NHA - National Prep Test 2

100 Questions | Total Attempts: 6095

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NHA Quizzes & Trivia

Nha self prep test 2


Questions and Answers
  • 1. 
    When a medication has an automatic stop order, the nurse should call the physician:
    • A. 

  • 2. 
    Which one of the functions of management would be accomplished first?
    • A. 

      Actuating

    • B. 

      Planning

    • C. 

      Organizing

    • D. 

      Staffing

  • 3. 
    The ability to convert assets to cash is:
    • A. 

      Turnover

    • B. 

      Solvency

    • C. 

      Depreciation

    • D. 

      Liquidity

  • 4. 
    Who compiles the Life Safety Code?
    • A. 

      American National Standards Institute

    • B. 

      The Federal Government

    • C. 

      National Fire Protection Association

    • D. 

      Occupational Safety and Health Administration

  • 5. 
    All walks must be at least:
    • A. 

      36 inches wide

    • B. 

      48 inches wide

    • C. 

      54 inches wide

    • D. 

      60 inches wide

  • 6. 
    The accounting system required by Medicare is:
    • A. 

      Accrual

    • B. 

      Cost

    • C. 

      Cash

    • D. 

      Analysis

  • 7. 
    How often should the emergency generator be tested under full load for 30 minutes?
    • A. 

      Weekly

    • B. 

      Monthly

    • C. 

      Bimonthly

    • D. 

      Quarterly

  • 8. 
    In planning a budget, it is most important to know:
    • A. 

      Assets and liabilities

    • B. 

      Net profit and net worth

    • C. 

      Past cost and future cost

    • D. 

      Past experience and projected expectations

  • 9. 
    The major reason that the administrator should try to prevent employee turnover is:
    • A. 

      The labor market cannot supply qualified replacements

    • B. 

      The cost of recruiting and training new employees

    • C. 

      The cost of unemployment compensation

    • D. 

      New employees tend to have poorer work attitudes

  • 10. 
    All facilities are to be free of insects and rodents, however, usually state laws prohibit the use of all of the following except:
    • A. 

      Sprays

    • B. 

      Open traps

    • C. 

      Poisoned baits

    • D. 

      Sticky flypaper

  • 11. 
    Employee accidents uaually result from:
    • A. 

      Slipping on wet floors

    • B. 

      Usafe employee behavior

    • C. 

      Back sprains

    • D. 

      Needle punctures

  • 12. 
    The Omnibus Budget Reconciliation Act of 1987 requires one of the following:
    • A. 

      The immediate release of any resident who has been physically restrained

    • B. 

      Evidence of a multidisciplinary assessment and plans for the resident's discharge

    • C. 

      The ban of the use of physical restraints applied to old and new equally

    • D. 

      That chemical restraint is substituted for physical restraints whenever possible

  • 13. 
    A procedure is:
    • A. 

      A detailed statement to accomplish a task

    • B. 

      A broad guide to thinking

    • C. 

      A program to accomplish goals

    • D. 

      A set of policies

  • 14. 
    Market opportunity research should be conducted:
    • A. 

      Once a year

    • B. 

      Only when there is a strong competition

    • C. 

      Before beginning a marketing program

    • D. 

      Primarily to assist public relations

  • 15. 
    The cause of depreciation is:
    • A. 

      Decrease in value due to age, wear and tear, and action of the elements

    • B. 

      Decrease in value due to depletion of materials and supplies

    • C. 

      Loss of value due to decrease in volume of business

    • D. 

      Loss of value due to decrease in quality of output

  • 16. 
    A goal or objective is:
    • A. 

      A plan that states how a task should be done

    • B. 

      A general idea of what you want done

    • C. 

      The end result toward which activity and effort are directed

    • D. 

      A little used planning concept in management

  • 17. 
    Medicaid utilization review guidelines are established by the:
    • A. 

      State

    • B. 

      Facility

    • C. 

      Medical director

    • D. 

      Medical government

  • 18. 
    Controlling is:
    • A. 

      Synchronizing the efforts of others

    • B. 

      Communicating with employees

    • C. 

      Overall setting of objectives

    • D. 

