NAB Core Exam 2024-2025. ACTUAL EXAM QUESTIONS & CORRECT VERIFIED ANSWERS WITH RATIONALES., Exams of Health sciences

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NAB Core Exam 2024-2025. ACTUAL

EXAM QUESTIONS & CORRECT

VERIFIED ANSWERS WITH

RATIONALES. RATED A.

A bill is introduced in the legislature. A technique often used by the legislative committee who does not wish to embarrass the sponsor and does not want to pass the bill, is known as __________________.

1. Favorable report
2. Deferment
3. Unfavorable report
4. Veto - ANS2. Deferment A care recipient who needs orthotics or other assistive devices would most likely visit which healthcare practitioner?
5. Attending physician
6. Occupational therapist
7. Orthopedic practitioner
8. Recreational therapist - ANS2. Occupational therapist A care recipient with a history of falls at home is moving into a healthcare organization. The best practice regarding this care recipient is to __________________.
9. Reduce the lighting to avoid glare
10. Promise the care recipient's family that the care recipient will not fall

3. Wake the care recipient every three hours to provide bathroom assistance
4. Conduct regular comprehensive fall assessments - ANS4. Conduct regular comprehensive fall assessments A care recipient's plan of care indicates she needs help with dressing and undressing. She prefers to sleep in her sweats at night. The care recipient's daughter pays the bills and insists she wears pajamas at night. What should staff do?
5. Follow the care recipient's daughter's wishes, she pays the bills
6. Each night ask the care recipient what to do and follow her wishes
7. Allow the care recipient to wear sweats to bed, and gently put her in a hospital-style sleeping gown once she falls asleep
8. Follow the care recipient's daughter's wishes, as the care recipient is sometimes confused at night - ANS2. Each night ask the care recipient what to do and follow her wishes A caregiver regularly comes in contact with a specific chemical. The employee could find out the hazards involved by looking at the __________________.
9. Infection control plan
10. Occupational and Safety Health Administration (OSHA) log
11. Preventive maintenance plan
12. Safety Data Sheet (SDS) - ANS4. Safety Data Sheet (SDS) A crime that is punishable by a maximum term of imprisonment of one year is known as __________________.

1. Misdemeanor
2. Felony
3. Tort
4. Neglect - ANS1. Misdemeanor A direct cost is __________________.
5. Allocated equally to all areas of the budget
6. Charged to a specific billing period
7. Documented by proper accounting procedures
8. Linked to a specific objective, responsibility, or function* - ANS A document that expresses a care recipient's end-of-life wishes regarding medical treatment is called a/an __________________.
9. Plan of care
10. Advance directive
11. Will and testament
12. Power of attorney - ANS2. Advance directive A document which sets forth basic rules and standards that govern employee and employer relations for the duration of a union contract is referred to as a/an __________________.
13. Employee-employer agreement
14. Union grievance procedure
15. National Labor Relations Board standard
16. Collective bargaining agreement - ANS4. Collective bargaining agreement

A group that is legally designated to establish and implement policies regarding the management of a healthcare organization is called the __________________.

1. Executive committee
2. Corporation
3. Governing body
4. Commission - ANS3. Governing body A guest falls and is injured while visiting a healthcare organization office. Which of the following types of insurance would cover this injury?
5. General liability insurance*
6. Property insurance
7. Professional liability insurance
8. Workers' compensation insurance - ANS A healthcare organization has just purchased equipment for a total cost of $15,000. The equipment has useful life of five years and the administrator is planning to charge a depreciation expense of $3,000 per year. Which depreciation method is being used?
9. Sum of the years' digits depreciation
10. Declining balance depreciation
11. Straight-line depreciation*
12. Accelerated depreciation - ANS A healthcare organization must keep a written record documenting that all care recipients have been given the opportunity to indicate that they do not

want their medical information to be shared. Which of the following established this rule?

