NURSING HOME ADMINISTRATOR LICENSURE
EXAM REVIEW COURSE
National Exam
Module 7
MOCK NATIONAL EXAM 7
This is a timed exam. You have exactly 3 hours to complete the exam
STAN MUCINIC, LNHA
Mock Exam 7 _National
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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 smucinic@yahoo.com with any questions or after you
score each exam.
Mock Exam 7 _National
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Mock Exam 7
1
When a change in a resident’s condition is significant, the facility must assess the resident’s
physical or mental condition within _____ days of identifying a significant change.
1.
2.
3.
4.
2
A facility must maintain _____ months of assessments in a resident’s active medical chart
1
2
3
4
3
Hazard Communication Standard
Blood Borne Pathogen Program
Lock Out/Tag Out
Life Safety Code
________ would cover a facility where the nursing staff gives a resident the wrong medication
resulting in injury to the resident
1.
2.
3.
4.
7
Subpoena
Tort
Indictment
Judgment
Protecting residents and staff from accidental or inadvertent electrical discharge from electrical
outlets and devices is the purpose of the _______.
1.
2.
3.
4.
6
7
10
14
21
A negligent or civil wrong is called a _______.
1.
2.
3.
4.
5
6 months
12 months
15 months
18 months
Within ___ days of completing an assessment, the facility must electronically transmit the
assessment data to the state
1.
2.
3.
4.
4
7
10
14
21
General Liability Insurance
Business Interruption Insurance
Property and Casualty Insurance
Professional Liability Insurance
A Nursing home administrator can _________
1.
2.
3.
4.
Ask workers if they attend union meetings
Attend union meetings
Contribute money to a union
Express their personal opinion as to the value of a union
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8
CIO stands for __________.
1.
2.
3.
4.
9
Residents most at risk for pressure ulcers are usually _______.
1.
2.
3.
4.
10
1 year
3 years
5 years
7 years
The _______ is responsible for the day-to-day management of the facility’s nursing program
1.
2.
3.
4.
14
At least 12 hours of in-services per year
In-services based on training needs identified in performance reviews
Performance reviews every 18 months
Providing training on caring for cognitively impaired residents
Per OBRA 1987, resident medical records must be retained for a minimum of _____ year(s)
from discharge.
1.
2.
3.
4.
13
National Institute for Organizational Safety and Health
National Institute for Occupational Safety and Health
Out of compliance with OBRA 1987
Within the grace period
Planning in-service education for nursing aides would not include ______
1.
2.
3.
4.
12
Obese
Bed or chair ridden
On a low sodium diet
Ambulatory
The organization responsible for researching safety protocols to protect workers in the work
place from diseases and occupational hazards is NIOSH. NIOSH stands for ____________.
1.
2.
3.
4.
11
Congress of Industrial Organizations
Consortium of Industrial Organizations
Congress of Independent Organizations
Consolidated Industrial Organizations
Governing body
Medical Director
Director of Nursing
Administrator
CMS stands for __________________.
1.
2.
3.
4.
Central Medicaid Services
Centers for Medicare and Medicaid Services
Center for Medicare Services
Center for Medical Services
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15
HHS stands for _______________________
1.
2.
3.
4.
16
Per OBRA 1987, medical records for minors must be retained for at least ____ year(s) after the
individual reaches legal age.
1.
2.
3.
4.
17
Public Health Service
Prescribed Health Service
Post Hospitalization Service
Pre Hospitalization Service
A facility would need a minimum of ____ square feet in a semi private room for with 2 residents
1.
2.
3.
4.
22
Medical Director
Director of Nursing
Governing body
Administrator
PHS stand for ________________
1.
2.
3.
4.
21
Be free of charge
Have adjustable volume for hearing impaired
Be located in resident rooms
Be cleaned daily
The ______ has legal responsibility to adopt and implement facility policies
1.
2.
3.
4.
20
Meals
Laundry
Activities
Television
A public telephone in a nursing facility must ______.
1.
2.
3.
4.
