Healthcare Terminology and Concepts, Exams of Medicine

Download Healthcare Terminology and Concepts and more Exams Medicine in PDF only on Docsity!

NAB CORE EXAM ACTUAL EXAM WITH

QUESTIONS AND CORRECT DETAILED

ANSWERS 100% VERIFIED

1. Workers Compensation provides which one of the following? A. full medical and hospital payments B. partial medical and hospital payments C. punitive damages D. replacement of all lost wages Correct Answer A. full medical and hospital payments
2. Which of the following is the best temporary investment for an organization's surplus funds that must remain liquid? A. stocks B. bonds C. mutual funds D. money market account Correct Answer D. money market account
3. Leadership development training should be provided to A. Administrators and AITs B. Administrators, AITs, and department heads C. Administrators, AITs, department heads, and other supervisory staff D. All employees Correct Answer D. All employees
4. Incident reports should be made out for... A. only serious injuries to customers and employees. B. all injuries to customers and serious injuries to employees.

C. all incidents to customers, employees, and visitors that either resulted in injury or that may have resulted in injury. D. only for those accidents that were caused by negligence and not by intent. Correct Answer C. all incidents to customers, employees, and visitors that either resulted in injury or that may have resulted in injury.

5. The process by which an organization demonstrates voluntary compliance with the standards of a non-governmental standard- setting body, such as The Joint Commission, is called A. licensure B. accreditation C. waiver D. reciprocity Correct Answer B. accreditation
6. Which of the following is NOT a proper method for thawing frozen food? A. Holding it in a refrigerator. B. Directly cooking it. C. Immersing it in a basin of cold water (70°F. or below) D. Microwaving it immediately prior to cooking it. Correct Answer C. Immersing it in a basin of cold water (70°F. or below)
7. An organization is considering the purchase of a piece of equipment that costs $6,000 and has a useful life of 10 years (with no salvage value). It is estimated that the item will reduce annual operating costs by $800 over each of the next ten years. What would be the payback period? A. 7.50 years B. 1.33 years C. 0.75 years

D. Cannot be determined with the provided information Correct Answer A. 7.50 years

8. Which of the following is a disadvantage of internal recruitment of personnel (versus recruiting from external sources)? A. The employer will have less knowledge of the strengths and weaknesses of job candidates. B. Job candidates will know little about the organization, and therefore their risk of becoming dissatisfied on the job is greater. C. New ideas and innovations are less like to be brought to the organization. D. Attracting and evaluating potential employees is more difficult. Correct Answer C. New ideas and innovations are less like to be brought to the organization.
9. The term for inability to use a utensil due to loss of ability to coordinate learned movements is A. amnesia B. agnosia C. aphasia D. apraxia Correct Answer D. apraxia 1 0. The identification of staff positions, their duties, and the skills and training required to perform the duties, are aspects of which one of the following core management functions? A. planning B. organizing C. controlling D. motivating Correct Answer B. organizing
10. Which of the following is a chronic disease?

A. pneumonia B. botulism C. Parkinson's disease D. shingles Correct Answer C. Parkinson's disease

12. Spread of cancer cells from one part of the body to another is referred to as... A. dysphagia C. myasthenia B. metastasis D. necrosis Correct Answer B. metastasis
13. An organization has $600,000 in assets and $500,000 in liabilities. Which of the following statements is best supported by this information? A. This organization is in financial trouble. B. This organization has $100,000 in cash on hand. C. This organization has enough revenue to cover expenses. D. Owners equity is $100,000. Correct Answer D. Owners equity is $100,000.
14. Which one of the following statements is true regarding reference checking and reference giving in the screening of job candidates? A. Reponses to reference checks must be factual and reflect only information contained in the written personnel records. B. Department managers have a duty to exercise their professional judgment in responding to requests for references on former employees.

C. Checking candidate references and responding to reference requests is best done by department managers rather than the organization's HR specialists. D. Checking references is a helpful but not a critical step in candidate screening. Correct Answer A. Reponses to reference checks must be factual and reflect only information contained in the written personnel records.

