NAB CORE PRACTICE EXAM 2023-2024 QUESTIONS & CORRECT DETAILED ANSWERS WITH RATIONALES., Exams of Health sciences

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NAB CORE PRACTICE EXAM 2023-

2024 QUESTIONS & CORRECT

DETAILED ANSWERS WITH

RATIONALES. GRADED A

A care recipient has been diagnosed with a terminal disease to participate in therapies to prolong life. The healthcare organization should offer consultation on which of the following services? - ANS1. Physiatrist

2. Oncology
3. Palliative care
4. Hospice care 3 A care recipient in a long-term care healthcare organization disagrees with management's decision regarding an aspect of care. The care recipient feels that is could adversely affect the health, safety, welfare, or rights of care recipients. The individual or group most responsible for acknowledging, investing, and resolving the concern is the: - ANS1. ombudsman
5. social worker
6. care recipient council president
7. governing body 2

A care recipient who uses a walker to get to the dining room is told by an employee to leave the walker outside the room. With regard to the Americans with Disabilities Act of 1990 (ADA), the healthcare organization:

• ANS1. must provide a space in the dining room for wheelchairs and walkers

2. may formulate its own regarding the use of walkers
3. must discipline the employee for violating the care recipient's rights
4. should have a caregiver escort the care recipient to the dining room 1 A cognitive care recipient, whose spouse is living, does not have an advance directive or a Do Not Resuscitate (DNR) order. The care recipient's daughter has financial Power of Attorney, and the son has Healthcare of Power of Attorney. A DNR order can be authorized by the: - ANS1. care recipient's son
5. care recipient
6. care recipient's spouse
7. physician 1 A comprehensive decision-making process based on future predictions that establishes the blueprint for a healthcare organization strategy is: - ANS1. the best way to establish day-to-day staffing needs
8. an effective process in analyzing market conditions
9. an effective tool to create a mission statement
10. the purpose of planning 2

A direct cost is: - ANS1. allocated equally to all areas of the budget

2. charged to a specific billing period
3. documented by proper accounting procedures
4. linked to a specific objective, responsibility, or function 4 A foreign-language-speaking care recipient is admitted to a healthcare organization. The foreign language spoken by the care recipient is not commonly spoken in the region where the organization is located. As part of communicating care recipient rights, the organization should: - ANS1. have the care recipient write a signed statement verifying that the care recipient understands care recipient rights
5. explain the rights to a representative of the care recipient who can then explain the rights to the care recipient
6. use pictures to explain the rights to the care recipient
7. provide a written translation to the care recipient 1 A guest falls and is injured while visiting a healthcare organization's office. Which one of the following types of insurance would cover this injury? - ANS1. General liability insurance
8. Property insurance
9. Professional liability insurance
10. Workers' compensation insurance 1

A healthcare organization has just purchased equipment for a total cost of $15,000. The equipment has a 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? - ANS1. Sum of the years' digits depreciation

2. Declining balance depreciation
3. Straight-line depreciation
4. Accelerated depreciation 3 A healthcare organization's employee handbook: - ANS1. is generally considered the property of the employer
5. can be considered an enforceable contact between employer and employee
6. should be written clearly enough to leave no latitude for interpretation
7. should be written in lay terms and kept in the administrator's office 3 A program that is designed to maintain equipment in order to keep it working properly is known as a/an? - ANS1. preventive maintenance program
8. equipment replacement program
9. preventative repair program
10. equipment modification program 1 A symptom of dehydration is: - ANS1. difficulty walking

2. diarrhea
3. vomiting
4. poor skin turgor 4 All employees in a healthcare organization should be working toward the organization's purpose, which described in the healthcare organization's: - ANS1. articles of incorporation
5. governance body
6. organization charts
7. mission statement 4 Alternatives to an advance directive include a: - ANS1. living will, Healthcare Power of Attorney, and Do Not Resuscitate (DNR) order
8. Durable Power of Attorney, last will and testament, and living trust
9. right of survivorship, Do Not resuscitate (DNR) order, and appointment of executor
10. living trust, living will, and medical order for life-sustaining treatment 1 An administrator decides to have care recipients participate in menu planning and grocery shopping. This policy would: - ANS1. free staff members for other duties
11. violate sanitation regulations
12. reduce dietary costs

