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National Prep Test 3

100 Questions
National Prep Test 3

National Prep Test 3

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Questions and Answers
  • 1. 
    There are two parts to the Medicare health insurance program. One of these programs is known as Part A and is:
    • A. 

      A state plan for medical assistance under Title XIX

    • B. 

      A medical and surgical service program provided by a physician

    • C. 

      A hospital program for insurance coverage for the needy under age 65

    • D. 

      A hospital insurance plan providing protection against the cost of hospital and related care.

  • 2. 
    • A. 

      5 days

    • B. 

      10 days

    • C. 

      15 days

    • D. 

      30 days

  • 3. 
    • A. 

      2 %

    • B. 

      4 %

    • C. 

      5 %

    • D. 

      6 %

  • 4. 
    Medicare and Medicaid require that personnel records be kept on employees that include a record of:
    • A. 

      Race, religion, and arrests

    • B. 

      Race, religion, but not arrests

    • C. 

      Sex, national origin, and felony convictions

    • D. 

      Health conditions, illnesses, accidents, and training

  • 5. 
    Whenever a nursing home handles a residents' funds, they must:
    • A. 

      Immediately deposit the funds into the facility's account

    • B. 

      Give the funds to the resident's family

    • C. 

      Keep the resident's funds separate from the facility's account, and provide a quarterly accounting

    • D. 

      Publish the amount weekly and send the report to the administrator's office

  • 6. 
    • A. 

      30

    • B. 

      35

    • C. 

      40

    • D. 

      50 plus 1

  • 7. 
    • A. 

      $37,500

    • B. 

      $39,000

    • C. 

      $40,000

    • D. 

      $46,000

  • 8. 
    Ombudsman programs may best be described as providing:
    • A. 

      Regulatory intervention

    • B. 

      Support for the family of the resident

    • C. 

      Mediation and/or negotiation on behalf of the resident

    • D. 

      Funds for the provision of long-term care for individuals

  • 9. 
    Which of the following is not covered by Part B of the Supplementary Medicare Health Insurance programs?
    • A. 

      Ambulance services

    • B. 

      Home health services

    • C. 

      Custodial care services

    • D. 

      Physician and surgeon services

  • 10. 
    According to title XVIII and title XIX, Medicare and Medicaid, all policies regarding nursing and medical care must be reviewed at least:
    • A. 

      Monthly

    • B. 

      Bimonthly

    • C. 

      Semiannually

    • D. 

      Annually

  • 11. 
    • A. 

      $7

    • B. 

      $8

    • C. 

      $9

    • D. 

      $10

  • 12. 
    The most accurate statement regarding the survey process under OBRA is:
    • A. 

      It is based largely upon facility policies and procedures

    • B. 

      It is inteded to focus on the outcome of resident care

    • C. 

      Presents an opportunity for facility staff to learn requirements

    • D. 

      Is a voluntary audit process

  • 13. 
    The Occupational Safety and Health Act, or OSHA:
    • A. 

      Does not affect health facilities

    • B. 

      Conducts studies of job-related injuries

    • C. 

      Is designed especially for health facilities

    • D. 

      Establishes rules, regulations, and imposed fines

  • 14. 
    Medicare Part A provides all except:
    • A. 

      Home health visits

    • B. 

      In-hospital care

    • C. 

      Physical checkups

    • D. 

      Post-hospital rehabilitation

  • 15. 
    • A. 

      $9,800

    • B. 

      $10,800

    • C. 

      $11,000

    • D. 

      $12,800

  • 16. 
    The declaration of ownership from HCFA-1513 requires each person to give name and address if they have a nurisng home ownership interst of:
    • A. 

      2%

    • B. 

      5%

    • C. 

      7%

    • D. 

      10%

  • 17. 
    Individual resident accounts kept by a facility must include:
    • A. 

      Date, amount, and signature of patient for withdrawals

    • B. 

