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Comprehensive Nursing Home Administrator Exam Review: Laws, Regulations, and Daily Practices

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Comprehensive Comprehensive Nursing Exam Review: Laws, Regulations, and Daily Practices

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1 | Page

Comprehensive Nursing Home
Administrator Exam Review: Laws,
Regulations, and Daily Practices

What is an asset that can be quickly converted to cash without
appreciable loss? --Verified--Solution----Liquid


What is the minimum staffing level required by CMS? --Verified--
Solution----2.0 PPD


Under what circumstance may the DON serve as charge nurse? --
Verified--Solution----A waiver has been obtained from the state health
department


Which is NOT an indicator of inadequate nurse staffing? --Verified--
Solution----Nurse staffing information is not posted as required


What is the most important aspect of resident care? --Verified--Solution-
---Staff attitudes towards residents


Which is NOT recommended as part of an infection control program? --
Verified--Solution----Antibiotic log


What type of incontinence is characterized by urine leakage with
coughing or laughing? --Verified--Solution----Stress

,2 | Page


What type of vision problem is characterized by seeing straight lines as
crooked? --Verified--Solution----Macular degeneration


Which behavioral intervention may not be appropriate for demented
individuals? --Verified--Solution----Reality orientation


How long can door locks engaged by wandering residents work? --
Verified--Solution----15 seconds


What is the single best preventative measure for pressure ulcers? --
Verified--Solution----Frequent turning and re-positioning


Which model of care uses plants, pets, and children to combat boredom
in nursing facility residents? --Verified--Solution----Eden Alternative


What does PASSAR assess? --Verified--Solution----Pressure ulcer risk


What is permissible as part of an admission contract? --Verified--
Solution----Third party guarantee of payment


Under which situation would an MDS not need to be completed? --
Verified--Solution----A resident on insurance only stays for 21 days

,3 | Page
Which does not constitute a significant change for MDS purposes? --
Verified--Solution----A resident has a mild case of pneumonia but is
expected to recover within a week


Who is required to coordinate the RAI process? --Verified--Solution----
An individual who has a MDS certification


How soon after the MDS is completed must the care plan be developed?
--Verified--Solution----14 days


How long should clinical records be retained after the resident has been
discharged? --Verified--Solution----5 years


What is the best way to reduce food wastage? --Verified--Solution----
Prepare and serve attractive and tasty food


What does OBRA 87 require of dietary managers? --Verified--Solution--
--Certification as a certified dietary manager


What indicates a significant weight loss? --Verified--Solution----7.5%
over three months


At what temperature must hot foods leave the kitchen? --Verified--
Solution----135 degrees

, 4 | Page
How often must a resident see a physician after being in the facility for 3
months? --Verified--Solution----Every 90 days


How often must a pharmacist conduct a drug regimen review? --
Verified--Solution----Quarterly


Which would not constitute a significant medication error? --Verified--
Solution----Three ounces of water were given with a laxative


What is not an OBRA approved indication for anti-psychotic usage? --
Verified--Solution----Not specified in the provided content


Which therapist would best help a post-stroke resident with aphasia
improve her ability to use her hands? --Verified--Solution----
Occupational therapist


Which individual is required to serve on the facility's QAA committee? -
-Verified--Solution----Medical director


Residents do NOT have which of the following rights? --Verified--
Solution----Immediate access to the secretary of the US department of
Health and Human Services


What is a common symptom of a person diagnosed with dementia? --
Verified--Solution----Displays a loss of intellectual capacity

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