NHA State Pre-test
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This test will help me prepare for the NHA State Exam.
- 1.In a facility that admits children age 16 through 20 years, the facility may not accommodate more than:
- A.
40 children this age at any given time
- B.
40 children at any given time
- C.
60 children at any given time
- D.
A and C
- 2.Individuals with communicable disease:
- A.
Are not permitted to work in food service areas
- B.
Must wear a mask or other infection control apparel
- C.
Are permitted to clean food service areas only after food preparation is completed
- D.
A and C
- 3.A temporary license may be issued:
- A.
Only twice to an applicant who has filed for licensure
- B.
To an applicant who has worked as a fully licensed administrator for 2 years within a 5 year period
- C.
To an applicant who has worked as a part time administrator for 3 years within a 5 year period
- D.
For a period of 6 months
- 4.Nursing Staff can be scheduled for:
- A.
3 consecutive 16 hour shifts
- B.
4 consecutive 16 hour shifts
- C.
6 consecutive 16 hour shifts
- D.
None of the above
- 5.The attending physician of a child residing in a nurisng home shall:
- A.
Evaluate the child's health care status at least once very 60 days
- B.
Document the child's status every 60 days
- C.
Review and update the plan of care every 60 days
- D.
All of the above
- 6.What does administrative assessment mean?
- A.
Review of conditions in a long-term care facility which impact the rights, health, saftey, and welfare of residents.
- B.
Review of conditions with the purpose of noting needed improvement and making recommendations to enhance quality of life.
- C.
Review of the facility annually
- D.
A and B
- 7."Department" means what?
- A.
Department of Health
- B.
Department of Elderly Affairs
- C.
Department of Nursing Home Administrators
- D.
Department of Defense
- 8.The consulting pharmacist is responsible for all of the following except:
- A.
Establishing a system to record receipt and disposition of all controlled drugs
- B.
Ensuring that refrigerated drugs are stored properly
- C.
Ensuring the contents of the Emergency Medication Kit is established
- D.
Completeing a preliminary resident assessment at the time of admission
- 9.The international biological hazard symbol shall be:
- A.
Red
- B.
Red and black
- C.
Red, orange, or black with background contrast
- D.
8 inches in diameter on bags and containers
- 10.Food shall be stored:
- A.
A minimum of 6 inches above the floor
- B.
A minimum of 8 inches above the floor
- C.
A minimum of 10 inches above the floor
- D.
At least 2 feet from the floor
- 11.An Administratro in Training will train:
- A.
A minimum of 20 hours a week
- B.
A minimum of 30 hours a week
- C.
A minimum of 40 hours a week
- D.
A minimum of 60 hours a week
- 12.The amount deposited by the board of trustees in the name of the self-insurance pool must be:
- A.
With a chartered commercial bank
- B.
With a bank in the State of Florida
- C.
Maintained at all times
- D.
All of the above
- 13.A comprehensive assessment shall be completed for each resident within:
- A.
14 days of admission and every 12 months thereafter
- B.
14 days of admission and every 15 months thereafter
- C.
21 days of admission and every 12 months thereafter
- D.
21 days of admission and every 15 months thereafter
- 14.Meat products:
- A.
Must be officially inspected for wholesomeness and sanitation
- B.
Must be stored in steel canisters and refrigerated
- C.
Must be wrapped in clear packaging
- D.
All of the above
- 15.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.
- A.
1 day
- B.
7 days
- C.
30 days
- D.
90 days
- 16.An applicant who fails the licensing examiniation must pass both parts within _______ years from the first failure.
- A.
1
- B.
2
- C.
3
- D.
4
- 17.Nursing homes are not required to have written policies on:
- A.
Provision of an activities program
- B.
Disaster preparedness
- C.
Houskeeping
- D.
Construction standards
- 18.Who does the Office of State Long-Term Care Ombudsman report to:
- A.
AHCA
- B.
Department of Elderly Affairs
- C.
Department of Health
- D.
Department of Aging
- 19.What are the duties of an Ombudsman?
- A.
Identify, investigate, and resolve complaints made by or on behalf of residents of long-term care
- B.
Protect residents from wrongful actions by providers, representatives, private/public agencies, and guardians
- C.
Provide services that assist in protecting the health, safety, welfare, and rights of residents
- D.
All of the above
- 20.What type of access does an ombudsman have?
- A.
Medical and social records of a resident as necessary to investigate or resolve a complaint - if the office has permission from resident
- B.
