coordinating

Medicaid provides medical assistance to all but which of the following groups? 1) Disabled persons 2) Injured veterans 3) Blind persons 4) Low-income persons over 65

Medical records must be properly stored: 1) in the drug room 2) under lock and key 3) at the nurses' station 4) in the director of nursing's office

Medical records need not contain: 1) care plans 2) financial information 3) pre-admission screening 4) the resident assessments

Medicare covers which of the following? 1) Assistance with catheters 2) Physical Therapy 3) Assistance with ADLs 4) Assistance with colostomy bags

Medication is most helpful to prevent which type of incontinence? 1) Transient 2) Urge or Reflex 3) Overflow 4) Functional

Mental changes in elderly residents are usually caused by: 1) diabetes 2) arteriosclerosis 3) inadequate diet 4) frequent minor accidents

Method used to treat a disorder: 1) Diagnosis 2) Modality 3) Prognosis 4) Etiology

Most nursing facility residents are transferred or admitted from: 1) home 2) hospitals 3) other facilities 4) acute hospitals

Moving a limb outward: 1) Adduction 2) Abduction 3) Rotation 4) Flexion

Nephritis is correctly defined as inflammation of the: 1) liver 2) kidneys 3) pancreas 4) gall bladder

Nephritis is defined as 1) an inflammation of the liver 2) an inflammation of the kidney 3) disease of the liver 4) disease of the kidney

Net sales less production costs: 1) Net Profit 2) Gross Profit 3) Operating Profit 4) Net Worth

Netastasis is defined as: 1) cancer of the blood 2) cancer spreading through the body by blood 3) the growth of cancer 4) one of the stages in the growth of cancer

Nursing facilities are required to furnish employees with a W-2 wage and tax statement by when? 1) feb. 29th 2) jan. 31st 3) march 1st 4) april 15th

Nursing home menus must be written at least _____ week(s) in advance of serving 1) 1 week 2) 2 weeks 3) 4 weeks 4) 5 weeks

Nursing homes are licensed by which level of government? 1) County 2) State 3) City 4) Federal

OSHA requires a report for an injury or illness involving which of the following? 1) Drinking fluid for relief of heat stress 2) Days away from work 3) Tetanus immunization 4) Drilling a finger or toenail to relieve pressure

Orientation for a new employee would include all but one of the following: 1) Tour of facility 2) Drug testing 3) Introduction to all departments 4) Introduction to work area, co-workers

Regarding resident rights, which of the following is not true? 1) if the resident is deaf and uses sign language, the facility must obtain an interpreter 2) if the resident is blind, a copy of the resident rights must be made available in braille 3) if the resident has a visual problem, the resident rights must be available in large print 4) if the resident does not understand or read English, the resident rights must be printed in the language of the resident

Regulations for board activities: 1) Standard Operating Procedure 2) Bylaws 3) Certification 4) Articles of Incorporation

Related to stockholders' investments: 1) Acid Test Ratio 2) Equity Ratio 3) Working Capital Ratio 4) Assets Turnover Ratio

Required staffing hours are usually limited to: 1) dietary 2) nursing 3) administration 4) housekeeping and laundry

Resident rights have been categorized by: 1) HCFA 2) OBRA 3) COBRA 4) Title VII

Residents having the greatest potential for accident involvement are: 1) ambulatory and mentally competent 2) ambulatory and mentally incompetent 3) non ambulatory and mentally competent 4) non ambulatory and mentally incompetent

Residents having the greatest potential for accident involvement are: 1) ambulatory and mentally competent 2) ambulatory and mentally incompetent 3) non-ambulatory and mentally competent 4) non-ambulatory and mentally incompetent

Restricting a resident's movement: 1) Ambulatory 2) Restraint 3) Bedridden 4) Range of motion

Revenue less expenses: 1) Gross income 2) Earnings 3) Revenue 4) Equities

Subpoena duces tecum is a writ that summons: 1) all witnesses to appear 2) a witness who must appear with evidence 3) only the person or persons who have been indicted 4) a witness who must, prior to the trial, send all evidence to be entered at the trial

The Life Safety Code was developed and published by: 1) ANSI 2) NFPA 3) OSHA 4) OBRA

The Minimum Data Set 3.0 (MDS 3.0) is coordinated by and signed as complete by a: 1) Physician 2) Registered Nurse 3) Administrator 4) Social Worker

The NP acts in the U.S. are based on: 1) ordinances of common practice 2) constitutional laws and principles 3) principles of professional behavior 4) recommendations of nursing organizations

The OBRA outcome-oriented survey is focused on the: 1) review of physical resources 2) quality of care actually provided 3) monitoring of management procedures 4) compliance of the checklist guide with state and federal regulations

The accomplishment of an organization's mission statement: 1) Efficiency 2) Effectiveness 3) Excellence 4) Economy

The administrator is a part of: 1) Governing Body 2) Top Management 3) Middle Management 4) Line Management

The agency that determines the angle of the rise of a wheelchair ramp is: 1) ADA 2) ANSI 3) NFPA 4) OSHA

The appraisal job in relation to standards in referred to as a job: 1) analysis 2) evaluation 3) description 4) specification

The best definition of working capital is what? 1) current assets divided by current liabilities 2) current assets minus current liabilities 3) current assets plus current liabilities 4) cash flow

The best time to inform residents about their rights and responsibilities is: 1) after they have "settled in" 2) before or during admission 3) after the assessment program 4) during the physical examination

The boiler is covered under property insurance. 1) true 2) false

The current number of licensed nursing facilities operating in the U.S. is approx.: 1) 12,700 2) 15,300 3) 17,600 4) 22,500

The designated parking space for the handicapped must be on a hard surface and at least: 1) 10 feet wide 2) 13 feet wide 3) 15 feet wide 4) 16 feet wide

The difference between assets and liabilities: 1) Equity Ratio 2) Working Capital Ratio 3) Acid Test Ratio 4) Assets Turnover Ratio

The director of nursing is known to be "rabble rousing" by suggesting to employees to form a union. The administrator's best course of action is: 1) counsel the DON 2) fire the DON 3) demote the DON 4) suspend the DON

The drug abuse and central act of 1970 set up: 1) schedules for all drugs used in health facilities 2) schedules for all drugs according to abuse potential 3) regulations for dispensing drugs 4) regulations for administering drugs

The drug regimen of each resident must be viewed at least once a month by: 1) the medical director 2) a licensed pharmacist 3) the director of nursing 4) the attending physician

The enlargement of a part of a body: 1) Metastasis 2) Hypertrophy 3) Carcinoma 4) Tumor

The exchange of information or ideas: 1) Supervision 2) Communication 3) Evaluation 4) Conflict Resolution

The facility has decided to go with 8 and 80. They must pay overtime for hours worked: 1) over 40 hours per week and over 8 hours per day 2) over 80 hours per two weeks and over 8 hour in one day 3) over 80 hours per two weeks or over 8 hours in one day 4) over 80 hours per week or over 8 hours per day

The facility must deposit in an interest bearing account that is separate from any of the facility's operating accounts any amount of personal funds from a resident in excess of: 1) $25.00 2) $50.00 3) $75.00 4) $100.00

The fair labor standards act requires that employees must be: 1) given sick leave 2) paid for overtime 3) paid for vacations 4) given termination pay

The field of study that examines the economic, social and psychological aspects of aging is called what? 1) psychology 2) gerontology 3) psychiatry 4) geriatrics

The first steps in implementing information-security programs for computer-based and paper records are to: 1) physically control the access to the system by using fingerprints and voice prints 2) develop and enforce standards and safeguards to ensure the protection of resident records 3) restrict any employee from reviewing any record except the nurses and medical record librarian 4) document all users and require each to sign on and off each time an entry is made or when the record is reviewed

The foot-candle power of a reading light at a bed should yield an illumination of: 1) 20 foot candle 2) 30 foot candle 3) 40 foot candle 4) 60 foot candle

The general view of a product or service: 1) PR 2) Public Image 3) Feasibility Study 4) Marketing

The government agency that collects income tax: 1) INS 2) IRS 3) EEOC 4) SSA

The government agency which monitors the citizenship status of employees: 1) NLRB 2) INS 3) COBRA 4) OSHA

The inflow of assets: 1) Equities 2) Revenue 3) Gross income 4) Earnings

The interpretation of essential equipment in the boiler room, refrigerators in the medication area, kitchen refrigerator/freezer units, and laundry equipment is made by: 1) ANSI 2) OBRA 3) OSHA 4) HCFA

The inventory method that uses reorder levels to maintain optimum inventory: 1) First-In, First-Out 2) Perpetual 3) Last-In, First Out 4) Average Cost Method

The law that requires employers to offer the opportunity for group benefits to terminated employees: 1) OSHA 2) COBRA 3) INS 4) NLRB

The legal vehicles used to control nursing activities are termed: 1) federal statues 2) nurse-practice acts 3) practice control acts 4) professional function laws

The level of hospice care which has a nurse or health aide with the patient for 8-24 hours daily: 1) Routine Home Care 2) Continuous Home Care 3) General In-Patient Care 4) Respite Care

The life safety code was developed and published by: 1) ANSI 2) NFPA 3) OSHA 4) OBRA

The life safety code was developed by the: 1) health care finance administration 2) national fire protection association 3) american national standards institute 4) occupational safety and health administration

The local agency that coordinates disaster response planning: 1) ANSI 2) OEP 3) OSHRC 4) NFPA

The major problem with on-the-job training in a nursing home is: 1) transfer of learning to the specific job 2) the day-to-day job demands made on the trainers 3) employees cannot learn needed skills from their peers 4) learning by doing is not as effective as learning by other methods

The minimum amount of square footage per bed in a multi person room is: 1) 60 2) 80 3) 100 4) 120

The misapplication of restraints is an issue in risk management in which department? 1) Admissions 2) Nursing 3) Dietary 4) Environmental

The most common accident occurring to employees in a health-care facility is caused by: 1) cuts 2) lifting 3) burns 4) falling

The most common accident occurring to residents in a health-care facility is caused by: 1) cuts 2) falling 3) drowning 4) hot water

The most desired result of a good objective is to: 1) increase profit 2) stimulate action 3) speed production 4) achieve total acceptance

The most essential step in decision-making is: 1) reviewing all the facts 2) identifying the problem 3) choosing from the alternatives 4) developing a plan of approach

The number of meals served each day is 1) 2 2) 3 3) 4 4) There is no set number of required meals.

The opposite of an acute condition is a condition that is described as: 1) benign 2) chronic 3) palliative 4) contagious

The part of Medicare that reimburses outpatient services: 1) Part A 2) Part B 3) Part D 4) Part C

The percentage of gross profit for a facility with a gross income of $510,00, fixed expenses of $302,000, and variable expenses of $125,000 is: 1) 10 percent 2) 16 percent 3) 18 percent 4) 20 percent

The percentage of weight loss for a resident who previously weighed 110 pounds and now weighs 105 pounds is: 1) 2.0 percent 2) 4.5 percent 3) 4.8 percent 4) 5.0 percent

The percentage of weight loss for a resident who previously weighed 132 lbs and now weighs 128 lbs is: 1) 2.2 percent 2) 3.0 percent 3) 3.1 percent 4) 4.0 percent

The physician who is primarily involved with the causes and histories of diseases is: 1) an internist 2) a pathologist 3) a geriatrician 4) a general practitioner

The plans of facility operations that must be followed: 1) Standards 2) Guidelines 3) Policy 4) Strategic Plans

The prefix peri- means: 1) Against 2) Around 3) Inner 4) Above

The primary difference between Title XVIII and Title XIX is: 1) one is federally funded and the other is state funded 2) one is an insurance program and the other is an assistance program 3) one is for workers and the other is for elderly 4) one is federally controlled and the other is state controlled

The primary difference in long-range and short-term goals is the: 1) size of the facility 2) time required to complete the task 3) number of staff needed to complete the task 4) amount of money necessary to complete the task

The primary purpose of religious counseling is to: 1) keep the residents as happy as possible 2) help the residents face their real concerns 3) help the residents avoid dealing with realities 4) help the residents to better understand the doctrines of their religion

The primary purpose of using work orders in the housekeeping and maintenance departments is to: 1) minimize duplication of effort 2) help schedule the work to be done 3) keep records for cost reimbursement 4) eliminate the need to purchase additional supplies

The primary reason bank statements should be reconciled as soon as they are received is that: 1) banks often charge checks and make deposits to the wrong accounts 2) neither the bank statement nor the facility ledger account may show the exact cash balance 3) the cash ledger account must always be adjusted to the true balance shown on the bank's statement 4) reconciliation is a good means of checking on the efficiency of the facility bookkeeper's performance

The primary reason for investigation of employee accidents is: 1) to place the fault on an exact mistake 2) to prevent occurrence 3) to precalculate insurance premiums 4) to protect the facility from lawsuits

The responsibility for the employee orientation and its documentation should be vested in: 1) the administrator 2) a single staff member 3) the director of nursing 4) each department head

The term "flashover" refers to a fire that: 1) has started 2) is out of control 3) has been put out 4) results from gasoline

To insure compliance with the Civil Rights Act of 1964, the nursing facility at the time of admission should: 1) create a balanced census of each race 2) assign a new resident to a room or ward without regard to race, color, or national origin 3) permit the resident to change room accommodations after reviewing with him/her the current occupancy of the facility 4) determine room assignment by asking the resident if he/she is willing or desires to share a room with a person of another race, color, or national origin

To what extent is a facility responsible for resident's personal items? 1) tell residents to keep everything in their room 2) the facility can be found negligent in certain instances 3) facility is the insurer for the resident's goods 4) facility is not at all responsible for resident's possessions

Total quality management provides training on sensitivity, creativity, and flow charts for: 1) caregivers 2) project-team members 3) cross-functional teams 4) departmental heads and supervisors

What act in 1935 was eventually amended to require states to establish programs for licensing nursing home administrators? 1) older americans act 2) social security act 3) wagner act 1935 4) fair labor standards act

What best defines capital budget? 1) planned revenues and expenses 2) equipment and improvements to be made during the year 3) operating and non-operating revenues 4) current assets divided by current liabilities

What constitutes a current liability? 1) one and a half years past due 2) due within one year 3) due more than one year old 4) two years over due

What financial report best shows a "snap shot" of a facility fiscal health? 1) statement of cash flow 2) balance sheet 3) statement and changes in fund balance 4) statement of revenues and expenses

What government program requires facilities to use the accrual basis for keeping financial records? 1) medicare and private pay 2) medicare and medicaid 3) federal and state 4) DHS and licensing agency

What group of workers will negotiate with the union? 1) top management 2) bargaining unit 3) administrator 4) governing body

What is not considered a serious illness or injury by the FDA? 1) Resulting in permanent impairment to body structure or functioning 2) Needing first aid 3) Life Threatening 4) Needing immediate medical or surgical intervention to prevent permanent illness or injury.

What is the formula for current ratio? 1) current assets minus current liabilities 2) current assets divided by current liabilities 3) total investment divided by total savings 4) assets equal liabilities plus owner's equity

What is the minimum number of changes of linen that should be in inventory? 1) 2 2) 3 3) 4 4) 10

What is the penalty for falsifying OSHA records? 1) up to $10,000 2) a maximum of $70,000 3) $50-$250 per violation 4) a maximum of 50,000

What is the principal reason for requiring the food-service department to have its own housekeeping supplies and materials and not to allow housekeeping personnel to clean in the food-service area? 1) it is more efficient and economical 2) it prevents disease spreading from resident-care areas 3) morale among housekeeping would be lowered if they were required to do food-service cleaning 4) food preparation and food-service housekeeping are too closely related to allow housekeeping personnel to participate

Which of the following sources of potential employees ensures that only the candidates that are most qualified for the position are referred to the facility? 1) Current Employees 2) Employment Agencies 3) Job Posting 4) Hosting Nursing Programs

Which of the following resident-chart entries is specific? 1) the resident is doing well 2) the resident refuses to eat 3) the resident is walking better 4) the resident is uncooperative

Which of the following services is covered by both part A and part B of the Medicare health insurance program? 1) hearing aids 2) home health visits 3) physical checkups 4) private duty nurses

Which of the following sources of potential employees can spread the net the widest? 1) Current Employees 2) Advertising 3) Employment Agencies 4) Job Posting

Which of the following sources of potential employees reaches out to newly trained or licensed personnel? 1) Job Posting 2) Hosting Nursing Programs 3) Advertising 4) Current Employees

Which of the following statements about a resident's medical record is incorrect? 1) Medical records can be subpoenaed by a court. 2) All information in a medical record is available to anyone with access. 3) Access to computerized records must require a password. 4) Medical records must be kept in a locked location.

Which of the following statements regarding eligibility for survey teams is incorrect? 1) A team member cannot have an immediate family member who is a resident in the facility. 2) No team member can have worked for the facility being surveyed within the past year. 3) Cannot have a financial interest in the facility. 4) Each survey team must have at least one registered nurse.

Which of the following terms found in Title XVIII and XIX means it is mandatory? 1) may 2) shall 3) could 4) should

Which of the following use the calendar year for the fiscal year, with some exceptions? 1) Sole Proprietorships 2) Partnerships 3) C Corporations 4) S Corporations

Which one of the following would be generally considered operating expense? 1) purchase of a computer 2) weekend overtime wages 3) cost of paving the parking lot 4) wall partitions installed in resident areas

Which statement shows assets, liabilities and owners equity? 1) statement of cash flow 2) balance sheet 3) statement and changes in fund balance 4) statement of revenues and expenses

Who is involved in restorative care? 1) P.T., nursing, physician, CNA 2) all disciplines 3) social services, activities, psychologist 4) administrator, dietary, O.T., S.T.

