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NURSING HOME ADMINISTRATOR LICENSUREEXAM REVIEW COURSE
National Exam ◘ MODULE 5
FORM B
referencsection
Physical Environment
Speed Reader
Examination 1
Examination 2
Stan Mucinic, LNHA
Legal Notices
Students enrolled in the “National Nursing Home Administrator Licensing Course” are purchasing the professional knowledge of the instructor to assist the student to prepare for the national licensure exam administered by the National Association of Boards of Examiners (NAB).
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.
The exam questions are cross referenced to the speed reader to allow you to quickly find and review material you missed on the exam as follows:
Page
The specific reference material would be found on page 2 of the speed reader, section 1.8, subparagraph 13.
Contact Information
You may contact Stan Mucinic by email at with any questions.Physical Environment
1 / The ______is responsible for the safety and welfare of all residents, visitors and staff in a skilled nursing facility. / 1 2 3 41. Maintenance Director
2. Risk Manager
3. Administrator
4. Housekeeping Director / 3/1.1
2 / A building has a useful life of ____ years / 1 2 3 4
1. 10
2. 20
3. 30
4. 40 / 3/1.1
3 / The main purpose for written maintenance repair requests is to ______/ 1 2 3 4
1. Identify who performs the repair work
2. Document the cost of a repair job
3. Prioritize repairs
4. Justify the need for a full time maintenance worker / 3/1.1
4 / The main purpose of a maintenance program is to ______. / 1 2 3 4
1. Maximize the useful life and dependability of facility equipment
2. Minimize repair costs
3. Ensure the issues the facility is most frequently cited for are maintained in good repair
4. Make repairs as quickly as possible / 3/1.1
5 / The ______specifies handicap construction standards for a skilled nursing facility / 1 2 3 4
1. Americans with Disabilities Act
2. Life Safety Code
3. Occupational Safety and Health Act
4. Kerr Mills Act / 3/1
6 / The useful life of an asset is the time period which it ______/ 1 2 3 4
1. Requires extensive repairs to function properly
2. It functions adequately without costly repairs or replacement
3. Costs more to repair than what it would to replace it
4. Can no longer be depreciated / 3/1.1
7 / The useful life of an asset can be extended by ______. / 1 2 3 4
1. Purchasing an extended warranty
2. Performing routine preventative maintenance
3. Operating equipment as little as possible
4. Painting equipment to look like new / 3/2.1
8 / Which is not true? / 1 2 3 4
1. Most facilities pay to replace equipment out of current revenues
2. Buildings and equipment lose value each year (depreciate)
3. For-profit facilities deduct depreciation expenses on their income taxes
4. Non-profit facilities deduct depreciation from their income taxes / 3/2.1
9 / The reason companies are allowed a tax deduction to depreciate an asset is to ______/ 1 2 3 4
1. Encourage companies to use the money they get back to stimulate the economy
2. Offset losses from other operating expenses
3. Set aside money each year to replace an asset when it needs replacement
4. Increase a company’s overall valuation at year end / 3/2.1
10 / Automobiles and trucks depreciate in ______years / 1 2 3 4
1. 3
2. 5
3. 7
4. 10 / 3/2.1
11 / ______would have highest priority in deciding whether to replace a piece of equipment
1. Lowering costs
2. Resident safety
3. Taking advantage of new technology
4. Maintaining an attractive appearance / 1 2 3 4
3/2.1
12 / A(n) ______would warrant immediate replacement / 1 2 3 4
1. Emergency generator failure
2. Computer with a slow processor
3. Broken lawn mower
4. Stained carpet in the main lobby / 3/2.1
13 / The ______are responsible for enforcing long term care regulations.
1. ADA, ANSI, OSHA, CMS
2. OBRA, EEOA, Life Safety Code
3. NFPA, JCAHO
4. All of the above / 1 2 3 4
3/3.1
14 / The ______develops and publishes the fire safety codes / 3/2.1
1. ANSI
2. EEOC
3. NFPA
4. OSHA / 3/3.1
15 / The ______monitors compliance with the ADA construction standards / 1 2 3 4
1. EEOC
2. Council of American Building Officials
3. American National Standards Institute
4. Architectural and Transportation Barriers Compliance Board / 3/3.1
16 / Which is not true? / 1 2 3 4
1. Each facility must have a standardized procedure to document maintenance needs to maintenance staff
2. A timely response to a maintenance request is 7 days
3. The maintenance director must prioritize maintenance needs
4. A good maintenance program extends the life of the equipment and buildings / 3/4.1
17 / A maintenance program would not incorporate ______/ 1 2 3 4
1. Good record keeping
2. Documented repair requests and response times
3. Identifying equipment requiring major repair or replacement
4. Documenting adverse Incidents / 3/4.1
18 / The main elements of a residents’ physical environment would not include ______. / 1 2 3 4
1. Nutritious meals
2. Elevated toilet seats
3. Grab bars
4. Clocks with large numbers / 4/51
19 / A resident does not have the right to ______/ 1 2 3 4
1. Reside in a facility and receive the services they are entitled to
2. Be involuntarily discharged with 30 days advanced notice
3. Wear their own clothes
4. Bring in as much clothing and furniture as they want regardless of space considerations / 4/51
20 / A facility is not required to provide residents ______. / 1 2 3 4
1. A clean and safe environment
2. A homelike environment
3. A television
4. Comfortable room temperatures / 4/51
21 / Residents do not have the right to ______. / 1 2 3 4
1. Keep personal photos and mementos
2. Comfortable sound levels
3. Adequate lighting levels
4. Bring into the facility electronic appliances they want to over the objections of the maintenance director for safety reasons / 4/51
1 2 3 4
22 / A facility is not required to ______.
