NAB practice exams
Volunteers strengths should match with the needs of the care recipients
Which of the following best describes volunteer programming a) Volunteers are commonly employed professionals who work 40 hours a week b) Volunteers have little impact on the reputation within the local community c) Volunteers should choose which services they can provide d) Volunteers strengths should match with the needs of the care recipients
Safe harbor
Which of the following includes regulations that guide administrators to comply with the federal prohibitions against illegal payments for services or items reimbursed under Medicare and Medicaid?
Performing at an alternative location
Which of the following is a reasonable accommodation according to the Americans with disabilities act a) Altering the work environment b) Changing job descriptions c) Elimination essential functions d) Performing at an alternate location
Eating
Which of the following is characterized as a late-loss ADL? a) Bathing b) Walking c) Grooming d) Eating
Alzheimer's disease
Which of the following is generally considered a chronic illness that must be managed?
Managing the relationship between a healthcare organization and the community
Which of the following most accurately describes public relations? a) The process of attracting quality staff b) The process of attracting care recipients c) Managing the relationship between a healthcare organization and the community d) Managing the relationship between healthcare organization staff and families
Has been determined by a court of law to have mistreated care recipients
A healthcare organization may not employ an individual who a) Is not on the state registry b) Has been found guilty of cashing checks without sufficient funds c) Has been charged with domestic abuse d) Has been determined by a court of law to have mistreated care recipients
Occupational safety and health act
A healthcare organization must report an incident when a mechanical lift contributes to a death, serious illness, or injury of a care recipient under the requirements of which of the following? a) Safe medical devices act b) Hazardous communication program c) Federal emergency management agency d) Occupational safety and health act
Be designed to meet the preferences of the care recipients being served
A healthcare organization's dining program should a) Be designed to meet the preferences of the care recipients being served b) Have nutritional information posted in a conspicuous location c) Offer a private dining area for care recipients family members d) Employ individuals who are experienced in food and nutritional services
Is readmitted after suffering from a stroke
A new minimum data set (MDS) would be required when a resident: a) Is readmitted after an outpatient procedure b) Is readmitted after suffering from a stroke c) Returns from therapeutic leave d) Returns from a home evaluation with therapy
5%
A nurse administers 100 doses of medication. It is later discovered that two wrong medications were administered, and three medications were not given. Additionally, one medication was refused by a resident. What is the medication error rate? a) 2% b) 3% c) 5% d) 6%
No less than 35 hours per week
A nursing facility must have a full-time director of nursing services. Full time is defined as working how many hours per week? a) It depends on the size of the facility b) No less than 40 c) No less than 35 d) It depends on the case mix of the residents
The scope and severity of a deficiency that constitutes substandard care or immediate jeopardy can be challenged
A nursing facility wishes to challenge a deficiency using the informal dispute resolution (IDR) process. Which of the following statements regarding IDR is true? a) The facility can use the IDR process to delay the formal imposition of a remedy b) The request for an IDR must be made within five days of the receipt of the statement of deficiencies c) The scope and severity of a deficiency that constitutes substandard care or immediate jeopardy can be challenged d) An ombudsman should be included on the IDR team
Hospice provider
A resident contracts with a hospice company while in a nursing facility. The care plan is the responsibility of the: a) Attending physician b) Director or nursing c) Hospice provider d) Nursing facility
60 days
A resident has a Medicare stay in a nursing facility. How long of a break in services must pass before the resident qualifies for another 100 days of Medicare coverage? a) 30 days b) 60 days c) 90 days d) 180 days
Written request
A resident has the right to review his/her medical record upon: a) Written request b) Family consent c) Physicians' approval d) Paying a fee
At the time requested by the resident
A resident wishes to have his/her child visit after the child gets off from work at 11 p.m. The administrator should allow the child to visit: a) At the time requested only if they are supervised by staff b) Only during posted visiting hours in accordance with nursing facility policy c) At the time requested by the resident d) Only if the child agrees to visit in the lobby
Immediate jeopardy
A situation in which a provider's noncompliance with one or more requirements of participation has caused or is likely to cause serious injury, harm, impairment, or death to a resident is known as: a) Immediate jeopardy b) Widespread harm c) Confirmed occurrence d) Substandard quality of care
Acceptance
