NURSING HOME ADMINISTRATOR EXAM ACTUAL
EXAM AND PRACTICE EXAM QUESTIONS
COMPLETE 500 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
VERSION A
When must the initial resident assessment be completed? - ANSWER48 hours
How many months must assessments be kept in the resident's active record? -
ANSWER15 months
Assessments are due when? - ANSWER14 days, annually, quarterly, after sig change
Baseline care plan must be developed and implemented in how many hours of
admission? - ANSWER48 hours
Comprehensive Care Plan must be developed no later than how many days of
admission? - ANSWER21 days
Frequency of Medicare Assessments? - ANSWER5 day, 14 day, 30 day, 60 day and 90
day
Late Loss ADL's - ANSWERTransfer, bed mobility, toileting, eating
What is preferred treatment for contractures? - ANSWERROM
Reality orientation - ANSWERmethod of care used to promote awareness of reality in
confused or disoriented patients
CASPER - ANSWERCMS database that includes demographics, onsite survey results,
and comparison info for state and national peer info
Continuing Care Retirement Community - ANSWERindependent living with different
levels of service
Iatrogenic - ANSWERcomplications caused by the process of medical care
,Title 19 of the Social Security Act - ANSWERMedicaid
Title 18 of the Social Security Act - ANSWERMedicare
MDCN - ANSWERMedicare Data Communication Network
OBRA (1987) is responsible for - ANSWERrestraint reduction, MDS, and resident rights
Quality Assurance (QA) - ANSWERmonitor and study the quality of a facility's services
Quality Indicators (QI) - ANSWERprovider level and resident level status derived from
MDS (OASIS), structure survey process.
Quality Indicator Survey (QIS) - ANSWERlaptop completed facility survey process
Quality Measure (QM) - ANSWERPublicly reported info to help consumers assess the
quality of a nursing home
Resident Assessment Instrument (RAI) - ANSWERhelps facility identify resident needs
and strengths to develop an appropriate care plan
Significant change in condition - ANSWERrequires new assessment using the MDS
instrument
Significant weight loss, what % over 30 days? - ANSWER5%
Significant weight loss, what % over 90 days? - ANSWER7.5%
Significant weight loss, what % over 180 days? - ANSWER10%
Validation Therapy - ANSWERaccepting that a patient is actually living in the past
coaching - ANSWERhelp given by a superior to a subordinate
Compensation Theory - ANSWERwage and benefits motivate employees o meet
requirements
Employee Handbook - ANSWERa compilation of the facility policies that directly relate
to work conditions. It is often treated as a binding contract by the courts.
EEOC - ANSWERCreated by the Civil Rights act of 1964. Administers the ADA, ADEA,
EPA
Expectancy Theory - ANSWERthe theory that the level of motivation to perform is a
mathematical function of the expectations individuals have about future outcomes
multiplied by the value the employee places on these outcomes
,Job Analysis - ANSWERdefining a position in terms of tasks or behaviors required
Job Description - ANSWERA statement of the tasks, duties, and responsibilities of a job
to be performed
Job Specification - ANSWERskills, education and experience required to perform work
Line Manager - ANSWERresponsible for performing most of the personnel functions,
delegated authority by the administrator to make decisions
National Labor Relations Board - ANSWERUnions become certified as bargaining
agents for groups of workers
Organizing - ANSWERgrouping of activities and people who will carry them out,
assigning roles and delegating authority
Planning - ANSWERdeciding what needs to be done, setting objectives and identifying
means for achieving them
Task analysis - ANSWERReview of job descriptions and activities essential for
performing each job
Accelerated Method of depreciation - ANSWERallow for larger amounts of depreciation
in early years and smaller amounts in later years
assets=liabilities+owner's equity - ANSWERaccounting equation
Accounts payable - ANSWERamounts owed to suppliers for goods and services
Accounts receivable - ANSWERAmounts owed to the facility for services
Accrual Basis Accounting - ANSWERrevenues are recorded in the period earned, and
expenses are recorded in the period incurred even if cash is received or paid in a later
or earlier time period
Accumulated Depreciation - ANSWERtotal depreciation from start of the life of an asset
to any point in time.
