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"NAB EXAM QBANK 2025 – COMPREHENSIVE
STUDY GUIDE WITH PRACTICE QUESTIONS &
ANSWERS – A+ GRADED NATIONAL
ADMINISTRATOR EXAM PREP FOR NURSING
HOME ADMINISTRATOR (NHA) – UPDATED FOR
2025 WITH REAL EXAM TOPICS"
Current Assets - Current Liabilities = - -- <> ---Working Capital Each resident must have a private closet which includes? - -- <> --- Clothes Racks and Shelves accessible to the resident During what hours may fire drills be announced by coded message rather than audible alarm? - -- <> ---9pm to 6am Soiled linen and trash collection containers must be limited to a capacity of? - -- <> ---32 gallons within an 64 square foot area. Portable Heating devices are prohibited except for use in? - -- <> --- Nonsleeping staff areas where the heating elements do not exceed 212 F
Determining the means of egress requirements based on building use and sq.ft.? - -- <> ---Occupant Load Means of egress in health care sleeping areas must be adequate for one person per how many square feet? - -- <> ---120 sq.ft. Means of egress in health care inpatient treatment areas must be adequate for one person per how many square feet? - -- <> ---240 sq.ft. When are locks permitted on patient sleeping room doors? - -- <> --- Locks are not permitted on patient sleeping room doors except for a lock that would prevent patients from accidentally wandering into an isolation room, but the patient in the isolation room would be able to exit the room w/o use of a key or tool. Interior Stairs - what is the minimum clear width of the stairs? - -- <> --- 44 Inches, except for handrails not to exceed 3 1/2 inches at or below handrail height on each side. Interior Stairs - What are the maximum and minimum riser heights? - -- <> ---Max Height 7 inches, Minimum Height 4 inches Interior Stairs - What is the minimum tread depth? - -- <> ---11 Inches Interior Stairs - What is the minimum head room? - -- <> ---6 feet 8 inches
Horizontal Exit - What is the minimum door width? - -- <> ---41.5 Inches Ramp - a ramp with a slope of 20-50 degrees is a? - -- <> ---Stairway Ramp - a ramp with a slope of 7-20 degrees is a? - -- <> ---Stairway and Landing Ramp - a ramp with a slope of under 7 degrees is a? - -- <> ---Ramp Ramp - what are the minimum requirements/dimensions for a ramp? - -- <> ---Slip resistant, clear width of at least 44 inches, maximum rise of 30 feet per ramp run. Aisles - must be how wide? - -- <> ---8 feet wide. What is the minimum number of exits? - -- <> ---2 Exits Exits - What is the maximum allowable distance between the entrance door into any room and an exit access? - -- <> ---150 Feet Exits - What is the maximum allowable distance between any point in a patient room and an exit access? - -- <> ---200 Feet Exits - What is the maximum allowable distance between any point in a room and the exit from that room? - -- <> ---50 Feet
Exits - What are the requirements for illumination of the means of egress? - -- <> ---The illumination must be continuous, have at least 1-foot-candle measured at the floor of the exit access, the exit, and the exit discharge. Emergency Lighting - May it be battery powered if? - -- <> ---If they meet the candlelight requirements for a period of 1 1/2 hours. Automotive type batteries are not acceptable. Exits - What are the minimum letter height and width requirements for exit signs?
