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NORTH CAROLINA NURSING HOME ADMINISTRATOR STUDY SET EXAM
QUESTIONS AND ANSWERS 100% PASS
"How long can a North Carolina nursing home provide "respite" care? - CORRECT ANSWER 30
days. "Respite care" means services provided for persons admitted to a nursing facility on a temporary basis, not to exceed 30 days." "To ensure that drug therapy is rational, safe and effective, a pharmaceutical care assessment
shall be conducted in the facility at least every ______ days for each patient - CORRECT
ANSWER 31.
To ensure that drug therapy is rational, safe and effective, a pharmaceutical care assessment shall be conducted in the facility at least every 31 days for each patient." "The drug storage area shall be clean, secure, well-lighted, well ventilated and with temperatures
between _______ degrees F. and ________ degrees F. - CORRECT ANSWER 59 degrees F and
86 degrees F. The pharmacist and director of nursing shall ensure that drug storage areas are clean, secure, well lighted and well ventilated; that room temperature is maintained between 59 degrees F. and 86 degrees F." "An Activity Director would like to adopt a facility dog. What rules does she have to comply with?
CORRECT ANSWER A facility policy that mirrors the local health ordinances regarding pet
health and control plus not permit the pet into areas where food is being prepared. When facility policies permit pets in the facility, the following conditions shall be met:(1) The facility policy shall not be in violation of any local health ordinances regarding pet health and control.(2) Pets shall not be permitted to enter areas where food is being prepared." "As defined by the North Carolina code: "Convalescent Care" means care given for the purpose
of: - CORRECT ANSWER Assisting the patient or resident to regain health or strength.
"Convalescent care" means care given for the purpose of assisting the patient or resident to regain health or strength."
"The facility shall ensure that menus are followed which meet the nutritional needs of patients in
accordance with the recommended dietary allowances of the: - CORRECT ANSWER Food and
Nutrition Board of the National Research Council, National Academy" "The emergency electrical system shall be so controlled that after interruption of the normal electric power supply, the generator is brought to full voltage and frequency and connected
within ______ seconds. - CORRECT ANSWER 10 seconds.
The emergency electrical system shall be so controlled that after interruption of the normal electric power supply, the generator is brought to full voltage and frequency and connected with 10 seconds through one or more primary automatic transfer switches to all emergency lighting, alarms, nurses' call, and equipment necessary for maintaining telephone service." "Sufficient fuel shall be stored for the operation of the emergency generator for a period not less
than ______ hours, on a 24-hour per day operational basis. - CORRECT ANSWER 72.
Sufficient fuel shall be stored for the operation of the emergency generator for a period not less than 72 hours, on a 24-hour per day operational basis." "Patients shall be seen by a physician at least once every ______ days for the first ______ days
and at least every ______ days thereafter - CORRECT ANSWER 30, 90, 60.
Patients shall be seen by a physician at least once every 30 days for the first 90 days and at least every 60 days thereafter." "The facility shall ensure that each patient is provided with a ________ diet that meets his or her
daily nutritional and specialized nutritional needs. - CORRECT ANSWER Palatable.
The facility shall ensure that each patient is provided with a palatable diet that meets his or her daily nutritional and specialized nutritional needs."
"If a patient is "ventilator dependent" then they must use the ventilator for: - CORRECT
ANSWER More than 8 hours per day.
"Ventilator dependence" is defined as physiological dependency by a patient on the use of a ventilator for more than eight hours a day."
The license shall be posted in a prominent location, accessible to public view, within the licensed premises." "The flow of hot water shall be within safety ranges specified as follows- Dietary _______
Laundry ______ Patient areas ___ - CORRECT ANSWER flow of hot water shall be within safety
ranges specified as follows: Dietary Services - 4 gallons per hour per bed and at a minimum temperature of 140 degrees F; and Laundry Area - 4 1/2 gallons per hour per bed and at a minimum temperature of 140 degrees F. A flow of hot water shall be within safety ranges specified as follows: Patient Areas - 6 1/2 gallons per hour per bed and at a temperature of 100 - 116 degrees F;" "The facility shall insure that medical records are stored in such a manner as to provide protection
from loss, damage or _______. - CORRECT ANSWER unauthorized use.
records are stored in such a manner as to provide protection from loss, damage or unauthorized use;" "After the licensure survey or complaint investigation exit conference and the administrator receives a written report from the Department, the Administrator shall prepare a plan of correct
within ______ days and forward to the Department. - CORRECT ANSWER 10 working days.
