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NHA Line of Service 55 Questions With
Solutions
- One necessary occasion for a comprehensive reassessment is when a resident undergoes anunplanned weight loss that exceeds
A. 5 percent in one month. B. 5 percent in one month, or 10 percent in 6 months.C. 5 percent in 3 months, or 10 percent in 6 months. D. 10 percent in one month. - โ โ B. 5 percent in one month, or 10 percent in 6 months.
- Medicare-certified facilities must use which one of the following? A. accrual basis of accounting B. perpetual inventoryC. centralized meal service D. paid feeding assistants - โ โ A. accrual basis of accounting
- To meet Life Safety Code requirements, the facility emergency power source must be capable ofproviding illumination for all the means of egress how soon after loss of regular electric power?
A. immediately B. within five secondsC. within 10 seconds D. within 30 seconds - โ โ C. within 10 seconds
- A Stage III pressure ulcer is characterized by A. dark red skin areas with blue discoloration in the center
B. damage to muscle and bone C. break in skin down to and including underlying fatty tissues D. blisters -to and including underlying fatty tissues โ โ C. break in skin down
- The administrator's role in the survey process includes all except which one of the following? A. Responding promptly to surveyors' requests for records and information. B. Providing input into, and Insuring timely completion of, plans of correction. C. Year-round training and directing of staff in compliance with regulatory requirements. D. Insulating the governing body from involvement. -involvement. โ โ D. Insulating the governing body from
- A chemical restraint is defined as a psychoactive drug that A. produces adverse reactions and side effects requiring the attention of the interdisciplinary team. B. is useful in managing agitation in persons with dementia. C. may serve as an appropriate substitute for a physical restraint. D. is impermissibly used for discipline or convenience and is not required to treat medical symptoms. - โ โ D. is impermissibly used for discipline or convenience and is not required to treat medical symptoms.
B. Scraping the plates before washing them. C. Failing to wash their hands after handling soiled articles and before handling clean ones. D. Opening a window in the food service area. -soiled articles and before handling clean ones. โ โ C. Failing to wash their hands after handling
- Which of the following is a type of skin ulcer that is not caused by pressure over a bony prominence? A. vascular insufficiencyB. epidermal dystrophy C. unstageable D. necrotic - โ โ A. vascular insufficiency
- The facility submits a request for an IDR when it wishes to A. refute survey findings that have resulted in a statement of deficiencies. B. expand its number of Medicare-certified beds. C. challenge the reimbursement it has received under the Medicare Prospective Payment System. D. obtain a determination as to whether a Medicare beneficiary meets the "need for skilled services"criterion for a Part A covered stay. - โ โ A. refute survey findings that have resulted in a statement of deficiencies.54. When a health insurer pays a predetermined fixed monthly amount per plan member to cover all covered services, it is making what kind of payment? A. formulary
B. deductible C. extramural D. capitation - โ โ D. capitation
- Care Area Assessments (CAAs) are key steps in A. budgetingB. strategic planning C. developing plans of care D. reimbursement maximizing -14. According to federal certification standards, a resident's active record must contain all resident โ โ C. developing plans of care assessments completed A. since admission.B. within the previous 12 months. C. within the previous 15 months. D. within the previous two quarters. -15. Which of the following is the most important responsibility of a dietician? โ โ C. within the previous 15 months.
A. Cooking and serving meals B. Assessing nutritional needs and planning therapeutic dietsC. Ordering and properly storing food D. Hiring and supervising food service staff -therapeutic diet โ โ B. Assessing nutritional needs and planning
- A surveyor finds 2 significant medication errors and 3 non-significant errors while observing 50opportunities for error in the medication passes by 2 nurses to 9 residents. What is this facility's medication error rate?
C. More timely response by staff to resident requests for toileting assistance. D. Conducting activity programs near well-marked toilet rooms. - โ โ B. Use of sedative-hypnotics.
- A room can be kept under negative pressure by A. exhausting more air from the room to the outside than is being supplied to it by the ventilationsystem.
B. forcing air from the room and into the adjacent corridor and rooms. C. supplying more air to the room from the outside than is being exhausted from it by the ventilationsystem.
D. having a minimum number of air changes per hour. -to the outside than is being supplied to it by the ventilation system. โ โ A. exhausting more air from the room
- Where a conflict exists between state licensing rules and federal certification standards, which onetakes priority in the case of a certified facility?
A. the federal standard B. the state rule C. the more stringent of the two D. The choice is at the discretion of the survey team. -22. According to the federal certification standards, if the facility has a resident service furnished by an โ โ C. the more stringent of the two outside person or agency, there must be a written agreement that the facility assumes responsibility for"obtaining services that meet professional standards" and for which one of the following?
A. On-going training of the person furnishing the services. B. Income tax withholding and payment of FICA taxes for the person C. The timeliness of the services. D. Representation of the person or agency at the resident care-plan conference. -timeliness of the services. โ โ C. The
- Which one of the following statements is the primary reason why nurse's aides should receivetraining in communication skills?
A. They are the staff who most frequently come into contact with residents and family. B. They must develop plans of correction when the facility is cited for deficiencies by surveyors. C. It is important that they clearly express their job dissatisfaction to the facility administrator. D. Such training is required by federal certification standards and sometimes also by state licensureregulations. - โ โ A. They are the staff who most frequently come into contact with residents and family.
- The Medic are/Medicaid Requirements of Participation say that a two-resident room must have howat least how many square feet of usable floor space in total?
