MS State Nursing Home Administrator Test Questions With Correct Solutions

MS State Nursing Home Administrator Test 18 - ANS 24 / 3 - ANS Food Supply of perishable foods for at least a ______ hour period and or non-perishable foods for a ____ day period shall be on the premises to meet the requirements of the planned menues Administrator - ANS ________________ is a person who is delegated the responsibility for the interpretation, implementation, and proper application of policies and programs established by the governing authority. Bed Capacity - ANS _______________ is largest number which can be installed or set up in a facility at any given time for use of residents, as printed on the certificate of licensure. Bed Count - ANS ____________ is the number of beds that are actually installed or set up for residents in a facility at a given time. 50% - ANS Change of Ownership happens when an entity acquires a majority interest of _______ or more of the facility or services. Covered Entity - ANS _______________ is a licensed entity or a healthcare professional staffing agency. Licensed Entity - ANS _______________ is a hospital, nursing home, personal care home, home health agency or hospice. 6 am to 6 pm - ANS Day shift is a minimum of 8 hour period between __________________ Governing Authority - ANS A __________________ are owners, Board of Governors, Board of Trustees, or any other comparable body duly organized and constituted for the purpose of owning, acquiring, constructing, equipping, operating and/or maintaining a facility, and exercising control over the internal affairs of said facility. Infectious Medical Waste - ANS includes solid or liquid wastes which may contain pathogens with sufficient virulence and quantity such that exposure to the waste by a susceptible host has been proven tot result in an infectious disease. Institutions of rhe Aged or Infirm - ANS _____________________is a place either governmental or private which provides group living arrangements for 4 or more persons who are unrelated to the operator License - ANS ______________ is a document issued by the licensing agency and signed by the State Health Officer of the Mississippi State Department of Health. Licensure - ANS ______________shall constitute authority to receive residents and perform the services including within the scope of these rules, regulations, and minimum standards. Licensed Facility Representative - ANS _____________ is an employee of the licensed facility Licensee - ANS __________________ is a person to which the license is issued and upon whom rests the responsibility for the operation of the institution in compliance with these rules, regulations, and minimum standards. IGRA (Interferon-Gamma Release Assay - ANS _______________ this is a whole blood test used in to assist in diagnosing Mycobacterium Tuberculosis infection blood test used must be approved by the US Food and Drug Administration Licensing Agency - ANS _________________ is the Mississippi State Department of Health Mantoux Test - ANS _______________is a method of skin testing that is performed by injecting (.1) milliliter of purified protein derivative-tuberculin into skin and examined between 48-72 hours after the injections. Medical Waste - ANS ________________ is all non-infectious waste generated in direct resident care or in diagnostic or research areas that is non-infectious but aesthetically repugnant if found in the environment 60 beds - ANS The maximum nursing unit shall be _________ Patient / Resident - ANS ________________is a person admitted to a facility for care 15 hours - ANS Qualified Dietary Manager must earn _________ of continuing education units every year approved by the dietary managers association Restraints - ANS _____________ include any means, physical or chemical, which is intentionally used to restrict the freedom of movement of a person. 24 hours - ANS Orders for restraints shall be written and signed by the physician within ___________ . 3 weeks - ANS Two-step testing is a procedure used for the baseline testing of person who will periodically receive TB skin test. The second test is repeated 1 to ______ after first test. 2.8 / 24 - ANS Minimum requirements for nursing staff shall be based on the ratio of ______ hours of direct nursing care per resident per _____ hours. 5 days - ANS Director of Nursing is a registered nurse, who should be employed on a full time basis working ______ per week, and be responsible for all nursing services in the facility. 180 beds - ANS Facilities of ___________ or more shall have an ADON, who shall be a registered nurse 60 beds or less - ANS In facilities with _______ , the director of nursing services may serve as a charge nurse. 60 beds or more - ANS In facilities with ______ , the charge nurse may not be the DON or the medication/treatment nurse 7 day - ANS The facility must have _____ coverage on the day shift by a registered nurse. 2 employees - ANS There shall be a least _____ in the facility at all times in the event of an emergency March 31 - ANS Each license shall expire on __________ following the date of issuance. Admission Agreement - ANS _____________ must contain basic charges agree upon, period to be covered in the charges, services for which special charges are made, agreement regarding refund for any payments made in advance.. Emergency Operation Plan - ANS EOP stands for ___________________, which is a developed and maintain written preparedness plan utilizing the "All Hazards" approach to emergency and disaster planning. 