NAB CORE PRACTICE EXAM QUESTIONS AND CORRECT ANSWERS (A+), Exams of Nursing

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NAB CORE PRACTICE EXAM QUESTIONS AND CORRECT

ANSWERS (A+)

If a medical device malfunctions, the Occupational Safety and Health Administration (OSHA) requires the administrator to report the incident to the: correct answer

2. manufacturing producer 2 Emergency exits must have which of the following components? correct answer
3. Exit access (lit corridor), exit door (locked from inside or outside), and exit discharge (access to street or public way)
4. Exit sign (must be lit), exit access (corridor), and exit (must be double doors)
5. Exit sign, exit access (lit corridor), and exit door (locked from outside)
6. Exit access (lit corridor), exit (must be double doors), and exit discharge (three feet of clear sidewalk) 1 Which of the following Occupational Safety and Health Administration (OSHA) violations is least likely to be associated with a fine? correct answer
7. Serious
8. Non-serious
9. De minimus

4. imminent danger 3 The administration of the budget by the administrator: correct answer
5. requires intervention by the governing body
6. is more costly than by staff
7. is a controlling function
8. is also part of the planning 1 Healthcare organizations are in the business of marketing: correct answer
9. assistance
10. compassion
11. wellness
12. services 4 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: correct answer
13. ombudsman
14. social worker

3. care recipient council president
4. governing body 2 Stakeholders are defined as: correct answer
5. any constituent group that has an interest in what outcomes the organization procedures
6. the individuals who have the most to lose financially if the organization closes
7. any group of investors who own stock in the organization
8. the staff, physicians, and local groups who want to see the organization succeed 3 The purpose of a corporate compliance plan is to: correct answer
9. reduce fraud and abuse and to establish internal controls for responsible organization conduct
10. avoid charges of price-fixing and the violation of federal anti-kickback statutes
11. identify the corrective steps necessary for the removal of quality indicator flags from a healthcare organization's profile
12. establish policies and procedures for conducting criminal background checks on all officers and directors 1 The primary benefits of management by walking around are: correct answer
13. listening, teaching, and facilitating
14. evaluating, controlling, and planning

3. listening, planning, and organizing
4. directing, evaluating, and innovating 3 What function of the management process includes gathering information and input? correct answer
5. Directing
6. Decision-making
7. Controlling
8. Organizing 4 Management by walking around is an approach that allows the administrator to: correct answer
9. see first-hand the needs of the care recipient
10. control the staff in order to minimize care recipient and family complaints
11. ensure the healthcare organization's license is not in jeopardy due to regulatory compliance
12. innovate new approaches and physical plant improvements to enhance public relations 1 Bylaws are defined as: correct answer
13. corporate duties delegated to the administrator
14. state laws establishing the healthcare organization's scope of practice
15. adopted rules governing the internal affairs of an organization

4. the rules whereby a corporation is created under the laws of a state 3 Another term for articles of incorporation is: correct answer
5. charter
6. by-laws
7. constitution
8. governing rules 1 The law may hold the organization liable for the fort committed by each of the following individuals except an: correct answer
9. independent contractor
10. employed attending physician
11. administrator
12. officer of the late organization 1 A comprehensive decision-making process based on future predictions that establishes the blueprint for a healthcare organization strategy is: correct answer
13. the best way to establish day-to-day staffing needs
14. an effective process in analyzing market conditions
15. an effective tool to create a mission statement

4. the purpose of planning 2 The style of leadership that encourages and values the input of staff is known as: correct answer
5. democratic leadership
6. participative leadership
7. autocratic leadership
8. directional leadership 2 Procedures are best defined as: correct answer
9. step-by-step instructions for how a specific task is to be carried out
10. statements that contain some degree of freedom with further interpretation needed
11. operational statements that are handed down from the governing body to the administrator
12. statements that are governed by the caregiver council 1 The term ethics deals with: correct answer
13. the proper procedure and protocol between purchasing department vendors
14. the decision-making process of determining the ultimate values and standards by which we judge our actions
15. the ombudsman process of advocating and conveying a care recipient concerns to management

4. personality conflicts between co-workers and/or between staff and management 2 Principles that reflect the moral foundation and guiding ideology of an organization are best described as its: correct answer
5. philosophy
6. mission
7. vision
8. values 4 When a family is being interviewed regarding a provision of services, the first course of action should be to: correct answer
9. discuss the healthcare organization's rate structure
10. inquire about the potential care recipient's needs
11. give tour of the healthcare organization
12. 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: correct answer
13. living within an established radius of the healthcare organization
14. enrolled in the Medicaid or Medicare programs

