NHA Line of service Exam Questions with Correct Answers Graded A+
Where changes are made to charges for other items and services that the facility offers, the facility must
inform the resident in writing at least - Answers 60 days prior to implementation of the change.
The facility must provide the resident with access to personal and medical records pertaining to their
self, upon an oral and written request, in the form and format requested by the individual, if it is readily
producible in such form and format (including in an electronic form or format when such records are
maintained electronically) or if not, in a readable hard copy form or such other form agreed to by the
facility and the individual within - Answers 24 hours
The facility must allow the resident to obtain a copy of the records or any portion there of upon request
and - Answers 2 working days advance notice to the facility
The facility must have reports with respect to any surveys, certifications, and complaint investigations
made respecting the facility along with plans of correction in effect with respect to the facility, available
for any individual to review upon request. - Answers 3 preceding years
The facility must notify each resident that receives Medicaid benefits when the amount in the residents
account reaches - Answers $200 less than the SSI resource limit
The facility must deposit the resident's personal funds in excess of $_____ in an interest bearing account
that is separate from any of the facility's operating accounts, and that credits all interest earned on
resident's funds to that account. - Answers $50
(iv) The facility must refund to the resident or resident representative any and all refunds due the
resident within - Answers 30 days from the resident's date of discharge from the facility.
Comfortable and safe temperature levels. Facilities initially certified after October 1, 1990 must maintain
a temperature range of - Answers 71 to 81 °F
Maintaining evidence demonstrating the results of all grievances for a period of no less than - Answers 3
years from the issuance of the grievance decision.
(B) Each covered individual shall report immediately, but not later than _______________ after forming
the suspicion, if the events that cause the suspicion result in serious bodily injury, or not later than
__________ if the events that cause the suspicion do not result in serious bodily injury. - Answers 2
hours or 24 hours
Ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including
injuries of unknown source and misappropriation of resident property, are reported immediately, but
not later than ________________ after the allegation is made, if the events that cause the allegation
involve abuse or result in serious bodily injury - Answers 2 hours
not later than _________ hours if the events that cause the allegation do not involve abuse and do not
result in serious bodily injury, to the administrator of the facility and to other officials (including to the
,State Survey Agency and adult protective services where state law provides for jurisdiction in long-term
care facilities) in accordance with State law through established procedures. - Answers 24
Report the results of all investigations to the administrator or his or her designated representative and
to other officials in accordance with State law, including to the State Survey Agency, within
________________________ of the incident, and if the alleged violation is verified appropriate
corrective action must be taken. - Answers 5 working days
the notice of transfer or discharge required under this section must be made by the facility at least
_______ days before the resident is transferred or discharged. - Answers 30
Comprehensive careplan. Within ______ calendar days after admission, excluding readmissions in which
there is no significant change in the resident's physical or mental condition. (For purposes of this
section, "readmission" means a return to the facility following a temporary absence for hospitalization
or for therapeutic leave.) - Answers 14
Comprehensive care plan. Within _______ calendar days after the facility determines, or should have
determined, that there has been a significant change in the resident's physical or mental condition. (For
purposes of this section, a "significant change" means a major decline or improvement in the resident's
status that will not normally resolve itself without further intervention by staff or by implementing
standard disease-related clinical interventions, that has an impact on more than one area of the
resident's health status, and requires interdisciplinary review or revision of the care plan, or both.) -
Answers 14
Quarterly review assessment. A facility must assess a resident using the quarterly review instrument
specified by the State and approved by CMS not less frequently than - Answers once every 3 months.
A facility must maintain all resident assessments completed within the previous ________________
months in the resident's active record and use the results of the assessments to develop, review, and
revise the resident's comprehensive plan of care. - Answers 15 months
The baseline care plan must be developed within ______ hours. and must include: - Answers 48 hours of
a resident's admission.
(A) Initial goals based on admission orders.
(B) Physician orders.
(C) Dietary orders.
(D) Therapy services.
(E) Social services.
(F) PASARR recommendation, if applicable.
, A comprehensive care plan must be - Answers (i) Developed within 7 days after completion of the
comprehensive assessment.
The comprehensive care plan must - Answers (ii) Prepared by an interdisciplinary team, that includes but
is not limited to—
(A) The attending physician.
(B) A registered nurse with responsibility for the resident.
(C) A nurse aide with responsibility for the resident.
(D) A member of food and nutrition services staff.
(E) To the extent practicable, the participation of the resident and the resident's representative(s). An
explanation must be included in a resident's medical record if the participation of the resident and their
resident representative is determined not practicable for the development of the resident's care plan.
(F) Other appropriate staff or professionals in disciplines as determined by the resident's needs or as
requested by the resident.
The activities program must be directed by a qualified professional who is a qualified therapeutic
recreation specialist or an activities professional who— - Answers (i) Is licensed or registered, if
applicable, by the State in which practicing; and Is:
(A) Eligible for certification as a therapeutic recreation specialist or as an activities professional by a
recognized accrediting body on or after October 1, 1990; or
(B) Has 2 years of experience in a social or recreational program within the last 5 years, one of which
was full-time in a therapeutic activities program; or
(C) Is a qualified occupational therapist or occupational therapy assistant; or
(D) Has completed a training course approved by the State.
Certified Nursing Aide dementia training - Answers 8 hours a year
Re-registration for CNA - Answers Re-registration each 2 years and must have worked 8 hours in those 2
years.
Social worker requirements - Answers More than 120 bed facility and the social worker must have at
least bachelors degree in social work or in human services field (sociology, special ed, rehab, counseling,
psychology etc) PLUS one year supervised SW experience working with individuals in a health care
facility.
