Free Maryland State's Standards Examination Practice Questions

Sample Practice Questions

Try these 10 sample questions from the Maryland State's Standards Examination practice bank. Each includes the answer and explanation. Continue with the interactive practice above to review the full question set.

1. 1A Maryland nursing-home owner delegates day-to-day operations to a licensed administrator. How many hours per day does the administrator remain responsible for operational control?

   1. A. An 8-hour daily period
   2. B. A 12-hour daily period
   3. C. A 16-hour daily period
   4. D. A 24-hour daily period

   Answer: D

   Explanation: COMAR 10.07.02.09B states: "The administrator shall: (a) Be responsible for the control of the operation on a 24-hour basis." Delegation therefore does not limit responsibility to the administrator's on-site hours.

   Reference: Chapter 02 Nursing Homes | Library of Maryland Regulations — COMAR 10.07.02.09B(2)(a)

2. 2At admission, which communication combination must a Maryland nursing facility use for all admission terms?

   1. A. Written notice only in easily understood language
   2. B. Oral notice only in easily understood language
   3. C. Written and oral notice in easily understood language
   4. D. Written notice plus oral notice only upon request

   Answer: C

   Explanation: The facility must notify the resident "in writing and orally, in a language that is easily understood of all terms of admission." Option C includes both required modes and the required clarity.

   Reference: Chapter 09 Residents' Bill of Rights: Comprehensive Care Facilities and Extended Care Facilities | Library of Maryland Regulations — COMAR 10.07.09.04A

3. 3For Maryland Medicaid participation, how long must a nursing-facility provider retain adequate records?

   1. A. At least 3 years
   2. B. At least 5 years
   3. C. At least 6 years
   4. D. At least 10 years

   Answer: C

   Explanation: A participating provider must "Maintain adequate records for a minimum of 6 years and make them available, upon request, to the Department or its designee." Six years is the required minimum.

   Reference: Chapter 10 Nursing Facility Services | Library of Maryland Regulations — COMAR 10.09.10.03I

4. 4For a Maryland MAGI-exempt application, which paired processing deadlines apply to an aged or blind determination and to a disability determination?

   1. A. 30 days and 45 days, respectively
   2. B. 45 days and 60 days, respectively
   3. C. 60 days and 75 days, respectively
   4. D. 75 days and 90 days, respectively

   Answer: B

   Explanation: Maryland requires a decision no later than "45 days from the date of application in the case of determination of aged and blind individuals" or "60 days from the date of application in the case of determination of disability." Option B gives the correct paired deadlines.

   Reference: Chapter 24 Medical Assistance Eligibility | Library of Maryland Regulations — COMAR 10.09.24.04-1D(1)-(2)

5. 5Where must the person in charge display the Maryland food-service-facility license used by a nursing-home kitchen?

   1. A. In a conspicuous place in the food-service facility
   2. B. In the administrator's secured personnel office
   3. C. In the facility's off-site accounting office
   4. D. At the licensing agency's public records desk

   Answer: A

   Explanation: The person in charge shall ensure that "A valid license is displayed in a conspicuous place in the food service facility." Option A identifies Maryland's required display location.

   Reference: Chapter 03 Food Service Facilities | Library of Maryland Regulations — COMAR 10.15.03.28F(2)

6. 6An administrator asks Maryland to approve less-than-full-time service at multiple nursing homes. Which arrangement is within the regulatory limit?

   1. A. Two facilities, with one licensed for 35 beds or fewer
   2. B. Two facilities, each licensed for 60 beds or fewer
   3. C. Three facilities, with one licensed for 35 beds or fewer
   4. D. Three facilities, each licensed for 25 beds or fewer

   Answer: A

   Explanation: The rule provides: "With the Department’s approval, an administrator may serve on a less than full-time basis for a maximum of two nursing facilities, one of which shall have a licensed capacity of 35 beds or fewer." The other arrangements exceed either the facility-count or small-facility condition.

   Reference: Chapter 02 Nursing Homes | Library of Maryland Regulations — COMAR 10.07.02.09B(3)

7. 7During admission property inventory, which items must the facility ask the resident or representative to identify by value?

   1. A. Items valued at $25 or more
   2. B. Items valued at $50 or more
   3. C. Items valued at $100 or more
   4. D. Items valued at $500 or more

   Answer: C

   Explanation: The admission procedure requires asking the resident or representative to identify "Those items with a value of $100 or more." The $100 threshold controls the value-specific inquiry.

   Reference: Chapter 09 Residents' Bill of Rights: Comprehensive Care Facilities and Extended Care Facilities | Library of Maryland Regulations — COMAR 10.07.09.04B(3)(a)

8. 8The Medicaid Program denies payment because an otherwise covered service was not medically necessary. How must the provider handle that denied amount?

   1. A. Bill the recipient directly
   2. B. Debit the resident's trust account
   3. C. Assign the balance to the representative
   4. D. Do not seek the denied payment from the recipient

   Answer: D

   Explanation: The provider must agree that when payment is denied on that basis, "the provider may not seek payment for that service from the recipient." Option D applies the required no-collection rule without using a none-of-the-above construction.

   Reference: Chapter 10 Nursing Facility Services | Library of Maryland Regulations — COMAR 10.09.10.03N

9. 9Which paired maximum decision periods apply when a Maryland Medical Assistance application is filed with the local health department versus another Department designee?

   1. A. 5 days and 15 days, respectively
   2. B. 10 days and 30 days, respectively
   3. C. 20 days and 45 days, respectively
   4. D. 30 days and 60 days, respectively

   Answer: B

   Explanation: The decision is due no later than "10 days from the date of application when filed with the local health department" or "30 days from the date of application when filed with the Department or its designee, with the exception of the local health department." Option B preserves that distinction.

   Reference: Chapter 24 Medical Assistance Eligibility | Library of Maryland Regulations — COMAR 10.09.24.04I(1)(a)-(b)

10. 10A nursing home's kitchen asks to hold potentially hazardous food using approved time-only control instead of temperature control. May it serve that food to residents?

    1. A. Yes, for up to 2 hours
    2. B. Yes, for up to 4 hours
    3. C. Yes, if the HACCP plan is updated after service
    4. D. No, time-only-controlled food may not be served in a health care facility

    Answer: D

    Explanation: COMAR states: "Food that has been protected using time-only control is not served in a health care facility." Even an otherwise approved time-only process cannot be used for resident service here.

    Reference: Chapter 03 Food Service Facilities | Library of Maryland Regulations — COMAR 10.15.03.08B(4)