Who is the last person in the facility that a dissatisfied staff member should report a grievance to? 1) human resources department 2) administrator 3) DSD 4) DHS

A medication that is used to treat constipation: 1) Antitoxin 2) Diuretic 3) Laxative 4) Antitussive

A nasogastric tube is a: 1) tube used to increase air to the lungs 2) tube used to suck fluid from the lungs 3) stomach tube 4) bladder tube

A need for more exercise can lead a resident to: 1) Fantasy or Reminiscent Wandering 2) Environmentally Cued Wandering 3) Recreational Wandering 4) Agitated Purposeful Wandering

A notice to a resident that they have been denied reimbursement by Medicare: 1) SSI 2) RUG 3) SNFABN 4) PPS

A physical condition caused by the person's mental state: 1) Trauma 2) Phobia 3) Psychosomatic 4) Neurosis

Depreciation is correctly defined as: 1) a declining balance 2) a cost allocation of equipment 3) the decrease in value due to obsolescence 4) the change in value over a stipulated period

Disparate impact and treatment are types of what? 1) fair management practice 2) favoritism 3) discrimination 4) nepotism

Paralysis on all of one side of the body: 1) Paraplegia 2) Hemiparesis 3) Hemiplegia 4) Quadriplegia

Patient rights policies: 1) give the elderly legal rights in court 2) are written to avoid survey deficiencies 3) inform patients of their rights 4) are developed by the individual states

Payment categories for Medicare: 1) SNFABN 2) PPS 3) RUGs 4) SSI

Payments for employees who have lost their job: 1) Sick Leave 2) Worker's Compensation 3) Unemployment Compensation Insurance 4) Vacation Leave

Physical hazard is best described by what? 1) same as health hazard 2) chronic health effect 3) negative health effect from explosive and/or water reactive chemicals 4) long term effect

Physical restraints must be monitored every 1) 25 minutes 2) 10 minutes 3) 30 minutes 4) 2 hours

Potentially hazardous foods must be stored at or below: 1) 39°F 2) 44°F 3) 41°F 4) 45°F

Potentially infectious materials: 1) LSC 2) HCS 3) OPIM 4) NEP

Protects health care programs: 1) QIES 2) QA 3) OIG 4) QIS

Prozac is in what category of psychotropic drugs? 1) Antianxiety 2) Hypnotic 3) Antidepressant 4) Antipsychotic

Ratio hiring relates to: 1) discriminatory hiring practices 2) civil rights requirements for all facilities 3) maintaining the proper percentage of female and minority employees 4) hiring per department based upon nursing hours required per resident per day

References to a patient's probable future condition is: 1) diagnosis 2) history 3) prognosis 4) rehabilitation potential

The federal warning label that this drug may not be given to anyone other than to who it is prescribed is found on: 1) all scheduled drugs 2) schedule I drugs 3) schedule II drugs 4) schedule III drugs

The first step in family counseling is to: 1) explain the facility's policies 2) involve all of the staff members 3) let the family express their feelings 4) engage the family in problem solving

A full listing of all of the job descriptions, rules, and decision-making principles for the facility: 1) PPRs 2) Policies 3) Procedures 4) Rules

A hole in the stomach is : 1) gastrostomy 2) colostomy 3) illiostomy 4) tracheostomy

A condition caused by medical intervention: 1) Iatrogenic 2) Idiopathic 3) Communicable 4) Congenital

A condition caused by the accumulation of bile: 1) Jaundice 2) End-stage renal disease 3) Nephritis 4) Hepatitis

A condition in which tissue or an organ deteriorates: 1) Degenerative 2) Benign 3) Malignant 4) Chronic

A condition of the circulatory system: 1) Hypertension 2) Arthritis 3) Osteoporosis 4) Benign Disequilibrium of Aging

A condition where blood does not clot normally: 1) Hemophilia 2) Edema 3) Apnea 4) Anorexia

A condition where the blood flow out of the heart is reduced: 1) Congestive Heart Failure 2) Stroke 3) Cebrovascular Accident 4) Heart Attack

A cost covered by Medicaid: 1) Allowable 2) Ancillary 3) Indirect 4) Direct

A current ratio is determined by dividing the current assets by the current liabilities. An acceptable current ratio should be no less than: 1) 1.5 to 1.0 2) 2.0 to 1.0 3) 3.5 to 1.0 4) 4.5 to 1.0

A discharge of blood: 1) Hemorrhage 2) Gangrene 3) Atrophy 4) Inflammation

A diuretic may be prescribed for a resident who has: 1) edema 2) gastritis 3) nephritis 4) depression

A document given to a purchaser of goods or services: 1) Invoice 2) Chart of Accounts 3) Journal 4) Ledger

A drug test performed when an employee has been absent to complete a drug abuse program: 1) Return-to-Duty 2) Periodic 3) Random 4) Post-Accident

A facility must conduct fire drills: 1) each quarter on every shift 2) every 30 days on every shift 3) upon each inspection of the fire Marshall 4) as needed, but no less frequently than once per week

A facility must provide each resident's bedroom with an individual closet space that has a clothes rack and: 1) shelves 2) a shoe rack 3) locked doors 4) a safety box for valuables

A facility which provides help with Activities of Daily Living (ADLs) but not more advanced care: 1) Assisted Living Facility (ALF) 2) Continuing Care Retirement Facilities (CCRC) 3) Intermediate Care Facility (ICF) 4) Skilled Nursing Facility (SNF)

A facility which provides residents with services such as laundry, housekeeping, and food facilities: 1) Retirement Housing 2) Skilled Nursing Facility (SNF) 3) Intermediate Care Facility (ICF) 4) Continuing Care Retirement Facilities (CCRC)

Common employer violations include all but: 1) Failing to pay overtime to Registered Nurses. 2) Demanding reimbursement for required facility uniforms. 3) Failing to pay for work performed during an employee's scheduled meal break. 4) Failing to pay for time on call.

Communication is the transmission and reception of information between at least two people with mutual understanding of the message. 1) true 2) false

Communication within nursing facilities is the duty of: 1) every person in the organization since everyone is a sender and a receiver 2) the supervisors since they are responsible for seeing that procedures are carried out 3) the line workers since they carry out specific tasks and report back to their supervisors 4) primarily the administrator since he/she is the sender of policy and procedure information

Control measures that isolate and remove hazards from the work place: 1) Engineering Controls 2) Infection Control 3) Exposure Control Plan 4) Pest Control

Controls to prevent infection from bloodborne pathogens. 1) Exposure Controls 2) Automatic Control 3) Engineering Controls. 4) Pest Control

Cost management involves changes, and all of the following steps will usually assist in the change except: 1) making all of the changes at one time 2) allowing the staff time to accept the changes 3) providing the staff with adequate information 4) showing the staff the benefits of the changes

Costs that change with the volume of business, but not in direct proportion: 1) Semi-Variable Expense 2) Revenue Expenditure 3) Variable Expense 4) Fixed Expense

Current assets minus current liabilities would be: 1) working capital 2) net worth 3) profit 4) equity

Diabetes mellitus originates in the: 1) pancreas 2) liver 3) pituitary gland 4) cortex

Different parts of this have demographic and compliance history for the facility: 1) CASPER 2) ASPEN 3) TQM 4) OSCAR

Directing and monitoring the activities of subordinates: 1) Supervision 2) Management 3) Leadership 4) Authority

Disaster and emergency preparedness for any facility must include which of the following? 1) Pandemic/epidemic outbreaks 2) Hurricanes 3) Snow storms 4) Chemical spills

Discharge planning for patients should be initiated when the patients are: 1) admitted 2) before completion of rehab proper 3) evaluated by the quality assurance committee 4) receiving their first patient care plan review

Discharge planning is initiated for new patients: 1) when admitted (preferably within 7 days) 2) during first utilization review 3) 7 days prior to discharge 4) within 30 days of admission

Discipline of a worker would be included in the category of 1) Employment Practices 2) Employee Behavior 3) Communications 4) Working Conditions

Drugs prepared (poured) for administration at 8:00 am should be administered and recorded before subsequent doses are prepared and before: 1) 9 am 2) 10 am 3) 11 am 4) 12 noon

Economic order quantity refers to what? 1) inventory control process 2) vendor relations 3) purchasing standard 4) buying power

Employee evaluations are usually both objective and subjective. Unfortunately, subjective measurements may included: 1) personalities 2) the quality of work 3) employee attitudes 4) employee cooperation

Employee productivity equals: 1) required staff divided by provided staff multiplied by 100 2) provided staff divided by required staff multiplied by 100 3) required hours divided by budgeted hours multiplied by 100 4) budgeted hours divided by provided hours multiplied by 100

Employees must receive health exams how often? 1) initially and yearly 2) as needed 3) initially and as needed 4) every two years

Employers quarterly tax return Form 941 must report what? 1) amount of Fed. income tax withheld plus employer and employee FICA and Medicare taxes 2) FUTA tax liability is more then $100 per quarter 3) only employer's federal tax and FICA and Medicare 4) Employee's federal, FICA and Medicare taxes

Facilities are required to maintain their financial records using what method? 1) accrual basis 2) GAAP 3) cash basis 4) objectivity

Facility quality measure reports are available for public view. 1) true 2) false

Federal taxes include all but: 1) Sales 2) Employment 3) Excise 4) Corporate Income

Filing an account of an activity or event: 1) Documentation 2) Arbitration 3) Mediation 4) Negotiation

Financial information should be discussed with the resident: 1) at the the time of admission 2) during the assessment process 3) before the first of the month following admission 4) once the resident has been qualified for Medicare or Medicaid benefits

Food cannot be held on a steam table for longer than 1) 4 Hours 2) 3 Hours 3) 2 Hours 4) 1 Hour

For an employee to be eligible for unpaid leave under FMLA, he or she must have: 1) worked 1,250 hours in the past 12 months 2) worked full-time for at least a 12-month period 3) participated in the company insurance program 4) worked 12 weeks for the same employer during the past year

Gardening, ball games, models, and woodworking are activities that would usually appeal to: 1) male residents 2) the community 3) older residents 4) younger residents

General plans of action: 1) Strategies 2) Goal 3) Policy 4) Mission

Generally, in a nursing facility, the percentage of toilets that must conform to ANSI standards for the disabled is: 1) 5 percent 2) 10 percent 3) 15 percent 4) 25 percent

If a resident refuses treatment on the grounds that his/her needs cannot be: 1) the resident may be discharged 2) the ombudsperson must be notified 3) the state licensing agency must be notified within 10 days 4) the resident must be given 60 days notice before discharge

If a substantial snack is provided at bed time, how many hours can separate dinner and breakfast? 1) 16 hours 2) 10 hours 3) 12 hours 4) 14 hours

If an employee works 36 hours in a one week period of 40 hours at a rate of $8.50 per hour, what would be the total salary before deductions and including overtime pay if required? 1) 306 2) 340 3) 612 4) 680

If the wrong medication is given to a resident, the facility would be covered by: 1) malpractice insurance 2) product liability insurance 3) contractual liability insurance 4) personal injury liability

If you were going to be admitting a patient with a known history of cardiac disorders, which of the following should you? 1) provide an on-going in service for staff regarding emergency support measures 2) you can be assured that nurses know what to do 3) ask the physician to write standing orders for the care of patient 4) have standing orders in the facility for all emergencies

In addition to volunteers, the community has many resources that can be utilized for education, transportation, security, and training. The department that uses many other resources than those listed is the: 1) activity department 2) nursing department 3) maintenance department 4) housekeeping department

In any designated unit, the minimum percentage of employees who are required to sign cards calling for a union election is: 1) 30 percent 2) 33 1/3 percent 3) 50 percent 4) 50 percent plus 1

In case of an emergency when neither the attending physician or the backup physician is available, the decision as to who will attend the resident is to be made by the: 1) administrator 2) charge nurse 3) director of nursing 4) any nurse on duty

In chemical disinfection what is the most important thing to remember for satisfactory operation? 1) the surface must be cleaned first 2) the chemical used should have antiseptic qualities 3) the solution concentration should be at least five percent 4) liquids should be maintained at temperatures of at least 80 degrees

In hiring new employees, an employer can discriminate based upon: 1) education 2) national origin 3) ethnic background 4) sex

In order to promote better communication in the organization, the administrator should handle the grapevine by: 1) determining how it works and use it to get feedback on certain proposed ideas and plans 2) making sure his formal system of communication is so good that an informal system will not be needed 3) identifying the individuals who constantly seek information and feed it to the grapevine, then dismiss them. 4) ignoring this informal system, since every organization has one or more and it is impossible to get rid of them all

In reviewing government regulations, it is important to know that Roman numerals are used to identify: 1) laws 2) codes 3) standards 4) guidelines

In which of the following instances is the use of restraints acceptable? 1) A resident whose behavior is a threat to himself or others. 2) A resident moving without purpose outside the facility. 3) A resident moving without purpose inside the facility. 4) A cognitively impaired person in danger of leaving the facility without staff knowledge.

Includes anticipated revenue and expenses: 1) Operating Budget 2) Uniform Cost Report 3) Utilization Review 4) Internal Controls

Instructions phrased as a suggestion: 1) Informal 2) Specific 3) General 4) Formal

Instructions that indicate a supervisor's trust in the employee's ability: 1) General 2) Specific 3) Informal 4) Formal

Insurance for employees who handle cash: 1) Fidelity Bond 2) Goodwill 3) Surety Bond 4) Garnishment

Issuing instructions and monitoring the activity of subordinates: 1) Supervision 2) Communication 3) Evaluation 4) Conflict Resolution

It is a regulation that all facilities have a detailed written plan and procedure to meet all potential emergencies. 1) true 2) false

It is not the role of the ethics committee to: 1) make decisions 2) determine alternate solutions 3) review policies and procedures from an ethical perspective 4) educate the residents, family, and staff about ethical decision-making

Keeping the roof of a facility in good repair is important because: 1) it protects the building and contents 2) it's good for public relations 3) roof leaks cause employee morale problems 4) it is safer inside then building

LSC deficiencies that are not considered immediate jeopardy must be corrected in how many months? 1) 6 months 2) 12 months 3) 3 months 4) 9 months

Labor turnover studies are important because of: 1) replacement costs 2) planning training 3) planning and initiating advertising 4) public relations impact

Life safety code 101 is registered under what? 1) national fire protection association 2) department of health 3) federal government 4) state regulations

Looking at patient care to see if practices can be improved: 1) Utilization Review 2) Internal Controls 3) Uniform Cost Report 4) Operating Budget

MBWA is really a: 1) management style 2) method of controlling 3) task-centered system 4) technique to replace authority and supervision

Malnutrition in patients is most often caused by: 1) poor dentation 2) elongated esophagus 3) lack of appetite 4) low metabolism

Malpractice and liability are: 1) types of insurance 2) management based errors 3) covered by criminal law 4) normal business risks

Man-hours needed for laundry are based on 1.0 to 1.1 hours of labor per 100 pounds laundered. If a factor of 1.0 is used and 37,000 pounds of laundry are washed in one 30-day month, how many man-hours are required per day? 1) 12.3 2) 13.2 3) 15.1 4) 37.0

Managing communications with the community: 1) Public Relations 2) Public Image 3) Feasibility Study 4) Marketing

Means of egress should be illuminated: 1) at all times 2) 6 am - 6 pm 3) during emergencies and evacuation drills 4) when the fire alarm is sounded

Medicaid utilization review guidelines are established by the: 1) state 2) facility 3) medical director 4) federal government

Medical records belong to the: 1) facility 2) resident 3) physician 4) administrator

Medicare requires what type of depreciation method? 1) straight line depreciation 2) annual depreciation 3) funded depreciation 4) monthly depreciation

Menus must be retained: 1) 6 months 2) 1 year 3) 2 years 3) 5 years

Most health-care facilities are owned by: 1) corporations 2) governmental agencies 3) non-profit organizations 4) individuals operating as sole proprietors

Moving an employee to a different job within the facility: 1) Transfer 2) Suspension 3) Discipline 4) Termination

No individual working full-time in a facility as a nursing assistant, who is not certified by the state, may be utilized for more than: 1) four months 2) six months 3) ten months 4) twelve months

Normal physiological changes in the elderly include all but: 1) Decreased susceptibility to infection 2) Skin loses elasticity and bruises more easily 3) Loss of muscle strength 4) Declining sense of taste and smell

Nosocomial infections are associated with: 1) institutionalization 2) food and beverages 3) sexual transmission 4) post surgical conditions

OBRA (omnibus budget reconciliation act of 1987) establishes: 1) signage for the blind 2) audible and visible emergency alarms 3) the maximum number of residents per bedroom 4) telephones accessible to wheelchair-confirmed residents

OSHA does not require a report for an injury or illness involving which of the following? 1) Days of restricted work or job transfer. 2) Drilling a finger or toenail to relieve pressure. 3) Loss of consciousness 4) Diagnosis by physician.