The administrator shall prepare a written plan of correction and mail it to the Department within 10 working days following receipt of any statement of deficiencies or violations. The Department shall review and accept or reject the plan of correction, with written notice given to the administrator within 10 working days following receipt of the plan." "In a 58 patient nursing home, the charge nurse for A.M.s called in sick on Wednesday. The director of nursing came in as soon as possible. Can the director's hours be used in the per patient
ratio? - CORRECT ANSWER Yes, the director's hours can be used because the average daily
occupancy is less than 60 patients. The director of nursing may serve also as nurse-in-charge, only if the average daily occupancy is less than 60."
"After the licensure survey or complaint investigation exit conference and the Administrator submits a plan of correction, the Department has _______ days to review then accept or reject
the plan of correction and reply to the Administrator. - CORRECT ANSWER 10 working days.
The administrator shall prepare a written plan of correction and mail it to the Department within 10 working days following receipt of any statement of deficiencies or violations. The Department shall review and accept or reject the plan of correction, with written notice given to the administrator within 10 working days following receipt of the plan." "The medical records manager shall ensure that medical records, whether original, computer media or microfilm, be kept on file for a minimum of _________ following the discharge of an
adult patient. - CORRECT ANSWER five years.
The manager of medical records shall ensure that medical records, whether original, computer media or microfilm, be kept on file for a minimum of five years following the discharge of an adult patient." "A nursing facility must provide emergency training for all of its employee's at least ______,
emergency procedures. - CORRECT ANSWER At the time being hired and annually.
The facility shall have detailed written plans and procedures to meet potential emergencies and disasters, including but not limited to fire, severe weather and missing patients or residents.(b) The plans and procedures shall be made available upon request to local or regional emergency management offices.(c) The facility shall provide training for all employees in emergency procedures upon employment and annually." "A resident at a nursing facility, is leaving the facility for 2 weeks while he has surgery on his knee. He has arranged to return and resume everything just the same. Can the facility keep his
medication? - CORRECT ANSWER Yes, they can keep his medication up to 30 calendar days if
he is to return. Upon discontinuation of a drug or upon discharge of a patient, the remainder of the drug supply shall be disposed of promptly. If it is reasonably expected that the patient shall return to the facility and that the drug therapy will be resumed, the remaining drug supply may be held for not more than 30 calendar days after the date of discharge or discontinuation." "Patients admitted to an inpatient rehabilitation facility or unit must be able to tolerate a minimum of _______ hours of rehabilitation therapy, _______ days a week, including at least
"COLD FOOD TEMPERATURE - CORRECT ANSWER 41 degrees F"
"FREEZER TEMPERATURE - CORRECT ANSWER 0 degrees F"
"STEAM TABLE FOOD TEMPERATURE - CORRECT ANSWER 140 degrees F"
"FROZEN FOOD STATE - CORRECT ANSWER solid"
"DIETARY SERVICES WATER FLOW RATE - CORRECT ANSWER 4 gallons per hour per patient
bed"
"DIETARY SERVICES WATER TEMPERATURE MINIMUM - CORRECT ANSWER 140 degrees F"
"LAUNDRY AREA SERVICES WATER FLOW RATE - CORRECT ANSWER 4 1/2 gallons per hour per
patient bed"
"LAUNDRY AREA SERVICES WATER TEMPERATURE MINIMUM - CORRECT ANSWER 140
degrees F"
"PATIENT AREA WATER FLOW RATE - CORRECT ANSWER 6 1/2 gallons per hour per patient
bed"
"PATIENT AREA WATER TEMPERATURE RANGE - CORRECT ANSWER 100-116 degrees F"
"Abuse - CORRECT ANSWER willful infliction of injury, unreasonable confinement,
intimidation or punishment with resulting physical harm, pain or mental anguish"
"Accident - CORRECT ANSWER unplanned or unwanted event resulting in the injury or
wounding, no matter how slight, of a patient or other individual"
"Accredited medical record technician - CORRECT ANSWER person trained in record
maintenance and preservation, and accredited by the American Health Information Management Association."
