SMQT
PRACTICE EXAM QUESTIONS WITH
CORRECT DETAILED ANSWERS |
ALREADY GRADED A+<RECENT
vERSION>
1) What is a Pre-Admission Screening and Resident Review (PASARR)? -
ANSWER Screening to ensure that the facility coordinates with the
appropriate, States designated authority, to ensure that individuals with a
mental disorder, intellectual disability, or a related condition receive care
and services in the most integrated setting appropriate to their needs.
2) What pathway is used to investigate Quality of Care (QOC) concerns that
have no pathway? - ANSWER General CE Pathway
3) Can an interviewee's identity be revealed if the facility appeals a cited
deficiency and the deficiency is based on information from the interview?
- ANSWER Yes
4) What information is discussed at the team meeting end of day 1? -
ANSWER 1. Any newly identified harm or IJ concerns
2. Need to expand sample to rule out SQC
3. Status for any complaint/FRI
4. Pertinent findings
5. Work left to complete
6. Need to adjust workload
7. Status of 3 representative interviews
8. Concerns indicative of system failure
,5) What is reviewed during the Infection Control task? - ANSWER *All
surveyors observe for breaks in infection control throughout the survey.
1. Infection Prevention and Control Program
2. Antibiotic Stewardship
3. 5 residents for vaccinations
4. Transmission Based Precautions
5. Water Management
6. Laundry Services
7. Infection Preventionist training
6) Antibiotic Stewardship requirements - ANSWER 1. Antibiotic use
protocol on prescribing
2. Protocol to determine if antibiotic is indicated
3. Process for review of antibiotic use by prescribers
4. Protocols to ensure residents are prescribed appropriate antibiotic
5. System for feedback reports
7) Avoidable Decline - ANSWER The facility failed to do 1 or more of
the following:
1. Evaluate resident clinical conditions and risk factors
2. Develop and implement interventions consistent with resident
needs, goals, and standards of practice
3. Monitor and evaluate the impact of interventions
4. Revise interventions as needed
8) Determining Noncompliance - ANSWER 1. Specific action or lack of
action relative to requirement
2. The pracrice the facility failed to implement
3. What the facility did or did not do to cause the noncompliance
4. The actual or potential outcome that resulted from the noncompliance.
9) Reasonable Person Concept - ANSWER Used when a residents
psychosocial outcome may not be readily determined through the
investigative process. The team should determine the severity of the
, psychosocial outcomes that the deficient practice would have had on a
reasonable person in a similar situation.
10) Severity Factors - ANSWER 1. Resident condition
2. If staff followed P&P
3. Duration of event
4. Facility and staffs response to the issue
5. impact to the resident
11) What scope affects all residents in the facility, not a subset or hall.
EVERYONE? - ANSWER Widespread
12) Substandard Quality of Care - ANSWER 1. 1 or more
deficiency that poses IJ
2. Pattern of, or widespread deficiency at severity level 3
3. Widespread deficiency at severity level 2
13) Beneficiary Protection Notice (BPN) review - ANSWER 1.
Notification to resident when Medicare Part A ends
2. SNF ABN and NOMNC
***Needs more here ****
14) Above 41 degrees or below 135 degrees - ANSWER Danger
Zone
15) What is Critical Control Point (CCP) - ANSWER a specific
point, procedure, or a step in food preparation and serving at which
control can be exercised to reduce, eliminate, or prevent the possibility of
a food safety hazard.Cooking ,cooling, holding, reheating
, 16) What foods are Potentially Hazardous Food (PHF) and
Time/Temperature Control for Safety (TCS) foods? - ANSWER 1.
Ground Beef
2. Poultry
3. Fish
4. Cut Melon
5. Unpasteurized Eggs
6. Cottage Cheese
17) How should Potentially Hazardous Foods (PHF) be cooled? -
ANSWER Cool from 135 degrees to 70 degrees in 2 hours THEN 70
degrees to 41 degrees or lower within 6 hours.
At what temperature should hot foods be stored at? - ANSWER 135 degrees
or higher
At what temperature should cold foods be stored at? - ANSWER 41 degrees
or lower
At what temperature should food be reheated to? - ANSWER 165 degrees
for 15 seconds within 2 hours
Medication Administration Task - ANSWER 1. Observe 25 opportunities
(varity of routes) and facility has an error rate of less than 5%
2. Verify residents are free from significant medication errors
3. Reconcile observed medications with MD orders
4. Professional standards
5. Manufacturer specifications
6. Verify expiration dates
PRACTICE EXAM QUESTIONS WITH
CORRECT DETAILED ANSWERS |
ALREADY GRADED A+<RECENT
vERSION>
1) What is a Pre-Admission Screening and Resident Review (PASARR)? -
ANSWER Screening to ensure that the facility coordinates with the
appropriate, States designated authority, to ensure that individuals with a
mental disorder, intellectual disability, or a related condition receive care
and services in the most integrated setting appropriate to their needs.
