ILLINOIS STATE NHA EXAM

REVIEW COURSE

Illinois State Exam ◘ MODULE 7

Mock Exam 2 of 4

Stan Mucinic, LNHA


Legal Notices

Students enrolled in the “the “Illinois Laws and Rules Course” are purchasing the professional knowledge of the instructor to assist the student to prepare for the Illinois State Licensure Exam administered by the State of Illinois.

This is a 5-week intensive independent study program designed to provide students a unique personalized and structured learning environment where progress is monitored by the instructor through email to help students maintain focus and complete scheduled assignments timely.

THE INSTRUCTOR MAKES NO EXPRESS OR IMPLIED WARRANTY OR REPRESENTATION OF ANY KIND THAT COMPLETION OF THIS OR ANY LICENSURE PREPARATION COURSE OFFERED BY INSTRUCTOR WILL GUARANTEE A PASSING SCORE ON ANY LICENSING EXAM.

An individual’s ultimate success in passing the licensure exam is dependent on an individual’s professional experience, academic preparation, and the time and energy the individual can commit to exam study and preparation. A student’s work schedule or other commitments may require more time to prepare for an exam than allotted. The student is solely responsible for licensing exam registration/testing and retesting fees.

HOW TO USE THE STUDY GUIDES

Step 1 – VERY IMPORTANT - The personalized test organizer that comes with the program is the key to your success and sets this program apart from any other. It is critical you follow the instructions and score each exam, and file the completed exams into your binder. Try to keep to the schedule and email your test results to the instructor to stay focused.

Step 2. - Speed Reader – Read the speed reader for each module once or twice before taking the module exam(s). Read the speed reader over and over again until you familiarize yourself with its contents. THE MORE TIMES YOU LOOK IT THE MORE LIKELY YOU ARE TO REMEMBER IT.

Step 3 – Exam Packet - The exam packet contains questions designed to measure your comprehension and retention of the material you read. Take each exam over and over again until you score 100%. Make sure you score each exam and record the results in your organizer or you will not be able to gauge your progress.

