NAB NHA EXAM COMPILED CARDS
WITH QUESTIONS AND ANSWERS 100%
CORRECT GRADED A+!!
Thelphysicallplantl-lCORRECTlANSWER-
allldesigned,lconstructed,lequipped,landlmaintainedltolprotectlhealthlandlsafetyloflresidents
,lpersonnel,lpublic
LifelSafetylCodel(LSC)l-lCORRECTlANSWER-
EntirelconstructionlplanlandlmaterialslmeetlLSClstandards|||CMSlrequireslunlesslhavelwai
verlorlexception.lCMSlgrantslwaiverslonlSNFs;lstateslonlNFs
(NFPA)l-lCORRECTlANSWER-NationallFirelProtectionlAssociationl||establishedlLSC
PurposeloflLSCl-lCORRECTlANSWER-tolprovidelreasonableldegreeloflsafetylfromlfire.
WaiverslforlLifelSafetylCodel-lCORRECTlANSWER-
IflCMSlfindslalstatelfirelandlsafetylcodeladequatelylprotectslresidentslandlpersonnellthenLS
Cldoeslnotlapply.lOLderlfacilitieslmaylobtainlalwaiverlifltheylarelandlhavelbeenlinlcompliance
lwithlanlolderladditionloflLSClaslspecifiedlbylCMS.||Beforelalnursinglhomelmaylbelbuiltlitlmus
tlpresentlarchitecturallplantltolStatelMedicaidlorldesignatedlagencylthatlapproveslconstructi
on.lAlllmajorlrenovations,lsuchlasladditionallbeds,lchangelinlutilizationloflspace,landlsolonlm
ustlreceivelapproval.lThelstatelprovideslguidelineslonlwhatlmustlbelalapproved.lUpkeeplan
dlrepairsldolnotlrequirelpriorlapproaval.
BluelPrintsl-lCORRECTlANSWER-keeplas-
builtlplanslavailablelforlsurveyorslwholdolLSClinspectionlaslwelllaslforlrepairlpersonslwholm
aylneedlprintslforlbigljobs.
LSClandlotherlstandardsl-lCORRECTlANSWER-
BuildinglandlcontactlstandardslarelsetlbylLSC,lCMS,lANSI/ADAAGl-
l(dependentlonlwhichlthelstatelchooses)landlstatelandllocallcodes.l||-lforlhandicapped|-
followlwhichlonlspecificlstatelrequiresl(ANSI/ADAAG)
LSClandlANSI/ADAAGl-lCORRECTlANSWER-
LSClacceptslbothlstandardslsoltheylarelessentiallylalllLSClstandards.lAdministratorldoesln
otlneedltolknowlEVERYlstandard,lbutlmustlkeeplalcopyloflthel"LSClHandbook"laslreference.
lThelarchitectlwholdesignslthelfacilitylmustlknowlandlincorporatelalllLSClandlotherlstandard
s,lbutlitlisladvisablelforlthelNHAltolchecklhislbuildingltolensurelcompliance.
,LSC,lANSI/ADAAG,landlCMSl-lCORRECTlANSWER-**-lbuildinglmaterialsl-lfire-
ratelaccordingltolnumberloflstories.l2lhourlandl1lhourlrating|**-lsprinklersl-
lnewlbuildingslhavelautomaticallylactivatedlbylsmoke/heat|-lexitsl-
lnolroomlmorelthanl100lfeetlfromlexit.lLightedlexitlsignsloflspecificlsize.l|-
lwallslextendlcontinuouslyltolroofldeckloflnextlfloor.lwalllfinishlmustlmeetlflame-
spreadlrequirementsl(lhavelcertificateloflthis)|-lfurnishingsl-
lcurtainslandlcarpetlmustlmeetlfirelrating|-lroomsl-lCMSlrequirementsl-
l4lresidentsltolroomlMAX.l80lsqlft/residentl(multi-
residentlroom),l100lsqlftlforlsingleloccupancy.
