NAB RCAL EXAM NEWEST 2025 ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT
What should be monitored when administering Enoxaparin subcutaneously -
answers--Bleeding
-Bruising
-Abdominal pain
-Coffee ground emesis
-Tarry stool
What should be avoided when taking Enoxaparin - answers--NSAIDs
-Aspirin
-Anything containing salicylates
How to shave a patient taking Enoxaparin - answers-Use an electric razor
What toothbrush should a patient taking Enoxaparin use - answers-Soft-bristled
toothbrush
What is a Skilled Nursing Home? - answers-Residential Care Facility that offers 24
hours care for those who need assistance with daily activities.
What is Hospice? - answers-Comprehensive, holistic program of palliative and/or
comfort care and support provided to a person and their family when a physician
certifies that the person has a terminal illness and 6 months or less to live.
Regarding resident admission, the facility must.... - answers-not request residents to
waive any rights
not request or require a third party to accept personal responsibility for paying facility
bill out of their own funds as a condition of admission or continued stay in the facility
not charge for any service that is included in the definition of 'nursing facility services'
which are required to be provided as part of the daily rate
.
,[Document title] [Date]
Implement, monitor, and modify intervention to attempt to stabilize, reduce, or
remove underlying risk factors.
Utilize Position Change Alarms sparingly.
What is an unavoidable accident? - answers-An accident that occurred despite
sufficient and comprehensive facility systems.
The facility must ensure that a resident who is continent of bladder and bowel on
admission receives services and assistance to... - answers-maintain continence
unless their clinical condition is or becomes such that continence is not possible to
maintain.
A resident who enter the facility without an indwelling catheter... - answers-is not
catheterized unless the resident's clinical condition demonstrates that catheterization
was necessary
A resident who enters the facility with an indwelling catheter or subsequently
receives one is assessed for the removal of the catheter... - answers-as soon as
possible unless the resident's clinical condition demonstrates the catheterization is
necessary
For a resident with fecal incontinence, based on the resident's comprehensive
assessment, the facility must ensure that... - answers-a resident who is incontinent of
bowel receives appropriate treatment and services to restore as much normal bowel
function as possible
When is prompted-voiding used? - answers-When dependent or more cognitively
impaired residents need assistance with toileting
A resident is given the appropriate treatment and services to maintain or improve
their ability to carry out activities of daily living, which include: - answers-hygiene,
mobility, elimination, dining, speech, language, gesture, and behavior
What must a facility ensure about a resident's pain management? - answers-That it
is provided to residents who require such services consistent with professional
standards of practice and that the resident's goals and preferences are outlined in
the comprehensive person-centered care plan
Why is it important to follow a systematic approach regarding resident pain
management? - answers-to ensure the right medication and dosage is selected
based on the resident's condition
Physician's must make __________ contact with the resident and at the
___________ __________. - answers-face-to face, same location
Physician's must meet with resident every _______ days for the first _______ days
of admission, and once every _____ days thereafter. - answers-30, 90, 60
, [Document title] [Date]
Guidelines for determining if a resident is appropriate for medication self-
administration: - answers-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.
Medication error means... - answers-the observed or identified preparation or
administration of medications or biologicals.
Medication errors go against... - answers-the prescriber's orders, manufacturer's
specifications, accepted professional standers and principles
What does a significant medication error means? - answers-AN error which causes
the resident's discomfort or jeopardizes their safety and health
What does the pharmacy do? - answers-Collaborates with facility and Medical
Director on aspects of pharmaceutical services
The drug regimen of each resident must be... - answers-reviewed at least once a
month by a pharmacist
Pharmacist must report any irregularities to... - answers-the attending physician,
Medical Director, and Director of Nursing
When is a resident assessment update needed? - answers-Return from hospital
stay, weight loss, change in cognitive impairment, falls, change in ambulation,
breakdown of skin, erratic behaviors
What are Pressure Ulcers/Pressure Injuries (PU/PI)? - answers-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.