"Adequate - CORRECT ANSWER when applied to various services, that the services are at least
satisfactory in meeting a referred to need when measured against contemporary professional standards of practice"
"Administrator - CORRECT ANSWER person licensed by the North Carolina State Board of
Examiners for Nursing Home Administrators in accordance with G.S. 90-276, Article 20, and who has authority for and is responsible for the overall operation of a facility."
"Appropriate - CORRECT ANSWER right, suitable or proper for the specified use or purpose,
suitable or proper, when used as an adjective. When used as a transitive verb it means to set aside for some specified exclusive use"
"Capacity - CORRECT ANSWER maximum number of patient or resident beds for which the
facility is licensed to maintain at any given time"
"Case manager - CORRECT ANSWER individual responsible for the coordination of services, for
a given patient, between disciplines so that the patient may reach optimal rehabilitation through the judicious use of resources"
"Comprehensive, inpatient rehabilitation program - CORRECT ANSWER program for the
treatment of persons with functional limitations or chronic disabling conditions who have the potential to achieve a significant improvement in activities of daily living"
"Comprehensive, inpatient rehabilitation program utilizes - CORRECT ANSWER coordinated
and integrated, interdisciplinary approach, directed by a physician, to assess patient needs and to provide treatment and evaluation of physical, psychosocial and cognitive deficits"
"Discharge - CORRECT ANSWER patient who physically relocates to another health care
setting or is discharged home or relocated from a nursing bed to an adult care home bed or from an adult care home bed to a nursing bed"
"A "drug" is recognized in the ___ - CORRECT ANSWER United States Pharmacopoeia, official
National Formulary, or any supplement to any of them"
"A "drug" is intended for ____ - CORRECT ANSWER use in the diagnosis, cure, mitigation,
treatment, or prevention of disease in man or other animals"
"A "drug" is intended to affect ___ - CORRECT ANSWER the structure or any function of the
body of man or other animals"
"Misappropriation of property - CORRECT ANSWER deliberate misplacement, exploitation, or
wrongful, temporary or permanent use of a patient's belongings or money without the patient's consent."
"Neglect - CORRECT ANSWER failure to provide goods and services necessary to avoid
physical harm, mental anguish or mental illness"
"Nurse aide trainee - CORRECT ANSWER person who has not completed an approved nurse
aide training course and competency evaluation and is demonstrating knowledge"
"The term 'nurse aide trainee' does not apply to ________ - CORRECT ANSWER VOLUNTEERS"
"The tasks performed by a nurse aide trainee shall be performed ___ only after ___ - CORRECT
ANSWER under the direct supervision of a registered nurse
AND
found to be performed proficient by an instructor"
"Nurse-in-charge - CORRECT ANSWER licensed nurse to whom duties for a specified number
of patients and staff for a specified period of time have been delegated"
"Occupational therapist - CORRECT ANSWER person licensed in the State of North Carolina as
an occupational therapist in accordance with the provisions of G.S. 90, Article 18D"
"Occupational therapist assistant - CORRECT ANSWER means a person licensed in the State of
North Carolina as an occupational therapist assistant in accordance with the provisions of G.S. 90, Article 18D."
"On-duty personnel - CORRECT ANSWER personnel who are responsive to patient needs and
physically present in the facility performing assigned duties"
"Patient - CORRECT ANSWER person admitted for nursing care"
"Pharmaceutical care - CORRECT ANSWER provision of drug therapy and other
pharmaceutical care services to achieve intended medication outcomes and minimize negative effects of drug therapy."
"Pharmacist - CORRECT ANSWER person who is licensed to practice pharmacy in North
Carolina"
"Physician - CORRECT ANSWER person licensed under G.S. 90, Article 1 to practice medicine in
North Carolina."
"Proposal is also known as - CORRECT ANSWER Negative Action Proposal"
"Proposal or negative action proposal contains ___ - CORRECT ANSWER information that may
ultimately be classified as violations"
"Provisional License - CORRECT ANSWER amended license recognizing significantly less than
full compliance with the licensure rules"
"Registered Nurse - CORRECT ANSWER a nurse who is licensed as a registered nurse under
G.S. 90, Article 9A."
"Registered Records Administrator - CORRECT ANSWER person who is registered by the
American Health Information Management Association."
"Rehabilitation aide is an unlicensed assistant must work under the supervision of __ - CORRECT
ANSWER unlicensed assistant who works under the supervision of a registered nurse, licensed
physical therapist or occupational therapist" "Rehabilitation aide working under the supervision of a PT or OT must meet these requirements:
CORRECT ANSWER in accordance with the appropriate occupational licensure laws governing
his or her supervisor and consistent with staffing requirements as set forth in Rule .3027 of this Subchapter."
