NABH Exam 21.04.2025: Practice Questions

NABH EXAM 21.04.2025 Question 1 A 45-year-old patient arrives at Adhiparasakthi Dental College & Hospital with severe pain in the orofacial region. Upon examination, it is found that the patient requires specialized treatment that might be beyond the scope of services provided by the hospital. Acc...

NABH EXAM 21.04.2025 Question 1 A 45-year-old patient arrives at Adhiparasakthi Dental College & Hospital with severe pain in the orofacial region. Upon examination, it is found that the patient requires specialized treatment that might be beyond the scope of services provided by the hospital. According to the NABH manual for APDCH, what is the most appropriate initial action to be taken by the front office staff? A. Immediately refer the patient to another hospital without registration B. Register the patient and direct them to the Oral Medicine and Radiology department C. Ask the patient to get a referral letter from their primary dentist before registration D. Contact the correspondent for special permission to treat the patient Answer: B Question 2 A patient who had visited APDCH three months ago for a dental procedure returns for a follow-up. The patient has misplaced their UHID card and cannot recall their number. According to the APDCH NABH manual, what is the correct procedure for this situation? A. Generate a new UHID for the patient as the prior record cannot be accessed without the card B. Direct the patient to MRD counter where their records can be retrieved using their personal details C. Ask the patient to return with their original UHID card as follow-up is not possible without it D. Request the patient to undergo a new initial assessment as the previous records are inaccessible Answer: B Question 3 A 35-year-old patient at APDCH is diagnosed with a condition requiring specialized care not available at the facility. The patient's vital signs show: BP 140/90 mmHg, Pulse 92 bpm, Respiratory rate 20 breaths per minute, and O2 saturation 94%. According to the APDCH NABH manual, how should this patient be categorized and transferred? A. As an unstable patient requiring ambulance transfer with medical staff accompaniment B. As a stable patient with freedom to choose their own mode of transportation C. As a semi-urgent case requiring non-cardiac ambulance with nursing staff only D. As a stable patient requiring mandatory ambulance transfer without medical staff Answer: B Question 4 A new patient arrives at APDCH with dental pain. The registration is completed at 10:30 AM. According to the APDCH NABH manual, by what time should the initial assessment of this patient be completed? A. 10:45 AM, as initial assessment must be done within 15 minutes of registration B. 11:00 AM, as initial assessment must be done within 30 minutes of registration C. 11:30 AM, as initial assessment must be done within 1 hour of registration D. 12:30 PM, as initial assessment must be done within 2 hours of registration Answer: C Question 5 A radiographer at APDCH needs to take a panoramic radiograph of a 30-year-old female patient who mentions she might be in the early stages of pregnancy but is unsure. According to the APDCH radiation safety protocols, what is the most appropriate course of action? A. Proceed with standard radiation parameters as the risk to early pregnancy is minimal B. Postpone the radiograph until pregnancy status is confirmed C. Proceed with the radiograph using additional lead shielding and beam collimation D. Refer the patient to another facility that specializes in radiography for pregnant women Answer: C Question 6 During a dental procedure at APDCH, a patient experiences an adverse event resulting in temporary harm requiring intervention. According to the APDCH sentinel event policy, within what timeframe must a root cause analysis meeting be conducted? A. Within 12 hours of the event being identified B. Within 24 hours of the event being identified C. Within 48 hours of the event being identified D. Within 72 hours of the event being identified Answer: B Question 7 A patient at APDCH requires transfer to another healthcare facility for specialized treatment. The patient's condition deteriorates, meeting criteria for an unstable patient. According to the APDCH NABH manual on patient transfer, which statement is incorrect? A. The patient should be stabilized in emergency before transferring if possible B. A call must be made to the receiving hospital and patient report should be faxed C. The patient must be accompanied by treating doctors or PGs along with nurses D. The patient's family must arrange for a critical care ambulance Answer: D Question 8 A pathology technologist at APDCH is implementing quality assurance for the laboratory. According to the APDCH NABH manual, which is NOT a component of the established quality assurance program for pathology laboratory services? A. Verification and validation of test results B. Regular monitoring of technical staff qualifications C. Daily calibration of all laboratory equipment D. Turn-around time monitoring for all tests Answer: C Question 9 A patient at APDCH undergoes a dental procedure and experiences an adverse event. According to the NABH manual, what is the primary responsibility of the treating dentist in this situation? A. To immediately inform the patient's family about the event B. To document the incident in the patient's medical record C. To conduct a preliminary investigation before reporting D. To refer the