3. with a demand for their service of product
4. discharging from an acute care hospital 3 Ethics are the beliefs or attitudes that make up which kind of organizational values? correct answer
5. Humanitarian
6. Religious
7. Moral
8. Civic 3 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: correct answer
9. care recipient's son
10. care recipient
11. care recipient's spouse
12. physician 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? correct answer

1. General liability insurance
2. Property insurance
3. Professional liability insurance
4. Workers' compensation insurance 1 ROM is an abbreviation for: correct answer
5. range of motion
6. rehabilitative outcome measurement
7. rehabilitative outcome management
8. range of measurement 1 One goal of effective dementia care is to: correct answer
9. protect care recipients from all safety hazards regardless of abilities and needs
10. treat all care recipients the same to avoid favoritism and prevent staff from getting too close to care recipients
11. provide personalized care based on knowledge of care recipients abilities and needs
12. ensure that all decisions are made by a care recipient's family members 3 An administrator decides to have care recipients participate in menu planning and grocery shopping. This policy would: correct answer

1. free staff members for other duties
2. violate sanitation regulations
3. reduce dietary costs
4. help care recipients to maintain a sense of involvement and of being needed 4 Hospice care is usually provided to those care recipients determined to be terminally ill and who have approximately how long to live? correct answer
5. 1 month
6. 3 months
7. 6 months
8. 12 months 3 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? correct answer
9. 24 hours
10. 72 hours
11. 5 days
12. 90 days 2

Which of the following is a duty an employer has under the Occupational Safety and Health Act of 1970 (OSH Act)? correct answer

1. 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 An individual that a person can designate to make complex healthcare decisions on their behalf is known as a: correct answer
5. personal representative
6. proxy decision maker
7. surrogate decision maker
8. legal representative 4 What word is defined as an acquired, persistent impairment of intellectual function with compromise in at least three spheres of mental activity? correct answer
9. Alzheimer's
10. Delirium
11. Dementia
12. Encephalopathy 3

When the actual supply cost substantially exceeds the expected cost, the administrator should initially: correct answer

1. tightly control products
2. investigate probable breach of security
3. review production schedules
4. examine methods of inventory 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: correct answer
5. immediately pull the fire alarm
6. extinguish the fire with fire extinguishers
7. rescue and remove anyone in immediate danger
8. confine and contain smoke and fire 3 The national movement known as culture change was created to:
9. improve quality of life for seniors
10. enable staff to make decisions for seniors
11. provide care for seniors based on their diagnosis
12. provided structured activities for seniors correct answer

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: correct answer

1. at the onset of injury or illness
2. within five days of an injury or illness
3. quarterly
4. annually 4 Alternatives to an advance directive include a: correct answer
5. living will, Healthcare Power of Attorney, and Do Not Resuscitate (DNR) order
6. Durable Power of Attorney, last will and testament, and living trust
7. right of survivorship, Do Not resuscitate (DNR) order, and appointment of executor
8. living trust, living will, and medical order for life-sustaining treatment 1 A symptom of dehydration is: correct answer
9. difficulty walking
10. diarrhea
11. vomiting
12. poor skin turgor 4

Under the Americans with Disabilities Act of 1990 (ADA), which of the following is considered a reasonable accommodation for an employee with a disability? correct answer

1. Allow payroll deductions to purchase adaptive equipment
2. Switching offices to accommodate the employee
3. Offering internal job opportunities to the employee
4. Acquiring or modifying equipment for their use 2 Establishing and Implementing policies regarding the management and operations of a healthcare organization is the responsibility of the: correct answer
5. department managers
6. chief executive officer
7. care recipient
8. governing body 2 All employees in a healthcare organization should be working toward the organization's purpose, which described in the healthcare organization's: correct answer
9. articles of incorporation
10. governance body
11. organization charts
12. mission statement 4

Person-centered care is a transformation from an institutional model of care to a: correct answer

1. customer full-assist model
2. healthcare model
3. consumer-directed model
4. staff-directed model 3 Which of the following items expresses a person's end-of-life wishes for medical treatment? correct answer
5. Guardian Appointment Order (GAO)
6. Physician Orders for Life-Sustaining Treatment (POLST)
7. Patient Self-Determination Act (PSDA)
8. Oregon Death with Dignity Act (ODWDA) 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 correct answer
9. Supply A
10. Supply B

3. Supply C
4. Supply D

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? correct answer

1. Physiatrist
2. Oncology
3. Palliative care
4. Hospice care 3 A direct cost is: correct answer
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 4 Which of the following best describes a primary difference between a not-for-profit and a for- profit organization? correct answer
9. A for-profit organization may distribute profits to its shareholders