"Rehabilitation aide working in the nursing department shall be listed ___ and have ___. -
CORRECT ANSWER on the North Carolina Nurse Aide Registry and have received additional
staff training as listed in Rule .3028 of this Subchapter"
"Rehabilitation physician - CORRECT ANSWER physiatrist or a physician who is qualified,
based on education, training and experience, regardless of specialty, to provide medical care to rehabilitation patients."
"Remodeling - CORRECT ANSWER alterations, renovations, rehabilitation work, repairs to
structural systems, and replacement of building systems at a nursing facility"
"A violation is determined to be an infraction of ____ - CORRECT ANSWER the regulations,
standards and requirements set forth in G.S. 131E - 117 and 131D-21 or applicable state and federal laws, rules and regulations"
"Licenses shall remain in effect up to ___ months, - CORRECT ANSWER 12"
"Situations that can result in licensure lasting less than 12 months - CORRECT ANSWER 1)
Department imposes an administrative sanction which specifies license expiration;
- closure;
- change of ownership;
- change of site;
- change in bed complement; or
- failure to comply with Rule .2104 of this Section." "A legal entity shall submit an application for licensure for a new facility to the ___ at least 30 days
prior to a license being issued or patients admitted - CORRECT ANSWER Nursing Home
Licensure and Certification Section of the Division of Health Service Regulation" "A legal entity shall submit an application for licensure for a new facility to the Nursing Home Licensure and Certification Section of the Division of Health Service Regulation at least _____
prior to a license being issued or patients admitted - CORRECT ANSWER 30 days"
"A legal entity shall submit an application for licensure for a new facility to the Nursing Home Licensure and Certification Section of the Division of Health Service Regulation at least 30 days
prior to ___ or ___ - CORRECT ANSWER a license being issued
or patients admitted"
"The Department shall renew the facility's license ____ - CORRECT ANSWER at the end of each
calendar year" “To qualify for "Brain Injury Long Term Care", a person must not show progress for how long to
standard rehab? - CORRECT ANSWER Three months."
"A Life Care Center is licensed for 120 beds. They need to increase their bed capacity by 11 beds.
Can they do this? - CORRECT ANSWER No.
A life care center, having an agreement to care for all residents regardless of level of care needs, may temporarily increase bed capacity by 10 percent or 10 beds, whichever is less, over the
licensed bed capacity for a period up to 30 days following notification of and approval by the Department." "When reporting an allegation of abuse, mistreatment, or misappropriation of resident property, the administrator shall ensure that the report of investigation is ______ and postmarked to the Health Care Personnel Registry Section of the Division of Health Service Regulation within _____
working days of the allegation. - CORRECT ANSWER Printed or typed; five.
The administrator shall ensure that the report of investigation is printed or typed and postmarked to the Health Care Personnel Registry Section of the Division of Health Service Regulation within five working days of the allegation." "Temperatures in the facility shall be at _______ degrees F. minimum in the heating season and a
maximum of _______ degrees F. during the non-heating season. - CORRECT ANSWER 71
degrees F, 81 degrees F. Environmental temperature control systems shall be capable of maintaining temperatures in the facility at 71 degrees F. minimum in the heating season and a maximum of 81 degrees F. during the non-heating season."
"What special allowances must an isolation room contain? - CORRECT ANSWER Rooms
designated for isolation shall have negative or positive pressure with relationship to adjacent areas depending upon the type of patient to be isolated. Exhaust for isolation rooms shall be ducted to the outdoors with exhaust fans located at the discharge end of the duct."
"All staff is to use good hand washing technique as indicated in: - CORRECT ANSWER
"Guidelines for Hand Washing in Hospital Environmental Control," as published by the U.S. Department of Health and Human Services, Public Health Service. The facility shall require all staff to use good hand washing technique as indicated in the Centers for Disease Control and Prevention "Guidelines for Hand Washing in Hospital Environmental Control," as published by the U.S. Department of Health and Human Services, Public Health Service."
"How often does the Quality Assessment and Assurance Committee meet? - CORRECT
ANSWER Quarterly.