2) What pathway is used to investigate Quality of Care (QOC) concerns that
have no pathway? - ANSWER General CE Pathway
3) Can an interviewee's identity be revealed if the facility appeals a cited
deficiency and the deficiency is based on information from the interview?
- ANSWER Yes
4) What information is discussed at the team meeting end of day 1? -
ANSWER 1. Any newly identified harm or IJ concerns
2. Need to expand sample to rule out SQC
3. Status for any complaint/FRI
4. Pertinent findings
5. Work left to complete
6. Need to adjust workload
7. Status of 3 representative interviews
8. Concerns indicative of system failure
,5) What is reviewed during the Infection Control task? - ANSWER *All
surveyors observe for breaks in infection control throughout the survey.
1. Infection Prevention and Control Program
2. Antibiotic Stewardship
3. 5 residents for vaccinations
4. Transmission Based Precautions
5. Water Management
6. Laundry Services
7. Infection Preventionist training
6) Antibiotic Stewardship requirements - ANSWER 1. Antibiotic use
protocol on prescribing
2. Protocol to determine if antibiotic is indicated
3. Process for review of antibiotic use by prescribers
4. Protocols to ensure residents are prescribed appropriate antibiotic
5. System for feedback reports
7) Avoidable Decline - ANSWER The facility failed to do 1 or more of
the following:
1. Evaluate resident clinical conditions and risk factors
2. Develop and implement interventions consistent with resident
needs, goals, and standards of practice
3. Monitor and evaluate the impact of interventions
4. Revise interventions as needed
8) Determining Noncompliance - ANSWER 1. Specific action or lack of
action relative to requirement
2. The pracrice the facility failed to implement
3. What the facility did or did not do to cause the noncompliance
4. The actual or potential outcome that resulted from the noncompliance.
9) Reasonable Person Concept - ANSWER Used when a residents
psychosocial outcome may not be readily determined through the
investigative process. The team should determine the severity of the
, psychosocial outcomes that the deficient practice would have had on a
reasonable person in a similar situation.
10) Severity Factors - ANSWER 1. Resident condition
2. If staff followed P&P
3. Duration of event
4. Facility and staffs response to the issue
5. impact to the resident
11) What scope affects all residents in the facility, not a subset or hall.
EVERYONE? - ANSWER Widespread
12) Substandard Quality of Care - ANSWER 1. 1 or more
deficiency that poses IJ
2. Pattern of, or widespread deficiency at severity level 3
3. Widespread deficiency at severity level 2
13) Beneficiary Protection Notice (BPN) review - ANSWER 1.
Notification to resident when Medicare Part A ends
2. SNF ABN and NOMNC
***Needs more here ****
14) Above 41 degrees or below 135 degrees - ANSWER Danger
Zone
15) What is Critical Control Point (CCP) - ANSWER a specific
point, procedure, or a step in food preparation and serving at which
control can be exercised to reduce, eliminate, or prevent the possibility of
a food safety hazard.Cooking ,cooling, holding, reheating
, 16) What foods are Potentially Hazardous Food (PHF) and
Time/Temperature Control for Safety (TCS) foods? - ANSWER 1.
Ground Beef
2. Poultry
3. Fish
4. Cut Melon
5. Unpasteurized Eggs
6. Cottage Cheese
17) How should Potentially Hazardous Foods (PHF) be cooled? -
ANSWER Cool from 135 degrees to 70 degrees in 2 hours THEN 70
degrees to 41 degrees or lower within 6 hours.
At what temperature should hot foods be stored at? - ANSWER 135 degrees
or higher
At what temperature should cold foods be stored at? - ANSWER 41 degrees
or lower
At what temperature should food be reheated to? - ANSWER 165 degrees
for 15 seconds within 2 hours
Medication Administration Task - ANSWER 1. Observe 25 opportunities
(varity of routes) and facility has an error rate of less than 5%
2. Verify residents are free from significant medication errors
3. Reconcile observed medications with MD orders
4. Professional standards
5. Manufacturer specifications
6. Verify expiration dates