15. Advantages of the participatory method of budget making include all except which one of the following? A. Input into the budget by staff members who are knowledgeable about daily operations B. Low consumption of time and effort C. Greater awareness by department heads of the facility's resource and the needs of other departments D. Greater willingness by department heads to comply with the budget Correct Answer B. Low consumption of time and effort
16. The type of therapeutic diet often prescribed for people with hypertension is A. low fat B. low sodium C. bland D. liquid Correct Answer B. low sodium 17 Which of the following describes the line-staff relationship between a department head and a consultant? A. Both are in line positions.

B. Both are in staff positions. C. The department head is in a staff position and the consultant is in a line position. D. The department head is in a line position and the consultant is in a staff position. Correct Answer D. The department head is in a line position and the consultant is in a staff position.

18. When milk and meat must be refrigerated, they should be held at or below how many degrees Fahrenheit? A. 50 B. 32 C. 41 D. 0 Correct Answer C. 41
19. Which of the following is not usually a sign of depression? A. feelings of sadness B. bodily complaints C. loss of appetite D. complete loss of language skills Correct Answer D. complete loss of language skills
20. Which one of the following statements is true about the capital budget? A. It includes all anticipated revenues and expenses. B. It lists approved equipment purchases and major improvements for the budget year. C. It projects all operating costs and consolidates the information in a single document. D. It projects cash receipts and disbursements for each month or shorter period. Correct Answer B. It lists approved equipment purchases and major improvements for the budget year.

21. Which one of the following statements is true regarding the " and 80" option? A. The maximum hours that can be worked by non-exempt staff are 8 in a 24-hour period and 80 in a 14-day period. B. Wages at overtime rates are paid for all hours worked over 8 in each 24-hour period, but only after 40 hours have been worked in a 14-day period. C. Wages at overtime rates are paid for all hours worked in excess of 8 in a 24-hour period and 80 in a 14-day period D. Wages at the overtime rate are paid for any hours over 40 in a 8 - day period, and for any hours over 80 in a 14-day period. Correct Answer C. Wages at overtime rates are paid for all hours worked in excess of 8 in a 24-hour period and 80 in a 14 - day period
22. ADA accessibility standards are aimed at making buildings used by the public accessible to which one of the following? A. persons with dementia B. persons with disabilities C. the elderly D. fire department and other emergency response teams Correct Answer B. persons with disabilities
23. A list of the types and amounts of services that have been rendered would be found in which of the following? A. clinical record B. care plan C. comprehensive assessment form

D. policies and procedures manual Correct Answer A. clinical record

24. According to OSHA rules, all work-related injuries and illnesses must be recorded if they result in any EXCEPT which one of the following? A. one or more days away from work B. first aid C. restricted work activity D. transfer to another job Correct Answer B. first aid
25. Medicare is a... A. federal welfare program for the poor B. federal welfare program for aged and disabled persons C. social insurance program for the poor D. social insurance program for aged and disabled persons Correct Answer D. social insurance program for aged and disabled persons
26. Which of the following costs is the best example of a fixed cost? A. Salary of the director of nursing B. Medical supply costs C. Postage for sending residents' bills D. Electricity costs Correct Answer A. Salary of the director of nursing
27. Fire drills shall be conducted how often, at a minimum? A. once each quarter B. once each quarter on each shift C. once each year on each shift

D. once each month on each shift Correct Answer B. once each quarter on each shift

28. A corporation's distributions of profit to its shareholders are called... A. contributions B. participations C. dividends D. surpluses Correct Answer C. dividends
29. Which of the following is most likely to be an expression of tardive dyskinesia? A. fainting B. dry mouth C. involuntary jaw movements D. urinary incontinence Correct Answer C. involuntary jaw movements
30. What should be the temperature range in a dry storage area? A. 50 to 70 degrees F. B. Below 45 degrees F. C. 60 to 80 degrees F. D. 72 to 82 degrees F. Correct Answer A. 50 to 70 degrees F.
31. Which of the following types of drugs is given to a stroke victim? A. antihistamine B. anticoagulant C. antipsychotic D. antidepressant Correct Answer B. anticoagulant