The committee shall meet at least quarterly." "A patient was admitted on Tuesday at 3 p.m. How long does the facility have to complete a
nursing assessment for immediate needs? - CORRECT ANSWER Wednesday at 3pm.
"All nursing home facilities must have written plans and procedures to meet potential
emergencies and disasters, these are including but not limited to: - CORRECT ANSWER fire,
severe weather and missing patients or residents. The facility shall have detailed written plans and procedures to meet potential emergencies and disasters, including but not limited to fire, severe weather and missing patients or residents." "The net floor area of a single bedroom shall not be less than _________ square feet and the net floor area of a room for more than one bed shall not be less than _________ square feet per bed.
CORRECT ANSWER 100 square feet, 80 square feet.
The net floor area of a single bedroom shall not be less than 100 square feet and the net floor area of a room for more than one bed shall not be less than 80 square feet per bed. The 80 square feet and 100 square feet requirements shall be exclusive of closets, toilet rooms, vestibules or wardrobes." "The total space set aside for dining, recreation and other common use shall not be less than _______ square feet per bed for a nursing facility and ________ square feet per bed for the adult
care home portion of a combination facility. - CORRECT ANSWER 25, 30.
The total space set aside for dining, recreation and other common use shall not be less than 25 square feet per bed for a nursing facility and 30 square feet per bed for the adult care home portion of a combination facility." "A C.N.A. has the flu and is running a temperature. The Director of Nursing needs her hours for
the ppd, what should the facility do? - CORRECT ANSWER Send the C.N.A. home until she is no
longer sick. The facility shall prohibit any employee with a communicable disease or infected skin lesion from direct contact with patients or their food, if direct contact is the mode of transmission of the disease."
"Staff of the inpatient rehabilitation facility or unit shall include at a minimum: - CORRECT
ANSWER 5.5.
(a) The staff of the inpatient rehabilitation facility or unit shall include at a minimum:(2) The minimum nursing hours per patient in the rehabilitation unit shall be 5.5 nursing hours per patient day. At no time shall direct care nursing staff be less than two full-time equivalents, one of which shall be a registered nurse."
"Hot foods shall leave the kitchen (or steam table) above ________ degrees F; and cold foods
below ________ degrees F; and freezer temperatures at ________ - CORRECT ANSWER above
140 degrees F; and cold foods below 41 degrees F, and freezer temperatures at 0 degrees F or below. Food shall be served at the preferred temperature as discerned by the resident and customary practice ....Hot foods shall leave the kitchen (or steam table) above 140 degrees F; and cold foods below 41 degrees F; and freezer temperatures at 0 degrees F or below." "On June 1, 2000, a resident was discharged home from the facility. She was only 18 years old and turned 19 on September 1, 2000. How long does the medical records manager have to keep the
resident's files from the date of discharge? - CORRECT ANSWER 5 years and 3 months
The manager of medical records shall ensure that if the patient is a minor when discharged from the nursing facility, records shall be kept on file until his or her 19th birthday and, then, for five years." "At least three meals shall be served daily to all patients in accordance with medical orders and no more than _______ hours shall elapse between an evening meal containing a protein food and a
morning meal containing a protein food. - CORRECT ANSWER 14
At least three meals shall be served daily to all patients in accordance with medical orders.(l) No more than 14 hours shall elapse between an evening meal containing a protein food and a morning meal containing a protein food" "A Nurse accidently dropped Patient Jay's last blood pressure pill and could not find it. Mrs. Jay has to have this medication at 5pm per doctor's orders. Can the Nurse
borrow and give Mrs. Jay one of Mr. Jones pills, which are exactly the same? - CORRECT
ANSWER Yes, since this is an emergency, she can "borrow" medication from another patient.
The administration of one patient's medications to another patient is prohibited except in the case of an emergency. In the event of such emergency, steps shall be taken to ensure that the borrowed medications are replaced promptly and so documented."
"Brain injury long term care - CORRECT ANSWER interdisciplinary, intensive maintenance
program for patients who have incurred brain damage caused by external physical trauma and who have completed a primary course of rehabilitative treatment and have reached a point of no gain or progress for more than three consecutive months"
"Recreational therapist - CORRECT ANSWER person certified by the State of North Carolina
Therapeutic Recreational Certification Board"
"Supervisor-in-charge in an adult care home - CORRECT ANSWER means any employee to
whom supervisory duties for the adult care home portion of a combination home have been delegated by either the administrator or director of nursing."