19
1 year
3 years
5 years
7 years
_____ would not be covered by Medicare
1.
2.
3.
4.
18
Health and Human Services
Human and Health Services
Higher Health Services
Health Services Administration
60
80
160
240
A private room must have a minimum of ____ square feet
1.
2.
3.
4.
60
80
100
120
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23
___________________ is a stage 3 pressure ulcer
1.
2.
3.
4.
24
OBRA stands for ____________.
1.
2.
3.
4.
25
Variance analysis
Statistical analysis
Financial Analysis
Analytical management
When the administrator asks the charge nurse to come to her office, this is an example of _______.
1
2
3
4
30
Perpetual existence
Limited liability
The ability to raise capital
Unrestricted liability of officers and directors
Managing only by responding to exceptions is called __________
1
2
3
4
29
Manually
Electronically
Digitally
Remotely
_________________ is not an advantage of doing business as a corporation.
1
2
3
4
28
30 inches
60 inches
80 inches
96 inches
The automatic smoke and fire detection systems must be connected to each other _____.
1.
2.
3.
4.
27
Omnibus Budget Reconciliation Act
Omnibus Budget Reconstruction Act
Oversight and Budget Reconciliation Agency
None of the above
The width required for 2 wheelchairs to pass is ____.
1.
2.
3.
4.
26
Extensive tissue loss down to the bone and muscle
Tissue loss of the upper and lower layers of the epidermis
A red patch of skin that is warm to the touch
A blistering or opening of the upper layer of the skin
Upward communication
Horizontal communication
Downward communication
Vertical communication
FICA stands for the ____________
1.
2.
3.
4.
Federal Insurance Contributions Act
Federal Income Contributions Act
Federal institutional Commitment Act
Federal Institutional Consolidation Act
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31
An unnecessary drug would not include ________.
1.
2.
3.
4.
32
Gathering information from the community to determine what needed services the facility can offer the
community is called a _____________:
1
2
3
4
33
3
6
10
14
A nursing aide must have provided nursing related services for compensation at least ____ during the
previous ___ months to maintain their certification status.
1.
2.
3.
4.
37
Safe Mechanical Devices Association
Safe Medical Devices Association
Safe Medical Devices Agency
Safe Medical Devices Act
Per SMDA, an injury must be reported within ___ days
1.
2.
3.
4.
36
OSHA and the Dept of Labor
FDA and OSHA
FDA and the manufacturer
EPA and OSHA
SMDA stands for _____
1.
2.
3.
4.
35
Market mix
Market audit
Product line
Market implementation
SMDA requires reporting injuries to the ________________
1.
2.
3.
4.
34
A drug whose side effects are worse than the condition it is meant to treat
A drug whose use is not demonstrated by the resident’s condition
A drug which duplicates the actions of another drug being taken by the resident
A drug that is administered at optimal stabilization levels
1 day or 8 hours, 24 months
2 days or 16 hours, 12 months12
3 days or 36 hours, 18 months
7 days or 56 hours, 24 months
A SNF must have fire drills _________
1.
2.
3.
4.
Monthly
Quarterly
Semi annually
Annually
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38
The air temperature in a nursing facility is measured ____.
1.
2.
3.
4.
39
The comfortable temperature range in a facility is _____degrees
1
2
3
4
40
MRSA
Nosocomial
Iatrogenic
Comorbid
Per OBRA 1987, the emergency generator does not have to power ___________
1.
2.
3.
4.
42
51-61
61-71
71-81
81-91
An infection that develops inside the facility is called _____
1.
2.
3.
4.
41
At floor level
Just above the floor
At ceiling level
Inside the wall
The emergency lighting system that illuminates all entrances and exits
The fire detection and alarm and extinguishment system
The life support systems
The air Conditioning system
Lighting of the means of egress must be continuous with exit floor surfaces illuminated at the level of
___ foot candle from the _____.
1.
2.
3.
4.
43
________ is not the responsibility of the consultant pharmacist.
1.
2.
3.
4.
