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NCIA State Exam Review Questions with Complete
Answers.
Nursing policies and procedures must be reviewed at least every - Correct Answer 2 years Documentation of the quality management program must be maintained for - Correct Answer 18 months If 18 years old , maintain medical For ____ years after turning 18. If turns 18 in the facility maintains for ___ years after the date of discharge - Correct Answer 3 and 3 Maintain medical records for___years after discharge unless the resident is less than 18. - Correct Answer 5 Temperature of the facility must never drop below ___ degrees - Correct Answer 70 Temperature of the facility must not exceed ____ degrees - Correct Answer 84 Types of abuse - Correct Answer - Intentional physical harm
- injury caused by negligent acts or omissions
- unreasonable confinement
- sexual abuse or sexual assault
- emotional abuse (ridicule, derogatory remarks, verbally harassing or threatening) Cognitive Status - Correct Answer - level of awareness
- perception
- reasoning
- judgement
- intuition
- memory Disaster - Correct Answer Unexpected adverse occurrence affecting the ability to provide care Incident - Correct Answer Unexpected occurrence that poses a threat to the health and safety of residents. Medication error - Correct Answer - failure to administer an ordered medication
- administration of a medication not ordered
- incorrect dosage
- more than 60 minutes from ordered time
- incorrect route (orally, etc.) Quality management Program - Correct Answer Ongoing activities designed to improve the delivery of nursing services.
Restraint - Correct Answer Any chemical or physical method restricting freedom of movement, activity, or access to own body. Unnecessary drug - Correct Answer Medication not required because there is no documented indication for its use, the medication is excessive or duplicative, it is not determined the resident requires it, or the resident has experienced an adverse reaction. Vital signs - Correct Answer Heart rate, respiratory rate, blood pressure, body temperature. Contracted services - Correct Answer The facility must maintain a copy of the contract, the responsibilities of the contractor and a description of the services provided How often should we evaluate the effectiveness of the quality management program? - Correct Answer Every 12 months Policies and procedures implemented that cover - Correct Answer Abuse and misappropriation of property, healthcare directive's, job descriptions qualifications duties responsibilities and in servicing, orientation, admission transfer or discharge, disaster plans, resident rights, quality management including incident documentation, personal accounts, petty cash funds, refund policy, food services, nursing services, dispensation administration and disposal of medication and buy a logical's, infection control, medical records. Any allegation of abuse is investigated and reported within _____ of the allegation also reported to _____ if required - Correct Answer 2 hours, APS During an abuse investigation - Correct Answer Ensure further abuse is prevented Conspicuously post in the facility the following - Correct Answer Facility license, quality rating, name address and telephone of the department of LTC licensing , ombudsman and APS, notice that a resident may file a complaint, map for evacuating the facility, copy of the most recent survey
dental condition, nutritional condition and nutritional needs, medications, clinical laboratory reports, diagnosis reports, capability to perform activities of daily living, psycho social condition, cognitive condition, impairments and physical and sensory function, potential for recreational activities, potential for rehabilitation, potential for discharge A care plan to be completed within____ days of the comprehensive assessment and updated after significant change in condition - Correct Answer 7 Notify the physician and family within ____ hours if the resident is injured or has a significant change in condition - Correct Answer 24 How often is the comprehensive assessment reviewed? - Correct Answer Reviewed every three months and revised if there is a significant change in condition Residents should be treated with - Correct Answer Consideration, respect, and dignity Resident received privacy in - Correct Answer Treatment, activities of daily living, room accommodations, and visits with others Resident is free from - Correct Answer Interference, coercion, discrimination, and reprisal from a staff member Resident may - Correct Answer Formulate a healthcare directive A resident may retain - Correct Answer Personal possessions as space permits A resident may select - Correct Answer A pharmacy of choice A resident is informed of - Correct Answer The method for contacting the residence attending physician A resident is provided - Correct Answer A copy of those sections of the medical record that are required for care if transferred or discharged Resident is informed in writing of the change in rates and charges _____ days before the change - Correct Answer 60 A resident is informed ______and in ________before a room change and notification is documented in the medical record - Correct Answer Orally and Written Upon admission the resident - Correct Answer Is provided a copy of residents rights,
signs written agreement of rates and charges, Is informed of the refund policy and guidelines for contact, receives written information concerning health care directive's Within _____days before or ____days after admission a medical history and physical exam is completed by physician or a registered nurse practitioner - Correct Answer 30, 10 Documentation of the transfer or discharge is maintained and includes - Correct Answer Date of transfer or discharge, reason for transfer her discharge, 30 day written notice, physician note, if applicable actions taken by staff to protect others if the residence behavior was a threat Discharge summary includes - Correct Answer Resident medical condition at the time of discharge, psycho social history, data transfer or discharge, location of resident after discharge Medication is stored in? - Correct Answer A lock to compartment Med error rate is less then? - Correct Answer 5% Pharmacist is reviewing medications every ____months - Correct Answer Three Drug reference source is current within ____year and available to staff - Correct Answer 1 A registered dietitian is employed full-time part-time or as a consultant - Correct Answer True If registered dietitian is not full time, an individual is designated as food services director who then consult with dietitian - Correct Answer True Food is prepared to meet the needs of residence including - Correct Answer Cut, chopped, ground, puréed, or thickened Food menu is prepared at least ______ week in advance - Correct Answer 1 The menu is kept for how long? - Correct Answer 1 month Three meals per day I provided with not more than _______hours between the evening meal and breakfast - Correct Answer 14 If snack is provided and a resident group agrees the resident may extend time span between evening meal and breakfast from 14 hours to 16 hours if - Correct Answer Snack means meat, fish, eggs, cheese, or other protein and serving from either fruit and vegetable group or the bread and cereal group
