NCIA ARIZONA STATE EXAM 2026
UPDATE QUESTIONS AND CORRECT
VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
An entry in a resident's medical record must be recorded only by ____. - ans-An
individual authorized by policies and procedures to make an entry
An entry in a resident's medical record must be ____. - ans-Dated, legible, and
authenticated
If an order is a verbal order, it must be authenticated by ____ - ans-The medical
practitioner or behavioral health professional issuing the order
An order must include the date and time when ____. - ans-It is entered in the
resident's medical record
An order must be authenticated by ____. - ans-A medical practitioner or behavioral
health professional according to policies and procedures
List some of the required items in a resident's medical record. - ans-1. Resident
information that includes name, DOB, and known allergies; 2. Admission date and
date of discharge, if applicable; 3. Admitting diagnosis or presenting symptoms;
4. Documentation of general consent and informed consent; 5. Name and contact
information of representative, document signed by the resident consenting for
the representative to act on the resident's behalf or a copy of the POA or court
order establishing guardianship; 6. Medical history and physical exam; 7. Copy of
the resident's living will or other health care directive, if applicable; 8. Name and
phone number of the resident's attending physician; 9. Orders; 10. Care plans; 11.
Behavioral care plans, if applicable; 12. Documentation of services provided to
the resident; 13. Progress notes; 14. If applicable, documentation of any actions
taken to control the resident's sudden, intense, or out-of-control behavior to
prevent harm to the resident or another individual; 15. If applicable,
documentation that evacuation from the facility would cause harm to the
resident; 16. Disposition of the resident after discharge; 17. Discharge plan; 18.
Discharge summary; 19. Transfer documentation; 20. If applicable,
laboratory/radiologic/diagnostic/consultation reports; 21. Documentation of
freedom from TB; 22. Documentation of a medication administered to the
resident; 23. Documentation of assessment and determination of eligibility if the
,resident has been assessed for receiving nutrition and feeding assistance from a
nutrition and feeding assistant; 24. If applicable, a copy of written notices,
including follow-up instructions, provided to the resident or representative
What must be documented for every medication administered to a resident? - ans-1.
Date and time; 2. Name, strength, dosage, and route; 3. Type of vaccine, if
applicable; 4. Identification, signature, and professional designation of the
individual administering the medication; 5. Any adverse reaction
What must be documented for medication administered for pain on a PRN basis? - ans-
1. An evaluation of the resident's pain before administering the medication; 2. The
effect of the medication administered
What must be documented for a psychotropic medication administered on a PRN
basis? - ans-1. An evaluation of the resident's symptoms before administering the
medication; 2. The effect of the psychotropic medication administered
Nursing services must be provided ____. - ans-24 hours a day
What are the requirements for a DON? - ans-1. Registered nurse; 2. Works full-time
at the facility
The DON is responsible for ____. - ans-The direction of nursing services
The DON may NOT provide direct care to residents on a regular basis if the daily
census of the facility is ____. - ans-60 or more
The DON must ensure a method is established and documented that identifies the
types and numbers of nursing personnel that are necessary to provide nursing services
based on ____. - ans-The residents' comprehensive assessments, orders for
physical and behavioral health services, and care plans and the facility's scope of
services
There must be at least ____ nurse(s) on the premises and may be responsible for
providing direct care to not more than ____. - ans-1; 64 residents
There must be documentation of nursing personnel present on the premises each day
that includes ____. - ans-1. The date; 2. The number of residents; 3. The name and
title of each nursing personnel member working; 4. The actual number of hours
each nursing personnel member worked that day
Daily nursing staffing reports must be maintained for ____. - ans-12 months
A nurse must notify a resident's physician and representative within 24 hours if the
resident ____. - ans-1. Is injured; 2. Is involved in an incident that may require
medical services; 3. Has a significant change in condition
, The ____ is ultimately responsible for ensuring that an unnecessary drug is not
administered to a resident. - ans-DON
List some of the responsibilities of the medical director. - ans-1. Ensure each resident
has an attending physician; 2. Ensure an attending physician is available 24
hours a day; 3. Ensure an attending physician designates a physician who is
available when the attending is not; 4. Ensure a physical exam is performed at
least once every 12 months after the date of admission; 5. Ensure vaccinations
for influenza and pneumonia are available to each resident at least once every 12
months (exceptions); 6. Ensure residents receive assistance in obtaining, at the
resident's expense, certain services needed by the resident
A physical exam must be performed on a resident at least once every ____. - ans-12
months
Vaccinations for influenza and pneumonia must be available to each resident at least
once every 12 months, UNLESS ____. - ans-1. It is medically contraindicated; 2.