32. Effective delegation of authority occurs when... A. subordinates are given the responsibility to complete a task, but all authority is retained by the supervisor. B. decisions are made by the lowest person in the organization who iscapable and authorized to make decisions. C. tasks are delegated to subordinates who do not as yet have the necessary competence for the tasks, so that they will learn from the experience. D. only part of a job, rather than the whole job, is delegated to subordinates. Correct Answer B. decisions are made by the lowest person in the organization who iscapable and authorized to make decisions. 33 Mr. Luchetti enjoys talking about his adventures as a merchant seaman and hardly ever talks about the present. When he brings up those memories, what should a caregiver do? A. Stay silent and continue with care-giving tasks. B. Tell him not to dwell on the past. C. Change the subject by telling him about the activities scheduled for later in the day D. Tell him how interesting it must have been in those days and ask some questions about his experiences. Correct Answer D. Tell him how interesting it must have been in those days and ask some questions about his experiences.
33. If someone needs to be fed by a tube that is passed through an artificial opening in the abdomen into the stomach, that person would need a ___________________ tube. A. gastrostomy B. jejunostomy C. nasogastric D. endotracheal Correct Answer A. gastrostomy

35. A resident incurs a serious injury that may have been caused by a defect in the wheel chair he was using. After the facility learns about this event, among the reports that it must make is which one of the following? A. Immediately to the FDA B. Within 10 working days to the FDA and to the wheel chair manufacturer C. Immediate to the wheel chair manufacturer D. Within 10 working days to the wheel chair manufacturer Correct Answer D. Within 10 working days to the wheel chair manufacturer
36. In financial recording, every transaction is first recorded in which one of the following? A. journal B. ledger C. prospectus D. book of posting entries Correct Answer A. journal
37. A common mistake made in hiring is: A. interviewing a lot of applicants. B. having a supervisor make the choice. C. hiring the first qualified person available. D. saying too much about what the job entails. Correct Answer C. hiring the first qualified person available.
38. The Family Medical Leave Act requires employers to provide protected leave to eligible employees to care for all except which one of the following relatives when they have a serious health condition?

A. son or daughter B. spouse C. parent D. mother-in-law or father-in law Correct Answer D. mother-in-law or father-in law

39. Which of the following is NOT an advantage of a corporation? A. continued existence despite the death or disability of the owners B. ease in operating in various states because it is organized and created under federal statutes C. potential for growth by the sale of stock D. limited liability of stockholders Correct Answer B. ease in operating in various states because it is organized and created under federal statutes
40. Who orders a therapeutic diet? A. dietician B. attending physician C. food service manager D. supervisory nurse Correct Answer B. attending physician
41. A facility might have to turn over to a court a copy of a resident's clinical record in response to an order called: A. subpoena duces tecum B. respondeat superior C. warranty D. habeas corpus Correct Answer A. subpoena duces tecum
42. Which of the following types of therapists is especially trained to assist a resident in regaining the ability to swallow food?

A. occupational therapist B. physical therapist C. orthotist D. speech-language pathologist Correct Answer D. speech- language pathologist

43. A Safety Data Sheet (SDS) (formerly called a Material Safety Data Sheet, or MSDS) must contain which of the following sets of information about a hazardous chemical? A. precautions for safe handling, emergency and first aid procedures, phone number of a poison control center B. signs and symptoms of exposure, known acute and chronic health hazards, recommended brands and sources C. odor, signs and symptoms of exposure, first aid procedures D. whether gloves, eye protectors, or other protective clothing is required during use; whether the chemical is listed as a cancer- causing agent); net weights of containers commonly available for purchase Correct Answer C. odor, signs and symptoms of exposure, first aid procedures
44. The person who should most often be called upon to resolve employee problems and grievances is: A. the facility or agency administrator B. the immediate supervisor C. a labor union representative D. the governing body Correct Answer B. the immediate supervisor
45. Advertising is usually differentiated from public relations by which one of thefollowing features? A. promotion of a product B. targeting to market segments