A valid contract must include which of the following elements? a) Diligence b) Acceptance c) Framework d) Product
10.1
An administrator has 198 staff members on the payroll for august, 196 for September and 200 for October. Twenty staff members have resigned or been terminated during this three-month period. What is the turnover rate for this quarter
Inventory control
An administrator should evaluate which of the following first when there are supply shortages and an increase in rush order costs? a) Inventory control b) Accounts payable c) Possible employee misappropriation d) Quality control
General in-patient care
An elderly care recipient has prostate cancer. He has been through several surgeries and treatment plans, and his pain and symptoms have now become unmanageable. Which level of hospice care would be required? a) Continuous home care b) Routine home care c) General in-patient care d) Respite care
Cash budget
An estimate of receipts (inflows) and disbursements (outflows) for each month is called a
Be under the care of a licensed physician
Each resident in a nursing facility must: a) Have an acute or chronic medical condition b) Be under the care of a licensed physician c) Be in need of assistance with ADLs d) Have at least one payer source
Substantial compliance
Enforcement of the Federal Requirements of Participation is based on which of the following? a) Substantial compliance b) Standard of practice c) Substantial care d) Best practices
Governing body
Evaluation of a healthcare organization efficiency, effectiveness, and economy is the ultimate responsibility of the
Career ladders
Providing opportunities for job advancement is known as a) Pay for performance b) Internal mentoring c) Performance appraisals d) Career ladders
Individualized and developed after the care recipient assessment
Recipients care plans should be a) Individualized and developed after the care recipient assessment b) Focused primarily on the expectations of the immediate family c) Designed to standardize and streamline care for all care recipients in a particular area d) Implemented upon admission unless the care recipient has an advance directive
A licensed pharmacist
The drug regimen of each resident must be reviewed at least once a month by: a) The medical director b) A registered nurse c) The director of nursing d) A licensed pharmacist
The Department of Health and Human Services (HHS) Office of Civil Rights (OCR)
The enforcement agency for the Health Insurance Portability and Accountability Act (HIPAA) is: a) Centers for Medicare and Medicaid Services (CMS) b) Department of Health and Human Services Office of Civil Rights (OCR) c) Occupational Safety and Health Administration (OSHA) d) Area Agency on Aging (AAA)
$420
The following expenses are for a Medicare Part A resident Routine Nursing Care $900 Therapy $1,500 Attending Physician Visit $300 Room $3,000 Medications $600 What is the cost per resident day if this resident is admitted and stays for 15 days?
Enable the care recipient to live to his or her fullest potential
The goal of all rehabilitation is to a) Attempt to return the care recipient to the former level of functioning b) Only help the care recipient adapt to the disability c) Enable the care recipient to refocus attention away from the disability d) Enable the care recipient to live to his or her fullest potential
Aphasia
The inability to communicate with verbal or written words is known as
Care instead of treatment
The model of person-centered care known as the Eden Alternative focuses on: a) Advocating for change b) Reducing staff turnover c) Increased companionship d) Care instead of treatment
Heart disease
11) One of the most prevalent and underdiagnosed conditions found in the elderly is
Procedures
4) Which of the following is best described as a step-by-step guide that helps attain a specific task?
Manage revenues and expenses
A budget is a tool used by administrators to a) Predict occupancy rates each year b) Assess fixed expenses c) Manage revenue and expenses d) Determine whether credit is needed
Depression
A care recipient has not been herself lately. She is withdrawn, neglects herself, and complains that she is having trouble sleeping, which all may be symptoms of a) Depression b) An infection c) A personality disorder d) Delusion
Significant change in condition
A care recipients plan of care must be reviewed whenever there is a a) Minor change to the condition b) Significant change to the condition c) Short term mood or behavior change d) Allegation of abuse
Tailored to a healthcare organizations unique circumstances
A disaster plan should be
10 seconds
A facility's emergency generator is required to transfer power within: a) 10 seconds b) 15 seconds c) 30 seconds d) 60 seconds
Recommend an appointment for a regular hiring interview
A volunteer contacts an administrator requesting to do a nurse aide's duties without pay. according to the regulations of the Omnibus Budget Reconciliation Act (OBRA), the administrator should: a) Recommend an appointment for a regular hiring interview b) Schedule one day of orientation devoted to the duties of nurse aide c) Schedule for the volunteer's mandatory nurse aide training and competency evaluation d) Recommend other opportunities for volunteering at the nursing facility
5
According to Occupational Safety and Health Administration (OSHA) Regulations, healthcare organizations must retain records of recordable incidents for how many years?
