Missouri State Nursing Home Administrator Exam

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Class 1 Deficiency
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present eminent danger to health, safety, and welfare of resident. Corrected immediately
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Class 2 Deficiency
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Direct or immediate relationship to health, safety, or welfare of resident-does not create imminent danger.
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When should Class 2 violation be corrected?
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Immediately or prior to rein spection or according to time schedule in approved plan.
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How many Class 3 Violations have to occur for state to count?
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5
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Fire Resistant Construction specifications
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2 hour fire resistant
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Maximum # of beds for each nursing unit
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60
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Maximum length between resident’s room and nursing station and dirty utility area
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140 ft
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How many isolation rooms needed in each nursing unit
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2
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What is the maximum number of residents allowed per bedroom
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4
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How many residents should be served by one tub or shower
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15
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Minimum width of corridors
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8 ft
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Minimum width of stairways
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44 in
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Minimum width of doorways through which residents pass
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44 in
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Ceiling height
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8 ft
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How water accessible to residents shall be between
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105-120
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How long should battery operated lights be set at
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1 1/2 hours
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Hazardous areas shall be separated by construction of at least _____ of fire resistance rating
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1 hour
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Oxygen in access of _____cubic ft should be stored in rooms with outside ventilation
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1500
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How many oxygen tanks for emergency use may be maintained in a readily accessible area
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1
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How many feet is the maximum travel distance from any point on the floor to a fire extinguisher
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75
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Fire extinguishers are checked ____ for pressure
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monthly
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Fire alarm system is tested _____
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monthly
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Fire alarm is checked ______ by a _______ or _______
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yearly, fire alarm representative, or electrical contractor.
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How many unobstructed exits are necessary for each floor in the nursing home
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2
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Width of exit doors in existing facilities
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30
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Width of exit doors in new facilities
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44
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For internally illuminated exit signs; lettering may not be less than ____ high
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4 1/2 in
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For non-illuminated exit signs, lettering must be at least ____ in high
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6
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Who should the facility notify if there is a fire involving death or harm to a resident
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Division of aging
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How long do you have to notify other agencies in regards to a fire
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7 days
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Fire drills should be conducted how frequently
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Quarterly on each shift
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What needs to be included on the fire drill report (4)
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date time personnel participating specific problems
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Minimum room temp allowed
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68
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Extension cord rules
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have to be U.L. approved 1 appliance to 1 cord 2 appliances to one duplex receptacle
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Another licensed administrator is needed if current admin is gone from the facility for ___ consecutive days or more than ____ days in a calendar year
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30 60
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Menus shall be planned how many weeks in advance
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2
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List of substitute menus will be kept for
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30 days
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Hot and cold foods will be served at what temps
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120 or above 45 or below
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How many day notice shall be given to the residents family or legal guardian regarding transfer from the facility
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30 days
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When can the resident access their personal possessions and funds
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M-F
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Max amount of petty cash that each resident is allowed to keep
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$50
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Resident fund account should be brought current ____
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monthly
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A ____ report should be made to the resident or his designee
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quarterly
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How many days after discharge must the facility give an up-to-date account of the resident’s personal funds
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5 days
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How much money per year is the maximum amount allowed for an employee or a facility to receive from a resident as a gift
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$100
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A bond that is how many times the average monthly balance is required when caring for resident funds?
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1 1/2
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The maximum length of time that all records and receipts are required to be maintained.
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7 years
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What is a level 1 Med Tech
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an individual who has completed a course approved by the Division of Aging in medication administration
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Requirements for a Residential Care I administrator
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21 years of age and never convicted of a felony
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Requirements for a Residential Care 2 aministrator
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licensed administrator
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A licensed nurse must work ____ per every ____ residents per ______ in a facility which administers medications
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8 hours 30 week
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Physical requirements for admission in an RCF 1 or RCF 2
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Able to negotiate path to safety unassisted
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Where must exceptions to regulatory requirements be posted
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facilities license
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Within how many days must the nurse assistant orientation be completed if they have not successfully competed the state approved course
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60 days
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Licensed nursing requirements SNF: DON- Day shift- Evening shift- Night shift-
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DON- RN Day shift- RN Evening shift- LPN or RN Night shift- LPN or RN ***with RN on call when LPN’s are on cute
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If a LPN is the DON in a INF; a RN shall be employed as a consultant minimum of
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4 hours/ week
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Pharmacist does _____ drug regiment review
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monthly
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Where are scheduled 2 medications stored
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double lock separately from non-controlled dugs
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OTC drugs label
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labeled with resident’s name
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Who may destroy medications within the facility
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Pharmacist and licensed nurse 2 licensed nurses
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Emergency drug supply should be checked
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monthly by a pharmacist
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Restraints should be checked every _____ and exercised ever ______
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30 min 2 hours
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Resident records will be retained the period of time required by state law which is
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5 years from date of discharge
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How long are financial record retained by the facility
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7 years from the end of the facility’s final year
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Maximum length between supper and breakfast
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14 hours
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minimum length of time allowed for eating meals
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30 min
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Who may administer medications (4)
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physician licensed nurse CMT Level 1 Med Aide
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Division of Aging has ____ to act upon an abuse report
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24 hours
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Beds must be _____ apart
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3 ft
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A new nurse assistant must be enrolled in the certified nurse aide course within _____.
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90 days
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A living room can be combined with what
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activity area
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Minimum thickness for a mattress
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4 in
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Administrators have to renew license
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annually
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How many hours of continuing education is needed by the administrator each year
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24 hours
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If administrator allows their license to expire they have how long to renew
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1 year
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Define Subrogation
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to stand in the shoes of—act as a client in a claim
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Protein is…..
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building blocks of the body
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Written approval for self control of prescription medication shall be rewritten how often?
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as needed but at least annually and after any period of hospitalization
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May stock supply of non-prescription medication be kept on the premises
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Yes if approved by consulting physician, R.N. or pharmacist
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All new facilities with plans approved between June 10, 1981 and December 31, 1998 should comply with what Life Safety Code?
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1985 Edition (NFPA 101)
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What should be on all exterior doors accessible to residents
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electronically operated door alarm system audible in nurses station
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Where should emergent lighting be provided and how
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Exists, stairs, corridors, and nurses’ stations using an emergency generator or battery-operated lights rated at least 1 1/2 hours
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Where should oxygen cylinders be stored
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separate room or area free of combustible material
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What type of locks are allowed on resident room doors
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type that can be opened from inside by turning knob or operating a simple device that will release lock
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when is smoking permitted in sleeping quarters
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direct supervision
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Administrator may not leave the premises without delegating authority to a responsible individual in what manner
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writing
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What are the requirements if a Med Tech takes the telephone or verbal orders
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an initial dosage of prescription or initial treatment shall not be initiated until order has been reviewed by phone or in person by licenses nurse or pharmacist
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What must accompany a resident who transfers from a facility (4)
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copy of medical history transfer from which includes physical exam nursing summary report of physicians’s orders
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If no automatic dishwasher is available what must you have
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3 vat sink
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Where must non-compliances be posted
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conspicuous location with copy of most recent inspection report
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where must residents rights and facility rules be posted
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conspicuous location with copies available to anyone requesting them

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