      Date, amount and signature of patient for both deposits and withdrawals

    • C. 

      Date, amount, and signature of staff member for withdrawals

    • D. 

      A complete record of deposits and withdrawals with documentation

  • 18. 
    • A. 

      Their diagnosis qualifies them for a skilled bed

    • B. 

      They demonstrate rehabilitation potential

    • C. 

      They plan to eventually return home

    • D. 

      All personal funds are exhausted

  • 19. 
    • A. 

      77%

    • B. 

      80%

    • C. 

      82%

    • D. 

      90%

  • 20. 
    Title XVIIIa and Title XIX can be differentiated as:
    • A. 

      Title XVIII is insurance for the aged and Title XIX is insurance for the indigent

    • B. 

      Title XVIII requires a means test while Title XIX does not

    • C. 

      Title XVIII is a form of insurance while Title XIX is public assistance

    • D. 

      Title XVIII is primarily outpatient and Title XIX is primarily inpatient

  • 21. 
    A _______ or more medication error rate may indicate a significant error rate exists.
    • A. 

      3%

    • B. 

      5%

    • C. 

      7%

    • D. 

      9%

  • 22. 
    What act changed the methodology under which nursing homes are reimbursed to a case mix prospective payment system?
    • A. 

      Nursing Home Case Mix System Act of 1980

    • B. 

      Balanced Budget Act of 1997

    • C. 

      National Prospective Payment Act of 1997

    • D. 

      None of the above

  • 23. 
    Medicare Part B will not provide:
    • A. 

      Private duty nurses

    • B. 

      Physician services

    • C. 

      Out-patient dignostic tests

    • D. 

      Home health visits

  • 24. 
    Medicare covers up to _____ days per spell of illness in skilled nursing facilities.
    • A. 

      50

    • B. 

      75

    • C. 

      100

    • D. 

      125

  • 25. 
    Which of the following services is covered under the Medicare health insurance program by both Part A and Part B?
    • A. 

      Hearing aids

    • B. 

      Physical check ups

    • C. 

      Private duty nurses

    • D. 

      One hundred home health visits

  • 26. 
    FIFO, first in-first out is where:
    • A. 

      The oldest materials are used first

    • B. 

      The newest materials are used first

    • C. 

      The oldest new materials are used first

    • D. 

      The newest old materials are used first

  • 27. 
    LIFO, last in-first out is where:
    • A. 

      The oldest materials are used first

    • B. 

      The newest materials are used first

    • C. 

      The oldest new materials are used first

    • D. 

      The newest old materials are used first

  • 28. 
    Enhancing upper extremity mobility, improving fine motor coordination, and stimulating trunk control are areas of emphasis that characterize the work of which health care worker?
    • A. 

      Respiratory therapist

    • B. 

      Speech therapist

    • C. 

      Physical therapist

    • D. 

      Occupational therapist

  • 29. 
    What is the first action to take in the event of a medication error?
    • A. 

      Contact the administrator

    • B. 

      Contact the Director of Nursing

    • C. 

      Contact the attending physician

    • D. 

      Contact the family

  • 30. 
    What medication would you administer to an elderly resident who has suffered a cerebrovascular accident?
    • A. 

      Motrin

    • B. 

      Tylenol

    • C. 

      Aspirin

    • D. 

      None of the above

  • 31. 
    What percentage of weight loss is considered a significant change?
    • A. 

      2%

    • B. 

      3%

    • C. 

      5%

    • D. 

      7%

  • 32. 
    An individual who has not been judged incompetent objects to the proposed nursing home admission. A family member insists the individual be admitted to the facility. What should the facility do?
    • A. 

      Admit the individual

    • B. 

      Wait two weeks before admitting the individual

    • C. 

      Consult a social worker

    • D. 

      Refuse to admit the individual

  • 33. 
    Which of the following individuals can receive verbal orders regarding the prescription of medications?
    • A. 

      Licensed nurse

    • B. 

