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NAB Exam 2 Questions and Answers: Comprehensive Guide for Nursing Professionals, Exams of Nursing

A comprehensive set of questions and answers related to nab exam 2, covering essential topics for nursing professionals. It includes key concepts, definitions, and practical applications relevant to the exam, making it a valuable resource for students and professionals preparing for the nab exam 2.

Typology: Exams

2024/2025

Available from 03/17/2025

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NAB EXAM 2 Questions and Answers
Latest Versions 2025 TOP RATED A+
A
involves a new MDS or comprehensive review so it must be
done within ------------------------------ ANS-significant change, 14 days
Each resident must be examined or have a physical exam no less than every
and their comprehensive assessment must be revised to ensure the continuing accuracy of the
comprehensive assessment. - ANS-3 months
An must sign tor certify the accuracy of the comprehensive assessment - ANS-RN
The initial comprehensive assessment must be transmitted to the state within of
completion of the assessment. After that, all MDS information must be transmitted to the state every
. - ANS-7 days, 30 days
The comprehensive care plan must be prepared within of completion of the
comprehensive assessment. But Not later than from date of admission. - ANS-7 days,
21 days
Care Plan is prepared with the participation of the: - ANS-resident, family or legal representative, and
the resident's attending physician and an RN responsible for the resident
A care plan conference must be held - ANS-quarterly
The care plan is updated whenever: - ANS-the comprehensive assessment is reviewed or changed
Preliminary interview: - ANS-brief discussion to screen qualifications of applicants to determine if to
interview them (i.e. telephone interview)
Non structured interview: - ANS-(open ended) - open ended questions and lets applicant talk and
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NAB EXAM 2 Questions and Answers

Latest Versions 2025 TOP RATED A+

A involves a new MDS or comprehensive review so it must be done within ------------------------------ ANS-significant change, 14 days Each resident must be examined or have a physical exam no less than every and their comprehensive assessment must be revised to ensure the continuing accuracy of the comprehensive assessment. - ANS-3 months An must sign tor certify the accuracy of the comprehensive assessment - ANS-RN The initial comprehensive assessment must be transmitted to the state within of completion of the assessment. After that, all MDS information must be transmitted to the state every

. - ANS- 7 days, 30 days The comprehensive care plan must be prepared within of completion of the comprehensive assessment. But Not later than from date of admission. - ANS- 7 days, 21 days Care Plan is prepared with the participation of the: - ANS-resident, family or legal representative, and the resident's attending physician and an RN responsible for the resident A care plan conference must be held - ANS-quarterly The care plan is updated whenever: - ANS-the comprehensive assessment is reviewed or changed Preliminary interview: - ANS-brief discussion to screen qualifications of applicants to determine if to interview them (i.e. telephone interview) Non structured interview: - ANS-(open ended) - open ended questions and lets applicant talk and

expand on answers In-depth interview: - ANS-very structured interview - limits applicants responses to questions

Types of raises: - ANS--MERIT INCREASE is based on performance

  • COLA is a COST OF LIVING increase based on inflation
  • CPI or Consumer Price Index measures inflation
  • EQUITY INCREASE is necessary to ensure longer serving workers are paid at current markets rates so newly hired workers are not paid substantially more than current workers or they will leave. Must do a salary survey every couple of years
  • Benchmarking is comparing salaries paid to employees based on one wage group - i.e. nursing salaries An employee who is not given orientation is: - ANS-a liability because emergency and fire procedures are the most critical in-services OBRA 1987/Medicare mandates: - ANS-most training. The same person who does orientation should do the check list of attendees. Employee training is called In-services Line Authority - ANS-Solid line = Line authority Dotted line = Staff or advisory Management Levels: - ANS-Upper: GB, NHA, Med Director Middle: DON, Dept. Managers, Consult. Pharm. Lower: Charge Nurse Management styles: - ANS--Autocratic (dictatorial) - micromanaging and controlling everything
  • Paternal is being supportive or having a fatherly or motherly attitude towards employee and wanting them to succeed. Best style.
  • Laizze Faire means delegating responsibility to staff and only being involved when something goes wrong

