NHA State Pre-Test

1. A resident has the right to:

Manage personal financial affairs

Have the facility manage personal funds

A quarterly accounting of any transaction made by the facility

All of the above

2. Disaster preparedness:

Is only for top administration

Is offered only at the time of orientation to a job

Includes a written plan for all types of disasters

Includes only a written plan for fire safety that includes fire drills

3. The Director of Nurses:

Must be a full-time registered nurse

May serve more than one facility at the same time

May serve as the administrator of the facility while serving as DON

None of the above

4. Who is the individual that is licensed and has the general administrative charge of a facility?

Executive Director

General Manager

Administrator

None of the above

5. What are the duties of an Ombudsman?

Identify, investigate, and resolve complaints made by or on behalf of residents of long-term care

Protect residents from wrongful actions by providers, representatives, private/public agencies, and guardians

Provide services that assist in protecting the health, safety, welfare, and rights of residents

All of the above

6. Persons employed as nursing assistants must be certified within ______ months of initial employment?

4 months

8 months

12 months

24 months

7. Frozen dessert mixes:

Must be pasteurized

Must not exceed a standard plate count of 45,000

Must not exceed a coli form count of 15 per gram

Must be purified

8. Facility decisions to transfer or discharge residents must be:

Made in writing 30 days in advance

Made verbally 30 days in advance

Made verbally and in writing 14 days in advance

None of the above

9. A provisional license may be issued to fill a nursing home administrator position when that position becomes vacated due to unexpected:

Financial problems

Environmental and safety problems

Abandonment

None of the above

10. A comprehensive assessment shall be completed for each resident within:

14 days of admission and every 12 months thereafter

14 days of admission and every 15 months thereafter

21 days of admission and every 12 months thereafter

21 days of admission and every 15 months thereafter

11. An applicant who fails the licensing examiniation must pass both parts within _______ years from the first failure.

1

2

3

4

12. The agency mandates every licensed facility comply with all of the following EXECPT:

Keep full records of resident admission and discharges

Have available regular, consultative and emergency services of physicians licensed by the State

Include the patient's family in the geriatric outpatient clinic

Provide for the access of dental and other health-related services

13. What type of access does an ombudsman have?

The administrative records, policies, and documents to which residents or the general public have access.

Any portion of the long-term care facility and any resident necessary to investigate or resolve a complaint.

All of the above

14. A comprehensive assessment must be REVIEWED at least every:

1 month

2 months

3 months

4 months

15. Eggs:

Can be hard boiled and peeled

Can be commercially prepared and packaged

A and B

None of the above

16. The Geriatric Outpatient Nurse Clinic Act encourages nursing homes to:

Provide routine health care to elderly patients

Perform minory surgery

Offer outpatient services to women and children

All of the above

17. Residentswith communicable diseases will not be admitted to a nursing home unless:

Family members agree to pay a higher fee for a private room

A physician certifies in writing that adequate infection control measures are being taken

The CDC is notified first and agrees to placement in facility

The resident is actively being treated for the communicable disease by the local Health Department

18. What does custodial service mean?

The service provided to maintain restrooms and closets.

Care of an individual in regards to their rooms and belongings

None of the above

19. Staff in the geriatric outpatient nurse clinic must be:

Sufficient in numbers to perform needed services

Qualified

Hired on a contractual basis if needed

All of the above

20. The agency shall not issue a license to a nurisng home that fails to receive:

A letter of intent from the district

Three acres of land

20 nursing assistants to care for patients

A certificate of need

21. What does administrative assessment mean?

Review of conditions in a long-term care facility which impact the rights, health, saftey, and welfare of residents.

Review of conditions with the purpose of noting needed improvement and making recommendations to enhance quality of life.

Review of the facility annually

A and B

22. Nursing homes are not required to have written policies on:

Provision of an activities program

Disaster preparedness

Houskeeping

Construction standards

23. The receiver shall do all of the following EXCEPT:

Make provisions for the continued health, safety and welfare of all residents

Use the building fixtures, furnishings and any accompanying consumable goods in order to provide care and services

Collect payments for all goods and services provide to residents during the period of receivership

Pay the administrator's salary out of monies received

24. No resident will be:

Admitted to a facility that cannot adequately provide needed service

Retained in a facility that cannot adequately take care of a resident

Admitted to a facility unless covered by a contract

All of the above

25. Safe temperatures are:

Temperatures of 41 degrees Farenheit or below as applied to potentially hazardous foods

Temperatures of 140 degrees Farenheit or above as applied to potentially hazardous foods

Temperatures of 32 degrees Farenheit or below as applied to potentially hazardous foods

