North Carolina State Nursing Home Administrators (NHA) Practice Exam

These questions are part of the practice quiz. Start practicing

• In the event of a caution from the Department, what is a potential outcome for the facility?
• In the physical absence of the administrator, who must be on-site to manage the facility?
• What is the minimum required size for a combined therapy space to support each therapy adequately?
• What is the significance of end-of-life care in nursing homes?
• The director of nursing may serve as a nurse-in-charge if the average daily occupancy is less than what number?
• What is a key factor in promoting a culture of respect in nursing homes?
• What is the minimum height for the discharge point of a sink water spout above the bottom of the sink basin?
• Speech therapy shall be provided by a clinician with a current valid license in speech pathology. What is required for respiratory therapy provision?
• Which of the following is NOT a responsibility of nursing home administrators?
• How quickly must the Division of Health Service Regulation be notified of any allegations against healthcare personnel?
• The facility must ensure that a patient maintains nutritional status unless indicated otherwise. What is the basis for this requirement?
• What could happen if there is non-compliance with the provisions of G.S. 131E, Article 6?
• What must the Division determine regarding a temporary increase in licensed beds?
• What element of communication can help reduce stress during a crisis for residents?
• Are flame-resistant privacy screens or curtains required in multi-bedded rooms?
• In general patient areas of a facility, what is required for each room?
• What aspect of health care is vital for nursing home administrators to monitor continuously?
• What is the minimum number of days before a license is issued that an application for licensure must be submitted?
• What department must provide approval for construction changes during a facility's development?
• Which of the following can help improve staff morale in nursing homes?
• Which aspect of budget planning pertains to future needs of the facility?
• May two call buttons for adjacent beds be served by a single calling station?
• Effective communication is essential for which of the following outcomes in a nursing home crisis?
• Does handgrip provision at bathrooms significantly enhance resident safety?
• How can effective communication between staff and residents improve care?
• How can nursing homes enhance cultural competency among staff?
• What is the purpose of the emergency drug kits being stored in a locked storage cabinet?
• What happens if the facility does not rectify its non-compliance situation?
• How does quality care impact resident satisfaction in nursing homes?
• What is the effect of government funding on nursing homes?
• What is the responsibility of the nursing home administrator regarding resident rights?
• How many duplex receptacles are required at each patient bed location?
• If adult care home beds are located in a common building, what is required of the facility?
• What should nursing home administrators focus on when ensuring resident safety?
• A combination facility must specify compliance with which type of rules on the annual license renewal application?
• Why must nursing homes maintain proper sanitation practices?
• The facility must perform a comprehensive assessment of each patient's capability to perform daily life functions within what time frame after admission?
• What occurs automatically after a set period of suspension?
• What role does regular training play in ensuring quality in nursing home operations?
• How are calls registered from resident call buttons in a facility?
• How long can a license suspension last before returning to review?
• What does the Department do if a licensee substantially fails to comply with the rules?
• When can a facility exceed its licensed capacity?
• What is the key role of a calling station in patient areas?
• What is a key component of the emergency preparedness plan for nursing homes in North Carolina?
• What is the maximum number of residents a skilled nursing facility can accommodate in North Carolina without requiring additional licensing?
• In an emergency situation, a facility may exceed its licensed capacity based on what plan?
• What role does staff training play in nursing home operations?
• The facility must designate a person responsible for dietetic service. What is their title?
• Which best practice can nursing homes implement to promote resident dignity?
• In terms of service delivery, what does a tailored approach involve?
• What is the status of a provisional license in a nursing home facility?
• How can nursing homes promote family involvement in resident care?
• How must nursing homes handle medication administration according to state law?
• Who is responsible for the implementation of policies and coordination of medical care in a facility?
• Which agency oversees the Medicaid program that funds nursing home care for eligible residents?
• What is the purpose of the measurable objectives included in the comprehensive plan of care?
• Patients requiring special respiratory care must receive what according to regulation?
• Why is interdisciplinary teamwork important in nursing homes?
• What is the correct status of the first statement regarding facility admissions requiring nursing care?
• The Department shall mail a written report to the facility within _______ from the date of the licensure survey or complaint investigation exit conference.
• How many hours of emergency power are required for life-sustaining equipment in a facility?
• Which change must be reported to the Nursing Home Licensure and Certification Section within one working day?
• Which role shall the activities director have as per the administrative guidelines?
• How many licenses are issued to each facility by the Department?
• What should an NHA do first if a resident shows signs of abuse or neglect?
• What is the minimum number of hours of rehabilitation therapy services required per spinal cord injury patient day in an inpatient rehabilitation facility?
• Patients shall be seen by a physician at least once every _______ for the first 90 days and at least every 60 days thereafter.
