BSN 266 HESI V2 COMPREHENSIVE
STUDY GUIDE 2026 FULL QUESTIONS
AND SOLUTIONS GRADED A+
◍ John filed an initial application but lost his housing and became homeless
before a determination was made on his claim. DDS denied the claim and
SSA sent the notice to his previous address. John did not receive it and when
he goes into the SSA Field Office to find out about the status of his claim,
they tell him that it was denied three months ago. He comes to you for help.
What are his options?.
Answer: Good Cause For Late FilingSince the determination is now final
(remember administrative finality?), he could start over with a new
application, however his alleged onset date cannot be before the date of the
initial determination, meaning he would lose potentially thousands in back
due benefits if approved. A knowledgeable and experienced representative
such as yourself, realizes that if John can prove that he was homeless and
did not receive the notice, he can argue that he had good cause for a late
appeal. You advise him to get a statement from the shelter he was staying at
during the time the notice was mailed. Perhaps a director at the shelter can
confirm that he did not receive mail forwarding, or any mail at all, while
staying at the shelter. You sign on as John's representative, help him get the
statement and submit a statement of good cause for late filing, with the letter
from the shelter, along with the Request for Reconsideration. This action is
one reason it is important for claimants to have representation. If John
started over at initial instead of appealing it, he could have potentially lost
months or years of benefits.
◍ To be disability insured for Title II Disability benefits an individual must,a.
Be a citizen who is a legal residence of the U
, S. b. Have worked 5 out of the last 10 years and paid into the system.c. Be
over the age of 18 and no longer a dependent.d. Have a disability that has
lasted for a year or longer or will end in death.e. All of the above.
Answer: b. Have worked 5 out of the last 10 years and paid into the system.
◍ The claimant was born September 15, 1991. He began work at age 21 for a
company owned by a friend of his father. He loaded trucks at a grain storage
warehouse. He traveled across State lines from his home--where he lived
with his parents--to the job site each day. He made enough money to be
credited with four (4) quarters of coverage in 2013. He made enough money
to be credited with two (2) quarters of coverage in 2014. In May, 2014 the
business owner was indicted for tax fraud and the company closed. Claimant
was unable to find work thereafter. He has no other work history. On New
Year's Eve, 2015 the claimant was jogging near his home when he was
struck by a driver and sustained multiple leg and back injuries. Was he
insured at the time of his accident?.
Answer: Special insured statusYes. He turned 21 in 9/2012, one quarter after
turning 21 = 12/2012 (404.130(3). Onset is 12/31/2015. Between the 4th
quarter of 2012 and the 4th quarter of 2015 there are 13 quarters. If the
number of quarters is odd you subtract one, which leaves us with 12
quarters. Half of 12 is 6. He has 6 QC's total and is insured for disability
insurance benefits. His date last insured (DLI) is 12/31/2015.
◍ At the fourth step of the sequential evaluation process, if a claimant has the
residual functional capacity to perform his/her past relevant work, then,a.
The adjudicator continues to step 5 of the sequential evaluation process
andevaluates other work.b. A finding of not disabled is made, and the
analysis stops here.c. Additional information must be obtained to provide a
complete evaluation of claimant's abilities.d. A vocational expert is
consulted to provide further evaluation of the claim before a decision is
rendered..
Answer: b. A finding of not disabled is made, and the analysis stops here.
◍ If Sam applies for benefits on 12/3/2017 and says that he became disabled
, on 11/8/2014 (assuming he is awarded SSDI as of that alleged onset date of
11/8/14), the five-month waiting period would begin when?.
Answer: 7/1/2016 - 17 full months before date of filing
◍ If Marie applies on 7/1/2016 and claims her onset of disability was
3/3/2016, she would not be eligible for benefits payments until when?.
Answer: 9/1/2016. Due to the full five-month waiting period, March cannot
be counted as a full month because she did not become disabled on the first
day of March.
◍ Mark's established onset date of disability was March 15, 2018. When will
his Medicare access begin?.
Answer: Medicare Waiting periodSeptember of 2020- March 2018 does not
count as a full month, so the 5-month waiting period begins 4/18. (April,
May, June, July, August= waiting period) His benefits begin September
2018 and his Medicare will begin 2 years later in September, 2020.Test Tip:
Include the 5-month waiting period in your calculation and count 29 months
forward from established onset date to get the date the Medicare eligibility
would begin.
◍ A new client contacts you on 5/16/21 about assisting him in filing an appeal.
His initial denial notice is date‐stamped 3/1/21, but he indicates that he did
not receive the notice until 4/4/21. He kept the envelope in which the notice
was mailed, and the postage date was 3/31/21. You:a. advise him that,
unfortunately, he must start over, as the appeal must be filed within 60 days
of the date of the notice b. advise him that he can file an appeal, but he must
include a statement requesting good cause for late filing, as the appeal is
outside the 60‐day time frame following the date of the noticec. assist him in
filing an immediate appeal, requesting that the appeal be considered timely
filed since he can prove he did not receive the notice within five days of its
date‐stamp.d. tell him he must file the appeal in person at his local Social
Security office, as that is the only way to ensure that the appeal will be
accepted as timely filed..
