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MONTANA ADMINISTRATOR TEST (ACTUAL TEST
2025 ) | ALL QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) | LATEST EXAM | JUST
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A violation or deficiency with the potential for no more than minor negative impact on a resident is a ______ deficiency. ---------CORRECT ANSWER--- --------------Level 1. __________ has/have the least impact on influencing a resident or their family in choosing a facility. ---------CORRECT ANSWER-----------------Media ads Short term residents should be surveyed ____ about satisfaction with services. ---------CORRECT ANSWER-----------------Within 30 days from discharge A technology that connects cell phones, hand held devices and keyboards to a computer by high speed cable is called ________. ---------CORRECT ANSWER-----------------Fire wire Implementation of a TQM program takes between ___________. --------- CORRECT ANSWER----------------- 5 - 10 years The key consideration in determining the minimum level of staffing in a nursing facility is _______. ---------CORRECT ANSWER----------------- Patient acuity level
Managing risks of negative outcomes is called ______. - --------CORRECT ANSWER-----------------Risk management The key to a successful TQM program is _________. ---------CORRECT ANSWER-----------------Training A resident recently lost her husband and is tearful and depressed and is worried how she will pay for her stay. The administrator would ask the ________ to help her. ---------CORRECT ANSWER-----------------Social Service Director. social service provides emotional support and interventions for psycho-social and financial problems. Electrical switches must be located at a minimum of ___ inches above the floor. ---------CORRECT ANSWER----------------- 15 Stooped posture, shuffling gait, garbled speech and tremors are symptoms of ______. ---------CORRECT ANSWER-----------------Parkinson's disease 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. ---------CORRECT ANSWER------ -----------12, 18. Any public telephones or other telephones available to residents should be hearing aid compatible with volume controls. Grab bars and railings must support a minimum weight of ______ pounds. - --------CORRECT ANSWER----------------- 250
Administrators consult ______ to compare outcomes to expectations. ------- --CORRECT ANSWER-----------------Policies and plans of actions A resident with Parkinson's would not benefit by _________________. ----- ----CORRECT ANSWER-----------------Bed Rest The states cannot ___________to compel facilities to correct class 1 deficiencies found during Inspections. ---------CORRECT ANSWER----------- ------Impose civil or criminal penalties A _____ violation is where the severity of negative outcomes that compromises a resident's ability to maintain the highest physical, mental and psychosocial well-being. ---------CORRECT ANSWER----------------- Level 3 Parking spaces must be at least ___" wide with an accessible handicap aisle at least __" wide. ---------CORRECT ANSWER-----------------96'' 60" A broad statement of goals is a ________. ---------CORRECT ANSWER----- ------------Policy Long term residents should be surveyed regarding satisfaction with services _____. ---------CORRECT ANSWER-----------------Annually
Which is not true of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)? ---------CORRECT ANSWER-----------------JCAHO can impose civil fines Communication occurs when _________. ---------CORRECT ANSWER------ -----------a message is transmitted by one person and received and decoded and understood by the other person NFPA stands for _______________________. ---------CORRECT ANSWER-----------------National Fire Protection Association The emergency generator must be run under full load for _____ every ____. ---------CORRECT ANSWER-----------------30 minutes, Month The fire alarm can be silenced during a fire drill conducted between the hours of ---------CORRECT ANSWER-----------------10 pm to 6 am The ________ is responsible to assemble and analyze incident reports, infection rates, safety issues, medication errors and restraint use. --------- CORRECT ANSWER-----------------Quality assurance committee __________ publishes and promotes fire safety in nursing homes. --------- CORRECT ANSWER-----------------NFPA
The _____________ has ultimate legal responsibility for the operation of a nursing facility. ---------CORRECT ANSWER-----------------Governing body. Per OBRA 1987, air temperature is measured _____________. --------- CORRECT ANSWER-----------------Just above the floor The _________ requires employers to give workers time off for illness or to care for a sick family member. ---------CORRECT ANSWER----------------- Family Medical Leave Act The _______ hires, supervises and can fire the administrator. --------- CORRECT ANSWER-----------------Governing Body The administrator discovers the Director of Nursing has been giving nursing aides 6 months to complete their state certification requirements. The administrator should ____________. ---------CORRECT ANSWER------------ -----Reprimand the DON The rights of an individual determined by a court to be incompetent would be exercised by a(n) ____________________. ---------CORRECT ANSWER-----------------A person appointed by a court or court guardian The maintenance director submitted a request for family leave to care for his ailing mother. He has worked 1,350 hours in the nine months he has worked for the facility. The administrator should _____. ---------CORRECT ANSWER-----------------Approve the request. employee must work 1250