A. 200 B. 160C. 100
C. Washing hands after touching a resident's blood or urine, if gloves were worn at the time of contact. D. Using an antimicrobial soap for routine hand washing. -resident's blood or urine, if gloves were worn at the time of contact. โ โ C. Washing hands after touching a
- The facility employee most likely to assist a resident who is about to be discharged in contacting anoutside resource agency is the
A. occupational therapistB. social worker C. nurse's aide D. Director of Nursing - โ โ B. social worker
- For a long-term care organization to be successful under a case-mix based system of reimbursement,it should engage in which one of the following?
A. double-entry bookkeepingB. group purchasing C. accelerated method of depreciation D. integration of clinical and financial data systems. -systems. โ โ D. integration of clinical and financial data
- The facility must notify each resident that receives Medicaid benefits when the personal funds in theresident's account reaches _______________ the limit at which the resident may lose Medicaid eligibility. A. $200 less thanB. exactly C. $200 greater than D. anywhere between $200 less than and $200 greater than - โ โ A. $200 less than
- The Life Safety Code permits skilled nursing facilities to have which one of the following? A. bedroom doors with ventilation louvers B. non-fire-retardant Christmas trees as long as they are located near a fire extinguisher C. handrails with a one-inch clearance from the wall D. self-closing stairwell doors -28. At least how often must a pharmacist review the drug regimen of each resident? โ โ D. self-closing stairwell doors
A. weekly C. quarterlyB. monthly D. annually - โ โ B. monthly
- Which of the following is not an example of rehabilitation nursing? A. using a Foley catheter to heal bedsores B. providing ROM exercises for residents with a limited range of motion C. using prompted voiding for residents with urinary incontinence D. using task segmentation in assisting a resident to perform grooming tasks -catheter to heal bedsores โ โ A. using a Foley
- A 125-bed facility has 100 residents. What is its occupancy rate?
A. the facility's ranking among all the state's facilities in terms of percentage of residents who havecertain condition or are receiving certain services
B. deficiencies cited in past surveys C. errors on Medicare bills that have been electronically submitted D. the names of all persons and corporations who have a percentage of direct or indirect ownership inthe facility of 5 percent or more. - โ โ B. deficiencies cited in past surveys
- Which of the following statements about laundry is NOT true? A. Storage of clean linen in enclosed carts that are wheeled to resident floors or kept in clean utilityrooms helps to protect it against airborne contamination.
B. Ventilation should flow from the cleanest to the dirtiest areas. C. Clean linen should be stored in a manner that will protect it from contamination, such as in a portablecovered cart or closed closet used solely for storing linen.
D. Residents should be encouraged to collect their own linen from linen carts or closets. -Residents should be encouraged to collect their own linen from linen carts or closets. โ โ D.
- Which of the following tasks is NOT in the job description of a certified nurse's aide? A. providing residents with ROM B. taking temperature, pulse, and respiration, and reporting them to a nurse supervisor
C. applying a sterile dressing to an open wound D. assisting residents with oral hygiene - โ โ C. applying a sterile dressing to an open wound
- If a facility must notify a resident's physician about a significant change in the resident's status but theresident's attending physician cannot be reached, which of these steps should the facility take first
A. Call the Medical Director. B. Transfer the resident to a hospital.C. Assign another physician to the case. D. Call the physician designated by the attending physician to cover for him or her in his or her absence.- โ โ D. Call the physician designated by the attending physician to cover for him or her in his or her absence.
- A certified nursing facility must complete a performance evaluation of every nurse aide at least onceevery
A. month B. quarterC. 12 months D. two years - โ โ C. 12 months
- Of all the revenues going to all nursing facilities, the biggest source is A. MedicareB. Medicaid C. private out-of-pocket payments D. long-term care insurance -40. A resident often cries while receiving personal care. What should the nurse's aide generally do? โ โ B. Medicaid
A. bloodborne diseases and ways to reduce one's risk of exposure to them B. the significance of lockout and tagout devices C. the importance of protecting the confidentiality of patient information D. health hazards of chemicals in the workplace -workplace โ โ D. health hazards of chemicals in the
- The warm dampness of washing machines could make them breeding grounds for mold. Whatshould be done to prevent this?
A. Use a 1:3 bleach solution once every three loads. B. Swab the inside with a germicide once a day. C. Leave the washing machine open to air when not in use so that it dries completely. D. Keep the cover of the machine tightly closed when not in use. -machine open to air when not in use so that it dries completely. โ โ C. Leave the washing
- An alert and oriented resident tells staff that she does not want to see a person who has come to thefacility to visit her. What would be the most appropriate response by staff?
A. Tell the visitor how to contact the resident's immediate family. B. Tell the visitor that the resident is not available and to come back at a later time.
C. Tell the visitor that the resident refuses to see him and has the right to refuse to see visitors. D. Arrange for the resident and visitor to meet only when a staff member is present throughout the visit.- โ โ C. Tell the visitor that the resident refuses to see him and has the right to refuse to see visitors.
- A certified facility with more than 120 beds must employ a full-time A. social worker B. medical directorC. dietician D. MDS coordinator -47. The most important step in preventing transmission of infectious diseases in a nursing facility is... โ โ A. social worker
A. comprehensive physical examination of residents at the time of admission, and of employees at startof employment.
B. timely and thorough hand hygiene by staff. C. routine culturing of floors, table tops, and other environmental surfaces D. walking rounds through resident-care areas. - โ โ B. timely and thorough hand hygiene by staff.
- How soon after delivery of mail to the facility by the postal service must the facility deliver residents'mail to the residents?
A. ImmediatelyB. Within 4 hours C. Within 24 hours
C. Readmit the person as soon as a bed becomes available in a semi-private room shared with anotherresident of the same sex.
D. Place the person on the facility's waiting list, and readmit as soon as possible after all the otherpersons already on the waiting list have been admitted. - โ โ C. Readmit the person as soon as a bed becomes available in a semi-private room shared with another resident of the same sex.