A related concept to delegation is: - ANS-decentralization of power and decision making which moving that power away to the center to the front line staff. A company must decentralize to function properly. Management Functions - ANS--Forecasting - assessing future needs and services

  • Planning - bringing together the resources needed to implement a strategic plan
  • Directing - Explaining to staff what need to be done and then help them achieve the goals.
  • Organizing - determining the departmental structure and lines of responsibility in a company
  • Evaluating - comparing results to expectations
  • Controlling quality - taking corrective action to fix identified problems or deficiencies
  • Marketing - Selling the beds in a facility (explaining the quality of care, food and therapy to a prospective resident or family member.
  • Innovating - Constantly improving services and customer satisfaction
  • Public Relations - managing communication with the community and the image of the facility Policies are written by: - ANS-Upper and middle management Procedures are written at the: - ANS-middle and lower management levels Risk management involves: - ANS-managing the risks of negative outcomes in the workplace Risk is - ANS-an event that could lead to financial loss or damage. The main focus is to prevent injury, theft, malpractice and negligence Barriers to communication: - ANS--agenda carrying
  • selective hearing
  • differences in knowledge
  • filter effect

Inseparability - ANS-customers perceive a single instance of bad service by one employee as bas service provided by the entire company. One bad employee can destroy your business. Progressive Discipline - ANS-- A verbal warning

  • 3 write ups
  • termination Values and norms relate to - ANS-employee behavior and how we shape that behavior for our needs A value is - ANS-like a policy - it is vague (we respect resident rights) A Norm is - ANS-specific like a procedure (it implements the value - we address all residents in a calm voice by their last name - expected behavior) Operant Conditioning - ANS-is shaping behavior - come late and we write you up 3 times and then terminate you. Fire wire - ANS-High speed cable that physically connects equipment and transfers data between them at high speeds that the wire or cable glows from the fire and heat Bluetooth - ANS-Hands free and Wireless (wiFi) communication Statement of resident funds or an ACCOUNTING OF FUNDS must be provided - ANS-quarterly or every 3 months Must refund any monies held by the facility of a deceased or discharged resident within - ANS- 30 days

Average Length of Stay (ALOS) Calculation - ANS-Total Patient Days ÷ Number Admissions in Year Bookkeeping and accounting process: nursing homes must use the - ANS-accrual system Bookkeeping process - ANS-recording all financial transactions Bookkeeping process includes: - ANS-1. Journals

  • Books of Original Entry
  • General journal
  • Prepaid expenses
  • Entries that do not fit in other journals
  • Corrects errors in the other journals
  1. General Ledger
  • Summarizes debits and credits
  • Organized by account/GL Code
  • Operating Expenses and Income
  • Organized by vendor name and GL code KEYWORDS Revenues
  • Liabilities
  • Capital
  • Shows financial condition
  • Shows net worth
  • Shows solvency
  • Balance Sheet is produced every 3 Months There is no cross over (hint) - ANS-P&L: How much you made (Revenues, expenses, income, profit, loss) Balance Sheet: What you are worth (assets, liability, capital, equity) *You will never find revenues and expenses on the balance sheet and will never find revenues and expenses on the Balance Sheet Accounting equation - ANS-Assets = liabilities + Capital Working Capital - ANS-Current assets - Current Liabilities = working capital *Purpose - To show how much you have available to buy equipment or invest in business. Current Ratio Equation - ANS-Current assets /Current Liabilities *Purpose- Show whether you are solvent and can pay your bills. A ratio of 1.0 to 1.0 means break even. A ratio of 2.o to 1.0 means you have 2 dollars for every dollar of debt. Quick Ratio or Acid Test Ratio - ANS-Cash + Accts Receivables + Money Market Funds / current liabilities

*Purpose: Calculate your most liquid assets Types of expenses - ANS--Fixed Expenses