Acid Test Ratio - ANSWERCurrent Assets - Stock / Current Liabilities. Measure of the
ability to pay current liabilities quickly
Adjusting entries - ANSWEREntries made at the end of an accounting period that have
not been recorded properly during the accounting period
, Ancillary charges - ANSWERextra charges for supplies and services not included in per
diem rate
Current Assets - ANSWERCash, accounts receivable, supply inventories, and prepaid
expenses
Noncurrent Assets - ANSWERProperty plant and equipment, long term investments
(bonds, stocks, notes)
Assets - ANSWERresources owned by a business
ALF (assisted living facility) - ANSWERneed assistance with one or more ADL
Balance Sheet - ANSWERsummarizes a firm's assets, liabilities, and owners equity at a
specific date
Bank Statement - ANSWERshows beginning and ending balances and all transactions
in the account for the month
Bookkeeping - ANSWERclerical process of recording financial transactions
break-even point - ANSWERtotal revenues are equal to the total expense incurred
budget - ANSWERtool for exercising financial control
Cash Basis Accounting - ANSWERrevenues are recorded when cash is received and
expenses are recorded when cash is paid
Current Ratio - ANSWERcurrent assets divided by current liabilities. measures a firms
ability to pay current debt.
debts to assets ratio - ANSWERcurrent liabilities+non current liabilities/ total assets.
Measure of the relative obligations of the facility
Double entry accounting (double entry bookkeeping) - ANSWERrecord keeping system
that provides checks and balances by recording two sides for every transaction
equity - ANSWERthe excess of a firms assets over its liabilities equals the owner's
equity
first in, first out - ANSWERinventory process using oldest supplies first
Last in, last out - ANSWERmethod of assigning costs assumes that the most recent
purchases are sold first
fixed costs - ANSWERcosts that don't vary with number of patients
EXAM AND PRACTICE EXAM QUESTIONS
COMPLETE 500 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
VERSION A
When must the initial resident assessment be completed? - ANSWER48 hours
How many months must assessments be kept in the resident's active record? -
ANSWER15 months
Assessments are due when? - ANSWER14 days, annually, quarterly, after sig change
Baseline care plan must be developed and implemented in how many hours of
admission? - ANSWER48 hours
Comprehensive Care Plan must be developed no later than how many days of
admission? - ANSWER21 days
Frequency of Medicare Assessments? - ANSWER5 day, 14 day, 30 day, 60 day and 90
day
Late Loss ADL's - ANSWERTransfer, bed mobility, toileting, eating
What is preferred treatment for contractures? - ANSWERROM
Reality orientation - ANSWERmethod of care used to promote awareness of reality in
confused or disoriented patients
CASPER - ANSWERCMS database that includes demographics, onsite survey results,
and comparison info for state and national peer info
Continuing Care Retirement Community - ANSWERindependent living with different
levels of service
Iatrogenic - ANSWERcomplications caused by the process of medical care
,Title 19 of the Social Security Act - ANSWERMedicaid
Title 18 of the Social Security Act - ANSWERMedicare
MDCN - ANSWERMedicare Data Communication Network
OBRA (1987) is responsible for - ANSWERrestraint reduction, MDS, and resident rights
Quality Assurance (QA) - ANSWERmonitor and study the quality of a facility's services
Quality Indicators (QI) - ANSWERprovider level and resident level status derived from
MDS (OASIS), structure survey process.