C. use of paid media D. concern with image Correct Answer C. use of paid media

46. The initial orientation of new employees would not include a review of: A. fire and disaster procedures B. functions of all the departments C. sick call policy D. medication administration procedures Correct Answer D. medication administration procedures
47. Under the accrual basis of accounting, revenues are recorded when ____________and expenses are recorded when ____________________. A. cash is received -- cash is paid out B. revenues are earned -- expenses are incurred C. revenues exceed expenses -- expenses exceed revenues D. the fiscal year ends -- expenses are incurred Correct Answer B. revenues are earned -- expenses are incurred
48. A physician who specializes in physical rehabilitation is a ______________. A. physiatrist B. osteopath C. geriatrician D. physicalist Correct Answer A. physiatrist
49. Which one of the following is NOT a requirement for handicapped parking spaces? A. At least one accessible space per 25 spaces in the parking lot. B. An access aisle at least 60 inches wide.

C. Location on the shortest accessible route of travel from the adjacent parking lot to an accessible building entrance. D. Cross-hatching across the entire width of the space. Correct Answer D. Cross-hatching across the entire width of the space.

50. When an employee in the course of carrying out job duties commits a negligent act that results in an injury to a customer, who may the customer sue in civil court for monetary damages? A. the employee only B. the employer only C. the employer and the employee D. the employer, the employee, and the employee's labor union, if any. Correct Answer C. the employer and the employee
51. How many full-time employees (FTEs) do you have if you have two employees who work 2,080 hours per year, and 4 employees who work 1,040 hours per year? A. 2 B. 4 C. 6 D. 3 Correct Answer B. 4
52. Hemiplegia refers to: A. paralysis on one side of the body. B. paralysis of both legs. C. paralysis of both arms. D. paralysis of all four extremities. Correct Answer A. paralysis on one side of the body.
53. Under the straight-line method, what would be the annual depreciation expense for a piece of equipment having a cost of

$6,000, a manufacturer's warranty for 2 years, and an estimated useful life of 6 years? A. $1, B. $3, C. $6, D. An amount that decreases each year over a six-year period Correct Answer A. $1,

54. The rights of a person who has been declared incompetent by a state court are exercised by A. the facility B. an individual designated by the resident C. an individual appointed by the court D. a member of the resident's immediate family Correct Answer C. an individual appointed by the court
55. What is a major symptom of clostridium difficile? A. diarrhea B. persistent cough C. involuntary limb movements D. difficulty swallowing Correct Answer A. diarrhea
56. Holistic care refers to care that: A. is based on an interdisciplinary team approach. B. shows concern for the whole person, not just physical aspects. C. assumes that healing is most likely to be based on religious faith. D. is directed to the whole families of residents and not just to the residents as individuals. Correct Answer B. shows concern for the whole person, not just physical aspects.

57. Which of the following would be the best agency to assist a residential facility in developing its Fire Safety Plan? A. OSHA B. NFPA C. the state survey agency D. the local fire department Correct Answer D. the local fire department
58. Return on equity is calculated by A. dividing annual net income by owner's equity. B. subtracting liabilities from assets. C. subtracting expense from revenues. D . dividing long-term debt by owners' equity. Correct Answer A. dividing annual net income by owner's equity.
59. Which one of the following is a question that an employer may legally ask of job applicants? A. Where were you born? B. Do you have any physical problems or injuries? C. Have you ever been treated for drug abuse? D. Can you speak and understand Spanish? Correct Answer D. Can you speak and understand Spanish?
60. In a corporation, which of the following documents specifies the functions and composition of the governing board of directors? A. bylaws B. articles of incorporation C. prospectus D. policies and procedures manual Correct Answer A. bylaws