Observing the performance of an employee: 1) Monitoring 2) Coaching 3) In-Service Education 4) Mentoring

Of the following, which is a commonly accepted policy of the dietary department? 1) to provide special adaptive utensils for the handicapped 2) to provide free staff meals 3) to deliver food to residents in sealed containers 4) to provide food for the elderly under title XX

Of the total employee turnover rate, what percentage is usually unavoidable? 1) 25 to 35 percent 2) 20 to 30 percent 3) 15 to 25 percent 4) 10 to 20 percent

One of the best examples of resident-group dynamics at work in the nursing facility is the: 1) resident council 2) family-night program 3) community advisory board 4) overall health-planning committee

One of the best examples of resident-group dynamics at work in the nursing facility is the: 1) resident council 2) family-support group 3) community advisory board 4) overall health-planning committee

Paid time off earned as part of a benefit package: 1) Vacation Leave 2) Unemployment Compensation Insurance 3) Worker's Compensation 4) Sick Leave

Paralysis of both legs: 1) Paraplegia 2) Hemiparesis 3) Hemiplegia 4) Quadriplegia

Passing a message to the receiver: 1) Transmission 2) Decoding 3) Encoding 4) Ideation

Pay increases and benefits are a type of 1) Organizational Reward 2) Personal Goal 3) Work Attitude 4) Social Reward

Payments for an employee who has been injured on the job: 1) Worker's Compensation 2) Sick Leave 3) Unemployment Compensation Insurance 4) Vacation Leave

People seldom interpret information in relationship to their: 1) age 2) attitude 3) thinking 4) experiences

Personnel records are the property of the 1) Employer 2) State Agency 3) Employee 4) Union

Pest control programs may vary according to the size of the facility and the: 1) geographic location 2) chemicals available 3) number of employees 4) classification of the facility

Physical restraints must be monitored at least every: 1) 30 min. 2) 60 min. 3) 2 hrs. 4) shift

Physical restraints must be monitored at least every: 1) 30 minutes 2) 60 minutes 3) 2 hours 4) shift

Prescription drugs may only be dispensed by a: 1) pharmacist 2) registered nurse 3) licensed practical nurse 4) qualified, certified medication aide

Program with the goal of reducing the number of musculoskeletal injuries: 1) NEP 2) LSC 3) OPIM 4) HCS

Public liability insurance covers: 1) non-occupational injuries sustained at the facility 2) mistakes and omissions of licensed personnel 3) employees injured off the premises 4) volunteers injured in automobiles which they own

Reaffirming a person's feelings and thoughts 1) Validation Therapy 2) Reality Orientation 3) Remotivation Therapy 4) Restorative Nursing Care

Regarding the Family Medical Leave Act of 1993, which of the following statements is false? 1) once an employee works 1,250 hours, they are qualified for benefits 2) the employee should be reinstated in the former or an equivalent position 3) during the duration of FMLA leave, the employer must maintain the employee's health insurance 4) upon return from FMLA, an employee cannot lose any of his/her benefits accrued during employment

Regulates water temperature: 1) Automatic Control 2) Infection Control 3) Exposure Control Plan 4) Engineering Control

Relative to advanced directives, the government dictates some of the steps providers must follow to: 1) educate the staff and community 2) create an active ethics committee 3) encourage residents to execute living wills 4) assist families to complete advanced directives

Residents covered by Medicare may not have personal funds of less than $100.00 placed in: 1) a pooled account 2) a petty cash fund 3) an interest-bearing account 4) a non-interest-bearing account

Respondeat Superior means 1) An employee's work errors are the legal responsibility of the facility 2) A facility may be liable for a non-contract worker's actions while in the nursing home 3) An employee must obey the orders of a supervisor 4) An employee must respond immediately to a superior within the facility

Risk factors for decreased range of motion include all but which of the following? 1) Ambulation Activities 2) Arthritis 3) Strokes 4) Immobilization

Schedule I drugs: 1) have no medical use 2) are topical drugs only 3) can be sold over the counter 4) must be prescribed by a physician

Servicing equipment before breakdowns can occur: 1) Preventive Maintenance 2) Housekeeping 3) Aseptic Cleaning 4) Maintenance

Severe weight loss over 6 months would be what percentage of body weight? 1) More than 10% 2) More than 20% 3) More than 5% 4) More than 25%

Sharps containers shall be in every laundry area and on every med cart? 1) true 2) false

Spreading the cost of an asset out over time: 1) Amortization 2) Inventory 3) Liquidity 4) Profitability

Standard medical practice requires that medication orders may be written or oral. However, if oral, they cannot be given to: 1) the ward clerk 2) the pharmacist 3) a licensed nurse 4) another physician

Standards for safe walking surfaces are established by: 1) ANSI 2) OSHRC 3) NFPA 4) OEP

The "employment-at-will relationship" provides that the employer may: 1) discharge an employee without cause 2) not discharge an employee without due notice 3) discharge an employee only with a valid reason 4) not discharge an employee if the employee is following the job description

The ADA (American Disabilities Act) has five titles. Of those five titles, which most affects the health-care facility administrator? 1) Title I 2) Title II 3) Title III 4) Title IV

The Minimum Data Set 3.0 (MDS 3.0) screens and assess residents on which of the following criteria? 1) Nutritional Status 2) Citizenship Status 3) Marital Status 4) Financial Status

The OBRA regulations specify that pharmacists must perform all of the following except: 1) destroy all unused prescriptions 2) determine that drug records are in order 3) conduct a review of each resident's drug regimen 4) determine that an account of all controlled drugs is maintained and periodically reconciled

The assessment of an employee's work: 1) Performance Evaluation 2) Promotion Policy 3) Exit Interview 4) Employee Turnover

The balance sheet is a financial statement which, on a given date, summarizes the: 1) assets, liabilities, and net worth 2) cash, account receivable, and equipment 3) accounts receivable, accounts payable, and net worth 4) revenues, expenses, and cost of goods and services sold

The best source of new employees is usually: 1) employee referrals 2) unemployment offices 3) employment agencies 4) newspaper advertisements

The continuity theory regarding the aging process indicates that older adults desire: 1) familiar things 2) new experiences 3) total independence 4) different role models

The cost per resident per day is obtained by: 1) dividing total expenses by total resident days 2) subtracting net income from total resident days 3) dividing total expenses by average daily census 4) multiplying total expenses by number of admissions

The depreciation of an allocated cost of an intangible asset is best defined as: 1) amortization 2) depletion 3) working capital 4) inventory

The dishwasher must maintain what temperatures? 1) 150°F in the wash cycle and 180°F in the rinse cycle 2) 160°F in the wash cycle and 170°F in the rinse cycle 3) 170°F in the wash cycle and 180°F in the rinse cycle 4) 180°F in the wash cycle and 150°F in the rinse cycle

The distinctive feature of a formal organization is its: 1) goal organization 2) not-for-profit status 3) professional orientation 4) use of scientific technology

The facility must employ a full-time qualified social worker if the facility has: 1) more than 120 beds 2) no qualified activity professional 3) an average daily occupancy of 100 residents 4) accepted residents with mental and social problems

The government agency that administers Medicare: 1) CMS 2) CDC 3) OSHA 4) FDA

The government agency which ensures safe working conditions: 1) OSHA 2) COBRA 3) NLRB 4) INS

The guidelines and interpretations of the pregnancy discrimination act are issued by: 1) EEOC 2) the civil rights act 3) the fair labor standards act 4) the wage and hour administration

The value of each share: 1) Par Value 2) DRG 3)Book Value 4) Revenue Center

The number of those who need and who will purchase the services offered a facility can be determined by: 1) a market-opportunity analysis 2) a study of hospital census ratios 3) a review of existing advertisements 4) an assessment of competitive institutions

The number of those who need and who will purchase the services offered by a facility can be determined by: 1) a market-opportunity analysis 2) a study of hospital census ratios 3) a review of existing advertisements 4) an assessment of competitive institutions

The nursing home administrator receives utility bills that are considerably out of line with other utility rates in the area. What should he do first? 1) call for an electrical audit 2) check the efficiency of the heating and A/C units 3) turn down the lighting in the corridors & exits 4) turn off the air conditioning

The nursing home administrator's major role in the activity program should be to: 1) visit, observe, and support 2) organize a volunteer program 3) insure residents participate in all programs 4) provide space for materials and equipment

The older person's need for freedom may frequently conflict with their need for: 1) security 2) medical care 3) identity 4) self-esteem

The ombudsman has received a complaint from a resident who states that his rights have been violated. What should you do? 1) talk to the ombudsman and get the details of the complaint 2) defer discussion until you can get the appropriate staff members present 3) deny any wrongdoing 4) direct them to the staff member closest to the situation

The operation of the facility within budget: 1) Economy 2) Efficiency 3) Effectiveness 4) Excellence

The outline of the employer's obligations to the employee: 1) Employee/Employer Agreement 2) Human resource Manual 3) Handbook 4) Employee File

The overall plan of action to reach a predetermined marketing objective is called: 1) strategy 2) an advertising campaign 3) coordination of public relations 4) development of customer satisfaction

The part of Medicare that gives access to prescription drug insurance: 1) Part D 2) Part A 3) Part B 4) Part C

The part of Medicare that is provided by a private insurance company: 1) Part C 2) Part B 3) Part A 4) Part D

The part of Medicare that reimburses hospitals: 1) Part A 2) Part C 3) Part B 4) Part D

The percentage of Certified Nurse Assistants in a facility nursing staff is approximately 1) 0,65 2) 0,55 3) 0,25 4) 0,4

The percentage of gross profit for a facility with a gross income of $330,000, fixed expenses of $200,000 , and variable expenses of $100,000 is approx.: 1) 10 percent 2) 15 percent 3) 20 percent 4) 30 percent

The percentage of residents in a facility who usually require some help with eating their meals is: 1) 75 percent 2) 66 percent 3) 60 percent 4) 33 percent

The pharmacist is responsible for: 1) checking all drug records 2) recording drug administration 3) assisting in the administration of drugs 4) obtaining written prescriptions directly from all physicians

The physician's desk reference relates to: 1) drugs 2) DRGs 3) diagnoses 4) prognoses

The pregnancy discrimination act is an amendment to the: 1) civil rights act 2) fair labor standards act 3) minimum wage and hour act 4) equal employment opportunity commission

The primary advantage of fire-detection systems is: 1) a warning time 2) that everyone is informed 3) that communication problems are reduced 4) that the fire department is always immediately notified

The primary method used by activity coordinators to communicate to residents and visitors is: 1) posting of bulletins 2) through staff meetings 3) using monthly newsletters 4) by announcements over the intercom system

The primary purpose of a safety program is: 1) accident prevention 2) planning safety programs 3) to investigate all accidents 4) to establish safety awareness

The provision of the Affordable Care Act (ACA) which requires the submission of staffing data 4 times a year: 1) Payroll Based Journal 2) Nursing Home Compare 3) Compliance and Ethics Committee 4) Quality Assurance and Performance Improvement Committee

The receiver's interpretation of the message: 1) Decoding 2) Encoding 3) Transmission 4) Ideation

The regulation that governs the evaluation and of hazards associated with chemicals in the workplace: 1) HCS 2) OPIM 3) LSC 4) NEP

The same dollar amount of depreciation is allocated for every year: 1) Straight-Line Depreciation 2) Accelerated Depreciation 3) Accumulated Depreciation 4) Double-Declining Balance

The spread of malignant cells through the body: 1) Metastasis 2) Tumor 3) Carcinoma 4) Hypertrophy

The standards for ensuring that buildings are accessible to disabled persons: 1) ADAAG 2) SMDA 3) FFDCA 4) ADA

The suffix -philia means: 1) Affinity 2) Dread 3) Paralysis 4) Infection

The surveyor should not inform the administrator about regulatory facts because: 1) the administrator should know the regulations 2) surveyors are not paid enough 3) it is not in the surveyor's job description 4) the surveyor could be wrong

The system used to pay Skilled Nursing Facilities: 1) PPS 2) SNFABN 3) RUGs 4) SSI

The term "FOB" destination" means": 1) seller pays all freight 2) freight is prepaid by buyer 3) freight is prepaid and billed 4) freight is paid by buyer at the time of delivery

The term capital is not the same as: 1) assets 2) net worth 3) fund balance 4) shareholders' equity

What is a prospective payment system? 1) one in which rate is established before service is delivered 2) one in which rate is established after service is delivered 3) one which is based on "reasonable" cost 4) one which is based on "usual and customary" charge

What is longest that a corridor in an older building can be without an exit door? 1) 30 feet 2) 20 feet 3) 10 feet 4) 40 feet

What is most descriptive of ensuring a residents' dignity during care? 1) drawing the curtains, covering catheter bags, clean after meals 2) ensuring a feeling of dependence 3) ensuring a feeling of indepence 4) not explaining why you are about to physically touch a resident

What is the easiest way to get permission to check references? 1) ask permission during interview 2) have applicant sign on application 3) ask to have references sent 4) wait until after employment

What is the major advantage of group purchasing? 1) low prices 2) long-term cost central 3) better financing terms 4) quicker delivery

What is the maximum allowable travel distance to a Class A fire extinguisher? 1) 75 feet 2) 50 feet 3) 100 feet 4) 25 feet

What management function involves recruitment? 1) staffing 2) evaluation 3) organizing 4) planning

What percent of the nursing homes, currently operating under some form of corporation structure, are nonprofit corporations? 1) 15 percent 2) 25 percent 3) 30 percent 4) 33 percent

What percentage of unemployment insurance does employee pay? 1) 0% 2) 30% 3) 50% 4) 100%

When a resident is admitted the social worker should provide help to the family during the initial separation period by: 1) maintaining family contact about the resident's problems 2) telling the family the facility will handle the resident's problems 3) advising the family not to visit until the resident has adjusted to the facility 4) advising the family to have someone visit each day until the resident is adjusted

When an individual can tell people how to complete a task but not correct errors or discipline them: 1) Functional Authority 2) Line Authority 3) Staff Authority 4) Superior/Subordinate Relationship

When authority is delegated, responsibility is usually: 1) created 2) increased 3) eliminated 4) decreased

When can restraints be used? 1) To prevent a resident from harming himself or others. 2) To ensure that a resident gets an afternoon nap. 3) When there is no staff member available to supervise a disruptive resident. 4) To keep a wandering resident from leaving their room in the night.

When comparing leadership with management, management: 1) focuses on systems 2) challenges the status quo 3) is flexible and spontaneous 4) develops long-range perspectives

Where financial transactions are first recorded: 1) Journal 2) Chart of Accounts 3) Invoice 4) Ledger

Which is listed as the first of the five stages in the psychology of dying? 1) bargaining 2) denial of death 3) anger and rage 4) depression and grief

Which of the following accounts for the largest portion of expenses in a health-care facility? 1) labor 2) insurance 3) equipment 4) inventories

Which of the following can set a fiscal year for any 12-month period? 1) C Corporations 2) S Corporations 3) Partnerships 4) Sole Proprietorships

Which of the following cannot be asked on an application form? 1) Birthplace 2) Address 3) Licenses 4) Work History

Which of the following categories account for the largest portion of expenses in a health-care facility? 1) labor 2) inventory 3) insurance 4) equipment

Which of the following determines the tasks, the employee behavior, and the knowledge and skills necessary to carry out a certain job? 1) job analysis 2) job assignment 3) job relationship 4) job classification

Which of the following does not meet the recommended minimum daily food allowances? 1) 1 cup of milk 2) 4 ounces of meat 3) 2 cups of fruit / vegetables 4) 4 servings of bread / cereal

Which of the following employees would usually have no line authority? 1) accountant 2) administrator 3) charge nurse 4) dietary manager

Which of the following is a chronic metabolic disease? 1) arteriosclerosis 2) organic brain syndrome 3) arthritis 4) hypertension

Which of the following is a direct care cost? 1) CNAs 2) DON 3) Administrator 4) Admissions

Which of the following is not a definition of an unnecessary drug? 1) Prescribed with adequate indications for use. 2) Used in excessive doses 3) Taken for too long a period. 4) Results in adverse reactions.

Which of the following is not a disadvantage of hiring a temporary employee through an agency? 1) An agency can manage the paperwork, such as criminal background checks, for a temporary employee. 2) Agencies charge a high hourly rate for their agency staff. 3) Temporary employees do not have a good knowledge of the facility or the individual residents. 4) The use of temporary employees can affect the morale of the permanent staff.

Which of the following is not a major function of a governing board or an advisory board? 1) hiring staff 2) stewardship 3) approval of budgets 4) approval of policies and procedures

Which of the following is not an appropriate component of correcting employee errors? 1) Don't be too serious 2) Correct the first error 3) Be specific 4) Give the employee a chance to respond

Which of the following is not considered a life-sustaining treatment? 1) physical therapy 2) dialysis treatment 3) use of ventilators 4) cardiopulmonary resuscitation

Which of the following statements regarding elopement is not correct? 1) When a resident leaves the facility, they usually have a destination in mind. 2) Residents tend to elope in the late afternoon and early evening. 3) One of the most effective methods to prevent elopement is to establish special units with locked doors. 4) A wandering resident becomes an eloper if they leave the facility.

Which of the following statements regarding the I-9 form to verify the legal residency status of new employees is incorrect? 1) Must be requested in writing from the INS 2) Can only be done through Homeland Security 3) Must be done within 72 hours of hiring 4) Can be done via the internet

Which of the following statements regarding the roles of the Nursing Home Administrator is incorrect? 1) The administrator should have a background in the medical field. 2) The administrator should learn basic health terminology. 3) The administrator is responsible for knowledge of government regulations. 4) The administrator must oversee the financial operations of the facility.

