NURSING HOME ADMINISTRATOR LICENSURE

EXAM REVIEW COURSE

National Exam Module 7

MOCK NATIONAL EXAM 9

This is a timed exam. You have exactly 3 hours to complete the exam

STAN MUCINIC, LNHA


Legal Notices

Individuals enrolled in the “national nursing home administration licensing course” are purchasing the professional knowledge of the instructor to assist the student to prepare for the national “nursing home administrator’s” exam.

The course is a 5-week intensive self-study test preparation program designed to provide the student 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 student and instructor can negotiate additional instruction time and fees if necessary.

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.

Contact Information

You may contact Stan Mucinic by email with any questions or after you score each exam.

MOCK EXAM 9

  1. Which is not true of advanced directives?

1. All residents must be informed of their rights to make advanced directives upon admission

2. A facility must have written policies and procedures regarding advanced directives

3. Residents must execute a signed directive before or upon admission

4. A facility cannot be required to provide care that conflicts with an advanced directive

2. The primary reason residents should be encouraged to eat in the main dining room is to _____

1. Encourage socialization

2. Allow housekeepers time to clean their rooms

3. Reduce travel time and costs to serve meals to residents

4. Allow the food service director to observe the amount of food each resident consumes

3. ______is associated with involuntary movements of the head, lips, tongue, face and extremities,

including lip smackingmovement.

1. Parkinson’s disease

2. Alzheimer’s

3. Aphasia

4. Tardives Dyskinesia

4. ______is the primary reason you would invite the fire department to provide staff training in fire

emergency measures at your facility

1. Establishing a good public image

2. Augmenting training resources for staff

3. Providing an opportunity for the firefighters to become acquainted with your facility layout and

Emergency cutoff switches

4. Assuring quick approval of the fire plan each year

5. Where a facility has an outside provider provide in-house dialysis, the facility must ______to protect

resident rights.

1. Require the company to sign a provider transfer agreement

2. Require the provider to maintain malpractice insurance

3. Award the contract based on competitive bidding

4. Seek approval from the resident council

  1. The administrator’s main role in the facility activity program is to _____.

1. Visit, observe and support

2. Organize a volunteer program

3. Insure residents participate in program activities

4. Encourage family members support the activity department

  1. The main reason for informing a resident and any roommate(s) of a room change in advance is because ______:
  1. Residents need time to pack
  2. A room change could result in an avoidable decline in physical, mental and psychosocial well being
  3. Residents have the right to appeal room changes to the ombudsman
  4. The resident’s attending physician must be notified in advance
  1. The main challenge with on-the-job training in nursing homes is ______.

______.

1 Finding experienced employees to train new employees

2. There is too little time for trainers to train new people

3. That employees cannot learn new skills from coworkers

4. That on the job training is not as effective as other means

  1. ______is required by the FLSA
  1. Holiday pay
  2. Sick Pay
  3. Vacation pay
  4. Overtime
  1. Assets appear on the ______.
  1. Income statement
  2. Balance sheet
  3. Profit and loss statement
  4. General Ledger
  1. _____does not relate to inventory
  1. LIFO
  2. Periodic
  3. Perpetual
  4. Posting

.

  1. The current ratio is calculated by dividing current ______
  1. Assets by total assets
  2. Liabilities by total liabilities
  3. Assets by current liabilities
  4. Liabilities by current assets

13, The Safe Harbor regulations do not prohibit ______

1. A facility from purchasing from a supplier with common ownership

2. Ownership in excess of 40 percent of a hospital by a physician

3. Extra payments for services or items reimbursed under Medicare or Medicaid

4. Nursing facility providers from investing only in publicly traded companies with an asset value of at

least $50 million dollars

14. A current trial balance usually does not include ______

1. Debits

2. Credits

3. Zero balances

4. Names of accounts

15. To determine the capability of a facility to meet short term cash needs, you would look at the ______.

1. Cash flow statement

2. Balance sheet

3. Trial balance

4. Profit and loss statement

16Annual audits are necessary to ______

  1. Reduce cost
  2. Verify the accuracy of financial records
  3. Establish depreciation schedules
  4. Verify budgets
  1. Cash flow is the cash receipts ______.
  1. Less liabilities
  2. Plus assets minus liabilities
  3. Less the cash disbursements
  4. Plus the assets minus expenditures
  1. Waste management is monitored by ______
  1. CMS
  2. ANSI
  3. NFPA
  4. OSHA