      Setting of goals or objectives, checking performance, and talking corrective actions

  • 19. 
    Forecasting has become more important in today's nursing facility environment. The accuracy of an administrator's forecasts will affect the ultimate success of the facility's plans. Forecasts, therefore, are expected to be:
    • A. 

      Strictly scientific

    • B. 

      90% accurate

    • C. 

      A reasonable estimate of what reality will be in the future

    • D. 

      Complex, statistical and technical

  • 20. 
    Who requires audible and flashing fire alarms in LTC facilities?
    • A. 

      Titles XVIII & XIX

    • B. 

      ANSI

    • C. 

      OSHA

    • D. 

      State regulatory agencies

  • 21. 
    Requirements which nursing homes must meet to provide services to Medicare and Medicaid patients are called:
    • A. 

      By-laws

    • B. 

      Sanctions

    • C. 

      Articles of incorporation

    • D. 

      Requirements of participation

  • 22. 
    Net worth is:
    • A. 

      Total assets less total liabilities

    • B. 

      Gross profit less outstanding accounts

    • C. 

      Accounts receivable and cash on hand, less liabilities

    • D. 

      Current assets less current liabilities

  • 23. 
    Management or supervision is defined as:
    • A. 

      Getting work done with and through other people

    • B. 

      Directing others but pitching in to help

    • C. 

      Handling finances, keeping records and letting others do their work

    • D. 

      Telling employees what to do and leaving the rest to them

  • 24. 
    The biggest cost control problem in a facilit is:
    • A. 

      Purchasing

    • B. 

      Theft

    • C. 

      Employees

    • D. 

      Vendors

  • 25. 
    When a fire occurs, who is in charge until the firemen arrive?
    • A. 

      The administrator

    • B. 

      The highest ranking person on duty

    • C. 

      The director of nursing

    • D. 

      The charge nurse

  • 26. 
    In the process of planning, the administrator should:
    • A. 

      Establish a five year plan

    • B. 

      Set up a plan and review it every two years

    • C. 

      Establish a plan and review it only when a crisis occurs

    • D. 

      Constantly check, recheck and modify the plan if necessary

  • 27. 
    The social worker might be most helpful in which of the following types of residents?
    • A. 

      Depressed and withdrawn

    • B. 

      Bedridden

    • C. 

      Uncoordinated

    • D. 

      Hard of hearing

  • 28. 
    In a SNFall drug regimens must be reviewed at least:
    • A. 

      Every 60 days by a pharmacist

    • B. 

      Every 30 days by a nurse

    • C. 

      Every 30 days by a pharmacist

    • D. 

      As often as requested

  • 29. 
    The primary purpose of written personnel policies and procedures is to:
    • A. 

      Comply with Federal & State standards

    • B. 

      Provide guidelines for supervisors to use in leading employees

    • C. 

      Establish guidlines for the performance and behavior of employees

    • D. 

      Discourage labor unios from trying to organize the facility

  • 30. 
    The term proprietorship as it relates to the nursing home industry means:
    • A. 

      State owned facility

    • B. 

      Nonprofit facility

    • C. 

      Federally owned facility

    • D. 

      Privately owned facility

  • 31. 
    Most people are asked to serve on boards because they:
    • A. 

      Are experienced in serving on boards

    • B. 

      Are knowledgeable in problems in long term care

    • C. 

      Know the difference between board duties and management duties

    • D. 

      Are successful in managing some other business or career

  • 32. 
    The internal recruitment device of letting all employees know of a job vacancy is:
    • A. 

      Promotion

    • B. 

      Seniority preference

    • C. 

      Job posting

    • D. 

      Employment at will

  • 33. 
    The allocation of the original cost of a non-current intangible asset over a period of time specified by the government is called:
    • A. 

      Amortization

    • B. 

      Depreciation

    • C. 

      Allocation

    • D. 

      Accrual accounting

  • 34. 
    Span of management is:
    • A. 

      The number of employees on the payroll

    • B. 

      The number of employees a supervisor can effectively supervise

    • C. 

      The number of employees reporting to the administrator, directly and indirectly

    • D. 

      The capacity of the administrator to determine who is working for him

  • 35. 
    The role of the NHA in the management of the nursing home is:
    • A. 

      To set facility goals and formulate the mission statement

    • B. 

      To approve and carry out the budget

    • C. 