CONTACT INFORMATION

Email Stan Mucinic at with any questions and after you score each practice exam

1. / The contents and number of emergency medication kits must be approved by the ______
1.  Consultant pharmacist
2.  a licensed physician
3.  The facility's pharmaceutical advisory committee
4.  The Interdisciplinary team
2. / A list of the contents of each emergency medication kit must be kept ______
1.  Outside the kit
2.  Inside the kit
3.  In the Office of the Director of Nursing
4.  In medication administration record.
3. / The emergency medication kits must be checked and refilled by the ______after each use
1.  Medical Director
2.  Pharmacy
3.  Charge nurse
4.  Licensed prescriber
4. / The pharmaceutical advisory committee must review the list of substances kept in the emergency medication kits at least ______.
1.  Weekly
2.  Monthly
3.  Quarterly
4.  Annually
5 / No more than ___ different controlled substances may be kept in an emergency medication kit
1.  3
2.  6
3.  10
4.  12
6 / There must be no more than ___ single doses of any one controlled substance in a medication kit.
1.  2
2.  3
3.  6
4.  9
7 / Whenever the controlled substance portion of an emergency medication kit is opened, the consultant pharmacist must be notified within _____ hours.
1.  24 hours
2.  48 hours
3.  72 Hours
4.  96 hours
8 / The consultant pharmacist must check the controlled substances portions of emergency medication kits at least ____
1.  Weekly
2.  Monthly
3.  Quarterly
4.  Annually
9 / All medications must be given only upon the written, facsimile or electronic order of a ______
1.  Registered nurse
2.  Director of nursing
3.  Licensed practical nurse
4.  Licensed prescriber
10 / A telephone order must be countersigned by the licensed prescriber within ___ calendar days of the order.
1.  5
2.  10
3.  20
4.  30
11 / The staff pharmacist or consultant pharmacist must review the medical record for each resident ______
1.  Weekly
2.  Monthly
3.  Quarterly
4.  Annually
12 / The ______must determine if there are irregularities in each resident’s drug regimen that may cause potential adverse reactions, allergies, contraindications, medication errors, or ineffectiveness.
1.  Director of nursing
2.  Registered nurse
3.  Licensed practical nurse
4.  Consultant pharmacist
13 / A medication order not specifically limiting the time or number of doses must ______
1.  Be followed until changed by the prescriber
2.  Be automatically stopped
3.  Be stopped if ordered by the Medical director
4.  All of the above are correct
14 / The ______must approve the release of any medications to the resident at the time of discharge or when the resident is going to be temporarily out of the facility at medication time.
1.  Registered nurse
2.  Licensed practical nurse
3.  Consultant pharmacist
4.  Licensed prescriber
15 / A licensed practical nurse may administer medications to residents if they ______
1.  Have successfully completed a course in pharmacology
2.  Have at least one year's full-time supervised experience in administering medications in a health care setting
3.  Both 1 and 2 above
4.  None of the above
16 / Medications must be administered _____ after doses are prepared
1.  As soon as possible
2.  3 hours
3.  5 hours
4.  8 hours
17 / Self-administration of medication is permitted only upon the written order of the ______
1.  Registered nurse
2.  Licensed practical nurse
3.  Interdisciplinary team
4.  Licensed prescriber
18 / True or False - Each single unit or unit dose package must bear the proprietary or nonproprietary name of the drug, strength of dose and total contents delivered, lot or control number, and expiration date, if applicable.
1.  True
2.  False
19 / True or False - The names of the resident and the licensed prescriber do not have to be on the label of the package, but they must be identified with the package in such a manner as to assure that the drug is administered to the right resident.
1.  True
2.  False
20 / A list of the contents of each emergency medication kit must be kept ______
1.  Outside the kit
2.  Inside the kit
3.  In the Office of the Director of Nursing
4.  In medication administration record.
21 / Stock drugs must be administered upon the order of a ______
1.  Consultant pharmacist
2.  Licensed prescriber
3.  Medical director
4.  Pharmacy
22 / If the death of a resident is imminent, the facility must immediately notify which of the following:
1.  The resident's next of kin
2.  The resident’s legal representative
3.  The attending physician
4.  All of the above
23 / True or False - A resident must be permitted to retain the services of his own personal physician at his own expense under an individual or group plan of health insurance, or under any public or private assistance program providing such coverage.
1.  True
2.  False
24 / The conduct of any experimental research or treatment must be authorized and monitored by the _____
1.  Medical Director
2.  State licensing agency
3.  Institutional review committee appointed by the administrator
4.  Director of Nursing
25 / All medical treatment and procedures must be administered as ordered by ______
1.  The medical Director
2.  A licensed physician
3.  The long term care ombudsman
4.  The Director of Nursing
26 / All new physician orders must be reviewed by the facility's Director of nursing or charge nurse designee within ____ hours after such orders have been issued to assure facility compliance with such orders
1.  24
2.  48
3.  72
4.  96
27 / A facility employee or agent who becomes aware of abuse or neglect of a resident must immediately report the matter to the ______.
1. Medical director