Where changes are made to charges for other items and services that the facility offers, the facility must
inform the resident in writing at least - Answers 60 days prior to implementation of the change.
The facility must provide the resident with access to personal and medical records pertaining to their
self, upon an oral and written request, in the form and format requested by the individual, if it is readily
producible in such form and format (including in an electronic form or format when such records are
maintained electronically) or if not, in a readable hard copy form or such other form agreed to by the
facility and the individual within - Answers 24 hours
The facility must allow the resident to obtain a copy of the records or any portion there of upon request
and - Answers 2 working days advance notice to the facility
The facility must have reports with respect to any surveys, certifications, and complaint investigations
made respecting the facility along with plans of correction in effect with respect to the facility, available
for any individual to review upon request. - Answers 3 preceding years
The facility must notify each resident that receives Medicaid benefits when the amount in the residents
account reaches - Answers $200 less than the SSI resource limit
The facility must deposit the resident's personal funds in excess of $_____ in an interest bearing account
that is separate from any of the facility's operating accounts, and that credits all interest earned on
resident's funds to that account. - Answers $50
(iv) The facility must refund to the resident or resident representative any and all refunds due the
resident within - Answers 30 days from the resident's date of discharge from the facility.
Comfortable and safe temperature levels. Facilities initially certified after October 1, 1990 must maintain
a temperature range of - Answers 71 to 81 °F
Maintaining evidence demonstrating the results of all grievances for a period of no less than - Answers 3
years from the issuance of the grievance decision.
(B) Each covered individual shall report immediately, but not later than _______________ after forming
the suspicion, if the events that cause the suspicion result in serious bodily injury, or not later than
__________ if the events that cause the suspicion do not result in serious bodily injury. - Answers 2
hours or 24 hours
Ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including
injuries of unknown source and misappropriation of resident property, are reported immediately, but
not later than ________________ after the allegation is made, if the events that cause the allegation
involve abuse or result in serious bodily injury - Answers 2 hours
not later than _________ hours if the events that cause the allegation do not involve abuse and do not
result in serious bodily injury, to the administrator of the facility and to other officials (including to the
,State Survey Agency and adult protective services where state law provides for jurisdiction in long-term
care facilities) in accordance with State law through established procedures. - Answers 24
Report the results of all investigations to the administrator or his or her designated representative and
to other officials in accordance with State law, including to the State Survey Agency, within
________________________ of the incident, and if the alleged violation is verified appropriate
corrective action must be taken. - Answers 5 working days
the notice of transfer or discharge required under this section must be made by the facility at least
_______ days before the resident is transferred or discharged. - Answers 30
Comprehensive careplan. Within ______ calendar days after admission, excluding readmissions in which
there is no significant change in the resident's physical or mental condition. (For purposes of this
section, "readmission" means a return to the facility following a temporary absence for hospitalization
or for therapeutic leave.) - Answers 14
Comprehensive care plan. Within _______ calendar days after the facility determines, or should have
determined, that there has been a significant change in the resident's physical or mental condition. (For
purposes of this section, a "significant change" means a major decline or improvement in the resident's
status that will not normally resolve itself without further intervention by staff or by implementing
standard disease-related clinical interventions, that has an impact on more than one area of the
resident's health status, and requires interdisciplinary review or revision of the care plan, or both.) -
Answers 14
Quarterly review assessment. A facility must assess a resident using the quarterly review instrument
specified by the State and approved by CMS not less frequently than - Answers once every 3 months.
A facility must maintain all resident assessments completed within the previous ________________
months in the resident's active record and use the results of the assessments to develop, review, and
revise the resident's comprehensive plan of care. - Answers 15 months
The baseline care plan must be developed within ______ hours. and must include: - Answers 48 hours of
a resident's admission.
(A) Initial goals based on admission orders.
(B) Physician orders.
(C) Dietary orders.
(D) Therapy services.
(E) Social services.
(F) PASARR recommendation, if applicable.
, A comprehensive care plan must be - Answers (i) Developed within 7 days after completion of the
comprehensive assessment.
The comprehensive care plan must - Answers (ii) Prepared by an interdisciplinary team, that includes but
is not limited to—
(A) The attending physician.
(B) A registered nurse with responsibility for the resident.
(C) A nurse aide with responsibility for the resident.
(D) A member of food and nutrition services staff.
(E) To the extent practicable, the participation of the resident and the resident's representative(s). An
explanation must be included in a resident's medical record if the participation of the resident and their
resident representative is determined not practicable for the development of the resident's care plan.
(F) Other appropriate staff or professionals in disciplines as determined by the resident's needs or as
requested by the resident.
The activities program must be directed by a qualified professional who is a qualified therapeutic
recreation specialist or an activities professional who— - Answers (i) Is licensed or registered, if
applicable, by the State in which practicing; and Is:
(A) Eligible for certification as a therapeutic recreation specialist or as an activities professional by a
recognized accrediting body on or after October 1, 1990; or
(B) Has 2 years of experience in a social or recreational program within the last 5 years, one of which
was full-time in a therapeutic activities program; or
(C) Is a qualified occupational therapist or occupational therapy assistant; or
(D) Has completed a training course approved by the State.
Certified Nursing Aide dementia training - Answers 8 hours a year
Re-registration for CNA - Answers Re-registration each 2 years and must have worked 8 hours in those 2
years.
Social worker requirements - Answers More than 120 bed facility and the social worker must have at
least bachelors degree in social work or in human services field (sociology, special ed, rehab, counseling,
psychology etc) PLUS one year supervised SW experience working with individuals in a health care
facility.