Which of the following statements regarding turnover rate is incorrect? 1) Employee turnover is not a big concern for nursing homes 2) Turnover rate is calculated by the number of employees leaving divided by number of positions at the facility 3) Employee turnover in nursing homes is 43.9%. 4) The turnover rate for RNs is 50%

Which of the following would usually have no line authority? 1) accountant 2) administrator 3) charge nurse 4) dietary manager

While line positions have supervisor to subordinate relationships, consultant relationships are always: 1) advisory 2) difficult to establish 3) from administrator down 4) power based

Who is responsible for implementation of the resident-care policies in the facility? 1) medical director 2) director of nursing 3) the assessment team 4) licensed nursing home administrator

Who is responsible for the employee if they ignore or refuse safety requirements? 1) the employer 2) DSD 3) the employee 4) safety committee

Who is responsible for the facility's safety and disaster plan? 1) the administrator 2) the safety committee 3) the medical director 4) the patient care policy committee

Who of the following can not take a telephone order? 1) administrator 2) physical therapist 3) nurse 4) pharmacist

Within a health-care setting, the first step to implement in a Total Quality Management program is the development of: 1) a mission statement 2) goals and objectives 3) policies and procedures 4) in-service training programs

fifty-two degrees Fahrenheit equals approx.: 1) 11 degrees centigrade 2) 14 degrees centigrade 3) 18 degrees centigrade 4) 20 degrees centigrade

A Medicaid agency need not be notified if a change occurs in the: 1) ownership 2) stock value 3) nursing home administrator 4) officers of the managing company

A budget that is concerned with a "lag time" is what budget? 1) capital budget 2) cash budget 3) revenue budget 4) operating budget

A budgeting process where the administrator gets input from each department head in creating the budget for that department is known as what? 1) capital budget 2) participatory 3) autocratic 4) working capital

A female patient requests of her physician to read her medical record. The physician refuses to give permission. The women comes and voices her complaint to the nurse. The nurse should: 1) request permission from the D.O.N. 2) confront the physician, emphasizing the patient's right 3) call the family and report the impasse 4) let the patient read the chart

A geri-chair may be used: 1) as a form of discipline 2) at the resident's request 3) for the convenience of the staff 4) as a physical restraint without a physician's orders

A geriatric chair may be used: 1) as a form of discipline 2) at the resident's request 3) for the convenience of the staff 4) as a physical restraint without a physician's orders

A good working relationship between management and staff: 1) Positive Hygiene Factors 2) Teamwork 3) Job Satisfaction 4) Reciprocal Relations

A job description must specify: 1) personal policies pertaining to that position 2) the work hours for that individual 3) the procedures to be followed 4) the goals of the organization

A lack of bladder or bowel control: 1) Fecal Impaction 2) Incontinence 3) Cathartic Colon 4) Cystitis

A management organization with several levels: 1) Informal Organization 2) Scalar Chain 3) Formal Organization 4) Span of Management

A management style that considers staff needs: 1) Participative Management 2) Employee-Centered Management 3) Management by Walking Around 4) Open Door Policy

A measurement of the facility's ability to pay bills immediately: 1) Assets Turnover Ratio 2) Acid Test Ratio 3) Equity Ratio 4) Working Capital Ratio

A medication that destroys microorganisms in the environment: 1) Analgesic 2) Antiseptic 3) Antibiotic 4) Anticoagulant

A medication that does not have a therapeutic effect: 1) Palliative 2) Placebo 3) Sedative 4) Antipsychotic

A medication that has a tranquilizing effect: 1) Antipsychotic 2) Sedative 3) Placebo 4) Palliative

A medication that increases urination: 1) Laxative 2) Diuretic 3) Antitussive 4) Antitoxin

A medication that is used for treat pain: 1) Antibiotic 2) Analgesic 3) Antiseptic 4) Anticoagulant

A medication that relieves pain: 1) Antipsychotic 2) Palliative 3) Placebo 4) Sedative

A medication that slows down the clotting of blood: 1) Antibiotic 2) Anticoagulant 3) Antiseptic 4) Analgesic

A medication that stops the spread of pathogens: 1) Analgesic 2) Antibiotic 3) Antiseptic 4) Anticoagulant

A method used for brief messages that can be quickly read: 1) Electronic Mail 2) Texting 3) Voice Mail 4) Bulletin Board

A modality is a specific: 1) location 2) treatment 3) set of data 4) period of time

A non-recurrent condition: 1) Malignant 2) Benign 3) Acute 4) Degenerative

A pay system where all employees are paid the same rate: 1) Seniority System 2) Job-Based System 3) Mixed System 4) Increment Pay Plan

A physical feature in the facility that can endanger safety: 1) Accident 2) Hazard 3) Exposure Incident 4) Disaster

A physical restraint must be removed from the resident: 1) as requested 2) every 2 hours 3) twice per shift 4) every 30 minutes

A physician may not delegate certain tasks to: 1) another physician 2) a registered nurse 3) a nurse practitioner 4) a physician assistant

A program that requires incidents where a resident has been injured by the administration of drugs to be reported: 1) Needlestick Safety and Prevention Act of 1999 2) Medwatch 3) Universal Precautions 4) Hazard Communication Program

A request for a repair: 1) Log 2) Work Order 3) K-Tag 4) Lock Out, Tag Out

A shocking experience: 1) Neurosis 2) Trauma 3) Psychosomatic 4) Phobia

A specialist who diagnoses and treats arthritis: 1) Orthopedist 2) Rheumatologist 3) Urologist 4) Periodontist

A specialist who diagnoses and treats bone conditions: 1) Periodontist 2) Orthopedist 3) Rheumatologist 4) Urologist

A specialist who diagnoses and treats eye conditions: 1) Otolaryngologist 2) Ophthalmologist 3) Optometrist 4) Otologist

A specialist who diagnoses and treats skin conditions: 1) Nephrologist 2) Dermatologist 3) Cardiologist 4) Hematologist

A stanpipe is used for: 1) moving steam in a boiler system 2) removing hot air from the kitchen 3) ventilating the attic of a building 4) connecting an emergency external water source to the automatic sprinkler system

A state of irrational suspicion: 1) Hallucination 2) Paranoia 3) Delusion 4) Delirium

A subpeona which requires you to appear personally in court to testify is called: 1) duces tecum 2) en personum 3) non personum 4) duces personum

A survey conducted when a regularly scheduled survey shows that the facility does not meet standards: 1) Abbreviated Standard 2) Extended 3) Partial Extended 4) Standard

A system creating a title for each position: 1) Job Analysis 2) Job Classification 3) Job 4) Job Description

A system where employees receive raises at pre-determined intervals: 1) Job-Based System 2) Increment Pay Plan 3) Merit System 4) Mixed System

According to FMLA, paid or unpaid leave can usually be for any of the following reasons except: 1) birth of a child 2) divorce and/or legal separation 3) placement of a child for adoption 4) caring for a spouse with a serious health condition

According to surveyors, to determine the comfortable and safe levels of the air temperature in resident rooms and in dining areas, the air temperature should be measured: 1) 2 feet above the floor 2) 3 feet above the floor 3) 4 feet above the floor 4) 4.5 feet above the floor

According to the "two-factor" theory: 1) neither motivators nor hygiene factors generate job satisfaction 2) motivators generate job satisfaction, but their absence does not produce dissatisfaction 3) hygiene factors generate job satisfaction, but their absence does not produce dissatisfaction 4) motivation and hygiene factors both generate job satisfaction, whereas the absence or either produces dissatisfaction

Accounting principles in common use: 1) FUTA 2) GAAP 3) FASB 4) FICA

Acid/base in housekeeping products is neutral at: 1) 0 2) 7 3) 14 4) 28

Actions taken to keep buildings in good repair: 1) Aseptic Cleaning 2) Maintenance 3) Housekeeping 4) Preventive Maintenance

Affirmative action relates to: 1) firing practices 2) hiring practices 3) benefit programs 4) compensation programs

All corridor doors must have a solid banded-wood core, or an equivalent, with a thickness of: 1) 1 1/2 inches 2) 1 3/4 inches 3) 2 inches 4) 2 1/4 inches

All deaths or injuries resulting from a medical device must be reported no later than: 1) 5 working days after the incident 2) 10 working days after the incident 3) 15 working days after the incident 4) 30 working days after the incident

All nursing homes must offer immunization against which disease to all residents from Oct 1 to March 31 of each year? 1) Shingles 2) Influenza 3) Pneumonia 4) Measles

All of the following are advantages of the program evaluation and review technique (PERT) except: 1) forcing managers to plan 2) eliminating feedback control 3) concentrating on critical activities 4) making action possible at the right place and time

An MCO is concerned with the number of days per admission whereas the facility is concerned with what? 1) number of days per admission also 2) cost of service per patient per day 3) number of private pay residents 4) case mix

An action taken to correct an employee: 1) Transfer 2) Discipline 3) Suspension 4) Termination

An application for employment may not request any of the following except: 1) birthplace 2) citizenship 3) marital status 4) welfare status

An application for employment may not request any of the following except: 1) birthplace 2) citizenship 3) marital status 4) welfare benefits

An emergency generator must provide power for all of the following except: 1) Equipment that maintains fire detection, alarm, and extinguishing systems. 2) Refrigerators. 3) Lighting all exits and entrances. 4) Life support systems such as ventilators.

An employee complaint against the employer: 1) Oral Reprimand 2) Grievance 3) Written Reprimand 4) Docking Pay

An employee permanently leaving a position: 1) Exit Interview 2) Employee Turnover 3) Performance Evaluation 4) Promotion Policy

An example of a contingent liability would be what? 1) pending new account 2) pending law suit 3) pending capital budget 4) pending working capital

An example of a team group would be which of the following? 1) kitchen staff 2) QAA committee 3) licensed nurses 4) housekeeping

An example of a work group would be which of the following? 1) infection control committee 2) day shift CNA'S 3) QAA committee 4) department heads

An exercise involving the turning of a limb 180 degrees is often prescribed for a resident and is referred to as: 1) flexion 2) rotation 3) adduction 4) abduction

An expense that increases the value of facility assets: 1) Variable Expense 2) Capital Expenditure 3) Fixed Expense 4) Semi-Variable Expense

An expense which changes in direct proportion to the volume of business: 1) Revenue Expenditure 2) Variable Expense 3) Fixed Expense 4) Capital Expenditure

An expressed or implied insurance or promise is usually referred to as: 1) a consent 2) a warranty 3) an affidavit 4) an endorsement

Assets appear on the: 1) budget 2) balance sheet 3) cash flow 4) profit and loss statement

Assigning a senior employee to train a new hire: 1) Monitoring 2) Mentoring 3) Coaching 4) In-Service Education

Assists in State administration of facilities: 1) OSCAR 2) ASPEN 3) CASPER 4) TQM

Assume 80 doses of medicine were to be given; two of these were ordered but were not administered and two were administered incorrectly. The medication error rate would be: 1) 3.0 percent 2) 5.0 percent 3) 6.5 percent 4) 8.0 percent

Assume that 80 doses of medication were prescribed to be administered at a given time. However, 2 doses ordered were not given and 2 doses were incorrectly administered. What is the medication error rate? 1) 3.0 percent 2) 5.0 percent 3) 6.5 percent 4) 8.6 percent

Based on the comprehensive assessment of a resident, the facility must ensure that unless avoidable, a resident without a limited range of motion: 1) Shall participate regularly in exercise programs 2) does not experience a reduction in the range of motion 3) is evaluated at least quarterly to update the therapy program 4) should be prescribed to receive physical therapy as a preventative measure

Characteristics of presbycusis include all but one of the following: 1) Unable to differentiate some syllables and word sounds 2) May not respond unless looking directly at the speaker 3) Inability to hear high-pitched sounds 4) Gradual loss of acute hearing

Computing how many residents a facility must have on a daily basis in order for expenses to equal revenues is called what? 1) profit and loss 2) break even analysis 3) variance analysis 4) vertical analysis

Concerned with the safe handling of body fluids: 1) Hazard Communication Program 2) Universal Precautions 3) Needlestick Safety and Prevention Act of 1999 4) Medwatch

Conflict is best resolved by: 1) orientation 2) problem solving 3) in-service training 4) professional training

Counseling, group activities, and social functions appear to be productive therapeutic techniques for depressed residents. Of the following, which sign would be least displayed by depressed residents? 1) sadness 2) weight gain 3) loss of interest in people 4) a sense that a great effort is needed to perform activities

Delegation of administrative authority is a widely recommended practice primarily because it: 1) relieves the administrator of all tedious details 2) leads to greater efficiency by allocating specific duties to individuals 3) divides the work load more equitably according to individual abilities 4) gives each assistant the opportunity to learn new skills which lead to advancement

Department heads should be involved in the budget process and the administrator should ask him to: 1) provide a maximum figure on materials and supplies based on 100% occupancy 2) review the materials and supplies normally used and estimate what will be needed next year 3) review the materials and supplies normally used and determine the minimum which could be utilized next year 4) prepare a breakdown of materials and supplies normally used so the administrator can develop the budget

Depreciation of a piece of equipment is considered: 1) an asset 2) a fixed cost 3) a variable cost 4) part of net worth

Determining the point where revenues equal expenses: 1) Trial Balance 2) Break-Even Analysis 3) Ratio Analysis 4) Profit Margin

Determining the success of an activity program can be very difficult, yet one determination may be an increase in: 1) expenses 2) the number of participants 3) the number of types of programs 4) the number of family members involved in the programs

Determining the tasks and skills required to fulfill a position: 1) Job Description 2) Job Analysis 3) Job 4) Job Classification

Dietary workers must clean their hands with 1) Alcohol-based cleaners 2) Antimicrobial soap and water 3) Dry scrubs 4) Antiseptic hand wash

Discharge from therapy after missing three consecutive sessions: 1) RUG 2) EOT 3) UR 4) COT

Double declining and straight line are: 1) bookkeeping methods 2) depreciation methods 3) accounting procures 4) tax schedules

During a union campaign, management can do which of the following? 1) Use surveillance 2) Discipline workers who hand out union literature in resident areas 3) Question workers about union activities 4) Make threats about employment

Electrical fires: 1) Class A 2) Class C 3) Class K 4) Class B

Every day, there must be food service personnel on duty at least 1) 10 Hours 2) 12 Hours 3) 18 Hours 4) 8 Hours

Facility policies must be reviewed every: 1) 6 months 2) year 3) 2 years 4) 5 years

Factors included in the wage mix include all of the following except what? 1) cost of living increase 2) seniority 3) local job market 4) availability of qualified personnel

Federal regulations on recruiting, interviewing, and other employment practices are enforced by: 1) state and local regulatory agencies 2) EEOC and wage and hour administration 3) wage and hour administration and OSHA 4) EEOC and national labor relations board

Filed with the state at the end of the fiscal year: 1) Operating Budget 2) Uniform Cost Report 3) Utilization Review 4) Internal Controls

Foods can be used not only for nutritional needs, but also in lieu of supplements and medication. As an example, potassium is high in all of the following except: 1) milk 2) peanuts 3) cantaloupe 4) baked beans

For an employee to be eligiable for unpaid leave under FMLA, he or she must have: 1) worked full-time for the past 12 months 2) worked 1,250 hours in the past 12 months 3) participated in the company insurance program 4) worked 12 weeks for the same employer during the past year

For pest control, a licensed exterminator is better than letting employees do extermination because: 1) employees don't know building layout 2) employees don't know how to mix poisons for best control

Fringe benefits do not include: 1) holidays 2) overtime 3) sick leave 4) group insurance

Fringe benefits do not include? 1) holidays 2) overtime 3) sick leave 4) group insurance

From what book of accounts does all information come from in order to prepare the financial reports? 1) chart of accounts 2) general ledger 3) journal entries 4) balance sheet

Getting work done by controlling the activities of subordinates: 1) Supervision 2) Management 3) Leadership 4) Authority

Health hazard is best described as what? 1) same as physical hazard 2) negative health effects from chemical exposure 3) acute health effect 4) short term effect

How far must handrails extend beyond the top and bottom of the stairs? 1) 6 inches 2) 12 inches 3) 18 inches 4) 15 inches

What is the principal reason for requiring the food-service department to have its own housekeeping supplies and materials and not to allow housekeeping personnel to clean in the food-service area? 1) it is more efficient and economical 2) it prevents any chance of disease spreading from resident-care areas 3) morale among housekeeping would be lowered if they were required to do food-service cleaning 4) food preparation and food-service

What is the proper way to mop stairs? 1) every other tread 2) one half at a time 3) close the stairway at both ends until dry 4) mop each stair tread and place "caution" sign at both ends

What is the single greatest tool an administrator has? 1) knowledge and competency 2) communication 3) background 4) experience

What is the time span when it is not necessary to sound the fire alarm during drills? 1) 4 am to 6 am 2) 9 pm to 6 am 3) 8 pm to 6 am 4) 8 pm to 7 am

What would be the approx. average daily absentee rate for a facility with a total of 100 full-time employees and 60 lost workdays or absences in a 30-month period? 1) 1.8 2) 2.0 3) 4.0 4) 6.0

What would be the approx. average daily absentee rate for a facility with a total of 150 full-time employees and 110 lost workdays or absences in a 30-day period? 1) 2.0 2) 2.4 3) 2.7 4) 3.0

What would be the best arrangement to protect your personal assets from business liabilities? 1) non-profit business 2) a proprietorship 3) a partnership 4) a corporation

When a facility notifies a resident that they no longer need services being paid for by Medicare or a third party insurance and the resident refuses insisting the skilled services be continued, it is known as what? 1) contractual agreement 2) demand billing 3) denial 4) lumetra

When a nurse tells a family member that the resident will require a medication to be given IM, which is a foreign term to the family member, this is an example of a: 1) filtering effect 2) language barrier 3) communication deficiency 4) knowledge level difference

When a supervisor has the authority to monitor employee performance: 1) Line Authority 2) Superior/Subordinate Relationship 3) Functional Authority 4) Staff Authority

When an employee makes an error, he or she should be corrected: 1) at a staff meeting 2) immediately and in private 3) off the job on the employee's time 4) only after the matter has become serious

When asked to evaluate themselves, employees rate themselves: 1) as working harder than their supervisor would rate them 2) as working less than their supervisor would rate them 3) as working the same as their supervisor would rate them 4) refuse to rate themselves

When comparing leadership with management, leadership: 1) is rigid 2) inspires 3) specializes 4) requires authority

When oxygen is stored within a facility, it must be stored in a: 1) horizontal position 2) ventilated area 3) fire-proof area 4) area 25 feet from an occupied building

Which form of therapy helps residents recover from mental or physical illness? 1) Respiratory 2) Occupational 3) Speech 4) Physical

Which of the following are employers required to provide for employees? 1) Break Times 2) Unemployment Compensation Insurance 3) Retirement Programs 4) Life Insurance Policies

Which of the following can an interviewer ask of a prospective employee? 1) Photograph 2) Legal Name 3) Marital Status 4) Gender

Which of the following can be asked on an application form? 1) Marital status 2) Felony conviction 3) Race 4) Age

Which of the following does not relate to inventory? 1) FIFO 2) posting 3) physical 4) perpetual

Which of the following does not require a poster that must be posted at all times? 1) ADA 2) ANSI 3) FLSA 4) OSHA

Which of the following factors should be given primary consideration in the planning of an in-service education program? 1) number of employees in the facility 2) past education and experience of trainees 3) time of day at which the program is to be offered 4) amount of money budgeted for in-service training

Which of the following groups is covered under the Americans with disabilities act? 1) Indian tribes 2) part-time workers 3) federal employees 4) private membership clubs

Which of the following is a part of orientation for a new employee? 1) Aptitude Testing 2) Fire and Disaster Procedures 3) Physical Examination 4) Job Interview

Which of the following is not a part of being orderly? 1) No peeling paint, visible water leaks and plumbing problems 2) Quiet, peaceful public rooms. 3) Equipment and supplies properly stored and not in corridors 4) Proper handling of spills

Which of the following is not a place from where the communication system must register calls? 1) Bedroom 2) Dining Room 3) Toilet 4) Bathroom

Which of the following is not an appropriate method to control wandering? 1) Mesh Velcro barriers on other residents' doors. 2) Restricting the wanderer to bed with physical restraints. 3) Locked Alzheimer wards with a door requiring a pass code to exit. 4) Bracelet worn by the resident that triggers a door lock as the resident approaches.

Which of the following is not recommended practice when keeping clinical records? 1) Sign with initial, last name and professional credentials. 2) Use pencil so that errors can be easily corrected. 3) Never use whiteout. 4) Date and time each entry.