• What legal and ethical considerations must nursing home administrators be aware of?
• What is a potential consequence for failure to notify changes in administration?
• What must be ensured during admissions for rehabilitation or habilitative care?
• By what percentage or number of beds may a continuing care retirement community temporarily increase its bed capacity over the licensed bed capacity?
• What is the required clothing space per bed in nursing facilities?
• In the context of nursing homes, what does the term "staffing ratios" refer to?
• What types of training are required for nursing home staff in North Carolina?
• According to the manual, what must fire alarm systems do?
• What is the purpose of the call buttons connected to a calling station in patient areas?
• What is the primary mission of nursing home administrators?
• According to the standards, who must receive specific training in spinal cord injury care?
• Initiation of antipsychotic therapy on any patient must be done under what condition?
• Is it true that a facility must take measures to prevent patient abuse, neglect, or misappropriation of patient property?
• What type of changes or episodes will the attending physician of a respite care patient be notified about?
• In what way can feedback from residents be utilized in nursing homes?
• If a facility exceeds its bed capacity in an emergency, what must it follow?
• Which statement regarding the full license is true?
• A facility shall examine the refrigerated and non-refrigerated emergency drug supply at least every ______ and make any necessary changes at that time.
• What is the maximum allowable temperature in the facility during the cooling season according to the manual?
• Under the infection control program, what must a facility investigate and attempt to control?
• Which two statutes primarily govern nursing home administration in North Carolina?
• Is it true that a facility must identify specific rules governing compliance with both adult care and nursing home rules?
• What happens if the expected standards for maintaining a patient’s nutritional status are not met?
• What should a patient's record of stay include upon discharge?
• Which strategy can help a nursing home ensure quality care?
• What must be protected throughout smoke compartments according to regulations?
• Under what condition can the Department revoke a nursing home license?
• What should be done regarding the training of staff members responsible for providing CPR?
• When is a provisional license effective?
• A facility with more than ______ nursing beds shall employ a social worker with a Bachelor's degree in social work or a related field.
• What is the significance of the minimum data set (MDS) in nursing homes?
• Is it true that a combination facility can choose to comply with rules for childcare home beds during renewal application?
• What happens if an applicant is found not in compliance with G.S. 131E?
• What is a primary goal of resident care in nursing homes?
• In adult care homes within combination facilities, what is the minimum square footage required for dining areas per bed?
• What applies to patients readmitted to a facility from the hospital?
• Which entity decides on the approval of bed capacity increase in a continuing care retirement community?
• Which statement is true regarding the facility's requirement for identifying rules?
• What role does a social worker play in a nursing home?
• A multi-storied facility must have at least one nurse aide on duty on each patient care floor at all times based on which statement?
• How does the ombudsman program assist nursing home residents?
• What is the role of the North Carolina Division of Health Service Regulation (DHSR) in relation to nursing homes?
• If a patient is to participate in a medical teaching program, who is allowed to choose their physician?
• Who can be appointed to manage a facility if the Department petitions for one?
• How long should the facility keep medical information after admission?
• What are the ethical responsibilities of nursing home administrators?
• In facilities with patient or resident household units, what can substitute for the nourishment station?
• For how many hours should fuel be stored for the operation of the emergency power generator?
• What methods can be utilized for monitoring resident health outcomes in nursing homes?
• What temperature should cold foods be maintained below according to the facility guidelines?
• What signifies that calls have been made in a patient’s room?
• When construction or remodeling is planned, who must submit the construction documents for approval?
• Which of the following best describes a challenge in crisis communication?
• Hot foods shall leave the kitchen above ______ degrees F. according to industry standards.
• Which of the following roles does communication play during a crisis?
• What are "rehabilitation services" designed to do in a nursing home?
• Does the environmental temperature control system have to maintain a minimum of 71 degrees F during the heating season?
• What is the primary goal of quality assurance and performance improvement (QAPI) in nursing homes?
• What does "person-centered care" in nursing homes emphasize?
• Within how many hours of admission must the facility acquire medical information?
• Why is infection control important in nursing homes?
• What is required for an administrator to control a facility?
• What is a necessary improvement an administrator should consider in budgeting?
• What is the minimum square footage required for activity areas in adult care homes per bed?
• What are the main responsibilities of a Nursing Home Administrator?
• What is the required minimum time to submit statistical data for the State's medical facilities plan prior to licensure expiration?
• Why is it important for nursing homes to have an emergency response plan?
• What is essential for the health and welfare of patients in a facility?
• Which statement about receptacles in bathrooms and patient bed locations is true?
• How must nursing homes prepare for state and federal inspections?
• Who must a facility notify during an emergency signifying higher patient capacity?
