NHA Practice Exam
(248).jpg "NHA Practice Exam - Quiz")
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- 1.
A person diagnosed with dementia usually:
- A.
Complains a lot
- B.
Stresses failures
- C.
Displays a loss of intellectual capacity
- D.
Appears to be completely unconcerned
Correct Answer
C. Displays a loss of intellectual capacity -
- 2.
Gerontology is best defined as the study of the:
- A.
Aging processes
- B.
Psychology of aging
- C.
Illnesses of the aged
- D.
ADL levels of the aged
Correct Answer
A. Aging processes -
- 3.
One of the current proposals regarding the developmentally disabled stresses changing the emphasis in active treatment to:
- A.
One of choice
- B.
Independent living
- C.
Occupational therapy
- D.
Acquiring social skills
Correct Answer
A. One of choice -
- 4.
The most important factor in the treatment and care of the developmentally disabled is:
- A.
The process
- B.
The end result
- C.
Documentation
- D.
Record keeping
Correct Answer
B. The end result -
- 5.
A resident cannot be discharged or transferred if the:
- A.
Resident contracts HIV
- B.
Resident's needs cannot be met
- C.
Resident's health has improved significantly
- D.
Resident has failed to pay after reasonable notice
Correct Answer
A. Resident contracts HIV -
- 6.
Assume that 150 doses of medication were prescribed by the resident's physician to be administered in a given time period. However, 2 doses ordered were not given and 3 doses were incorrectly administered as prescribed. What was the medication error rate?
- A.
2.0 percent
- B.
3.0 percent
- C.
3.3 percent
- D.
5.0 percent
Correct Answer
C. 3.3 percent -
- 7.
It is standard operating procedure to:
- A.
Monitor restraints every two hours
- B.
Monitor restraints every 30 minutes
- C.
Release patients from restraints every two hours and leave them out of the restraint for at least one hour
- D.
Release patients from restraints every hour and leave them out of the restraint for at least 10 minutes
Correct Answer
B. Monitor restraints every 30 minutes -
- 8.
The director of nursing may serve as charge nurse only if the facility:
- A.
Has applied for a waiver
- B.
Is licensed for less than 100 beds
- C.
Has an average daily occupancy of 60 residents or less
- D.
Accepts only residents requiring minimal nursing services
Correct Answer
C. Has an average daily occupancy of 60 residents or less -
- 9.
The OBRA outcome-oriented survey is focused on the:
- A.
Review of physical resources
- B.
Quality of care actually provided
- C.
Monitoring of management procedures
- D.
Compliance with state and federal regulations
Correct Answer
B. Quality of care actually provided -
- 10.
Mrs. Jones fell and fractured her hip while gardening in her back yard and was admitted to the local hospital. She had been in very good health prior to the accident. She was admitted to the local hospital and had surgery performed to repair the fracture. During her stay in the hospital, her family determined that she may need to be admitted to the nursing facility for physical therapy with the expressed intent of having her discharged back to her home as soon as therapy was completed. Upon her admission to the nursing home, the Director of Nurses was informed by her staff that Mrs. Jones was incontinent of bladder. Which statement is true as related to the actions the DON must take?
- A.
The family should be notified of this complication and asked that a month's worth of adult briefs be supplied for Mrs. Jones.
- B.
A complete assessment should be done to determine the reason Mrs. Jones is incontinent and place her on a bladder-training program if appropriate.
- C.
Make Mrs. Jones and/or her responsible party aware that the facility specializes in short-term rehabilitation and does not accept incontinent patients.
- D.
The attending physician should be immediately contacted with a request that he/she come to the facility to perform a complete assessment to determine the reason Mrs. Jones has become incontinent.
Correct Answer
B. A complete assessment should be done to determine the reason Mrs. Jones is incontinent and place her on a bladder-training program if appropriate. -
- 11.
An administrator receives a directive from his company's corporate office advising him that all the company's nursing homes will become "smoke-free" at the beginning of the new year. Which of the following statements is true in regards to the facilities' new smoking policies?
- A.
The facility can prohibit all residents from smoking inside the building, but must provide them a climate controlled smoking area.
- B.
The facility can prohibit all employees from smoking inside the building, but must allow them access to a climate-controlled smoking area on campus.