1. Health Insurance Portability and Accountability Act
2. Medical Record Protection Act
3. Health Insurance Information Act
4. Protected Health Information Act - ANS1. Health Insurance Portability and Accountability Act A healthcare organization's handbook __________________.
5. Is generally considered the property of the employer
6. Can be considered an enforceable contract between employer and employee
7. Should be clearly written enough to leave no latitude for interpretation*
8. Should be in lay terms and kept in the administrator's office - ANS A person appointed by the court who has legal responsibility and authority to make decisions for an incompetent person including property, money, and personal/healthcare decisions is called a/an __________________.
9. Advocate
10. Conservator
11. Administrator
12. Guardian - ANS4. Guardian A physician orders a psychotropic medication PRN. The medication should be administered __________________.
13. Within one hour of eating a meal or substantial snack
14. At the discretion of a professional registered caregiver only

3. As necessary after non-pharmacological alternatives have failed
4. Following completion of the pain review note - ANS3. As necessary after non-pharmacological alternatives have failed A preventive maintenance program __________________.
5. Is unnecessary because equipment will breakdown with or without it
6. Is not needed as long as there is a good maintenance person
7. Allows a healthcare organization to spend more money on repairs
8. Lowers costs because problems are found and solved early - ANS4. Lowers costs because problems are found and solved early A special diet prescribed by a physician, approved by a qualified dietitian, and designed to correct a care recipient's condition or to prevent further problems is known as a/an __________________.
9. Therapeutic diet
10. American Diabetes Associated approved diet
11. Nutritionally adequate diet
12. Holistic diet - ANS1. Therapeutic diet A statement outlining the desired future of the organization is the __________________.
13. Vision
14. Mission
15. By-laws
16. Articles of incorporation - ANS2. Mission A willful OSHA violation has a minimum fine of how many dollars?

1. $

2. $5,

3. $25,

4. $70,000 - ANS2. $5,

An administrator observes food preparation and a meal delivery. During the food preparation, staff used antimicrobial gel each time they touched a solid or potentially contaminated surface. Given their hands were not visibly soiled, the administrator should __________________.

1. Ensure the alcohol content, as prescribed by the Food and Drug Administration (FDA), is high enough to ensure the gel is effective
2. Compliment the staff on preventing cross-contamination while preparing the food
3. Instruct staff they should be alternating between using antimicrobial gel and transitional hand washing
4. Immediately intervene as this is not an appropriate hand-washing technique - ANS4. Immediately intervene as this is not an appropriate hand-washing technique An arbitration agreement is a __________________.
5. Contract between a lawyer and judge that helps prevent lawsuits
6. Contract between parties agreeing to resolve disputes using a neutral third party
7. More expensive option than going to court to resolve a claim
8. More labor-intensive option than going to court to resolve a claim - ANS2. Contract between parties agreeing to resolve disputes using a neutral third party

An effective job description includes which of the following?

1. Statement of wages and benefits associated with the position
2. Impact of the position on care recipient life
3. Statement of required skills, education, and experience
4. Scheduled hours required for the position - ANS3. Statement of required skills, education, and experience An employee violates an organization policy and as a result causes a care recipient to suffer actual injury. This violation could result in a __________________.
5. Program to rectify insufficient and/or ineffective cross training
6. Penalty to the employee for ignoring the policy and guideline handbook
7. Civil lawsuit for monetary damages in the care recipient's favor
8. Comprehensive paper trail to prove guilt - ANS3. Civil lawsuit for monetary damages in the care recipient's favor An employee who believes that he or she has been discriminated against according to the Americans with Disabilities Act (ADA) must file a complaint with __________________.
9. Social Security Administration (SSA)
10. National Labor Relations Board (NLRB)
11. Occupational Safety and Health Administration (OSHA)
12. Equal Employment Opportunity Commission (EEOC)* - ANS An employee with 30 years experience at a healthcare organization was not chosen to attend a training and asked the supervisor why. The

supervisor said, "you've been with the company for a long time, and I assumed you would retire before then." In doing so, the supervisor __________________.

1. Did not discriminate by assuming someone of retirement age would retier
2. Discriminated against the employee because of the employee's age*
3. Discriminated against the employee, as the employee obviously had seniority
4. Did not discriminate, as the employee was not a high performer - ANS Any item of major cost that will become an asset of the healthcare organization is __________________.
5. Called a capital expenditure
6. Voted on by the governing board
7. Unable to be depreciated within the first two years of purchase
8. Considered to add market value to the physical plant - ANS1. Called a capital expenditure As the ability to taste declines, the one taste that tends to stay intact is __________________.
9. Salty
10. Bitter
11. Sweet
12. Savory - ANS2. Bitter

Because healthcare organizations can be held liable for the criminal acts of their employees, the Office of Inspector General (OIG) encourages the implementation of programs in __________________.