      Pharmacist

    • C. 

      Physician

    • D. 

      All of the above

  • 34. 
    Dietary policy contains what standard provision regarding nursing home residents?
    • A. 

      All meals must be served hot

    • B. 

      Self-help devices should be suitable for the physically handicapped

    • C. 

      Disposable items are not allowed

    • D. 

      All of the above

  • 35. 
    What part of a financial statement gives a total picture of the financial condidtion of a business on a specific date?
    • A. 

      Balance sheet

    • B. 

      Profit and loss statement

    • C. 

      Financial statement

    • D. 

      Bank statement

  • 36. 
    While Medicare and Medicaid both refer to safety and construction information, provisions in these areas are actually specified by the:
    • A. 

      Business Code of Construction

    • B. 

      Life Safety Code

    • C. 

      American national Standards Institute

    • D. 

      Department of Safety

  • 37. 
    A new dryer cost $2,630 and has a useful life of 7 years. How much depreciation is deducted on a yearly basis using the straight-line method?
    • A. 

      $355

    • B. 

      $375

    • C. 

      $376

    • D. 

      $385

  • 38. 
    • A. 

      Close the building

    • B. 

      Call the Center for Disease Control

    • C. 

      Take microbiological samples from the facility

    • D. 

      All of the above

  • 39. 
    The Material Safety Data Sheets on hazardous chemicals for a nursing home facility are required by which agency?
    • A. 

      OSHA

    • B. 

      ANSI

    • C. 

      JACHO

    • D. 

      None of the above

  • 40. 
    • A. 

      65 cents

    • B. 

      74 cents

    • C. 

      83 cents

    • D. 

      97 cents

  • 41. 
    Which strategy is most effective in order to control odor in a nursing home facility?
    • A. 

      Provide odor proof containers

    • B. 

      Provide quick clean up and attention to nursing care

    • C. 

      Place all foul materials outside the building

    • D. 

      A and c

  • 42. 
    If its is determined that a rise to a nursing home facility's ramp is too steep, the facility in violation of:
    • A. 

      OSHA

    • B. 

      Life Safety Code

    • C. 

      ANSI

    • D. 

      All of the above

  • 43. 
    What does Workman's Compensation Provide?
    • A. 

      Disability benefits to family

    • B. 

      Liability insurance for employees

    • C. 

      Benefits to employees injured while on the job

    • D. 

      A and b

  • 44. 
    What is redundant cuing?
    • A. 

      Getting a group together to sing familiar song

    • B. 

      Turning the lights down so residents know it is bedtime

    • C. 

      Talking in a very low voice

    • D. 

      Repeatedly reminding the resident of what it is you want them to do

  • 45. 
    A piece of new equipment cost $48,756.20 to be depreciated over 7 years. The salvage value is $2,000.00. What is the depreciation expense per year?
    • A. 

      $6,179.00

    • B. 

      $6,679.00

    • C. 

      $6,965.16

    • D. 

      $12,189.05

  • 46. 
    In SNF's how often does the pharmacist review each resident's drug regimen?
    • A. 

      At least monthly

    • B. 

      At least quarterly

    • C. 

      At least annually

    • D. 

      A, b, and c

  • 47. 
    A current ration greater than 1 indicates an organization is likely to be able to?
    • A. 

      Remain open

    • B. 

      Pay bills on time

    • C. 

      Increase inventory

    • D. 

      Decrease inventory

  • 48. 
    During the month of May, Glass Nursing Home, a 240 bed facility had 190 occupied beds. What is the occupancy rate?
    • A. 

      69%

    • B. 

      79%

    • C. 

      89%

    • D. 

      99%

  • 49. 
    What part of Social Security Tax is paid by the employer?
    • A. 

      50%

    • B. 

      75%

    • C. 

      100%

    • D. 

      Social Security Tax is not paid by employer

  • 50. 
    A nursing facility has been notified that reimbursement lag time will increase 5 days during that fiscal year. What administrative action is most appropriate?
    • A. 