44
Reviewing resident drugs monthly for unnecessary drugs
Ensuring medication records are in order
Destroying expired meds
Establishing a system to record receipt and disposition of all drugs
The most common cause of pressure sores is _____.
1.
2.
3.
4.
45
½ , ceiling
1 , floor
2, floor
3, floor
Shearing and friction
Incontinence
Senility
Poor nutrition
The acceptable medication error rate for a facility is ____%.
1.
2.
3.
4.
1%
2%
5%
7%
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46
A major cause of malnutrition in nursing home residents is _____
1.
2.
3.
4.
47
A full time social worker is required in a facility with ___
1.
2.
3.
4.
48
Theory W
Theory X
Theory Y
Theory Z
Communication occurs when _________.
1.
2.
3.
4.
52
Theory W
Theory X
Theory Y
Theory Z
________ states that employee morale is affected by negative perception of the
care provided by a facility and employees are less comfortable working there
1.
2.
3.
4.
51
Theory W
Theory X
Theory Y
Theory Z
A management theory where a manager believes workers do not like to work and are lazy is
called ______.
1.
2.
3.
4.
50
30 beds
59 beds
61 or more beds
120 or more beds
A management theory where a manager believes workers like to work and want to do a good
job is called ______.
1.
2.
3.
4.
49
Poor dentition
Unhealthy snacks
Dehydration
Poor cognition
A message is transmitted from one individual to another
A message is transmitted by one person and received by another
A message is transmitted by one person and received and decoded by another person
A message is transmitted by one person and received and decoded and understood by another
person
The Americans with Disabilities Act construction standards are enforced by _______.
1.
2.
3.
4.
NFPA
ANSI
Architecture and Transportation Barriers Compliance Board
EEOC
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53
The Americans with Disabilities Act construction standards were developed by _______.
1.
2.
3.
4.
54
A Medicaid resident receiving $1500 a month in Social Security pension is within ____ of losing their
Medicaid eligibility
1.
2.
3.
4.
55
NFPA
ANSI
NIOSH
DHHS
The federal government matches state Medicaid expenditures ranging from _____
1.
2.
3.
4.
57
$200
$360
$420
$500
_________ provides research and recommendations to OSHA regarding workplace safety
1.
2.
3.
4.
56
NFPA
ANSI
Architecture and Transportation Barriers Compliance Board
EEOC
50% to 83%
50% to 95%
40% to 60%
25% to 45%
______ fire extinguishers would be used for fires from burning paper, lumber, cardboard and plastics
1. Class A
2. Class B
3 Class C
4. Class D
58
_____ fire extinguishers would be used for metals such as magnesium and titanium
1. Class A
2. Class B
3 Class C
4. Class D
59
_____ fire extinguishers would be used for electrical appliances, outlets, power tools
1. Class A
2. Class B
3 Class C
4. Class D
Mock Exam 7 _National
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60
_____ fire extinguishers would be used for combustible or flammable liquids such as kerosene, and
gasoline
1.
2.
3
4.
61
A court appointed guardian is also called a ________
1.
2.
3.
4.
62
CMS
OIG
HCFA
State licensing agency
Maintaining a record of incidents and corrective actions regarding infections is assigned to the ______.
1.
2.
3.
4.
65
Residents need time to pack
A room change could result in an avoidable decline in physical, mental and psychosocial well being
Residents have the right to appeal room changes to the ombudsman
The resident’s attending physician must be notified in advance
Allegations of Medicare fraud would be reported to the ____.
1
2.
3.
4.
64
Testator
Solicitor
Conservator
Proxy
The main reason for informing a resident and any roommate(s) of a room change in advance is because
___________:
1.
2.
3.
4.
63
Class A
Class B
lass C
Class D
Infection control program
Medial director
Quality control program
Administrator
What is the average daily occupancy rate for June for a facility with a total of 3000 resident days for the
month?
1. 85
2. 95
3. 100
4. 110
66
A facility is cited for F371 H during an annual survey. The facility was cited for scope and severity of
_______?
1.
