NAB RCAL Exam Complete Study
Guide with Correct Answers |
Brand New Version
1. When is a resident assessment update needed? - ANSWER Return from
hospital stay, weight loss, change in cognitive impairment, falls, change in
ambulation, breakdown of skin, erratic behaviors
2. Why is it important to follow a systematic approach regarding resident pain
management? - ANSWER to ensure the right medication and dosage is
selected based on the resident's condition
3. Physician's must make __________ contact with the resident and at the
___________ __________. - ANSWER face-to face, same location
4. Physician's must meet with resident every _______ days for the first
_______ days of admission, and once every _____ days thereafter. -
ANSWER 30, 90, 60
5. Guidelines for determining if a resident is appropriate for medication self-
administration: - ANSWER The medication is appropriate and safe for self-
administration.
The resident's physical capacity to swallow without difficulty and to open
medication bottles.
,The resident's cognitive status, including their ability to correctly name their
medications and know what conditions they are for.
The resident's capability to follow directions and tell time to know when
medications need to be taken.
The resident's comprehension of instructions for the medications they are
taking, including the dose, timing, and signs of side effects and when to report
to facility staff.
The resident's ability to understand what refusal of medication.
The resident's ability to ensure that medication is stored safely and securely.
6. Medication error means... - ANSWER the observed or identified
preparation or administration of medications or biologicals.
7. Medication errors go against... - ANSWER the prescriber's orders,
manufacturer's specifications, accepted professional standers and principles
8. What does a significant medication error means? - ANSWER AN error
which causes the resident's discomfort or jeopardizes their safety and health
9. What does the pharmacy do? - ANSWER Collaborates with facility and
Medical Director on aspects of pharmaceutical services
10.The drug regimen of each resident must be... - ANSWER reviewed at least
once a month by a pharmacist
,11.Pharmacist must report any irregularities to... - ANSWER the attending
physician, Medical Director, and Director of Nursing
12.Guidelines for Controlled Medications: - ANSWER Records of receipt of
all controlled medications
13.What are Pressure Ulcers/Pressure Injuries (PU/PI)? - ANSWER Localized
damage to the skin and/or underlying soft tissue usually over a bony
prominence or related to a medical condition or other device.
A pressure ulcer will present as an open ulcer, the appearance of which will
vary depending on the stage and may be painful.
The injury occurs as a result of intense and/or prolonged pressure or pressure
combination with shear.
14.How do you prevent PUs/PIs? - ANSWER Identify whether the resident is
at risk for developing or has PU/PI upon admission.
Evaluate resident specific risk factors and changes in the residents condition.
Implement, monitor, and modify intervention to attempt to stabilize, reduce, or
remove underlying risk factors.
Utilize Position Change Alarms sparingly.
, 15.What is an unavoidable accident? - ANSWER An accident that occurred
despite sufficient and comprehensive facility systems.
16.The facility must ensure that a resident who is continent of bladder and
bowel on admission receives services and assistance to... - ANSWER
maintain continence unless their clinical condition is or becomes such that
continence is not possible to maintain.
17.A resident who enter the facility without an indwelling catheter... -
ANSWER is not catheterized unless the resident's clinical condition
demonstrates that catheterization was necessary
18.A resident who enters the facility with an indwelling catheter or
subsequently receives one is assessed for the removal of the catheter... -
ANSWER as soon as possible unless the resident's clinical condition
demonstrates the catheterization is necessary
19.For a resident with fecal incontinence, based on the resident's
comprehensive assessment, the facility must ensure that... - ANSWER a
resident who is incontinent of bowel receives appropriate treatment and
services to restore as much normal bowel function as possible
20.When is prompted-voiding used? - ANSWER When dependent or more
cognitively impaired residents need assistance with toileting
21.A resident is given the appropriate treatment and services to maintain or
improve their ability to carry out activities of daily living, which include: -
ANSWER hygiene, mobility, elimination, dining, speech, language, gesture,
and behavior
Guide with Correct Answers |
Brand New Version
1. When is a resident assessment update needed? - ANSWER Return from
hospital stay, weight loss, change in cognitive impairment, falls, change in
ambulation, breakdown of skin, erratic behaviors
2. Why is it important to follow a systematic approach regarding resident pain
management? - ANSWER to ensure the right medication and dosage is
selected based on the resident's condition
3. Physician's must make __________ contact with the resident and at the
___________ __________. - ANSWER face-to face, same location
4. Physician's must meet with resident every _______ days for the first
_______ days of admission, and once every _____ days thereafter. -
ANSWER 30, 90, 60
5. Guidelines for determining if a resident is appropriate for medication self-
administration: - ANSWER The medication is appropriate and safe for self-
administration.