Which of the following is not required by the GAAP to be included on the financial statement? 1) profit/loss statement 2) depreciation schedules 3) notes to the financial statement 4) statement of change in financial position

Which of the following is not required for each resident to be provided with? 1) Privacy 2) Separate toilet facilities 3) Own closet 4) Own bed

Why is it best to take preventative measures against decubitus ulcers? 1) decubitus ulcers are bad public relations 2) preventative measures are less costly than curative measures 3) they can cause a bad survey 4) you lose a lot of census with decubitus'

Within how many hours must the work-related death of an employee be reported to OSHA? 1) 24 hours 2) 8 hours 3) 4 hours 4) 48 hours

Work should be assigned on the basis of: 1) effect on morale 2) individual abilities 3) previous assignments 4) time required to complete the job

Working capital and return on equity are: 1) fixed assets 2) financial ratios 3) reserve accounts 4) related to cash flow

Working capital equals the current assets: 1) minus fixed assets 2) minus current liabilities 3) divided by current liabilities 4) minus inventories divided by current liabilities

what are the dimensions of aging viewed by gerontologists? 1) mental, physical, emotional 2) social, psychological, biological, chronological 3) psychological, biological, chronological 4) social, biological, chronological

what best defines corporate compliance? 1) determination, education, detection 2) deterrence, education, detection 3) inspection, re-evaluation, compliance 4) motivation, inspection, compliance

A 150-bed facility with an average of 96 percent occupancy has a total 30-day monthly expense of $194,000. What is the average cost per resident, per day? 1) 39.00 2) 43.20 3) 45.00 4) 64.80

A Certified Nurse Aide (CNA) must be recertified at least every 1) 6 months 2) 1 year 3) 2 years 4) 5 years

A board which cannot make decisions: 1) Executive Staff 2) Board 3) Advisory Board 4) Governing Body

A change in the body or its functions: 1) Etiology 2) Modality 3) Symptom 4) Diagnosis

A chronic nervous disease: 1) Sundowning 2) Aphasia 3) Parkinson's Disease 4) Senile Dementia

A chronic progressive degenerative disease: 1) Senile Dementia 2) Parkinson's Disease 3) Alzheimer's Disease 4) Amyotrophic Lateral Sclerosis

A company in which the members of the company cannot be held personally liable for the company's debts: 1) Limited Partnership 2) Corporation 3) LLC 4) Partnership

A company replacing older employees with younger employees to avoid paying pension benefits would be a violation of what law? 1) EEOC 1964 2) equal opportunity employment commission act 1970 3) age discrimination employment act 1967 4) age equal pay act 1972

A company where partners are not liable for all debts: 1) Corporation 2) S Corporation 3) Limited Partnership 4) Sole Proprietorship

A competent patient is losing weight. Before the dietitian suggests a nutritional supplement, what should she do first? 1) explain to the patient about supplements 2) make sure the family isn't bringing in additional food 3) make sure the patient is reserving adequate nutrition from the meals being served 4) make sure the patient can swallow adequately and that their digestive tract is working properly

A computer costing 24,750 can save 4,500 annually when depreciated ever 10 years. What is the payback period? 1) 2 years 2) 3.8 years 3) 5.5 years 4) 10 years

A condition affecting injured tissue: 1) Gangrene 2) Atrophy 3) Inflammation 4) Hemorrhage

A condition cause by increased pressure: 1) Cataract 2) AMD 3) Glaucoma 4) Conjunctivitis

A condition caused by the overuse of laxatives: 1) Fecal impaction 2) Incontinence 3) Cathartic Colon 4) Cystitis

A condition of the bones: 1) Hypertension 2) Arthritis 3) Osteoporosis 4) Benign Disequilibrium of Aging

A condition which resists treatment: 1) Chronic 2) Acute 3) Malignant 4) Benign

A copyright or patent is what sort of asset? 1) Goodwill 2) Tangible 3) Intangible 4) Fixed

A cost incurred in providing services: 1) Allowable 2) Ancillary 3) Direct 4) Indirect

A debt-equity ratio is determined by dividing the total liabilities by the stockholder's equity and that ratio should be less than: 1) 4 to 1 2) 3 to 1 3) 2 to 1 4) 1 to 1

A disorder of thought processes: 1) Phobia 2) Trauma 3) Neurosis 4) Psychosomatic

A dissatisfaction or feeling of injustice that is brought to management's attention by an employee is: 1) a complaint 2) always an indication of a pending resignation 3) grievance 4) informal negotiation

A drug test performed after property damage has occurred: 1) Return-to-duty 2) Periodic 3) Post-Accident 4) Random

A facility is licensed for 141 beds and during a 30-day period had 3,807 occupied-bed days. What is the approx. average percentage of occupancy? 1) 85 percent 2) 88 percent 3) 90 percent 4) 92 percent

A facility policy guide for employees: 1) Employee/Employer agreement 2) Human resource Manual 3) Handbook 4) Employee File

A false belief about oneself: 1) Paranoia 2) Hallucination 3) Delusion 4) Delirium

A health insurance program for the elderly 1) CMS 2) Medicaid 3) Medicare 4) The Affordable Care Act (ACA)

A management style where staff play a role in decision-making: 1) Open Door Policy 2) Employee-Centered Management 3) Participative Management 4) Management by Walking Around

A planned, systematic program that focuses on helping older adults obtain and maintain their highest level of functional performance and wellness is the best definition of what? 1) resident care 2) quality of care 3) restorative care 4) quality of life

A progressive disease affecting motor neurons: 1) Alzheimer's Disease 2) Parkinson's Disease 3) Amyotrophic Lateral Sclerosis 4) Senile Dementia

A service involving the evaluation and treatment of speech, language and cognitive disorders is called what? 1) P.T. 2) R.T. 3) S.T. or S.P. 4) O.T.

A service providing treatment and prevention of neuromuscular, musculoskeletal, cardiovascular and pulmonary disorders that produce movements, impairments, disabilities and functional limitations is called what? 1) pulmonology 2) oncology 3) physical therapy 4) occupational therapy

A single-task health care worker: 1) Certified Nurse Aide (CNA) 2) Licensed Practical Nurse (LPN) 3) Paid Feeding Assistant (PDA) 4) Registered Nurse (RN)

A specialist in the study of the blood: 1) Cardiologist 2) Dermatologist 3) Hematologist 4) Nephrologist

A specialist who diagnoses and treats UTIs: 1) Orthopedist 2) Rheumatologist 3) Urologist 4) Periodontist

A specialist who diagnoses and treats colon conditions: 1) Oncologist 2) Pathologist 3) Proctologist 4) Otologist

A specialist who examines body tissues: 1) Otologist 2) Proctologist 3) Pathologist 4) Oncologist

A sphygmomanometer is used to: 1) measure pulse rate 2) measure tissue density 3) determine blood pressure 4) separate red and white blood cells

A system to maintain a safe environment for residents: 1) Positive Work Atmosphere 2) Harmony of Objectives 3) Criminal Background Check 4) Corporate Compliance Programs

A technician who can monitor blood pressure and temperatures under the supervision of a licensed nurse: 1) Physician Assistant 2) Paid Feeding Assistant 3) Medication Aide 4) Certified Nurse Aide

A temporary cessation of breathing: 1) Hemophilia 2) Edema 3) Apnea 4) Anorexia

A tort is a: 1) felony 2) subpoena 3) civil wrong 4) misdemeanor

A union vote can only take place after what percentage of the employees sign union cards? 1) 0,5 2) 0,25 3) 0,3 4) 0,45

A very important element frequently missing when establishing a goal is: 1) when to begin 2) what is expected 3) when the goal is to be completed 4) how is the goal going to be accomplished

A wall-mounted water fountain designed for handicapped persons must have a knee space of what height? 1) 30 inches 2) 25 inches 3) 27 inches 4) 23 inches

A way to make sure the message has been understood: 1) Receiving 2) Understanding 3) Feedback 4) Transmission

A written document containing official guidelines: 1) Employee File 2) Handbook 3) Manual 4) Employee/Employer agreement

ANSI (American National Standards Institute) establishes the: 1) schedule for fire drills 2) availability of the water source and supply 3) width of a parking space for the handicapped 4) requirement for at least one window to the outside for every bedroom

ANSI standards were established for all the following except: 1) blind 2) disabled 3) mentally retarded 4) deaf

Accidental death must be reported to OSHA within what time frame? 1) 24 hours 2) 6 hours 3) 8 hours 4) 12 hours

According to ANSI requirement 4.2.2., the minimum width for two wheelchairs to pass shall be: 1) 48 inches 2) 54 inches 3) 60 inches 4) 72 inches

According to ANSI, all handrails on ramps and stairs must be between: 1) 26 to 30 inches from the floor 2) 28 to 32 inches from the floor 3) 30 to 34 inches from the floor 4) 32 to 36 inches from the floor

According to Medicaid, the minimum number of dietary hours is: 1) 8 2) 10 3) 12 4) 14

According to OSHA, the color for safety and first aid is: 1) red 2) white 3) green 4) bright orange

According to the resident rights, a resident must have personal privacy regarding all of the following except: 1) clinical records 2) medical treatment 3) private room accomodations 4) telephone and written communication

According to the total quality management programs, acuity-based workload-measurement systems can improve resident satisfaction by: 1) improving the resident admission standards 2) increasing the staff in the nursing department 3) scheduling the right staff level at the right time 4) creating more definitive policies and procedures

Achieving goals with the minimum unnecessary consequences: 1) Effectiveness 2) Economy 3) Efficiency 4) Excellence

Activities carried out to reduce the presence of insects and rodents: 1) Engineering Controls 2) Exposure Control Plan 3) Pest Control 4) Infection Control

Adjusting differences between two financial records: 1) Audit 2) Posting 3) Reconciliation 4) Double-Entry Bookkeeping

Advertising in the classifieds for a young, blonde, female for a PR position would be a violation of what act? 1) fair labor standards act 1938 2) older americans act 1965 3) civil rights act 1964 4) social security act 1935

After liquidity, the second major objective of financial management is: 1) payroll 2) inventory 3) profitability 4) rate structure

All investigations of alleged abuse to a resident must be reported by the administrator to the proper state authority within: 1) 24 hours 2) 3 working days 3) 5 working days 4) 7 working days

All of the following are advantages of break-even analysis except: 1) expenses can be more closely controlled 2) the analysis assists in the decision-making process 3) facts and assumptions are both utilized in the analysis 4) management can review the volume of services and expenses in an integrated manner

All of the following are conditions favoring unionization except: 1) low wages 2) job dissatisfaction 3) acceptable management practices 4) lack of proper grievance procedures

Allocating twice the yearly amount of depreciation: 1) Accelerated Depreciation 2) Accumulated Depreciation 3) Double-Declining Balance 4) Straight-Line Depreciation

An OSHA violation where the workplace hazard could cause an accident resulting in death: 1) Repeated 2) Other-Than-Serious 3) Serious 4) Wilful

An administrative agency: 1) CFR 2) IIDR 3) CMS 4) MIS

An advanced directive which describes the treatment a resident wishes to receive at the end of their life: 1) Do Not Resuscitate (DNR) 2) Financial POA 3) Living Will 4) Health Care Durable Power of Attorney (POA)

An affidavit is: 1) a written statement without oath 2) a verbal statement without oath 3) a written statement made under oath 4) a verbal statement made under oath

An earnings statement that compares revenues with expenses incurred to produce the income is also referred to as a: 1) trial balance 2) bank statement 3) profit and loss statement 4) retained earnings statement

An effective volunteer services program for a nursing facility can be best achieved by: 1) granting special awards for years of service 2) accepting only mature persons for volunteer work 3) screening, orientation, and training all volunteers 4) requiring each volunteer to adhere to a predetermined schedule

An individual or group of people with legal authority: 1) Executive Staff 2) Board 3) Governing Body 4) Advisory Board

An individual or organization that makes health services available: 1) Office of the Inspector General 2) Ombudsman 3) Provider 4) Consultant

An inflammation of the liver: 1) Jaundice 2) Nephritis 3) Hepatitis 4) End-stage renal disease

An outline of which actions are permitted: 1) PPRs 2) Policies 3) Rules 4) Procedures

An unintentional occurrence of physical damage: 1) Repetition 2) Awkward Postures 3) Accident 4) Force

Approx. what percentage of health-care facility residents are ambulatory? 1) 24 percent 2) 38 percent 3) 42 percent 4) 52 percent

As compared with a hospital administrator, a nursing home administrator is, of necessity, more frequently involved with: 1) relationships with staff 2) establishing volunteer services 3) relationships with residents' families 4) facilitating interdisciplinary cooperation

As of 2019, what date must all OSHA 300, 300A and 301 forms for the previous year be submitted by? 1) January 15 2) April 15 3) March 2 4) July 1

Assessment reviews take place every: 1) 2 months 2) Month 3) 3 months 4) 6 months

Assets less liabilities: 1) Net Profit 2) Gross Profit 3) Net Worth 4) Operating Profit

Assume that 140 doses of medication were prescribed by the resident's physician to be administered in a given time period. However, 5 doses ordered were not given and 1 dose were incorrectly administered as prescribed. What was the medication error rate? 1) 2.3 percent 2 3.6 percent 3) 4.3 percent 4) 6.0 percent

Assume that 160 doses of medication were prescribed by the resident's physician to be administered in a given time period. However, 4 doses ordered were not given and 4 doses was incorrectly administered as prescribed. What was the medication error rate? 1) 2.5 percent 2) 4.0 percent 3) 5.0 percent 4) 8.0 percent

Assume that 95 doses of medication were prescribed to be administered at a given time. However, 5 doses ordered were not given and 2 doses were incorrectly administered. What is the approx. medication error rate? 1) 3 percent 2) 6 percent 3) 7 percent 4) 9 percent

At what time of the day must there be a snack provided? 1) Mid-afternoon 2) Mid-morning 3) Bedtime 4) Before breakfast

Book value is defined as the: 1) true market value of stock 2) par value of a corporate 3) the actual amount paid per share of stock purchased 4) cost of a depreciable asset less accumulated depreciation

Cash flow is the cash receipts: 1) less liabilities 2) plus assets minus liabilities 3) less the cash disbursement 4) plus assets minus expenditures

Causes of falls include all but which of the following? 1) Walking problems 2) Wet floors 3) Bright lights 4) Poor foot care

Coordinates activities and database functions as a resource for providers and researchers: 1) OIG 2) QA 3) QIES 4) QIS

Current assets include all of the following except: 1) case 2) inventory 3) working capital 4) accounts receivable

Currently which of the following safety features is not required? 1) exterior lights at all exits 2) grounded electrical outlets 3) panic hardware on all doors 4) nonslip floor surfaces throughout the facility

DRG's are used in the reimbursement of: 1) home health agencies 2) laboratories 3) hospitals 4) long-term care facilities

Darvon and bufferian are: 1) antibiotics 2) diuretics 3) analgesics 4) depressants

Draperies and bed cubicle curtains must not interfere with smoke detectors and sprinkler heads. Therefore, a thin mesh that will not interfere with their functioning can be used or they can be hung below the sprinkler and detectors by at least: 1) 8" 2) 12" 3) 18" 4) 24"

Drug testing done without advance warning: 1) Reasonable Suspicion 2) Pre-employment 3) Random 4) Post-Accident

Drug testing that is scheduled in advance: 1) Pre-Employment 2) Reasonable Suspicion 3) Periodic 4) Random

Employee wage evaluation programs should be based upon: 1) tenure 2) position 3) merit 4) attitude and loyalty

Equities are correctly defined as: 1) profits 2) cash flow 3) owners' assets of a business 4) accounts receivable minus accounts payable

Examining a situation and remedying it: 1) Representing 2) Planning 3) Problem Solving 4) Organizing

Exposure to a bloodborne pathogen (BBP) includes contact with blood or other potentially infectious materials and all but one of the following: 1) Eye 2) Mucous membrane 3) Intact skin 4) Mouth

Factors considered in determining the wage scale are all of the following except what? 1) seniority vs new employees 2) time and rates affecting pay raises 3) facility longevity 4) pay rate comparisons between departments

Fatal or serious multiple cases ( three or more hospitalizations) must be reported to the OSHA regional director orally, by telephone within: 1) 8 hours 2) 24 hours 3) 48 hours 4) 5 days

For nursing facility resident, safety and security are as important as basic physiologic needs including food and water. Falls therefore are many times the result of: 1) the refusal of help 2) multiple physical losses 3) real fears or perceived threats 4) unpreventable environmental conditions

Fraud alerts are issued by whom? 1) Medicare 2) medical 3) office of the inspector general (OIG) 4) FBI

Fringe benefits are usually outlined in the: 1) job analysis 2) job descriptions 3) personnel policies 4) procedure manuals

Getting employees to do what you want them to do is: 1) discipline 2) organization 3) motivation 4) communication

Goals should be expressed in: 1) managerial terms 2) accounting terms 3) measurable terms 4) terms of objectives

Good communication can be described as active listening. Which of the following terms would usually not be included? 1) listening with empathy 2) listening with intensity 3) listening with judgement 4) listening with acceptance

Goods and materials on hand: 1) Turnover Rate 2) Economic Order Quantity 3) Physical Inventory 4) Perpetual Inventory

Hematoma is correctly defined as: 1) a low red corpuscle count 2) a low white corpuscle count 3) a darkened area of the skin containing blood 4) an area under the skin containing fluid in the tissue

How long must OSHA records be kept? 1) 1 year 2) 15 years 3) 5 years 4) 10 years

How long must records of a device-related serious injury or death be retained by the facility? 1) 10 years 2) 5 years 3) 2 years 4) 30 years

How many residents can occupy a bedroom in a facility certified after 2016? 1) 4 2) 3 3) 2 4) 1

How much money is required to be invested at 10% interest for 4 years to pay an item which will cost $14,640? 1) 8,000 2) 9,000 3) 10,000 4) 12,000

How much of the labor force in the u.s. is unionized? 1) 30% 2) more than 20% 3) less than 20% 4) 50%

How often must a new resident be seen in the first 90 days? 1) Every 45 days 2) Every 10 days 3) Every 30 days 4) Every 15 days

How soon must a resident receive a copy of their medical record if requested? 1) 1 week 2) 3 days 3) 2 days 4) 24 hours

If a 90-bed facility averages 96% occupancy, and during a 30-day month has total expenses of $185,250, what is the average cost per resident per day? 1) $46.64 2) $68.61 3) $71.47 4) $139.91

If a patient has supper at 5 pm, he must have breakfast before: 1) 5 am 2) 6 am 3) 7 am 4) 8 am