case to the hospital's grievance committee Answer: B Question 10 A patient at APDCH requires a specialized dental procedure not available at the hospital. According to the NABH standards for patient transfer, what information must be provided to the receiving hospital? A. Only the patient's medical history and current condition B. The patient's UHID number and contact details for follow-up C. A detailed treatment plan and expected outcomes D. A copy of the patient's consent form for the procedure Answer: A Question 11 APDCH is implementing a quality improvement project to reduce waiting times in the outpatient department. According to the NABH standards for quality improvement, which of the following is NOT a required step in this process? A. Identifying key performance indicators (KPIs) for waiting times B. Conducting a baseline assessment of current waiting times C. Implementing changes based on staff suggestions without data analysis D. Monitoring and evaluating the effectiveness of the changes Answer: C Question 12 A patient at APDCH expresses dissatisfaction with the treatment provided by a dentist. According to the NABH standards for patient feedback and grievance handling, what should be done first? A. The complaint should be immediately escalated to the hospital administration B. The patient should be offered a refund for the treatment C. The treating dentist should discuss the issue with the patient to resolve D. The grievance should be documented and reviewed by the quality assurance team Answer: D Question 13 A patient at APDCH requests access to their dental records. According to the NABH standards for patient confidentiality and access to records, what should be done? A. The patient should be provided with a copy of their records immediately B. The patient's request should be reviewed by the hospital's legal department C. The patient should be required to sign a consent form before accessing their records D. The patient should be informed that records can only be accessed by their treating dentist Answer: A Question 14 APDCH is conducting a patient satisfaction survey to assess the quality of care provided. According to the NABH standards for patient satisfaction surveys, which of the following is NOT a recommended practice? A. Conducting surveys anonymously to encourage honest feedback B. Using standardized survey tools to ensure consistency C. Including questions about staff behaviour and communication skills D. Sharing survey results with patients to improve their experience Answer: D Question 15 A patient at APDCH experiences a sentinel event during treatment. According to the NABH standards for sentinel event management, what is the first step in addressing this event? A. Conducting a root cause analysis to identify underlying causes B. Notifying the patient and their family about the event C. Documenting the event in the patient's medical record D. Reporting the event to the hospital's quality assurance committee Answer: A Question 16 During a routine inspection, an auditor finds that the Infection Control Committee at Adhiparasakthi Dental College hasn't met for the last four months. According to the IPC manual, what corrective action should be recommended? A) Immediate meeting with documentation submitted to NABH within 7 days B) Schedule the next meeting as per normal quarterly cycle with no additional action required C) Immediate meeting with revised protocols for more frequent monthly meetings D) Appoint a new Infection Control Officer to ensure compliance with bi-monthly meeting schedule Answer: B Question 17 A dental intern at Adhiparasakthi Dental College has just completed an amalgam restoration. According to the WHO's five moments of hand hygiene adopted by the institution, when should hand hygiene be performed? A) Only before starting the procedure and after completing documentation B) Before touching the patient, after body fluid exposure risk, and after touching patient surroundings C) Only after removing gloves and before touching the next patient D) Before entering and after leaving the operatory, regardless of patient contact Answer:B Question 18 A patient with confirmed Hepatitis B status requires emergency endodontic treatment at Adhiparasakthi Dental Hospital. Which of the following protocols correctly aligns with the institution's high-risk patient management guidelines? A) Schedule the patient as the last appointment with regular dental chair sterilization afterward B) Shift the patient to isolation room, mark HIS with red flag, use disposable instruments where possible C) Use barrier protection on all surfaces, treat in regular operatory with double gloving protocol D) Postpone treatment until viral load test results are available as per safety regulations Answer:B Question 19 During a dental procedure, approximately 45 ml of blood spills onto the floor. The dental assistant should: A) Mark spill area, cover with absorbent paper, pour 1% sodium hypochlorite, wait 10 minutes B) Mark spill area, cover with absorbent paper, pour 1% sodium hypochlorite, wait 20-30 minutes C) Mark spill area, pour 2% glutaraldehyde directly, wait 20 minutes, mop with detergent D) Mark spill area, clean immediately with detergent, then apply 0.5% sodium hypochlorite Answer: B Question 20 A dental surgeon needs to sterilize diamond burs after a crown preparation procedure. According to the institution's sterilization protocol, what is the correct processing method? A) Ultrasonic cleaning, immersion