The correct answer is d) medical expenses and physician care Medicare part b covers outpatient hospital treatments, but not custodial care Medicare part b covers home health care, but not dental care Medicare part b covers medical expenses but not hearing aid exams Therefore the correct answer is d, because medicare part b covers both medical expenses AND physician care
After the deductible has been met, Medicare part b covers 80% of which of the following Medicare determined reasonable charges a) outpatient hospital treatment and custodial care b) home health care and dental care c) medical expenses and hearing aid exams d) medical expenses and physician care
A large screen television
All of the following are examples of residents' rights except a) Privacy for marital relations b) Seeking medical records c) A large screen television d) Refusing treatment
Completed eligibility for recreational therapy certification
An activity program must be directed by a qualified professional who has: a) Completed a training course approved by the state b) Completed eligibility for recreational therapy certification c) 1 year of experience in a recreational program within the last 5 years d) 2 years of experience in a recreational program within the last 10 years
The care recipient
At a minimum, an invitation to attend a care recipient's plan of care conference must be extended to the a) Care recipients responsible party b) Care recipients' choice of attendees c) Care recipients' spouse d) Care recipient
No, because federal regulations mandate a daily bedtime snack
At a staff meeting, the dietician proposes new snack times for residents. The plan would eliminate the bedtime snack and replace it with a mid afternoon dessert and fruit cart. Should the administrator approve the proposal? a) No, because federal regulations mandate a daily bedtime snack b) Yes, but the cost of the dessert carts and any additional afternoon staff needed must first be considered c) Yes; however, the dietitian must prepare a report that demonstrates that these snacks meet proper nutrition standards d) No, because the nursing staff would not have time to assist with snacks in midafternoon
Listening skills
Communication skills are essential for effective leadership but great communicators must also have a) Conversational skills b) Presentation skills c) Listening skills d) Translational skills
Benchmarking
Comparing an organization processes and performance to other organizations is known as
14 hours
The amount of time between a substantial evening meal and breakfast must not be more than how many hours?
Either cost or market value, whichever is lower
For accurate accounting, inventories should be valued at: a) The average of the old supply value and the new supply value b) Either cost or market value, whichever is lower c) The difference between the old supply value and the new supply value d) Either cost or market value, whichever is higher
Every 30 days
How often should the attending physician visit his/her residents during the first 90 days? a) Every 10 days b) Every 14 days c) Every 30 days d) Every 60 days
Residents rights and privacy
If a healthcare organization provides an alert residents medical records to a family member without the residents consent, which key component of HIPPA does this violate?
14 hours without a snack, up to 16 hours with a snack
If a nourishing snack is served at bedtime, what is the maximum number of hours that may elapse between a substantial evening meal and breakfast?
Long term care ombudsman
If a resident has unresolved complaints about the food that is being served, which outside resource is mandated by the Older Americans Act to help resolve the complaint?
Union business representative
If a union members complaint is not resolved the employee takes the complaint to a a) Personnel manager b) Department manager c) Union steward d) Union business representative
Alcohol based solutions
If hand washing is not feasible and hands are not soiled, it is permissible to use:
Develop a written orientation and training program to inform employees of the risks
If hazardous materials are located within a healthcare organization, the healthcare organization must a) Instruct employees to store these hazards as far away from care recipient areas as possible b) Develop a policy to prohibit hazardous materials from being located within care recipient areas c) Evacuate the healthcare organization until these hazards are removed d) Develop a written orientation and training program to inform employees of the risks
Providing a means of communication in the resident's primary language
If the resident's knowledge of English is inadequate for comprehension, the nursing facility must: a) Ensure that staff members communicate slowly and distinctly b) Convey the necessary information to family members who do understand English c) Provide an interpreter at the cost of the resident at an acceptable community rate d) Provide a means of communication in the resident's primary language
Hazardous chemicals
In accordance with OSHA requirements, which of the following must have safety data sheets?