19. Universal precautions were developed by ______

1. CDC

2. .ANSI

3. OBRA

4. .OSHA

20. A totally private pay facility is ______.

1. Certified

2. Licensed

3. Accredited

4. Medicare and or Medicaid approved

  1. The number of disaster drills is determined by_____

1. OSHA

2. NIOSH

3. OBRA

4. Life Safety Code

  1. Under Respondeat Superior, when a worker commits a tort within the scope of their job ______:

1. Only the facility may be held liable

2. Only the employee may be held liable

3. Both the employer and the employee are liable

4. Neither the facility nor the employee may be held liable

23. A facility is not required to notify the state licensing agency when there is a change in the _____.

1. Facility Ownership (governing body)

2. Administrator

3. Director of nursing

4. Social Services Director

24. The Ombudsman program is funded by ______

1, Medicare

2. Medicaid

3. Administration on Aging

4. CMS

  1. In a nursing home, total quality management is an approach that ______
  1. Builds strong leadership skills for managers
  2. Discourages employees to question rules
  3. Builds employee team work
  4. Creates a direct line of communication with executive managers

26. ______is a major need of the elderly.

  1. A reason for being
  2. Independence
  3. Privacy
  4. Good nutrition

27. The corporate compliance officer for the nursing facility is the _____.

1. Nursing home administrator

2. The Medical Director

3. The Director of Nursing

4. The MDS Coordinator

28. ______is not a chronic condition

1. CHF

2. Diabetes

3. Pneumonia

4. COPD

29. Which is not true with respect to advanced directives?

1. Residents have the right to make an advanced directive

2. A living will is an advanced directive

3. Each resident must have a signed advanced directive in their chart

4. A facility cannot require a resident to sign an advanced directive prepared by the facility

30. The best way to assess a resident with complicated medical conditions is to do a _____

1. 7 day comprehensive assessment

2. 14 day comprehensive assessment

3. RAPS

4. RAI

31.What should a member of the governing body do if he or she has a family contact them directly

regarding a concern they have with the care provided by the facility?

1. Request to meet with the resident council to discuss the issue

2. Resolve the issue on their own

3. Call the long term care ombudsman

4. Refer the matter to the nursing home administrator for resolution

  1. If each resident requires 3 hours of nursing aide care per day, and the facility has 120 beds and is at

90% occupancy, approximately how many nursing aides would be required for the day, if each

nursing aide worked 8 hours per shift?

  1. 36
  2. 40
  3. 47
  4. 50
  1. What is the cost per day for food for a facility that spent $12,000 in October, $10,000 in November and $14,000 in December. The facility had a total of 9,000 resident days for October through December. What was the approximate average daily cost per resident?

1. $3.70

2. $4.00

3. $4.30

4. $4.90

34. Lighting, temperature and sound levels relate primarily to ______.

1. Comfort

2. Safety

3. Treatment

4. Sanitation

35. Work orders would not include ______.

1. The location of the problem

2. A description of the problem

3. An authorized signature

4. The equipment needed to do the job

36. The cost to maintain equipment in a nursing home will justify replacement within _____

  1. 2 Years
  2. 5 years
  3. 10 years
  4. 15 years
  1. Safety training programs for employees must be done: _____
  1. Weekly
  2. Monthly
  3. Quarterly
  4. Immediately after hire
  1. The concept of community relations is to ______.
  1. Involve the facility and the community in an interrelationship
  2. Inform the public
  3. Insure high occupancy rates
  4. Replace public relations and marketing programs

39. Public relations is ______.

  1. Advertising
  2. A program designed to meet consumer needs
  3. Managing communication between the facility and the public
  4. The process of selling services to meet the needs of the public
  1. One of the best ways for a facility to develop an effective public relations program is to _____.
  1. Avoid making statements to the media
  2. Support community interests that support the facility
  3. Print a monthly newsletter and distribute the letter to the community
  4. Get the facility and the community involved in projects of mutual interest that strengthen the

bonds between them

41. Gerontology is the study of _____

  1. The aging process
  2. ADL levels of the aged
  3. Illnesses of the aged

4. Psychology of aging

42. When counseling family members, it is best to ______.

  1. Explain the facility policies
  2. Involve the medical director
  3. Let the family express their feelings
  4. Engage the family in problem solving
  1. If a physician reports a med error to the administrator, the administrator should ______