4. help care recipients to maintain a sense of involvement and of being needed 4 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 the: - ANS1. Social Security Administration (SSA)
5. National Labor Relations Board (NLRB)
6. Occupational Safety and Health Administration (OSHA)
7. Equal Employment Opportunity Commission (EEOC) 4 An employee with 30 years' experience at a healthcare organization was not chosen to attend a training and ask 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: - ANS1. did not discriminate, by assuming someone of retirement age would retire
8. discriminated against the employee because of the employee's age
9. discriminated against the employee, as the employee obviously had seniority
10. did not discriminate, as the employee was not a high performer 2 An individual that a person can designate to make complex healthcare decisions on their behalf is known as a: - ANS1. personal representative
11. proxy decision maker
12. surrogate decision maker

4. legal representative 4 Another term for articles of incorporation is: - ANS1. charter
5. by-laws
6. constitution
7. governing rules 1 Bylaws are defined as: - ANS1. corporate duties delegated to the administrator
8. state laws establishing the healthcare organization's scope of practice
9. adopted rules governing the internal affairs of an organization
10. the rules whereby a corporation is created under the laws of a state 3 Care recipients who elect to receive hospice benefits should receive: - ANS1. pain relief and symptom management
11. notice that their stay can continue for a maximum of six months
12. additional life-sustaining services that are covered by Medicare
13. priority admission to an acute-care hospital 3 Changing a bathing schedule to meet the care recipient's time preference is an example of: - ANS1. permanent assignment
14. person-centered care
15. green living

4. time management 2 Delirium is a medical issue defined as a: - ANS1. state of mental confusion characterized by disorientation
5. slow onset of cognitive deficits
6. cognitive decline not connected to other conditions
7. progressive illness that causes memory lapses 1 Emergency exits must have which of the following components? - ANS1. Exit access (lit corridor), exit door (locked from inside or outside), and exit discharge (access to street or public way)
8. Exit sign (must be lit), exit access (corridor), and exit (must be double doors)
9. Exit sign, exit access (lit corridor), and exit door (locked from outside)
10. Exit access (lit corridor), exit (must be double doors), and exit discharge (three feet of clear sidewalk) 1 Establishing and Implementing policies regarding the management and operations of a healthcare organization is the responsibility of the: - ANS1. department managers
11. chief executive officer
12. care recipient
13. governing body 2

Ethics are the beliefs or attitudes that make up which kind of organizational values? - ANS1. Humanitarian

2. Religious
3. Moral
4. Civic 3 Gowns, gloves, and eye protection are examples of: - ANS1. normal work clothes
5. personal protective equipment
6. optional equipment paid for by the employee
7. optional equipment paid for by the employee 2 Healthcare organizations are in the business of marketing: - ANS1. assistance
8. compassion
9. wellness
10. services 4 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 the healthcare organizations: - ANS1. at the onset of injury or illness
11. within five days of an injury or illness

3. quarterly
4. annually 4 Hospice care is usually provided to those care recipients determined to be terminally ill and who have approximately how long to live? - ANS1. 1 month
5. 3 months
6. 6 months
7. 12 months 3 If a medical device malfunctions, the Occupational Safety and Health Administration (OSHA) requires the administrator to report the incident to the: - ANS2. manufacturing producer 2 If overall revenue declines and census remains stable, an important financial area to review would be: - ANS1. balance depreciation
8. asset allocation
9. ancillary revenue
10. interest income revenue 3 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: - ANS1. use a mix of all 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 strength and weaknesses of the staff and implement a performance incentive program
4. choose a firm and goal-oriented style in order to command respect from colleagues and subordinates 1 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? - ANS1. 24 hours
5. 72 hours
6. 5 days
7. 90 days 2 In the event of fire drills and actual fire emergencies, the Life Safety Code (LSC) recommends that the administrator should teach staff to first: - ANS1. immediately pull the fire alarm
8. extinguish the fire with fire extinguishers
9. rescue and remove anyone in immediate danger
10. confine and contain smoke and fire 3

Larry is a care recipient at a healthcare organization. He has told several care recipients he has cancer. Another care recipient comes to the office to learn more about Larry's situation. Regarding Larry's personal information, staff: - ANS1. must tell Larry not to discuss his condition with anyone but the physician