A and B

26. A living will must be signed by the principal in the presence of:

2 subscribing witnesses, 1 attorney

2 subscribing witnesses, 1 of who is neither spouse nor blood relative

3 subscribing witnesses, 1 attorney

3 subscribing witnesses, 1 of who is spouse or blood relations

27. Medical records will be retained for a periof of:

1 year from discharge date

3 years from discharge date

5 years from discharge date

10 years from discharge date

28. The consulting pharmacist is responsible for all of the following except:

Establishing a system to record receipt and disposition of all controlled drugs

Ensuring that refrigerated drugs are stored properly

Ensuring the contents of the Emergency Medication Kit is established

Completeing a preliminary resident assessment at the time of admission

29. The Board of Nursing Home Administrators is composed of:

3 members

5 members

7 members

8 members

30. In a facility that admits children age 0 through 15 years, the facility may not accommodate more than:

40 children this age at any given time

40 children at any given time

60 children at any given time

A and C

31. Individuals with communicable disease:

Are not permitted to work in food service areas

Must wear a mask or other infection control apparel

Are permitted to clean food service areas only after food preparation is completed

A and C

32. Nursing Staff can be scheduled for:

3 consecutive 16 hour shifts

4 consecutive 16 hour shifts

6 consecutive 16 hour shifts

None of the above

33. What does a bed reservation policy mean?

The policy that describes how a facility can charge a resident as soon as they leave the bed

A policy that dictates the daily charge to hold a bed regardless of reason

The policy that reserves a bed prior to admission

34. Raw food:

Must be boxed and kept in storage

Must be separated during storage

Must be stored above ready to eat foods

None of the above

35. All of the following statements are true EXCEPT:

Food can never be stored in toilet rooms or vestibules even if covered in unopened containers

Wrapped sandwiches can be stored in direct contact with ice

Sugar, seasonings, and dressing for self-service use must be in individual packages

Bulk food such as syrup must be stored in a container which is identified it by a common name

36. An application for licensure to operate a facility shall be submitted to:

Agency for Health Care Administration

District Administrator

District of Nursing Homes

A and C

37. In a facility that admits children age 16 through 20 years, the facility may not accommodate more than:

40 children this age at any given time

40 children at any given time

60 children at any given time

A and C

38. Food shall be stored:

A minimum of 6 inches above the floor

A minimum of 8 inches above the floor

A minimum of 10 inches above the floor

At least 2 feet from the floor

39. Which of the following statements are NOT TRUE?

Biomedical waste facilities must obtain an annual permit

Permits shall be transferable from one person to another

Permits expire September 30th

Biomedical waste generators who treat less than 25 pounds monthly are exempt from permite requirements

40. Nursing homes which accomodate children must provide:

A 9 ft by 12 ft single occupancy bedroom

A 10 ft by 10 ft single occupancy bedroom

A minimum of 100 sq ft in a single bedroom

A minimum of 100 sq ft per child in multiple rooms

41. Oral or written reports of suspected abuse requiring an immediate onsite protective investigation require:

Immediate action by protective investigate district staff

Sufficient time for protective investigative district staff to commence their investigation within 24 hours

Sufficient time for protective investigative district staff to commence their investigation withing 48 hours

Sufficient time for protective investigative district staff to commence their investigation within 72 hours

42. The international biological hazard symbol shall be:

Red

Red and black

Red, orange, or black with background contrast

8 inches in diameter on bags and containers

43. Who does the Office of State Long-Term Care Ombudsman report to:

AHCA

Department of Elderly Affairs

Department of Health

Department of Aging

44. Part II of the annual licensee fee shall be a resident protection fee which will be:

No less than 25 cents per bed

No more than 10 dollars per bed

Deposited in the Resident Protection Trust Fund

All of the above

45. Between use, dispensing utensils shall be stored:

With the handle extended out of the food

In hot running water

In hot water wells at 100 degrees F

In dry stainless steel containers

46. An Assistant Director fo Nursing is required when:

The Director of Nursing is also the Administrator

The Director of Nursing is on a vacation

The facility has a census of 120 or more residents

The facility has a census of 121 or more residents

47. A self-insurance agreement to pool must be administered:

Under the direction of an elected board of trustees

By the Director of Nursing

By the employees of the facility

By AHCA

48. All managers who are responsible for storage, preparation, display, and serving of foods to the public must have:

A certificate of training

An associate's degree

A bachelor's degree

Passed a written certification test

49. All of the following statements are true EXCEPT:

The Board shall determine an application fee, renewal fee, and delinquency fee for inactive status

The Board will determine a reactivation fee for inactive status

The biennial renewal fee is the only fee required whether inactive or not

The application, renewal, delinquency, or reactivation fee may not exceed the biennial renewal fee for an active license

50. Upon completion of a resident assessment, the resident care plan must be completed within:

3 days

5 days

7 days

14 days

51. The agency may petition the court when the licensee cannot meet its financial obligation to provide food, shelter, care, and utilities for the appoinment as:

Governor

Receiver

Receiver general

Guardian

52. The amount deposited by the board of trustees in the name of the self-insurance pool must be:

With a chartered commercial bank

With a bank in the State of Florida

Maintained at all times

All of the above

53. A temporary license may be issued:

Only twice to an applicant who has filed for licensure

To an applicant who has worked as a fully licensed administrator for 2 years within a 5 year period

To an applicant who has worked as a part time administrator for 3 years within a 5 year period

For a period of 6 months

54. Punitive damages:

May not exceed three times the amount of compensatory damages awarded

May not exceed the sum of 10 million dollars

Are shared equally between the claimant and the Quality Improvement Trust Fund.

