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CDONA LTC Certified Director of Nursing Administration Long Term Care Exam

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This certification validates nurse leaders in long-term care facilities. Domains include clinical leadership, regulatory compliance, staffing, budgeting, resident safety, quality improvement, and team management. Candidates must demonstrate ability to oversee nursing operations in long-term care settings.

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CDONA LTC Certified Director of Nursing
Administration Long Term Care Exam

Question 1. What is the primary role of the Director of Nursing (DON) in
a long-term care facility?

A) Providing direct bedside care

B) Overseeing all nursing operations and ensuring quality resident care

C) Marketing the facility to potential residents

D) Managing the facility’s dietary department

Answer: B

Explanation: The DON is responsible for supervising nursing staff,
managing clinical operations, and ensuring high-quality resident care in
accordance with regulations.



Question 2. Which of the following is an essential component of
strategic planning for a DON?

A) Only focusing on day-to-day tasks

B) Setting long-term goals and identifying resources needed to achieve
them

C) Ignoring input from staff

D) Avoiding change in procedures

Answer: B

,CDONA LTC Certified Director of Nursing
Administration Long Term Care Exam

Explanation: Strategic planning involves setting long-term objectives,
allocating resources, and preparing for future challenges.



Question 3. When managing change in a nursing department, what is
the best initial step for the DON?

A) Implementing changes without input

B) Communicating the need for change to staff and involving them in
the process

C) Waiting for change to occur naturally

D) Ignoring resistance

Answer: B

Explanation: Effective change management includes clear
communication and staff involvement to ensure buy-in and smooth
transitions.



Question 4. What is the most effective method for promoting a positive
work environment?

A) Discouraging teamwork

B) Recognizing and rewarding staff achievements

C) Allowing negative behaviors to go unaddressed

,CDONA LTC Certified Director of Nursing
Administration Long Term Care Exam

D) Only focusing on disciplinary actions

Answer: B

Explanation: Recognition motivates staff and fosters a positive,
collaborative work culture.



Question 5. Which of the following is most important when recruiting
nursing staff?

A) Hiring only based on resume content

B) Assessing both qualifications and cultural fit with the facility

C) Ignoring references

D) Prioritizing speed over quality

Answer: B

Explanation: Both qualifications and cultural fit ensure new hires will
succeed and stay with the organization.



Question 6. Why are performance evaluations important for nursing
staff?

A) To provide feedback and opportunities for professional growth

B) To criticize staff only

, CDONA LTC Certified Director of Nursing
Administration Long Term Care Exam

C) To replace staff members

D) To avoid communication

Answer: A

Explanation: Performance evaluations help identify strengths, areas for
improvement, and support staff development.



Question 7. What is a key strategy for retaining nursing personnel in
long-term care?

A) Ignoring their concerns

B) Providing opportunities for continuing education and advancement

C) Reducing benefits

D) Overworking staff

Answer: B

Explanation: Staff retention improves when employees feel valued and
have opportunities for growth.



Question 8. Which action by a DON best demonstrates effective
delegation?

A) Assigning tasks based on staff skills and providing necessary support

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