1. Employee education
2. Labor standards
3. Employee safety
4. Corporate compliance - ANS4. Corporate compliance Care recipient plans of care are initially developed and subsequently revised __________________.
5. Following regular, comprehensive assessments
6. By the care recipient's primary care physician
7. Until the care recipient is no longer competent
8. Only if the care recipient requires medication oversight - ANS1. Following regular, comprehensive assessments Care recipient satisfaction is defined as __________________.
9. A tangible measurement
10. A service that meets or exceeds expectations
11. Family and staff surveys
12. Public perception of the community - ANS2. A service that meets or exceeds expectations Consensus building works best when participants are __________________.
13. Limited in time
14. Electing a spokesperson

3. Following specific guidelines
4. Asked for input - ANS4. Asked for input Deception that results in damage to another is referred to as __________________.
5. Negligence
6. Fraud
7. Slander
8. Malfeasance - ANS2. Fraud Delirium is a medical issue defined as a __________________.
9. State of mental confusion characterized by disorientation*
10. Slow onset of cognitive deficits
11. Cognitive decline not connected to other conditions
12. Progressive illness that causes memory lapses - ANS Ensuring accurate reliable data for accounting reports is known as __________________.
13. External control
14. Internal control
15. Cost control
16. Auditing control - ANS2. Internal control Given the following formula: Net income after taxes ÷ Average total assets

This formula is used to calculate the return on __________________.

1. Invested capital
2. Assets
3. Cash flow
4. Investments - ANS2. Assets Healthcare organizations are required by law to have a governing body that __________________.
5. Has authority assigned by the administrator
6. Reports directly to the administrator, with limited authority
7. Has ultimate authority and accountability for the organization's affairs
8. Is appointed by the administrator and serves in an advisory capacity - ANS3. Has ultimate authority and accountability for the organization's affairs Healthcare organizations are required by the Occupational Safety and Health Administration (OSHA) to maintain a log and summary of occupational injuries and illnesses and to display the log in healthcare organizations __________________.
9. At the onset of injury or illness
10. Within five days of an injury or illness*
11. Quarterly
12. Annually - ANS Hospice care is provided in a multi-disciplinary approach. The team is commonly comprised of __________________.

1. Physicians, caregivers, surgeons, dietitians, volunteers, and phlebotomists
2. Physicians, caregivers, pharmacists, social workers, chaplains, and volunteers*
3. Physicians, caregivers, chiropractors, volunteers, pharmacists, and phlebotomists
4. Physicians, caregivers, chaplains, chiropractors, phlebotomists, and surgeons - ANS Hospice care may include all of the following except __________________.
5. Pain management
6. Spiritual care
7. A curative approach
8. An interdisciplinary team - ANS3. A curative approach If overall revenue declines and census remains stable, an important financial area to review would be __________________.
9. Balance depreciation
10. Asset allocation
11. Ancillary revenue*
12. Interest income revenue - ANS If significant or repeat violations of Occupational Safety and Health Administration (OSHA) standards occur, the administrator will be subject to __________________.
13. License revocation

2. Imprisonment
3. Substantial fines
4. Mandatory training - ANS3. Substantial fines In a culture of person-centered care, why do staff encourage care recipients to do as much as possible for themselves?
5. Care recipients do not want to pay for the extra service
6. It provides more time for staff to spend building relationships with care recipients
7. Research suggests it is an effective management approach
8. Care recipients can retain maximum independence and functioning - ANS4. Care recipients can retain maximum independence and functioning In a healthcare organization where staff is administering insulin to care recipients, the Occupational and Safety Health Administration (OSHA) requires that those staff __________________.
9. Be tested for Hepatitis B prior to administering insulin
10. Receive the Hepatitis B vaccine prior to administering insulin
11. Be involved in the selection of the syringes and needles used
12. Receive a minimum of one hour of infection-control training per year - ANS4. Receive a minimum of one hour of infection-control training per year In deciding which style of management to employ while running the day-to- day operations of a healthcare organization, the administrator's best approach is to __________________.
13. Use a mix of styles while integrating it into the overall organization, goals, and operation*

2. Consult with the governing body and comply with federal policies, guidelines, and procedures
3. Determine the strengths and weaknesses of the staff and implement and performance incentive program
4. Choose a firm and goal-oriented style in order to command respect from colleagues and subordinates - ANS In order to be in compliance with the Immigration Reform and Control Act of 1986, an I-9 Form must be completed within what time period after the first date of employment?
5. 24 hours
6. 72 hours
7. 5 days
8. 90 days* - ANS In the event of a union strike, management has the right to __________________.
9. Fire striking workers
10. Hire replacement workers
11. Ask the employees what has been discussed at union meetings
12. Prohibit union activity in the healthcare organization - ANS2. Hire replacement workers Lockout/tagout is an Occupational Safety and Health Administration (OSHA) requirement designed to prevent __________________.
13. Employees from entering mechanical equipment rooms
14. Employees from being injured by hazardous energy

