QUESTIONS AND CORRECT DETAILED ANSWERS A
NEW UPDATED VERSION LATEST 2026-2027 (100%
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1. Which one of the following steps should be taken FIRST in a risk management program?
A. Purchasing of adequate insurance
B. Conducting of employee safety drills
C. Identifying hazards and risks
D. Conducting staff in-services on incident reporting and accident prevention
Rationale: The first step in any risk management program is to identify potential hazards and
risks within the organization. Only after risks have been identified can the administrator develop
strategies to mitigate them, purchase appropriate insurance coverage, and implement staff
training programs. Risk identification forms the foundation upon which all other risk
management activities are built.
2. Which of the following professionals is authorized to DISPENSE medications?
A. Registered nurse
B. Licensed nurse, physician and, in some states, medication aide
C. Licensed nurse and physician
D. Pharmacist
,Rationale: Dispensing medications involves the preparation and distribution of prescription
drugs, which is legally within the scope of practice for a licensed pharmacist. While nurses and
physicians may administer medications, the act of dispensing from a pharmacy requires a
pharmacist's license and expertise in pharmaceutical preparation and drug interactions.
3. Aphasia occurs frequently as a result of:
A. A stroke
B. Diabetes
C. Death of a spouse
D. Pressure ulcers
Rationale: Aphasia is a language disorder that affects a person's ability to communicate,
typically resulting from damage to the brain's language centers. Strokes are the most common
cause of aphasia, as they can damage the left hemisphere of the brain where language
processing occurs. Other causes include traumatic brain injury, brain tumors, and progressive
neurological conditions.
4. A check should generally be issued only when which one of the following is available and
properly signed?
A. Purchase order
B. Lien
C. Warranty
D. General ledger
Rationale: A properly authorized purchase order serves as the documentation that verifies a
legitimate business transaction has occurred, goods or services have been received, and
payment is authorized. Internal controls require that checks be supported by approved
purchase orders to prevent unauthorized expenditures, fraud, and ensure proper accounting of
organizational funds.
5. Which class of fire extinguisher is appropriate for use on a GREASE fire?
A. Class A
B. Class B
C. Class C
D. Class D
,Rationale: Class B fire extinguishers are designed for flammable liquids and gases, including
grease and cooking oils. Class A extinguishers are for ordinary combustibles like wood and
paper, Class C for electrical fires, and Class D for combustible metals. Using the wrong type of
extinguisher on a grease fire can be dangerous and ineffective.
6. The age-related clouding of the lens of the eye is called:
A. Macular degeneration
B. A cataract
C. Glaucoma
D. Conjunctivitis
Rationale: A cataract is the clouding of the eye's natural lens that occurs with aging, causing
vision to become blurry, hazy, or less colorful. Macular degeneration affects the central retina,
glaucoma involves damage to the optic nerve typically from increased eye pressure, and
conjunctivitis is an inflammation of the conjunctiva. Cataracts are one of the most common age-
related vision problems in the elderly population.
7. In collective bargaining, when labor and management select a third party to decide an issue
and agree to accept that third party's decision as final and binding on both sides, the process
is called:
A. Mediation
B. Arbitration
C. Conciliation
D. Subrogation
Rationale: Arbitration is a dispute resolution process where both parties agree to submit their
disagreement to a neutral third party (arbitrator) whose decision is final and legally binding.
Mediation and conciliation involve third-party assistance but the final decision remains with the
parties. Subrogation refers to the legal right of an insurer to pursue a third party that caused a
loss to the insured.
8. Cultural diversity in an organization's delivery of services would entail all EXCEPT which one
of the following?
A. Educating staff in the distinctive beliefs and values held by the various ethnic and racial
groups being served
, B. Using interpreters and in other ways trying to eliminate language barriers between staff and
clients
C. Getting staff to identify how their own biases regarding people of other religious backgrounds
may affect their care-giving
D. Offering customers of different ethnic and racial backgrounds the same food and beverages
in order to foster a sense of community and equality
Rationale: Cultural diversity requires acknowledging and respecting differences in beliefs,
values, and preferences among diverse populations. Offering the same food and beverages to
everyone regardless of cultural background disregards important cultural, religious, and dietary
preferences and is antithetical to culturally competent care. True cultural diversity embraces
individual differences rather than imposing a one-size-fits-all approach.
9. Which of the following is part of the manager's CONTROLLING function?
A. Staff education and orientation
B. Creating a positive work environment
C. Observing and evaluating employee performance
D. Communicating the organization's mission and vision
Rationale: The controlling function of management involves monitoring performance,
comparing actual results with established standards, and taking corrective action when
necessary. Observing and evaluating employee performance is a key control activity that
ensures staff are meeting organizational expectations and standards. Staff education relates to
leading/organizing, creating a positive environment relates to leading, and communicating
mission/vision relates to planning and leading functions.
10. Which of the following is NOT included in the resident's medical record?
A. Physician's orders
B. Results of laboratory tests
C. The administrator's performance evaluation
D. Progress notes
Rationale: The medical record is a legal document that contains clinical information about the
resident, including physician orders, lab results, progress notes, nursing assessments, and other
clinical data. The administrator's performance evaluation is a personnel document maintained
separately in human resources files and is not part of the resident's medical record due to
confidentiality and relevance considerations.