NHA Line of Service questions and answers
2026\2027 A+ Grade
1. Which of the following is part of standard precautions for infection control?
A. Wearing a gown each time there is a clothing change for an incontinent resident.
B. Placing soiled linens on the floor rather than on the bed or other furniture.
C. Washing hands after touching a resident's blood or urine, if gloves were worn at the time of contact.
D. Using an antimicrobial soap for routine hand washing.
- correct answer C. Washing hands after touching a resident's blood or urine, if gloves were worn at the
time of contact.
2. If a facility must notify a resident's physician about a significant change in the resident's status but the
resident's attending physician cannot be reached, which of these steps should the facility take first
A. Call the Medical Director.
B. Transfer the resident to a hospital.
C. Assign another physician to the case.
D. Call the physician designated by the attending physician to cover for him or her in his or her absence.
- correct answer D. Call the physician designated by the attending physician to cover for him or her in his
or her absence.
3. A certified nursing facility must complete a performance evaluation of every nurse aide at least once
every
,A. month
B. quarter
C. 12 months
D. two years
- correct answer C. 12 months
4. One necessary occasion for a comprehensive reassessment is when a resident undergoes an
unplanned weight loss that exceeds
A. 5 percent in one month.
B. 5 percent in one month, or 10 percent in 6 months.
C. 5 percent in 3 months, or 10 percent in 6 months.
D. 10 percent in one month.
- correct answer B. 5 percent in one month, or 10 percent in 6 months.
5. Medicare-certified facilities must use which one of the following?
A. accrual basis of accounting
B. perpetual inventory
C. centralized meal service
D. paid feeding assistants
- correct answer A. accrual basis of accounting
6. To meet Life Safety Code requirements, the facility emergency power source must be capable of
providing illumination for all the means of egress how soon after loss of regular electric power?
A. immediately
B. within five seconds
C. within 10 seconds
D. within 30 seconds
- correct answer C. within 10 seconds
, 7. A Stage III pressure ulcer is characterized by
A. dark red skin areas with blue discoloration in the center
B. damage to muscle and bone
C. break in skin down to and including underlying fatty tissues D. blisters
- correct answer C. break in skin down to and including underlying fatty tissues
8. The administrator's role in the survey process includes all except which one of the following?
A. Responding promptly to surveyors' requests for records and information.
B. Providing input into, and Insuring timely completion of, plans of correction.
C. Year-round training and directing of staff in compliance with regulatory requirements.
D. Insulating the governing body from involvement.
- correct answer D. Insulating the governing body from involvement.
9. A chemical restraint is defined as a psychoactive drug that
A. produces adverse reactions and side effects requiring the attention of the interdisciplinary team.
B. is useful in managing agitation in persons with dementia.
C. may serve as an appropriate substitute for a physical restraint.
2026\2027 A+ Grade
1. Which of the following is part of standard precautions for infection control?
A. Wearing a gown each time there is a clothing change for an incontinent resident.
B. Placing soiled linens on the floor rather than on the bed or other furniture.
C. Washing hands after touching a resident's blood or urine, if gloves were worn at the time of contact.
D. Using an antimicrobial soap for routine hand washing.
- correct answer C. Washing hands after touching a resident's blood or urine, if gloves were worn at the
time of contact.
2. If a facility must notify a resident's physician about a significant change in the resident's status but the
resident's attending physician cannot be reached, which of these steps should the facility take first
A. Call the Medical Director.
B. Transfer the resident to a hospital.
C. Assign another physician to the case.
D. Call the physician designated by the attending physician to cover for him or her in his or her absence.
- correct answer D. Call the physician designated by the attending physician to cover for him or her in his
or her absence.
3. A certified nursing facility must complete a performance evaluation of every nurse aide at least once
every
,A. month
B. quarter
C. 12 months
D. two years
- correct answer C. 12 months
4. One necessary occasion for a comprehensive reassessment is when a resident undergoes an
unplanned weight loss that exceeds
A. 5 percent in one month.
B. 5 percent in one month, or 10 percent in 6 months.
C. 5 percent in 3 months, or 10 percent in 6 months.
D. 10 percent in one month.
- correct answer B. 5 percent in one month, or 10 percent in 6 months.
5. Medicare-certified facilities must use which one of the following?
A. accrual basis of accounting
B. perpetual inventory
C. centralized meal service
D. paid feeding assistants
- correct answer A. accrual basis of accounting
6. To meet Life Safety Code requirements, the facility emergency power source must be capable of
providing illumination for all the means of egress how soon after loss of regular electric power?
A. immediately
B. within five seconds
C. within 10 seconds
D. within 30 seconds
- correct answer C. within 10 seconds
, 7. A Stage III pressure ulcer is characterized by
A. dark red skin areas with blue discoloration in the center
B. damage to muscle and bone
C. break in skin down to and including underlying fatty tissues D. blisters
- correct answer C. break in skin down to and including underlying fatty tissues
8. The administrator's role in the survey process includes all except which one of the following?
A. Responding promptly to surveyors' requests for records and information.
B. Providing input into, and Insuring timely completion of, plans of correction.
C. Year-round training and directing of staff in compliance with regulatory requirements.
D. Insulating the governing body from involvement.
- correct answer D. Insulating the governing body from involvement.
9. A chemical restraint is defined as a psychoactive drug that
A. produces adverse reactions and side effects requiring the attention of the interdisciplinary team.
B. is useful in managing agitation in persons with dementia.
C. may serve as an appropriate substitute for a physical restraint.