hours or 12 months to use Family Medical Leave; employer must continue to pay for insurance premiums while employee is on leave Per OBRA 1987, a resident has the right to review all their records within ____ of an oral or written request (excluding weekends and holidays) ------- --CORRECT ANSWER-----------------24 hours The comprehensive assessment was completed on June 1. The care plan was completed on June 6th. The care plan was completed ________. ------- --CORRECT ANSWER-----------------Timely. Care Plan must be done within 7 days of comprehensive assessment or by June 8th The comprehensive assessment must be signed by _________. --------- CORRECT ANSWER-----------------Registered Nurse The _____________has legal responsibility for the day to day operation of a skilled nursing home. ---------CORRECT ANSWER----------------- Administrator. The governing board has ultimate responsibility for resident care and managing the facility. The administrator is responsible for day to day operation The ____________ is responsible for the day-to-day management of the facility's nursing program. ---------CORRECT ANSWER-----------------DON. The DON is a registered nurse is responsible to manage the nursing staff to follow physician orders to adhere to professional standards CMS stands for __________________. ---------CORRECT ANSWER--------- --------Centers for Medicaid and Medicare Services
The _______has legal responsibility to adopt and implement facility policies. ---------CORRECT ANSWER-----------------Governing body A resident was admitted on June 1. The attending physician charted a visit and physical examination of the resident on June 27, July 29, Sept 4 and November 17, 2007. Per OBRA 1987 with respect to required physician visits, the facility ___________. ---------CORRECT ANSWER----------------- Would be cited for a late visit in November. Physician had 70 days to visit resident. The next visit after Sept 4 was due Nov 3 and with the 10 day grace period the last day was November 13th. The visit occurred on November 17th. A state surveyor learns in interviews with residents that when residents are admitted, they were provided a written list of names of physicians who cared for residents in the facility in their admission packet. The facility assigned an attending physician to each resident prior to admission from a rotating list of physicians. Per OBRA 1987, the facility _______ --------- CORRECT ANSWER-----------------Was out of compliance and would be cited. The facility must inform residents both orally and in writing that they have a right to choose physician and must provide them the names, address and phone numbers of attending physicians. Their personal physician can see them if they agree to. A housekeeper notices a resident is asleep in the room she needs to clean. She knocks on the resident's door, identifies herself as a house keeper, and seeing there is no response from the resident, decides to enter the room and begins cleaning. The housekeeper should be ____. --------- CORRECT ANSWER-----------------in-serviced. Although the house keeper knocked and announced who she was, the resident had to acknowledge her presence and give permission to enter the room and it did not happen.
_______ is not an element of a Total Quality Management (TQM) program. ---------CORRECT ANSWER-----------------Centralize decision making to improve customer services. The main focus of TQM is to train front line workers to make decisions. The ______ is responsible to prepare and serve nutritious meals under sanitary conditions. ---------CORRECT ANSWER-----------------Dietary Department All furniture, equipment, boxes and supplies must be elevated ____ inches above the floor to allow the floor directly underneath to be cleaned. --------- CORRECT ANSWER-----------------6 inches ______ is the most comprehensive and effective improvement model. ------- --CORRECT ANSWER-----------------Total Quality Management The ______ coordinates all work activities in the facility and resolves conflict between departments. ---------CORRECT ANSWER----------------- Administration Department HCFA stands for ________________. ---------CORRECT ANSWER----------- ------Health Care Financing Administration Telephone cords must be a minimum length of ______. ---------CORRECT ANSWER-----------------29 inches
administrator is using the ________. ---------CORRECT ANSWER-------------
Per OBRA 1987, a nursing home must maintain the highest________ for residents? ---------CORRECT ANSWER-----------------Physical, Mental and psychological well being When a facility requests a hearing before an administrative law judge to challenge the findings made during a state survey, the facility is using the _____. ---------CORRECT ANSWER-----------------Formal dispute resolution process Federal inspection of resident care in nursing facilities is overseen by ______. ---------CORRECT ANSWER-----------------CMS Quality indicator (QI) reports for nursing homes available through the CMS would not include which of the following? ---------CORRECT ANSWER------- ----------Nursing home watch list Prior to entering a facility, a state survey team would not review the ________. ---------CORRECT ANSWER-----------------Resident council minutes the _________ is responsible to identify and address safety hazards that can injure residents and staff and is required by OSHA. ---------CORRECT ANSWER----------------- Safety committee