      To advise the board, then organize and carry out the directives of the board

    • D. 

      To act as an agent of the owner or shareholder

  • 36. 
    The primary reason bank statements should be reconciled as soon as they are received is:
    • A. 

      Banks often charge checks and make deposits to the wrong accounts

    • B. 

      Neither the bank statement nor the facility ledger account may show the exact same balance

    • C. 

      The cash ledger account must always be adjusted to the true balance shown on the bank's statement

    • D. 

      Reconciliation is a good means of checking on the efficiency of the facility bookkeeper's performance

  • 37. 
    Fringe benefit packages usually include all except:
    • A. 

      Health insurance

    • B. 

      Sick leave pay

    • C. 

      Vacation pay

    • D. 

      Personal liability insurance

  • 38. 
    The procedure that helps schedule work and prevent duplication in maintenance and housekeeping is referred to as:
    • A. 

      Preventative maintenance

    • B. 

      Rotation scheduling

    • C. 

      Priority scheduling

    • D. 

      Work orders

  • 39. 
    A hallucination is:
    • A. 

      A retreat from reality

    • B. 

      A misinterpretation of sensory experience

    • C. 

      An experience which is capable of being perceived by the patient

    • D. 

      A sensory experience occurring independently of stimulation from the environment

  • 40. 
    Which agency has as its primary goal to ensure buildings is accessible to the physically handicapped?
    • A. 

      American National Standards Institution

    • B. 

      National Fire Protection Standards Association

    • C. 

      Occupational Safety and Health Administration

    • D. 

      Health Care Financial Association

  • 41. 
    What would be the primary benefit of public relations to a nursing home?
    • A. 

      Reducing competition with other facilities

    • B. 

      Strenghthening bonds between community and facility

    • C. 

      Improving image within the facility

    • D. 

      Reducing employee absenteeism and turnover

  • 42. 
    When an asset is depreciated, it's cost is:
    • A. 

      Prepaid

    • B. 

      Adjusted to reflect its increase in value over time

    • C. 

      Allocated to expense over a 20 year period

    • D. 

      Allocated to expense over it's estimated useful life

  • 43. 
    The administrator should require cost reports at least monthly from the food service manager that includes all of the following except:
    • A. 

      Cost of utilities

    • B. 

      Total cost per meal

    • C. 

      Raw food cost per meal

    • D. 

      Cost of meals per patient day

  • 44. 
    When working with a resident who has had a stroke and has difficulty buttoning her robe, an employee should:
    • A. 

      Button the robe for the resident

    • B. 

      Ignore the resident's problem so she won't get embarrassed

    • C. 

      Encourage the resident to try to do it herself

    • D. 

      Ask the occupational therapist to teach her

  • 45. 
    The Fair Labor Standards Act requires that employees must be:
    • A. 

      Given sick leave

    • B. 

      Paid for overtime

    • C. 

      Paid for vacation

    • D. 

      Given termination pay

  • 46. 
    The best type of fire extinguisher to use for a Class B (flammable liquid) fire is a:
    • A. 

      Class B fire extinguisher that uses CO2 or dry chemicals

    • B. 

      Sodium chloride fire extinguisher

    • C. 

      Plain water pump

    • D. 

      Soda acid fire extinguisher

  • 47. 
    All doors except those to bathrooms must be at least ________ inches in width and fire-rated.
    • A. 

      15

    • B. 

      20

    • C. 

      32

    • D. 

      44

  • 48. 
    As an element of organizing, basic departmentalization:
    • A. 

      Is set up and regulated by the Federal government

    • B. 

      Is the same in every nurisng facility

    • C. 

      Groups people and activities together, assigns roles and delegates authority

    • D. 

      Should only be done when the facility first opens

  • 49. 
    What portion of the unemployement insurance tax is paid by the employer?
    • A. 

      50%

    • B. 

      75%

    • C. 

      100%

    • D. 

      None

  • 50. 
    A resident suffering from glaucoma should be referred to a (an):
    • A. 

      Dermatologist

    • B. 

      Ophthalmologist

    • C. 

      Oncologist

    • D. 

      ENT specialist

  • 51. 
    A perpetual inventory system is one that:
    • A. 