      Increase gains and decrease losses

    • B. 

      Increase working capital

    • C. 

      Increase net worth

    • D. 

      Do nothing at this time

  • 51. 
    Peridontal disease is:
    • A. 

      Inflammation of the gums

    • B. 

      Inflammation of the perineal area

    • C. 

      Inflammation of the feet

    • D. 

      All of the above

  • 52. 
    Double entry accounting is:
    • A. 

      When the bank statement balances with the financial statement

    • B. 

      When cash coming in is compared to cash going out

    • C. 

      When every financial transaction is recorded so that each entry has equal debits and credits

    • D. 

      All of the above

  • 53. 
    The definition for ADL is:
    • A. 

      All day long

    • B. 

      Adult longevity

    • C. 

      Activities of daily living

    • D. 

      None of the above

  • 54. 
    When does a resident have the right to stay in his room and not participate in activities?
    • A. 

      Never

    • B. 

      When he gets permission from the administrator

    • C. 

      When he gets permission from the social worker and family

    • D. 

      When he chooses to do so

  • 55. 
    The operating budget is composed of:
    • A. 

      Inventory and income categories

    • B. 

      Profit and loss categories

    • C. 

      Fixed cost and income categories

    • D. 

      Revenue and expense categories

  • 56. 
    What is required in order to apply physical restraints on a resident?
    • A. 

      An order from the director of nursing

    • B. 

      A physician's order

    • C. 

      A court order

    • D. 

      A and b

  • 57. 
    Drugs  brought to a facility by the resident should be used only when in compliance with policies established by:
    • A. 

      The facility on recommendation of the pharmacist

    • B. 

      The director of nursing and the medical director

    • C. 

      The State

    • D. 

      The pharmacist

  • 58. 
    How soon after the admission does a resident require a complete physical examination?
    • A. 

      1 day

    • B. 

      2 days

    • C. 

      3 days

    • D. 

      4 days

  • 59. 
    What person(s) is authorized to dispense medication in a nursing home?
    • A. 

      A licensed pharmacist

    • B. 

      Authorized pharmacy staff being supervised by a pharmacist

    • C. 

      A and b

    • D. 

      None of the above

  • 60. 
    When must the nurse call the physician when working with stop order medications?
    • A. 

      Prior to the last dose to be given

    • B. 

      After the last dose is given

    • C. 

      After the lab results are obtained

    • D. 

      All of the above

  • 61. 
    • A. 

      Clean sheets

    • B. 

      Daily bath

    • C. 

      Prevention

    • D. 

      Exercise

  • 62. 
    What is the difference between a delusion and a hallucination?
    • A. 

      A hallucination is when a person imagines or pretends something is happening; a delusion is a very real experience for that person

    • B. 

      A delusion is when a person imagines or pretends something is happening; a hallucination is a very real experience for that person

    • C. 

      A delusion is a sensory experience, while a hallucination is not

    • D. 

      There is no difference; a delusion and a hallucination are exactly the same

  • 63. 
    What is teh frequency of resident examination and physician visits?
    • A. 

      At least once a year for 3 years unless a significant change in resident condition

    • B. 

      At least once a month for 3 years, and quarterly thereafter

    • C. 

      At least once a month for 3 months, and at least every 2 months thereafter

    • D. 

      None of the above

  • 64. 
    Percentage of weight loss is determined by:
    • A. 

      Usual weight less actual weight, divided by usual weight, times 100

    • B. 

      Usual weight plus actual weight, divided by usual weight, times 110

    • C. 

      Actual weight less usual weight, divided by actual weight, times 100

    • D. 

      Actual weight plus usual weight, divided by actual weight, times 110

  • 65. 
    A charge nurse was to administer 112 doses of medication. She gave 1 wrong dose and failed to give a prn medication for pain. What is her medication error?
    • A. 

      .02

    • B. 

