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Nursing Home Regulations and Compliance: Q&A for Healthcare Professionals, Exams of Nursing

A series of multiple-choice questions and answers related to the regulations and operational aspects of long-term care facilities, particularly nursing homes. It covers topics such as medication supply, roles of medical directors, nursing staff requirements, facility standards, and resident rights. The questions test knowledge of compliance with nfpa standards, doh guidelines, and other regulatory requirements, making it a useful resource for administrators and staff in long-term care settings. This material is designed to assess understanding of key operational and regulatory aspects within long-term care facilities. It provides a structured way to review and reinforce knowledge of essential compliance standards and practices. The content is relevant for training and professional development in healthcare administration.

Typology: Exams

2024/2025

Available from 06/04/2025

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NHA Line of Service Exam 2025 | National Association of
Long Term Care Administrator Boards (NAB) | All
Questions and Correct Answers | Verified Answers |
Just Released
A resident has requested that she and her husband share a room. Is this allowed?
1.Yes, married couples can room together upon the request of one spouse
2.No, a married couple cannot room together unless ordered by the physician
3.Yes a married couple may room together if they both consent
4.No a married couple may never room together under any circumstances ---------
CORRECT ANSWER-----------------3. Yes a married couple may room together if they
both consent
Plans have been submitted to the DOH for approval of an addition to the facility.
The plans must be resubmitted if the construction does not begin within _____
months. *
1.24 months
2.18 months
3.12 months
4.6 months ---------CORRECT ANSWER-----------------1. 24 months
Reasonable notice to a resident about an impending discharge is ___ days in
advance.
1.45 days
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NHA Line of Service Exam 2025 | National Association of

Long Term Care Administrator Boards (NAB) | All

Questions and Correct Answers | Verified Answers |

Just Released

A resident has requested that she and her husband share a room. Is this allowed? 1.Yes, married couples can room together upon the request of one spouse 2.No, a married couple cannot room together unless ordered by the physician 3.Yes a married couple may room together if they both consent 4.No a married couple may never room together under any circumstances --------- CORRECT ANSWER-----------------3. Yes a married couple may room together if they both consent Plans have been submitted to the DOH for approval of an addition to the facility. The plans must be resubmitted if the construction does not begin within _____ months. * 1.24 months 2.18 months 3.12 months 4.6 months ---------CORRECT ANSWER-----------------1. 24 months Reasonable notice to a resident about an impending discharge is ___ days in advance. 1.45 days

2.30 days 3.21 days 4.14 days ---------CORRECT ANSWER-----------------2. 30 days A facility that violates a limitation or suspension of admissions may be subjected to a civil penalty not to exceed $_______ a day.

4.200 ---------CORRECT ANSWER-----------------1. A facility must provide evidence of nondiscriminatory practices at least ______. * 1.Every 6 months 2.Once a year 3.Every 2 years 4.Every 3 years ---------CORRECT ANSWER-----------------4.Every 3 years When must a facility notify DOH about a new health care service?* 1.At least 120 days prior 2.At least 90 days prior 3.At least 60 days prior

4.14 ---------CORRECT ANSWER-----------------2.30 Days According to OBRA, what is the maximum amount of time allowed between the substantial evening meal and the morning meal? 1.No more than 10 hours 2.No more than 12 hours 3.No more than 14 hours 4.No more than 16 hours ---------CORRECT ANSWER-----------------3.No more than 14 hours A facility is closing and has notified all residents 30 days in advance. If a resident cannot be safely transferred to a new facility by the time the 30 days are up, the DOH may require a facility to: 1 .Remain open an additional 30 days 2.Remain open an additional 14 days 3.Remain open until a safe transfer can be accomplished 4.No changes ---------CORRECT ANSWER-----------------1. Remain open a additional 30 days Storage for furniture, equipment, and resident possessions may not be less than ____ per bed. *