Anything requested by Department of Health must be provided within _____hours - Correct Answer 2 Staff numbers attend ______hours of in-service every _____months - Correct Answer 12, 12 Three meals each day with not more than _____ hours between the evening and breakfast meals unless a snack is provided in a resident group agrees - Correct Answer 14 Time between evening meal and breakfast meal maybe extended to ____hours if the resident group agrees and the resident is offered a snack( meat, fish, eggs, cheese, or other protein, and a serving from either the fruit and vegetable group or bread and cereal group.) - Correct Answer 16 Notify physician and resident representative within ____hours if the resident is injured, involved in an accident that requires medical services, or has a significant change of condition - Correct Answer 24 Attending physician is available ______hours a day - Correct Answer 24 Resident may review medical records within _____ business day a request - Correct Answer 1 Resident may review financial records within 2 business days or request, and may obtain a copy of financial and medical records within 2 business days or request - Correct Answer 2, 2 Allegation of abuse or misappropriation of resident property reported to department of health within _____hours of the allegation - Correct Answer 2 Care plan developed within _____ days of completing the comprehensive assessment - Correct Answer 7 If history and physical exam not completed _____ days before admission, exam must be completed within _____days after admission - Correct Answer 30, 10 Comprehensive assessment is due within ____ days of admission - Correct Answer 14 If you administrator is gone for more than _____ days appoint another acting license administrator - Correct Answer 30 Notify the department have a plan to change another ship at least _____days before the change - Correct Answer 30
Within ____days before admission a medical history and physical exam is completed - Correct Answer 30 Informed in writing ___days before the effective date of a change in rate and charges - Correct Answer 60 Orientation must be completed with the ______ week of employment - Correct Answer First Document each personal account transaction and provide a copy of the documentation at least every ______ months - Correct Answer 3 Pharmacist reviews medications every _____months - Correct Answer 3 Fire drills performed on each shift at least every _____months ( aka disaster drill) - Correct Answer 3 Within ____ months before the start of employment, staff member must provide proof they are free from TB. - Correct Answer 6 A governing authority shall review and evaluate the effectiveness of the quality management program every ______ months - Correct Answer 12 If a swimming pool is located on the premises , an administrator shall ensure that- - Correct Answer At least one personnel member with cardiopulmonary resuscitation training and is present in the pool area and At least 2 personnel members are present in the pool area when 2 or more residents are in the pool area Documentation of equipment testing , calibration, and repair is maintained for at least ____ months after the date of the testing , calibration, or repair - Correct Answer 12 Equipment used to provide direct care is - Correct Answer Tested and calibrated according to the manufacturers recommendations, and if no manufacturers recommendations, according to the policies and procedures. An administrator shall - Correct Answer Obtain a fire inspection conducted according to the time frame established by the local fire department or the state fire Marshal Documentation of each evacuation drill is created, is maintained for at least 12 months after the date of the drill, and includes - Correct Answer The amount of time taken for employees and residents to evacuate to a designated area. An evacuation drill for employees and residents is... - Correct Answer Conducted at least once every six months
who ordered the medication and the nursing care institutions director of nursing - Correct Answer True An administrator shall Ensure that a current drug reference guide is available for use by personnel members and a copy of the pharmacy license is provided to the department upon request - Correct Answer True A medication administered to a resident - Correct Answer Is administered in compliance with an order and is documented in the residence medical record In regards to psychotropic medications - Correct Answer Is gradually reduced in dosage Verbal orders for medication services are taken by a nurse unless otherwise provided by Law - Correct Answer True Policies and procedures for medication administration - Correct Answer Are reviewed and approved by the director of nursing Procedures to ensure that a pharmacist reviews a residence medications at least once every _____ months - Correct Answer 3, And Provides documentation to the residents attending physician and the director of nursing indicating potential medication problems such as incompatible or duplicative medications In regards to radiology services - Correct Answer Radiology services and diagnostic imaging services are provided in compliance with A.R.S title 30 And A copy of a certificate documenting compliance with some section 1 is maintained by the nursing care institution If a test result is obtained that it indicates a resident may have an emergency medical condition as established in policies and procedures personnel notify - Correct Answer The ordering physician, a registered nurse in the residence assigned unit, the nursing care institutions administrator, or the director of nursing Clinical laboratory and elegy test results are available to the ordering physician - Correct Answer Within 24 hours after the test is complete with the results if the test is performed at a laboratory on the nursing care institutions premises or within 24 hours after the test result is received if the test is performed at a laboratory outside of the nursing care institutions premises Except for a psychotropic drug used as a chemical restraint or administered according to an order from a court of competent jurisdiction, informed consent is obtained from a resident or the residents representative for a psychotropic drug and documented in the residence medical record before the psychotropic drug is administered to the resident. - Correct Answer True