The resident or representative refuses and they were informed of the risks and
benefits; 3. The resident received a pneumonia vaccination within the last 5 years
Which services must a resident receive assistance in obtaining? - ans-Vision services,
hearing services, dental services, clinical laboratory services, psychosocial
services, physical therapy, speech therapy, occupational therapy, behavioral
health services, services for an individual who has a developmental disability
A comprehensive assessment must be completed within ____ after admission - ans-14
calendar days
Comprehensive care plans must be updated ____. - ans-Within 12 months of the last
comprehensive assessment and when there is a significant change in condition
Is a new comprehensive assessment required for a resident who is hospitalized and
then readmitted to the facility? - ans-No, unless there is a significant change in
condition
The comprehensive care plan must be reviewed ____. - ans-Every 3 months and if
there is a significant change in condition
Care plans must be developed, documented, and implemented within ____ after
completing the comprehensive assessment. - ans-7 calendar days
A pharmacist must review a resident's medications at least ____. - ans-Every 3
months
Infection control documentation must be maintained for at least ____. - ans-12 months
UPDATE QUESTIONS AND CORRECT
VERIFIED ANSWERS ALREADY
GRADED A+ (BRAND NEW VISION)
An entry in a resident's medical record must be recorded only by ____. - ans-An
individual authorized by policies and procedures to make an entry
An entry in a resident's medical record must be ____. - ans-Dated, legible, and
authenticated
If an order is a verbal order, it must be authenticated by ____ - ans-The medical
practitioner or behavioral health professional issuing the order
An order must include the date and time when ____. - ans-It is entered in the
resident's medical record
An order must be authenticated by ____. - ans-A medical practitioner or behavioral
health professional according to policies and procedures
List some of the required items in a resident's medical record. - ans-1. Resident
information that includes name, DOB, and known allergies; 2. Admission date and
date of discharge, if applicable; 3. Admitting diagnosis or presenting symptoms;
4. Documentation of general consent and informed consent; 5. Name and contact
information of representative, document signed by the resident consenting for
the representative to act on the resident's behalf or a copy of the POA or court
order establishing guardianship; 6. Medical history and physical exam; 7. Copy of
the resident's living will or other health care directive, if applicable; 8. Name and
phone number of the resident's attending physician; 9. Orders; 10. Care plans; 11.
Behavioral care plans, if applicable; 12. Documentation of services provided to
the resident; 13. Progress notes; 14. If applicable, documentation of any actions
taken to control the resident's sudden, intense, or out-of-control behavior to
prevent harm to the resident or another individual; 15. If applicable,
documentation that evacuation from the facility would cause harm to the
resident; 16. Disposition of the resident after discharge; 17. Discharge plan; 18.
Discharge summary; 19. Transfer documentation; 20. If applicable,
laboratory/radiologic/diagnostic/consultation reports; 21. Documentation of
freedom from TB; 22. Documentation of a medication administered to the
resident; 23. Documentation of assessment and determination of eligibility if the
,resident has been assessed for receiving nutrition and feeding assistance from a
nutrition and feeding assistant; 24. If applicable, a copy of written notices,
including follow-up instructions, provided to the resident or representative
What must be documented for every medication administered to a resident? - ans-1.
Date and time; 2. Name, strength, dosage, and route; 3. Type of vaccine, if
applicable; 4. Identification, signature, and professional designation of the
individual administering the medication; 5. Any adverse reaction
What must be documented for medication administered for pain on a PRN basis? - ans-
1. An evaluation of the resident's pain before administering the medication; 2. The
effect of the medication administered
What must be documented for a psychotropic medication administered on a PRN
basis? - ans-1. An evaluation of the resident's symptoms before administering the
medication; 2. The effect of the psychotropic medication administered
Nursing services must be provided ____. - ans-24 hours a day
What are the requirements for a DON? - ans-1. Registered nurse; 2. Works full-time
at the facility
The DON is responsible for ____. - ans-The direction of nursing services
The DON may NOT provide direct care to residents on a regular basis if the daily
census of the facility is ____. - ans-60 or more
The DON must ensure a method is established and documented that identifies the
types and numbers of nursing personnel that are necessary to provide nursing services
based on ____. - ans-The residents' comprehensive assessments, orders for
physical and behavioral health services, and care plans and the facility's scope of
services
There must be at least ____ nurse(s) on the premises and may be responsible for
providing direct care to not more than ____. - ans-1; 64 residents
There must be documentation of nursing personnel present on the premises each day
that includes ____. - ans-1. The date; 2. The number of residents; 3. The name and
title of each nursing personnel member working; 4. The actual number of hours
each nursing personnel member worked that day
Daily nursing staffing reports must be maintained for ____. - ans-12 months
A nurse must notify a resident's physician and representative within 24 hours if the
resident ____. - ans-1. Is injured; 2. Is involved in an incident that may require
medical services; 3. Has a significant change in condition
, The ____ is ultimately responsible for ensuring that an unnecessary drug is not
administered to a resident. - ans-DON
List some of the responsibilities of the medical director. - ans-1. Ensure each resident
has an attending physician; 2. Ensure an attending physician is available 24
hours a day; 3. Ensure an attending physician designates a physician who is
available when the attending is not; 4. Ensure a physical exam is performed at
least once every 12 months after the date of admission; 5. Ensure vaccinations
for influenza and pneumonia are available to each resident at least once every 12
months (exceptions); 6. Ensure residents receive assistance in obtaining, at the
resident's expense, certain services needed by the resident
A physical exam must be performed on a resident at least once every ____. - ans-12
months
Vaccinations for influenza and pneumonia must be available to each resident at least
once every 12 months, UNLESS ____. - ans-1. It is medically contraindicated; 2.
The resident or representative refuses and they were informed of the risks and
benefits; 3. The resident received a pneumonia vaccination within the last 5 years
Which services must a resident receive assistance in obtaining? - ans-Vision services,
hearing services, dental services, clinical laboratory services, psychosocial
services, physical therapy, speech therapy, occupational therapy, behavioral
health services, services for an individual who has a developmental disability
A comprehensive assessment must be completed within ____ after admission - ans-14
calendar days
Comprehensive care plans must be updated ____. - ans-Within 12 months of the last
comprehensive assessment and when there is a significant change in condition
Is a new comprehensive assessment required for a resident who is hospitalized and
then readmitted to the facility? - ans-No, unless there is a significant change in
condition
The comprehensive care plan must be reviewed ____. - ans-Every 3 months and if
there is a significant change in condition
Care plans must be developed, documented, and implemented within ____ after
completing the comprehensive assessment. - ans-7 calendar days
A pharmacist must review a resident's medications at least ____. - ans-Every 3
months
Infection control documentation must be maintained for at least ____. - ans-12 months