      .04

    • C. 

      .06

    • D. 

      .08

  • 66. 
    What is the primary purpose of a job evaluation?
    • A. 

      To keep accurate records for survey

    • B. 

      To keep employees advised of how well they meet performance standards

    • C. 

      To provide an employee raise

    • D. 

      To support an employee promotion

  • 67. 
    For someone with swallowing problems, who decides the texture of the diet?
    • A. 

      Physician

    • B. 

      Nurse

    • C. 

      Dietician

    • D. 

      Speech therapist

  • 68. 
    The emergency electrical system must restore power within ________ seconds?
    • A. 

      5

    • B. 

      10

    • C. 

      15

    • D. 

      20

  • 69. 
    • A. 

      1

    • B. 

      2

    • C. 

      3

    • D. 

      4

  • 70. 
    What information can be asked during an interview?
    • A. 

      As much information as needed to make an informed decision

    • B. 

      Whatever comes to mind to establish trust in the person being interviewed.

    • C. 

      Questions specific to the job the person is expected to do.

    • D. 

      All of the above

  • 71. 
    Where should information on Workmen's Compensation be posted?
    • A. 

      Outside human resources

    • B. 

      In all bathrooms for staff to see

    • C. 

      Near the administrator's office

    • D. 

      In a common area for all employees to see

  • 72. 
    What is the definition of Alzheimer's Disease?
    • A. 

      Senile dementia

    • B. 

      Chronic dementia

    • C. 

      A progressive incurable disease that damages nerves in the brain

    • D. 

      A chronic disease that damages the brain and spinal cord

  • 73. 
    • A. 

      $7.69

    • B. 

      $7.89

    • C. 

      $7.99

    • D. 

      $8.69

  • 74. 
    Universal precautions prevents the spread of infection by:
    • A. 

      Hand washing

    • B. 

      Gloves

    • C. 

      Proper needle disposal

    • D. 

      All of the above

  • 75. 
    Each resident's quarterly assessment must be updated every ______ days?
    • A. 

      30

    • B. 

      60

    • C. 

      90

    • D. 

      120

  • 76. 
    A nursing home facility's environmental temperature should be:
    • A. 

      61 - 71 degrees F

    • B. 

      71 - 81 degrees F

    • C. 

      81 - 85 degrees F

    • D. 

      Temperature is determined by the administrator on a day by day basis

  • 77. 
    Residents in nursing facilities can be divided into two groups:
    • A. 

      Long-term and short-term

    • B. 

      Old age and middle age

    • C. 

      Young-old and old-old

    • D. 

      Children and old age

  • 78. 
    Elderly abuse includes:
    • A. 

      Beatings and verbal threats

    • B. 

      Violation of rights and material theft of money

    • C. 

      Unwanted acts of a sexual nature

    • D. 

      All of the above

  • 79. 
    Risk management is a process whereby:
    • A. 

      Risks to the institution are evaluated and controlled

    • B. 

      Money is raised to pay for medication errors

    • C. 

      Risks to the staff are evaluated and controlled

    • D. 

      None of the above

  • 80. 
    The initial MDS assessment and care plan must be developed in:
    • A. 

      15 days

    • B. 

      19 days

    • C. 

      21 days

    • D. 

      25 days

  • 81. 
    Title XVIII provides the Medical Director:
    • A. 

      Review incident reports of all accidents

    • B. 

      Serve on committees

    • C. 

      Serve on leader of the interdisciplinary

    • D. 

      All of the above

  • 82. 
    During the year, a facility provided 30,000days of resident care. The operational costs were $3,240,000, and the reimbursement rate was $115 per day. What was the profit per resident day?
    • A. 

      $7

    • B. 

      $8

    • C. 

      $9

    • D. 

      $10

  • 83. 
    All verbal treatment orders shall be countersigned by the physician within:
    • A. 

      2 days

    • B. 

      8 days

    • C. 

      10 days

    • D. 