in 2% glutaraldehyde for 10 hours, rinse B) Clean with water, disinfect with 70% alcohol, dry heat sterilization C) Clean with water and enzymatic cleanser, disinfect with 2% glutaraldehyde, autoclave D) Wipe with disinfectant, store in dry container, use chemical vapor sterilization Answer: C Question 21 The infection control team is planning surveillance activities for the upcoming quarter. According to the manual, which surveillance frequency is correct for water quality testing? A) Monthly testing with weekly documentation review B) Testing every three months with analysis of bacterial colonies C) Testing twice yearly with quarterly maintenance documentation D) Annual testing with continuous monitoring of disinfection levels Answer: B Question 22 A dental assistant needs to remove personal protective equipment after treating a patient. According to the institution's protocol, which sequence is correct? A) Gown, mask, goggles, gloves, hand hygiene B) Gloves, goggles, gown, mask, hand hygiene C) Mask, goggles, gown, gloves, hand hygiene D) Goggles, gloves, gown, mask, hand hygiene Answer: B Question 23 After a periodontal surgery, which of the following waste disposal methods is correct for blood-soaked gauze according to the institution's biomedical waste management protocol? A) Red bag after chemical disinfection B) Yellow bag with appropriate labeling C) Puncture-proof container with yellow marking D) Blue bag after separation from sharps waste Answer: B Question 24 During sterilization validation, the Class 5 chemical indicator shows incomplete color change while the mechanical indicators (temperature, pressure, time) appear normal. According to the sterilization protocol, what action should be taken? A) Release the instruments for use as mechanical indicators verify sterilization B) Consider the load unsterile, reprocess with new indicators C) Release instruments only for non-critical procedures D) Log the incident and monitor for patterns but release the load Answer: B Question 25 A staff member at the central store of Adhiparasakthi Dental College and Hospital notices that a newly delivered batch of dental anaesthetic medication requires refrigeration at 2-8°C. The refrigerator temperature log shows variations between 1-10°C over the past week, with readings taken four times daily. According to the NABH MOM standards, what is the appropriate next step? A) Continue storing the medication in the current refrigerator but increase temperature monitoring to hourly checks. B) Move the medication to another department's refrigerator that appears to maintain more stable temperatures. C) Notify the Maintenance/Engineering department about the temperature variation and document the issue. D) Accept the temperature range as adequate since the daily average falls within the required range. Answer: C Question 26 During inventory organization at Adhiparasakthi Dental College and Hospital, the store in-charge needs to properly arrange various medications including high-risk medications, look-alike drugs, and sound-alike medications. According to the NABH MOM standards, which storage arrangement is correct? A) High-risk medications should be coded green, look-alike medications coded yellow, and sound-alike medications coded pink. B) High-risk medications should be coded red, look-alike medications coded pink, and sound-alike medications coded yellow. C) High-risk medications should be coded red, look-alike medications coded yellow, and sound-alike medications coded pink. D) High-risk medications should be stored alphabetically with other medications but in locked cabinets. Answer: B Question 27 A 72-year-old patient with hypertension, diabetes, and a previous myocardial infarction visits Adhiparasakthi Dental College and Hospital for severe dental pain. After examination, the dentist diagnoses irreversible pulpitis requiring endodontic treatment and pain management. According to the NABH MOM.3 standards, what is the most appropriate approach for medication prescription? A) Consult with the patient's cardiologist before prescribing any medication, as this is mandatory for cardiac patients. B) Prescribe a standard dose of NSAIDs, which is the first-line treatment for dental pain regardless of medical history. C) Assess the patient's complete medical history, current medications, and potential drug interactions before selecting an appropriate analgesic. D) Refer the patient to the hospital's pain management clinic, as dental practitioners should not prescribe pain medications to complex patients. Answer: C Question 28 A patient at Adhiparasakthi Dental College and Hospital develops a rash and mild wheezing shortly after receiving a local anaesthetic for a dental procedure. The dental team recognizes this as a potential adverse drug reaction. According to the NABH MOM.7 standards, what is the correct sequence of actions? A) Document the reaction, continue with a reduced dose of the anaesthetic, monitor the patient more frequently. B) Stop the medication, administer an antihistamine, complete documentation after the procedure. C) Stop the suspected medication, stabilize the patient, record the ADR details using standardized forms. D) Immediately refer the patient to emergency care and report the incident to the drug manufacturer. Answer: C Question 29 After successful placement of a dental implant at Adhiparasakthi Dental College and Hospital, the implantologist needs to complete proper documentation. According to the NABH