The administrative records, policies, and documents to which residents or the general public have access.
- C.
Any portion of the long-term care facility and any resident necessary to investigate or resolve a complaint.
- D.
All of the above
- 21.Who is the individual that is licensed and has the general administrative charge of a facility?
- A.
Executive Director
- B.
General Manager
- C.
Administrator
- D.
None of the above
- 22.What does a bed reservation policy mean?
- A.
The policy that describes how a facility can charge a resident as soon as they leave the bed
- B.
A policy that dictates the daily charge to hold a bed regardless of reason
- C.
The policy that reserves a bed prior to admission
- D.
The number of consecutive days and the number of days per year that a resident may leave the facility for overnight therapeutic visits with family or friends or for hospitalization for an acute condition
- 23.What does custodial service mean?
- A.
Care for a person which entails observation of diet and sleeping habits, and over the general health, safety, of the age or infirm
- B.
The service provided to maintain restrooms and closets.
- C.
Care of an individual in regards to their rooms and belongings
- D.
None of the above
- 24.Whenever a licensee closes a nursing home facility, it shall:
- A.
Inform the agency not less than 30 days prior to the discontinuance of operations
- B.
Inform the agency not less than 60 days prior to the discontinuance of operations
- C.
Inform the resident not less than 90 days prior to the discontinuation of operations
- D.
Inform the resident not less than 120 days prior to the discontinuance of operations
- 25.
- A.
The agency will evaluate nursing homes at least every 12 months
- B.
Non-compliance will be stated as deficiencies measured in terms of severity
- C.
Assigned ratings will be Conditional or Standard
- D.
Evaluations will be based on the most recent licensure survey report
- 26.To be eligible for a Gold Seal Award, a facility must be in operation for a minimum of:
- A.
12 months
- B.
15 months
- C.
30 months
- D.
60 months
- 27.A comprehensive assessment must be REVIEWED at least every:
- A.
1 month
- B.
2 months
- C.
3 months
- D.
4 months
- 28.All of the following statements are true EXCEPT:
- A.
The Board shall determine an application fee, renewal fee, and delinquency fee for inactive status
- B.
The Board will determine a reactivation fee for inactive status
- C.
The biennial renewal fee is the only fee required whether inactive or not
- D.
The application, renewal, delinquency, or reactivation fee may not exceed the biennial renewal fee for an active license
- 29.Eggs:
- A.
Can be hard boiled and peeled
- B.
Can be commercially prepared and packaged
- C.
A and B
- D.
None of the above
- 30.A self-insurance agreement to pool must be administered:
- A.
Under the direction of an elected board of trustees
- B.
By the Director of Nursing
- C.
By the employees of the facility
- D.
By AHCA
- 31.A licensee shall comply with the life-safety code requirements and building code standards applicable at the time of department approval for:
- A.
A current license
- B.
3rd Stage - Construction Documents
- C.
A building permit
- D.
None of the above
- 32.Raw food:
- A.
Must be boxed and kept in storage
- B.
Must be separated during storage
- C.
Must be stored above ready to eat foods
- D.
None of the above
- 33.Part II of the annual licensee fee shall be a resident protection fee which will be:
- A.
No less than 25 cents per bed
- B.
No more than 10 dollars per bed
- C.
Deposited in the Resident Protection Trust Fund
- D.
All of the above
- 34.Facility decisions to transfer or discharge residents must be:
- A.
Made in writing 30 days in advance
- B.
Made verbally 30 days in advance
- C.
Made verbally and in writing 14 days in advance
- D.
None of the above
- 35.Frozen dessert mixes:
- A.
Must be pasteurized
- B.
Must not exceed a standard plate count of 45,000
- C.
Must not exceed a coli form count of 15 per gram
- D.
Must be purified
- 36.Facilities with children ages 0-15 years must have:
- A.
A board-certified pediatrician to act as Medical Director for children
- B.
Pediatric Emergency Medication Kit
- C.
One licensed health care provider trained in Life Support on duty at all times
- D.
All of the above
- 37.Each resident admitted to a nursing shall have a care plan that consists of:
- A.
Learning potential
- B.
Physician's orders
- C.
Nursing orders
- D.
B and C
- 38.Hot water used for sanitizing must be maintained at a temperature of at least:
- A.
150 degrees F
- B.
160 degrees F
- C.
170 degrees F
- D.
180 degrees F
- 39.Staff in the geriatric outpatient nurse clinic must be:
- A.
