NURSING HOME ADMINISTRATOR LICENSURE

EXAM REVIEW COURSE

National Exam Module 7

Mock National Exam 17

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

Stan Mucinic, LNHA

EXAMprofessional.com

561-255-8213

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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.

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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 National Exam 17

1 / ______concerns torts and disputes between private individuals.
  1. Criminal law
  2. Civil law
  3. Constitutional law
  4. Probate law

2 / ______keeps the facility clean and odor free.
  1. Nursing
  2. Maintenance
  3. Housekeeping
  4. Laundry

3 / ______keeps sheets, gowns, tablecloths clean and in good condition.
  1. Nursing
  2. Maintenance
  3. Housekeeping
  4. Laundry

4 / Which of the following is the management style associated with leaders who value their workers and solicit their participation:
  1. Team management
  2. Task management
  3. Management by objectives
  4. Country club mgmt

5 / Where a manager and staff get together and jointly decide priorities to be worked on, this is called ______.
  1. W
  1. Management by walking around
  2. Collaborative supervision
  3. Management by objectives
  4. Management by consultation

6 / When a resident is admitted to a facility or develops incontinence after admission, the facility should ______.
  1. Assess the resident to see if they are appropriate for an incontinence training program
  2. Develop and implement a specific bowel and bladder training program
  3. Correct the underlying cause by the use of Kegel exercises
  4. Notify the resident that neither Medicare nor Medicaid pays for incontinence briefs.

7 / The responsibility to provide services that respect an individual’s dignity and uniqueness relates most directly to the ethical principle of ______.
1Compliance
2Autonomy
3Privacy
4Benevolence
8 / The principle that residents should be able to choose what they want to the extent they are able to make such choices is called ______.
  1. Compliance
  2. Autonomy
  3. Privacy
  4. Benevolence

9 / Asking applicants short questions and briefly talking with them about a job is a ____.
1. Structured interview 3. Preliminary interview
2. Patterned interview 4. In-depth interview
10 / Eliciting information on the phone from a job applicant requesting an interview is called a ______.
  1. Telephone interview 3. Structured interview
  2. Preliminary interview 4. Open ended interview

11 / Letting an applicant talk about their experience and background without any structure or letting them expand upon their answers is called a ______.
  1. In-depth Interview 3. Structured Interview
2. Patterned Interview 4. Non-directive interview
12 / The first step in developing an in-house computer network is to:
  1. Request proposals from software and hardware vendors, then compare them for suitability
  2. Evaluate security features to ensure they meet HIPPA
  3. Define system objectives in terms of what facility needs
  4. Assess extent of training staff would need

13 / Per OBRA, resident medical records and all other resident records must be maintained for at least ______
  1. 5 years
  2. 5 years after admission
  3. 5 years after discharge
  4. 5 years after discharge or 3 years after a discharged resident reaches the age of 18

14 / If you have a change in command such as the administrator or the DON, the facility may be subject to which type of survey?
  1. Standard survey
  2. Abbreviated Standard Survey
  3. Extended Survey
  4. Partial Extended Survey

15 / HHS stands for ______.
  1. Health and Human Services
  2. Human and Health Services
  3. Higher Health Services
  4. Health Services Administration

16 /
The air temperature in a nursing facility is measured ____.
  1. At floor level
  2. Just above the floor
  3. At ceiling level
  4. Inside the wall

17 / The comfortable temperature range in a facility is _____degrees
1. 51-61
2 61-71
3 71-81
4 81-91
18 / The ____ is responsible for the day to day management of the facility.
  1. Nursing Home Administrator
  2. Governing Body
  3. Department heads
  4. State licensing agency

19 /
The ______has legal responsibility to adopt and implement facility policies.
  1. Medical Director
  2. Director of Nursing
  3. Governing body
  4. Administrator

20 /
The ______has ultimate legal responsibility for the care provided in a nursing home.
  1. Medical Director
  2. Director of Nursing
  3. Governing body
  4. Administrator

21 / The long term care ombudsman requests access to a resident’s medical chart. What should theadministrator do?
  1. Require the resident to provide their consent for the ombudsman to access the resident’s medical chart
  2. Provide the ombudsman access to the chart since they do not need the resident’s permission
  3. Inform the ombudsman they may review the resident’s chart without their permission but cannot obtain copies of those records
  4. Secure an order from the resident’s attending physician allowing the ombudsman access to the resident chart