• What is necessary for the facility to operate legally under its licensing?
• What can a facility do if the Department denies or revokes a license?
• In developing a nursing home budget, which of the following should be avoided?
• Where must the licenses for a facility be posted?
• Which of the following is NOT included in the preadmission assessment according to the manual?
• What must the written notice provided by the Department include?
• How often should nursing homes conduct clinical audits?
• Which statement about the nursing staff sufficiency is accurate?
• How soon must the facility notify the health regulation division after becoming aware of an allegation?
• For how many days may emergency authorizations for exceeding the licensed capacity last?
• What measures are required to address resident grievances in nursing homes?
• Which of the following is a primary consideration in facility budget planning?
• Which facility equipment is necessary for patients with spinal cord injuries?
• What should a facility provide when the Department notifies them of admissions suspension?
• What typically indicates a deficiency in care within a nursing home?
• How often must nursing homes conduct resident satisfaction surveys in North Carolina?
• According to the manual, who can select their private physician?
• What is one responsibility of the medical director regarding patient care policies?
• What article of G.S. 131E must applicants comply with according to the Department?
• If a facility has resident household units, can the dietary area in these units substitute for a nourishment station?
• Why is clear communication crucial in crisis management within nursing homes?
• How does technology impact nursing home administration?
• What type of agreement must a facility have with any agency providing staff?
• What is a major benefit of effective communication during a crisis in a nursing home?
• What is the required number of continuing education hours for NHA renewal in North Carolina?
• What must outdoor areas for activities be accessible for?
• Which of the following is a key component of effective resident care planning?
• Emergency drugs shall be stored in a portable container sealed with an easily breakable closure which can be resealed or reused and shall be readily accessible for use. What is the validity of this statement?
• In an emergency situation, what is the maximum time a facility may exceed its licensed capacity?
• How should nursing homes assess the clinical needs of residents?
• How must the nursing staff be sufficient in a facility according to the regulation?
• What equipment is specified for outdoor use in rehabilitation units?
• Which statement about facility requirements is true?
• What is the primary purpose of the Nursing Home Administrators (NHA) exam in North Carolina?
• What is required if an approval for construction documents expires?
• Is the Department required to provide the licensee written notice of the amendment to the license?
• The Division shall authorize a temporary increase in licensed beds if it does not jeopardize the ________ of the patient.
• What should an administrator do after a crisis has been resolved?
• What is "staff burnout," and how can it affect nursing home operations?
• How frequently must the facility review comprehensive assessments and plans of care?
• What is a recognized method to boost employee morale in nursing homes?
• What is one condition for an administrative appeal regarding a provisional license?
• What key element should an administrator consider when developing the facility's budget?
• What is one responsibility of social workers in nursing homes?
• What is a potential consequence of not maintaining proper staffing ratios in nursing homes?
• During nursing home inspections, which area is typically assessed?
• What protocols must nursing homes follow when a resident dies?
• What must a facility ensure regarding the staffing necessary for patient care?
• During a resident's stay in a combination facility, necessary nursing services must be ensured in which section?
• In how many days can a continuing care retirement community increase capacity temporarily?
• What term refers to the movement of a resident from a nursing care facility to a noninstitutional setting?
• Facilities certified for Medicaid and/or Medicare must demonstrate what regarding resident needs?
• What type of medical order must be obtained for all patients, except those discharged against medical advice or for non-payment?
• A nursing home administrator should continuously evaluate which aspect to enhance care quality during crises?
• What type of education must be provided for staff regarding spinal cord injury patients?
• Clinical nutrition services shall be provided by a dietitian with ______ years of clinical training.
• What is required of the facility regarding equipment for delivering services?
• To ensure compliance, who is the administrator required to communicate with during inspections?
• How many years of experience in medical care for spinal cord injuries does a medical director need?
• What does "behavioral management" refer to in nursing homes?
• What must the facility notify the Nursing Home Licensure and Certification Section about at least 30 days in advance?
• What are residents expected to receive during their stay at an adult care section facility?
• According to the manual, who must the Department make its presence known to during an inspection?
• What role does the facility's interdisciplinary team play in resident care?
• How do nursing homes maintain compliance with regulations?
• What types of documentation are Nursing Home Administrators (NHAs) responsible for maintaining?
• Which of the following terms is NOT considered incorrect in describing outdoor areas for activities accessible to patients?
• What does "continuum of care" refer to in long-term healthcare services?
• Define "pressure ulcers" in a nursing home setting.
• Who receives the license for a facility after compliance verification?
• How many days before a change in the facility's location must the facility notify the appropriate section in writing?
• What type of expenses should be included in the nursing home budget?
• How can effective discharge planning benefit nursing home residents?