- C.
The facility must allow those residents who lived in the facility prior to the implementation of the new polic to smoke in a designated, climate controlled area.
- D.
The facility is not allowed to prohibit residents from smoking in designated areas in the nursing home as that right is protected under the Federal Resident Rights for Nursing Home Residents.
Correct Answer
C. The facility must allow those residents who lived in the facility prior to the implementation of the new polic to smoke in a designated, climate controlled area. -
- 12.
In most states, which of the following cannot be appointed as the agent under an advance directive?
- A.
A Friend
- B.
An attorney
- C.
A family member
- D.
The attending physician
Correct Answer
D. The attending physician -
- 13.
The Patient Self-Determination Act should be:
- A.
Enforced by the social service department.
- B.
Discussed during the resident assessment.
- C.
Mailed out annually to all residents and families.
- D.
Given to the resident and family at the time of admission.
Correct Answer
D. Given to the resident and family at the time of admission. -
- 14.
To be effective a resident council should:
- A.
Be controlled by the administrator.
- B.
Have the participation of residents and employees.
- C.
Be given the opportunity to control the activities of the facility.
- D.
Have continued support by the administration and the residents.
Correct Answer
D. Have continued support by the administration and the residents. -
- 15.
A curator, as used in civil law, equates to a:
- A.
Payee.
- B.
Guardian.
- C.
Next of kin.
- D.
Family member.
Correct Answer
B. Guardian. -
- 16.
When a new resident is admitted, the social worker should help the family during the initial separation period by:
- A.
Maintaining family contact regarding the resident's condition.
- B.
Telling the family that the facility will handle the resident's condition.
- C.
Advising the family not to visit until the resident has adjusted to the facility.
- D.
Advising the family to have someone visit each day until the resident is adjusted.
Correct Answer
A. Maintaining family contact regarding the resident's condition. -
- 17.
Empathy may best be defined as the:
- A.
Capacity to share the interests of another person.
- B.
Process whereby one strives to be like another person.
- C.
Unconscious conferring of undesirable traits or tendencies on another person.
- D.
Ability to comprehend the meaning and relevance of the thoughts and feelings of another.
Correct Answer
D. Ability to comprehend the meaning and relevance of the thoughts and feelings of another. -
- 18.
According to research studies, the most indispensable mineral found to be lacking in the diet of the elderly is:
- A.
Iron.
- B.
Sodium.
- C.
Potassium.
- D.
Magnesium.
Correct Answer
C. Potassium. -
- 19.
To maximize the destruction of bacteria on dinnerware, the temperature of rinse water in dishwashers should be:
- A.
110 degrees Fahrenheit
- B.
140 degrees Fahrenheit
- C.
160 degrees Fahrenheit
- D.
180 degrees Fahrenheit
Correct Answer
D. 180 degrees Fahrenheit -
- 20.
Proper food storage is very important. Of the following problems listed, which is usually the most significant?
- A.
Dented cans
- B.
Temperature control
- C.
Labeling of cans and leftovers
- D.
Utensils left in large containers
Correct Answer
B. Temperature control -
- 21.
An unplanned and/or undesired weight loss would be classified as significant if the percentage of loss during a six-month interval was:
- A.
4 percent
- B.
6 percent
- C.
8 percent
- D.
10 percent
Correct Answer
D. 10 percent -
- 22.
The most common cause of food poisoning is:
- A.
Infected food handlers.
- B.
Communication with sick persons.
- C.
Contamination of food by insects.
- D.
Improper refrigeration of perishable foods.
Correct Answer
D. Improper refrigeration of perishable foods. -
- 23.
Nursing personnel should encourage a resident to eat in the dining area unless the resident:
- A.
Is incontinent.
- B.
Cannot eat unassisted.
- C.
Is confined to a wheelchair.
- D.
Has been contraindicated to do so by physician's orders.
Correct Answer
D. Has been contraindicated to do so by physician's orders. -
- 24.
Who is responsible for implementation of the resident care policies in the facility?
- A.
Medical Director
- B.
Director of Nursing
- C.
The assessment team
- D.
Licensed Nursing Home Administrator
Correct Answer
A. Medical Director -
- 25.