22 / Under which circumstances is a resident’s consent needed to provide a third party access to the resident’s medical and financial records?
  1. When accessed by the long term care ombudsman
  2. Pursuant to a subpoena directing the release of resident records to a third party
  3. When access is requested by a third party payor pursuant to a contract
  4. When a resident is transferred to another facility

23 / How often does the QA meeting have to meet per OBRA 1987?
  1. Weekly
  2. Monthly
  3. Quarterly
  4. Annually

24 / The quality assurance committee must be composed of the______.
1. DON, Administrator, and at least 3 staff members
2. DON, Medical director, Administrator, and at least 3 staff members
3. DON, attending physician, and at least 3 staff members
4. DON, a physician and at least 3 staff members
25 /
  1. A Restorative nursing care is provided by which of the following?
  1. Nursing aides
  2. Skilled therapists
  3. Licensed nurses
  4. Assistant physical therapists

26 / The ______has authority to make critical decisions regarding operation of a facility.
  1. Governing body
  2. Administrator
  3. Director of Nursing
  4. None of the above

27 / The _____ is responsible to review and implement resident care policies and coordinate the medical care in a facility.
  1. Administrator
  2. Director of Nursing
  3. Medical Director
  4. Social Worker
.
28 / To operate a fire extinguisher, you must ______.
  1. Pull, Aim, Squeeze, Sweep
  2. Pull, Aim, Squeeze, Spray
  3. Push, Aim, Squeeze, Spray
  4. Push, Point, Release, Sweep

29 / A facility should conduct a minimum of ____ fire drills annually.
  1. 15
  2. 12
  3. 10
  4. 14

3O /
Need what percentage of workers in a company to sign a union interest card or union card which is the first step in getting the NLRB to hold a union election?
  1. 20%
  2. 30%
  3. 50%
  4. 50% + 1

31 / The legal principle that requires an employer to be responsible to third parties injured by an employee is called the ______.
  1. Federal Employer Liability Act
  2. Contributory negligence
  3. Respondent superior
  4. Workers compensation Act

32 / Which of the following would have an interest in the financial well-being of a company?
1.A stakeholder
2. A shareholder
3 An auditor
4.The CMS
33 / Under which circumstances would a resident’s consent be needed to provide access to their medical and financial records?
  1. Release to a family member requesting a copy of their financial or medical information
  2. Providing access to the long term care ombudsman when requested by the ombudsman
  3. Release of their records to another facility where the resident is being transferred
  4. When access is requested by a third party payor pursuant to a contract

34 / When extinguishing a fire, aim the extinguisher at the ____ of a fire.
  1. Top
  2. Middle
  3. Base
  4. Hottest part

35 / Each story of a building that houses patient sleeping and treatment areas must be divided into ___ smoke compartments.
  1. 2
  2. 4
  3. 6
  4. 8

36 /
Stooped posture, shuffling gait, garbled speech and tremors are symptoms of ______.
  1. Tardives Dyskinesia
  2. Alzheimer’s
  3. Parkinson’s disease
  4. Muscular Sclerosis

37 / Nursing homes must have hearing aid compatible phones with volume control that can
adjust the volume between a minimum of ____ and a maximum of ____ decibels above normal.
  1. 6, 11
  2. 12, 18
  3. 15, 20
  4. 20, 29

38 / Must limit travel in a smoke compartment barrier to ____ feet.
  1. 100 ft
  2. 150 ft
  3. 200 ft
  4. 250 ft

39 / Where a supervisor consistently rates employees as “average” although their performance is far superior or below expectation is called ______.
  1. Leniency Error
  2. Halo Effect
  3. Rating Error
  4. Error of Central Tendency

40 / 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 a dangerous area
  4. Indicate that the residents in a room were removed from the area

41 / A nurse from the Philippines is overheard talking in her native language around facility residents. One of the residents complains to the administrator. What should the administrator do?
1. Explain to the resident that the nurse has a right to speak in her native language
2. Call the elder abuse hotline
3. Explain to the nurse that speaking a language a resident does not understand is a violation of their
resident rights
4. There is nothing the administrator can do
42 / Where a supervisor rates an employee on the basis that they are always on time and ignores any other factors in their performance appraisal, this is called ______.
  1. Leniency error
  2. Error of central tendency
  3. Halo effect
  4. Rating error

43 / A resident has the right to ______.
.
  1. Take part in religious practices as long as it does not bother other residents
  2. Take part in religious practices as long as they are not violating any other resident's rights.
  3. Take part in religious services when they desire to attend
  4. All of the above.