A residents comprehensive assessment is reviewed by a registered nurse at least once every _____months after the date of the current comprehensive assessment and if there is a significant change in the residence condition - Correct Answer 3 A new comprehensive assessment is not required for a resident who was hospitalized and readmitted to a nursing care institution unless a physician, an individual designated by the physician, or a registered nurse determines the resident has a significant change in condition - Correct Answer True A Comprehensive assessment is completed for the resident within 14 calendar days after the residence admission to a nursing care institution - Correct Answer 14 The comprehensive assessment shall be signed by - Correct Answer The registered nurse who conducts or coordinates the comprehensive assessment or review Vaccinations for influenza and ammonia are available to each resident at least once every 12 months unless - Correct Answer The attending physician provides documentation that the vaccination is medically contraindicated Vaccinations for influenza and ammonia are available to the residence every 12 months unless - Correct Answer The resident her the residence represent refuses the vaccination were vaccinations and documentation is maintained in the residence medical record that the resident or the residence representative has been informed of the risks and benefits of a vaccination refused Vaccinations for the influenza and pneumonia are available to each resident every 12 months unless - Correct Answer The resident or the residence representative provides documentation that the resident received an ammonia vaccination within the last five years or the current recommendation from the US Department of health and human services, Center for disease control and prevention An administrator shall ensure that nursing services are provided ____hours a day in a nursing care institution - Correct Answer 24 The director of nursing or an individual designated by the administrator participates in the quality management program - Correct Answer True If the daily census of the nursing care institution is less than _____the director of nursing may provide direct care to residence on a regular basis - Correct Answer 60 An administrator Shallon sure the residents medical record contains if applicable the name and contact information of the residence representative and the document signed by the resident consenting for the residence representative to act on the residence behalf
A resident or a resident representative - Correct Answer Is provided with a copy of those sections of the residence medical record that are required freaking continuity of care free of charge if the resident transferred her to Sher's Rates of change or charges must be communicated at least ___calendar days before the effective date of the changes - Correct Answer 60 Except in the event of an emergency a resident or residence representative - Correct Answer Is informed orally or in writing before the nursing care institution makes a change in a residence room or roommate assignments and notifications documented in the residence medical record At the time of admission a resident of or the residence representative receives a written copy of the requirements in subsection B And the resident rights in subsection C - Correct Answer True- on admission Except as provided in subsection B , an administrator shall ensure that - Correct Answer An evaluation of the resident is conducted before and after the transport A discharge summary is developed by personnel member and authenticated by the residence attending physician or designee and - Correct Answer The residents medical condition at the time of transfer discharge the residence medical and psychosocial history the date of the transfer or discharge and the location of the resident after discharge Except in an emergency a director of nursing challenge sure that before a resident is just charged - Correct Answer Information necessary to meet the residents need for medical services and nursing services and the state long-term care about his In regards to discharge, an administrator Shall ensure that - Correct Answer A resident is transferred or discharged if the nursing care and situation is not authorized or not able to meet the needs of the resident or the residence behavior is a threat to the health or safety of the resident or other individuals at the nursing care institution Documentation of a residence transfer discharge includes - Correct Answer The date of the transfer or discharge, the reason for the transfer of discharge, a 30 day written notice in regards to admissions - Correct Answer Before or at the time of admission a resident or the resident representative Before or at the time of admission a resident or the resident representative - Correct Answer Receives it documented agreement with the nursing care and situation that includes Ray 10 charges, is informed of third-party coverage for rates and charges, is informed of the nursing care institutions refund policy, receives written information concerning the nursing care is institutions policies and procedures related to a residence healthcare directives
A resident must provide evidence of freedom from tuberculosis before or within _____ calendar days after the resident submission - Correct Answer 7 Admissions must ensure - Correct Answer If you were than 12 months have passed since the resident was screen for tuberculosis or since the date of the written statement In regards to personnel records - Correct Answer I work schedule of each personnel member his developed and maintained at the nursing care institution for at least 12 months after the date of the work schedule In regards to personnel records an administrator shall ensure - Correct Answer Kept For at least 24 months after the last date of the individual provided services in or for the nursing care and situation A personnel member completes orientation before providing physical health services or behavioral health services - Correct Answer True In regards to personnel an administrator shall ensure - Correct Answer That personal member of an employee or volunteer who has or is expected to have direct interaction with the resident for more than eight hours a week provides evidence of freedom from infectious tuberculosis