3. Care recipients from being locked outside of a healthcare organization
4. Theft through the use of self-locking care-recipient units - ANS2. Employees from being injured by hazardous energy Minimum wages and maximum hours are described in the __________________.
5. Fair Labor Standards Act (FLSA)
6. Department of Labor (DOL)
7. National Labor Relations Board (NLRB)
8. Wage and Hour Guidelines (WHG) - ANS1. Fair Labor Standards Act (FLSA) Most often a third party payer, such as Medicaid or a long-term insurer, will negotiate a lower rate for services rendered. The difference of funds that is uncollectables between the full charges and the amount that is actually paid by a third party payer is called __________________.
9. Expense allowances
10. Deductions from revenue
11. Contractual allowances*
12. Revenue write-off - ANS Mrs. J has completed a Do Not Resuscitate (DNR) form. A friend of hers comes to the office, upset that Mrs. J has chosen to have a DNR and asks for a copy of the DNR to discuss it with Mrs. J. The staff should __________________.
13. Not release the DNR because it cannot be changed once it has been signed

2. Call Mrs. J's physician to release the form to the visitor
3. Release the form so the friend can help Mrs. J understand the DNR
4. Not release the form because of confidentiality* - ANS Professional and general liability insurance that only covers claims reported during the policy period is operating under a/an __________________.
5. Liability-period policy
6. Claims-made policy
7. Occurrence policy
8. Risk-acceptance policy - ANS2. Claims-made policy Respondeat superior is a legal term that means the healthcare organization __________________.
9. Must perform employee evaluations annually
10. Must respond to employee labor inquiries
11. Is responsible for providing employee liability protection
12. Is responsible for employee work errors while the employee is on duty - ANS4. Is responsible for employee work errors while the employee is on duty Safety Data Sheets (SDS) for products no longer being used in the healthcare organization must be kept in a separate binder for how many years?
13. 5
14. 10
15. 20
16. 30 - ANS4. 30

Staff knowledge of expected outcomes and results is directly associated with __________________.

1. Clearly communicated organizational goals
2. Motivated employees
3. Annually updated job descriptions
4. Improved compensation - ANS1. Clearly communicated organizational goals Strategic planning is best defined as an organizational process for __________________.
5. Identifying goals and objectives
6. Implementing goals to create a desired outcome
7. Making decisions that achieve compliance
8. Comparing an organization's market position to its competition - ANS1. Identifying goals and objectives Team building is a key component of which management style?
9. Participatory
10. Authoritative
11. Delegative
12. Objective - ANS1. Participatory The child of a terminally ill hospice care recipient brings in Power of Attorney paperwork and requests numerous changes to the care recipient's plan of care. The healthcare organization should __________________.

1. Consult with the medical director to see if the changes requested would impact the care recipient's status as a hospice care recipient
2. Ask the child to show the financial Power of Attorney paperwork since these changes may impact the cost of care
3. Determine if the care recipient can make competent decisions or if the care recipient has a living will to make wishes known
4. Seek guidance from the rest of the care recipient family to determine if the child representing the care recipient's wishes accurately - ANS3. Determine if the care recipient can make competent decisions or if the care recipient has a living will to make wishes known The current ratio is also known as the __________________.
5. Contemporary ratio
6. Acid test ratio
7. Quick ratio
8. Working capital ratio - ANS4. Working capital ratio The establishing of an individualized service/plan of care __________________.
9. Begins with an appropriate assessment
10. Begins only when the consent to treat is signed
11. Occurs only at the time of admission
12. Is the start of the care recipient's medical record - ANS1. Begins with an appropriate assessment The Health Insurance Portability and Accountability Act of 1996 (HIPAA) defines protected healthcare information (PHI) as __________________.

1. Individual health information that has been de-identified by removing coding
2. Individually identifiable health information including demographic information collected about an individual
3. Individual statistical and medical research information from which identifiers such as names, birth dates, zip codes, and telephone numbers have been removed
4. Individually identifiable health information on individuals under 19 years of age - ANS2. Individually identifiable health information including demographic information collected about an individual The Health Insurance Portability and Accountability Act of 1996 (HIPAA) ensures a care recipient's right to __________________.
5. Select and change their personal physician
6. Request restrictions on certain uses and disclosures of personal health information*
7. Select treatment options based on religious preferences
8. Designate who can make decisions on their behalf - ANS The healthcare organization must ensure that the care recipient rights are not violated by __________________.
9. Anyone
10. Outside contractors
11. Staff
12. Relatives - ANS1. Anyone

The LIFO and FIFO methods of inventory costing both account for the effects of which of the following factors on the price of inventory?