The resident's physical capacity to swallow without difficulty and to open
medication bottles.
,The resident's cognitive status, including their ability to correctly name their
medications and know what conditions they are for.
The resident's capability to follow directions and tell time to know when
medications need to be taken.
The resident's comprehension of instructions for the medications they are
taking, including the dose, timing, and signs of side effects and when to report
to facility staff.
The resident's ability to understand what refusal of medication.
The resident's ability to ensure that medication is stored safely and securely.
6. Medication error means... - ANSWER the observed or identified
preparation or administration of medications or biologicals.
7. Medication errors go against... - ANSWER the prescriber's orders,
manufacturer's specifications, accepted professional standers and principles
8. What does a significant medication error means? - ANSWER AN error
which causes the resident's discomfort or jeopardizes their safety and health
9. What does the pharmacy do? - ANSWER Collaborates with facility and
Medical Director on aspects of pharmaceutical services
10.The drug regimen of each resident must be... - ANSWER reviewed at least
once a month by a pharmacist
,11.Pharmacist must report any irregularities to... - ANSWER the attending
physician, Medical Director, and Director of Nursing
12.Guidelines for Controlled Medications: - ANSWER Records of receipt of
all controlled medications
13.What are Pressure Ulcers/Pressure Injuries (PU/PI)? - ANSWER Localized
damage to the skin and/or underlying soft tissue usually over a bony
prominence or related to a medical condition or other device.
A pressure ulcer will present as an open ulcer, the appearance of which will
vary depending on the stage and may be painful.
The injury occurs as a result of intense and/or prolonged pressure or pressure
combination with shear.
14.How do you prevent PUs/PIs? - ANSWER Identify whether the resident is
at risk for developing or has PU/PI upon admission.
Evaluate resident specific risk factors and changes in the residents condition.
Implement, monitor, and modify intervention to attempt to stabilize, reduce, or
remove underlying risk factors.
Utilize Position Change Alarms sparingly.
, 15.What is an unavoidable accident? - ANSWER An accident that occurred
despite sufficient and comprehensive facility systems.
16.The facility must ensure that a resident who is continent of bladder and
bowel on admission receives services and assistance to... - ANSWER
maintain continence unless their clinical condition is or becomes such that
continence is not possible to maintain.
17.A resident who enter the facility without an indwelling catheter... -
ANSWER is not catheterized unless the resident's clinical condition
demonstrates that catheterization was necessary
18.A resident who enters the facility with an indwelling catheter or
subsequently receives one is assessed for the removal of the catheter... -
ANSWER as soon as possible unless the resident's clinical condition
demonstrates the catheterization is necessary
19.For a resident with fecal incontinence, based on the resident's
comprehensive assessment, the facility must ensure that... - ANSWER a
resident who is incontinent of bowel receives appropriate treatment and
services to restore as much normal bowel function as possible
20.When is prompted-voiding used? - ANSWER When dependent or more
cognitively impaired residents need assistance with toileting
21.A resident is given the appropriate treatment and services to maintain or
improve their ability to carry out activities of daily living, which include: -
ANSWER hygiene, mobility, elimination, dining, speech, language, gesture,
and behavior