If a staff is not satisfied with the original grievance process submitted to their supervisor, they may submit their grievances to their supervisor's superior and should expect action within what time frame? 1) 3 days 2) 2-5 days 3) 5 days 4) 1 week

If medication has an automatic stop order, the nurse must: 1) notify the pharmacist 2) never renew the medication 3) notify the physician before the last dose is administered 4) notify the physician at the time the drug is last administered

If the charge nurse comes on duty and finds a break in the emergency medicine kit, she should report it to the: 1) administrator 2) DON 3) pharmacist 4) medical director

If there are teamwork issues within the facility, employees will probably leave within 1) 1-5 years 2) 91 days- 1 year 3) 31-90 days 4) 30 days

If there is a fire, which of the following is in charge until the fire department arrives? 1) the senior maintenance staff member on duty 2) the head of nursing 3) the highest-ranking employee in the facility 4) the head of the Safety Committee

In a nursing facility, volunteers are primarily utilized by the: 1) social department 2) dietary department 3) activity department 4) nursing department

In a regular washing machine, what temperature must linens be washed at? 1) 180° F 2) 81° F 3) 160° F 4) 220° F

Paralysis of part of one side of the body: 1) Quadriplegia 2) Hemiplegia 3) Hemiparesis 4) Paraplegia

In cases in which facilities have created the option for an individual's record to be maintained by computer, rather than hard copy,: 1) electronic signatures are acceptable 2) electronic signatures are acceptable only for the medical staff 3) signatures must be recorded both electronically and on hard copy 4) electronic signatures can only be used by full-time employees of the facility

In financial management, control refers to the development and maintenance of systematic ways to: 1) reduce cost 2) increase income 3) identify problems when they occur 4) control expenses relative to revenue

In monitoring work performance, the most essential activity for the administrator is to: 1) hold individual conferences with department heads 2) review written reports from all department heads and consultants 3) visit each department and observe daily activities and the environment 4) conduct staff meetings and secure verbal reports from each department

In negotiating it is usually most prudent to: 1) establish the agenda 2) list your demands first 3) listen to the other side first 4) determine all limits and boundaries

Income statements are prepared directly from the: 1) journals 2) balance sheet 3) general ledger 4) revenue statements

Incontinence that occurs when a person has a sudden uncontrollable need to urinate: 1) Transient 2) Stress 3) Urge or Reflex 4) Functional

Influencing employees to work towards achieving organizational goals: 1) Motivating 2) Controlling 3) Directing 4) Coordinating

Influencing employees to work towards group goals: 1) Management 2) Supervision 3) Leadership 4) Authority

Inspiring employees to achieve organizational goals: 1) Controlling 2) Coordinating 3) Motivating 4) Directing

Labor cost in a long-term care facility usually totals about: 1) 30 to 40 percent 2) 40 to 60 percent 3) 50 to 60 percent 4) 60 to 70 percent

Legal incompetency in a resident is determined by: 1) the attending physician 2) the director of nursing 3) a court 4) the resident's family with consent from the resident

MDS must be capable of transmission within what time frame after a facility completes a resident assessment? 1) 5 days 2) 14 days 3) 7 days 4) 21 days

Marketing and public relations are different, but work together. The principle manner in which marketing uses public relations is in: 1) advertising the service being marketed 2) handling research of market conditions and potentials 3) media relations, news releases, and press conferences 4) promoting present services and identifying target groups

Maslow is primarily known for the: 1) theory z 2) theory x & y 3) hierarchy of needs 4) two factor system

Medicare Part B will only reimburse the SNF for a feeding tube if the patient receives at least what percentage of their caloric intake through the tube? 1) 37% or more of their caloric intake 2) 100% of their caloric intake 3) 26% or more of their caloric intake 4) 67% or more of their caloric intake

Medicare part A covers all of the following except: 1) skilled nursing home care 2) physical therapy 3) physician's visits 4) hospital care

Meetings attended by all employees: 1) Department Head Meetings 2) Department Meetings 3) General Staff Meeting 4) Quarterback Meetings

Meetings for administrators from across the facility: 1) Department Meetings 2) Quarterback Meetings 3) Department Head Meetings 4) General Staff Meeting

Mellaril is in what category of psychotropic drugs? 1) Hypnotic 2) Antidepressant 3) Antipsychotic 4) Antianxiety

Morning meetings to discuss immediate issues: 1) Department Head Meetings 2) Department Meetings 3) Quarterback Meetings 4) General Staff Meeting

Most fires in nursing facilities are caused by smoking and: 1) faulty wiring 2) electrical equipment 3) grease in the kitchen 4) chemicals in housekeeping

Moving a limb back towards the body: 1) Abduction 2) Rotation 3) Adduction 4) Flexion

OBRA requires that rehabilitative services: 1) must be conducted in house 2) be limited to physical therapy 3) must be prescribed by a licensed physician 4) must be recommend by the director of nursing

OSHA accident reports must be posted: 1) annually 2) at the end of the fiscal year 3) every year during the entire month of February 4) when an accident involves more than three persons

OSHA is under the: 1) life safety code 2) u.s. department of labor 3) american national standards institute 4) equal employment opportunity commission

OSHA is very involved in the communication process particularly regarding: 1) posters 2) accidents 3) hazardous chemicals 4) standard precautions

OSHA specifically applies to whom? 1) residents and family 2) risk management for contracted vendors 3) employees in nursing facilities 4) all visitors to the facility

Of the nation's poor (national incomes classified as below the poverty level), those covered under Medicaid are approx.: 1) 10 percent 2) 30 percent 3) 50 percent 4) 70 percent

Organizing is basically the: 1) formation of policies and procedures 2) creation of goals, objectives, and missions 3) grouping of people and activities, assigning roles, and delegating authority 4) process of influencing employees so they will strive willingly and enthusiastically toward achieving organizational goals

Over 75 percent of the administrator's problems relate to: 1) families 2) residents 3) employees 4) community

Paper memos have been replaced by 1) Bulletin Board 2) Texting 3) Electronic Mail 4) Voice Mail

Regarding the care planning process, the director of nursing should: 1) insist that the attending physician attend all the meetings 2) require surrogates to attend the care planning meeting 3) make the process understandable to the resident and the family 4) request that therapists ( physical, speech, and occupational) be involved

Replaced by QIES in 2012: 1) ASPEN 2) TQM 3) OSCAR 4) CASPER

SNF patient's medical evaluations must be based upon exams done within 48 hours of admission, unless an exam was done within: 1) 72 hours before admission 2) 3 days before admission 3) 5 days before admission 4) 7 days before admission

Sanitation would be included in the category of 1) Employment Practices 2) Employee Behavior 3) Working Conditions 4) Communications

Services for consolidated billing includes which of the following? 1) Hospice Care 2) Radiation Therapy 3) Occupational Therapy 4) Physician Services

Sexual harrassment is defined as any offensive conduct of a sexual nature that: 1) results in dating 2) involves physical contact 3) is made a condition of employment 4) includes any references to a women's appearance such as hair style and clothing ____

Shaving cream, dental floss, deodorant, and combs: 1) are not reimbursed by Medicare or Medicaid 2) must be provided by the resident or family member 3) must be provided to Medicare and Medicaid residents without cost 4) must be provided to Medicare and Medicaid residents at a minimum cost

Social workers seldom: 1) prepare care plans 2) write progress notes 3) receive physician orders 4) obtain pre admission data

Solutions to a high turnover rate include all but which of the following? 1) Better management 2) Better orientation and training 3) Better methods of reporting employee errors 4) Better pay

Standards for grounds and buildings: 1) NEP 2) OPIM 3) LSC 4) HCS

Stop order procedures were formerly developed by the pharmaceutical service committee but are now to be developed by the: 1) pharmacist 2) medical director 3) pharmacist and the medical director 4)pharmacist and the director of nursing

Straight line and accelerated relate to: 1) forms of equities 2) cash flow statements 3) depreciation schedules 4) amortization schedules

Studies indicate the average person over age 65 takes an average of: 1) 3.6 different drugs 2) 4.1 different drugs 3) 7.2 different drugs 4) 9.9 different drugs

Supervisors who direct employees: 1) Governing Body 2) Top Management 3) Line Management 4) Middle Management

The Medicare and Medicaid requirements (1995) establish: 1) signage for the blind 2) audible and visible emergency alarms 3) the maximum number of residents per bedroom 4) telephones accessible to wheelchair-confined residents

The Taft-Harley Act: 1) allows unions to participate in jurisdictional disputes 2) allows unions to picket a nursing facility to apply pressure on a subcontractor 3) may not cause an employer to discriminate against an employee from union activity 4) permits unions to charge higher initiation fees to employees who joined the union after the contract was negotiated

The accrual method of accounting is required by Medicaid and Medicare and therefore income and expenses are recorded: 1) on a monthly basis 2) as they are capitalized 3) when they are incurred 4) when they are paid or received

The acronym that lists the actions to take in case of fire: 1) SDS 2) ABHR 3) RACE 4) PPE

The agency that an employer can appeal a penalty imposed for an infraction of employee safety regulations: 1) ANSI 2) OEP 3) OSHRC 4) NFPA

The approx. percentage of gross profit for a facility with a gross income of $450,000, fixed expenses of $225,000, and variable expenses of $150,00 is: 1) 10 percent 2) 15 percent 3) 17 percent 4) 20 percent

The average number of nursing facility employees per licensed bed is approx.: 1) 0.63 2) 0.70 3) 0.83 4) 0.98

The average number of nursing-facility employees per licensed bed is approximately: 1) 0.63 2) 0.70 3) 0.83 4) 0.98

The business process or method used to promote cost efficient and effective use of resources is: 1) budgeting 2) accounting 3) financial management 4) control

The code of federal regulations: 1) enforces government regulations 2) is prepared only for the federal register 3) issues guidelines interpreting the administration of a law 4) establishes the regulatory agency that will administer a law

The cost of fringe benefits usually averages about: 1) 5 to 20 percent of wages 2) 10 to 25 percent of wages 3) 15 to 30 percent of wages 4) 20 to 30 percent of wages

The current ratio is calculated by dividing the current: 1) assets by total assets 2) liabilities by total liabilities 3) assets by current liabilities 4) liabilities by current assets

The drug regimen of each resident must be reviewed at least once a month by: 1) the medical director 2) the director of nursing 3) a licensed pharmacist 4) the attending physician

The excess of current assets over current liabilities: 1) Asset 2) Real Estate 3)Working Capital 4) Investment Capital

The facility must complete a performance review of every Certified Nurse Aide (CNA) at least every 1) 5 years 2) 6 months 3) 12 months 4) 2 years

The federal regulations have affixed the primary responsibility of utilization review with the: 1) administrator 2) medical director 3) governing body of the facility 4) director of nursing

A book of original financial entries: 1) Invoice 2) Chart of Accounts 3) Ledger 4) Journal

The five member NLRB decides cases involving charges of unfair labor practices and: 1) the penalties to be enforced 2) the terms of employment and wages to be paid 3) which employees are eligible to vote in union elections 4) the employer's responsibility to correct the alleged unfair labor practices

The government agency for disease prevention: 1) OSHA 2) FDA 3) CDC 4) CMS

The government agency with a mandate to prevent employment discrimination. 1) FMLA 2) ADA 3) EEOC 4) DEA

The inventory method that assumes that that the value of goods remaining in inventory is lower than the value of goods already used: 1) Average Cost Method 2) First-In, First-Out 3) Last-In, First Out 4) Perpetual

The inventory method that assumes that the value of remaining goods in stock is higher than goods already used: 1) Perpetual 2) Average Cost Method 3) First-In, First-Out 4) Last-In, First Out

The law requiring facilities to report incidents involving a death related to the use of a medical device: 1) ADA 2) ADAAG 3) SMDA 4) FFDCA

The law which concerns the hiring of disabled individuals: 1) FMLA 2) EEOC 3) ADA 4) DEA

The level of hospice care which provides support for family members of the patient: 1) Continuous Home Care 2) General In-Patient Care 3) Respite Care 4) Routine Home Care

The method of incontinence management that should be used only after all other approaches have failed: 1) Bladder Training 2) Biofeedback 3) Pads and Briefs 4) Dietary Changes

The minimum amount of bed linens a facility must have was formerly determined by Medicare but is now determined by: 1) ANSI 2) OSHA 3) the state 4) Medicaid

The minimum width of a bedroom is determined by: 1) ANSI 2) OBRA 3) the state 4) Life Safety Code

The percentage of gross profit for a facility with a gross income of $255,000, fixed expenses of $102,000, and variable expenses of $130,000 is approx.: 1) 4 percent 2) 5 percent 3) 9 percent 4) 11 percent

The person ultimately responsible for an accurate and adequate medical record is the: 1) administrator 2) director of nursing 3) attending physician 4) medical record librarian

The primary fire-defense tools of a health-care facility staff are: 1) sprinkler systems and alarm pulls 2) smoke detectors and direct telephone lines 3) smoke barriers, corridor walls and resident doors 4) internal fire-fighting equipment such as hoses and extinguishers

The primary function of disciplinary action is to: 1) extract compliance 2) impose punishment 3) effect a desired behavior change 4) ensure that the behavior will not be tolerated in the future

The primary purpose of departmentalization is to: 1) reduce cost 2) increase personal goals 3) promote efficient operation 4) prevent employee arguments

The primary purpose of the job interview is to: 1) review the job description 2) discuss the history and philosophy of the facility 3) determine if the applicant is suitable for the position 4) ask those questions that cannot be asked on the application

The principal cause of death resulting from a fire is: 1) burns 2) cuts and bruises 3) smoke inhalation 4) trampling at exits

The principles that guide decisions taken by staff: 1) Procedures 2) Rules 3) Policies 4) PPRs

The requirement that an administrator carry out their duties in good faith: 1) Duty of Obedience 2) Responsibility 3) Duty of Diligence 4) Civil Rights

The role of developing and implementing a written hazard-communication program is the responsibility of the: 1) supplier 2) importer 3) employer 4) manufacturer

The safe medical device act of 1990 (SMDA) states taht a medical device-user facility is required to: 1) insist that all medical devices be shipped or delivered to the facility completely assembled 2) permanently remove from service any medical device which has caused or could cause physical harm to any resident 3) report incidents that suggest that a medical device has caused or contributed to the death or serious injury/illness of a resident 4) provide annual in-service training for all employees regarding the use and care of all medical devices that may be used in the facility

The scope where only a few individuals in the facility are affected: 1) Widespread 2) Pattern 3) Isolated 4) Persistent

The specialized field of recreational services designed to aid recovery or adjustment to illness, disability, or specific social problems is called: 1) gerokinesiatrics 2) diagnostic activities 3) therapeutic recreation 4) recreational programming

The spout of a water fountain for the use of handicapped persons must be a maximum of how far from the floor? 1) 24 inches 2) 32 inches 3) 36 inches 4) 30 inches

The stage in the communication process where understanding of the message is confirmed: 1) Nonverbal Communication 2) Active Listening 3) Feedback 4) Positive Reinforcement

The standards prepared by ANSI are primarily designed for: 1) factories 2) hospitals 3) public buildings 4) health-care facilities

The telephone cord on a phone intended for use by residents must have a cord that is a minimum of what length? 1) 25 inches 2) 48 inches 3) 29 inches 4) 36 inches

The term "incontinent" is used to describe a condition which: 1) prevents urination 2) requires the appointment of a legal guardian 3) causes a person to lose control of excretory functions 4) renders a person incapable of handling activities of daily living

The title XIX fiscal intermediary is selected by the: 1) facility 2) DHHS regional office 3) state Medicaid agency 4) state nursing home association

There are four categories of care provided under part A of Medicare. Which of the following is not a part of the care provided? 1) inpatient-hospital services 2) post-hospital-home-health services 3) outpatient-hospital-diagnostic services 4) post-hospital-rehabilitation-program services

There are four categories of care provided under part A of the Medicare hospital insurance and related benefits. Which of the following is not a part of the care provided? 1) inpatient-hospital services 2) post-hospital-home-health services 3) outpatient-hospital-diagnostic services 4) post-hospital-rehabilitation-program services

To calculate employee turnover rate, divide the number of: 1) new employees by the number of remaining employees and multiply by 100 2) total employees by the number of remaining employees and multiply by 100 3) employees terminated by the total number of employees and multiply by 100 4) employees by the total number

To communicate a specific concept to a select group of people, one would most likely consider: 1) radio 2) television 3) direct mail 4) newspaper

Under the doctrine of respondent superior, when an employee commits a wrongful act within the scope of his employment: 1) only the employer may be held liable 2) only the employee may be held liable 3) both the employer and employee may be held liable 4) neither the employer nor employee may be held liable

Used to asses a facility's delivery of services: 1) QIES 2) NHQI 3) QCI 4) CQI

Used to guide employee behavior: 1) Strategic Plans 2) Policy 3) Standards 4) Guidelines

Using the straight-line method of depreciation for a 10-year period for a new washer costing $14,000 with a $2,000 salvage value, the annual depreciation will be: 1) $120.00 2) $140.00 3) 1,200.00 4) 1,400.00

Valium is in what category of psychotropic drugs? 1) Antipsychotic 2) Antidepressant 3) Antianxiety 4) Hypnotic

Walks must be at least: 1) 52 inches wide 2) 48 inches wide 3) 36 inches wide 4) 24 inches wide

What best defines a revenue budget? 1) planned revenues and expenses 2) equipment to be made during the year 3) operating and non-operating revenues, patient service revenues 4) cash available to pay current liabilities

What best defines an operating budget? 1) current assets minus current liabilities 2) patient services revenues 3) all planned revenues and all planned expenses 4) equipment and improvements to be made during the year

What best describes what an administrator has to balance? 1) therapy, activities, rehabilitation, residents rights 2) DHS, governing body, licensee, turnover 3) resident and family needs, high quality of care standards, Fed and state regs, financial constraints, internal operations and staff issues 4) nursing services, social services, nutrition, pharmacy

What constitutes a long term liability? 1) due within the month 2) due within one year 3) due more than one year out from balance sheet date 4) six months over due

What financial statement reports revenues by source and expenses by category? 1) statement of cash flow 2) balance sheet 3) statement of revenues and expenses 4) changes in fund balance

What is called when there is a comparison between budgeted and actual cost? 1) break even analysis 2) profit and loss analysis 3) variance analysis 4) income analysis

What is it called when a supervisor rates all employees with high scores, whether they deserve it or not to avoid conflict? 1) error of central tendency 2) halo effect 3) leniency error 4) nepotism

What is it called when a supervisor rates an employee in the presence or absence of only one trait? 1) the leniency error 2) dysfunctional 3) halo effect 4) error of central tendency

What is the average daily absentee rate for a facility with a total of 104 full-time employees and 284 lost workdays or absences during a 60-day period? 1) 2.71 2) 4.00 3) 4.55 4) 4.95

What is the fastest growing older population? 1) young-old (65-74) 2) old-old (75-84) 3) oldest-old (85 and older) 4) young-young (55-64)

What is the formula for payback period? 1) (historical cost minus scrap value) divided by useful life 2) current liabilities divided by current assets 3) total investment divided by annual savings 4) current assets minus current liabilities

What is the minimum allowable size for a single occupancy room? 1) 80 square feet 2) 120 square feet 3) 100 square feet 4) 90 square feet

What is the minimum permitted distance between legs on a dining table? 1) 27 inches 2) 32 inches 3) 30 inches 4) 36 inches

What is the most often cited OSHA standard? 1) MDS 2) MSDS 3) Hazardous communication standard 4) safety committee

What is the principal difference between title XVIII and title XIX of the social security act? 1) title XVIII is federally-funded and title XIX is totally state funded 2) title XVIII is for people over age 65 and title XIX is for those under age 65 3) title XVIII is basically an insurance program, whereas title XIX is an assistance program based upon need 4) title XVIII provides primarily for inpatient hospital services, whereas title XIX primarily covers nursing service

What management function involves motivational techniques? 1) evaluating 2) organizing 3) leading 4) controlling

What percentage is needed within a facility to start a union? 1) half of the total population 2) 49% + 3) 50% + 1 4) 75%

What percentage of resident bedrooms must be wheelchair accessible? 1) 1 2) 0,25 3) 0,5 4) 0,75

Which of the following is not a CMS standard for infection control? 1) Isolate an infected resident 2) Require staff to perform proper hand hygiene at regular intervals 3) Allow no employee with skin lesions to have contact with residents 4) Staff should perform proper hand hygiene after every direct resident contact.