requirementlforlrooms|l-lCORRECTlANSWER--ldirectlaccessltolcorridor|-
loutsidelwindowl(CMS)lorldoorl(LSC)|-lprivacy|-
lfurnishing|lseparatelbed,lproperlsizelandlheight|lbeddinglappropriateltolclimate|lindividuallcl
osetlspace|lbedsideltable|lcomfortablelchair|lenoughloverbidltablesltolmeetlneedsloflrsident
s|-ltoiletsl(CMS,lANSI,lADA)|-lbathinglfacilitiesl(CMS)|-
lresidentlcalllsysteml(CMS,lLSC)l24/7l-lbackluplsystemlavailable|-ltemperaturelrangel(71-
81ldegreelF)l(threelfeetlabovelfloor),lstateslsetlactual,lA/Clnotlrequired
Doorsl-lCORRECTlANSWER-
Alll44"lorlmorelinlnewlconstructionl(41.5lopening)|outsideldoorslopenlegress.|nollockslonlre
sidentldoorlexceptlstafflhaslkeyl(LSC)||Bathroomldoorl32"l(ANSI/ADAAG)||FirelDoorslwithla
utomaticlhold-openldeviceslrequiredlinlcorridors||(overlbedltableslnotlrequiredlforlpatient)
corridorsl-lCORRECTlANSWER-noldead-endsl(LSC)||8lfeetlwidel(CMS)
Floorsl-lCORRECTlANSWER-
atlorlabovelgroundllevel.l(LSC)l|Firelratingliflcarpeted.l(LSC)|Non-
sliplbath/toiletl(ANSI,lLSC)|Asphaltltilelbest
Firelalarmsl-lCORRECTlANSWER-
flashinglandlaudible.l|connectlwithllocallfireldept,liflpossible|mustlhavelNFPAl71lcertificationl
oflfirelalarmlservice|
smokeldetectorsl-lCORRECTlANSWER-approvedldetectorslrequried
smokingl-lCORRECTlANSWER-writtenlregulations,lenforced.l|smokinglareslwithlnon-
combustiblelashtrays,lmetallcontainerslwithlself-
closingllids.|Prohibitedlareaslincludelresidentlroomslandlbeds,loxygen,lflammablelliquidlsto
rage.|properlsignslposted.|superviselnon-responsible.
ANSI/ADAAG(AmericanslwithlDisabiltieslActlAccessibilitylGuidelines)l-
lCORRECTlANSWER-
Makelbuildinglavailableltolandlusablelbylphysicallylhandicapped,lnolmentall(blind,ldeaf,lnon
-ambulatory,lsemi-
ambulatory,luncoordinated).lADAAGl=lMAKElBUILDINGSlAVAILABLElTOlADA'S.l|Stateld
ecideslwhetherltolapplylANSIlorlADAAGlstandardsltolnursinglhomes
,accessiblelroutel-lCORRECTlANSWER-nolinclinelmorelthanl10%
Wheelchairlpassagel-lCORRECTlANSWER-32"lbathroomldoors||36"lelsewhere
parkingl-lCORRECTlANSWER-
13lFEET||cannotlblocklsidewalk;lalleylforl2lcars.|Thelnumberloflhandicaplparkinglplaceslisld
eterminedlfromlalgridlissuedlbylANSI.lItlMUSTlBElNOTEDlTHATlFORlEVERYlEIGHTl(8)lH
ANDICAPlPARKINGlSLOTS,lONElMUSTlBElVANlACCESSIBLE.||Iflthelfacilitylonlylhaslon
elhandicappedlplace,litlmustlbelvanlaccessible.
rampsl-lCORRECTlANSWER-maximumlrisel30".lSlopelnotlmorelthanl1:10
Whatlitemslmustlbelaccessibleltolwheelchairlresidents?|l-lCORRECTlANSWER-
WATERlFOUNTAINS,ltelephonesl(non-Braille),llightlswitches
Toiletslandlhandrailsl-lheightl-lCORRECTlANSWER-
toiletsl(AlsolADAlforlstaff)lseatl**17"ltol19"lheight;||handlrails/grablbarsl33"ltol36".l|5%lorlmor
elmeetlstandardslasldeterminedlbylstatelandlCMS||(easierltolreplacelwithlhandicappedltoile
t)
Handrailsl-lCORRECTlANSWER-
outsidelramp,lstairwell,lbathroomlrequiredlbylANSI,landlspecificlheight.||CMSlrequireslinlco
rridors.||ADAAGlspecifieslalll34"ltol38"linlpubliclplaces.l|Onlstairwelllmustlbel32"landlMUSTl
EXTENDl12"lbeyondllastlstep.l(ANSI|
Monitoredl-lCORRECTlANSWER-
monitoredlnationallylthelOfficeloflCivillRightslmonitorslANSI.lStateslmaylassignltolFirelMars
hall,lMedicaidlAgency,lother.l|ADAAGlislmonitoredlbylStatelAgencylhandlinglLSClandlANSI
.
Alarmsl-lCORRECTlANSWER-
flashinglalarmslforldeaf,lsoundlalarmslforlblind,ltactilelwarningslforlblindltolidentifyldangerlar
eas.