Answer: c. assist him in filing an immediate appeal, requesting that the
STUDY GUIDE 2026 FULL QUESTIONS
AND SOLUTIONS GRADED A+
◍ John filed an initial application but lost his housing and became homeless
before a determination was made on his claim. DDS denied the claim and
SSA sent the notice to his previous address. John did not receive it and when
he goes into the SSA Field Office to find out about the status of his claim,
they tell him that it was denied three months ago. He comes to you for help.
What are his options?.
Answer: Good Cause For Late FilingSince the determination is now final
(remember administrative finality?), he could start over with a new
application, however his alleged onset date cannot be before the date of the
initial determination, meaning he would lose potentially thousands in back
due benefits if approved. A knowledgeable and experienced representative
such as yourself, realizes that if John can prove that he was homeless and
did not receive the notice, he can argue that he had good cause for a late
appeal. You advise him to get a statement from the shelter he was staying at
during the time the notice was mailed. Perhaps a director at the shelter can
confirm that he did not receive mail forwarding, or any mail at all, while
staying at the shelter. You sign on as John's representative, help him get the
statement and submit a statement of good cause for late filing, with the letter
from the shelter, along with the Request for Reconsideration. This action is
one reason it is important for claimants to have representation. If John
started over at initial instead of appealing it, he could have potentially lost
months or years of benefits.
◍ To be disability insured for Title II Disability benefits an individual must,a.
Be a citizen who is a legal residence of the U
, S. b. Have worked 5 out of the last 10 years and paid into the system.c. Be
over the age of 18 and no longer a dependent.d. Have a disability that has
lasted for a year or longer or will end in death.e. All of the above.
Answer: b. Have worked 5 out of the last 10 years and paid into the system.
◍ The claimant was born September 15, 1991. He began work at age 21 for a
company owned by a friend of his father. He loaded trucks at a grain storage
warehouse. He traveled across State lines from his home--where he lived
with his parents--to the job site each day. He made enough money to be
credited with four (4) quarters of coverage in 2013. He made enough money
to be credited with two (2) quarters of coverage in 2014. In May, 2014 the
business owner was indicted for tax fraud and the company closed. Claimant
was unable to find work thereafter. He has no other work history. On New
Year's Eve, 2015 the claimant was jogging near his home when he was
struck by a driver and sustained multiple leg and back injuries. Was he
insured at the time of his accident?.
Answer: Special insured statusYes. He turned 21 in 9/2012, one quarter after
turning 21 = 12/2012 (404.130(3). Onset is 12/31/2015. Between the 4th
quarter of 2012 and the 4th quarter of 2015 there are 13 quarters. If the
number of quarters is odd you subtract one, which leaves us with 12
quarters. Half of 12 is 6. He has 6 QC's total and is insured for disability
insurance benefits. His date last insured (DLI) is 12/31/2015.
◍ At the fourth step of the sequential evaluation process, if a claimant has the
residual functional capacity to perform his/her past relevant work, then,a.
The adjudicator continues to step 5 of the sequential evaluation process
andevaluates other work.b. A finding of not disabled is made, and the
analysis stops here.c. Additional information must be obtained to provide a
complete evaluation of claimant's abilities.d. A vocational expert is
consulted to provide further evaluation of the claim before a decision is
rendered..
Answer: b. A finding of not disabled is made, and the analysis stops here.
◍ If Sam applies for benefits on 12/3/2017 and says that he became disabled
, on 11/8/2014 (assuming he is awarded SSDI as of that alleged onset date of
11/8/14), the five-month waiting period would begin when?.
Answer: 7/1/2016 - 17 full months before date of filing
◍ If Marie applies on 7/1/2016 and claims her onset of disability was
3/3/2016, she would not be eligible for benefits payments until when?.
Answer: 9/1/2016. Due to the full five-month waiting period, March cannot
be counted as a full month because she did not become disabled on the first
day of March.
◍ Mark's established onset date of disability was March 15, 2018. When will
his Medicare access begin?.
Answer: Medicare Waiting periodSeptember of 2020- March 2018 does not
count as a full month, so the 5-month waiting period begins 4/18. (April,
May, June, July, August= waiting period) His benefits begin September
2018 and his Medicare will begin 2 years later in September, 2020.Test Tip:
Include the 5-month waiting period in your calculation and count 29 months
forward from established onset date to get the date the Medicare eligibility
would begin.
◍ A new client contacts you on 5/16/21 about assisting him in filing an appeal.
His initial denial notice is date‐stamped 3/1/21, but he indicates that he did
not receive the notice until 4/4/21. He kept the envelope in which the notice
was mailed, and the postage date was 3/31/21. You:a. advise him that,
unfortunately, he must start over, as the appeal must be filed within 60 days
of the date of the notice b. advise him that he can file an appeal, but he must
include a statement requesting good cause for late filing, as the appeal is
outside the 60‐day time frame following the date of the noticec. assist him in
filing an immediate appeal, requesting that the appeal be considered timely
filed since he can prove he did not receive the notice within five days of its
date‐stamp.d. tell him he must file the appeal in person at his local Social
Security office, as that is the only way to ensure that the appeal will be
accepted as timely filed..
Answer: c. assist him in filing an immediate appeal, requesting that the
