NHA Line Of Service Exam Questions With
Complete Solutions
1. Which of the following is part of standard precautions for infection control?
A. Wearing a gown each time there is a clothing change for an incontinent resident.
B. Placing soiled linens on the floor rather than on the bed or other furniture.
C. Washing hands after touching a resident's blood or urine, if gloves were worn at the
time of contact.
D. Using an antimicrobial soap for routine hand washing. - answer C. Washing hands
after touching a resident's blood or urine, if gloves were worn at the time of contact.
2. If a facility must notify a resident's physician about a significant change in the
resident's status but the resident's attending physician cannot be reached, which of
these steps should the facility take first
A. Call the Medical Director.
B. Transfer the resident to a hospital.
C. Assign another physician to the case.
D. Call the physician designated by the attending physician to cover for him or her in his
or her absence. - answer D. Call the physician designated by the attending physician to
cover for him or her in his or her absence.
3. A certified nursing facility must complete a performance evaluation of every nurse
aide at least once every
A. month
B. quarter
C. 12 months
D. two years - answer C. 12 months
4. One necessary occasion for a comprehensive reassessment is when a resident
undergoes an unplanned weight loss that exceeds
A. 5 percent in one month.
B. 5 percent in one month, or 10 percent in 6 months.
,C. 5 percent in 3 months, or 10 percent in 6 months.
D. 10 percent in one month. - answer B. 5 percent in one month, or 10 percent in 6
months.
5. Medicare-certified facilities must use which one of the following?
A. accrual basis of accounting
B. perpetual inventory
C. centralized meal service
D. paid feeding assistants - answer A. accrual basis of accounting
6. To meet Life Safety Code requirements, the facility emergency power source must be
capable of providing illumination for all the means of egress how soon after loss of
regular electric power?
A. immediately
B. within five seconds
C. within 10 seconds
D. within 30 seconds - answer C. within 10 seconds
7. A Stage III pressure ulcer is characterized by
A. dark red skin areas with blue discoloration in the center
B. damage to muscle and bone
C. break in skin down to and including underlying fatty tissues D. blisters - answer C.
break in skin down to and including underlying fatty tissues
8. The administrator's role in the survey process includes all except which one of the
following?
A. Responding promptly to surveyors' requests for records and information.
B. Providing input into, and Insuring timely completion of, plans of correction.
C. Year-round training and directing of staff in compliance with regulatory
, requirements.
D. Insulating the governing body from involvement. - answer D. Insulating the governing
body from involvement.
9. A chemical restraint is defined as a psychoactive drug that
A. produces adverse reactions and side effects requiring the attention of the
interdisciplinary team.
B. is useful in managing agitation in persons with dementia.
C. may serve as an appropriate substitute for a physical restraint.
D. is impermissibly used for discipline or convenience and is not required to treat
medical symptoms. - answer D. is impermissibly used for discipline or convenience and
is not required to treat medical symptoms.
10. A resident repeatedly reports seeing birds flying in his room. No one else can see
these birds. This resident may be having which one of the following?
A. hallucinations
B. aspirations
C. bipolar disorder
D. delusions - answer A. hallucinations
11. A certified nurse's aide had a baby. By when does she have to return to work as a
CNA so that she does not lose her certification?
A. 12 months
Complete Solutions
1. Which of the following is part of standard precautions for infection control?
A. Wearing a gown each time there is a clothing change for an incontinent resident.
B. Placing soiled linens on the floor rather than on the bed or other furniture.
C. Washing hands after touching a resident's blood or urine, if gloves were worn at the
time of contact.
D. Using an antimicrobial soap for routine hand washing. - answer C. Washing hands
after touching a resident's blood or urine, if gloves were worn at the time of contact.
2. If a facility must notify a resident's physician about a significant change in the
resident's status but the resident's attending physician cannot be reached, which of
these steps should the facility take first
A. Call the Medical Director.
B. Transfer the resident to a hospital.
C. Assign another physician to the case.
D. Call the physician designated by the attending physician to cover for him or her in his
or her absence. - answer D. Call the physician designated by the attending physician to
cover for him or her in his or her absence.
3. A certified nursing facility must complete a performance evaluation of every nurse
aide at least once every
A. month
B. quarter
C. 12 months
D. two years - answer C. 12 months
4. One necessary occasion for a comprehensive reassessment is when a resident
undergoes an unplanned weight loss that exceeds
A. 5 percent in one month.
B. 5 percent in one month, or 10 percent in 6 months.
,C. 5 percent in 3 months, or 10 percent in 6 months.
D. 10 percent in one month. - answer B. 5 percent in one month, or 10 percent in 6
months.
5. Medicare-certified facilities must use which one of the following?
A. accrual basis of accounting
B. perpetual inventory
C. centralized meal service
D. paid feeding assistants - answer A. accrual basis of accounting
6. To meet Life Safety Code requirements, the facility emergency power source must be
capable of providing illumination for all the means of egress how soon after loss of
regular electric power?
A. immediately
B. within five seconds
C. within 10 seconds
D. within 30 seconds - answer C. within 10 seconds
7. A Stage III pressure ulcer is characterized by
A. dark red skin areas with blue discoloration in the center
B. damage to muscle and bone
C. break in skin down to and including underlying fatty tissues D. blisters - answer C.
break in skin down to and including underlying fatty tissues
8. The administrator's role in the survey process includes all except which one of the
following?
A. Responding promptly to surveyors' requests for records and information.
B. Providing input into, and Insuring timely completion of, plans of correction.
C. Year-round training and directing of staff in compliance with regulatory
, requirements.
D. Insulating the governing body from involvement. - answer D. Insulating the governing
body from involvement.
9. A chemical restraint is defined as a psychoactive drug that
A. produces adverse reactions and side effects requiring the attention of the
interdisciplinary team.
B. is useful in managing agitation in persons with dementia.
C. may serve as an appropriate substitute for a physical restraint.
D. is impermissibly used for discipline or convenience and is not required to treat
medical symptoms. - answer D. is impermissibly used for discipline or convenience and
is not required to treat medical symptoms.
10. A resident repeatedly reports seeing birds flying in his room. No one else can see
these birds. This resident may be having which one of the following?
A. hallucinations
B. aspirations
C. bipolar disorder
D. delusions - answer A. hallucinations
11. A certified nurse's aide had a baby. By when does she have to return to work as a
CNA so that she does not lose her certification?
A. 12 months