1.6 sq feet 2.8 sq feet 3.10 sq feet 4.12 sq feet ---------CORRECT ANSWER-----------------3.10 sq feet Ventilation specifications for a resident room must have pressure in relationship to adjacent areas that are which of the following:* 1.Positive 2.Equal 3.Negative 4.Not applicable ---------CORRECT ANSWER-----------------Equal When using PAs' and NPs' there must be a list maintained of the supervising physicians and whom they supervise. Where must this list be posted? 1.In full view at the front of the building/facility 2.At each nursing station 3.In the office of the Director of Nursing 4.In the administrators office ---------CORRECT ANSWER-----------------2.At each nursing station Your facility is planning on doing renovations to the dining room. After submitting the plans of the proposed renovations to the DOH, the DOH shall respond within ____ days issuing an approval or disapproval.*

4.10% ---------CORRECT ANSWER-----------------3.5%

There are 15 members on the Board of Examiners. What is the length of each term in office. * 1.1 year term of office 2.2 year term of office

  1. 3 year term of office 4.4 year term of office ---------CORRECT ANSWER-----------------4.4 year term of office What minimum percentage of AIT training must occur Monday-Friday between 7am and 7pm? 1 .80% 2.50% 3.100% 4.There is no minimum requirement ---------CORRECT ANSWER-----------------1.80% A Nursing Care Facility will be closing at the end of the fiscal year. How much notice must be given to the appropriate Division of Nursing Care Facilities field office of the intended closure? 1.120 days

2.30 days before Dec. 31st 3.90 days 4.60 days ---------CORRECT ANSWER-----------------3. 90 days If the first of two TB tests are negative a second test should be administered in what length of time?*

  1. 7-10 days 2.1-3 weeks 3.1 month 4.3-5 weeks ---------CORRECT ANSWER-----------------2.1-3 weeks Single bedrooms in a facilities licensed prior to January 1975 are required to provide _____ square feet as a minimum room area clearance in addition to the area of closets, vestibules, wardrobes, and toilet rooms.

4.80 ---------CORRECT ANSWER-----------------4.80 square feet (100 square feet with new building after 1975) The new resident wing has just been completed and is ready to accept residents. Upon final inspection of the new wing you notice a problem with the handrails. According to section 205.9 handrails must be what?

2.Antiseptic 3.Anticoagulant 4.Antibiotic ---------CORRECT ANSWER-----------------1.Analgesic Which of the following is not an appropriate method to control wandering: 1.Restricting the wanderer to bed with physical restraints 2.Locked Alzheimer wards with a door requiring a passcode to exit 3.Bracelet work by the resident that triggers a door lock as the resident approaches 4.Mesh Velcro barriers on other residents' doors ---------CORRECT ANSWER---------- -------1.Restricting the wanderer to bed with physical restraints Turning up for work on time is an indication of a good: 1.Work Attitude 2.Organizational Reward 3.Social Reward 4.Job Reward ---------CORRECT ANSWER-----------------1.Work Attitude In a well-run facility, the balance between nursing care staff and support staff is: 1.60%Nursing care/40% support staff 2.70%Nursing care/30% support staff 3.40%Nursing care/60% support staff

4.50%Nursing care/50% support staff ---------CORRECT ANSWER----------------- 1.60%Nursing care/40% support staff A chronic nervous disease: 1.Parkinson's 2.Sun-downing 3.Aphasia 4.Senile Dementia ---------CORRECT ANSWER-----------------1.Parkinson's Determining the task and skills required to fulfill a position: 1.Job Classification 2.Job Analysis 3.Job Description 4.Job ---------CORRECT ANSWER-----------------2.Job Analysis An employee permanently leaving a position: 1.Exit Interview 2.Performance Evaluation 3.Employee Turnover 4.Promotion Policy ---------CORRECT ANSWER-----------------3.Employee Turnover

3.FASB

4.GAAP ---------CORRECT ANSWER-----------------4.GAAP

An uncluttered environment: 1.Comfortable 2.Orderly 3.Safe 4.Homelike ---------CORRECT ANSWER-----------------2.Orderly Which of the following is not a part of being orderly: 1.Proper handling of spills 2.Equipment and supplies properly stored and not in corridors 3.No peeling paint, visible water leaks, and plumbing problems 4.Quiet, peaceful public rooms ---------CORRECT ANSWER-----------------4.Quiet, peaceful public rooms A barrier to good communication where an employee worries about what might happen if they communicate unwelcome information: 1.Fear of Consequences

  1. Premature Evaluation 3.Distrust of the Sender 4.Poor Retention ---------CORRECT ANSWER-----------------1.Fear of Consequences

A long term care facility may order up to a _____ day supply of medications from a contract pharmacy when a selected pharmacy is not able to supply the ordered meds.