61. If a resident begins showing mental confusion, impaired judgment, and balance problems, which of the following possible causal factors should be considered first? A. conflict with a roommate B. malnutrition C. adverse drug reaction D. a foot injury Correct Answer C. adverse drug reaction
62. Which of the following would NOT be part of an LTC organization's efforts to develop a culture of safety? A. Assessing the needs of customers for supervision. B. Obtaining verbal or written consent from customers to relieve the organization of responsibility for adverse events. C. Encouraging staff to report customer risks and environmental hazards. D. Providing safety training to customers and their families. Correct Answer B. Obtaining verbal or written consent from customers to relieve the organization of responsibility for adverse events.
63. The use of a disinfectant by environmental services staff should correspond to the rating for that product that is on the container label and that is issued by the A. Environmental Protection Agency (EPA) B. Food and Drug Administration (FDA) C. U.S Department of Agriculture (USDA) D. Occupational Safety and Health Administration (OSHA) Correct Answer A. Environmental Protection Agency (EPA)
64. A department head announces new personnel rules to subordinates at a meeting. This communication would be an example of the ________________ direction of communication.

A. vertical B. lateral C. horizontal D. diagonal Correct Answer A. vertical

65. When a physician refers to a patient's prognosis, the reference is to A. the patient's willingness to comply with medical orders B. a medical procedure C. the patient's chances for recovery D. a part of the body Correct Answer C. the patient's chances for recovery
66. The main aim of employee discipline should be to... A. enable the supervisors to assert their authority. B. satisfy the demands of customers C. comply with the requirements of regulatory agencies. D. prevent a recurrence of unacceptable conduct. Correct Answer D. prevent a recurrence of unacceptable conduct.
67. A PRN medication order means the medication: A. should be taken at bedtime B. can be administered as needed C. must be given immediately D. should be taken after food or meals Correct Answer B. can be administered as needed
68. Which of the following is NOT a way to improve the functioning of committees? A. Carefully define the duties of the chairman.

B. Prepare an agenda and send it to members in advance of the meeting. C. Keep and distribute committee minutes. D. Keep discussion to a minimum and bring motions to a vote as rapidly as possible. Correct Answer D. Keep discussion to a minimum and bring motions to a vote as rapidly as possible.

69. If a facility has a current ratio of 1.00 or higher, which of the following statements is most likely to be true? A. It will have difficulty in paying its bills. B. It should consider raising its rates charged to private-pay residents. C. Its current assets exceed its current liabilities. D. Its revenues exceed its expenses. Correct Answer C. Its current assets exceed its current liabilities.
70. One of the main roles of an ombudsman is to A. inspect LTC facilities and enforce state licensing law. B. provide legal advice on legal problems. C. screen applicants for admission to nursing homes to ensure appropriate placement of persons with serious mental illness or mental retardation. D. seek informal resolution of the problems that residents of nursing homes and assisted living communities may have with facility management. Correct Answer D. seek informal resolution of the problems that residents of nursing homes and assisted living communities may have with facility management.
71. In addition to placing wet floor signs to ensure that no one walks on a wet floor, which of the following is part of the correct procedure for mopping a hallway?

A. Close off the entire hallway, mop the entire hallway, and then open the hallway only when it is dry. B. Mop no more than one yard of the full hallway width at a time. C. Mop the entire hallway, then place a non-skid runner down the entire length until the hallway is dry. D. Mop one half of the length of the hallway at a time, leaving the other half open to traffic. Correct Answer D. Mop one half of the length of the hallway at a time, leaving the other half open to traffic.