MOM.8 standards, which documentation practice is required? A) The implant's batch and serial numbers must be recorded in the patient's medical record. B) A follow-up appointment must be scheduled within 48 hours for all implant patients. C) Photos of the implant site must be taken before and after placement. D) The implant procedure must be co-signed by the department head regardless of the implantologist's experience. Answer: A Question 30 During inventory audit at Adhiparasakthi Dental College and Hospital, several dental materials are found to be expiring in 2.5 months. According to the NABH MOM procedures, what is the correct action? A) The materials should remain in the department inventory but marked with "Use First" labels. B) The materials should be returned to the central store immediately. C) The materials can remain in use until they expire, then properly disposed of by the department. D) The materials should be evaluated by the quality control committee before further use. Answer: B Question 31 Adhiparasakthi Dental College and Hospital receives notification that a batch of local anaesthetic in current inventory has been recalled by the manufacturer due to potential contamination. According to the NABH MOM.5 standards, which step is NOT part of the recall procedure? A) Quarantine affected items immediately to prevent further use B) Document all actions taken during the recall process C) Notify other healthcare institutions in the region about the recall D) Identify and communicate with patients who may have received the affected medication Answer: C Question 32 During a routine dental procedure at Adhiparasakthi Dental College, a small electrical fire breaks out in the equipment in a treatment room. The dental assistant notices smoke coming from one of the devices. According to the NABH manual's fire safety protocols, what is the correct sequence of actions to be taken? A) Announce "Code Red" on the PA system, evacuate patients from the affected area, attempt to extinguish the fire, call for help B) Evacuate patients from immediate danger, activate the fire alarm (pull), call the hospital fire number (111), then attempt to fight the fire if safe C) Call the hospital fire number (111), evacuate patients, switch off electrical equipment, use the nearest fire extinguisher D) Switch off electrical equipment, attempt to extinguish fire with nearest extinguisher, evacuate patients if unsuccessful, then pull the fire alarm Answer: B Question 33 The Safety Committee at Adhiparasakthi Dental College is conducting its bi- annual facility inspection. During the inspection, they notice several minor issues: a loose grab-bar in the patient restroom, signs of water seepage in one ceiling tile, and a light flickering in the waiting area.According to the Facility Management and Safety manual, what is the correct procedure for documenting and addressing these findings? A) Each issue should be addressed separately by specialized maintenance staff, with the grab-bar receiving immediate attention as a patient safety concern B) Generate a single comprehensive report documenting all findings, discuss it in the Facility Management and Safety Committee meeting, and implement corrective actions with specific timelines C) Address each issue based on a risk assessment, with immediate repair of the grab-bar, scheduling the ceiling repair within one week, and replacing the light during routine maintenance D) Document the findings in the maintenance request system, with normal priority for all items since none present immediate danger Answer: B Question 34 A dental chair in the prosthodontics department of Adhiparasakthi Dental College has been reported for intermittent malfunction. The chair occasionally fails to adjust positions when the controls are activated, but works normally most of the time. According to the equipment management protocols, what is the appropriate documentation and response process? A) The issue should be verbally reported to the maintenance department who will address it during their next scheduled inspection B) The department should raise a ticket through HIS and inform the Maintenance tracer, with the issue to be attended to within 2 hours C) The equipment should be immediately taken out of service until a comprehensive evaluation can be conducted D) The department head should document the intermittent nature of the problem and continue using the chair until the malfunction becomes consistent Answer: B Question 35 A new dental resident at Adhiparasakthi Dental College has just completed a procedure that involved the use of amalgam fillings, disposable barriers, latex gloves, and paper drapes. She is unsure about the proper waste segregation protocol. According to the waste management guidelines in the NABH manual, how should these items be segregated? A) Amalgam waste in a leak-proof container with distilled water, barriers and drapes in blue bin, gloves in red bin B) All items in a red bin with a biohazard symbol as they've been used in a dental procedure C) Amalgam waste in a specially labelled container, all other items in a yellow biomedical waste bag D) Barriers and drapes in a blue recyclable bin, gloves and amalgam waste in a red bin Answer: A Question 36 An audit of waste management practices at Adhiparasakthi Dental College reveals that the quantity of biomedical waste generated in the paediatric dentistry department has increased by 30% in the last quarter, without a corresponding increase in