  • Variable Expenses
  • Semi-variable Expenses Depreciation - ANS--Straight line deprecation
  • Accelerated depreciation Inventory valuing methods: - ANS-LIFO - Last in First Out FIFO - First in - Fist Out *These are used to calculate the value of inventory Inventory tracking methods: - ANS--Periodic Inventory - do an initial inventory and then count inventory every 12 months
  • Perpetual Inventory - involves doing an initial inventory and then count inventory every 12 months *The following are used to track theft and pillage Inventory Level Management: - ANS-Inventory is a cash expense and the goal is to have just enough but not too much and prevent theft and loss
  • Just in Time - Inventory is delivered by Fedex on the day it is needed
  • Economic order Quantity - Maintaining just enough inventory to meet needs (not too much or too little)
  • 3 day stay (do not count day of discharge)
  • 100 covered days
  • First 20 are co-pay free)
  • Days 21 - 100 have a 20% co-pay
  • 30 days to return to facility
  • 60 days to regenerate another 100 days Medicare Part A Title 18 - ANS-HHC 80% Medicare Part B - ANS-HHC 100% Medicare Part D - ANS-Prescription drugs Medicaid Title 19 - ANS-Income limit $ Asset limit $ 5 year look back period Bed Certification - ANS-Beds are either Medicaid or Medicare certified or dually certified for either Medicaid or Medicare. You can change your bed certifications 2 times a year. Cost Reports - ANS-Cost reports are due to Medicaid within 90 days of the end of the facility fiscal or calendar year - used to determine your Medicaid rate Decubitus Sores - ANS-A decubitus (De-cue-be-tus) sore is an opening in the upper and deeper layer of the skin caused by lack of oxygen to skin tissue cells or friction or sheering by bones rubbing against the skin.

Stages of a decubitus sore: - ANS--Stage 1 (red or inflamed patch of skin that is visibly red but unbroken skin)

  • Stage 2 - (Presents as a blister or open sore that extends from the dermis (skin surface) to the subcutaneous fat)
  • Stage 3 - The acute inflammation extends down through subcutaneous fat and deep down into the fascia tissue)
  • Stage 4 Presents a deep would or ulceration down to the bone. PASSR - Preadmission and prescreening - ANS-The PASSR is required by Medicaid and each person admitted to a nursing home must have one. It has steps. The first is a level 1 assessment to determine if you Mental Illness or Mental Retardation. If not. You are done. If there is a history of MI/MR then you have to determine if they need 24 hour skilled nursing care (skilled therapy, skilled nursing, help with ADL's) If not Medicaid will not pay for them to stay there long term. American's with Disabilities Act (ADA) - ANS-- 1990
  • Developed and published by the American National Standards Institute (ANSI)
  • ANSI does not ENFORCE the ADA
  • State life safety inspector handles the inspection
  • The ADA has 2 parts: The first is access by the handicap to public buildings and transportation *It is ENFORCED by the Architectural Barriers and Transportation Board.
  • The second part prohibits discriminating against the handicap in hiring *enforced by the EEOC ADA Standards: - ANS-1. All doors in facility are a min. 44 inches wide except the bathroom door which is 32 inches
  1. Handicap parking space is 13 feet wide
  2. Exit sign is illuminated 1 candle foot off the floor
  3. Ambient temperature in a NH is 71 - 81 degrees
  4. Air temp is measured just off the floor up to 3 feet.
  • Adverse impact means you must hire minorities at a rate that is 80% of the hiring rate of the majority. If you fire 10 white people then you have to hire 8 minorities. *enforced by the EEOC Equal Employment Opportunity Act - ANS--Has exclusive jurisdiction over all discrimination cases
  • The EEOC provides employers Uniform Guidelines on Selection of new employees per EEOA FEDERAL INSURANCE CONTRIBUTIONS ACT (FICA) - ANS-funds social security through a payroll tax.. The employer pays 50% of the FICA tax. Fair Labor Standards Act - ANS-sets the federal minimum wage, overtime, underage workers must secure a permit from the Dept of Labor. Maximum 240 hours of compensatory time per year *Enforced by the DEPARTMENT OF LABOR FAMILY MEDICAL LEAVE ACT - ANS-provides up to 12 weeks of UNPAID leave for a worker to care for themselves, a child or spouse or they parents or an adoption. Must work 12 months OR 1250 hours to take leave. Cannot take leave for sick brother or sister or divorce AGE IN DISCRIMINATION ACT - ANS-protects workers 40 and older against discrimination. Need 20 employees to be subject to this law. Cannot force an employee to retire *Enforced by the EEOC HIPAA - ANS-Health Insurance Portability and Accountability Act: The law protects workers who change jobs by requiring their new employer's insurance company to cover pre-existing conditions.
  • The new employer's insurance company can only limit coverage for pre-existing medical conditions for 12 months, after which they must fully cover them.
  • The worker can be covered from the first day their new insurance becomes effective if they have a certificate of Coverage under COBRA

