Healthcare Terminology and Concepts, Exams of Nursing

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Nab core practice exam (

terms) with complete solutions.

1. Which one of the following steps should be taken first in a risk management program? A. Purchasing of adequate insurance B. Conducting of employee safety drills C. Identifying hazards and risks D. Conducting staff in-services on incident reporting and accident prevention. - Answer C. Identifying hazards and risks
2. Which of the following professionals is authorized to dispense medications? A. registered nurse B. licensed nurse, physician and, in some states, medication aide. C. licensed nurse and physician

D. pharmacist - Answer D. pharmacist

3. Aphasia occurs frequently as a result of: A. a stroke B. diabetes C. death of a spouse D. pressure ulcers - Answer A. a stroke
4. A check should generally be issued only when which one of the following is available and properly signed? A. purchase order B. lien C. warranty D. general ledger - Answer A. purchase order
5. Which class of fire extinguishers is appropriate for use on a grease fire? A. A B. B C. C D. D - Answer B. B

6. The age-related clouding of the lens of the eye is called: A. macular degeneration B. a cataract C. glaucoma D. conjunctivitis - Answer B. a cataract
7. In collective bargaining, when labor and management select a third party to decide an issue, and agree to accept that third party's decision as final andbinding on both sides, the process is called: A. mediation B. Arbitration C. conciliation D. subrogation - Answer B. Arbitration
8. Cultural diversity in an organization's delivery of services would entail all EXCEPT which one of the following? A. Educating staff in the distinctive beliefs and values held by the various ethnic and racial groups being served.

B. Using interpreters and in other ways trying to eliminate language barriers between staff and clients. C. Getting staff to identify how their own biases regarding people of other religious backgrounds may affect their care-giving. D. Offering customers of different ethnic and racial backgrounds the same food and beverages in order to foster a sense of community and equality. - Answer D. Offering customers of different ethnic and racial backgrounds the same food and beverages in order to foster a sense of community and equality.

9. Which of the following is part of the manager's controlling function? A. Developing rules B. Writing job descriptions C. Disciplining staff who break rules. D. Doing a SWOT analysis. - Answer C. Disciplining staff who break rules. 10 What was the quarterly turnover rate at an organization that had 18 separations in the quarter, and that averaged 225 employees in the first month, 220 employees in the second month, and 215 employees in the third month of the quarter? A. 8 percent B. 18 percent

C. 92 percent D. 32 percent - Answer A. 8 percent

11. Which of the following is a chronic disease? A. pneumonia B. botulism C. Parkinson's disease D. shingles - 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 - 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. - 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. - 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 - 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 - 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. - 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 - 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 - 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. - 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 "8 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. - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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. - 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 - 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. - 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. - Answer D. Tell him how interesting it must have been in those days and ask some questions about his experiences.

34. 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 - 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 - 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 - 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. - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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. - 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. - 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 - 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. - 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. $1,000 B. $3,000 C. $6,000 D. An amount that decreases each year over a six-year period - Answer A. $1,000
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 - 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 - 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. - 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 - 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. - 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? - 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 - 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 - 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. - 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) - 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 - 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 - 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.