NAB Practice Exam 1 Questions & Answers

NAB Practice Exam 1 Questions & Answers Medicare Pt. A eligibility requires a 3 days qualifying hospital stay, RUG II for rehab, or..... A) Extensive services, clinically complex, or impaired cognition B) Extensive service, special care, or clinically complex C) Special care, clinically complex, or receded physical function D) Special care, impair cognition, or reduced physical function B - Extensive service, special care, or clinically complex After admission to skilled care a resident must be seen by a physician every how many days? A) 30 B) 60 C) 90 D) 365 A - 30 A discharge summary can be A) The last progress note B) Recorded on the face/summary sheet C) Written by a resident and initialed by the chief or staff D) Written on a nurses record and initialed by the attending physician A - The last progress note Physicians telephone orders must be signed by who and by when? MD within 72 hours Clinical records must be retained for minimum of how many years? A) 3 B) 5 C) 7 D) 10 C - 7 How many hours-excluding weekends and holidays does SNF have to provide access to medical records? A) 24 B) 72 C) 120 D) 48 A - 24 A competent resident legally may refuse to permit the nursing facility to release a copy of the residents medical record when A) Required by a 3rd party payer B) Ordered by a court C) The resident is transferred to another facility D) It is requested by the residents attorney D - It is requested by the residents attorney After the initial assessment, the following assessment must occur A) Quarterly B) Annually C) Quarterly and after any sig change in condition D) Annually or after a critical incident has occurred C - Quarterly and after any sig change in condition Using bright colors to differentiate wings and doors is important because ? A) Levels of care can be readily identified B) The staff can quickly locate residents by using the same color as their medical record C) It aids to confused or partially sighted residents to independently find their way D) It is more visually appealing than interior design without contract and helps cheer the resident C - It aids to confused or partially sighted residents to independently find their way A nursing facility's quality assurance assessment committee must meet at least A) Monthly B) Quarterly C) Semiannually D) Annually B - Quarterly The amount of time between a substantial evening meal and breakfast must not be more than how many hours? A) 8 B) 10 C) 12 D) 14 D - 14 Discharge planning should begin A) When the initial care plan is written B) Once the resident has settled in and expressed a desire to discuss to discharge C) Upon admission of a resident to the facility D) Within the first two weeks of admission C - Upon admission of a resident to the facility In determining whether the use of a restraint can be reduced or eliminated, the first step is to A) Call a physician B) Ask permission to the family C) Identify subjective symptoms D) Identify the reasons for the application of the restraint D - Identify the reasons for the application of the restraint To sanitize dishes by running, the temperature of the water must be at least A) 140 B) 160 C) 180 D) 210 B - 160 Edema is defined as the abnormally large accumulation of A) Feces in the colon B) Fluid in body tissues C) Blood in body tissues duet of internal hemorrhaging D) Urine in the bladder necessitating catheterization B - Fluid in body tissues The care plan for a resident receiving psychotropic medications must include A) Behaviors interventions B) Disciplinary measures C) Appropriate laboratory tests D) Acceptable diagnoses A - Behaviors interventions According to federal regulations, a patient who is admitted on June 2nd must have an initial discharge plan completed by June _____? A) 3rd B) 5th C) 8th D) 10th A - 3rd According to the Omnibus Budget Reconciliation Act (OBRA), which of the following weight loss percentages would be categorized as significant? A) 6% over 1 month B) 6% over 3 months C) 8% over 3 months D) 8% over 6 months A - 6% over 1 month In order to be reimbursed for Medicare Part A, rehabilitation therapy must be given how many days per week? A) 2 B) 3 C) 5 D) 7 C - 5 The destruction of routine canceled and unused drugs should be A) Performed daily to keep unneeded drugs at a minimum B) Witnessed by two licensed nurses and documented as to the date, drug, and quantity C) Performed by the pharmacist monthly and written by a licensed nurse D) Performed by the physician quarterly and witnessed by a pharmacist B - Witnessed by two licensed nurses and documented as to the date, drug, and quantity A patient with hemiparesis has paralysis of A) The facial muscles B) One side of the body, including both the arm and the leg C) The upper part of the body, including both arms D) The lower part of the body including both legs B - One side of the body, eluding both the arm and the leg In response to a resident who is confused and has a vision deficiencies, the nursing facility should A) Include a restorative feeding program in the care plan B) Provide the resident with adaptive devices C) Assign a nurse aide to feed the resident D) Provide meals in the dining room so that the other residents can encourage the resident to eat B - Provide the resident with adaptive devices A SNF passes 100 medications per day to 50 residents. How many medication errors is the facility allowed per day? A) 0 B) 1 C) 2 D) 5 C - 2 Routine house orders are essentially the same as which of the following types of order? A) No code B) Standing C) Prescription D) PRN B - Standing The adult children of a resident wish to see their parents clinical record, but the parent does not want them to do so. The administrator should A) Refuse to let the children see the record B) Discuss the problem with the attending physician and the hospitals attorney C) Let the children see the record D) Let the DON make the decision A - Refuse to let the children see the record Federal guidelines state that records of menus as actually served must be retained for at least A) 30 days B) 90 days C) 6 months D) 1 year A - 30 days State surveyors are conducting a standard long-term care survey and cite three deficiencies that do not constitute immediate jeopardy. The plan of correction must be submitted for consideration within A) 10 days of the receipt of the statement of deficiencies B) 90 days of the receipt of the statement of deficiencies C) 30 days of the survey completion date D) 90 days of the survey completion date A - 10 days of the receipt of the statement of deficiencies Before a nursing facility must be used as a site for CNA training, the administrator must demonstrate that the facility has A) An RN on duty whenever students are present B) An agreement with the medical library for student use C) Not been involved in civil litigation within 2 years D) Not been subjected to an extended survey within 2 years C - Not been involved in civil litigation within 2 years Which of the following types of insurance coverage is optional in a nursing facility? A) Business interruption insurance B) Property insurance C) Workers compensation insurance D) Liability insurance A - Business interruption insurance Occupational Safety and Health Administration (OSHA) regulations require that records of occupational injuries and illnesses be retained for A) 2 years after the injury occurred B) 2 years after the employee is no longer employer at the nursing facility C) 3 years following the end of the year to which they relate D) 5 years following the end of the year to which they relate C - 3 years following the end of the year to which they relate An administrator who is assessing the feasibility of an adult day care program should first consider whether the A) Adult date care program will be financially advisable B) Staff would be interested in working with an adult day care program C) Provision of such a program would further the purpose and direction of the nursing facility D) Residents would object to losing use of the wing in which the adult day care program would be housed A - Adult date care program will be financially advisable