Federal Nursing Home Administrator Practice Exam

What is the recommended RN coverage in a nursing facility?

1. 24/7 coverage

2. 8 consecutive hours, 7 days per week

3. 10 hours daily, 5 days per week

4. Only during business hours

The correct answer is: 8 consecutive hours, 7 days per week

In nursing facilities, the recommended coverage by registered nurses (RNs) is vital to ensure that residents receive the necessary medical oversight and care at all times. The indication of 8 consecutive hours, 7 days per week reflects a standard approach to nursing coverage that balances the need for professional medical attention with reasonable staffing models. Having RN presence for 8 hours each day allows for daily assessments, medication administration, and the management of any acute healthcare needs, ensuring that there is a knowledgeable professional available to address patient requirements during the most critical times of the day. This model also facilitates continuity of care by allowing the same RN to manage resident care for a substantial window, helping to establish familiarity with residents’ needs. The other coverage models, such as 24/7 coverage, may not be feasible for many facilities due to staffing challenges and budgetary constraints, and might not align with specific regulations applicable to different types of nursing environments. Coverage that's limited to business hours fails to recognize the continuous needs of residents, particularly those who require attention outside traditional operating hours. Meanwhile, a reduced number of hours during the week can leave gaps in care, most notably during weekends when the nursing facility still needs sufficient oversight to address the various health concerns that can arise at any