Sufficient in numbers to perform needed services
- B.
Qualified
- C.
Hired on a contractual basis if needed
- D.
All of the above
- 40.Which of the following statements are NOT TRUE?
- A.
Biomedical waste facilities must obtain an annual permit
- B.
Permits shall be transferable from one person to another
- C.
Permits expire September 30th
- D.
Biomedical waste generators who treat less than 25 pounds monthly are exempt from permite requirements
- 41.Medical records will be retained for a periof of:
- A.
1 year from discharge date
- B.
3 years from discharge date
- C.
5 years from discharge date
- D.
10 years from discharge date
- 42.Nursing homes which accomodate children must provide:
- A.
A 9 ft by 12 ft single occupancy bedroom
- B.
A 10 ft by 10 ft single occupancy bedroom
- C.
A minimum of 100 sq ft in a single bedroom
- D.
A minimum of 100 sq ft per child in multiple rooms
- 43.All of the following statements are true EXCEPT:
- A.
Food can never be stored in toilet rooms or vestibules even if covered in unopened containers
- B.
Wrapped sandwiches can be stored in direct contact with ice
- C.
Sugar, seasonings, and dressing for self-service use must be in individual packages
- D.
Bulk food such as syrup must be stored in a container which is identified it by a common name
- 44.Disaster preparedness:
- A.
Is only for top administration
- B.
Is offered only at the time of orientation to a job
- C.
Includes a written plan for all types of disasters
- D.
Includes only a written plan for fire safety that includes fire drills
- 45.Punitive damages:
- A.
May not exceed three times the amount of compensatory damages awarded
- B.
May not exceed the sum of 10 million dollars
- C.
Are shared equally between the claimant and the Quality Improvement Trust Fund.
- D.
A and C
- 46.Between use, dispensing utensils shall be stored:
- A.
With the handle extended out of the food
- B.
In hot running water
- C.
In hot water wells at 100 degrees F
- D.
In dry stainless steel containers
- 47.Oral or written reports of suspected abuse requiring an immediate onsite protective investigation require:
- A.
Immediate action by protective investigate district staff
- B.
Sufficient time for protective investigative district staff to commence their investigation within 24 hours
- C.
Sufficient time for protective investigative district staff to commence their investigation withing 48 hours
- D.
Sufficient time for protective investigative district staff to commence their investigation within 72 hours
- 48.A provisional license may be issued to fill a nursing home administrator position when that position becomes vacated due to unexpected:
- A.
Financial problems
- B.
Environmental and safety problems
- C.
Abandonment
- D.
None of the above
- 49.Emergency Medication Kits must:
- A.
Be gray or black
- B.
Have an inventory attached to the outside of the kit
- C.
Have a key
- D.
B and C
- 50.In the absence of advance directives, health care decisions can be made by:
- A.
Any attorney
- B.
Parent, spouse, or child
- C.
Sibling
- D.
Adult child or adult sibling
- 51.The Geriatric Outpatient Nurse Clinic Act encourages nursing homes to:
- A.
Provide routine health care to elderly patients
- B.
Perform minory surgery
- C.
Offer outpatient services to women and children
- D.
All of the above
- 52.Safe temperatures are:
- A.
Temperatures of 41 degrees Farenheit or below as applied to potentially hazardous foods
- B.
Temperatures of 140 degrees Farenheit or above as applied to potentially hazardous foods
- C.
Temperatures of 32 degrees Farenheit or below as applied to potentially hazardous foods
- D.
A and B
- 53.Hamburger should be throughly cooked to a minimum temperature of:
- A.
135 degrees F
- B.
145 degrees F
- C.
155 degrees F
- D.
165 degrees F
- 54.Equipment placed on tables or counters which is not easily movable must be mounted on legs at least:
- A.
2 inches high
- B.
4 inches high
- C.
6 inches high
- D.
8 inches high
- 55.The court shall set a case of abuse, neglect, or exploitation for hearing within _______ days after filing of the petition for non-emergencies:
- A.
10
- B.
12
- C.
14
- D.
21
- 56.A living will must be signed by the principal in the presence of:
- A.
2 subscribing witnesses, 1 attorney
- B.
2 subscribing witnesses, 1 of who is neither spouse nor blood relative
- C.
3 subscribing witnesses, 1 attorney
- D.
3 subscribing witnesses, 1 of who is spouse or blood relations
- 57.Persons employed as nursing assistants must be certified within ______ months of initial employment?
- A.
4 months
- B.