- -- <> ---Signs must have letters 6 inches high and 3/4 inch wide. Exits - What is the maximum allowable distance between exit signs? - -- <> ---100 Feet When must emergency power come on and how long must it last should a power failure occur? - -- <> ---Must come on in 10 seconds and last for a minimum of 1 1/2 hours. Vertical openings must have a minimum fire protection rating at least? - -- <> ---1 Hour, 2 Hours if the building is more than 3 stories. Smoke detectors should be located no more than how many feet apart? - -- <> ---30 Feet
A federal agency that administers Medicare as well as federal guidelines for Medicaid? - -- <> ---HFCA (Health Care Financing Administration) It is mandatory that every health care facility offer the HBV (Hepatitis B Vaccine) to whom? - -- <> ---Nursing, Housekeeping, and Laundry Staff (an employees at risk) When is recordkeeping of Occupational Illness and Injuries required? - -- <> ---For facilities with 11 or more employees. General keep records on problems that require more than just first aid. To become certified a facility must? - -- <> ---Complete a Life Safety Code Survey and a Standard Survey A resident centered outcome oriented inspection? - -- <> ---OBRA Survey A report from the state surveyors which shows recent survey deficiency trending for that facility? - -- <> ---OSCAR (an administrator may request a copy of the most recent OSCAR) Survey - the effect on resident outcomes? - -- <> ---Severity Level Survey - the number of residents potentially or actually affected? - -- <> ---Scope Level
Survey - Issued when a facility is found to be in substantial compliance; a POC (plan of correction) is not required, but a facility is expected to correct the deficiencies? - -- <> ---Notice of Isolated Deficiencies Survey - Must be completed to reply to 2567? - -- <> ---POC (Plan of Correction) Survey - Issued when a facility is found to be noncompliant? - -- <> --- HFCA - 2567 (requires a POC / plan of correction) Survey - Severity Level 1Tags? - -- <> ---Letters A,B,C - deficiencies in this range are not serious. No actual harm or potential to cause harm, just a minor negative impact on residents. Survey - Severity Level 2 tags? - -- <> ---Letters D,E,F - These tags are cited when there is noncompliance with no actual harm to residents but possibility of minimal harm to residents. Survey - Severity Level 3 tags? - -- <> ---Letters G,H,I - Actual harm has occurred. Harm can include, bruise, skin tear, or making a resident upset. Survey - Severity Level 4 tags? - -- <> ---Letters J,K,L - Worst tags possible. Immediate jeopardy is possible.
They give advice that does not have to be taken. They do not have the power or the liability of law behind them? - -- <> ---Advisory Boards An unincorporated business owned by an individual. The owner is responsible for both personal and business debts? - -- <> ---Sole Proprietorship Type of business where partners are personally liable for all of the business debt?
- -- <> ---Partnership A form of business that is incorporated under the laws of one of the states. There may be a single stockholder or thousands of holders. It is a separate legal entity from its owners and therefore the owners are not personally responsible for the corporate debts? - -- <> ---Corporation What are the 5 functions of management? - -- <> ---Planning, Organization, Staffing, Leading (directing), and Controlling A principle that teaches anytime a higher paid employee makes a decision a lower paid employee can make out as well or better? - -- <> ---The Principle of the Economy of Action (facility pays more than it should)(she got a raise why shouldn't I) Who regulates the retention period of the medical records at a nursing facility? - -- <> ---The state in which the facility is located.
Who regulates Medicaid benefits and eligibility requirements? - -- <> --- They are established by a combination of federal and state legislation, regulations, and programs. When a surveyor demands a list of all residents/room numbers indicating each resident's case mix category and special care needs, the facility must supply this information within what time frame? - -- <> ---4 Hours Breakeven Point? - -- <> ---total cost = total revenue Working capital ratio - -- <> ---current assets / current liabilities Acid-test (quick) ratio - -- <> ---(cash + AR + short-term investments) / current liabilities debt to assets ratio - -- <> ---total liabilities/total assets FTE (full time equivalent) - -- <> ---total number of hours per employee in a week / 40 (i.e. 12+14+40+30 div. by 40) Profit margin - -- <> ---NOI/Tot. Revenue. Defined as "income to sales. 2 types, gross prof margin and net prof margin) Net Operating Income (NOI) - -- <> ---Total (gross) Revenue - operating expenses Occupancy rate - -- <> ---(# of resident days/facility beds) x 365
safe electrical practices - -- <> ---National Electrical Code or NEC Following NFPA Life Safety Code - -- <> ---fire plan, regular fire drills, detectors, training on procedure, non combustable furnishing/draperies Extinguisher class A - -- <> ---ordinary combustibles such as wood/paper Extinguisher Class B - -- <> ---For flammable liquids and gas fires (grease, paint) Extinguisher class C - -- <> ---Live electrical equipment (panelling) Extinguisher class D - -- <> ---Combustable metals (aluminum) Extinguisher class K - -- <> ---Commercial cooking equipment (cooking oil, animal fats) PASS (Fire Safety) - -- <> ---P - Pull the pin. A - Aim at the base of the fire, not at the flames. S - Squeeze the lever. S - Sweep the nozzle from side to side.