44 / When a facility experiences an electrical failure, the emergency generator must start within ______seconds.
  1. 5
  2. 10
  3. 15
  4. 30

45 / Residents do not have the right to a ______.
1. Vinyl chair in their room
2. Window to the outside
3. Closet
4. Dresser
46 / How do you calculate the average percent of occupancy?
  1. Divide the total number of beds by the number of total beds and multiply by 100
  2. Divide the number of occupied beds by the number of total beds and multiply by 100 percent
  3. Subtract the number of vacant beds from the number of occupied beds and divide by the total number of beds and multiply by 100
  4. Divide the number of occupied bed days by the total number of days in the period and then divide by the total number of beds and then multiply by 100

47 / How do you calculate the approximate percentage of gross profit?
  1. Divide the expenses by the income
  2. Divide the income by the expenses
  3. Add the fixed expenses and the variable expenses and subtract from the gross income. Divide the differences(net profit) by the gross income
  4. Subtract the income from the expenses and multiply by 100

48 / Bedrooms are required to have ______.
  1. 80 square feet per resident in multi-resident rooms
  2. 100 square feet per resident in multi-resident rooms
  3. 130 square feet per resident in multi-resident rooms
  4. 150 square feet per resident in multi-resident rooms

49 / Emergency generators are checked ______.
1. Daily
2. Weekly
3. Every 10 days
4. Monthly
50 / 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

51 / A broad statement of goals is a ______.
  1. Plan of action
  2. Mission statement
  3. Policy
  4. Procedure

52 / Which of the following requires a facility to pay for money damages caused by facility employees to residents or third parties?
  1. Federal employer liability act
  2. Workers compensation laws
  3. Respondent superior
  4. Contributory negligence recovery laws

53 / 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
54 / The facility needs to provide adequate space in the dining room and spacing between tables to ______.
1. Allow to people to sit together at the same table
2. Provide sufficient room to allow residents privacy in private conversations
3. Allow sufficient space to wheel the food cart from table to table
4. Allow sufficient space for an independently functioning resident to get up and
independently move around
55 / NFPA stands for ______.
  1. National Fire Protection Agency
  2. National Fire Publications Administration
  3. National Fire Protection Association
  4. Nursing Facilities Protection Act

56 / The emergency generator must be run under full load for _____ every ____.
  1. 30 minutes, month
  2. 30 minutes, quarter
  3. 60 minutes ,month
  4. 60 minutes, week

57 / Which of the following is both a revenue and an expense center?
  1. Maintenance
  2. Administration
  3. Nursing
  4. Laundry

58 / ______is not a nosocomial disease.
  1. Pneumonia
  2. HIV
  3. Decubitus sores
4. Weight loss
.
59 / ______publishes and promotes fire safety in nursing homes.
  1. OSHA
  2. NFPA
  3. ANSI
  4. ADA

60 / Resident abuse must be investigated and the results of the investigation reported to the state licensing authority within ____ day(s).
  1. 1 day
  2. 3 days
  3. 5 days
  4. 5 working days
  5. 7 working days

61 / Which is not a nosocomial disease?
1. HIV
2. Flu
3. Pneumonia
4. Diabetes
62 / Which is a chronic disease?
1. HIV
2. Flu
3. Pneumonia
4. MRSA
63 / The Americans with Disabilities Act construction standards were developed by ______.
  1. NFPA
  2. ANSI
  3. Architecture and Transportation Barriers Compliance Board
  4. EEOC

64 / A corridor or ramp must have a minimum width of ____ .
  1. 3 or more
  2. 5
  3. 8
  4. 11 feet or less
5. 8 feet or more
65 / A hallway or corridor must have a minimum width of ____ feet or more.
  1. 3 or more
  2. 5
  3. 8
  4. 11 feet or less
  5. 8 feet or more

66 / An interview where the interviewer allows the individual to expand upon their comments in response to questions provided to them without the interviewer restricting the scope of their response is called a ______interview?
  1. In-depth Interview 3. Structured Interview
  2. Patterned Interview 4. Non-directive interview

67 / Letting an applicant talk about their experience and background without any structure is called a ______.
  1. Non-directive interview
  2. In-depth Interview
  3. Structured Interview
  4. Patterned Interview

68 / ______is an operating expense.
  1. Purchasing a computer
  2. Paving the parking lot
  3. Depreciation
  4. Installing wall partitions in resident areas

