NURSING HOME ADMINISTRATOR LICENSURE
EXAM REVIEW COURSE
National Exam Module 7
Mock National Exam 1
This is a timed exam. You have exactly 3 hours to complete the exam
Stan Mucinic, LNHA
Legal Notices
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.
THE INSTRUCTOR MAKES NO EXPRESS OR IMPLIED WARRANTY OR REPRESENTATION OF ANY KIND THAT COMPLETION OF THIS OR ANY LICENSURE PREPARATION COURSE OFFERED BY INSTRUCTOR WILL GUARANTEE A PASSING SCORE ON ANY LICENSING EXAM.
An individual’s ultimate success in passing the licensure exam is dependent on an individual’s professional experience, academic preparation, and the time and energy the individual can commit to exam study and preparation.
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 1
1. Late
2. Timely
3. Within the grace period
4. In accordance with OBRA 1987
2 / The ______has ultimate legal responsibility for the operation of a nursing facility
1 Medical Director
2 Nursing home Administrator
3 Long term care ombudsman
4 Governing body
3 / Per OBRA 1987, air temperature is measured ______.
1. At ceiling level
2. At level with the thermostat control box
3. Just above the floor
4. 18 inches below the ceiling
4 / The ______requires employers to give workers time off for illness or to care for a sick family member.
1. Equal Employment Opportunity Act
2. Family Medical Leave Act
3. Health Insurance Portability and Accountability Act
4. Civil Rights Act
5 / The ______hires, supervises and can fire the administrator
1. State health department
2. CMS
3. Governing body
4. State nursing home licensing board
6 / The administrator discovers the Director of Nursing has been giving nursing aides 6 months to complete their state certification requirements. The administrator should ______.
1. Be very pleased
2. Commend the Director of Nursing for thoroughly training staff
3. Recommend other facilities implement the same practice
4. Reprimand the DON
7 /
The rights of an individual determined by a court to be incompetent would be exercised by a(n) ______.
1. Attorney in Fact2. A person appointed by a court or court guardian
3. Durable power of attorney
4. Ombudsman
8 / 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 _____.
1. Approve the request
2. Inform the maintenance director he must have worked 12 months to be eligible for FMLA
3. Approve the request but inform the employee that he must pay for the full cost of his insurance benefits.
4. Inform the employee that taking care of an ill parent is not covered under the FMLA
9 / Per OBRA 1987, a resident has the right to review all their records within ____ of an oral or written request (excluding weekends and holidays).
1. 24 hours
2. 36 hours
3. 48 hours
4. 72 hours
10 / The comprehensive assessment was completed on June 1. The care plan was completed on June 6th. The care plan was completed ______.
1. Late
2. Timely
3. Out of compliance with OBRA 1987
4. Within the grace period
11 / The comprehensive assessment must be signed by ______.
1. MDS Coordinator
2. Registered Nurse
3. Medical Director
4. Attending Physician
12 /
The ______has legal responsibility for the day to day operation of a skilled nursing home.
1. Governing body2. Medical Director
3. Director of Nursing
4. Administrator
13 / The ______is responsible for the day-to-day management of the facility’s nursing program.
1. Governing body
2. Medical Director
3. Director of Nursing
4. Administrator
14 / CMS stands for ______.
1. Central Medicaid Services
2. Centers for Medicaid and Medicare Services
3. Center for Medicare Services
4. Center for Medical Services
15 / HHS stands for ______
1. Health and Human Services
2. Human and Health Services
3. Higher Health Services
4. Health Services Administration
16 / The new administrator starts December 1 2007 and reviews the minutes of the Quality Assurance Committee. The committee met the second Tuesday on January 7, 2007, June 21 2007 and November 15, 2007. The administrator should ______.
1. Be reassured the meetings were held timely
2. Change future meeting dates to January, May, July and September to bring the facility
into compliance with OBRA 1987
3. Change the meeting dates to ensure he or she can attend the meetings are required
4. Change the meeting dates to the first Tuesday of January, April, July and October to
bring the facility into compliance with OBRA 1987
17 / A resident was only given lunch that day, was given the wrong medication in the morning, had her room changed without notification and was not given a bath as requested. Per OBRA 1987, how many resident rights were violated?
1. 1
2. 2
3. 3
4. 4
18 /
A resident was admitted on June 1, 2007. The attending physician charted a visit and physical examination on June 27, 2007, July 29, 2007 and Sept 4, 2007. With respect to required physician visits per OBRA 1987, the facility ______.
1. Was in compliance and would not be cited2. Is not responsible to ensure timely physician visits
3. Was out of compliance and would be cited
4. The facility would only be cited if there was actual harm to a resident
19 /
The ______has legal responsibility to adopt and implement facility policies.
1. Medical Director2. Director of Nursing
3. Governing body
4. Administrator
20 /
A resident was admitted on June 1, 2007. The attending physician charted a visit and physical examination of the resident on June 27, 2007, July 29, 2007, Sept 4, 2007 and November 17, 2007. Per OBRA 1987 with respect to required physician visits, the facility ______
1. Complied with required physician visits2. Would be cited for a late visit in November
3. Is not responsible for late physician visits and would not be cited
4. The facility would only be cited if there was actual harm to a resident
21 / 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 ______.