1. Consult the facility attorney

2. Redesign the drug control system

3. Decide whether to take disciplinary action

4.Allow the physician to take any necessary action

44. Individuals over 65 take an average of ____ medications.

1. 2.9

2. 3.5

3. 7.2

4. 9.8

45. ______makes it possible for organizations to expand and grow

1. Decentralization

2. Centralization

3. Horizontal Integration

4. Market segmentation

46. Turnover is highest for ______.

1.Administrators

2. Dietary staff

3. Social workers

4. Nursing aides

47. Fringe benefits or employee benefits are ______

  1. Required by Fair Labor Standards Act
  2. Considered to be a right by employees
  3. Required by the Taft Hartley Act
  4. Primarily provided by employers to discourage unionization
  1. The best source for new employees is _____
  1. Employment agencies
  2. Help wanted ads
  3. Current employee referrals
  4. State employment offices
  1. An employment application can request a job applicant’s ______.
  1. Birthplace
  2. Citizenship
  3. Marital status
  4. Religion
  1. ______is a subjective measurement of performance on an employee evaluation
  1. Personality
  2. Quality of work
  3. Employee cooperation
  4. Employee attitudes
  1. Accounts payable past 60 days should not exceed ______as a total percentage of all accounts payables.

1. 5 %

2. 10%

3. 15 %

4. 20%

  1. An earnings statement that compares revenues to expenses is also referred to as a ______.
  1. Balance sheet
  2. Profit and loss statement
  3. Bank statement
  4. Statement of changes in financial condition
  1. Most facilities prepare a budget ______:
  1. Daily
  2. Weekly
  3. Quarterly
  4. Annually

54The ______investigates Medicare and Medicaid fraud

1. Office of Inspector General

2. Long term care ombudsman

3. CMS

4. DHHS

55. Accounts receivables that are uncollected after ____ days should be written off as bad debt.

1. 30 days

2. 60 days

3. 90 days

4. 120 days

56. The heart of the blood borne pathogen program is ______.

  1. Recording employee injuries
  2. Posting the MSDS
  3. Providing a safe workplace
  4. A written plan in case of exposure
  1. ______requires employer health insurers to limit the exclusionary period for pre-existing conditions to 12 months

1 COBRA

2. OBRA

3. HIPAA

4. PSDA

  1. ______enforces the Equal Pay Act
  1. Dept of Labor
  2. OIG
  3. OSHA
  4. EEOC
  1. ______enforces the provisions of the ADA relating to discrimination in employment for applicants with a disability
  1. EEOC
  2. OSHA
  3. Architectural and Barriers Compliance Board
  4. CMS
  1. _____ requires employers to provide terminated employees a certificate of coverage upon termination or separation

1 HIPAA

2. OBRA

3. COBRA

4. PSDA

  1. If an employee provides their new employer a certificate of coverage, the employer’s health insurance provider can limit coverage for pre-existing conditions for a period of ______months.
  1. 0
  2. 3
  3. 6
  4. 12
  1. A facility that receives a citation during a survey for a tag that does not require a plan of correction or re-survey would receive the ______
  1. Form 2567
  2. Form 101
  3. Letter of Isolated Deficiencies
  4. Form 2570
  1. The ______enforces the Civil Rights Act
  1. Dept of Labor
  2. OIG
  3. OSHA
  4. EEOC
  1. The ______prohibits paying for Medicare referrals
  1. Robinson Patman Act
  2. Ethics in Patient Referrals Act
  3. Taft Hartley Act
  4. Wagner Act
  1. ______does not need to be connected to the emergency electrical power source
  1. Emergency lighting
  2. Life support systems
  3. Fire alarm
  4. Telephone system
  1. High forward reach is ______.
  1. 12 inches
  2. 24 inches
  3. 36 inches
  4. 48 inches
  1. ______is filed with the state Department of Corporations to form a duly organized corporation
  1. Certificate of incorporation
  2. Bylaws
  3. Form 2567
  4. Certificate of Dissolution
  1. An employer is required to provide workers ______
  1. Health insurance
  2. Pension Plan
  3. Unemployment insurance
  4. Life insurance
  1. The governing body of a non profit facility would be required to ______:
  1. Appoint a long term care ombudsman
  2. Hire and supervise a CEO
  3. Issue shares of stock
  4. Hire a charge nurse
  1. ______would be issued if surveyors determined that residents were harmed by the facility:
  1. A scope of severity of Class H
  2. A scope of severity of Class E
  3. A scope of severity of Class F
  4. A scope of severity of Class D
  1. The best way to increase a facility’s cash position is to ______.
  1. Issue shares of stock
  2. Increase census
  3. Admit more Medicare residents
  4. Collect AR
  1. A facility must submit a request for a formal administrative hearing within ___ days
  1. 10 days
  2. 20 days
  3. 30 Days
  4. 40 days
  1. Fire protection standards are developed and published by ______:
  1. ANSI-CABO
  2. OSHA – NIOSH
  3. NFPA – Life Safety
  4. DHHS – CMS
  1. Psychological aging begins ______.
  1. At Birth
  2. Early teens
  3. Twenty years and older
  4. Sixty years and older
  1. If a resident elopes from a facility and is later found by staff, staff should ______when asked for comment by the media:
  1. Refuse to answer any questions
  2. Provide as much detail as possible about the resident
  3. Refer all questions to the administrator
  4. Refer all questions to the marketing director