1 per / 4 times - ANS Fire drills shall be conducted ______ shift per quarter. Employees shall participate in a fire drill at least ______ per year. evacuation - ANS Fire _____________ plan for the facility shall be posted in each facility in a conspicuous place and kept current annually - ANS All staff of a facility shall receive a employee health screening by a licensed physician, registered nurse, or NP/physician assistant prior to employment and ________ thereafter. Max 60 beds - ANS Nursing unit shall be ______ 1/8 / 36 - ANS Window area shall not be less than _____ of the required floor area in residents bedroom or sill shall not be over ______ inches from the floor 100 / 80 - ANS Minimum usable floor area per bed shall be as follows: private room ______ square feet, multi bed room ______ square feet, per resident. 3 sides - ANS Cubicle curtains shall completely enclose the bed from ______. 4 inches - ANS The resident shall be provided with either an adjustable bed or a regular single bed, according to needs of the resident, with a good grade mattress at least _____ thick. Minimum accommodations for each resident - ANS The _______________________ is a bed, pillow, linens, and necessary coverings, chair, bedside cabinet or table, storage space for clothing, toilet articles, and personal belongings including rod for clothes hanging, means at bedside for signaling attendants, bed pans or urinals for residents who need them, and over bed tables are required. 2 beds - ANS Bedrooms in new facilities shall be limited to _____. 30 beds - ANS Each facility shall have a special care room which shall be a single bedroom with a least a private half bath. There shall be a room for each ______ beds or major fraction thereof and may be located anywhere in the building rather than a certain number per station. 3 / 6 - ANS The minimum area for a room containing only a toilet shall be ________ feet by ______ feet. 2 per - ANS Combination toilet and lavatory _____ per nursing unit. Handrails shall be provided for all tubs, showers, and commodes. 30 / 60 - ANS Bathing facilities 2 per nursing unit and a minimum showers shall be ______ inches by _______ inches without curbing 30 days / annually - ANS Each resident shall be given a complete physical examination __________ prior to admission and __________ thereafter. Acitivities of daily living - ANS ADL stands for _____________, which includes bath, dressing and grooming, transfer and ambulate, good nutrition, personal and oral hygiene, and toileting. 60 days - ANS The resident shall be seen by a physician or NP every _______. 30 days - ANS Pharmacy Consultation must provide a drug regimen review in the facility on each resident every ________ by a licensed pharmacist 60 / 5 / 21 / 3 - ANS Medical records of discharged residents shall be completed within ______ days following discharge. Medical records are to be retained for _______ years from the date of discharge or, in the case of a minor, until the resident reaches the age of _____, plus an additional _____ years 3/4 / 15 - ANS A dining area shall be provided in facilities with adequate seating of at least ______ of the maximum capacity of the facility with a minimum of _____ square feet per person. 15 square feet - ANS The dining room area must be a minimum of _______ person 18 square feet - ANS Living and or recreational room area should be a minimum of ___________ per bed 3 / 24 - ANS A least _____ meals in each ______ hours shall be provided. 2-3 servings - ANS A minimum of _____ of meat, poultry, fish, dried beans, eggs, or meats. (4-6 oz daily) 2 servings - ANS A minimum of _____ of milk, yogurt, and cheese group 5 servings - ANS A minimum of _____ of vegetables and fruits. This shall include a vitamin C source daily and a vitamin A sources 3-4 times a week 6 servings - ANS A minimum of _____ of breads, cereals, and pastas 30 days at least - ANS Copies of menus and substitutions shall be kept on file for at __________ 14 hours - ANS There shall be no more than _________ between evening meal and breakfast meal 16 hours - ANS There may be __________ between the evening meal and breakfast meal if approved by the resident involved and a substantial snack (including protein) is served before bedtime. Floors - ANS _________ in food service areas shall be of such construction so as to be easily cleaned, sound, smooth, non-absorbent, and without cracks or crevices. Walls and ceilings - ANS ____________ in food service areas shall be of tight and substantial construction, smoothly finished, and painted in a light color without leaks. Screens - ANS ___________ in food service areas shall open to the outside and doors should have self closing devices 30 foot - ANS In the kitchen artificial light shall be properly distributed and of an intensity of not less than __________ candles shall be provided 32-40 / 40-45 / 41 - ANS Storing perishable foods are as follows: meats and dairy products at ___________ degrees Fahrenheit, Fruits and vegetables at __________ degrees Fahrenheit, if it is impractical to provide separate refrigeration, the temp shall be maintained at ________ degrees Fahrenheit. 24 beds - ANS Homes with more than ___________ shall have commercial or institutional type refrigeration and dishwashing equipment. 3 / 8 - ANS Kitchen size and dimensions should be a least ____ feet between working areas and wider if space is used as a passageway and provide a ceiling height of at least _____ feet. 24 / 24 / 16 - ANS Pot and pan sink should have 3 compartments with each compartment being a minimum _______ inches by _____ inches by ________ inches. 30 inches - ANS A drain board of approximately ______ inches shall be provided at each end of the sink, one to be used for stacking soiled utensils and the other for draining clean utensils 180 degrees - ANS If sanitizing is to be accomplished by hot water, a minimum temperature of ______ Fahrenheit shall be maintained during the rinsing cycle. 