NAB test exam 2023 with complete solution graded A+
A resident was admitted to a facility on November 10th. The comprehensive
assessment was completed on November 27th. Per OBRA 1987, the
comprehensive assessment was completed __________________.
1. Late
2. Timely
3. Within grace period
4. In accordance with OBRA 1987
1. Late
The __________________ has ultimate legal responsibility for the operation of a
nursing facility.
1. Medical director
2. Nursing home administrator
3. Long-term care ombudsman
4. Governing body
4. Governing Body
Per OBRA 1987, air temperature is measured __________________
1. At ceiling level
2. At level with the thermostat control box
3. Just above the floor
4. 18 inches below the ceiling
3. Just above the floor
The __________________ requires employers to give workers time off for illness
or to care for a sick family member.
1. Equal Employment Opportunity Act
2. Family Medical Leave Act
3. Health Insurance Portability and Accountability Act
4. Civil Rights Act
2. Family Medical Leave Act
The __________________ hires, supervises, and can fire the administrator.
1. State health department
2. CMS
3. Governing Body
4. State nursing home licensing board
3. Governing body
The administrator discovers the Director of Nursing has been giving nursing
aides 6 months to complete their state certification requirements. The
administrator should __________________.
1. Be very pleased
2. Commend the DON for thoroughly training the staff
3. Recommend other facilities implement the same practice
4. Reprimand the DON
4. Reprimand the DON
,The rights of an individual determined by a court to be incompetent would be
exercised by a(n) __________________.
1. Attorney in fact
2. A person appointed by a court or court guardian
3. Durable power of attorney
4. Ombudsman
2. A person appointed by a court or court guardian
The maintenance director submitted a request for family leave to care for his
ailing mother. He has worked 1,350 hours in the nine months he has worked for
the facility. The administrator should __________________.
1. Approve the request
2. Inform the maintenance director he must have worked 12 months to be eligible
for FMLA
3. Approve the request but inform the employee that he must pay for the full cost
of his insurance benefits
4. Inform the employee that taking care of an ill parent is not covered under FMLA
1. Approve the request
Per OBRA 1987, a resident has the right to review all their records within
__________________ of an oral or written request (excluding weekends and
holidays).
1. 24 hours
2. 36 hours
3. 48 hours
4. 72 hours
1. 24 hours
The comprehensive assessment was completed on June 1. The care plan was
completed on June 6th. The care plan was completed __________________.
1. Late
2. Timely
3. Out of compliance with 1987
4. Within the grace period
2. Timely
The comprehensive assessment must be signed by __________________.
1. MDS coordinator
2. Registered nurse
3. Medical director
4. Attending physician
2. Registered nurse
The __________________ has legal responsibility for the day-to-day operation of
a skilled nursing home.
1. Governing body
2. Medical director
3. Director of nursing
4. Administrator
4. Administrator
,The __________________ is responsible for the day-to-day management of the
facility's nursing program.
1. Governing body
2. Medical director
3. Director of nursing
4. Administrator
3. Director of nursing
CMS stands for __________________.
1. Central Medicaid Services
2. Centers for Medicaid and Medicare Services
3. Center for Medicare Services
4. Center for Medial Services
2. Centers for Medicaid and Medicare Services
HHS stands for __________________.
1. Health and Human Services
2. Human and Health Services
3. Higher Health Services
4. Health Services Administration
1. Health and Human Services
The new administrator starts December 1, 2007 and reviews the minutes of the
Quality Assurance Committee. The committee met the second Tuesday on
January 7, 2007; June 21, 2007; and November 15, 2007. The administrator should
__________________.
1. Be reassured the meetings were held timely
2. Change future meeting dates to January, May, July, and September to bring he
facility into compliance with OBRA 1987
3. Change the meeting dates to ensure he or she can attend the meetings are
required
4. Change the meeting dates to the first Tuesday of January, April, July, and
October to bring the facility into compliance with OBRA 1987
4. Change the meeting dates to the first Tuesday of January, April, July, and October to
bring the facility into compliance with OBRA 1987
A resident was only given lunch that day, given the wrong medication in the
morning, had her room changed without notification, and was not given a bath as
requested. Per OBRA 1987, how many resident rights were violated?
