SMQT EXAM MASTERY (VERSION 1, 2,
AND STUDY GUIDE) QUESTIONS AND
ANSWERS
1. According to 42 CFR Part 483, which of the following best defines ‘Immediate Jeopardy’?
A. Noncompliance that is isolated and results in no actual harm with potential for only
minimal harm.
B. Any deficiency that results in actual harm but does not reach the level of serious injury
or death.
C. A pattern of noncompliance that has the potential for more than minimal harm to a large
group of residents.
D. A situation in which a provider’s noncompliance with one or more requirements of
participation has caused, or is likely to cause, serious injury, harm, impairment, or death to
a resident.
Answer: D
Conceptual Explanation: Immediate Jeopardy is the most serious deficiency level, defined
by the likelihood or presence of serious injury, harm, impairment, or death (Scope and
Severity levels J, K, and L).
,2. During a standard survey, which phase involves the selection of the initial sample of
residents for review?
A. Offsite Preparation
B. Phase 1
C. Phase 2
D. Facility Tour
Answer: B
Conceptual Explanation: Phase 1 of the survey process includes the selection of the initial
resident sample based on specific criteria to identify potential areas of concern.
3. A surveyor discovers a single resident who was not provided necessary range of motion
exercises, resulting in a permanent contracture. How should this deficiency be categorized on
the Scope and Severity grid?
A. Level G (Isolated, Actual harm)
B. Level D (Isolated, Potential for more than minimal harm)
C. Level H (Pattern, Actual harm)
D. Level K (Pattern, Immediate Jeopardy)
Answer: A
Conceptual Explanation: Because the deficiency affected a single resident (Isolated) and
resulted in a permanent contracture (Actual Harm), it is categorized as Level G.
, 4. Under the Long-Term Care Survey Process (LTCSP), which system is primarily used by
surveyors to document findings and navigate the survey pathways?
A. MDS 3.0 CASPER Reports
B. ASE-Q System
C. QIS Tool Suite
D. LTCSP Software Application
Answer: D
Conceptual Explanation: The LTCSP software application is the mandatory tool used by
CMS surveyors to guide the survey, document evidence, and determine compliance.
5. Which of the following is a mandatory requirement for the composition of a standard
survey team for a skilled nursing facility?
A. At least one registered nurse
B. At least one licensed social worker
C. A minimum of four surveyors regardless of facility size
D. A representative from the Office of the Inspector General
Answer: A
Conceptual Explanation: Federal regulations require that a survey team include at least
one Registered Nurse (RN) to assess clinical care.
AND STUDY GUIDE) QUESTIONS AND
ANSWERS
1. According to 42 CFR Part 483, which of the following best defines ‘Immediate Jeopardy’?
A. Noncompliance that is isolated and results in no actual harm with potential for only
minimal harm.
B. Any deficiency that results in actual harm but does not reach the level of serious injury
or death.
C. A pattern of noncompliance that has the potential for more than minimal harm to a large
group of residents.
D. A situation in which a provider’s noncompliance with one or more requirements of
participation has caused, or is likely to cause, serious injury, harm, impairment, or death to
a resident.
Answer: D
Conceptual Explanation: Immediate Jeopardy is the most serious deficiency level, defined
by the likelihood or presence of serious injury, harm, impairment, or death (Scope and
Severity levels J, K, and L).
,2. During a standard survey, which phase involves the selection of the initial sample of
residents for review?
A. Offsite Preparation
B. Phase 1
C. Phase 2
D. Facility Tour
Answer: B
Conceptual Explanation: Phase 1 of the survey process includes the selection of the initial
resident sample based on specific criteria to identify potential areas of concern.
3. A surveyor discovers a single resident who was not provided necessary range of motion
exercises, resulting in a permanent contracture. How should this deficiency be categorized on
the Scope and Severity grid?
A. Level G (Isolated, Actual harm)
B. Level D (Isolated, Potential for more than minimal harm)
C. Level H (Pattern, Actual harm)
D. Level K (Pattern, Immediate Jeopardy)
Answer: A
Conceptual Explanation: Because the deficiency affected a single resident (Isolated) and
resulted in a permanent contracture (Actual Harm), it is categorized as Level G.
, 4. Under the Long-Term Care Survey Process (LTCSP), which system is primarily used by
surveyors to document findings and navigate the survey pathways?
A. MDS 3.0 CASPER Reports
B. ASE-Q System
C. QIS Tool Suite
D. LTCSP Software Application
Answer: D
Conceptual Explanation: The LTCSP software application is the mandatory tool used by
CMS surveyors to guide the survey, document evidence, and determine compliance.
5. Which of the following is a mandatory requirement for the composition of a standard
survey team for a skilled nursing facility?
A. At least one registered nurse
B. At least one licensed social worker
C. A minimum of four surveyors regardless of facility size
D. A representative from the Office of the Inspector General
Answer: A
Conceptual Explanation: Federal regulations require that a survey team include at least
one Registered Nurse (RN) to assess clinical care.