Which of the following is not a quality measure? 1) physical restraints 2) falls 3) loss of appetite 4) anti-anxiety/hypnotic medication use

Which of the following is not a schedule II drug? 1) stimulant 2) depressant 3) anticoagulant 4) narcotic

Which of the following is not an appropriate component of correcting employee errors? 1) Correct the error in private 2) Be specific 3) Allow the employee one or two chances before stepping in to correct them 4) Be objective

Which of the following is not considered essential nursing home equipment by CMS? 1) Boiler Room 2) Laundry Equipment 3)Television 4) Refrigerators in Nursing Areas

Which of the following is not included in the evaluating healthcare professional's written report after an exposure incident has occurred? 1) The provider informed the worker of the results of the evaluation and any medical conditions resulting from the exposure which require further evaluation or treatment. 2) Whether the worker received the vaccination. 3) When the employee can safely return to work. 4) Whether Hepatitis B vaccination is recommended.

Which of the following is not part of the exit interview? 1) maintain a positive image of the facility 2) raising awareness of an existing problem 3) better understand the type of person needed for their replacement 4) salvage the working relationship

Which of the following is required by the fair labor standard's act? 1) holiday pay 2) vacation pay 3) overtime pay 4) sick leave pay

Which of the following is the third step in the communication process? 1) the idea becomes the message 2) the receiver gets the message 3) the message is transmitted 4) the sender has an idea

Which of the following items can be considered a capital expenditure? 1) a leased company car 2) restocking the daily consumables 3) the replacement of the auxiliary generator 4) regular maintenance of the kitchen appliances

Which of the following mandates 24 hour licensed practical nursing care in Skilled Nursing Facilities (SNF) and Intermediate Nursing Facilities (ICF)? 1) The Elder Justice Act of 2009 2) The IMPACT Act of 2014 3) OBRA 87 4) OBRA 90

Which of the following methods would be an effective way to find someone from within the facility to fill a different position? 1) Employment Agencies 2) Advertising 3) Internal Job Posting 4) Hosting Nursing Programs

Which of the following nutrients should the elderly increase? 1) fats 2) salts 3) protein 4) sweets

Which of the following specifies an amount to be paid to hospitals based on diagnosis-related groups? 1) OBRA 2) Medicaid 3) Medicare 4) the state

Which of the following statements about an Infection Prevention and Control Program (IPCP) is incorrect? 1) An IPCP program must include a plan to prevent infections from entering a facility. 2) An IPCP program must include the reporting of all instances of infections and communicable diseases. 3) An IPCP program can be led by any senior administration staff person. 4) An IPCP program must include a plan to control the spread of infections within a facility.

Which of the following statements about ensuring the dignity of residents is incorrect? 1) Groom residents as they prefer. 2) Dress residents in personal rather than institutional clothing. 3) Call residents by their first name at all times. 4) Respect residents' personal space and property.

Which of the following statements concerning falls is incorrect? 1) If a resident is found on the floor, a fall has taken place 2) A fall must end with a resident on the ground or floor 3) A fall is any unintentional coming to rest on the ground, floor, or other lower level 4) A fall does not have to result in an injury to be reportable.

Which of the following statements is true regarding pre-employment testing? 1) Drug cannot be used as part of hiring process 2) Physical exams can be required before a job offer has been made 3) Title VII forbids any test that does not measure job performance 4) A pre-employment test cannot be used to determine a candidate's ability to perform the job

Which of the following statements regarding fire safety is correct? 1) All exit doors must enter inward. 2) Smoke detectors must use lithium batteries. 3) Fire alarms must be audible and visual. 4) Locks are not permitted on residents' doors.

Which of the following statements regarding fire safety is incorrect? 1) Alarms must be activated by smoke or fire and connected to an emergency power source. 2) Fire doors are required in all corridors. 3) Resident's doors cannot be locked. 4) There must be smoke detectors hardwired and connected to a backup power source.

Which of the following statements regarding hand-cleaning is not correct? 1) Alcohol-based hand rub dispensers should be at the entry to patient rooms, at the bedside, in pocket-sized containers. 2) Alcohol-based hand rubs are recommended for routinely decontaminating hands if they are not visibly soiled. 3) Dietary workers should use alcohol-based hand rubs. 4) Employees caring for a patient with C. Diff must use soap and water rather than anti-microbial soap.

Which of the following statements regarding the handling of soiled bed linen is incorrect? 1) Soiled linen is never placed on another resident's bed. 2) Never shake the soiled linen. 3) Perform proper hand hygiene before handling bed linen. 4) Carry the soiled linen away from the body.

A business owned by an individual: 1) Corporation 2) Limited Partnership 3) S Corporation 4) Sole Proprietorship

A collection of tasks performed by an employee: 1) Job Description 2) Job Classification 3) Job Analysis 4) Job

Which of the following statements regarding the pregnancy discrimination act is not true? 1) an employer cannot refuse to hire a woman because of her pregnancy related condition 2) health insurance cannot impose an additional deductible for pregnancy related medical costs 3) it is not required that health insurance offered to employees pay for expenses arising from ordinary abortion 4) an employer must provide or offer group insurance coverage that provides maternity benefits to all employees

Which of the six steps in planning should come first? 1) selecting a course of action 2) evaluating alternative course of action 3) setting goals that the organization will work toward 4) setting up derivative plans in case the original goals do not work

Which one of the following statements in reference to morale is incorrect? 1) morale is always present 2) morale is a state of mind and emotions 3) morale is no concern of the subordinates 4) high morale is the result of good human relations

Which statement is one of the most important principles in the delegation of authority and should guide administrators in their work? 1) keep all authority centralized 2) personally confirm all decisions 3) delegate as much authority as they effectively can 4) make certain all administrative details clear through the administrator's desk

Who formulates the National Life Safety Codes? 1) ANSI 2) OSHA 3) NFPA 4) NLRB

Who of the following works with the medical director to formulate automatic stop orders? 1) DON 2) administrator 3) pharmacist 4) attending physicians

Within how many business hours must a facility be able to provide OSHA records? 1) 48 hours 2) 24 hours 3) 4 hours 4) 2 hours

Within how many days must a facility submit a request for IDR Informal Dispute Resolution? 1) 20 days 2) 3 days 3) 10 days 4) 15 days

A 100-bed facility with an average of 90 percent occupancy has a total 30-day monthly expense of $135,000,000. What is the average cost per resident, per day? 1) $27.00 2) $40.50 3) $45.00 4) $50.00

A Skilled Nursing Facility (SNF) must employ a full-time social worker if it has more than how many beds? 1) 100 2) 80 3) 50 4) 120

A barrier to good communication where an employee worries about what might happen if they communicate unwelcome information: 1) Distrust of the Sender 2) Premature Evaluation 3) Poor Retention 4) Fear of Consequences

A basic general principle of ethics which governs a relationship between physician and patient is that of: 1) formal contract 2) tacit permission 3) informal consent 4) informed consent

Douglas McGregor developed two sets of assumptions concerning human nature which he referred to a Theory X and Theory Y. Which of the following statements relates to Theory Y? 1) security is first 2) prefer to be directed 3) avoid work if possible 4) work is as natural as play

During an employee interview you may ask: 1) for a photograph 2) about child care plans 3) about willingness to work religious holidays 4) about willingness to work a required schedule

Each state is required to license all nursing facilities and to certify: 1) all facilities 2) only Medicaid facilities 3) only Medicare facilities 4) Medicare and Medicaid facilities

Earnings distributed to stockholders: 1) Per Diem Rate 2) Petty Cash 3) Resident Funds 4) Dividends

Employee evaluations should be made by the: 1) administrator 2) personnel director 3) director of nursing 4) immediate supervisor

Employee evaluations should be made by the: 1) administrator 2) personal director 3) director of nursing 4) immediate supervisor

Family members want to admit their fully competent mother to your facility. Mother does not want to be admitted. What should you do? 1) make the family sign a release form and admit 2) admit as usual 3) get physician's permission to admit 4) refuse to admit without resident's consent

Federal assistance to a needy person: 1) RUGs 2) SNFABN 3) PPS 4) SSI

From the door into a resident room to the nearest exit door may be no more than: 1) 75 ft. 2) 100 ft. 3) 125 ft. 4) 150 ft.

From the management point of view, the difference between the terms "objective" and "policy" is that a management objective: 1) needs to be spelled out, whereas a policy is self-explanatory 2) represents a definitely set goal, whereas a policy is subject to change 3) is a course projected into the future, whereas a policy is a course adopted for the present 4) is an end result to be achieved, whereas a policy serves as a guide for achieving the objective

Getting people to work together toward a common goal in spite of differences in work style: 1) Directing 2) Controlling 3) Motivating 4) Coordinating

HCFA regulations are very specific regarding the selection of residents to be interviewed during the quality survey. What percent of those selected must be interviewable? 1) 10 percent 2) 20 percent 3) 25 percent 4) 50 percent

Halcion is in what category of psychotropic drugs? 1) Antipsychotic 2) Antidepressant 3) Antianxiety 4) Hypnotic

Hazardous communication programs, hep B virus, HIV immunization, and universal precautions are all enforced by: 1) ANSI 2) DHHS 3) EEOC 4) OSHA

Helping two parties work together well: 1) Evaluation 2) Communication 3) Supervision 4) Conflict Resolution

High-temperature sprinkler heads with the blue paint on the frames are rated to open at approx.: 1) 150 degrees 2) 170 degrees 3) 212 degrees 4) 280 degrees

Holding employees answerable for their work: 1) Confidentiality 2) Objectivity 3) Discrimination 4) Accountability

How soon after admission must the comprehensive care plan be completed? 1) 48 hours 2) 7 days 3) 30 days 4) 21 days

How soon must an emergency generator start and transfer power when normal power is lost? 1) 5 minutes 2) 1 minute 3) 20 seconds 4) 10 seconds

IRS tax form 1099 must be completed annually by an employer: 1) for all employees 2) in lieu of a w-2 form 3) for employees who work only part-time 4) for employees who are paid compensation in addition to their regular wages

If the employer is choosing the wrong candidates, employees will probably leave within 1) 1-5 years 2) 91 days- 1 year 3) 31-90 days 4) 30 days

Imagining that they are not in the facility may lead a resident to: 1) Agitated Purposeful Wandering 2) Environmentally Cued Wandering 3) Recreational Wandering 4) Fantasy or Reminiscent Wandering

In a SNF, in lieu of a physician's visit, visits to the residents can be made by physician assistants, nurse practitioners, or clinical-nurse specialists: 1) at the option of the physician 2) only if the person is not employed by the facility 3) at the option of the physician after the initial visit 4) at the option of the physician after the initial visit when alternated with a physician's visit

In case of a fire, who is responsible for moving the master index card file? 1) the medical records clerk 2) DON 3) the ward clerk 4) the charge nurse

In performing their supervisory duties, nursing supervisors can be held liable for: 1) any negligent act performed by any employee 2) any act performed by any nurse they supervise 3) any act performed by any person they supervise 4) negligence in carrying out their supervisory duties

Infection control program is responsible for all but one of the following: 1) isolation procedures 2) investigation, controlling, preventing 3) record incidents and action taken 4) make all visitors fill out a questionnaire

Intended to protect staff from dangerous chemicals in the workplace: 1) Needlestick Safety and Prevention Act of 1999 2) Medwatch 3) Universal Precautions 4) Hazard Communication Program

The most common psychological condition affecting older adults is: 1) tension 2) anxiety 3) delirium 4) depression

Involving and sharing responsibilities with the family and the facility staff does not create: 1) an increase of awareness 2) the encouragement of participation 3) the building of trust and confidence 4) assurance to the family of the continuation of the resident's life style

Line authority is correctly defined as: 1) parallel authority 2) horizontal authority 3) authority between departments 4) directional and operational authority

Liquidity refers to the: 1) distribution of profit 2) assets of a corporation 3) solvency of a corporation 4) ability to convert assets into cash

Low-sodium diets may properly be prescribed for residents with: 1) gout 2) gastritis 3) diabetes 4) high blood pressure

MBWA, management by wandering around, provides an opportunity to do all of the following except: 1) reinforce good work 2) prevent some problems 3) enhance communication 4) improve interrelationships through work teams

Managing the flow of services or products: 1) PR 2) Public Image 3) Feasibility Study 4) Marketing

Medical records for employees exposed to a toxic substance must be kept for how many years? 1) 5 2) 10 3) 15 4) 30

Methods to prevent or reverse weight loss include all but which of the following? 1) Providing larger portions 2) Enriched diets with added calories 3) Providing nutritional supplements with medicines 4) Restricting the use of salt or sugar to season food

Of the total employee turnover rate, what percentage is usually unavoidable? 1) 5 to 10 percent 2) 10 to 15 percent 3) 15 to 25 percent 4) 25 to 35 percent

One of the best methods used by administrators to communicate directly with employees is a management style known as: 1) employee recognition 2) management by objective 3) performance enhancement 4) management by walking around

Oral care falls into which category of activities of daily living (ADLs)? 1) Communication 2) Dining 3) Mobility 4) Hygiene

Plans focused on the long-range goals of the organization: 1) Policy 2) Standards 3) Guidelines 4) Strategic Plans

Regarding marketing, which of the following statements is false? 1) marketing is a science and an art 2) marketing involves research and planning 3) marketing is an analytical strategic process 4) marketing is synonymous with selling and public relations

Relationships between departments and employees and the lines of authority are best explained using: 1) policies 2) procedures 3) a chart of accounts 4) an organizational chart

Reviewing groups of medical records and other health records may identify various conditions and problems that could be addressed in: 1) resident counsels 2) family conferences 3) orientation programs 4) in-service training programs

The Ombudsman program is funded by: 1) HCFA 2) OBRA 3) Medicaid 4) Administration on aging

The amount of physical effort required to perform a task: 1) Accident 2) Repetition 3) Awkward Postures 4) Force

The essential difference between bookkeeping and accounting is that: 1) bookkeeping involves some accounting activities while accounting is not involved with bookkeeping 2) bookkeeping involves a variety of records and procedures while accounting is a mechanical process of developing financial statements 3) bookkeeping involves the recording of business activities and interpreting them while accounting involves the preparation of statements and special studies 4) bookkeeping involves the recording of business activities while accounting involves designing accounting systems, preparing financial statements and auditing

The facility's emergency generator must power all the following except: 1) fire detection 2) fire alarm 3) adequate lighting for egress 4) nurses station

The family medical leave act of 1993 is enforced by: 1) equal employment opportunity commission 2) occupational safety and health administration 3) the omnibus budget reconciliation act of 1987 4) wage and hour division of U.S. department of labor

The government agency which regulates the use of scheduled drugs: 1) FMLA 2) EEOC 3) ADA 4) DEA

The handrails in stairwells must extend beyond the first and last steps by: 1) 6 inches 2) 8 inches 3) 10 inches 4) 12 inches

The income of a proprietary corporation remaining after all costs, taxes, and dividends have been paid is known as: 1) profit 2) net profit 3) gross income 4) retained earnings

The inventory method that establishes a reorder point for items: 1) Turnover Rate 2) Perpetual Inventory 3) Physical Inventory 4) Economic Order Quantity

The key to a good bowel training program is: 1) administer laxatives nightly 2) keep the resident in bed and use bedpans 3) schedule enemas to be given at least weekly 4) establish a regular time of day for bowel evacuation

The likely outcome of a condition: 1) Diagnosis 2) Symptom 3) Etiology 4) Prognosis

The major purpose of a transfer agreement between health-care facilities is to: 1) establish a method of transporting residents to and from various health facilities. 2) guarantee that each facility will accept and all residents from the other facility 3) assure the resident that each facility will provide a room at all times in case of transfer 4) provide an interchange of medical and other information to assure adequate resident care

The method for calculating a facilities occupancy rate is: 1) census times capacity divided by 100 2) census divided by unoccupied beds times 100 3) unoccupied beds divided by census times 100 4) census divided by capacity times 100

The most common mistake made in hiring employees is: 1) too many interviews to decide 2) hiring unqualified persons 3) letting the supervisor do the hiring 4) the first qualified person interviewed is hired

The process which insures that financial resources are obtained and used effectively and efficiently in the accomplishment of the institution's objectives is correctly defined as: 1) budgeting 2) accounting 3) cost controlling 4) financial management

The professional designation of those that specialize in the diagnosis, management and prevention of disease and chronic illness of the elderly population is known as what? 1) psychology 2) gerontology 3) psychiatry 4) geriatrics

The proper storage of a floor buffer would be: 1) upright-so fluid won't drain 2) attached to a driver board 3) cord wrapped around handle 4) not on pad

The quantity of vitamins and minerals that people should receive daily to maintain optimum health: 1) GDR 2) Drug Regimen 3) Polypharmacy 4) RDA

The reason for concise personnel policies is: 1) to have a basis for corrective action 2) to protect the facility 3) to decrease communication time for the supervisors 4) so that everyone knows what is expected

The resident activity director has many roles and duties. However, the first responsibility should be: 1) maintaining adequate records 2) planning and organizing activity programs 3) preparing care plans and writing progress notes 4) completing the assessments and identifying the interests and needs of the residents

The results of all investigations regarding abuse must be reported to the administrator or his representative and the administrator must ensure that it is reported to the proper state authority within: 1) 24 hours 2) 48 hours 3) 5 days 4) 5 working days

The severity level where there is immediate danger: 1) Level 1 2) Level 2 3) Level 3 4) Level 4

The starting point for planning long-term care services is the: 1) available cash flow 2) availability of land for expansion 3) market area's population census 4) needs and wants of those who will use the nursing facilities' services.

