Nursing Home Administration UPDATED
ACTUAL Exam Questions and CORRECT
Answers
OBRA '87 - CORRECT ANSWER - Skilled Nursing 24/7/minimum 8 hours of RN
continuous
OBRA '90 - CORRECT ANSWER - Right to refuse medical treatment
PPO stands for - CORRECT ANSWER - "Preferred Provider Organization"
HMO stands for - CORRECT ANSWER - "Health Movement Organization"
HMO - CORRECT ANSWER - Must use specific health care provider
SNP stands for - CORRECT ANSWER - "Special Needs Plan"
SNP - CORRECT ANSWER - Specific condition to see physician
PFFS stands for - CORRECT ANSWER - Private fee for services
PFF - CORRECT ANSWER - Can go to any medicare approved physician
Elder Justice Act - CORRECT ANSWER - Ombudsman program (abuse, neglected)
Comprehensive Care Plan - CORRECT ANSWER - Within 21 days
,Continuous Care - CORRECT ANSWER - Nurse/CNA 8-24 days
Retain medical records - CORRECT ANSWER - 5 years
Intermediate Care - CORRECT ANSWER - Resident do not need skilled care
Baseline Care Plan - CORRECT ANSWER - 48 hours
Copy of Medical Records Request by Resident - CORRECT ANSWER - 2 days
Remotivation Therapy - CORRECT ANSWER - Aims to engage a resident's interest in the
environment of the facility
QAA stands for - CORRECT ANSWER - Quality Assessment Assurance
QAA Committee must include... - CORRECT ANSWER - DNS, a physician designated by
the facility, and at least 3 other members of the facility staff
Environmental Cued Wandering - CORRECT ANSWER - Seeing a hallway
Physical Abuse - CORRECT ANSWER - Use of corporal punishment to control behavior
Physician Assistant - CORRECT ANSWER - Diagnose and treat patients
Nurse practitioner - CORRECT ANSWER - Can perform examinations and prescribe
medications
,Medication Aide - CORRECT ANSWER - Can pass meds and monitor BP, temp, and pulse
while under the supervision of an RN or LPN
Recreational wandering - CORRECT ANSWER - Need for more exercise
Late WSS ADL's - CORRECT ANSWER - Bed mobility, transfers toilet use, eating
Normal psychological changes in the elderly - CORRECT ANSWER - memory loss,
depression, confusion
Overflow - CORRECT ANSWER - enlarged prostate
Restraints must be removed how often and for how long? - CORRECT ANSWER - Every 2
hours for at least 10 minutes
Stress incontinence - CORRECT ANSWER - Sneezing, jumping
Monitor restraints every... - CORRECT ANSWER - 30 minutes
Bedridden - CORRECT ANSWER - Unable to stand or walk
Primary risk factors for decreased ROM - CORRECT ANSWER - Immobilization by being
bed ridden, unable to stand or walk
Ambulation - CORRECT ANSWER - able to walk
urge/reflex incontinence - CORRECT ANSWER - Sudden uncontrollable need to urinate
, Transient incontinence - CORRECT ANSWER - r/t infection
Benign - CORRECT ANSWER - Non-recurrent or non-progressive
Congenital - CORRECT ANSWER - dates from birth
Hereditary - CORRECT ANSWER - Condition transferred genetically
Malignant - CORRECT ANSWER - Resists treatment
Amyotrophic Lateral Sclerosis (ALS) - CORRECT ANSWER - Progressive disease affecting
motor neurons
Prognosis - CORRECT ANSWER - likely outcome of a condition
Chronic - CORRECT ANSWER - a long duration or recurring
Degenerative - CORRECT ANSWER - Tissue or organs deteriorate
Symptom - CORRECT ANSWER - Perceptible change in the body or its function
If a resident lands on the ground due to a fall, this is considered... - CORRECT ANSWER -a
resident-to-resident. NOT A FALL
Modality - CORRECT ANSWER - Treat a disorder
Diagnosis - CORRECT ANSWER - Identifying a condition