QUESTIONS AND CORRECT
What should be monitored when administering Enoxaparin subcutaneously -
answers--Bleeding
-Bruising
-Abdominal pain
-Coffee ground emesis
-Tarry stool
What should be avoided when taking Enoxaparin - answers--NSAIDs
-Aspirin
-Anything containing salicylates
How to shave a patient taking Enoxaparin - answers-Use an electric razor
What toothbrush should a patient taking Enoxaparin use - answers-Soft-bristled
toothbrush
What is a Skilled Nursing Home? - answers-Residential Care Facility that offers 24
hours care for those who need assistance with daily activities.
What is Hospice? - answers-Comprehensive, holistic program of palliative and/or
comfort care and support provided to a person and their family when a physician
certifies that the person has a terminal illness and 6 months or less to live.
Regarding resident admission, the facility must.... - answers-not request residents to
waive any rights
not request or require a third party to accept personal responsibility for paying facility
bill out of their own funds as a condition of admission or continued stay in the facility
not charge for any service that is included in the definition of 'nursing facility services'
which are required to be provided as part of the daily rate
.
,[Document title] [Date]
Implement, monitor, and modify intervention to attempt to stabilize, reduce, or
remove underlying risk factors.
Utilize Position Change Alarms sparingly.
What is an unavoidable accident? - answers-An accident that occurred despite
sufficient and comprehensive facility systems.
The facility must ensure that a resident who is continent of bladder and bowel on
admission receives services and assistance to... - answers-maintain continence
unless their clinical condition is or becomes such that continence is not possible to
maintain.
A resident who enter the facility without an indwelling catheter... - answers-is not
catheterized unless the resident's clinical condition demonstrates that catheterization
was necessary
A resident who enters the facility with an indwelling catheter or subsequently
receives one is assessed for the removal of the catheter... - answers-as soon as
possible unless the resident's clinical condition demonstrates the catheterization is
necessary
For a resident with fecal incontinence, based on the resident's comprehensive
assessment, the facility must ensure that... - answers-a resident who is incontinent of
bowel receives appropriate treatment and services to restore as much normal bowel
function as possible
When is prompted-voiding used? - answers-When dependent or more cognitively
impaired residents need assistance with toileting
A resident is given the appropriate treatment and services to maintain or improve
their ability to carry out activities of daily living, which include: - answers-hygiene,
mobility, elimination, dining, speech, language, gesture, and behavior
What must a facility ensure about a resident's pain management? - answers-That it
is provided to residents who require such services consistent with professional
standards of practice and that the resident's goals and preferences are outlined in
the comprehensive person-centered care plan
Why is it important to follow a systematic approach regarding resident pain
management? - answers-to ensure the right medication and dosage is selected
based on the resident's condition
Physician's must make __________ contact with the resident and at the
___________ __________. - answers-face-to face, same location
Physician's must meet with resident every _______ days for the first _______ days
of admission, and once every _____ days thereafter. - answers-30, 90, 60
, [Document title] [Date]
Guidelines for determining if a resident is appropriate for medication self-
administration: - answers-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.
Medication error means... - answers-the observed or identified preparation or
administration of medications or biologicals.
Medication errors go against... - answers-the prescriber's orders, manufacturer's
specifications, accepted professional standers and principles
What does a significant medication error means? - answers-AN error which causes
the resident's discomfort or jeopardizes their safety and health
What does the pharmacy do? - answers-Collaborates with facility and Medical
Director on aspects of pharmaceutical services
The drug regimen of each resident must be... - answers-reviewed at least once a
month by a pharmacist
Pharmacist must report any irregularities to... - answers-the attending physician,
Medical Director, and Director of Nursing
When is a resident assessment update needed? - answers-Return from hospital
stay, weight loss, change in cognitive impairment, falls, change in ambulation,
breakdown of skin, erratic behaviors
What are Pressure Ulcers/Pressure Injuries (PU/PI)? - answers-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.