The physician must write, sign, and date progress notes:
- A.
Each month
- B.
At each visit.
- C.
As deemed necessary.
- D.
Monthly for the first 90 days.
Correct Answer
B. At each visit. -
- 26.
The Social Security Act provides that a facility must have a written transfer agreement with one or more hospitals that are:
- A.
Equipped with a CAT scan and a MRI.
- B.
Withing a radius of 5 miles of the facility.
- C.
Able to provide ambulance transportation.
- D.
Approved for participation under both Medicare and Medicaid.
Correct Answer
D. Approved for participation under both Medicare and Medicaid. -
- 27.
Under OBRA, the Quality Assessment and Assurance Committee is required to meet at least:
- A.
Weekly.
- B.
Monthly.
- C.
Quarterly.
- D.
Annually.
Correct Answer
C. Quarterly. -
- 28.
Under OBRA, the implementation of which of the following policies is not the responsibility of the medical director?
- A.
Dietary
- B.
Admission
- C.
Personnel
- D.
Infection Control
Correct Answer
C. Personnel -
- 29.
Carcinoma is the medical term for:
- A.
Cancer.
- B.
Cataracts.
- C.
Liver spots.
- D.
Heart disease.
Correct Answer
A. Cancer. -
- 30.
The physician who is primarily involved with the causes and histories of diseases is:
- A.
An internist.
- B.
A pathologist.
- C.
A geriatrician.
- D.
A general practitioner.
Correct Answer
B. A pathologist. -
- 31.
Mr. Boudreaux is an 88-year old resident in the nursing facility. He is cognitively intact, but has very poor posture and has a history of injuries due to falls. As the nursing home has a restraint-free policy, what is the best course of action for this resident?
- A.
Discharge the resident as his needs cannot be met without the use of physical restraints.
- B.
Refer him to Rehabilitation Service so they can assess him for appropriate therapy as well as position devices.
- C.
Request the family employ a private sitter to stay with Mr. Boudreaux during the day in order to reduce the chances of him falling and hurting himself.
- D.
Assign the resident to restorative therapy to help him with ambulation issues and have him confined to a geri-chair with appropriate wedges to promote safety and proper posture.
Correct Answer
B. Refer him to Rehabilitation Service so they can assess him for appropriate therapy as well as position devices. -
- 32.
Mr. Jones is a patient in St. Catherine's Nursing Home. He is diagnosed with lung cancer and his physician orders a regimen of chemotherapy in an attempt to arrest the disease. This type of therapy is considered:
- A.
Pain therapy.
- B.
Cytotoxic therapy.
- C.
Oncological therapy.
- D.
Physiological therapy.
Correct Answer
B. Cytotoxic therapy. -
- 33.
The resident activity director has many roles and duties. However, the first responsibility should be:
- A.
Maintaining adequate records.
- B.
Planning and organizing activity programs.
- C.
Preparing care plans and writing progress notes.
- D.
Completing the assessments and identifying the interests and needs of the residents.
Correct Answer
D. Completing the assessments and identifying the interests and needs of the residents. -
- 34.
Activity coordinators must plan, coordinate, and direct the resident activity programs and in addition:
- A.
Supervise therapeutic programs.
- B.
Record notes in the resident's medical record.
- C.
Conduct the interdisciplinary assessment programs.
- D.
Conduct in-service training programs for all employees.
Correct Answer
B. Record notes in the resident's medical record. -
- 35.
A "remotivation" program as applied to the demented resident generally refers to a:
- A.
Procedure used to recruit residents for group activities.
- B.
Procedure used to encourage resident-staff cooperation.
- C.
Program designed to stimulate the resident's interests in community affairs.
- D.
Group therapy program designed to stimulate the resident's interest in the real world around him.
Correct Answer
D. Group therapy program designed to stimulate the resident's interest in the real world around him. -
- 36.
Care plans address activities that are appropriate for each resident based on the:
- A.
Age and sex of the resident.
- B.
Comprehensive assessment.
- C.
Former life style of the resident.
- D.
Recommendations of the nursing staff.
Correct Answer
B. Comprehensive assessment. -
- 37.
Which of the following would not usually be a primary interdisciplinary team member?
- A.
Activity Director
- B.
Rehabilitation Staff
- C.
