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Kentucky Board of Licensure for Long-Term Care Administrators Questions And Correct Answe, Exams of Nursing

Rasmussen College - FloridaNursing

Kentucky Board of Licensure for Long-Term Care Administrators Questions And Correct Answers (Verified Answers) Plus Rationales 2025 Q&A | Instant Download

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2024/2025

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Kentucky Board of Licensure for Long-Term Care
Administrators Questions And Correct Answers
(Verified Answers) Plus Rationales 2025 Q&A | Instant
Download
1. What is the minimum number of hours of administrator-in-training (AIT)
required by Kentucky regulation before licensure?
• 500 hours
• 800 hours
• 1,000 hours
• 1,200 hours
Kentucky requires 1,000 hours of AIT to ensure sufficient practical
experience in long-term care administration.
2. Which federal law established the framework for nursing home residents'
rights?
• HIPAA
• OBRA 1987
• CMS Act
• Elder Justice Act
The Omnibus Budget Reconciliation Act (OBRA) of 1987 established
comprehensive resident rights and quality standards for nursing homes.
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Kentucky Board of Licensure for Long-Term Care

Administrators Questions And Correct Answers

(Verified Answers) Plus Rationales 2025 Q&A | Instant

Download

  1. What is the minimum number of hours of administrator-in-training (AIT) required by Kentucky regulation before licensure?
  • 500 hours
  • 800 hours
  • 1,000 hours
  • 1,200 hours Kentucky requires 1,000 hours of AIT to ensure sufficient practical experience in long-term care administration.
  1. Which federal law established the framework for nursing home residents' rights?
  • HIPAA
  • OBRA 1987
  • CMS Act
  • Elder Justice Act The Omnibus Budget Reconciliation Act (OBRA) of 1987 established comprehensive resident rights and quality standards for nursing homes.
  1. The governing body of a long-term care facility is primarily responsible for:
  • Clinical oversight
  • Day-to-day management
  • Resident admissions
  • Establishing policies and ensuring compliance The governing body sets policies, oversees compliance, and ensures effective facility operations.
  1. Which of the following is a core responsibility of a licensed long-term care administrator in Kentucky?
  • Administer medication
  • Diagnose illnesses
  • Supervise facility operations and staff
  • Perform financial audits Administrators are responsible for overall facility operations, including personnel, compliance, and care delivery.
  1. Which department enforces nursing home regulations at the federal level?
  • FDA
  • CDC
  • Centers for Medicare & Medicaid Services (CMS)
  • Department of Justice CMS regulates and oversees nursing homes participating in Medicare and Medicaid programs.
  • Only on admission Care plans must be reviewed at least quarterly and updated as needed based on resident condition changes.
  1. What is the maximum number of residents a facility can admit before requiring a full-time administrator under Kentucky law?
  • 5
  • 15
  • 16
  • 25 In Kentucky, a full-time administrator is required when a facility has 16 or more beds. 10.Which of the following best describes informed consent?
  • Resident agrees to treatment after understanding risks and benefits
  • Consent obtained only from family
  • Verbal agreement without documentation
  • Nurse decision-making Informed consent involves a resident making decisions about their care with full knowledge of risks and benefits. 11.What is the maximum number of days a nursing home can hold a resident’s bed for hospitalization under Medicaid bed-hold policy?
  • 5 days
  • 10 days
  • 15 days
  • 30 days Kentucky Medicaid allows a 15-day bed-hold for residents hospitalized, provided certain conditions are met. 12.What does the acronym PASRR stand for in long-term care admissions?
  • Patient Assessment of Services and Resident Rights
  • Preadmission Screening and Resident Review
  • Preauthorization and Screening for Reimbursement
  • Patient Assistance for State-Regulated Residences PASRR is required to screen individuals with mental illness or developmental disabilities prior to nursing facility admission. 13.A resident council has the right to:
  • Supervise staff
  • Set facility meal schedules
  • Meet privately and make recommendations to the administration
  • Demand changes to state policy Resident councils may meet independently and present concerns or suggestions to facility leadership. 14.What is the primary purpose of a grievance policy in a nursing facility?
  • Monitor employee conduct
  • Prevent lawsuits
  • Remove decision-making from residents
  • Are required for all residents Advance directives ensure residents' wishes are honored regarding care when they cannot communicate. 18.What is the required temperature range for hot water at handwashing stations in Kentucky LTCFs?
  • 90 – 110°F
  • 125 – 13 5°F
  • 100 – 110°F
  • 140°F and above Hot water must be within a safe range (100–110°F) to prevent burns while ensuring hygiene. 19.An interdisciplinary care team typically includes:
  • Only nurses and doctors
  • Housekeeping and dietary staff
  • Nurses, therapists, social workers, and physicians
  • State inspectors Interdisciplinary teams collaborate to develop and manage personalized care plans. 20.Which documentation is used for reimbursement and care planning in nursing homes?
  • Insurance invoices
  • Patient ledgers
  • Minimum Data Set (MDS)
  • Vital signs charts The MDS is used for clinical assessments, care planning, and determining reimbursement rates. 21.Which act requires protection of residents from abuse, neglect, and misappropriation of property?
  • Americans with Disabilities Act
  • Nursing Home Reform Act (OBRA 1987)
  • Older Americans Act
  • Health Insurance Portability and Accountability Act The Nursing Home Reform Act established resident rights, including protection from harm and exploitation. 22.The term “Plan of Correction” refers to:
  • A legal action against a resident
  • A facility’s response to deficiencies cited in a survey
  • Termination of staff
  • Medicaid suspension A Plan of Correction outlines how a facility will address and fix any regulatory violations. 23.What is the Kentucky state agency that conducts inspections of nursing homes?
  • Public Safety Department
  • Centers for Medicare & Medicaid Services (CMS)
  • National Institutes of Health CMS is the federal agency that administers both Medicare and Medicaid programs. 27.What is the required annual training on abuse prevention for Kentucky LTC staff?
  • Only during onboarding
  • Annually for all staff
  • Only for nursing staff
  • Only when incidents occur Annual training on abuse prevention is mandatory to maintain awareness and regulatory compliance. 28.What is the correct ratio of staff to residents required during waking hours in Kentucky?
  • 1:
  • 1:
  • 1:
  • 1: Kentucky requires a staffing ratio of 1 direct care staff for every 15 residents during waking hours.