      12 days

  • 84. 
    The following are guidelines for creating a positive work environment:
    • A. 

      Set an appointment for employees to discuss issues of immediate concern

    • B. 

      Listen to the employee

    • C. 

      Promote based upon supervisory input

    • D. 

      All of the above

  • 85. 
    Questions concerning convictions during an interview:
    • A. 

      Are not allowed

    • B. 

      Are allowed if the person agrees to answer questions

    • C. 

      Are allowed if the Director of Nursing or Administrator request this information

    • D. 

      Are never disallowed since this information is public record

  • 86. 
    Personnel records:
    • A. 

      Must be kept under double lock and key

    • B. 

      Are confidential

    • C. 

      Are updated annually

    • D. 

      B and c

  • 87. 
    Which of the following acts is to make sure buildings are accessible and usable by employees/residents with a disability?
    • A. 

      American national Standards Institute

    • B. 

      Occupational Safety and Health Administration

    • C. 

      Americans with Disabilities Act

    • D. 

      Health Administration Act for Person with Disabilities

  • 88. 
    Telephones for residents must:
    • A. 

      Have push buttons if available

    • B. 

      Be accessible to chair height

    • C. 

      Braille is required for the blind

    • D. 

      All of the above

  • 89. 
    All exterior doors:
    • A. 

      Must be painted a bright color

    • B. 

      Must be locked and equipped with panic bars

    • C. 

      Must swing outward

    • D. 

      All of the above

  • 90. 
    Who sets the standards for pest control?
    • A. 

      Administrator

    • B. 

      Administrator and exterminator

    • C. 

      County

    • D. 

      State

  • 91. 
    What size screen provides protection from insects?
    • A. 

      14 mesh

    • B. 

      16 mesh

    • C. 

      18 mesh

    • D. 

      20 mesh

  • 92. 
    How often should fire drills be conducted?
    • A. 

      One per quarter

    • B. 

      One on each shift per quarter

    • C. 

      One on the day shift each month

    • D. 

      One on each shift monthly

  • 93. 
    Which residents should be moved first during an evacuation?
    • A. 

      Those who are ambulatory

    • B. 

      Those who are in wheelchairs

    • C. 

      Those who are on oxygen

    • D. 

      Those who are seriously ill

  • 94. 
    The Safe Medical Devices Act of 1990 requires:
    • A. 

      All medical devices be reported to the County Health Department

    • B. 

      All medical devices be checked quarterly

    • C. 

      Any incident that reasonably suggests a medical device contributed to the death of a resident be reported

    • D. 

      All of the above

  • 95. 
    Married couples in the same facility:
    • A. 

      Must occupy the same room

    • B. 

      Can occupy the same room if both consent

    • C. 

      Can never occupy the same room

    • D. 

      Can occupy the same room if the family members consent

  • 96. 
    If an election is held, how many of the employees who vote need to vote in order to form a union?
    • A. 

      30 %

    • B. 

      30 % plus 1

    • C. 

      50 %

    • D. 

      50 % plus 1

  • 97. 
    Advisory Boards:
    • A. 

      Have authority

    • B. 

      Are legally responsible for the facility's operation

    • C. 

      Provide expert device

    • D. 

      All of the above

  • 98. 
    A marginal return refers to:
    • A. 

      The break-even point

    • B. 

      A questionable tax return

    • C. 

      How quickly an asset can be converted to cash

    • D. 

      A financial statement with liquid assets

  • 99. 
    The Life Safety Code specifies that Class A extinguishers be placed not more than _______ feet apart?
    • A. 

      25

    • B. 

      50

    • C. 

      75

    • D. 

      100

  • 100. 
    Your facility has 120 beds. During October you gave the following days of care: 150 Medicare, 900 private pay, and 1830 Medicaid. What was your percent occupancy?
    • A. 

      66%

    • B. 

      72%

    • C. 

      77%

    • D. 

      80%