Nursing Facility Administrator
- D.
Therapeutic Recreation Staff
Correct Answer
C. Nursing Facility Administrator -
- 38.
A resident spends most of his time in his room alone and he has few interests except he watches the news on television. Which of the following activity approaches would perhaps be the most beneficial?
- A.
Take him on group walks in the community.
- B.
Enroll him in male craft projects like building bird houses.
- C.
Invite him to participate in current events including small group discussions.
- D.
Suggest to the attending physician that antidepressant medication be considered.
Correct Answer
C. Invite him to participate in current events including small group discussions. -
- 39.
According to Medicare and Medicaid requirements, upon an oral or written request, the resident shall have access to all records, including clinical records, pertaining to himself/herself within:
- A.
24 hours
- B.
48 hours
- C.
3 days
- D.
1 week
Correct Answer
A. 24 hours -
- 40.
Medical records are also referred to as clinical records and are utilized by various members of the staff. However, the person ultimately responsible for accurate and adequate medical records is the:
- A.
Administrator
- B.
Director of Nursing
- C.
Attending Physician
- D.
Medical Record Librarian
Correct Answer
C. Attending Physician -
- 41.
Medical records may be released by written permission of the resident and if required by any of the following except:
- A.
A court order.
- B.
An attorney at law.
- C.
A third party contract including Medicare.
- D.
Another nursing home to which the resident is being transferred.
Correct Answer
B. An attorney at law. -
- 42.
In cases in which facilities have created the option for an individual's record to be maintained by computer rather than hard copy, which of the following is true?
- A.
Electronic signatures are acceptable.
- B.
Signatures are acceptable with appropriate safeguards.
- C.
Electronic signatures are acceptable only for the medical staff.
- D.
Signatures must be recorded both electronically and on a hard copy.
Correct Answer
B. Signatures are acceptable with appropriate safeguards. -
- 43.
Te person designated as the clinical record clerk must be:
- A.
Certified.
- B.
Licensed.
- C.
A consultant.
- D.
A full-time staff member.
Correct Answer
D. A full-time staff member. -
- 44.
Abbreviations are used by nurses in completing charts and other medical records. The abbreviation stat means:
- A.
Status.
- B.
Statistic.
- C.
Continue.
- D.
Immediately.
Correct Answer
D. Immediately. -
- 45.
The 1987 OBRA regulation changed the role of the pharmacists in nursing facilities and greatly increased their responsibility. Therefore, today the pharmacist must perform all of the following duties except:
- A.
Destroy all unused prescriptions.
- B.
Determine that drug records are in order.
- C.
Conduct a review of each resident's drug regimen.
- D.
Determine that an account of all controlled drugs is maintained and periodically reconciled.
Correct Answer
A. Destroy all unused prescriptions. -
- 46.
If a resident wants to self-administer medication, who is responsible for drug storage and recording the self-administered doses?
- A.
The resident.
- B.
The nursing staff.
- C.
A family member.
- D.
The legal guardian.
Correct Answer
B. The nursing staff. -
- 47.
Which of the following types of drugs are for eternal use only?
- A.
Topical
- B.
Diuretic
- C.
Laxative
- D.
Sedative
Correct Answer
A. Topical -
- 48.
Stop-order procedures were formerly developed by the pharmaceutical service committee but are now to be developed by the:
- A.
Pharmacist.
- B.
Medical director.
- C.
Pharmacist and the medical director.
- D.
Pharmacist and the director of nursing.
Correct Answer
C. Pharmacist and the medical director. -
- 49.
If a medication has an automatic stop order, the nurse must:
- A.
Notify the pharmacist.
- B.
Never renew the medication.
- C.
Notify the physician before the last dose is administered.
- D.
Notify the physician at the time the drug is last administered.
Correct Answer
C. Notify the physician before the last dose is administered. -
- 50.
Drugs prepared (poured) for administration at 8:00 a.m. should be administered and recorded before subsequent doses are prepared and before:
- A.
9:00 AM
- B.
10:00 AM
- C.
11:00 AM
- D.
12:00 Noon
Correct Answer
A. 9:00 AM -
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Mar 20, 2022Quiz Edited by
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Feb 03, 2018Quiz Created by
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