ACTUAL Exam Questions and CORRECT
Answers
A resident was admitted to a facility on November 10. The comprehensive assessment was
completed on November 27th. Per OBRA 1987, the comprehensive assessment was completed
_______. - CORRECT ANSWER - Late. a comprehensive assessment is due 14 days after
admission or by Nov 24th.
The _____________ has ultimate legal responsibility for the operation of a nursing facility. -
CORRECT ANSWER - Governing body.
Per OBRA 1987, air temperature is measured _____________. - CORRECT ANSWER -
Just above the floor
The _________ requires employers to give workers time off for illness or to care for a sick
family member. - CORRECT ANSWER - Family Medical Leave Act
The _______ hires, supervises and can fire the administrator. - CORRECT ANSWER -
Governing Body
The administrator discovers the Director of Nursing has been giving nursing aides 6 months to
complete their state certification requirements. The administrator should ____________. -
CORRECT ANSWER - Reprimand the DON
The rights of an individual determined by a court to be incompetent would be exercised by a(n)
____________________. - CORRECT ANSWER - A person appointed by a court or court
guardian
The maintenance director submitted a request for family leave to care for his ailing mother. He
has worked 1,350 hours in the nine months he has worked for the facility. The administrator
should _____. - CORRECT ANSWER - Approve the request. employee must work 1250
,hours or 12 months to use Family Medical Leave; employer must continue to pay for insurance
premiums while employee is on leave
Per OBRA 1987, a resident has the right to review all their records within ____ of an oral or
written request (excluding weekends and holidays) - CORRECT ANSWER - 24 hours
The comprehensive assessment was completed on June 1. The care plan was completed on June
6th. The care plan was completed ________. - CORRECT ANSWER - Timely. Care Plan
must be done within 7 days of comprehensive assessment or by June 8th
The comprehensive assessment must be signed by _________. - CORRECT ANSWER -
Registered Nurse
The _____________has legal responsibility for the day to day operation of a skilled nursing
home. - CORRECT ANSWER - Administrator. The governing board has ultimate
responsibility for resident care and managing the facility. The administrator is responsible for
day to day operation
The ____________ is responsible for the day-to-day management of the facility's nursing
program. - CORRECT ANSWER - DON. The DON is a registered nurse is responsible to
manage the nursing staff to follow physician orders to adhere to professional standards
CMS stands for __________________. - CORRECT ANSWER - Centers for Medicaid
and Medicare Services
HHS stands for _______________________. - CORRECT ANSWER - Health and Human
Services
The new administrator starts December 1 2007 and reviews the minutes of the Quality Assurance
Committee. The committee met the second Tuesday on January 7, 2007, June 21 2007 and
November 15, 2007. The administrator should _________. - CORRECT ANSWER -
Change the meeting dates to the first Tuesday of January, April, and October to bring the facility
into compliance with OBRA 1987
, A resident was only given lunch that day, was given the wrong medication in the morning, had
her room changed without notification and was not given a bath as requested. Per OBRA 1987,
how many resident rights were violated? - CORRECT ANSWER - 3. A bath is not a
resident right. RULE OF THUMB. If they give two examples then the answer is one right was
violated. if they give you three examples then 2 rights were violated, if they give you 4 examples
then 3 rights were violated.
A resident was admitted on June 1. The attending physician charted a visit and physical
examination on June 27, 2007, July 29 and Sept 4. With respect to required physician visits per
OBRA 1987, the facility _____________. - CORRECT ANSWER - Was in compliance
and would not be cited. With the 10 day grace period, the physical has 40 days to visit and
examine resident first 3 months and they have 70 days to visit the resident from the 4th month
on. the facility will be cited if the physician visits are not timely.
The _______has legal responsibility to adopt and implement facility policies. - CORRECT
ANSWER - Governing body
A resident was admitted on June 1. The attending physician charted a visit and physical
examination of the resident on June 27, July 29, Sept 4 and November 17, 2007. Per OBRA 1987
with respect to required physician visits, the facility ___________. - CORRECT
ANSWER - Would be cited for a late visit in November. Physician had 70 days to visit
resident. The next visit after Sept 4 was due Nov 3 and with the 10 day grace period the last day
was November 13th. The visit occurred on November 17th.
A state surveyor learns in interviews with residents that when residents are admitted, they were
provided a written list of names of physicians who cared for residents in the facility in their
admission packet. The facility assigned an attending physician to each resident prior to
admission from a rotating list of physicians. Per OBRA 1987, the facility _______ - CORRECT
ANSWER - Was out of compliance and would be cited. The facility must inform residents
both orally and in writing that they have a right to choose physician and must provide them the
names, address and phone numbers of attending physicians. Their personal physician can see
them if they agree to.
A housekeeper notices a resident is asleep in the room she needs to clean. She knocks on the
resident's door, identifies herself as a house keeper, and seeing there is no response from the