NAB: ENVIRONMENTAL - NAB BOOK EXAM WITH 100% CORRECT ANSWERS 2023

NAB: ENVIRONMENTAL - NAB BOOK EXAM WITH 100% CORRECT ANSWERS 2023 Preventative Maintenance - Correct answer-goal is to maximize the lifetime and operational effectiveness of each system or piece of equipment National Fire Protection Agency - Correct answer-publishes fire and safety codes Homelike Environment - Correct answer-one that emphasis institutional character of the setting, to the extent possible, and allows residents to use personal belonging that support the home. It recognizes the individuality or autonomy of the resident through self expression Environment refers to? - Correct answer-any environment in the facility that is frequented by residents Rooms should not accomodate more than how many residents? - Correct answer-4 Where should call lights be located? - Correct answer-within reach at bed, toilet and bathing area Rooms for activitites and dining should be? - Correct answer-well lighted and well ventilated Corridors must be how wide? - Correct answer-8 feet Temperature of Resident Rooms? - Correct answer-71-81 degrees F In regards to accidents the facility must ensure that (2 things): - Correct answerenvironment remains as free of accidents as possible and that each resident receives adquate supervision and assistance devices to prevent accidents Resident Rooms (7 specifics) - Correct answer-(1) no more than 4 residents (2) 80 sqft per resident or 100 sqft in a single room (3) direct access to exit corridor (4) full visual privacy (5) ceiling suspended privacy curtains (6) one window to outside (6) floor at or above ground level In each resident room, the facility must provide what 4 things? - Correct answer-(1) seperate beds of proper size/height (2) clean/comfy mattress (3) Bedding (4) individual closet space The nurse's station must be equipped to receive resident calls through a communication system from: - Correct answer-resident rooms and toilet/bath facilities Dining/activity space must have what 4 things: - Correct answer-(1) well lighted (2) well ventilated and nonsmoking (3) adequately furnished (4) suffiient space What are the two major dimensions in regards to safety? - Correct answeremotional/physical safety and communication of hazardous materials safety for residents, staff and visitors Two basic requirements of pest control? - Correct answer-eternal vigilance by staff and a competent extermination service Integrated Pest Management - Correct answer-3 prong approach (1) deny pests into facility (2) deny pests food, water or resting place (3)work with a licensed pest contol operator to eliminate pests The facility must have a infection control program that has is responsible for 3 things: - Correct answer-(1) investigating, controlling and preventing infections (2) deciding when and if resident isolation is necessary (3) maintain documentation of infection related incidents and any corrective actions Isolation - Correct answer-only to the degree to isolate the infecting organism; isolate the resident in the least restrictive method possible Reasons for isolation include: - Correct answer-anthrax, thphoid fever, TB, malaria, influenza, pneumonia, syphilis and gonorrhea When is hand sanitizer not acceptable? - Correct answer-when hands are noticeably dirty or contaminated Definition of "accident". - Correct answer-any unexpected or unintentional incident, which may result in injury or illness to a resident Avoidable accident - Correct answer-means the accident occured b/c the facility failed to identify env hazards, implement interventions, monitor effectivemess of interventions Unavoidable accident - Correct answer-means the accident occured even though the facility, identified hazards, implemented interventions and monitored effectiveness Chemicals received/used must contain what three things? - Correct answer-label of contents, hazard warning and name/address of manufacturer Materials Safety Data Sheet - Correct answer-divi, a sheet containing information about the safe use of a chemical and the steps to take in case of an accident MSDS is broken down into 10 sections: - Correct answer-1)product info 2)hazardous ingredients 3)physical/chemical characteristics 4)health hazard info 5)potential of fire/explosive reactivity 6)permissible exposure limits 7)safe handling/protective measures/leak info 8)hazardous chemical listing 9)control measures 10)ER first aid procedures 11)date of the MSDS or last change What does hazardous mean? - Correct answer-a chemical which is a physical or health hazard Health Hazard - Correct answer-healft effect may occur in exposed employees Physical Hazard - Correct answer-it is a combustable liquid, compressed gas, explosive, flammable, organic peroxide, pyrophori, unstable The facility must have detailed written P&Ps to meet all potential emergencies such as: - Correct answer-fire, severe weather and missing residents In the event of a power outage, the facility must have emergency power to: - Correct answer-light all entrances/exits, support fire detection, alarms and extinguishing systems and maintain life support sytstems Life Safety Code recommends nursing homes follow what procedure when conducting fire drills? - Correct answer-RACE R - rescue/remove anyone in immediate danger A - alarm everyone by activating nearest fire alarm C - Confine/Contain smoke by closing all doors/windows E - Extinguish fire with portable extinguishers, wet sheets and blankets Code states there should be how may exit doors on each floor? - Correct answer-2 Emergency power should come on how quick after interuption of main device? - Correct answer-10 seconds The nursing home should have an alarm communication system that is both_____. - Correct answer-audible and visual What provision/edition of the life safety code is to be followed? - Correct answer-2000 edition A picture of a person in a wheelchair is a universal sign that _______. - Correct answerthe area is accesible for the handicapped Death in building fires is mainly caused by: - Correct answer-smoke inhalation What type of contracts are established each time a need arises, then terminated upon completion? - Correct answer-Job - unit contracts All certified nursing homes were required to have a sprinkler system by what year? - Correct answer-2013 Means of egress? - Correct answer-means there must be a path of exit for safety The Material Safety Data Sheet is required by