2 1/2 / 3 - ANS The minimum area for food storage room shall equal ______ square feet per bed and the width of the aisle shall be a minimum of ______ feet. 15 pounds - ANS Water under pressure of at least _________ per square inch shall be piped to all sinks, toilets, lavatories, tubs, showers, and other fixtures requiring water. It is recommended that the water supply into the facility can be obtained from 2 separate water lines if possible. 115 / 100 - ANS The temperature of hot water to lavatories and bathing facilities shall not exceed ______ degrees Fahrenheit, nor shall hot water be less than _______ degrees Fahrenheit. Trapped drains - ANS All liquid and human waste, including floor wash water and liquid waste from refrigerators, shall be disposed of through _________________ into a public sewer system where such system is available. Damp - ANS All sweeping and dusting should be ___________ with a good detergent or germicide. 2 feet - ANS Laundry chutes shall have a minimum diameter of _________ and they shall be installed with flushing ring, vent and drain 75-80 - ANS Adequate heating and cooling shall be provided in all rooms used by residents so that a minimum temperature of 75-80 degrees Fahrenheit may be maintained 10 / 30 - ANS There should be a minimum of _______ foot candle of lighting for general use in residents room and a minimum ______ foot candle of lighting for reading purpose. 16 - ANS All screen doors and non stationary windows shall be equipped with tight fitting full length, _______mesh screens 8 / 7'6" - ANS All ceilings shall have a height of a least _______ feet except that a height of _________ may be approved for corridors or toilets and bathing rooms where the lighting fixtures are recessed 32-36 - ANS Handrails should be installed from ____________ inches above floors 1 / 12 - ANS Ramps and inclines, where installed fro the use of residents, shall not exceed ______ foot of rise in ______ feet of run 12 inches - ANS All foods must be stored a minimum of ___________ above the floor 5 square feet - ANS A minimum area equal to at least ____________ per bed shall be provided for general storage. Substandard Quality of Care - ANS ___________is one or more deficiencies related to the regulatory requirements which constitute with immediate jeopardy to resident health or safety, or a pattern or widespread deficiencies at level 3 severity or widespread deficiencies at level 2 severity Substandard Facility - ANS ____________ is a facility which is found to be in violation of any of the regulations on the current licensure visit and has been found to be in violation of any of the afore cited regulations during the previous regular re-licensure visit, or any intervening revisit or complaint investigation Level 1 - ANS Potential for causing no more than a minor negative impact on the residents Level 2 - ANS Noncompliance that results in minimal physical, mental, and/or psychosocial discomfort to the resident and/or has the potential to compromise the resident's ability to maintain and/or reach his/her highest practicable physical, mental and/or psyco-social well being as defined by an accurate and comprehensive resident assessment, plan of care, and provision of services Level 3 - ANS Noncompliance that results in a negative outcome that has compromised the resident's ability to maintain his/her highest practicable physical, mental and psyco-social well being as defined by an accurate and comprehensive resident assessment, plan of care, and provision of services. Level 4 - ANS Immediate jeopardy, a situation in which immediate corrective action is necessary because the facility's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident receiving care in a facility. Medical Director - ANS ______________is responsible for implementing care polies and coordinating medical care, and who is directly accountable to the management of the institution of which it is a distinct part 24 / 2 - ANS Upon an oral or written request, to access all records pertaining to himself or herself including current clinical records within _______ hours. After receipt of his or her records for inspection, to purchase at a cost not to exceed the community standard photocopies of the records or any portions of them upon request and _____ working days advance notice to the facility. 30 day notice - ANS a _____________ of transfer or discharge required before the resident is transferred or discharged $50 - ANS The facility must deposit any residents' personal funds in excess of ________ in an interest bearing account. $200 - ANS The facility must notify each resident that receives Medicaid benefits when the amount in the resident's account reaches ________ less than the SSI resource limit for one person 120 beds - ANS A facility with more than _________ must employ a qualified social worker on a full time basis 71-81 - ANS Comfortable and safe temperature levels. FAcilities initially certified after October 1, 1990 must maintain a temperature range of ______________ degrees Fahrenheit 14 calendar days - ANS A facility must conduct a comprehensive assessment of a resident in accordance with the timeframes specified within __________ after admission or facility determines a significant change...not less often than once every 12 months 15 months - ANS A facility must maintain all resident assessments completed within the previous ______ in the resident's active record. 