2. may not discuss Larry's situation without his permission
3. must explain to Larry about keeping his medical information confidential
4. can talk about Larry's situation to other care recipients 2 Management by walking around is an approach that allows the administrator to: - ANS1. see first-hand the needs of the care recipient
5. control the staff in order to minimize care recipient and family complaints
6. ensure the healthcare organization's license is not in jeopardy due to regulatory compliance
7. innovate new approaches and physical plant improvements to enhance public relations 1 Most often a third-party payer, such as a 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: - ANS1. expense allowances
8. deductions from revenue
9. contractual allowances
10. revenue write-off 3

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: - ANS1. 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 4 One goal of effective dementia care is to: - ANS1. protect care recipients from all safety hazards regardless of abilities and needs
5. treat all care recipients the same to avoid favoritism and prevent staff from getting too close to care recipients
6. provide personalized care based on knowledge of care recipients abilities and needs
7. ensure that all decisions are made by a care recipient's family members 3 One of the most commonly diagnosed mental illnesses in the elderly is: - ANS1. depression
8. obsessive-compulsive disorder
9. schizophrenia
10. paranoia 1

Person-centered care is a transformation from an institutional model of care to a: - ANS1. customer full-assist model

2. healthcare model
3. consumer-directed model
4. staff-directed model 3 Principles that reflect the moral foundation and guiding ideology of an organization are best described as its: - ANS1. philosophy
5. mission
6. vision
7. values 4 PRN means: - ANS1. administer as necessary
8. pain reducing narcotics
9. dispense at bedtime
10. care recipient refusal and noted 1 Procedures are best defined as: - ANS1. step-by-step instructions for how a specific task is to be carried out
11. statements that contain some degree of freedom with further interpretation needed
12. operational statements that are handed down from the governing body to the administrator
13. statements that are governed by the caregiver council

ROM is an abbreviation for: - ANS1. range of motion

2. rehabilitative outcome measurement
3. rehabilitative outcome management
4. range of measurement 1 Stakeholders are defined as: - ANS1. any constituent group that has an interest in what outcomes the organization procedures
5. the individuals who have the most to lose financially if the organization closes
6. any group of investors who own stock in the organization
7. the staff, physicians, and local groups who want to see the organization succeed 3 The administration of the budget by the administrator: - ANS1. requires intervention by the governing body
8. is more costly than by staff
9. is a controlling function
10. is also part of the planning 1 the false claims act, which seeks to hold entities liable for submitting false or fraudulent claims for reimbursement to the federal government is also known as the

1. whistleblower act
2. sunshine act
3. stark act
4. anti-kickback act - ANS The Health Insurance Portability and Accountability Act of 1996 (HIPAA) ensures a care recipient's right to: - ANS1. select and change their personal physician
5. request restrictions on certain uses and disclosures of personal health information
6. select treatment options based on religious preference
7. designate who can make decisions on their behalf 2 The law may hold the organization liable for the fort committed by each of the following individuals except an: - ANS1. independent contractor
8. employed attending physician
9. administrator
10. officer of the late organization 1 The LIFO and FIFO methods of inventory costing both accounts for the effects of which of the following factors on the price of inventory? - ANS1. Salvage value
11. Depreciation.
12. Supply and demand
13. Inflation and deflation

The lockout/tagout program is designed to protect employees from hazards related to: - ANS1. medicine

2. chemicals
3. fire
4. energy 4 The national movement known as culture change was created to:
5. improve quality of life for seniors
6. enable staff to make decisions for seniors
7. provide care for seniors based on their diagnosis
8. provided structured activities for seniors - ANS The operating performance for a specific span of time is measured by the: - ANS1. operating budget
9. balance sheet
10. statement of financial condition
11. income statement 4 The primary benefits of management by walking around are: - ANS1. listening, teaching, and facilitating
12. evaluating, controlling, and planning
13. listening, planning, and organizing
14. directing, evaluating, and innovating

The purpose of a corporate compliance plan is to: - ANS1. reduce fraud and abuse and to establish internal controls for responsible organization conduct

2. avoid charges of price-fixing and the violation of federal anti-kickback statutes
3. identify the corrective steps necessary for the removal of quality indicator flags from a healthcare organization's profile
4. establish policies and procedures for conducting criminal background checks on all officers and directors 1 The purpose of the Occupational Safety and Health Act (OSH Act) of 1970 is to: - ANS1. define the rights of both employees and employers, encourage collective bargaining, and eliminate certain harmful labor practices
5. present recommendations to employers relating to safe and healthful working conditions for every worker in the United States
6. create policies and procedures for facilities with regard to employee/employer health concerns
7. provide each employee with a safe workplace free from recognized hazards 4 The style of leadership that encourages and values the input of staff is known as: - ANS1. democratic leadership