2.
3.
4.
No Harm – No Potential for Harm – Patterned
No Harm – But Potential for Harm – Isolated
Actual Harm – Immediate Jeopardy – Patterned
Actual Harm – Not Immediate Jeopardy – Patterned
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67
If a resident lacks capacity, and did not designate an individual to make decisions for them, which of the
following would be able to make decisions for them now?
1.
2.
3.
4.
5.
6.
7.
68
An individual who was determined to lack capacity to make decisions for themselves was reassessed
and determined to have capacity or has regained capacity. Who would now be able to make decisions
for the resident?
1.
2.
3.
4.
5.
6.
7.
69
An event in which the resident’s physician must be notified
An event that presents serious injury or death
An event which requires nursing staff to closely monitor a resident for a minimum of 48 hours
All of the above
Which of the following is not a sentinel event
1.
2.
3.
4.
72
Weight loss – usual weight divided by usual weight x 100
Usual weight – actual weight divided by usual weight x 100
Actual Weight – usual weight divided by usual weight x 100
Ideal Weight – usual weight divided by usual weight x 100
Which of the following is the definition of a sentinel event?
1.
2.
3.
4.
71
A guardian
A power of attorney
A proxy
A durable power of attorney
A designated health care surrogate
The resident can make decisions for themselves
A spouse or sibling
The percentage of weight loss is calculated as __________________
1.
2.
3.
4.
70
A guardian
A power of attorney
A proxy
A durable power of attorney
A designated health care surrogate
The resident can make decisions for themselves
A spouse or sibling
Fecal impaction
Dehydration
Pressure sores
Influenza
Aside from the required annual standard survey, which of the following conditions would not trigger an
abbreviated standard survey triggers for survey.
1.
2.
3.
4.
5.
Change of Ownership
Change of Medical Director
Change of Administrator
Change of Director of Nursing
Change of Management
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73
What must the surveyors hand the administrator in the entrance conference?
1.
2.
3.
4.
74
The Form 2567
A list of all deficiencies identified by the team
A copy of the long term care ombudsman’s report of investigations
A copy of the facility QM/QI and the OSCAR 3 and 4 reports to give the facility an opportunity to
explain any discrepancies before the sample selection list if finalized
True or False - A surveyor can request access to a resident in the middle of the night.
1. True
2. False
75.
The initial comprehensive assessment must be transmitted to the state within ____
days of completion of the assessment.
1.
2.
3.
4.
76.
The initial comprehensive assessment must be transmitted to the state within ____
days of admission of the resident.
1)
2)
3)
4)
77.
5
7
14
21
5
7
14
21
After the initial comprehensive assessment is transmitted to the state, the
comprehensive assessments for all residents must be transmitted to the state every
____ days thereafter.
1.
2.
3.
4.
14
30
60
90
Mock Exam 7 _National
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Mock Exam 7 - ANSWER KEY
Quest
#
Explanation
Ans
wer
1
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Performance reviews must be done every 12 months
The DON is responsible for the nursing program because only a licensed nurse can supervise
other nurses The medical director is responsible for the medical care in the facility The governing
body has ultimate legal responsibility to supervise the administrator and ensure residents are
properly cared for. All of the above will sued,,disciplined and sanctioned if facility failed to provide
care meeting professional standards of care
The main advantage of a corporation is limited liability for the owners
We manage by tracking each month on our P&L where we missed our target revenue and
expense goals
Three fire drills on each shift every 3 months equals 12 drills a year
The consultant pharmacist is not responsible to destroy although they do so in actual practice
Mock Exam 7 _National
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1
1
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3
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2
1
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3
6
2
2
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2
4
1
2
4
2
Theory Y = Yes Yes Good Good Theory X = XXX or Bad Bad Nooooooo
Theory Z = zero desire to work for a facility that has such a bad rep or bad care
3000/30 days = 100
Mock Exam 7 _National
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MOCK EXAM 7 – ANSWER SHEET
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Mock Exam 7 _National
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