4.6 ---------CORRECT ANSWER----------------- 7 A medical director of a long term care facility can be employed as which of the following: * 1.A medical director must be employed as a full time 2.A medical director must be employees part-time 3.A medical director may be employed as either part-time or full time 4.Medical directors are neither part-time or full time but designated as contract only ---------CORRECT ANSWER-----------------3.A medical director may be employed as either part time or full time A nurse has taken a telephone order which must be counter signed with the original signature of the physician within ______ days of receipt of the order.* 1.7 days 2.5 days 3.3 days

There must be at least 1 nursing staff on duty per ____ residents. *

4.20 ---------CORRECT ANSWER-----------------4. All electrical systems at your skilled facility have been upgraded and must comply with which of the following NFPA standards? * 1.NFPA 70 2.NFPA 101 3.NFPA 2000 4.NFPA 48 ---------CORRECT ANSWER-----------------1.NFPA 70 According to the propper NFPA standards what is the minimum lighting level for toilets and bathing facilities? 1.20 lumens 2.20 foot candles

  1. 30 Lumens
  2. 30 food candles ---------CORRECT ANSWER-----------------2.20 foot candles

An exposed hot water pipe must be covered or protected to prevent injury or burns when it reaches temps above ____F. 1.120F 2.125F 3.130F 4.135F ---------CORRECT ANSWER-----------------2.125F Each floor in a facility must have at least one centralized bathtub with ____ feet of clearance on 3 sides. 1.6 feet 2.5 feet 3.4 feet 4.3 feet ---------CORRECT ANSWER-----------------4.3 feet In what year did it become law that all nursing homes must be administered by a duly licensed and registered Nursing Home Administrator?*

4.1981 ---------CORRECT ANSWER-----------------1. Of the ten members on the Nursing Home Administrator Advisory Council, which of the following is NOT an accurate statement about the members?*

Nursing aid in service education must be sufficient to ensure the continuing competence of the nurse can not be less than ___ hours per year. 1.No less than 12 hours per year 2.No less than 14 hours per year 3.No less than 16 hours per year 4.No less than 18 hours per year ---------CORRECT ANSWER-----------------1.No less than 12 hours per year Your facilities new pharmacist has been on the job less than 2 months and is not sure how often she must provide the facility with a med profile. As the administrator... 1.You remind the pharmacist that the resident profile must be supplied monthly 2.You remind the pharmacist that the resident profile must be supplied quarterly 3.You remind the pharmacist that the resident profile must be supplied every 6 months 4.You remind the pharmacist that the resident profile must be supplied per physician request ---------CORRECT ANSWER-----------------1. You remind the pharmacist that the resident profile must be supplied monthly Once an individual holds a valid license as an NHA how often is he/she required to apply to the board for a new certificate of registration?* 1.Annually 2.Semi-annually 3.Bi-annually 4.Never ---------CORRECT ANSWER-----------------3.Bi-annually

According to the DOH, how often should in service training occur for accident prevention? 1.Once every 6 months 2.At least annually 3.Only at the request of the department 4.Never ---------CORRECT ANSWER-----------------2.At least annually Elevators service must be provided to all residents when a resident area is located above or below first floor level entrance in the building. What exception is in place if it was set in use prior to what year and has not been converted or constructed since? 1.prior to 1979 2.prior to 1977 3.prior to 1976 4.prior to 1975 ---------CORRECT ANSWER-----------------4.Prior to 1975 Each facility must install and test battery-operated single station smoke alarms in each resident bedroom unless they have a system based smoke detector that is installed and maintained in accordance with which NFPA standard? * 1.NFPA 13 2.NFPA 2001 3.NFPA 72