69 / The facility must make available to surveyors during a survey residents who are _____ and ______to participate in resident interviews.
  1. Male and female
  2. Medicare and Medicaid
  3. Capable and incapable
  4. Skilled and intermediate care residents

70 / If a resident loses money in their resident trust fund, which of the following would compensate them for their loss?
  1. Professional insurance
  2. Liability insurance
  3. A surety bond
  4. Property insurance

71 / Which form is the CMS resident census form?
  1. 671
  2. 672
  3. 2567
  4. 802

72 / A good death or easy death is called ______.
  1. Palliative care
  2. Suicide
  3. Mercy killing
  4. Euthanasia

73 / How many hours of nursing time do you need per resident per day according to federal law?
  1. 2.0 hours
  2. 3.0 hours
  3. 4.0 hours
  4. 4.5 hours

74 / ____ is a condition where a patient has trouble swallowing.
  1. Aphasia
  2. Dysphagia
  3. Dystonia
  4. Amnesia

75 / ____ is a condition where a patient has trouble speaking.
  1. Aphasia
  2. Dysphagia
  3. Dystonia
  4. Amnesia

76 / Who enforces the EEOA?
  1. OSHA
  2. Department of Labor
  3. EEOC
  4. OIG

77 / Evidence of abuse may be excluded on the grounds of privileged communication with all of the following except if the communication was between ______and ______.
  1. A priest and a parishioner
  2. An attorney and client.
  3. A physician and a patient
  4. An administrator and a resident

78 / Where a supervisor rates an employee as acceptable who actually performed below expectations, this is called ______.
  1. Leniency Error
  2. Error of Central Tendency
  3. Halo Effect
  4. Rating Error

79 / How do you calculate adequate required living space in a resident room?
  1. Living space less the bathroom, vestibule or hallway
  2. Total living space less the furniture in the room
  3. Total Living space less the radius of the space needed to open the door
  4. Living space plus the bathroom

80 / Which therapist uses heating pads?
  1. Physical therapist
  2. Occupational therapist
  3. Speech therapist
  4. Restorative therapy aide

81 / Revenues – expenses = ______.
  1. Asset value
  2. Amount of liabilities
  3. Profit or loss
  4. Equity amount

82 /
The ______has legal responsibility to adopt and implement facility policies.
  1. Medical Director
  2. Director of Nursing
  3. Governing body
  4. Administrator

83 / All cost reports are due ______.
  1. 30 days at the end of the calendar year
  2. 60 days after the end of the fiscal year’
  3. April 15 of each year
  4. 90 days after the end of the fiscal year

84 /
Telephone cords must be a minimum length of ______.
  1. 12 inches
  2. 15 inches
  3. 24 inches
  4. 29 inches

85 / Physician visits are considered timely if they occur within what timeframe?
  1. Every 30 days from the date of admission
  2. Every 30 days for the first 60 days from the date of admission, and then 90 days
thereafter
  1. Every 60 days from the date of admission
  2. Every 30 days for the first 90 days from date of admission, and then every other month
thereafter.
86 / An organized and effective maintenance program emphasizes ______.
  1. Maintaining adequate inventory of supplies
  2. Maintenance Contracts
  3. Preventative maintenance
  4. Controlling the cost of repairs

87 / Must follow the Life Safety Code of the Year _____.
  1. 1995
  2. 1998
  3. 2000
  4. 2005

88 / The ____ summarizes all debits and credits.
  1. General journal
  2. Chart of accounts
  3. Balance Sheet
  4. General ledger

89 / The principal cause of odors in an nursing facility is______.
  1. Ventilation systems
  2. Incontinent residents
  3. Not using disinfectants
  4. Improper garbage storage

90 / The minimum amount of square footage in a private room is ______.
1. 80 square feet per person
2. 100 square feet
3. 120 square feet per person
4. 150 square feet per person
91 / The minimum amount of square footage in a semi-private room is ______per person.
1. 80 square feet per person
2. 100 square feet
3. 120 square feet per person
4. 150 square feet per person
92 / Per OBRA 1987, the ______determines if a resident can self administer medications.
  1. Pharmacist
  2. Director of nursing
  3. Interdisciplinary team
  4. Medical director

93 / If a resident has been immobile and is unable to walk in physical therapy, what should the facility do?
  1. Allow the resident to lay in bed
  2. Encourage the resident to ambulate with a cane
  3. Encourage the resident to walk with a walker
  4. Discharge the resident because the facility cannot meet the resident’s needs