1. Salvage value
2. Depreciation value*
3. Supply and demand
4. Inflation and deflation - ANS The operating performance for a specific span of time is measured by the __________________.
5. Operating budget
6. Balance sheet
7. Statement of financial condition*
8. Income statement - ANS The plan of care in person-centered care is centered around the preferences of the __________________.
9. Care recipient
10. Family
11. Physician
12. Staff - ANS1. Care recipient The process of pricing, promoting, and distributing services that satisfy both individual and organizational objectives is known as __________________.
13. Market orientation
14. Marketing
15. Product specialization
16. Branding - ANS2. Marketing

The provision a healthcare organization makes for uncollectible accounts receivable is known as __________________.

1. Allowance for bad debts
2. Off-statement debts
3. Materiality
4. Activity-based costing - ANS1. Allowance for bad debts The purpose of the Occupational Safety and Health Act (OSHA) of 1970 is to __________________.
5. Define the rights of both employees and employers, encourage collective bargaining, and eliminate certain harmful labor practices
6. Present recommendations to employers relating safe and healthful working conditions for every worker in the United States
7. Create policies and procedures for facilities with regard to employee/employer health concerns
8. Provide each employee with a safe workplace free from recognized hazards* - ANS The required elements of a comprehensive care plan include __________________.
9. Measurable goals, a specific approach, and care recipient preference
10. Measurable goals, a specific approach, and responsible discipline
11. Care recipient preference, a specific approach, and responsible discipline

4. Care recipient preference, measurable goals, and responsible discipline

• ANS4. Care recipient preference, measurable goals, and responsible discipline The term standard precautions means __________________.

1. Ensuring the complete removal of blood from surfaces
2. Requiring the use of biohazard liners in all trash bins
3. Using gloves for all service deliveries
4. Treating all body fluids as potentially infectious - ANS4. Treating all body fluids as potentially infectious The total number of employees in an organization is 120, and the number of employees who have already signed cards calling for an election in their healthcare organization to join the union is 20. How many additional employees would need to sign cards before the National Labor Relations Board (NLRB) could call for an election?
5. 10
6. 14
7. 16
8. 20 - ANS3. 16 The training of staff in regard to Occupational Safety and Health Administration (OSHA) standards is important that all employees understand their __________________.
9. Occupational classification
10. Health benefit plans
11. Right to Know program

4. Wages and hours - ANS1. Occupational classification To protect against payroll fraud, it is considered safest to have __________________.
5. Several employees performing separate payroll functions
6. The accounts payable clerk prepare the payroll
7. A single employee prepare the payroll
8. A mandatory direct-deposit program - ANS1. Several employees performing separate payroll functions Under FIFO inventory method which supply would be used last?
9. Supply A - 12/1/16*
10. Supply B - 12/20/16
11. Supply C - 1/4/17
12. Supply D - 2/3/17 - ANS Under the Americans with Disabilities Act of 1990 (ADA), which of the following is considered a reasonable accommodation for an employee with a disability?
13. Allow payroll deduction to purchase adaptive equipment
14. Switching offices to accommodate the employee*
15. Offering internal job opportunities to the employee
16. Acquiring or modifying equipment for their use - ANS What is the book value of a vehicle purchased for $40,000 that has an accumulated depreciation of $30,000?
17. $10,000

2. $30,000

3. $40,000

4. $70,000 - ANS1. $10,000

What question may not be asked of a job applicant by a prospective employer?

1. What kind of discharge did you receive from the military?*
2. How would your previous boss describe you?
3. Why would you make a good employee?
4. What were your duties in your previous position? - ANS What type of financial statement is derived from analysis of other statements and has more detail on financial activity?
5. Profit and loss*
6. Cash flow
7. Changes in financial position
8. Retained earnings - ANS When a care recipient refuses to take a prescribed medication, the immediate response should be to __________________.
9. Speak with the care recipient about the risks and consequences of not taking the medication
10. Notify the physician
11. Put the medication in food and give it to the care recipient
12. Ask the care recipient's family to assist with the care recipient's medication - ANS1. Speak with the care recipient about the risks and consequences of not taking the medication