4/51
1. Recognize the individuality and autonomy of each resident
2. Provide residents a television
3. Employ a registered dietician
4. Encourage self expression in residents
23 / The residents’ environment does not include ______. / 1 2 3 4
1. The resident’s room
2. The kitchen
3. The activities room
4. The dining room / 4/51
24 / A facility is not required to provide a resident ______
1 2 3 4
1. A clean mattress in good condition
2. Clean linen and towels in good condition
3. A closet with a clothes rack and shelf
4. A private room / 4/51
25 / Resident personal care equipment does not include ___. / 1 2 3 4
1. Tooth brushes
2. Hair brushes
3. Vacuum cleaners
4. Denture cups / 4/51
26 / The administrator determines if ______/ 1 2 3 4
1. Lighting is adequate for residents
2. If the food is palatable
3. Staffing levels are adequate
4. A facility can meet the needs of a resident / 4/6.1
27 / In order to maintain a “sanitary environment” by preventing the spread of disease, resident care equipment such as hair brushes, tooth brushes and denture cups should be ______. / 1 2 3 4
4/6.1
1. Cleaned with alcohol swabs each night
2. Kept at the nurse’s station until needed
3. Labeled with the resident’s name and kept separate in plastic bags from other resident’s personal care items
4. Stored in a common area
28 / A facility must maintain a comfortable atmospheric temperature of between ____.. / 1 2 3 4
1. 79° - 83°
2. 71° - 81°
3. 69° - 71°
4. 83° - 86° / 4/6.1
29 / Which is not true? / 1 2 3 4
1. If staff has to raise their voices to be heard then the sound level is too high
2. Sound levels must not interfere with hearing and should enhance privacy
3. Staff needs to monitor noise levels in the hallways and resident areas
4. Noise in a resident room cannot exceed 180 decibels / 4/6.1
30 / Which is true? / 1 2 3 4
1. Residents are allowed to connect appliances to an extension cord
2. The maintenance supervisor must okay all extension cords prior to use
3. Extension cords are not permitted under any circumstances
4. Extension cords with no visible damage or defect may be used / 4/7.1
31 / Which is not true of the Life Safety Code? / 1 2 3 4
4/6.1
1. Decorations or furnishings of a combustible nature are prohibited
2. Only flame retardant decorations may be used in a health care facility
3. Decorations such as resident photographs and paintings are combustible and are not permitted
4. Residents are restricted in what personal items they can bring into a facility
32 / The maintenance supervisor need not inspect ______brought into a facility by a resident to ensure it is safe to use / 1 2 3 4
1. An electric shaver
2. A television
3. A lamp
4. A blanket / 4/7.1
33 / An infection control program is not responsible to ______. / 1 2 3 4
1. Determine resident weight loss
2. Investigate, control and prevent infections
3. Decide required resident isolation measures
4. Maintain records of incidents and corrective action regarding infections / 4/8.1
34 / An infection control program does not ______/ 1 2 3 4
1. Track employee turnover rates
2. Investigate causes of infections
3. Ensure a safe and sanitary environment
4. Maintain a separate record of infection for each resident / 4/8.1
35 / An infection which originates within a facility is called ______. / 1 2 3 4
1. Iatrogenic
2. Nosocomial
3. Analgesic
4. Air borne / 4/8.1(3)
36 / ______is the main cause for most infections in a long term care facility / 1 2 3 4
1. The use of catheters
2. Influenza
3. Pneumonia
4. The use of expired antibiotics / 4/8.1(1-13)
37 / The infection control program does not ______. / 1 2 3 4
1. Establish work restriction rules for workers with communicable diseases
2. Establish procedures to use antiseptics and disinfectants
3. Set requirements for personal protective equipment use, gloves and face masks
4. Monitor resident weight loss / 4/8.1(1-5)
38 / “Standard Precautions” means _____. / 1 2 3 4
1. The use of gloves and gowns
2. The use of a face mask and a gown
3. A combination of universal precautions and body substance precautions to provide total body protection from contact with any bodily fluids
4. Isolating a resident with an infectious disease in a semi-private room / 4/8.1(7)
39 / Standard precautions would not ______/ 1 2 3 4
1. Treat all human blood and bodily fluids as if infected with HIV
2. Offer more protection than universal precautions
3. Require all residents with HIV to be isolated from other residents
4. Involve total body protection including gowns, face masks and gloves / 4/8.1(7)
40 / Employees with communicable diseases must be ______/ 1 2 3 4
1. Prohibited from direct contact with residents’ food if such contact will transmit disease