8 months
- C.
12 months
- D.
24 months
- 58.All managers who are responsible for storage, preparation, display, and serving of foods to the public must have:
- A.
A certificate of training
- B.
An associate's degree
- C.
A bachelor's degree
- D.
Passed a written certification test
- 59.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:
- A.
2 consecutive days
- B.
4 consecutive days
- C.
6 consecutive days
- D.
8 consecutive days
- 60.The Board of Nursing Home Administrators is composed of:
- A.
3 members
- B.
5 members
- C.
7 members
- D.
8 members
- 61.The receiver shall do all of the following EXCEPT:
- A.
Make provisions for the continued health, safety and welfare of all residents
- B.
Use the building fixtures, furnishings and any accompanying consumable goods in order to provide care and services
- C.
Collect payments for all goods and services provide to residents during the period of receivership
- D.
Pay the administrator's salary out of monies received
- 62.Which of the following statements are TRUE regarding civil enforcement?
- A.
Any resident whose rights are violated shall have a cause of action
- B.
The action may be brought in any suprement court of competent jurisdiction
- C.
A licensee shall not be liable for the medical negligence fo the medical director
- D.
All of the above
- 63.A resident has the right to:
- A.
Manage personal financial affairs
- B.
Have the facility manage personal funds
- C.
A quarterly accounting of any transaction made by the facility
- D.
All of the above
- 64.The Director of Nurses:
- A.
Must be a full-time registered nurse
- B.
May serve more than one facility at the same time
- C.
May serve as the administrator of the facility while serving as DON
- D.
None of the above
- 65.Facilities shall submit staff to resident ratios to the agency:
- A.
Monthly
- B.
Quarterly
- C.
Semiannually
- D.
Annually
- 66.Minimum nursing care for a skilled child requires:
- A.
No more than 1 hour licensed; no less than 1.5 hours of non-licensed
- B.
No less than 1 hour licensed; no more than 1.5 hours of non-licensed
- C.
No more than 1.5 hours licensed; no less than 1.0 hours of non licensed
- D.
No less than 1.5 hours licensed; no more than 1.0 hours of none licensed
- 67.An Assistant Director fo Nursing is required when:
- A.
The Director of Nursing is also the Administrator
- B.
The Director of Nursing is on a vacation
- C.
The facility has a census of 120 or more residents
- D.
The facility has a census of 121 or more residents
- 68.No resident will be:
- A.
Admitted to a facility that cannot adequately provide needed service
- B.
Retained in a facility that cannot adequately take care of a resident
- C.
Admitted to a facility unless covered by a contract
- D.
All of the above
- 69.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:
- A.
Governor
- B.
Receiver
- C.
Receiver general
- D.
Guardian
- 70.In a facility that admits children age 0 through 15 years, the facility may not accommodate more than:
- A.
40 children this age at any given time
- B.
40 children at any given time
- C.
60 children at any given time
- D.
A and C
- 71.The agency shall not issue a license to a nurisng home that fails to receive:
- A.
A letter of intent from the district
- B.
Three acres of land
- C.
20 nursing assistants to care for patients
- D.
A certificate of need
- 72.Each license holder shall complete:
- A.
20 hours of continuing education
- B.
30 hours of continuing education
- C.
40 hours of continuing education
- D.
60 hours of continuing education
- 73.The agency mandates every licensed facility comply with all of the following EXECPT:
- A.
Keep full records of resident admission and discharges
- B.
Have available regular, consultative and emergency services of physicians licensed by the State
- C.
Include the patient's family in the geriatric outpatient clinic
- D.
Provide for the access of dental and other health-related services
- 74.Upon completion of a resident assessment, the resident care plan must be completed within:
- A.
3 days
- B.
5 days
- C.
7 days
- D.
14 days
- 75.Residentswith communicable diseases will not be admitted to a nursing home unless:
- A.
Family members agree to pay a higher fee for a private room
- B.
A physician certifies in writing that adequate infection control measures are being taken
- C.
The CDC is notified first and agrees to placement in facility
- D.
The resident is actively being treated for the communicable disease by the local Health Department
- 76.An application for licensure to operate a facility shall be submitted to:
- A.
Agency for Health Care Administration
- B.
District Administrator
- C.
District of Nursing Homes
- D.
A and C
- 77.An administrator will:
- A.
Be board certified
- B.
Be designated by the owner of the facility
- C.
Be responsible and accountable for the day to day operation of the facility
- D.
A and C
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