NHA Practice Exam

150 Questions | Total Attempts: 1115

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NHA Quizzes & Trivia

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Questions and Answers
  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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.

  • 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.

  • 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

  • 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.

  • 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.

  • 15. 
    A curator, as used in civil law, equates to a:
    • A. 

      Payee.

    • B. 

      Guardian.

    • C. 

      Next of kin.

    • D. 

      Family member.

  • 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.

  • 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.

  • 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.

  • 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

  • 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

  • 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

  • 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.

  • 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.

  • 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

  • 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.