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DJB NCIA ARIZONA STATE EXAM (ACTUAL EXAM) |
ALL QUESTIONS AND CORRECT ANSWERS |
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Nursing policies and procedures must be reviewed at least every ____year(s) ---------CORRECT ANSWER----------------- 2 Drug reference source current within _____year(s) of publication is made available to staff ---------CORRECT ANSWER----------------- 1 Documentation of equipment test, repair, or calibration is maintained for ____year(s) from the date of testing, repair or calibration ---------CORRECT ANSWER----------------- 1 Infection control processes and policies are maintained for ____year(s) ----- ----CORRECT ANSWER----------------- 2 Staff or in-service documentation is maintained for at least ____year(s) after the date of volunteer service or work ---------CORRECT ANSWER------ ----------- 2 Medical Records are maintained for _____years after discharge unless the resident is less than 18 ---------CORRECT ANSWER----------------- 6
Medical Records are maintained for ______years after discharge, if patient is less than 18 and for _____years after 18th birthday ---------CORRECT ANSWER-----------------6/ Vaccinations are not required if resident documentation shows vaccinations were received within the last ___years ---------CORRECT ANSWER---------- ------- 5 Rooms with more than 1 bed must be divided by a curtain or other form of separation for privacy ---------CORRECT ANSWER-----------------true 2 beds per room unless facility was constructed before? ---------CORRECT ANSWER-----------------October 31, 1982 Pool fence wall must be ___high measure on the exterior --------- CORRECT ANSWER-----------------5' Medication error rate must be less than____ ---------CORRECT ANSWER--
- --------------5% Temperature of the facility must never drop below_____ and never exceed______ ---------CORRECT ANSWER-----------------70/ Maximum horizontal widith of a chain link fence opening if used to secure a pool is_____ ---------CORRECT ANSWER-----------------1 3/4 inch
Pharmacist reviews medications every ____months ---------CORRECT ANSWER----------------- 3 Fire/Disaster drill is performed on each shift at least every ____months ----- ----CORRECT ANSWER----------------- 3 Within ____months before the start of employment, staff member must provide proof they are free from TB ---------CORRECT ANSWER-------------- --- 12 Evacuation drill is performed at least every ____months ---------CORRECT ANSWER----------------- 6 A governing authority shall review and evaluate the effectiveness of the quality management program every ____months ---------CORRECT ANSWER----------------- 12 Work schedule of direct care and volunteer staff maintained for ___months from the date of the schedule ---------CORRECT ANSWER----------------- 12 TB test required every _____months administered within _____days before anniversary date of last test ---------CORRECT ANSWER-----------------12/ Documentation of nursing personnel is maintained for ____months --------- CORRECT ANSWER----------------- 12
Comprehensive assessment is due no later than ___months from the date of the last comprehensive assessment ---------CORRECT ANSWER---------- ------- 12 Evaluate the effectiveness of the Quality Management Program every ____months ---------CORRECT ANSWER----------------- 12 Physical exam performed on resident every____months ---------CORRECT ANSWER----------------- 12 Vaccinations for pneumonia and flu are provided to residents every _____months ---------CORRECT ANSWER----------------- 12 Equipment used to provide direct care is calibrated at least every ___months or according to________ ---------CORRECT ANSWER------------ -----12/manufacturers recommendations Anything requested by Dept of health must be provided within_________? - --------CORRECT ANSWER-----------------2 hours Staff member attends_______hour(s) of in-service every ______ months -- -------CORRECT ANSWER-----------------12/
May obtain a copy of financial and medical records within____business days of request ---------CORRECT ANSWER----------------- 2 Care plan developed within __ days of completing the comprehensive assessment ---------CORRECT ANSWER----------------- 7 If H/P exam not completed _____days before admission; exam must be completed within ___days after admission ---------CORRECT ANSWER----- ------------30/ Comprehensive assessment is due within____days of admission --------- CORRECT ANSWER----------------- 14 _____day(s) notice of discharge or failure to pay ---------CORRECT ANSWER----------------- 30 Fire Safety inspection is conducted every _____months by the fire authority ---------CORRECT ANSWER----------------- 12 Documentation of fire/disaster drill must be maintained on premise for ____months from the date of the drill ---------CORRECT ANSWER------------ ----- 12
Documentation of the quality management program must be maintained for _____months ---------CORRECT ANSWER----------------- 12 Types of Abuse are? ---------CORRECT ANSWER-----------------physical emotional negligent acts isolation (confinement) sexual Examples of emotional abuse are ---------CORRECT ANSWER----------------- ridicule derogatory remarks harassment threats Authenticate ---------CORRECT ANSWER-----------------written signature initials rubber stamp electronic code Care Plan ---------CORRECT ANSWER-----------------Guide for nursing services based on comprehensive assessment Cognitive Status ---------CORRECT ANSWER-----------------level of awareness perception reasoning judgment intuition
Health Care Directive ---------CORRECT ANSWER-----------------Document to deal with patients future health care decisions Highest Practicable ---------CORRECT ANSWER-----------------Optimal functioning/potential for improvement based on comprehensive assessment Incident ---------CORRECT ANSWER-----------------Unexpected occurrence that poses a threat to the health and safety of residents Medication Error ---------CORRECT ANSWER-----------------Failure to give an ordered medication Giving wrong med(med not ordered) Incorrect dosage More than 60 mins from ordered time Incorrect route (orally,etc) Medication error rate ---------CORRECT ANSWER-----------------number of medication errors/ opportunities for errors Misappropriation of resident property ---------CORRECT ANSWER------------ -----Intentional use of residents belongings without consent Ombudsman ---------CORRECT ANSWER-----------------Resident advocate
