Nursing Home Administration - Medicare & Medicaid / Life Safety Code
.
- 1.The federal government matches state expenditures ranging from ___.
- A.
50% to 83%
- B.
50% to 95%
- C.
40% to 60%
- D.
25% to 45%
- 2.In 2008 the federal government changed the "look back" period for which Medicaid assistance may be denied due to "gifts" ___.
- A.
To cover only the medically indigent
- B.
To relax the rules
- C.
To provide relief to middle class elderly
- D.
From 3 years to 5 years look back
- 3.The Life Safety Code ___.
- A.
Is too often ignored by states
- B.
Must be used in every state
- C.
Is fully voluntary for cities and counties
- D.
Has the effect of law in most states
- 4.An employee hearing the fire code phrase must ___.
- A.
Exit the facility
- B.
Help fellow employees as needed
- C.
Go to his station
- D.
As nearby persons where the fire is located
- 5.Under the Life Safety Code, movement of infirm patients to safe areas or the exterior is ___ in fire drills.
- A.
Required
- B.
Not required
- C.
At the option of the local fire chief
- D.
Optional
- 6.On discovery of fire involving a person, personnel shall immediately ___.
- A.
Assist the person
- B.
Transmit a fire alarm
- C.
Aid the person and call aloud "fire"
- D.
Aid the person while calling aloud an established code phrase
- 7.Basic action required of health care facility personnel are ___.
- A.
Removal of directly involved occupants
- B.
Transmission of an alarm signal
- C.
Confinement of the effects of the fire
- D.
All of the above
- 8.Often the most dangerous element threatening patient safety is ___.
- A.
Unavailability of correct type of extinguisher
- B.
Slow thinking responses by personnel
- C.
Smoke inhalation
- D.
First and second-degree burns
- 9.Smoking by residents designated as "not responsible" ___.
- A.
Is permitted for the terminally ill
- B.
Must be closely supervised
- C.
Is prohibited
- D.
Must be in a safe area
- 10.The overall objective of the Life Safety Code for new health care occupancies is to ___.
- A.
Limit spread of a fire to the room of fire origin
- B.
Require sprinkler systems or their equivalent as applicable
- C.
Educate the public on correct fire procedures
- D.
Provide guidelines for the local fire chief
- 11.Facility personnel that shall be instructed in the use of and response to fire alarm include ___.
- A.
Nursing staff
- B.
All staff having patient contact
- C.
Nursing and dietary staff
- D.
All personnel
- 12.When a facility locks exits, it must ___.
- A.
Hire additional staff
- B.
Use special locks
- C.
Get permission from the local fire marshal
- D.
Maintain adequate staff to release locks
- 13.A material that, in the form in which it is used, will not aid combustion or add appreciable heat to spreading fire is defined as ___.
- A.
Fire-resistant
- B.
Fire-coded
- C.
Noncombustible
- D.
Combustible
- 14.In determining occupant loads in exit requirements, the actual expected count or a projection using ___ square feet of floor space in sleeping areas and ___ square feet of floor space in treatment areas shall be used.
- A.
120 240
- B.
100 200
- C.
220 440
- D.
440 640
- 15.Handrails clearance from the wall must be at least ___.
- A.
1 hand wide
- B.
6 inches
- C.
1 and one-half inches
- D.
8 inches
- 16.The purpose of smokeproof towers is to ___.
- A.
Limit infiltration of heat, smoke, and fire gases
- B.
Contain construction costs
- C.
Improve the visual appeal of the building
- D.
Totally eliminate smoke and gases
- 17.The National Safety Council has suggested slopes of 7 to 20 degrees for a ____.
- A.
Stairway
- B.
Stairway and landings
- C.
Stairway and ramp
- D.
Ramp
- 18.Aisles, corridors, and ramps used for exit must be at least ___ in width, clear, and unobstructed.
- A.
8 feet
- B.
3 feet
- C.
Within residents' ability to move
- D.
Reasonably wide
- 19.Travel distance within a room to an exit must not exceed ___.
- A.
25 yards
- B.
50 feet
- C.
Good judgment
- D.
Local fire marshal rules
- 20.Each floor or fire section of the facility shall have at least ___ located ___ from each other.
- A.
Three exits / remotely
- B.
Two exits / remotely
- C.
Two ramps / away
- D.
Three ramps / remotely
- 21.Travel distance from within any patient room to an exit access must not exceed ___.
- A.
50 Feet
- B.
75 Feet
- C.
100 Feet
- D.
200 Feet
- 22.Illumination of the means of egress must be continuous and must provide at least ___ foot-candle(s) measured at the ___.
- A.
1 Floor
- B.
2 Railings
- C.
1 Railing
- D.
2 Floor
- 23.The emergency lighting system must provide power ____.
- A.
Automatically
- B.
With a minimum of operations
- C.
From each nursing station
- D.
From a switch in the administrator's office
- 24.Exit signs must be placed so that a person is never more than ___ from the nearest exit sign.
- A.
50 Feet
- B.
100 Feet
- C.
150 Feet
- D.
200 Feet
- 25.Corridors throughout patient sleeping areas must have ___.
- A.
Automatic smoke detection systems
- B.
9 feet in clearance
- C.
Well decorated walls
- D.
Smooth surfaces
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