NAB RCAL Exam Questions and
Answers Already Passed
Breakeven Point? ✔✔total cost = total revenue
Working capital ratio ✔✔current assets / current liabilities
Acid-test (quick) ratio ✔✔(cash + AR + short-term investme
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NAB RCAL Exam Questions and
Answers Already Passed
Breakeven Point? ✔✔total cost = total revenue
Working capital ratio ✔✔current assets / current liabilities
Acid-test (quick) ratio ✔✔(cash + AR + short-term investments) / current liabilities
debt to assets ratio ✔✔total liabilities/total assets
FTE (full time equivalent) ✔✔total number of hours per employee in a week / 40 (i.e.
12+14+40+30 div. by 40)
Profit margin ✔✔NOI/Tot. Revenue. Defined as "income to sales. 2 types, gross prof margin and
net prof margin)
Net Operating Income (NOI) ✔✔Total (gross) Revenue - operating expenses
Occupancy rate ✔✔(# of resident days/facility beds) x 365
HCS ✔✔Hazard Communication Standard. OSHA standard requiring employers to inform
workers of potentially hazardous chemicals.
Balance sheet formula ✔✔Assets = Liabilities + Shareholders Equity
EBITDA ✔✔Earnings before interest, taxes, depreciation, and amortization
Amortization ✔✔the reduction of a loan balance through payments made over a period of time
revenue cycle management ✔✔resident needs->service planning->staffing->billing/collections->
FICA SS Tax and Medicare Tax ✔✔6.2% and 1.45%
4 elements of a valid contract ✔✔agreement, consideration, contractual capacity, legality (in
writing) "ACCL"
Liability insurance usually covers.. ✔✔Bodily injury and property damage
Lock out tag out ✔✔For all electrical equipment
safe electrical practices ✔✔National Electrical Code or NEC
Following NFPA Life Safety Code ✔✔fire plan, regular fire drills, detectors, training on
procedure, non combustable furnishing/draperies
Extinguisher class A ✔✔ordinary combustibles such as wood/paper
Extinguisher Class B ✔✔For flammable liquids and gas fires (grease, paint)
Extinguisher class C ✔✔Live electrical equipment (panelling)
Extinguisher class D ✔✔Combustable metals (aluminum)
Extinguisher class K ✔✔Commercial cooking equipment (cooking oil, animal fats)
PASS (Fire Safety) ✔✔P - Pull the pin.
A - Aim at the base of the fire, not at the flames.
S - Squeeze the lever.
S - Sweep the nozzle from side to side.
R.A.C.E. (Fire safety) ✔✔rescue, alarm, contain, extinguish
Accrual Basis Accounting ✔✔reporting income when it is earned and expenses when they are
incurred
Cash Basis Accounting ✔✔Reporting income when the cash is received and expenses when the
cash is paid.
LLC (Limited Liability Company) ✔✔Limited liability, pass through income taxation, flexibility
S corporation ✔✔A unique government creation that looks like a corporation but is taxed like
sole proprietorships and partnerships
Net Worth Formula ✔✔Assets - Liabilities
Dementia Living Environment ✔✔Residential living with clinical aspects. safe, quiet, secured
Effective Claims Management for working with insurance agencies ✔✔components of the
claims handling process include developing strategies to cut costs and reduce fraud while
keeping customers satisfied
Corporate Compliance Programs ✔✔assist providers and their agents and develop effective
internal controls that promote adherence to applicable federal and state law
Leadership (vs. management) ✔✔produces change and movement, motivates, communicates
goals, creates vision
Management (vs leadership) ✔✔Produces order and consistency, agenda, timetable, structure,
develops incentives, corrective actions, etc.
Mission Statement ✔✔Public document, short (tshirt), purpose of ALF
Vision statement ✔✔Usually private internal documents, expresses what the organization should
become using the mission, where it wants to go strategically.
Organizational Values ✔✔accompany mission statement, describes key behaviors that are
expected of staff
Cash Flow ✔✔Cash receipts less cash disbursements from a given operation or set of operations
from a period of time
Balance sheet ✔✔Snapshot/point in time of what a company owns and owes. Summarizes assets,
liabilities and shareholder equity at a specific point in time.
Income statement (or statement of financial position) ✔✔How much revenue and profit
generated over a certain period of time
Interest coverage ✔✔What portion of debt interest is covered by a company cash flow situation
(EBITDA/Interest expense)
Capital ✔✔typically $500 or more, 1 year or more life. Money invested in company.
chart of accounts ✔✔A list of every account (5 groups: ass, Lia, capital, Rev, expenses)
Variable cost ✔✔Fluctuate directly with changes in census (i.e. food, salary)
Fixed cost ✔✔Do not relate to changes in census.
Direct cost ✔✔Cost that are directly attributable to providing resident care (i.e. salaries, payroll,
pay taxes, benefits, supplies)
Indirect cost ✔✔i.e. administrative salary, depreciation
5 steps of budgeting ✔✔Assessing environment, Programming, Developing operating budget,
Building cash budget, Determing capital budget
How often should goals and objectives be evaluated? ✔✔Annual basis, at least
Patient Self-Determination Act of 1990 ✔✔protects patient rights including the right to agree to
or refuse medical treatment (gives patients right to choose health care decisions when entering
hospital)
DPOA vs POA ✔✔DPOA just includes language that means the documents covers individual
when they become incapacitated
Quality Assurance ✔✔looks at actions to ensure services conform to standards
Team building is a key component of which management style? ✔✔Participatory (encourages
managers to share knowledge, work together)
advance directives ✔✔A legal document designed to indicate a person's wishes regarding care in
case of a terminal illness or during the dying process
living will ✔✔A document that indicates what medical intervention an individual wants if he or
she becomes incapable of expressing those wishes.
advisory board ✔✔used by board of directors/governing body to provide guidance regarding
policy and procedure
Board of Directors/Governing body ✔✔hires admin, delegates management, develops mission
and vision, fiduciary responsibility
4 components of leadership (influencing) ✔✔Process, Influence others, occurs in groups, attain
goals and direct group
provides sweeping new legal protection for employees who report corporate misconduct.