A and C

55. Whenever a licensee closes a nursing home facility, it shall:

Inform the agency not less than 30 days prior to the discontinuance of operations

Inform the agency not less than 60 days prior to the discontinuance of operations

Inform the resident not less than 90 days prior to the discontinuation of operations

Inform the resident not less than 120 days prior to the discontinuance of operations

56. In the absence of advance directives, health care decisions can be made by:

Any attorney

Parent, spouse, or child

Sibling

Adult child or adult sibling

57. A facilty that has failed to comply with state minimum staffing requirements for 2 consecutive days is prohibited from accepting new admissions until the facility has achieved a minimum staffing for:

2 consecutive days

4 consecutive days

6 consecutive days

8 consecutive days

58. Each license holder shall complete:

20 hours of continuing education

30 hours of continuing education

40 hours of continuing education

60 hours of continuing education

59. An Administratro in Training will train:

A minimum of 20 hours a week

A minimum of 30 hours a week

A minimum of 40 hours a week

A minimum of 60 hours a week

60. To be eligible for a Gold Seal Award, a facility must be in operation for a minimum of:

12 months

15 months

30 months

60 months

61. The facility is mandated to provide the resident or his or her guardian with an itemized listing of all charges within ________ following discharge or release from a nursing home.

1 day

7 days

30 days

90 days

62. Each resident admitted to a nursing shall have a care plan that consists of:

Learning potential

Physician's orders

Nursing orders

B and C

63. The court shall set a case of abuse, neglect, or exploitation for hearing within _______ days after filing of the petition for non-emergencies:

10

12

14

21

64. Meat products:

Must be officially inspected for wholesomeness and sanitation

Must be stored in steel canisters and refrigerated

Must be wrapped in clear packaging

All of the above

65. Hamburger should be throughly cooked to a minimum temperature of:

135 degrees F

145 degrees F

155 degrees F

165 degrees F

66. "Department" means what?

Department of Health

Department of Elderly Affairs

Department of Nursing Home Administrators

Department of Defense

67. Emergency Medication Kits must:

Be gray or black

Have an inventory attached to the outside of the kit

Have a key

B and C

68. Equipment placed on tables or counters which is not easily movable must be mounted on legs at least:

2 inches high

4 inches high

6 inches high

8 inches high

69. All of the following statements are true EXCEPT:

The agency will evaluate nursing homes at least every 12 months

Non-compliance will be stated as deficiencies measured in terms of severity

Assigned ratings will be Conditional or Standard

Evaluations will be based on the most recent licensure survey report

70. A licensee shall comply with the life-safety code requirements and building code standards applicable at the time of department approval for:

A current license

3rd Stage - Construction Documents

A building permit

None of the above

71. Minimum nursing care for a skilled child requires:

No more than 1 hour licensed; no less than 1.5 hours of non-licensed

No less than 1 hour licensed; no more than 1.5 hours of non-licensed

No more than 1.5 hours licensed; no less than 1.0 hours of non licensed

No less than 1.5 hours licensed; no more than 1.0 hours of none licensed

72. Which of the following statements are TRUE regarding civil enforcement?

Any resident whose rights are violated shall have a cause of action

The action may be brought in any suprement court of competent jurisdiction

A licensee shall not be liable for the medical negligence fo the medical director

All of the above

73. Facilities with children ages 0-15 years must have:

A board-certified pediatrician to act as Medical Director for children

Pediatric Emergency Medication Kit

One licensed health care provider trained in Life Support on duty at all times

All of the above

74. An administrator will:

Be board certified

Be designated by the owner of the facility

Be responsible and accountable for the day to day operation of the facility

A and C

75. Hot water used for sanitizing must be maintained at a temperature of at least:

150 degrees F

160 degrees F

170 degrees F

180 degrees F

76. Facilities shall submit staff to resident ratios to the agency:

Monthly

Quarterly

Semiannually

Annually

77. The attending physician of a child residing in a nurisng home shall:

Evaluate the child's health care status at least once very 60 days

Document the child's status every 60 days

Review and update the plan of care every 60 days

All of the above

NHA State Pre-test