      Is done by counting materials on hand

    • B. 

      Reflects cost of materials based on actual usage

    • C. 

      Must be done by computer

    • D. 

      Is done at the end of each fiscal year

  • 52. 
    Pressure sores may be caused by all of the following except:
    • A. 

      Prolonged stay in bed

    • B. 

      Wet bed clothing

    • C. 

      Improper care of pressure points

    • D. 

      Too much exercise

  • 53. 
    The best means of controlling disease spread in a facility is:
    • A. 

      Proper hand washing after each nursing procedure

    • B. 

      Fumigation of area where a communicable disease is noted

    • C. 

      Isolation of the diseased patient as long as they are contagious

    • D. 

      Aseptic cleaning of isolation areas

  • 54. 
    All Schedule II drugs must be stored:
    • A. 

      In separate container

    • B. 

      In separate cabinets

    • C. 

      In separate containers and separate cabinets

    • D. 

      Under double lock and key

  • 55. 
    Chronic means:
    • A. 

      Appearing sporadically

    • B. 

      Of long duration

    • C. 

      Mild and long term

    • D. 

      Extremely debilitating and long term

  • 56. 
    The rehabilitation therapists (PT,OT, ST) are required to do which of the following in treating nursing home residents:
    • A. 

      Do their work according to physician orders

    • B. 

      Instruct nursing care personnel in rehabilitation

    • C. 

      Do their own billing for Medicare and Medicaid

    • D. 

      Provide their equipment and supplies

  • 57. 
    When the union sets out to organize a facility, the administrator cannot:
    • A. 

      Ask employees if they attend union meetings

    • B. 

      Express his views that a union is not helpful

    • C. 

      Hold employee meetings in which weaknesses of unios and unlawful union acitivity are discussed

    • D. 

      Discipline employees who discuss union activities while working on the job

  • 58. 
    Nursing facilities have both current and long-term assets. Which of the following are current assets?
    • A. 

      Anything currently owned by the facility

    • B. 

      Cash or other things that can be quickly converted to cash

    • C. 

      Buildings, land and equipment

    • D. 

      Cash or other assests that will eventually be used up

  • 59. 
    Nursing home residents are most frequently injured by:
    • A. 

      Falls

    • B. 

      Burns

    • C. 

      Employees

    • D. 

      Lacerations

  • 60. 
    Marketing health care is more difficult than marketing many products because:
    • A. 

      It is more expensive

    • B. 

      The public is opposed to nursing homes

    • C. 

      People don't want to be reminded that they are aging

    • D. 

      Many people don't believe a profit should be made on health care

  • 61. 
    The basic functions of management are:
    • A. 

      Planning, staffing, leading, budgeting, coordinating, leading, personnel

    • B. 

      Staffing, budgeting, coordinating, leading, personnel

    • C. 

      Organizing, staffing, planning, budgeting, leading

    • D. 

      Planning, organizing, staffing, leading, controlling

  • 62. 
    Which of the following indicates to the administrator that the facility's activity program is effective?
    • A. 

      Each resident takes part only in activities he or she wishes to take part in

    • B. 

      More residents are involved as observers or participants

    • C. 

      More community people are involved in the activities program

    • D. 

      There is in increase in bingo participation

  • 63. 
    A resident council in a nursing facility is effective when:
    • A. 

      All residents participate

    • B. 

      It has a strong leader and committees

    • C. 

      It has the support of the administrator and staff

    • D. 

      It is attended and directed by the patient activities coordinator

  • 64. 
    The Fair Labor Standards Act concerns itself primarily with:
    • A. 

      Mediation

    • B. 

      Arbitration

    • C. 

      Wages and hours of employment

    • D. 

      Union activities

  • 65. 
    Benign means:
    • A. 

      Acute

    • B. 

      Normal

    • C. 

      Cancer

    • D. 

      Non-malignant

  • 66. 
    Which of the following are analgesics?
    • A. 

      Penicillin and sulfa

    • B. 

      Darvon and aspiring

    • C. 

      Valium and librium

    • D. 

      Milk of magnesia and cascara

  • 67. 
    Personnel policies should be:
    • A. 

      Placed on bulletin boards

    • B. 

      Discussed only with department heads

    • C. 