76. If a resident develops a communicable disease, the facility should ______:

  1. Discharge the resident
  2. Transfer the resident to the hospital
  3. Set up specific and appropriate isolation and containment procedures
  4. Restrict all resident activities

77. Equity theory says that workers should be given equityincreases when ______:

1. Employees perform above and beyond expectations

2. When employees do the same amount and type of work

3. When inflation significantly increases

4. When long time employees are paid significantly less then new employees being hired at current

market rates

  1. Reaching out to the community and strengthening your relationship with community organizations is called ______
  1. Marketing
  2. Public Relations
  3. Market audit
  4. Market Analysis
  1. Employers with ______employees are subject to FMLA
  1. 15
  2. 20
  3. 50
  4. 100
  1. OSHA requires you to keep workers medical records for ______
  1. 30 years from date of hire
  2. 30 years from date of discharge
  3. 30 years from the date the employee was injured
  4. During employment plus 30 years after termination
  1. Which is the basis for a tort?
  1. A facility fraudulently submits a Medicare bill
  2. Judge acquits you of a crime
  3. The legislature passes a law
  4. The facility negligently harms a resident
  1. You just admitted a resident with a history of wandering. What would be the first step in protecting the resident?
  1. Install locks and alarms on doors
  2. Call the physician for medication to manage the resident
  3. Put the resident in physical restraints for their safety
  4. Have the nursing team evaluate the resident for possible interventions to address their need to wander
  1. ______would most likely cause a decubitis sore to develop
  1. Too much pressure on one area of the body
  2. Poor nutrition
  3. Tight fitting clothing
  4. A fall
  1. A resident on a low salt diet wants to come into the dining room. What should the facility do?
  1. Let them sit anywhere they want
  2. Require the resident to eat in their room
  3. Require the resident to sit with other residents on a similar diet so staff can track what they eat
  4. Ensure that salt is removed from all the tables first
  1. The daughter of a resident who lacks capacity to make decisions asks to see the resident’s

chart. What should the facility do?

  1. Give the daughter access to the chart
  2. Refuse to allow the daughter access to the chart
  3. Get permission from the resident
  4. Require the daughter to get a court order
  1. The reason why the maintenance staff need to have work order requests filled out is to ______

1, Operate cost effectively

2, Avoid duplication

3. Develop a maintenance schedule

4. Prioritize repairs

  1. What does the suffix “plegia” mean?
  1. Loss of control of bowel and bladder
  2. Paralysis
  3. Infection
  4. Renal failure
  1. The ______is permitted to dispense medications
  1. LPN
  2. DON
  3. Med tech
  4. Pharmacist
  1. The attending physician must be notified _____ a medication with a stop order is to be refilled
  1. Before
  2. After
  3. When requested by the licensed nurse
  4. None of the above
  1. A facility needs to keep _____ months of assessments in the resident charts

1. 3 months

2. 6 months

3. 12 months

4. 15 months

  1. The ______have the power to make health care decisions
  1. Health care surrogate, Durable power of Attorney, Proxy
  2. Ombudsman, power of attorney, proxy
  3. Guardian, power of attorney, health care surrogate
  4. Administrator, Durable power of attorney, Health care surrogate
  1. The ______decides whether a resident can self administer drugs
  1. DON
  2. Medical director
  3. Interdisciplinary team
  4. Attending physician
  1. ______makes the employer responsible for injuries to third parties caused by employees in the course of their job
  1. Respondeat Superior
  2. Federal Employers Liability Act
  3. Unemployment compensation
  4. OSHA

94A resident who was approved to self administer drugs, overdoses by mistake and is hospitalized. When the resident is ready to be released and return to the facility, the facility should?