1. 1
2. 2
3. 3
4. 4
3. 3
A resident was admitted on June 1. The attending physician charted a visit and
physical examination on June 27, July 29, and September 4. With respect to
required physician visits per OBRA 1987, the facility __________________.
1. Was in compliance and would not be cited
2. Is not responsible to ensure timely physician visits
, 3. Was out of compliance and would be cited
4. The facility would only be cited if there was actual harm to a resident
1. Was in compliance and would not be cited
The __________________ has legal responsibility to adopt and implement facility
policies.
1. Medical director
2. Director of nursing
3. Governing body
4. Administrator
3. Governing body
A resident was admitted on June 1. The attending physician charted a visit and
physical examination on June 27, July 29, September 4, and November 17. With
respect to required physician visits per OBRA 1987, the facility
__________________.
1. Complied with required physician visits
2. Would be cited for a late visit in November
3. Is not responsible for late physician visits and would not be cited
4. The facility would only be cited if there was actual harm to a resident
2. Would be cited for a late visit in November
A state surveyor learns in interviews with residents that when residents are
admitted, they were provided a written list of names of physicians who cared for
residents in the facility in their admission packet. The facility was assigned an
attending physician to each resident prior to admission from a rotating list of
physicians. Per OBRA 1987, the facility __________________.
1. Was out of compliance and would be cited
2. Fully complied with all requirements
3. Must transfer these residents to another facility
4. Must immediately transfer these residents to the care of the medical director
1. Was out of compliance and would be cited
A housekeeper notices a resident is asleep in the room she needs to clean. She
knocks on the resident's door, identifies herself as a housekeeper, and seeing
there is no response from the resident, decides to enter the room and begins
cleaning. The housekeeper should be __________________.
1. Commended for her efficiency in keeping to her schedule
2. Promoted to director of housekeeping services
3. In-serviced
4. Transferred to the night shift
3. In-serviced
__________________ is not an element of a Total Quality Managment (TQM)
program
1. Constantly improving production and service
2. Making workers responsible for quality at the source
3. Total involvement of management
4. Centralize decision making to improve customer service
4. Centralize decision making to improve customer service
A resident was admitted to a facility on November 10th. The comprehensive
assessment was completed on November 27th. Per OBRA 1987, the
comprehensive assessment was completed __________________.
1. Late
2. Timely
3. Within grace period
4. In accordance with OBRA 1987
1. Late
The __________________ has ultimate legal responsibility for the operation of a
nursing facility.
1. Medical director
2. Nursing home administrator
3. Long-term care ombudsman
4. Governing body
4. Governing Body
Per OBRA 1987, air temperature is measured __________________
1. At ceiling level
2. At level with the thermostat control box
3. Just above the floor
4. 18 inches below the ceiling
3. Just above the floor
The __________________ requires employers to give workers time off for illness
or to care for a sick family member.
1. Equal Employment Opportunity Act
2. Family Medical Leave Act
3. Health Insurance Portability and Accountability Act
4. Civil Rights Act
2. Family Medical Leave Act
The __________________ hires, supervises, and can fire the administrator.
1. State health department
2. CMS
3. Governing Body
4. State nursing home licensing board
3. Governing body
The administrator discovers the Director of Nursing has been giving nursing
aides 6 months to complete their state certification requirements. The
administrator should __________________.
1. Be very pleased
2. Commend the DON for thoroughly training the staff
3. Recommend other facilities implement the same practice
4. Reprimand the DON
4. Reprimand the DON
,The rights of an individual determined by a court to be incompetent would be
exercised by a(n) __________________.
1. Attorney in fact
2. A person appointed by a court or court guardian
3. Durable power of attorney
4. Ombudsman
2. A person appointed by a court or court guardian
The maintenance director submitted a request for family leave to care for his
ailing mother. He has worked 1,350 hours in the nine months he has worked for
the facility. The administrator should __________________.
1. Approve the request
2. Inform the maintenance director he must have worked 12 months to be eligible
for FMLA
3. Approve the request but inform the employee that he must pay for the full cost
of his insurance benefits
4. Inform the employee that taking care of an ill parent is not covered under FMLA
1. Approve the request
Per OBRA 1987, a resident has the right to review all their records within
__________________ of an oral or written request (excluding weekends and
holidays).