ACTUAL Exam Questions and CORRECT
Answers
OBRA '87 - CORRECT ANSWER - Skilled Nursing 24/7/minimum 8 hours of RN
continuous
OBRA '90 - CORRECT ANSWER - Right to refuse medical treatment
PPO stands for - CORRECT ANSWER - "Preferred Provider Organization"
HMO stands for - CORRECT ANSWER - "Health Movement Organization"
HMO - CORRECT ANSWER - Must use specific health care provider
SNP stands for - CORRECT ANSWER - "Special Needs Plan"
SNP - CORRECT ANSWER - Specific condition to see physician
PFFS stands for - CORRECT ANSWER - Private fee for services
PFF - CORRECT ANSWER - Can go to any medicare approved physician
Elder Justice Act - CORRECT ANSWER - Ombudsman program (abuse, neglected)
Comprehensive Care Plan - CORRECT ANSWER - Within 21 days
,Continuous Care - CORRECT ANSWER - Nurse/CNA 8-24 days
Retain medical records - CORRECT ANSWER - 5 years
Intermediate Care - CORRECT ANSWER - Resident do not need skilled care
Baseline Care Plan - CORRECT ANSWER - 48 hours
Copy of Medical Records Request by Resident - CORRECT ANSWER - 2 days
Remotivation Therapy - CORRECT ANSWER - Aims to engage a resident's interest in the
environment of the facility
QAA stands for - CORRECT ANSWER - Quality Assessment Assurance
QAA Committee must include... - CORRECT ANSWER - DNS, a physician designated by
the facility, and at least 3 other members of the facility staff
Environmental Cued Wandering - CORRECT ANSWER - Seeing a hallway
Physical Abuse - CORRECT ANSWER - Use of corporal punishment to control behavior
Physician Assistant - CORRECT ANSWER - Diagnose and treat patients
Nurse practitioner - CORRECT ANSWER - Can perform examinations and prescribe
medications
,Medication Aide - CORRECT ANSWER - Can pass meds and monitor BP, temp, and pulse
while under the supervision of an RN or LPN
Recreational wandering - CORRECT ANSWER - Need for more exercise
Late WSS ADL's - CORRECT ANSWER - Bed mobility, transfers toilet use, eating
Normal psychological changes in the elderly - CORRECT ANSWER - memory loss,
depression, confusion
Overflow - CORRECT ANSWER - enlarged prostate
Restraints must be removed how often and for how long? - CORRECT ANSWER - Every 2
hours for at least 10 minutes
Stress incontinence - CORRECT ANSWER - Sneezing, jumping
Monitor restraints every... - CORRECT ANSWER - 30 minutes
Bedridden - CORRECT ANSWER - Unable to stand or walk
Primary risk factors for decreased ROM - CORRECT ANSWER - Immobilization by being
bed ridden, unable to stand or walk
Ambulation - CORRECT ANSWER - able to walk
urge/reflex incontinence - CORRECT ANSWER - Sudden uncontrollable need to urinate
, Transient incontinence - CORRECT ANSWER - r/t infection
Benign - CORRECT ANSWER - Non-recurrent or non-progressive
Congenital - CORRECT ANSWER - dates from birth
Hereditary - CORRECT ANSWER - Condition transferred genetically
Malignant - CORRECT ANSWER - Resists treatment
Amyotrophic Lateral Sclerosis (ALS) - CORRECT ANSWER - Progressive disease affecting
motor neurons
Prognosis - CORRECT ANSWER - likely outcome of a condition
Chronic - CORRECT ANSWER - a long duration or recurring
Degenerative - CORRECT ANSWER - Tissue or organs deteriorate
Symptom - CORRECT ANSWER - Perceptible change in the body or its function
If a resident lands on the ground due to a fall, this is considered... - CORRECT ANSWER -a
resident-to-resident. NOT A FALL
Modality - CORRECT ANSWER - Treat a disorder
Diagnosis - CORRECT ANSWER - Identifying a condition