2. Attending physician
3. Facility administrator
4. State licensing agency.
28 / True or False - The facility administrator who becomes aware of abuse or neglect of a resident must immediately report the matter by telephone and in writing to the resident's representative.
1.  True
2.  False
29 / When a facility employee is the suspected perpetrator of abuse of a resident, the employee must ______
1.  Continue to be assigned to care for the resident until completion of the investigation
2.  Be immediately assigned to work with residents in another part of the facility
3.  Be placed on leave and not allowed any contact with any residents until completion of the investigation
4.  All of the above
30 / When a resident is suspected of abusing another resident, the facility _____
1.  Is not required to take any further action
2.  Must place the resident suspected of committing abuse in a private room
3.  Must immediately evaluate the resident to determine what measures to take to protect that resident and other residents (i.e., medication, behavioral intervention or transfer)
4.  All of the above
31 / The facility must allow daily visits for residents between ______
1.  7:00 A.M. and 7:00 P.M.
2.  8:00 A.M. and 9:00 P.M.
3.  9:00 A.M. and 5:00 P.M.
4.  l0:00 A.M. and 8:00 P.M.
32 / The facility must at the time of admission provide each resident a written statement explaining which of the following:
1.  Medicaid and Medicare benefits
2.  Rights to manage personal funds
3.  A listing the services which the resident will be charged
4.  All of the above
33 / Must provide residents a written itemized statement of their trust account at least ____
1.  Weekly
2.  Monthly
3.  Quarterly
4.  Annually
34 / The facility must purchase a resident trust fund surety bond equal to or greater than _____ managed by the facility,
1.  10% of all resident funds
2.  40% of all resident funds
3.  70% of all resident funds
4.  100% of all resident funds
35 / The facility resident trust fund surety bond must designate ______as oblige (beneficiary)
1.  The facility
2.  The resident council
3.  The Illinois Department of Health
4.  The nursing home administrator
36 / True or False - A facility may commingle facility and resident funds in a facility account
1.  True
2.  False
37 / Must document a residents' participation in the activities program at least ______
1.  Daily
2.  Weekly
3.  Quarterly
4.  Annually
38 / The facility must deposit any funds received from a resident in excess of $_____ in an interest bearing account
1.  $50
2.  $100
3.  $500
4.  $1000
39 / The facility may keep up to ____ of a resident's money in a non-interest bearing account or petty cash fund, to be readily available for the resident's current expenditures.
1.  $25
2.  $50
3.  $100
4.  $500
40 / True or False - A waiver willingly signed by a resident of their right to sue a facility is legally enforceable
1.  True
2.  False
41 / True or False - A resident may be voluntarily discharged from a facility after he gives the administrator, a physician, or a nurse of the facility written notice of his desire to be discharged.
1.  True
2.  False
42 / A facility may involuntarily transfer or discharge a resident only for which of the following reasons:
1.  For medical reasons.
2.  For the resident's physical safety.
3.  For the physical safety of other residents, the facility staff or facility visitors.
4.  For either late payment or nonpayment for the resident's stay, except as prohibited by title xviii and XIX of the Federal Social Security Act.
5.  All of the above
43 / If payment is not received within 45 days after submission of a bill, the facility may send a notice to the resident and responsible party requesting payment within ___ days.
1.  15
2.  30
3.  60
4.  90
44 / A resident must be permitted to present grievances on behalf of himself and others without threat of discharge or reprisal in any form or manner whatsoever to which of the following:
1.  The administrator
2.  The Long-Term Care Facility Advisory Board,
3.  The residents' advisory council
4.  State governmental agencies or other persons
5.  All of the above
45 / True or False - The facility administrator must provide all residents or their representatives with the name, address, and telephone number of the appropriate State governmental office where complaints may be lodged.
1.  True
2.  False
46 / The Department must investigate all complaints received from nursing home residents, with the exception of allegations of abuse, within ____ working days
1.  5
2.  15
3.  30
4.  60
47 / The Department must investigate complaints that allege abuse but the life or safety of a resident is not in imminent danger within ____ days
1.  3
2.  7
3.  14
4.  30
48 / The Department must investigate complaints that allege abuse or neglect where the life or safety of a resident is in imminent danger with ____
1.  24 hours
2.  48 hours
3.  72 hours
4.  96 hours
49 / A complaints would not be classified by the department as a(n) ______.
1.  Valid report
2.  Invalid report
3.  Pending report
4.  Undetermined report
50 / For any complaint classified as "a valid report," the Department must determine within ___ working days if the facility violated any licensing requirements
1.  3
2.  7
3.  14
4.  30
51 / An explanation of resident rights must be given at the time of admission but in no event later than ____ hours after admission, and again at least annually thereafter.
1.  24 hours
2.  48 hours
3.  72 hours
4.  96 hours
52 / True or False - If a resident is unable to read a written explanation of their resident rights, it must be read to the resident in a language the resident understands.