      Given to each employee to read and discuss

    • D. 

      Designed by administration for all supervisors

  • 68. 
    The document outlining duties, authority, examples of work qualifications is a:
    • A. 

      Job assignment

    • B. 

      Job analysis

    • C. 

      Job evaluation

    • D. 

      Job description

  • 69. 
    Incontinency means:
    • A. 

      Urinary blockage

    • B. 

      Loss of mental ability

    • C. 

      Inflammation of the muscles

    • D. 

      Involuntary passage of urine

  • 70. 
    Medications may be taken home only when:
    • A. 

      Resident can follow medication instructions

    • B. 

      Cost replacement drugs are excessive

    • C. 

      Resident has paid for all of the drugs

    • D. 

      The physician authorizes it in writing

  • 71. 
    Personnel policies and procedures are considered:
    • A. 

      A set of legal obligations between the facility and it's employees

    • B. 

      A distortion of facts

    • C. 

      Elimination of the facts

    • D. 

      Elimination of false statements

  • 72. 
    The resident care plan is coordinated by the Resident Service Director and consists of:
    • A. 

      The diagnosis, prognosis and treatment prescribed by the physician

    • B. 

      The nursing care plan for the specific period of time

    • C. 

      A planned course of action designed to help meet resident needs

    • D. 

      A planned course of action setting goals for ambulation and self care

  • 73. 
    A policy is:
    • A. 

      A detailed statement

    • B. 

      A broad guideline to thinking and the setting of boundaries

    • C. 

      A set of plans

    • D. 

      A procedure

  • 74. 
    The principle of Unity of Command means that:
    • A. 

      All managers int he facility should give the same answers to staff questions

    • B. 

      No staff member should report to more than one supervisor for any given function

    • C. 

      Only the administrator can issue commands that substantially affect the way members act

    • D. 

      Staff members may seek the advice of any manager in the facility as long as they get one answer

  • 75. 
    The purpose of a medical record is to:
    • A. 

      Protect the facility

    • B. 

      Provide continuous information for research

    • C. 

      Provide the necessary information for utilization review

    • D. 

      Provide continuous information on the patient's condition

  • 76. 
    When the balance of an account exceed the sum of the debits to that account, it is referred as:
    • A. 

      An entry

    • B. 

      A credit entry

    • C. 

      A credit balance

    • D. 

      A deficit balance

  • 77. 
    The correlation between job satisfaction and productivity is:
    • A. 

      Highly positive

    • B. 

      Highly negative

    • C. 

      Weakly positive

    • D. 

      Weakly negative

  • 78. 
    A nasogastric tube is used to aspirate fluids from the:
    • A. 

      Stomach

    • B. 

      Intestines

    • C. 

      Urinary tract

    • D. 

      Nose

  • 79. 
    The goal of rehabilitation services is to:
    • A. 

      Get residents well and send them home

    • B. 

      Correct coordination problems

    • C. 

      Re-establish eye/hand coordination

    • D. 

      Help residents live at their fullest potential

  • 80. 
    Depreciation of equipment is considered:
    • A. 

      An asset

    • B. 

      A fixed cost

    • C. 

      A variable cost

    • D. 

      A part of net worth

  • 81. 
    Patient rooms must meet all of the following requirements except:
    • A. 

      Direct access to corridors

    • B. 

      An outside exposure

    • C. 

      Call system to the nurse's station

    • D. 

      Equipped with a private toilet

  • 82. 
    Strategic planning:
    • A. 

      Should be limited to top management

    • B. 

      Has decreased in recent years

    • C. 

      Is very time consuming and inefficient

    • D. 

      Helps the facility reevaluate its mission and identify its long term goals

  • 83. 
    Metastasis is a health care term properly defined as:
    • A. 

      A static condition between a diseased organism and the immune system

    • B. 

      The appearance of certain trace metals in the bloodstream

    • C. 

      The spread of diseased cells or cancer throughout the body

    • D. 

      A condition found in most renal patients

  • 84. 
    A balance sheet is a statement of financial position which:
    • A. 

      Summarizes income and expenses at a specific time

    • B. 

      Shows net worth at a given time

    • C. 

      Summarizes owner equities at a given time

    • D. 