Protects whistleblowers ✔✔Sarbanes-Oxley Act of 2002
Applies to employers of 15 or more. Race, color, religion, gender, pregnancy, or national origin.
✔✔Civil Rights Act (1964) Title VII
Sexual harassment - unwelcome sexual advances, does not have to be the harassed to report.
Must be unwelcome, implicitly or explicitly affects an individuals employment, work
performance ✔✔Civil Rights Act 1991
Bans age discrimination for jobs unless age is related to job performance. 40 yrs or older.
✔✔Age Discrimination in Employment Act of 1967
15 employees or more. Reasonably remove barriers so disabled can be accommodated
✔✔Americans with Disabilities Act (ADA) of 1990
continues healthcare benefits to individuals and families for limited period of time such as job
loss, reduced hours, death, divorce, etc. Qualified individuals may have to pay entire premium
✔✔Consolidated Omnibus Budget Reconciliation Act (COBRA)
Act that limits the amount of wages that can be garnished or withheld in any one week by an
employer to satisfy creditors. ✔✔Consumer Credit Protection Act
Minimum wage, child labor laws, overtime ✔✔Fair Labor Standards Act (FLSA)
Protections for coverage under group health plans, prohibit discrimination against employees
based on health status ✔✔HIPPA (Health Insurance Portability and Accountability Act)
12 weeks unpaid if an employee has worked 1250 hrs within last 12 months. Covers -serious
health condition -care for family member. -birth or adoption ✔✔Family and Medical Leave Act
(FMLA)
Federal law requiring employers to verify and maintain records on applicants' legal rights to
work in the United States. 1-9 Form complete within 3 days of employment, retain copy 3 years
or 1 year following terminiation ✔✔Immigration Reform and Control Act of 1986
includes "general duty clause" that requires all employers to maintain a workplace that is free
from recognized hazards that would cause injury/death to employees ✔✔Occupational Safety
and Health Administration (OSHA)
Maintain log of certain injuries, illnesses. Report certain deaths and multiple hospitalizations,
post supplementary records on an annual basis. Employer cannot fire employee who is uncomfy
at work. ✔✔Osha requirements
a ratio that expresses the percentage of applicants who successfully move from one stage of the
recruitment and selection process to the next ✔✔Yield Ratio
Occurrence Based Policy ✔✔An "X"-based policy provides coverage for injuries arising out of
incidents occurring during the period the policy was in effect, even if the policy subsequently
expires or is not renewed by the policy-holder. With an "X" policy, it does not matter if you are
covered when the suit is brought.
Claims-made policy ✔✔An "X" based policy kicks in when you file a claim during the policy
period. As long as an insurable event happened after the policy's retroactive date, your insurer
should provide coverage. With a claims-made policy, you need to have active insurance when
you file a claim.
Administrator ✔✔General administrative charge of the day-to-day operations of an ALF. May
be owner of hired by the organization.
articles of incorporation ✔✔Information filed with a state official by persons wishing to form a
corporation
board of directors ✔✔Relate to top management of an organization in a governing or advisory
capacity
By-laws ✔✔Rules determined by internal management of a board or organization. Adopted at
time of charter and define the rights and responsibilities of the board
Consensus Building ✔✔Conversation style of decision making where issues and opinions are
discussed- reach a shared opinion
Directing ✔✔Mangement function- admin uses their position to point out the direction the
company is to go to achieve goals. Uses leadership roles such as guiding, training, etc.
Goals or objectives should be.. ✔✔realistic, verifiable, attainable
Governing boards ✔✔-responsible for appointing top management
-policy making
-ensuring that policies are administered in a manner in which they were written
Management ✔✔Ability to achieve common goals through the organization and productivity.
Create environment to work with no friction
Ombudsman ✔✔Advocate, nationally funded by the Admin on Aging and administered by state
agencies
Shewart Cycle- continuous quality improvement model ✔✔Plan, Do, Check, Act (PDCA)
Organizing ✔✔Management function involving grouping of people and activities, assigning
roles, delegation of authority
Planning ✔✔management function that involves setting goals, assigning roles, establishing
guidelines
Quality Improvement ✔✔Ongoing, relates to quality of care/life/safety of residents
Strategic Planning ✔✔Re-evaluate mission, identify short and long-term goals, select strategies
and policies for achieving those goals
Empoyee's "Right to know" ✔✔OSHA guidelines. What chemicals they work with and hazards
of working with those substances
Family and Medical Leave Act (FMLA) ✔✔Federal law requiring organizations with 50 or more
employees to provide up to 12 weeks of unpaid leave (12 months employed by the company with
1250hrs)
Hiring records should be kept for ✔✔1 year- keep equal employment info separate
Basic Employee Information (example: I-9) should be kept for ✔✔3 years after hire or 1 year
after fire, whichever is later
Payroll and tax records should be kept for ✔✔4 years
Employment actions (hires, promotions, layoffs, test results, etc.) should be kept for ✔✔1 year
from date of action
Job-related illnesses and injuries paperwork should be kept for ✔✔5 years
Disability accommodations paperwork should be kept for ✔✔1 year
Medical exam paperwork, toxic substance exposure records and BB pathogen records should be
kept for ✔✔30 years
FMLA paperwork should be kept for ✔✔3 years
ADA hallway, doorway, and T-space inches requirements? ✔✔36, 32, 60
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