R.A.C.E. (Fire safety) - -- <> ---rescue, alarm, contain, extinguish Accrual Basis Accounting - -- <> ---reporting income when it is earned and expenses when they are incurred Cash Basis Accounting - -- <> ---Reporting income when the cash is received and expenses when the cash is paid. LLC (Limited Liability Company) - -- <> ---Limited liability, pass through income taxation, flexibility S corporation - -- <> ---A unique government creation that looks like a corporation but is taxed like sole proprietorships and partnerships Net Worth Formula - -- <> ---Assets - Liabilities Dementia Living Environment - -- <> ---Residential living with clinical aspects. safe, quiet, secured Effective Claims Management for working with insurance agencies - -- <> ---components of the claims handling process include developing strategies to cut costs and reduce fraud while keeping customers satisfied
Income statement (or statement of financial position) - -- <> ---How much revenue and profit generated over a certain period of time Interest coverage - -- <> ---What portion of debt interest is covered by a company cash flow situation (EBITDA/Interest expense) Capital - -- <> ---typically $500 or more, 1 year or more life. Money invested in company. chart of accounts - -- <> ---A list of every account (5 groups: ass, Lia, capital, Rev, expenses) Variable cost - -- <> ---Fluctuate directly with changes in census (i.e. food, salary) Fixed cost - -- <> ---Do not relate to changes in census. Direct cost - -- <> ---Cost that are directly attributable to providing resident care (i.e. salaries, payroll, pay taxes, benefits, supplies) Indirect cost - -- <> ---i.e. administrative salary, depreciation 5 steps of budgeting - -- <> ---Assessing environment, Programming, Developing operating budget, Building cash budget, Determing capital budget
How often should goals and objectives be evaluated? - -- <> ---Annual basis, at least Patient Self-Determination Act of 1990 - -- <> ---protects patient rights including the right to agree to or refuse medical treatment (gives patients right to choose health care decisions when entering hospital) DPOA vs POA - -- <> ---DPOA just includes language that means the documents covers individual when they become incapacitated Quality Assurance - -- <> ---looks at actions to ensure services conform to standards Team building is a key component of which management style? - -- <> --
- Participatory (encourages managers to share knowledge, work together) advance directives - -- <> ---A legal document designed to indicate a person's wishes regarding care in case of a terminal illness or during the dying process living will - -- <> ---A document that indicates what medical intervention an individual wants if he or she becomes incapable of expressing those wishes. advisory board - -- <> ---used by board of directors/governing body to provide guidance regarding policy and procedure
continues healthcare benefits to individuals and families for limited period of time such as job loss, reduced hours, death, divorce, etc. Qualified individuals may have to pay entire premium - -- <> ---Consolidated Omnibus Budget Reconciliation Act (COBRA) Act that limits the amount of wages that can be garnished or withheld in any one week by an employer to satisfy creditors. - -- <> ---Consumer Credit Protection Act Minimum wage, child labor laws, overtime - -- <> ---Fair Labor Standards Act (FLSA) Protections for coverage under group health plans, prohibit discrimination against employees based on health status - -- <> ---HIPPA (Health Insurance Portability and Accountability Act) 12 weeks unpaid if an employee has worked 1250 hrs within last 12 months. Covers - serious health condition - care for family member. - birth or adoption - -- <> ---Family and Medical Leave Act (FMLA) Federal law requiring employers to verify and maintain records on applicants' legal rights to work in the United States. 1-9 Form complete within 3 days of employment, retain copy 3 years or 1 year following terminiation - -- <> ---Immigration Reform and Control Act of 1986 includes "general duty clause" that requires all employers to maintain a workplace that is free from recognized hazards that would cause injury/death to employees - -- <> ---Occupational Safety and Health Administration (OSHA)
Maintain log of certain injuries, illnesses. Report certain deaths and multiple hospitalizations, post supplementary records on an annual basis. Employer cannot fire employee who is uncomfy at work. - -- <> ---Osha requirements a ratio that expresses the percentage of applicants who successfully move from one stage of the recruitment and selection process to the next - -- <> --- Yield Ratio Occurrence Based Policy - -- <> ---An "X"-based policy provides coverage for injuries arising out of incidents occurring during the period the policy was in effect, even if the policy subsequently expires or is not renewed by the policy- holder. With an "X" policy, it does not matter if you are covered when the suit is brought. Claims-made policy - -- <> ---An "X" based policy kicks in when you file a claim during the policy period. As long as an insurable event happened after the policy's retroactive date, your insurer should provide coverage. With a claims- made policy, you need to have active insurance when you file a claim. Administrator - -- <> ---General administrative charge of the day-to-day operations of an ALF. May be owner of hired by the organization. articles of incorporation - -- <> ---Information filed with a state official by persons wishing to form a corporation