72. "A general statement that guides thinking and action, and permits interpretation" is the definition of which one of the following? A. rule B. policy C. program D. procedure Correct Answer B. policy
73. One name given to the adverse physical and psychosocial effects resulting from a move from a familiar environment to an unfamiliar environment is: A. transfer trauma C. sundowner's syndrome B. paraplegia D. bipolar disorder Correct Answer A. transfer trauma
74. A meaningful staff development program begins with A. selection of the instructor B. development of a course outline C. an assessment of employee needs for training D. selection of a teaching method Correct Answer C. an assessment of employee needs for training

75. Tylenol is an example of ... A. an antibiotic B. an analgesic C. an antihypertensive D. a sedative Correct Answer B. an analgesic
76. Why should an administrator get department heads involved in the budget-making process? A. To comply with state licensing and federal certification requirements. B. To obtain more accurate cost estimates and more control over costs. C. To satisfy a Generally Accepted Accounting Principle (GAAP). D. To conserve time in developing a budget. Correct Answer B. To obtain more accurate cost estimates and more control over costs.
77. Who pays the tax under the Federal Unemployment Tax Act? A. employee only B. employer only (in all but a few states) C. employer and employee equally, in all states D. employer and employee, but at different rates Correct Answer B. employer only (in all but a few states)
78. If a stroke survivor takes a long time in putting on his shirt, the care-giver should A. ignore this so as not to embarrass him. B. put the shirt on for him. C. encourage the person in his efforts.

D. set a time limit for completing the task. Correct Answer C. encourage the person in his efforts.

79. An employee who is dissatisfied is most likely to...? A. quit. B. work fewer hours. C. ask for a raise. D. produce less. Correct Answer D. produce less.
80. Which of the following is the most prudent approach to pest control? A. open traps B. above-ground poison bait C. contracting with a licensed pest control company D. aerosol sprays applied by staff Correct Answer C. contracting with a licensed pest control company
81. Which of the following is the best activity for a customer with multiple sclerosis? A. Attending community-based events, such as concerts. B. Any of the activities that he or she enjoyed in his or her past. C. An activity that meets that person's assessed needs, abilities, and preferences. D. Working on puzzles and other "brain games." Correct Answer C. An activity that meets that person's assessed needs, abilities, and preferences.
82. Steps to be taken in the investigation of an allegation of staff- on-customer abuse include all of the following except which one? A. Interview the alleged victim and any witnesses, but respect the right of the alleged perpetrator to not self-incriminate

B. Examine the alleged victim for signs of injury (both physical and psychosocial). C. Protect evidence that could be used in a criminal investigation. D. Observe interactions between the alleged victim and staff. Correct Answer A. Interview the alleged victim and any witnesses, but respect the right of the alleged perpetrator to not self- incriminate

83. If an employee has a habit of coming to work late, an appropriate supervisory response would be to A. suspend the employee without pay. B. discuss the matter with the employee in a private conference. C. reprimand her in the presence of her workmates. D. report this to the state licensing authority. Correct Answer B. discuss the matter with the employee in a private conference.
84. Transferring of a journal entry to an account in a ledger is called A. journalizing B. reconciliation C. posting D. a trial balance Correct Answer C. posting
85. When should preventive maintenance be done? A. According to a schedule. B. Only when physical inspection of the equipment shows wear and tear. C. Only for equipment with a long estimated useful life. D. After the first breakdown of an equipment item. Correct Answer A. According to a schedule.
86. Which of the following is NOT true regarding delirium?

A. Usually develops rapidly (over a few days or hours). B. Part of the normal aging process. C. Commonly mistaken for a stage of dementia. D. May be a side effect of many kinds of medications. Correct Answer B. Part of the normal aging process.

87. A plan of care should include all of the following EXCEPT: A. nursing diagnoses. B short- and long-term goals. C. types of ADL assistance and other interventions D. fees to be charged, and party responsible for payment Correct Answer D. fees to be charged, and party responsible for payment
88. Purposes for fire and other disaster drills include all EXCEPT which one of the following A. Identifying equipment shortcomings. B. Clarifying roles and responsibilities. C. Minimizing coordination and communications with public safety and other community agencies. D. Pinpointing staff training needs. Correct Answer C. Minimizing coordination and communications with public safety and other community agencies.
89. Which of these is not a legal question that employers may ask of job applicants? A. Are you able to perform the essential functions of this job with or without a reasonable accommodation? B. Would you demonstrate how you would perform a job function? C. Are you able to meet the attendance requirements of this job?