Identify the reasons for the application of the restraint
In determining whether the use of a restraint can be reduced or eliminated, the first step is to: a) Call a physician b) Ask permission of the family c) Identify subjective symptoms d) Identify the reasons for the application of the restraint
Established by a third-party payer
In managing receivables, the term reimbursement is defined as the a) Charges established for ancillary services b) Fee established by a third-party payer c) Charges expected to be earned in a set period d) Fees received from expenses incurred by the organization
Allow employees the opportunity to continue health coverage at their own cost, including the employer's portion (if any)
In the instance of termination of employment, the consolidated omnibus budget reconciliation act of 1989 (OBRA) requires an employer to a) Allow employees the opportunity to continue health coverage at their own cost, including the employer's portion (if any) b) Provide employees with continued health coverage at a cost equal to individual coverage plus 10% c) Convert an employee's group health insurance premium to unemployment compensation for continued coverage d) Allow employees to continue health coverage at the employer's cost
A preventative maintenance program
Maintaining essential mechanical, electrical, and resident-care equipment in safe operating condition would best be accomplished by: a) An environmental services manual b) A safety policy and procedures c) A safety data sheet d) A preventive maintenance program
The spread of infection
Personnel must handle, store, process, and transport linen in a manner that prevents: a) Supply shortages b) Theft c) Missing laundry d) The spread of infection
Identifying and solving problems before they get out of hand
Risk management can best be described as a) Resolving issues prior to legal action b) Purchasing a higher level of liability insurance c) Effectively communicating concerns to all levels of staff d) Identifying and solving problems before they get out of hand
lockout/tagout
Shutting down dangerous machines and keeping them turned off until maintenance or service work is complete is an OSHA standard known as
Confusion or disorientation that increases in the afternoon or evening
Sundowning is a term that means a) The peaceful feeling that comes over someone toward the end of the day b) The depression that some experience when there is too little daylight c) Confusion or disorientation that increases in the afternoon or evening d) The condition experienced by most often in December and January when the days are shorter
Two unobstructed, marked, and unlocked exits
The Life Safety Code requires which of the following to provide egress from the nursing facility? a) Two unobstructed, marked and unlocked exits b) Emergency path lighting to direct residents to exits c) An audible alarm system to direct residents to exits d) Lighted signage with battery backup
February, March, and April
The Occupational Safety and Health Administration (OSHA) requires form 300A to be displayed in which of the following months?
Investigate and resolve complaints made about or for care recipients in healthcare organizations
The older Americans act of 1965 provided for the establishment of an office of long-term care ombudsman, the primary duty of the ombudsman is to a) Investigate and resolve complaints made about or for care recipients in healthcare organizations b) Ensure that long term care surveys have been handled properly c) Mediate between survey agencies and organizations when complaints are made by staff d) Ensure that families of care recipients are not overcharged by the organization
Preventative maintenance
The periodic scheduled checking of equipment for damage and everyday wear and tear is an example of a) Preventive maintenance b) Operation equipment replacement c) Capital replacement d) Small equipment replacement
Straight-line depreciation
The practice of making equal periodic charges to expenses over the estimated life of an asset is known as
Safe Harbor Act
The public policy that was initially responsible for the protection of resident funds is the: a) Safe harbor act b) Omnibus budget reconciliation act c) Health insurance portability and accountability act d) Consumer protection act
Change employee behavior
The purpose of employee discipline is to
Physician
The responsibility of identifying the social services needs of a care recipient falls upon the a) Family b) Power of attorney c) Staff d) Physician
24 hours
The results of all investigations of abuse, neglect, or misappropriation of resident property must be reported in accordance with state law, including to the State Survey Agency, within: a) 24 hours b) 72 hours c) 5 working days d) 7 working days
5 working days of the incident
The results of all investigations of abuse, neglect, or misappropriation of resident property must be reported in accordance with state law, including to the State Survey Agency, within: a) 24 hours b) 72 hours c) 5 working days d) 7 working days
Advocate for the resident
The role of the nursing facility ombudsman is to:
Regular handwashing
The single most important element for reducing the spread of infection is
Resident Assessment Instrument (RAI)
The tool used to gather information on a resident's comprehensive needs is referred to as: a) Quality assurance and performance improvement (QAPI) tracking log b) Pre-admission screening resident review (PASRR) c) Resident assessment instrument (RAI) d) Care Assessment area (CAA)
Assistive device
To accommodate a bilingual care recipient, a communication board is provided with phrases and words posted in both languages. This type of device might be described as a/an
Given periodically throughout employment
To be effective, feedback on job performance should be a) Primarily based on self-appraisal b) Given periodically throughout employment c) Given only at regularly scheduled reviews d) Done at the point of service