1. 24 hours
2. 36 hours
3. 48 hours
4. 72 hours
1. 24 hours
The comprehensive assessment was completed on June 1. The care plan was
completed on June 6th. The care plan was completed __________________.
1. Late
2. Timely
3. Out of compliance with 1987
4. Within the grace period
2. Timely
The comprehensive assessment must be signed by __________________.
1. MDS coordinator
2. Registered nurse
3. Medical director
4. Attending physician
2. Registered nurse
The __________________ has legal responsibility for the day-to-day operation of
a skilled nursing home.
1. Governing body
2. Medical director
3. Director of nursing
4. Administrator
4. Administrator
,The __________________ is responsible for the day-to-day management of the
facility's nursing program.
1. Governing body
2. Medical director
3. Director of nursing
4. Administrator
3. Director of nursing
CMS stands for __________________.
1. Central Medicaid Services
2. Centers for Medicaid and Medicare Services
3. Center for Medicare Services
4. Center for Medial Services
2. Centers for Medicaid and Medicare Services
HHS stands for __________________.
1. Health and Human Services
2. Human and Health Services
3. Higher Health Services
4. Health Services Administration
1. Health and Human Services
The new administrator starts December 1, 2007 and reviews the minutes of the
Quality Assurance Committee. The committee met the second Tuesday on
January 7, 2007; June 21, 2007; and November 15, 2007. The administrator should
__________________.
1. Be reassured the meetings were held timely
2. Change future meeting dates to January, May, July, and September to bring he
facility into compliance with OBRA 1987
3. Change the meeting dates to ensure he or she can attend the meetings are
required
4. Change the meeting dates to the first Tuesday of January, April, July, and
October to bring the facility into compliance with OBRA 1987
4. Change the meeting dates to the first Tuesday of January, April, July, and October to
bring the facility into compliance with OBRA 1987
A resident was only given lunch that day, given the wrong medication in the
morning, had her room changed without notification, and was not given a bath as
requested. Per OBRA 1987, how many resident rights were violated?
1. 1
2. 2
3. 3
4. 4
3. 3
A resident was admitted on June 1. The attending physician charted a visit and
physical examination on June 27, July 29, and September 4. With respect to
required physician visits per OBRA 1987, the facility __________________.
1. Was in compliance and would not be cited
2. Is not responsible to ensure timely physician visits
, 3. Was out of compliance and would be cited
4. The facility would only be cited if there was actual harm to a resident
1. Was in compliance and would not be cited
The __________________ has legal responsibility to adopt and implement facility
policies.
1. Medical director
2. Director of nursing
3. Governing body
4. Administrator
3. Governing body
A resident was admitted on June 1. The attending physician charted a visit and
physical examination on June 27, July 29, September 4, and November 17. With
respect to required physician visits per OBRA 1987, the facility
__________________.
1. Complied with required physician visits
2. Would be cited for a late visit in November
3. Is not responsible for late physician visits and would not be cited
4. The facility would only be cited if there was actual harm to a resident
2. Would be cited for a late visit in November
A state surveyor learns in interviews with residents that when residents are
admitted, they were provided a written list of names of physicians who cared for
residents in the facility in their admission packet. The facility was assigned an
attending physician to each resident prior to admission from a rotating list of
physicians. Per OBRA 1987, the facility __________________.
1. Was out of compliance and would be cited
2. Fully complied with all requirements
3. Must transfer these residents to another facility
4. Must immediately transfer these residents to the care of the medical director
1. Was out of compliance and would be cited
A housekeeper notices a resident is asleep in the room she needs to clean. She
knocks on the resident's door, identifies herself as a housekeeper, and seeing
there is no response from the resident, decides to enter the room and begins
cleaning. The housekeeper should be __________________.
1. Commended for her efficiency in keeping to her schedule
2. Promoted to director of housekeeping services
3. In-serviced
4. Transferred to the night shift
3. In-serviced
__________________ is not an element of a Total Quality Managment (TQM)
program
1. Constantly improving production and service
2. Making workers responsible for quality at the source
3. Total involvement of management
4. Centralize decision making to improve customer service
4. Centralize decision making to improve customer service