The federal nursing home certification survey program has a total of ______ different survey types. ---------CORRECT ANSWER----------------- 5 The phase of the state survey where the survey team gathers information from OSCAR, the ombudsman and other sources prior to entering a facility is called _______. ---------CORRECT ANSWER-----------------Offsite preparation. The Online Survey and Certification Reports contains all MDS data is setup by the CMS The phase of the state survey where the survey team analyzes and compares observations and findings and determines if any violations were found and their severity is called _______. ---------CORRECT ANSWER----- ------------Information analysis Nursing homes must be inspected every ______. ---------CORRECT ANSWER-----------------15 Months An electronic medium that allows instantaneous communication internally and externally to thousands of people through a computer server is called ______. ---------CORRECT ANSWER-----------------Email A finding of 'substandard care" requires the survey team to have evidence of _________. ---------CORRECT ANSWER-----------------Immediate jeopardy to resident care than has or likely to cause serious injury or death
10 days. You only have 30 days from the time the survey team exits to achieve full compliance - your date certain Communication from subordinates directed to upper management is called _____. ---------CORRECT ANSWER-----------------Upward communication An organizational chart shows the reporting relationship between staff. A solid line on the chart denotes _______________. ---------CORRECT ANSWER-----------------Line authority A parking lot with 100 parking spaces would require _____ handicap accessible parking spots. ---------CORRECT ANSWER-----------------4. 1 for every 25 spots The most effective marketing tool for a nursing home to attract new residents is/are_______. ---------CORRECT ANSWER-----------------A tour of the facility A violation with no more than minimal physical, mental or psychological discomfort is a ______ deficiency. ---------CORRECT ANSWER----------------
- Level 2 Believing something that is not based in reality is called ______. --------- CORRECT ANSWER-----------------Delusion
Communication directed from upper management to lower level managers and staff is called _____. ---------CORRECT ANSWER----------------- Downward communication Non-compliance affecting more than a limited number of residents and locations would be assigned a scope of _______. ---------CORRECT ANSWER----------------- Patterned _______________ can provide nursing aide services and be included in calculating minimum staffing hours. ---------CORRECT ANSWER-------------- ---A licensed practical nurse employed by the facility. Managing risks of negative outcomes is called ______. ---------CORRECT ANSWER-----------------Risk Management The nosing on a stair must project no more than ___. ---------CORRECT ANSWER-----------------1 and 1/2 inches Smoke detectors must be located no further than ___ feet apart and no more than ___feet from any wall. ---------CORRECT ANSWER----------------- 30, 15 Minimum wheelchair passing width for two wheelchairs is ___inches. --------
- CORRECT ANSWER-----------------60"
A change between 1⁄4 and 1⁄2 inch in level surface ______. --------- CORRECT ANSWER-----------------Requires a beveled edge fire extinguisher is checked ___ and serviced _____. - --------CORRECT ANSWER-----------------Quarterly, annually Each level or story of a building that houses patient sleeping and treatment areas must be divided into ___ smoke compartments. ---------CORRECT ANSWER---------- ------- 2 Vision panels are ___ in swinging doors. ---------CORRECT ANSWER------- ----------Required The maximum window sill height for a window in a resident's room is ___ inches above the floor. ---------CORRECT ANSWER-----------------36" Doors must be ____' thick, solid bodied ___ core, or with ____ minutes of resistance fire rating. ---------CORRECT ANSWER-----------------1 3/4", wood, 20 minutes The facility quality assessment and assurance committee must meet at least ________. ---------CORRECT ANSWER-----------------quarterly
The QA&A Committee does not need to include _______. --------- CORRECT ANSWER-----------------The Administrator Communicating through memos, meetings and follows lines of the organization chart is an example of _________________. --------- CORRECT ANSWER-----------------Formal communication Staff chatting informally in the break room is an example of ________________. ---------CORRECT ANSWER-----------------Informal communication ADA guidelines and standards are developed and approved by _____. ------ ---CORRECT ANSWER-----------------ANSI Railings and grab bars must bear the weight of ____ lbs or more. --------- CORRECT ANSWER-----------------250 lbs The maximum audible alarm decibel level is ______. ---------CORRECT ANSWER----------------- 120 A nursing home must have a(n)______ operated fire alarm system that is _________ monitored. ---------CORRECT ANSWER-----------------manually, electronically. The fire alarm is manually operated because you need to "pull" the alarm