29.Which agency investigates elder abuse allegations in long-term care settings?

  • Department of Labor
  • CMS
  • Adult Protective Services (APS)
  • Fire Marshal’s Office APS is the primary agency for investigating abuse, neglect, or exploitation of vulnerable adults. 30.How often must the MDS be updated after the initial assessment?
  • Quarterly or upon significant change
  • Annually only
  • Monthly only
  • Every 60 days The MDS must be updated quarterly or when there is a significant change in a resident's condition. 31.What does QAPI stand for in quality assurance?
  • Quality and Patient Insurance
  • Quick Administrative Process Initiative
  • Quality Assurance and Performance Improvement
  • Qualified Assessment Performance Indicators QAPI is a federal initiative that promotes continuous quality improvement in nursing facilities.

Kentucky requires applicants to be at least 21 years old to ensure maturity and readiness for leadership. 35.Which of the following is an example of neglect?

  • Complimenting a resident
  • Failing to reposition a bed-bound resident
  • Overstaffing a shift
  • Buying groceries for a resident Neglect includes failure to provide necessary care, such as repositioning to prevent pressure ulcers. 36.The resident’s right to refuse treatment is protected by:
  • OBRA only
  • Federal and state law
  • Facility rules
  • Employee policies Both federal and Kentucky state laws uphold a resident’s right to refuse medical treatment. 37.How long must resident records be retained after discharge in Kentucky?
  • 3 years
  • 5 years or until the minor resident reaches age 21
  • 10 years
  • Permanently Kentucky requires that records be retained for 5 years, or longer for minors. 38.What is the primary purpose of OSHA regulations in long-term care facilities?
  • Enforce resident behavior
  • Ensure workplace safety for staff and residents
  • Set dietary standards
  • Monitor insurance payments OSHA enforces safety standards to protect healthcare workers and residents from injury. 39.A resident’s right to privacy includes:
  • Personal and medical confidentiality
  • Isolation from visitors
  • Public posting of care plans
  • Exclusion from social activities Residents have a right to confidentiality in all aspects of care and communication. 40.How many continuing education hours are required annually in Kentucky for LTC administrators?
  • 6
  • 8
  • Decrease food costs The activity program promotes mental, social, and emotional well-being. 44.Abuse must be reported to the state within:
  • 24 hours
  • 72 hours
  • 2 hours if resulting in serious bodily injury
  • Weekly Federal guidelines require reporting within 2 hours for serious injury or 24 hours for all other cases. 45.A facility’s administrator must designate a staff member to act in their absence:
  • Only if leaving town
  • For 2+ hours
  • At all times when not present
  • Never The administrator must ensure continuity of leadership at all times. 46.Financial exploitation includes:
  • Offering gifts to residents
  • Misusing a resident’s funds or property without consent
  • Not billing insurance
  • Following a resident’s will Using resident funds or property without permission is considered financial abuse. 47.What is the main purpose of a facility's emergency preparedness plan?
  • Train only security staff
  • Protect residents and staff during disasters
  • Manage supply inventory
  • Reduce survey frequency Emergency preparedness ensures the safety and continuity of care during natural or man-made disasters. 48.In Kentucky, criminal background checks are required for:
  • Only nursing staff
  • All employees with direct resident contact
  • Volunteers only
  • No one All staff interacting with residents must undergo background checks to protect resident safety. 49.What is considered a significant change in condition under MDS guidelines?
  • New hairstyle
  • Room reassignment
  • New diagnosis or hospitalization
  • Dietary regulations
  • Infection control
  • Pest control The Life Safety Code ensures fire prevention, evacuation planning, and safe physical environments. 53.What is the role of the Social Services Designee in a nursing home?
  • Assigning dietary orders
  • Conducting lab tests
  • Supporting residents’ psychosocial needs
  • Supervising janitorial staff The Social Services Designee helps residents cope emotionally and socially and supports transitions. 54.What is the primary purpose of a facility’s governing body?
  • Make meals
  • Administer medications
  • Oversee operations and establish policies
  • Monitor staff schedules The governing body ensures organizational oversight, sets policies, and ensures regulatory compliance. 55.Which of the following must be included in a facility's disaster preparedness plan?
  • Movie schedules
  • Pet care policies
  • Evacuation procedures and communication protocols
  • Holiday decorations Emergency plans must cover evacuation, coordination, staffing, and communication during disasters. 56.Which form confirms a resident’s wish not to receive CPR?
  • Living Trust
  • Health Directive
  • Do Not Resuscitate (DNR) Order
  • Power of Attorney A DNR order legally indicates a resident does not want CPR in the event of cardiac or respiratory arrest. 57.A facility administrator receives a deficiency on a CMS survey. What is the next step?
  • Close the facility
  • Fire all staff
  • Ignore it
  • Submit a Plan of Correction The facility must respond with a Plan of Correction that addresses and resolves each cited issue. 58.Under federal law, what is the maximum number of days for Medicare Part A coverage in a skilled nursing facility per benefit period?