2. participative leadership
3. autocratic leadership
4. directional leadership 2 The term ethics deals with: - ANS1. the proper procedure and protocol between purchasing department vendors
5. the decision-making process of determining the ultimate values and standards by which we judge our actions
6. the ombudsman process of advocating and conveying a care recipient concerns to management
7. personality conflicts between co-workers and/or between staff and management 2 Under the Americans with Disabilities Act of 1990 (ADA), which of the following is considered a reasonable accommodation for an employee with a disability? - ANS1. Allow payroll deductions to purchase adaptive equipment
8. Switching offices to accommodate the employee
9. Offering internal job opportunities to the employee
10. Acquiring or modifying equipment for their use 2 Utilizing the FIFO inventory method, which supply would be used last? Supply A 12/1/ Supply B 12/20/

Supply C 1/4/ Supply D 2/3/2017 - ANS1. Supply A

2. Supply B
3. Supply C
4. Supply D

What function of the management process includes gathering information and input? - ANS1. Directing

2. Decision-making
3. Controlling
4. Organizing 4 What word is defined as an acquired, persistent impairment of intellectual function with compromise in at least three spheres of mental activity? - ANS1. Alzheimer's
5. Delirium
6. Dementia
7. Encephalopathy 3 When a family is being interviewed regarding a provision of services, the first course of action should be to: - ANS1. discuss the healthcare organization's rate structure
8. inquire about the potential care recipient's needs
9. give tour of the healthcare organization

4. talk about the healthcare organization's strengths compared to the competition's 2 When marketing a healthcare organization, the market is considered to be all of the individuals: - ANS1. living within an established radius of the healthcare organization
5. enrolled in the Medicaid or Medicare programs
6. with a demand for their service of product
7. discharging from an acute care hospital 3 When the actual supply cost substantially exceeds the expected cost, the administrator should initially: - ANS1. tightly control products
8. investigate probable breach of security
9. review production schedules
10. examine methods of inventory 2 Which of the following best describes a primary difference between a not- for-profit and a for-profit organization? - ANS1. A for-profit organization may distribute profits to its shareholders
11. A for-profit organization receives pledges as part of its revenue base
12. A not-for-profit organization may pay bonuses out of its profits 4 A not-for-profit organization need not record charitable contributions 1

Which of the following is a duty an employer has under the Occupational Safety and Health Act of 1970 (OSH Act)? - ANS1. Provide employee with fully lighted parking

2. Furnish employment free of recognized hazards
3. Offer safety guards for the sharpest objects
4. Assure Safety Data Sheets (SDS) are available during regular office hours 2 Which of the following is a mechanism for keeping employees informed of their strengths and weaknesses on the job? - ANS1. Performance evaluation
5. Staff meeting
6. Documented consultation
7. Written warning 1 Which of the following items expresses a person's end-of-life wishes for medical treatment? - ANS1. Guardian Appointment Order (GAO)
8. Physician Orders for Life-Sustaining Treatment (POLST)
9. Patient Self-Determination Act (PSDA)
10. Oregon Death with Dignity Act (ODWDA) 2 Which of the following Occupational Safety and Health Administration (OSHA) violations is least likely to be associated with a fine? - ANS1. Serious

2. Non-serious
3. De minimus
4. imminent danger 3 Which of the following statements about care recipient needs is most accurate? - ANS1. Most care recipients need to adjust to placement in a healthcare organization and to adapt to the routines and patterns of the healthcare organization
5. The care recipient's needs are identified through a review of the care recipient's physical, mental, and emotional history
6. The healthcare organization must seek to collaborate information provided by the care recipient, since people tend to overlook their own shortcomings
7. Factors to be considered in identifying care recipient needs include former occupation, leisure activities, and cultural factors 2 Which questions may not be asked of a job applicant by a prospective employer? - ANS1. What kind of discharge did you receive from the military
8. How would your previous boss describe you?
9. Why would you make a good employee?
10. What were your duties in your previous position? 1

Which type of financial statement is derived from analysis of other statements and has more detail on financial activity? - ANS1. Profit and loss

2. Cash flow
3. Changes in financial position
4. Retained earnings 1