A breakdown of staff and the actual hours they are working each shift
To comply with the Code of Federal Regulations on the required posting of all nursing staff, and administrator should post: a) The total number of actual hours worked by the nursing department the previous day b) The total number of hours that staff are assigned to work each day c) A breakdown of staff and the actual hours they are working each shift d) A breakdown of hours for RNs and licensed practical/vocational nurses (LPNs/LVNs)
Abuse and neglect
Two residents have been assessed as combative and are placed at the same table for lunch. One resident hits the other, causing a serious head injury. Which federal regulation does this violate? a) Dignity b) Quality of life c) Abuse and neglect d) Behavioral health services
Knock on the door to check on the residents
Two residents with a BIMS of 15 have developed a close relationship. One evening, a certified nurse aide notices the residents entering the same room and closing the door. What is the most appropriate way for staff to handle this situation? a) Report the situation to the ombudsman b) Respect their privacy and monitor the situation c) Knock on the door to check on the residents d) Request advice from their families
Certified nurse aides (CNAs) performing nursing services and nursing-related services
Under the Code of Federal Regulations, nursing facilities are required to offer in-service training based on performance evaluations to all: a) Employees of a skilled nursing facility regardless of job duties b) Employees directly involved in providing care to nursing facility residents c) Nursing staff providing direct care to nursing facility residents d) Certified nurse aides (CNAs) performing nursing services and nursing-related services
Routine and emergency dental services
What dental services must a facility provide to Medicaid residents? a) Routine dental services only b) Routine and emergency dental services c) Emergency dental services only d) All dental services, with additional charges
A person appointed under state law to act on the care recipient's behalf
When a care recipient of a healthcare organization is adjudicated incompetent by the court, who is given the power to exercise the person's rights? a) A responsible part appointed by the administrator b) A person chosen by the care recipient before the court judgement c) A person appointed under state law to act on the care recipient's behalf d) A person selected by the care recipient's family
Send all pertinent information to the other healthcare organization
When a care recipient requests a move to another healthcare organization, it is most appropriate to first a) Send all pertinent information to the other healthcare organization b) Complete a full nursing assessment c) Notify the family with the projected discharge date d) Send non-medical information because of HIPPA regulations
Contains more than $50
When a resident who is covered by Medicaid places money in a resident trust fund, the nursing facility is required to pay interest only if the fund: a) Contains more than $50 b) Contains more than $100 c) Is contracted with the same bank as the facility d) Is in an interest-bearing bank account
Prior to or at the time of admission
When must nursing facility residents be informed of their rights?
Onset, duration, intensity, and environmental triggers
When reviewing the care and services for a resident with dementia, it is important for the staff to describe behavior by documenting which of the following details? a) Duration, intensity, environmental triggers, and medication effects b) Duration, onset, medication effects, and intensity c) Onset, duration, intensity, and environmental triggers d) Onset, intensity, medication effects, and environmental triggers
Assist in scheduling transportation to/from the dental office
When scheduling and making a dental appointment for a resident, a nursing facility is obligated to: a) Schedule an employee to accompany the resident to the dental office b) Assist in scheduling transportation to/from the dental office c) Receive a physician order to allow the resident to visit the dental office d) Inquire whether the dentist is able to perform services at the care center versus dental office
Medicaid
Which government program has a means test and provides healthcare services to the medically indigent?
The chosen electronic system must provide direct communication between the resident and the caregivers
Which of the following statements about a resident call system is true when decentralizing a nurse work area? a) the chosen electronic system must provide direct communication between the resident and the caregivers b) a wireless nurse call system must be installed and approved by the fire marshal c) the facility must maintain its current electronic system and keep at least one nurse's station d) the facility must provide all residents with a communication device to keep in their possession
Activities should be designed to meet the individual needs of each resident
Which of the following statements is correct with regard to a nursing facilitys activity program for residents? a) Activities should be offered no more than five days a week b) Activities should be designed to meet the individual needs of each resident c) The program should include only daytime activities d) The program should not include activities outside the facility
Business interruption insurance
Which of the following types of insurance coverage is optional in a nursing facility? a) Business interruption insurance b) Property insurance c) Workers compensation insurance d) Liability insurance
14 days
Within how many days of completing a resident assessment must it be electronically transmitted to the CMS system?