2. A for-profit organization receives pledges as part of its revenue base
3. A not-for-profit organization may pay bonuses out of its profits 4 A not-for-profit organization need not record charitable contributions 1 PRN means: correct answer
4. administer as necessary
5. pain reducing narcotics
6. dispense at bedtime
7. care recipient refusal and noted 1 Changing a bathing schedule to meet the care recipient's time preference is an example of: correct answer
8. permanent assignment
9. person-centered care
10. green living
11. time management 2 Delirium is a medical issue defined as a: correct answer
12. state of mental confusion characterized by disorientation
13. slow onset of cognitive deficits

3. cognitive decline not connected to other conditions
4. progressive illness that causes memory lapses 1 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: correct answer
5. have the care recipient write a signed statement verifying that the care recipient understands care recipient rights
6. explain the rights to a representative of the care recipient who can then explain the rights to the care recipient
7. use pictures to explain the rights to the care recipient
8. provide a written translation to the care recipient 1 Which of the following is a mechanism for keeping employees informed of their strengths and weaknesses on the job? correct answer
9. Performance evaluation
10. Staff meeting
11. Documented consultation
12. Written warning 1

A program that is designed to maintain equipment in order to keep it working properly is known as a/an? correct answer

1. preventive maintenance program
2. equipment replacement program
3. preventative repair program
4. equipment modification program 1 Which type of financial statement is derived from analysis of other statements and has more detail on financial activity? correct answer
5. Profit and loss
6. Cash flow
7. Changes in financial position
8. Retained earnings 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: correct answer
9. expense allowances
10. deductions from revenue
11. contractual allowances
12. 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: correct answer

1. 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 If overall revenue declines and census remains stable, an important financial area to review would be: correct answer
5. balance depreciation
6. asset allocation
7. ancillary revenue
8. interest income revenue 3 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? correct answer
9. Sum of the years' digits depreciation
10. Declining balance depreciation

3. Straight-line depreciation
4. Accelerated depreciation 3 The LIFO and FIFO methods of inventory costing both accounts for the effects of which of the following factors on the price of inventory? correct answer
5. Salvage value
6. Depreciation.
7. Supply and demand
8. Inflation and deflation 2 The operating performance for a specific span of time is measured by the: correct answer
9. operating budget
10. balance sheet
11. statement of financial condition
12. income statement 4 Care recipients who elect to receive hospice benefits should receive: correct answer
13. pain relief and symptom management
14. notice that their stay can continue for a maximum of six months
15. additional life-sustaining services that are covered by Medicare

4. priority admission to an acute-care hospital 3 One of the most commonly diagnosed mental illnesses in the elderly is: correct answer
5. depression
6. obsessive-compulsive disorder
7. schizophrenia
8. paranoia 1 Which questions may not be asked of a job applicant by a prospective employer? correct answer
9. What kind of discharge did you receive from the military
10. How would your previous boss describe you?
11. Why would you make a good employee?
12. What were your duties in your previous position? 1 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: correct answer
13. did not discriminate, by assuming someone of retirement age would retire
14. 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 2 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: correct answer
5. Social Security Administration (SSA)
6. National Labor Relations Board (NLRB)
7. Occupational Safety and Health Administration (OSHA)
8. Equal Employment Opportunity Commission (EEOC) 4 A healthcare organization's employee handbook: correct answer
9. is generally considered the property of the employer
10. can be considered an enforceable contact between employer and employee
11. should be written clearly enough to leave no latitude for interpretation
12. should be written in lay terms and kept in the administrator's office 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: correct answer
13. use a mix of all styles while integrating it into the overall organization, goals, and operation
14. 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 The purpose of the Occupational Safety and Health Act (OSH Act) of 1970 is to: correct answer
5. define the rights of both employees and employers, encourage collective bargaining, and eliminate certain harmful labor practices
6. present recommendations to employers relating to 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 4 The Health Insurance Portability and Accountability Act of 1996 (HIPAA) ensures a care recipient's right to: correct answer
9. select and change their personal physician
10. request restrictions on certain uses and disclosures of personal health information
11. select treatment options based on religious preference
12. designate who can make decisions on their behalf 2

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: correct answer

1. 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 Which of the following statements about care recipient needs is most accurate? correct answer
5. Most care recipients need to adjust to placement in a healthcare organization and to adapt to the routines and patterns of the healthcare organization
6. The care recipient's needs are identified through a review of the care recipient's physical, mental, and emotional history
7. The healthcare organization must seek to collaborate information provided by the care recipient, since people tend to overlook their own shortcomings
8. Factors to be considered in identifying care recipient needs include former occupation, leisure activities, and cultural factors 2 The lockout/tagout program is designed to protect employees from hazards related to: correct answer
9. medicine
10. chemicals
11. fire