      Summarizes assets, liabilities, and stockholders equity at a specific time

  • 85. 
    Which of the following could be a revenue producing department or center in a nursing home?
    • A. 

      Nursing

    • B. 

      Maintenance

    • C. 

      Payroll

    • D. 

      Plant Operations

  • 86. 
    It is reasonable to expect that employees who are not formally evaluated by their supervisor will:
    • A. 

      Make less progress than those who are evaluated

    • B. 

      Make more progress than those who are evaluated

    • C. 

      Experience no adverse effects from the lack of evaluation

    • D. 

      Make about the same progress as those who are evaluated

  • 87. 
    Discharge planning for newly admitted resident should begin:
    • A. 

      Within 48 hours of admission

    • B. 

      Within 72 hours of admission

    • C. 

      Within 7 days of admission

    • D. 

      At the time of admission

  • 88. 
    Fringe benefits do not include:
    • A. 

      Holidays

    • B. 

      Sick leave

    • C. 

      Overtime

    • D. 

      Group insurance

  • 89. 
    To determine the capability to meet short-term cash needs, an administrator would use the:
    • A. 

      Trial balance

    • B. 

      Balance sheet

    • C. 

      Financial report showing cash receipt and disbursement ledger leading to a net change in cash during a given period

    • D. 

      Profit and loss statement

  • 90. 
    The primary objective in a pressure sore program is:
    • A. 

      Prevention

    • B. 

      Proper treatment

    • C. 

      Proper documentation

    • D. 

      Prevention of complications

  • 91. 
    Which of the following should not be included in the initial orientation of new employees?
    • A. 

      Tour of the facility

    • B. 

      Discussion of personnel policies

    • C. 

      Introduction to one's unit and co-workers

    • D. 

      Lecture on patient care

  • 92. 
    When a documentation error is made in the resident's medical chart, the correct action is to:
    • A. 

      Draw a line through the error, enter correct information, initial and date

    • B. 

      Draw a line through the error, enter correction information, physician initial

    • C. 

      Erase the error, enter correct information, nurse initial

    • D. 

      Block out the error, enter correct information, nurse initial

  • 93. 
    Teamwork occurs when:
    • A. 

      A group of employees are eager to complete their work on time

    • B. 

      Employees do not feel overworked

    • C. 

      Administrators adn employees share goals and knowledge and have open communication

    • D. 

      A supervisor is able to get all his/her employees to perform tasks properly

  • 94. 
    A physical therapist:
    • A. 

      Treats only ambulatory patients

    • B. 

      Teaches hand to eye coordination

    • C. 

      Treats, evaluates, and tests patients' muscles

    • D. 

      Primarily teaches patients how to use crutches

  • 95. 
    The term prognosis is defined as:
    • A. 

      A determination of the resident's cause of disability

    • B. 

      Outlook for the resident's future condition

    • C. 

      Assessment of the resident's present health condition

    • D. 

      Evaluation of the resident's treatment program

  • 96. 
    The 8/80 system of scheduling means an employee may:
    • A. 

      Work 6 or 7 days during one week without overtime pay as long as he only works 80 hours in the two week pay period

    • B. 

      Double back and work a 16 hour shift in one day without overtime pay if he is given the next day off

    • C. 

      Work only 40 hours per week during the two week pay period without being paid overtime

    • D. 

      Choose the days he wants to work in order to do 80 hours in the two week pay period

  • 97. 
    A major goal of the activities program in a nursing facility is to:
    • A. 

      Produce handcrafts for fairs

    • B. 

      Produce income to buy resident activity materials

    • C. 

      Involve residents in personally satisfying activities

    • D. 

      Keep residents out of their rooms as much as possible

  • 98. 
    An example of a current liability is:
    • A. 

      Mortage note on real estate

    • B. 

      Chattel mortgage on a new automobile

    • C. 

      FICA taxes

    • D. 

      Five year signature note

  • 99. 
    When OSHA finds unsafe or unhealthy working conditions in a facility, it can impose all penalties except:
    • A. 

      Close the business

    • B. 

      Fines

    • C. 

      Imprisonment

    • D. 

      Citations

  • 100. 
    • A. 

      $2.90

    • B. 

      $3.87

    • C. 

      $3.95

    • D. 

      $4.00