which agency? - Correct answer-OSHA ____hazardous chemical are those in which an acute or chronic health effect may occur to exposed employees or residents. - Correct answer-Health Life Safety Code requires testing of certain emergency systems (fire doors, automatic doors, smoke detectors and generators) to occur how often? - Correct answer-Monthly Waste Management is monitored by who? - Correct answer-OSHA "Standard Precautions" were developed by who? - Correct answer-CDC Regarding isolation rooms which of the must be done? - Correct answer-a sign is to be posted when room is in use OSHA requires that nrsg homes post the OSHA 300A form in a conspicuous place eawch year. What time of the year is it posted and how often is it retained? - Correct answer-Posted from Feb 1st to April 30th and kept on file for 5 years An organized maintenance program that will save time and money ephasizes what? - Correct answer-preventative maintenance The purpose of an enunciator panel is to: - Correct answer-indicate the zone of the fire Work orders do not need to include what? - Correct answer-the equipment needed to complete the job Maintenance engineers maintain that a guideline to keep in mind is that the maintenane ost of a machine justifies replacement in how many years? - Correct answer-ten years Lighting, temps and sound levels relate primarily to: - Correct answer-comfort Safety training programs for the employees must be conducted how often? - Correct answer-immediately after hire The primary fire-defense toosl of a nursing home staff are: - Correct answer-smoke barriers, corridor walls and resident doors The "employees right to know" relates to: - Correct answer-hazardous communications The terms "lockout" and "tagout" refer to; - Correct answer-controlling hazardous energy Security has become increasingly important to long term care faciliites. for a small to average size nrsg home facility, the most effiecient and effective system is to: - Correct answer-coordinate facility security measurs with the local police department Pest control programs are allowed to use: - Correct answer-pump up type sprayers In case of a fire, the primary purpose of closing doors is to: - Correct answer-contain the smoke The term 'flashover" refers to a fire that: - Correct answer-is out of control enmergency generators must be checked how often? - Correct answer-weekly The number of disaster drills is determined by who? - Correct answer-state requirements Temperatures in resident rooms rooms are to be measured how many feet from the floor? - Correct answer-3 feet LSC are written for the purpose of: - Correct answer-reasonable degree of safety from from fires Contamindated sharps should be discarded when? - Correct answer-immediately after use The primary cause of odors in the facility is: - Correct answer-incontinent residents Why is it advantageous to contract with a professional pest control company? - Correct answer-contractors are generally more knowledgable than staff about rotating appropriate pesticides to ensure effectiveness Handrails in stairwells must extend beyond the first and last step by how many inches? - Correct answer-12 According to Safe Medical Device Reporting, user facilities must keep records for how long? - Correct answer-2 years Fires that involve energized electrical equipment are classified as: - Correct answerClass C fires Hazardous communication programs, hepatitis B and HIV and standard precautions are all enforced by: - Correct answer-OSHA Chemical manufacturers and importers must convey the hazard info to employees by means of what two things? - Correct answer-labels and MSDS The most common accident occuring to employees are caused by what? - Correct answer-lifting The primary advantage of a fire detection system is? - Correct answer-warning time Backup batteries for generators must provide light for certain areas in a nursing home during emergency situations, however, waivers may be obtained for what areas? - Correct answer-doors, nurses stations and resident call system waivers cannot be granted for entrances and exits All exit doors must swing which way? - Correct answer-out (to the egress) According to LSC, there must be at least one Class A fire extinguisher for every travel distance of? - Correct answer-75 feet Under OBRA, the responsibilities of the safety committee may be assigned to the: - Correct answer-quality improvement committee The designated parking space for the handicapped must be on a hard surface and at least how wide? - Correct answer-13 feet wide In planning for disasters, the first thing you would consider is? - Correct answerevacuation destination site The standards for an isolation room do not include ; - Correct answer-bathtub or shower The lighter display board that identifies the affected zone or area is called what? - Correct answer-an enunciator panel The federal food, drug and cosmetic act empowers the FDS to seek penalties of violators of? - Correct answer-SMDA The National Fire Protection Association does not: - Correct answer-enforce life safety standards The monitoring and enforcing of ANSI standards is the responsibility of: - Correct answer-an agency within the state The travel distance betwen a Class B or C extinguishers cannot be more than how many feet? - Correct answer-50 feet When forced air ventiflation is used in a nursing home, the system should change the air at least once every? - Correct answer-6 minutes Who established the requirements regarding number of residents per room? - Correct answer-CMS The minimum width of a bedroom is determined by who? - Correct answer-the state The space required for a wheelchair to make a 180 degree turn shall be a clear space of what diameter? - Correct answer-60 inches ANSI/ADAAG requires nursing homes to make its physical plant assessable to who? - Correct answer-deaf, blind and uncoordinated (no the mentally ill) The principle cause of death from a fire is from what? - Correct answer-smoke inhalation According to ANSI, all handrails on ramps and stairs must be between___inches from the floor? - Correct answer-30 to 34 In a facility with 60 parking spaces, how many must be accessible to the disabled? - Correct answer-3 spaces The distance from the door of a resident room to the nearest exit door may be no more than how many feet? - Correct answer-100 feet The LSC was developed and published by who? - Correct answer-National Fire Protection Association