7 days - ANS Within ______ after a facility completes a resident's assessment, a facility must encode data the assessment 14 days - ANS Within 14 days after a facility completes a resident's assessment, a facility must electronically transmit encoded, accurate, and complete MDS data to the CMS system 5% - ANS The facility must ensure that it is free of medication error rates of _________ or greater 30 / 90 / 60 - ANS The resident must be seen by a physician at least once every _____ days for the first ______ days after admission, and at least once every ________ days thereafter. 3 members - ANS Quality assessment and assurance committee must consist of the DON, MD, and at least ________ of the facility staff egress - ANS Swinging fire doors shall be permitted in horizontal exits providing the doors shall swing in the direction of _________ travel 44 - ANS Each bridge or balcony shall not be less than the width of the door to which it lead and not be less than ______ inches wide for new construction 8 feet - ANS Aisles, corridors and ramps required for exit access in a hospital or nursing home shall be not less than _____ feet in clear and unobstructed. 41 1/2 - ANS The minimum clear width for doors for resident rooms. 1 inch - ANS Fire doors and fire windows, shall not be required clearance between the bottom of the door and the floor covering not exceeding _______ shall be permitted for corridor doors 1 hour - ANS Smoke barriers shall be constructed in ________ fire resistance rating 10% - ANS No more than of the resident census of the A/D unit shall require assistance during any staffing shift Alzheimer's Disease - ANS The term___________ means a chronic progressive disease of unknown case that attacks brain cells or tissues Dementia - ANS The term________________ means a clinical syndrome characterized by a decline of long duration in mental function in a alert individual 3 / 24 hours - ANS Minimum requirements for nursing staff on A/D unit shall be based on the ratio of ______ hours of nursing per resident per ________ hours Quarterly - ANS Orientation training and _____ training must be provided to all staff who may be in direct contact with residents on a A/D unit Self closing - ANS All fire doors in horizontal exits shall be ______________ 32 inches - ANS doors that are located so as not to be subject to use by any health care occupant shall not be less than ________ Exit - ANS every habitable room shall have an ___________ to a corridor 50 persons - ANS smoke barriers are necessary to divide area with _________ or more by floor air leakage - ANS doors in horizontal exits shall be designed an installed to minimize _________________ 44 inches - ANS minimum new ramp width 1 in 12 - ANS maximum slope for new ramps 1 in 48 - ANS maximum cross slope for new ramps 30 inches - ANS maximum rise for a single ramp run 44 / 1 in 10 / 12 - ANS existing ramps width, slope, height class A 30 / 1 in 8 / 12 - ANS existing ramps width, slope, height class B 8 feet - ANS corridors and ramps required of exit access shall not be less than __________ 7 - ANS The MS board should consist of _____________ persons 64 / 2 - ANS Minimum _______ college hours with ______ years work supervisor experience 2 years - ANS all licenses are a max of ____________ calender quarter - ANS board meets once every 10 days - ANS how many days notice to NHA before the rules and regulation are in place 1040 - ANS AIT program is ___________ hours 3 months - ANS temporary permit NHA is max of _________ in a year 6 months - ANS Minimum period of consecutive ________ for the AIT program 90 days - ANS AIT candidate shall be deemed to have abandoned the application if he does not begin the program within ____________ of acceptance 40 / 7a - 7p - ANS AIT program is a ________ hour week between ____________ 8 hours - ANS minimum amount of time with preceptor per week is ________ 18 months - ANS Failure to successfully complete the licensing requirements within ____________ after beginning the AIT program will result in the loss of all accomplishments and fees annually - ANS Preceptor training is offered _________ by the board 2 / bi-annually - ANS Preceptor certification is for a period of __________years renewed _____________ 100 miles - ANS Preceptor must work within _________ of the AIT 30 days after - ANS reexamination of the state exam may be taken ____________ failure 90 days after - ANS reexamination of the federal exam may be taken no sooner than ___________ failure 1 year - ANS If applicant has failed 3 times he shall have to wait __________ before submitting a new application 75% - ANS You must make ________ or higher on the state exam 5 years - ANS NHA with expired license of no more than ________ can reinstate themselves in 1-3 years by obtaining continuing education by state, 3-5 years serve an internship for 12 weeks and pass state test 10 hours - ANS Continuing education of _________ max will be accepted from individually approved programs per 2 year licensure period 40 hours - ANS Total of ____________ of continuing education in a 2 year period Administrator dies or becomes incapitated or resigns unexpectedly - ANS No administrator shall administered more than one nursing home except temporarily in the event an _________ 50 miles - ANS If an administrator is governing 2 nursing homes they must be within ________ of each other 16 hours - ANS If an administrator is governing 2 facilities he/she must spend __________ at each facility each week 10 days - ANS if an administrator is vacant the governing body must submit a plan to correct deficiency within _____________ 90 / 1 - ANS the max of governing 2 nursing homes for an administrator lasts _____90 days and can be renewed _____ time