National Prep Test 3

100 Questions  I  By Joeljg1
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National Prep Test 3
National Prep Test 3

  
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  • 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. 
    Whenever a resident is to be transferred to another facility, the family members must be notified _______ in advance.
    • A. 

      5 days

    • B. 

      10 days

    • C. 

      15 days

    • D. 

      30 days


  • 3. 
    A surveyor is in a facility conducting the annual survey. During a medication pass, she notes that 100 does of medication are to be given. A nurse failed to give two doses that were prescribed, another dose was given in the wrong strength, one resident was given the wrong medication and one PRN was not passed. What was the medication error rate?
    • 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. 
    What percent of employees must sign union cards for an election to be called?
    • A. 

      30

    • B. 

      35

    • C. 

      40

    • D. 

      50 plus 1


  • 7. 
    The Kingly NursingHome spends an average of $1500 to recruit, hire, and train a new employee. The Kingly Nursing Home has 100 employees. During the past year 25 of its employees left their employement either voluntarily or involuntarily. What did turnover cost?
    • 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. 
    During the year a facility provided 30,000 days 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


  • 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 care was purchased for your facility at a cost of $20,000. CMS allows you to depreciate out the cost in at which time there will be a salvage value of $2000. What will be the book value after two years?
    • 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 Medicare eligible resident who transfers from the hospital to a nursing home may receive Medicare benefits while in the nursing home when:
    • 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. 
    The Brimm facility has 120 beds. During May you gve the following days of care: 160 Medicare, 800 private pay, and 1920 Medicaid. What was your percent occupancy?
    • 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. 
    If a nursing home facility experienced an infection control outbreak, what would be the accepted surveillance standard to follow?
    • 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. 
    The Director of Nursing of a 240 bed nursing home facility receives a $58,000 salary. The facility's current occupancy rate is 80%. What is the fixed cost of the DON's salary per resident day?
    • 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. 
    What is the most important aspect of treating a pressure sore?
    • 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. 
    The nurse gave an insulin injection without gloves, carefully recapped the needle  by using both hands, and placed the syringe on the over bed table until she finished giving the resident the rest of his medications. How many times did the nurse violate OSHA guidelines?
    • 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 nursing home has an average daily census of 116 residents during the month of April. Total food cost for that month was $11,382. What was the food cost per resident day?
    • 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%


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