Quality Indicator Survey (QIS) - ANSWERlaptop completed facility survey process
Quality Measure (QM) - ANSWERPublicly reported info to help consumers assess the
quality of a nursing home
Resident Assessment Instrument (RAI) - ANSWERhelps facility identify resident needs
and strengths to develop an appropriate care plan
Significant change in condition - ANSWERrequires new assessment using the MDS
instrument
Significant weight loss, what % over 30 days? - ANSWER5%
Significant weight loss, what % over 90 days? - ANSWER7.5%
Significant weight loss, what % over 180 days? - ANSWER10%
Validation Therapy - ANSWERaccepting that a patient is actually living in the past
coaching - ANSWERhelp given by a superior to a subordinate
Compensation Theory - ANSWERwage and benefits motivate employees o meet
requirements
Employee Handbook - ANSWERa compilation of the facility policies that directly relate
to work conditions. It is often treated as a binding contract by the courts.
EEOC - ANSWERCreated by the Civil Rights act of 1964. Administers the ADA, ADEA,
EPA
Expectancy Theory - ANSWERthe theory that the level of motivation to perform is a
mathematical function of the expectations individuals have about future outcomes
multiplied by the value the employee places on these outcomes
,Job Analysis - ANSWERdefining a position in terms of tasks or behaviors required
Job Description - ANSWERA statement of the tasks, duties, and responsibilities of a job
to be performed
Job Specification - ANSWERskills, education and experience required to perform work
Line Manager - ANSWERresponsible for performing most of the personnel functions,
delegated authority by the administrator to make decisions
National Labor Relations Board - ANSWERUnions become certified as bargaining
agents for groups of workers
Organizing - ANSWERgrouping of activities and people who will carry them out,
assigning roles and delegating authority
Planning - ANSWERdeciding what needs to be done, setting objectives and identifying
means for achieving them
Task analysis - ANSWERReview of job descriptions and activities essential for
performing each job
Accelerated Method of depreciation - ANSWERallow for larger amounts of depreciation
in early years and smaller amounts in later years
assets=liabilities+owner's equity - ANSWERaccounting equation
Accounts payable - ANSWERamounts owed to suppliers for goods and services
Accounts receivable - ANSWERAmounts owed to the facility for services
Accrual Basis Accounting - ANSWERrevenues are recorded in the period earned, and
expenses are recorded in the period incurred even if cash is received or paid in a later
or earlier time period
Accumulated Depreciation - ANSWERtotal depreciation from start of the life of an asset
to any point in time.
Acid Test Ratio - ANSWERCurrent Assets - Stock / Current Liabilities. Measure of the
ability to pay current liabilities quickly
Adjusting entries - ANSWEREntries made at the end of an accounting period that have
not been recorded properly during the accounting period
, Ancillary charges - ANSWERextra charges for supplies and services not included in per
diem rate
Current Assets - ANSWERCash, accounts receivable, supply inventories, and prepaid
expenses
Noncurrent Assets - ANSWERProperty plant and equipment, long term investments
(bonds, stocks, notes)
Assets - ANSWERresources owned by a business
ALF (assisted living facility) - ANSWERneed assistance with one or more ADL
Balance Sheet - ANSWERsummarizes a firm's assets, liabilities, and owners equity at a
specific date
Bank Statement - ANSWERshows beginning and ending balances and all transactions
in the account for the month
Bookkeeping - ANSWERclerical process of recording financial transactions
break-even point - ANSWERtotal revenues are equal to the total expense incurred
budget - ANSWERtool for exercising financial control
Cash Basis Accounting - ANSWERrevenues are recorded when cash is received and
expenses are recorded when cash is paid
Current Ratio - ANSWERcurrent assets divided by current liabilities. measures a firms
ability to pay current debt.
debts to assets ratio - ANSWERcurrent liabilities+non current liabilities/ total assets.
Measure of the relative obligations of the facility
Double entry accounting (double entry bookkeeping) - ANSWERrecord keeping system
that provides checks and balances by recording two sides for every transaction
equity - ANSWERthe excess of a firms assets over its liabilities equals the owner's
equity
first in, first out - ANSWERinventory process using oldest supplies first
Last in, last out - ANSWERmethod of assigning costs assumes that the most recent
purchases are sold first
fixed costs - ANSWERcosts that don't vary with number of patients