Quality management program ---------CORRECT ANSWER----------------- Ongoing activities designed to improve nursing services Restraint ---------CORRECT ANSWER-----------------Any chemical or physical method to restricting freedom of movement, activity or access to own body Resident Group ---------CORRECT ANSWER-----------------Residents or family members who plan and participate in activities or meet and discuss facility issues and policies Seclusion ---------CORRECT ANSWER-----------------Involuntary confinement when not medically indicated Significant Change in Condition ---------CORRECT ANSWER----------------- Increase or decrease of physical/mental condition that either increase or decrease residents need of care Significant Medication Error ---------CORRECT ANSWER----------------- Administration or omission of a medication that endangers the health or safety of a resident Staff Member ---------CORRECT ANSWER-----------------Individual receiving wages
Policies and Procedures implemented that cover... ---------CORRECT ANSWER-----------------Abuse and misappropriate of property Health Care Directives Job Descriptions Orientation Admission, transfer or discharge Disaster plans Resident rights Quality management Personal accounts Petty cash funds Refund policy Food Services Nursing Services Infection Control Medical Records Policies and Procedures are reviewed every _____year(s) --------- CORRECT ANSWER----------------- 2 Injury, disaster or incident of an unknown source is reported to the dept within____hours or the first business day after ---------CORRECT ANSWER----------------- 24 Post in the facility ---------CORRECT ANSWER-----------------Facility License Quality Rating Name, Address and phone of Dept of LTC Licensing, APS, Ombudsman Map for evacuation Copy of most recent survey Activities Calendar Notice that resident may file a complaint
Personal Accounts ---------CORRECT ANSWER-----------------Staff member responsible Separate accounting Written authorization for each transaction Copy of transactions to resident every 3 months or upon request Transfer all money greater than $50 to an interest bearing account Return all money and final report to resident or rep within 30 days of death, transfer or discharge Petty Cash Fund ---------CORRECT ANSWER-----------------Cash limit of the fund Certain Hours of the day a resident may access the fund Written acknowledgment of each transaction Staff schedule is maintained for_____month(s) ---------CORRECT ANSWER----------------- 12 Documentation of in-services includes ---------CORRECT ANSWER----------- ------Date and time Subject matter Number of hours Instructor Signature of those attending Orientation begins 1st week of employment and covers: ---------CORRECT ANSWER-----------------Policies and procedures Resident Rights Infection Control Disaster Plans
Comprehensive assessment includes: ---------CORRECT ANSWER----------- ------Vital Signs Diagnosis Medical History Treatment Dental Condition Nutritional Condition Medications Labs Diagnostic Reports ADLs Psycho social Cognitive Impairments in physical/sensory functioning Potential for Recreational activities/ rehab/ discharge A new comprehensive assessment is not required for a resident who is readmitted unless there was a significant change in condition --------- CORRECT ANSWER-----------------True Comprehensive assessment reviewed every ___ months and revised if there is a significant change in condition ---------CORRECT ANSWER-------- --------- 3 Notify the physician and family within ____hours if the resident is injured or has a significant change in condition ---------CORRECT ANSWER------------- ---- 24
Resident is treated with consideration, respect and dignity --------- CORRECT ANSWER-----------------True Resident receives privacy in treatment, ADLs, room accommodations and visits from others ---------CORRECT ANSWER-----------------True Resident is free from interference, coercion, discrimination and reprisal from a staff member ---------CORRECT ANSWER-----------------True Resident may formulate a health care directive ---------CORRECT ANSWER-----------------True May retain personal possessions as space permits ---------CORRECT ANSWER-----------------True May select a pharmacy of choice ---------CORRECT ANSWER----------------- True Is informed of the method for contracting the resident's attending physician ---------CORRECT ANSWER-----------------True Is provided a copy of those sections of the medical record that are required for care if transferred or discharged ---------CORRECT ANSWER-------------- ---True
Reason 30 day written notice Physician note Action taken by staff to protect others if the residents behavior May transfer or discharge for failure to pay if: ---------CORRECT ANSWER-- ---------------Resident receives a written 30 day notice Notice includes the right to appeal Discharge requires a written plan be developed that includes: --------- CORRECT ANSWER-----------------Information necessary to meet the residents medical needs State long term care ombudsman name, address and phone Discharge Summary is developed by staff member providing direct care and signed by the physician ---------CORRECT ANSWER-----------------True Discharge Summary includes: ---------CORRECT ANSWER----------------- Date Location Resident medical condition at the time or discharge Psychosocial history Attending physician available _____hours a day ---------CORRECT ANSWER----------------- 24 Physical Exam performed every_____months ---------CORRECT ANSWER- ---------------- 12
Pneumonia and flu vaccine available every 12 months unless: --------- CORRECT ANSWER-----------------Medically contraindicated Resident refuses Vaccines already received within the last 5 years Medication is stored in a.... ---------CORRECT ANSWER-----------------locked compartment Drug reference source is current within_____year(s) and available to staff - --------CORRECT ANSWER----------------- 1 DON ensures medication policies and procedures include --------- CORRECT ANSWER-----------------Receipt/reconciliation of medications Administration, storage and disposal Identification of people who can access medications A resident may self administer medication if the ID team determines resident is capable and physician has authorized. Nurse must document self-administration ---------CORRECT ANSWER-----------------True A registered dietitian is employed full time, part time or as a consultant ------ ---CORRECT ANSWER-----------------True