COBRA - ANS--Consolidated Budget Reconciliation Act which allows terminated employees to retain their insurance coverage when they leave a job for up to 18 months.

  • The worker must pay the full amount of their insurance premium Certificate of Coverage - ANS--When a worker is terminated, the employer must provide them a Certificate of Coverage that certifies they were covered under the major medical program.
  • If the worker presents to the new employer the Certificate of Coverage, the new employer's insurance company cannot exclude coverage for pre-existing conditions at all. OIG - ANS-Office of Inspector General investigates Medicaid and Medicare fraud AHCA - ANS-American Health Care Association represents for profit nursing homes AAHSA - ANS-American Association for Housing and Services to the Aging represents not for profit homes Social Security Administration is - ANS-under the Department of DHHS DHHS is - ANS-the U.S. Department of Health and Human Services Durable power of attorney is - ANS-or both financial and health care matters Power of attorney is - ANS-only for financial matters HCFA - ANS-stands for the Health Care Financing Administration

Year end report is the - ANS-Form 300A (a=abbreviated) between Feb 1 and April 30. Supplemental report is the form _______ which is full investigation report - ANS- 301 OSHA medical records kept during employment plus - ANS- 30 years OSHA is an agency under the - ANS-U.S. Department of Labor Must post OSHA violation at the front door for --------------------- ANS- 3 days NIOSH stands for - ANS-for National Institute of Occupational Safety and Health

  • NIOSH provides research to OSHA Ergonomic - ANS-means the work place is set up to minimize stress on workers and reduce injuries from repetitive tasks Employees must have a physical exam - ANS-upon hire and then annually (TB test) OSHA Compliance Categories - ANS-1. Imminent danger (can close facility)
  1. Serious (A major fine)
  2. Non-serious violation (no harm, fine)
  3. Deminimis violation (no harm, no fine)
  • Most often cited deficiency - failure to post MSDS National Labor Relations Board - ANS-has sole jurisdiction over all labor matters - Must supervise and approve union

elections

  • Approves bargaining units
  • Resolves disputes between unions and management 4 Main Union Laws: - ANS-1. Norris LaGuardia
  1. Wagner Act
  2. Taft Hartley Act
  3. Landrum Griffin Act Norris LaGuardia - ANS-prohibits the federal courts from issuing an injunction to stop a union strike Wagner Act - ANS-requires management to sign a collective bargaining agreement with the unions. Created the NLRB. Taft Hartley Act - ANS--Unions must give 10 days advance notice of a strike
  • Either side must give the other 90 days advance notice to change a union contract
  • The president can halt a strike for 80 days
  • A NH has 2 bargaining units Professional and non prof. NLRB must approve them
  • 30% of workers must sign a union interest card to hold a union election
  • 50% + 1 workers to approve a union
  • All grievances involving a union goes to the NLRB
  • Management cannot attend union meetings or contribute money to a union
  • Management cannot ask workers if they attend union meetings
  • Management can only express their opinion of the value of a union