1. Was out of compliance and would be cited
2. Fully complied with all requirements
3. Must transfer these residents to another facility
4. Must immediately transfer these residents to the care of the medical director
22 / 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 housekeeper, and seeing there is no response from the resident, decides to enter the room and begins cleaning. The housekeeper should be ____.
1. Commended for her efficiency in keeping to her schedule
2. Promoted to Director of Housekeeping Services
3. In-serviced
4. Transferred to the night shift
23 / ______is not an element of a Total Quality Management (TQM) program
1. Constantly improving production and service
2. Making workers responsible for quality at the source
3. Total involvement of management
4. Centralize decision making to improve customer service
24 / The ______is responsible to prepare and serve nutritious meals under sanitary conditions.
1. Nursing Department
2. Activities Department
3. Dietary Department
4. Administration Department
25 /
All furniture, equipment, boxes and supplies must be elevated ____ inches above the floor to allow the floor directly underneath to be cleaned
1. 32. 6
3. 9
4. 12
26 /
______is the most comprehensive and effective improvement model
1. Total Quality Management2. Quality Assurance
3. Continuous Improvement
4. Performance Improvement
27 / The ______coordinates all work activities in the facility and resolves conflict between departments.
1. Nursing Department
2. Activities Department
3. Dietary Department
4. Administration Department
28 / HCFA stands for ______.
1. Health Care Financing Authority
2. Health Costs Financing Administration
3. Health Care Financing Administration
4. Health Care Financing Agency
29 /
Telephone cords must be a minimum length of ______.
1. 12 inches2. 15 inches
3. 24 inches
4. 29 inches
3O /
To save money, the administrator of a 100 bed facility reduced the hours of the dietary service manager to 20 hours per week. The governing body should ______.
1. Commend the administrator for substantial cost savings2. immediately increase the manager’s hours to 30 hours per week
3. Restore the dietary manager’s hours to full time and eliminate the consultant dietician
4. Reprimand the administrator
31 /
Adding baking soda to food will primarily affect its ______.
1. Nutritive value2. Palatability
3. Attractiveness
4. Temperature
32 /
The resident’s quality of life and physical condition is the focus of:______.
1. Structure2. Process
3. Outcomes
4. All of the above
33 / ______is not typical of a TQM program
1. Empowering employees
2. Use of teams
3. Individual responsibility
4. Minimal training of staff
34 /
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
1. Nursing department2. Social Services director
3. Administrator
4. Business office
35 /
Electrical switches must be located at a minimum of ___ inches above the floor
1. 62. 12
3. 15
4. 24
36 /
Stooped posture, shuffling gait, garbled speech and tremors are symptoms of ______.
1. Senile dementia2. 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 / Grab bars and railings must support a minimum weight of ______pounds
1. 100
2. 150
3. 200
4. 250
39 / The emergency generator must be visually inspected and checked ______.
1. Daily
2. weekly
3. Monthly
4. Quarterly
40 / Federal resident care standards are now ___ and ___ and are no longer considered minimal standards.
1. State of art, maximal
2. Outdated, irrelevant
3. Disputed, questioned
4. Voluntary, minimal
41 / The largest payor source for long term care is ______.
1. Private pay
2. Managed care
3. Medicare
4. Medicaid
42 / The average short term stay for a Medicare resident is ______.
1. 15 days
2. 30 days
3. 45 days
4. 90 days
43 / ANSI stands for ______.
1. American National Standards Institute
2. Association of National Safety Inspectors
3. Architectural National Safety Institute
4. Agency for National Safety Initiatives
44 / Non-compliance affecting a limited number of residents and locations
would be assigned a scope of ______.
1. Isolated
2. Patterned
3. Widespread
4. Saturated
45 / TQM is not characterized by ______
1. Most comprehensive and involved
2. Minimal involvement of upper management
3. An interdisciplinary approach
4. Most effective quality improvement model
46 / Administrators consult ______to compare outcomes to expectations.
1. Governing body
2. State surveyors
3. Policies and plans of actions
4. Residents and families
47 / A resident with Parkinson’s would not benefit by ______
1. Range of motion exercises
2. Bed rest
3. Reality orientation using clocks and, calendars
4. Attending church services and visits with friends and family
48 / The states cannot ______to compel facilities to correct class 1 deficiencies found during
Inspections
1. Require a plan of action by facility to correct deficiencies
2. Impose daily fines
3. Impose a moratorium on new admissions, suspension or revocation of license
4. Impose civil or criminal penalties
49 / 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
1. Level 1
2. Level 2
3. Level 3
4. Level 4
50 / Parking spaces must be at least ___” wide with an accessible handicap aisle at least __” wide.
1. 36”, 48”
2. 96”, 60”
3. 46’, 52”
4. 24”, 38”
51 / A broad statement of goals is a ______.
1. Plan of action
2. Mission statement
3. Policy
4. Procedure
52 / Long term residents should be surveyed regarding satisfaction with services _____.
1. Just before state inspection/survey
2. Annually
3. As requested by resident council
4. Shortly after discharge
53 / Which is not true of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)?
1. JCAHO is a private organization that accredits hospitals and nursing homes
2. JCAHO can impose civil fines
3. JCAHO accreditation and membership is voluntary for nursing homes