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Exam (elaborations)

LTC Practice Tests 1-7

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LTC Practice Tests 1-7

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LTC PRACTICE TESTS 1-7 EXAM WITH
COMPLETE SOLUTIONS A+ GRADED
Who has the authority, under ordinary circumstances, to deny a resident a visitor? - Correct answer.A
resident may terminate ant any time a visit by a person having access to the resident's living area under
this section (63-1-1919(b) or The administrator of a facility may refuse access to the facility, any person if
the presence of that person in the facility would be injurious to the health and safety of a resident or
would threaten the security of the property of a resident or the facility for the commercial purposes.
(63-1-1919 (D) page 40).



How often shall the resident receive an accounting of their personal finances when the facility manages
their trust fund? - Correct answer.The resident shall have at least a quarterly accounting of any personal
financial transactions undertaken in the resident's behalf by a facility during any period of time the
resident has delegated such responsibility to the facility. (63-1-1918(B)(5) page 34). Shall provide each
resident's, or his representative with a written itemized statement on request of all financial transactions
involving the resident's fund (63-1-1920 (5) page 40)



Do you have to make your State Survey available to the public? - Correct answer.Yes. A complete copy of
every inspection report of the facility received from the Department during the last 3 years (63-1-
1919(1) page 14),



Do you have to make Resident's Rights available to the public? - Correct answer.Yes. Must be posted in a
conspicuous, easily accessible location in each facility. (61-1-1918(A) page 33).



Do you have to have current licensure information available to the public? - Correct answer.Yes. It shall
conspicuously post for display in an area of its offices accessible to residents, employees and visitors.
(61-1-1909 (A) page 13)



How many days notice, according to State Standards and State licensure regulations, must a facility not
participating in Medicare and Medicaid give before an involuntary transfer or discharge of a resident? -
Correct answer.Written notice shall be provided at least thirty (30) days in advance of the transfer or
discharge date to the resident, resident's legal representative, person responsible for payment of charges
for the resident's care, if different from any of the foregoing, and the Department. (310:675-7-4(b) (1)
page 31) OR Involuntary transfer or discharge of a resident from a facility shall be preceded by a
minimum written notice of then (10) days. (63-1-1927 page 56)

,Who destroys medications prescribed for residents after they've expired? - Correct answer.NON-
CONTROLLED medications prescribed for residents who have died and non-tolled medications which
have been discontinued shall be destroyed by both the DON and a licensed pharmacist or another
licensed nurse. CONTROLLED: shall be destroyed by a licensed pharmacist and the DON. (310:665-9-9-
1(e)(1) page 67)



Who are you required to notify when a long-term care resident complains of an adverse reaction to a
medication (according to Oklahoma State Department of Health rules)? - Correct answer.A resident's
adverse reactions shall be reported at once to the attending physician. (310:667-9-9-1 (4)(c) page 65).



Concerning CEU's, if the NAB has approved a class for credit, can you presume that OSBELTCA will also
approve that class? - Correct answer.Yes. (490:1-9-1 (e) page 11



According to OSBELTCA rules, how many days do you have to notify them of the relocation of your
business or personal mailing address? - Correct answer.15 calendar days. (490:1302(f) page 34)



According to Health Department Standards, how frequently is your facility required to provide in-service
training for fire safety and first aid? - Correct answer.Two hours of fire safety and fire aid classes semi-
annually (310:675-13-5(e) page 80)



What is the time frame for reporting resident abuse, neglect and/or exploitation to the State Health
Department, or allegations of abuse to the DHS/Long-Term Care Investigations Unit? - Correct answer.24
hours by telephone or fax. Follow-up within 5 days; Final report shall be in 10 days. (310:675-7-45-1 (a)
page 33)



How many days do you have (in addition to telephone reporting) to make an initial report of any incident
of resident abuse to the State Department of Health? - Correct answer.All reportable incidents shall be
made/reported by telephone or fax within 24 hours (310:675-7-5-1 (a) page 33)



If you have reasonable cause to believe that a vulnerable adult is suffering from abuse, neglect or
financial exploitation, you will make your report to either the Department of Human Services or the
office of the district attorney in the county the allegations occurred...When do you make the report? -
Correct answer.The facility shall be responsible for reporting the following serious incidents to the
Department within twenty-four hours (63-1-1939 (I) (1) (e) page 63)

, How long are a physician's oral orders for chemical restraints valid without a written order? - Correct
answer.The Physician's orders may be oral when an emergency necessitates parenteral administration of
the chemical restraint but is valid only until a written order can be obtained within FORTY-EIGHT hours
(310:675-9-6.1 (4) page 62)



How frequently are circumstances requiring physical restraints re-evaluated? - Correct
answer.Circumstances requiring the physical restraints shall be re-evaluated every 30 minutes and
documented in the clinical record. (310:675-9-6-1 (3) page 61).



How many days, per Nursing Home Care Act, is an owner of a licensed facility required to give notice
prior to voluntarily closing all or part of a facility that will require the transfer or discharge of more than
10% of its residents? - Correct answer.Any owner of a facility licensed under this act shall give ninety
(90) days' notice prior to voluntarily closing a facility or closing any part of a facility, or prior to closing
any part of a facility if closing such part will require the transfer or discharge or more than ten (10%)
percent of the residents. (63-1-1930 page 58).



Who is allowed to administer medications? - Correct answer.Medications shall be administered only be
a physician, registered nurse, a licensed practical nurse, or a certified medication aide. The only
injectables which a certified medication aide may administer are insulin and vitamin B-12 and then only
when specifically trained to do so. (310:675-9-9-1 (12) page 66).



Where are social services rendered recorded, and how frequently are progress notes written? - Correct
answer.The social services rendered shall be recorded in the resident's record. Progress notes shall be
written at least monthly, or when a significant change in a resident's condition occurs. (310:675-9-11.1



What happens if you fail to renew your license on time (and when is it due)? - Correct answer.If the
license is not renewed by the last day of the current licensing year, the license lapse. Prior to expiration
date of the current license (490:10-3-5(d) and (c) page 25).



Who issues licenses to Long Term Care Administrators? - Correct answer.OSBELTCA carries out statutory
authority for developing, imposing and enforcing standards (490:1-1-1 page 4)



How many days does a facility have to contest the non-renewal or revocation of a license or the
assessment of administrative penalties by notifying the Commissioner of its request for a hearing? -
Correct answer.If a facility desires to contest the nonrenewal or revocation of a license or the assessment

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