The state is required to license all nursing facilities and to certify: 1) all facilities 2) only Medicaid facilities 3) only Medicare facilities 4) Medicare and Medicaid facilities

The success or failure of a proprietor is measured by: 1) sales value 2) controlled expense 3) gross revenue 4) net profit

The theory of the universally of management function is best described by the statement that all administrators: 1) need management skills but technical skills are unnecessary 2) spend about the same amount of time carrying out each of the five management functions 3) spend more time on planning and organizing then on the other three management functions 4) carry out the same functions, no matter where they are on the administrative ladder or in what business they are involved

The use of a third party to check records: 1) Reconciliation 2) Posting 3) Double-Entry Bookkeeping 4) Audit

The use of fidelity bonds protects the facility from embezzlement losses and also: 1) reduces the facility's need to obtain business interruption insurance 2) allows the facility to substitute the fidelity bonds for all other insurance 3) protects employees who make unintentional errors from possible monetary damages 4) minimizes the possibility of employing persons with questionable records in positions of trust

The year that the current Life Safety Code was adopted by CMS: 1) 2012 2) 2013 3) 2015 4) 2016

Theory Z is based upon the concept that: 1) employees enjoy work as much as play 2) employees consider work to be distasteful and unsatisfying 3) supervisors make certain assumptions regarding employees and what they can accomplish 4) trust, long-term goals, and incentives encourage employees to work together cooperatively

This rewards desirable behavior: 1) Nonverbal Communication 2) Active Listening 3) Feedback 4) Positive Reinforcement

Under FMLA, if paid leave is provided by the employer: 1) company rules apply in lieu of FMLA 2) the employee is not eligible for coverage under FMLA 3) the rate paid to the employee must equal the employee's current salary 4) the employer can require the employee to substitute eligible leave for any part of the 12 weeks required by the act

Under OBRA, which of the following committees may not be replaced by the quality-improvement committee? 1) safety committeee 2) infection control committee 3) pharmaceutical services committee 4) Interdisciplinary care-planning committee

Under OBRA, which of the following is not required to be a member of the quality assessment and assurance committee? 1) physician 2) director of nursing 3) three staff members 4) health-care facility administrator

Under P 15.1.8402 in the C.F.R. for SNF and ICF guidelines, the chairman of the resident care policies committee shall be: 1) the medical director 2) the director of nursing 3) the administrator 4) any qualified person designated by the administrator

Under the American Disability Act, when interviewing an applicant for employment, you may ask: 1) if the applicant is in good health 2) why the applicant uses a wheelchair 3) if the applicant has ever had a drug problem 4) about job duties during previous employment

Unfortunately there are many reasons that employees fail to communicate but the least of those listed is that they do not: 1) retain the information 2) receive the information 3) understand what they heard 4) accept the information submitted

Universal precautions are enforced by: 1) ANSI 2) CDC 3) OBRA 4) OSHA

Used to identify hazardous materials in the workplace: 1) PPE 2) ABHR 3) RACE 4) SDS

What is the crucial element for doing well on the examination? 1) sound knowledge of federal regs 2) sound understanding of state and fed regs 3) memorizing the pertinent study material 4) sound understanding of task required of an administrator and knowledge and skills needed to perform that task

What percent of accidents involving residents occurs in the bedroom? 1) 20 percent 2) 35 percent 3) 50 percent 4) 65 percent

What percent of nursing facilities are for profit? 1) 55 percent 2) 66 percent 3) 72 percent 4) 75 percent

What types of safety are there in a nursing facility? 1) emotional safety 2) physical safety 3) mental, physical and emotional safety 4) emotional and physical safety

When a nursing home administrator is contacted by a union representative for collective bargaining, a prudent administrator should first: 1) call a staff meeting 2) prepare a list of supportive personnel 3) contact the National Labor Relations Board 4) seek legal counsel from an attorney specializing in labor relations

When all of the nursing staff reports directly to the director of nursing, this is a management principle referred to as: 1) staff authority 2) span of control 3) unity of command 4) principle of exception

When employees don't feel that they can move up in the organization, they tend to leave between 1) 30 days 2) 31-90 days 3) 91 days- 1 year 4) 1-5 years

When the subordinate and the supervisor jointly set the subordinate's goals, this is referred to as: 1) creative problem-solving 2) constructive confrontation 3) management by exception 4) management by objectives

Which of the following is a current liability? 1) revenue 2) mortgage 3) retained earnings 4) FICA taxes payable

Which of the following is an exempt employee in regards to overtime pay? 1) Certified Nurse Aide 2) Licensed Practical Nurse 3) Housekeeper 4) Pharmacist

Which of the following is not a requirement for every bedroom? 1) Each room must have direct corridor access. 2) Each room must have an adjoining bathroom with toilet, sink, and shower. 3) Each occupant must be able to reach the call cord from bed. 4) There must be at least one window for each occupant of the room.

Which of the following is not considered a fall? 1) A resident losing balance who would have fallen without staff intervention. 2) A resident is found on the floor. 3) An unintentional coming to rest on the ground, floor, or other lower level. 4) A result of a push from another resident.

Which of the following is not taxed? 1) bonuses 2) overtime 3) shift differentials 4) uniform allowances

Which of the following is not usually the role of the governing body? 1) approving policies 2) establishing bylaws 3) developing a mission statement 4) hiring all supervisory employees

Which of the following is the most important as a key element for success? 1) competent and knowledgeable staff 2) staff turnover 3) excellent activities department 4) communication

Which of the following serves as the basis for a comprehensive care plan? 1) the MDS trigger 2) the medical record manager 3) the resident assessment protocol 4) the minimum data set comprehensive assessment

Which of the following statements about activities of daily living is incorrect? 1) The ADLs are a part of the Minimum Data Set (MDS). 2) The strategies to help residents retain late loss ADLs are an important component of a facility's Quality Measure Score. 4) There are 11 different ADLs that must be assessed for each resident. 4) One of the last ADLs to be retained is dressing.

Which of the following statements about the discharge/move out process is incorrect? 1) The facility must identify each resident's discharge needs 2) The facility must document that a resident has been asked about their interest in receiving information regarding return to the community. 3) The facility must assist resident in selecting another SNF or Independent Rehabilitation Facility (IRF) or Long Term Acute Facility (LTAC). 4) The facility must provide the resident with their complete medical record upon departure from the facility.

Which of the following statements regarding FTE equivalency is incorrect? 1) FTE stands for full time equivalency 2) FTE is the number of employees needed to work 8 hours 5 days a week 3) On average there should be one FTE for each resident 4) FTE is the number of employees working within the facility

Which of the following statements regarding Quality Improvement Organizations (QIOs) is incorrect? 1) Each SNF must have a memorandum of agreement MOA with a Quality Improvement Organization (QIO). 2) QIOs ensure that Medicare only pays for reasonable and necessary services. 3) QIO reviews medical records to determine if service met standards and was medically necessary. 4) QIOs are primarily concerned with reducing costs for services provided in SNFs.

Who is in charge if there is an emergency, such as a fire, in the building? 1) the administrator 2) the fire department 3) the D.O.N. 4) the person with the most authority in the building at the time of the emergency

Why should the administrator secure information on budget needs from each department head? 1) it will teach supervisors to budget within their own departments 2) the administrator can more easily hold supervisors' responsible for expenditures 3) budget awareness ensures department heads will spend no more than budgeted 4) it provides more cooperation in the use of a budget if supervisors help determine the amounts designated in the budget

With the elderly, the process of aging frequently produces: 1) asthma 2) syphilis 3) allergies 4) diabetes

Within what time frame is a staff grievance usually submitted to their supervisor? 1) 24 hours 2) 72 hours 3) 48 hours 4) 2-5 days

Maximum water depth in the sink is allowed to be what? a. Just not over flowing b. 6 ½' C. 7" D. 6 1/2"

Water from a drinking fountain must flow parallel to the front of the unit/fountain and at least sprout 4" high so that a person can fit a cup under the sprout. A. TRUE B. FALSE

What is the required knee clearance under a resident sink? a. 27"x30"x19" b. 27'x30'x19' c. 27' High 30' wide 19' deep d. Both b & c

40. How far away must a side handrail be from a smooth surfaced wall allowing for a safe grip? a. 2" Minimum b. 1 ½" At least c. 4" Maximum d. 3"

45. A single exit door in a means of egress is required to be how wide? a. 41.5' b. 41.5" c. Minimum 42" d. 20.75" On each side

5. Which edition of Life Safety Code of the National Fire Protection Association has been approved by the Federal Register to be enforced as law in Nursing Facilities? a. NFPA 101 2001 b. NFPA 101 2000 c. NFPA 101 2014 d. NFPA 101 2010

53. What is the exception to the rule that every resident room must have a door leading directly into an exit access corridor? a. They have a window as an exit b. The door to their room goes directly outside c. They have a door into another room with exit corridor access d. No exceptions

57. All means of egress and exit must have what level of light at all times? a. 30 Lumens b. 1' Candle of light c. 25 Lumens d. 30' Candle of light

58. It is acceptable to have to manually flip a switch in order to transfer from normal power to emergency power. a. True b. False

61. A generator is required to automatically turn on within what time frame after a power failure? a. Minimum of 10 seconds b. Within 10 seconds c. Maximum of 10 seconds d. Immediately

68. Which of the following cooking equipment is exempt from cooking regulations such as maintenance and repair? a. Grill b. Microwave c. Stove d. Stove exhaust fans

70. Each story of a nursing facility used for sleeping or treatments must have at least how many smoke compartments? a. 1 b. 2 C. 3 D. 4

What is the maximum distance allowed between visual alarms in a hallway? a. 40' b. 50' C. 50" D. 100'

What is the required floor space for a resident sink? a. 30'x48' b. 30"x48" C. 25' X 35' D. 25" X 30"

Which of the following is true regarding using symbols of accessibility to identify "handicapped accessible" areas? a. The signs must be recognized only domestically b. The symbols must be internationally recognized c. Made in the U.S. A. d. Black and white only

46. How wide must doors serving as both an entrance and exit be? a. 41.5' b. 41.5" c. 41.5" On each side opening in opposite directions d. 100' In width

56. The distance from a resident bed to the room door/exit/entrance may not exceed what distance? a. 100' b. 200' C. 50' D. 150'

6. Which of the following is the main concern or thought in regards to evacuation procedures in case of a fire in a Nursing Facility? a. Saving staff b. Avoiding deficiencies c. Compromised health and mobility of the residents d. Ambulatory residents

60. Facilities licensed to serve residents who require life support systems must have what type of emergency power? a. Emergency lighting equipment b. Generator c. A generator that supports all the basic required systems and all life support needs d. No different requirement for life support systems

7. Which of the following has the most significant effect on limiting the spread of fire, smoke and loss of life? a. Opening all of the doors in the facility b. Making sure the origin of the fire has space and air to grow c. Closing all the doors in the facility d. Calling the fire department ASAP

77. Which of the following "handicapped accessible" guidelines are followed in nursing facilities? a. OBRA b. Life Safety Code c. American with Disabilities Act of 1990 d. State law

9. How often are fire drills required to be conducted as part of staff training? a. Quarterly on at least 1 shift b. Monthly c. Quarterly on all 3 shifts d. 6 Month intervals

90. How wide are accessible parking spaces and the accessible aisle required to be? a. 60" And 96" b. 60" And 80" c. 96" And 60" d. 8011 And 60"

Operating devices such as handles, knobs, etc. on accessible doors must be at what position from the floor? a. At least 48" off the floor b. Exactly 48" c. No more than 48" d. 42"

73. Travel distance within the smoking compartment to the smoke barrier cannot exceed what distance? a. 50' b. 100' C. 150' D. 250'

69. What are the requirements for fire extinguishers? a. On every floor and accessible b. Checked quarterly c. Serviced annually d. All of the above

72. What is the maximum allowable square footage in a smoking compartment? a. 250 Sq. ft. b. 350 Sq. ft. C. 20,000 SQ. FT D. 22,500 SQ. FT.

26. Why are laundry hampers on rollers sitting in the hallway in excess of 32 gallons that are not in use not allowed? a. Not allowed by law b. Not good practice c. Resident hallways are not intended to be hazardous areas d. Both a & c

29. Walls and doors acting as fire barriers must be what? a. Have at least a 2 hour fire resistance rating b. Made of approved construction material c. 1 Hour fire resistance rating d. Both a & b

33. Which of the following penetrations, holes or openings are allowed to be in the walls of a Nursing facility a. Holes the size of pins b. Opening around pipes c. ½ - 1 Inch holes d. None of the above

34. What is true in determining an occupancy load or limit in any area? a. For every 1 person in a 120 ft sleeping area there must be one means of egress b. For every 1 person in a 240 ft inpatient tx area there must be one means of egress c. The fire marshal determines occupancy load d. All of the above

35. Doors, such as corridor doors, that are locked and in a hallway considered to be a means of egress or exit are allowed but what is the limit? a. Only 1 such delayed egress device is allowed along the length of any egress b. Staff must carry keys and/or be able to unlock the door by key or remote at all times c. Unlimited d. Both a & b

36. Interior stairs must have a width of what? a. 44" Excluding 3 ½" allowable for handrails on each side b. 51" Including 3 ½" allowable for handrails on each side c. 44" Width d. Both a & b

37. Which of the following is true regarding the steps of interior stairs? a. Height must be between 4" to 7" b. Step depth is a minimum of 11" c. Minimum headroom of 6'8" / max height 12' from landing to landing. d. All of the above

43. An enclosed interior stairway is considered to be what? a. Means of egress b. Hazardous area c. Smoke proof enclosure d. Both a & c

47. A corridor door serving as a horizontal exit in a means of egress hallway is required to be how wide? a. 8' Or more from both side b. Must be swinging doors in opposite directions c. Each door must be minimum of 41.5" d. All of the above

48. Which of the following would not be considered a horizontal exit? a. Double doors serving as entrance and exit of the building b. Main entrance and exit c. Corridor doors d. The door into and out of the residents' room

49. What are the requirements of a sliding door serving as a horizontal exit in a means of egress? a. Can be moved/opened with 5 lbs. of pressure b. Must have a clear width of not less than 83" when it opens c. Example: Sliding doors in the dining room exiting to the patio d. All of the above

50. Which of the following is required of ramps? a. Must have horizontal landing on both ends of the ramp b. At least 44" wide and maximum rise/height of 30" c. Can only escalate in slope 1" for every 12" of length d. Al I of the above

52. Each floor or fire section is required to have how many exits? a. Go directly to outside b. Go directly into smoke proof enclosure c. Go directly to ramp or exit passage way d. At least 2 exits in separate locations

59. What is true of all exit signs? a. Must be visible and marked from all directions b. All exits must be lit with light c. Exit sign letters must be at least 6" high and no less than ¾" wide & contrasting in color d. All of the above

62. A freestanding nursing facility is not required to have a generator if which oft he following is true? a. Do not serve residents with life support needs b. Battery operated lights for exits, means of egress c. State law is less stringent d. All of the above

63. Which of the following are considered life support systems? a. Suction machines b. Oxygen, iv's, tube feeding c. Ventilators d. All of the above

65. Hazardous areas are considered hazardous for what reasons? a. Full of flammable or combustible contents b. Higher than normal potential for fire c. Made of concrete only d. Both a & b

67. Which of the following are not considered hazardous areas? a. Laundry, kitchen, maintenance/repair shop b. Boiler room or mechanical equipment room c. Employee locker area and gift shop d. Resident rooms

8. Which of the following written copies must be available to Administration and all supervising personnel in case of a fire or disaster? a. Fire protection procedures b. Evacuation procedures to safe areas within the facility c. Evacuation procedures to safe areas away from the facility d. All of the above

80. What is the required space "accessible route" for a wheelchair passage at all times? a. 60" b. 32" C 80" D 36"

83. How much space is required in order for a resident wheelchair to make a 180 degree turn? a. 60" b. 80" c. T-shaped space d. Both a & c

97. Doors positioned in a series must have at least how much space between them? a. 60" b. 32" C. 64" D. 48"

Accessible doors are required to be opened with how much force? a. Minimum of 5 lbs. of pressure/ force b. No more than the weight of a feather c. 5 Lbs. with one hand alone d. Maximum 5 lbs. of pressure /force

What are the requirements regarding grab bars in resident and public restrooms? a. Mounted on side and rear walls b. 33-36" Off the floor c. 36-39" Off the floor d. Both a & b

What size are hand rails and grab bars required to be? a. 1" -2" b. 3 ½" C. 1/2" - 1" D. 1 1/4" - 1 1/2"

Which of the following are requirements of visual alarms? a. Must strobe or blink b. Flash rate of 1 Hz - 3 Hz c. 80" Above the floor or 6" below the ceiling whichever is lower d. All of the above

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