Gratingl-lCORRECTlANSWER-Nolgreaterlthanlone-
halflinch;lopeningslperpendicularltoltravellrout,liflelongated.
Thresholdl-lCORRECTlANSWER-
nolmorelthanl1/2linchlonlentrancelandlexitldoors,lexceptlexteriorlslidingldoorlcanlbel3/4linchli
nlheight
GROUNDSlandlparkingl-lCORRECTlANSWER-Maintenancelcost-
mowinglbiggest.lStateldecideslonlnumberloflparkinglspaceslperlbed.
, Waterl-lCORRECTlANSWER-
waterlmustlhavelbackuplsourceloflsupply.lTemperaturelestablishedlbylstate.lAutomaticlCon
trollValves.l(surveyorslwilllasklforlcontract)l(110ldegreeslinlGA)
Ventilationl-lCORRECTlANSWER-Alllareaslventilatedltoloutsidel-
lwindow,lmechanicallventilation,lorlcombination.l|la.lgoodlmovementl(stateldetermines|lb.la
cceptablelhumidity/temperaturellevelsl(stateldetermines)|lc.lsurveyorlrating:|lA=lGoodlmov
ement;lacceptableltemp/humidity/odorllevels|lB=lLittlelmovement;ltemp/humidity/odorllevel
sllesslacceptable.|lC=lNolmovement;ltemp/humidity/odorllevelslunacceptable.lResidentsla
ndlstafflapprealdistressedldueltollevels.
Pestlcontroll-lCORRECTlANSWER-
PREVENTIONlPROGRAMlBEST;luselcontractorlandlstaff||noltraps,lpoisons,lstickylflylpape
r.||advantagel-
ltoluselpestlcontrollservice:||licensedlandltrainedlinluseloflalllpesticides,lhowltolrotatelchemic
alsltolpreventlbuilduploflresistance.l||(closelgarbagelbin:lattractslpests)
SpacelandlEquipmentl-lCORRECTlANSWER-
Facilitylmustlprovidelsufficientlspacelandlequipmentlforldining,lhealthcarelservices,lrecreati
onlandlrehabilitation.l||Sufficientlmeanslenoughltolenablelstaffltolprovidelresidentslwithlnee
dedlserviceslaslidentifiedlinlthelplanloflcare.|l-
lspacellargelenoughltolaccommodatelusuallnumberlthatluselit;lmustlbelaccessible.|l-
laccommodatelwheelchairs,lwalkers,lotherlambulatoryldevices.|l-
lrehablareaslhavelexerciselequipment,lstoragelforlsupplieslandlequipment.
Monitoringl-lCORRECTlANSWER-
StatesldecidelwholwilllmonitorlLSClandlANSI/ADAAGlstandards.lthelmonitorlmaylbelthelSta
telMedicaidlAgency,lStatelFirelMarshall,lorlother.lIflitlislanlagencylotherlthanlStatelMedicaid,l
thelmonitoringlagencylmustlcoordinatelitslfindingslwithlthelMedicaidlagency.
PreventativelMaintenanceldefinition.l-lCORRECTlANSWER-
checkinglalllsystems,lincludinglroof,lonlregularlbasislandldocumenting.||rooflprotectslallloth
erlassets.l(loglorlcards)
3lpointsloflPreventativelMaintenancel-lCORRECTlANSWER-
1.lValue:|lEverythinglsafelandloperativelforlresidentlcarel(#1)|lsavesldowntime|lsmalllrepari
slcostllesslthanlcompletelbreakdown|lequipmentlandlsystemsllastllonger|2.lpersonnell-
lmajorlerrorlinlhiring|3.lworklorders
environmentallqualityl-lclean,lattractive,lhome.l-lCORRECTlANSWER-1.lhousekeepingl-
lprocedureslforlfloors,lrooms,lasepticlcleaning,lstorageloflmaterials,lODORlCONTROL,lrolel
inlinfectionlcontrol,lequipmentlcare,lsafety|2.lhomelikel-
lresidentslbringslownlbelongingslasllonglaslitldoeslnotlinterferelwithlstafflworklorlinfringelonlo
therlresidents'lrights.lde-emphasizelinstitutionalllook.l|la.lsoundl-
lcomfortable,ldoeslnotlinterefrelwithlhearing.lbackgroundlnoiselunderlresidentlcontrol.lLevell
notlrequirelstaffltolraiselvoices.lconsiderldifferenceslinlroomlassignments.|lb.llightingl-
