NHA Line of Service – Complete Guide
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 Ans - 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 Ans - 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 Ans - 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 Ans - 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 Ans - 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 Ans - 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 Ans -
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 Ans - 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.
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 Ans - 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 Ans - 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 Ans - 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 Ans - 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 Ans - 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 Ans - 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 Ans -
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 Ans - 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.