patient numbers or procedures. According to the waste management guidelines, what would be the most appropriate first response to this finding? A) Increase the frequency of waste collection from the department to ensure proper disposal B) Conduct staff retraining on waste segregation practices to ensure non- biomedical waste isn't being mixed with biomedical waste C) Switch to alternative treatment materials that generate less biomedical waste D) Implement a departmental waste reduction target and monitoring system Answer: B Question 37 A chemical spill occurs in the dental laboratory of Adhiparasakthi Dental College involving approximately 50 ml of a corrosive agent used for denture preparation. Two laboratory technicians are present when the spill occurs. According to the hazardous materials management protocol, what is the most appropriate immediate response? A) Evacuate all personnel from the laboratory, seal the room, and contact the safety officer B) Have one technician begin cleaning the spill with absorbent materials while the other notifies the department head C) Both technicians should wear appropriate PPE, contain the spill with absorbent materials, and report the incident to the safety officer D) Identify the specific chemical, refer to its Material Safety Data Sheet, and follow the specific spill management protocol for that agent Answer: D Question 38 A fire drill evaluation at Adhiparasakthi Dental College shows that staff members are unsure about the correct use of different types of fire extinguishers for various scenarios. The Safety Committee needs to plan a targeted training program. According to Annexure 2 of the Fire Fighting Equipment & Procedures section, which statement about fire extinguisher usage is correct? A) Foam extinguishers are the preferred option for electrical fires as they cool the equipment while extinguishing flames B) Carbon dioxide extinguishers are suitable for flammable liquids and electrical equipment as they smother fires by removing oxygen C) Dry powder extinguishers should be directed at the flames rather than the base of the fire for maximum effectiveness D) Water-based extinguishers are safe to use on all types of fires as long as the electrical supply has been disconnected Answer: B Question 39 Adhiparasakthi Dental College and Hospital is preparing for a NABH accreditation audit. The hospital's management realizes that some of its policies are not fully aligned with the Dental Council of India's Revised Dentists (Code of Ethics) Regulations, 2014. What should the hospital's management do first to ensure compliance with NABH standards? A) Update all policies to reflect the latest ethical guidelines and ensure they are communicated to all staff. B) Conduct a comprehensive review of existing policies and identify areas needing revision. C) Establish a new ethics committee to oversee compliance with ethical regulations. D) Focus on updating the hospital's mission and vision statements. Answer: B Question 40 Adhiparasakthi Dental College and Hospital needs to ensure that all necessary licenses and statutory compliances are up to date. According to NABH standards, what should the hospital do regarding statutory compliances? A) Designate a responsible person to oversee compliance but not document the process. B) Document all employee rights and responsibilities but not statutory compliances. C) Comply with all requisite laws, obtain necessary licenses, and designate a responsible person to manage renewals. D) Ignore statutory compliances as they are not directly related to patient care. Answer: C Question 41: The quality improvement team at Adhiparasakthi Dental College & Hospital identifies a need to enhance patient satisfaction with dental services. According to the NABH quality manual, how should the hospital proceed with this initiative?  A) Conduct a patient satisfaction survey and report findings to management.  B) Develop new SOPs for patient communication and implement them hospital- wide.  C) Establish key performance indicators (KPIs) for patient satisfaction and monitor them regularly.  D) Allocate additional budget for staff training on patient communication skills. Answer: C Question 42 A dental nurse fails to follow the standard procedure for sterilizing dental instruments, leading to a non-conformance event. What action should the hospital take according to the NABH guidelines?  A) Immediately suspend the nurse pending an investigation.  B) Document the incident and conduct a root cause analysis to prevent recurrence.   C) Provide additional training to the nurse on proper sterilization techniques.  D) Report the incident to external regulatory bodies for further action. Answer: B Question 43 The internal quality assurance cell at Adhiparasakthi Dental College & Hospital identifies opportunities for improvement in the dental care process. According to the NABH guidelines, how should these opportunities be addressed?  A) By conducting regular internal audits to ensure compliance with SOPs.  B) By establishing a core committee to monitor and implement changes.  C) By allocating a budget for quality improvement initiatives annually.  D) By conducting trend analysis of performance data to guide improvements. Correct Answer: D) By conducting trend analysis of performance data to guide improvements. Question 44 A patient decides to leave Adhiparasakthi Dental Hospital against medical advice (LAMA) during their treatment. The patient is not in a stable condition and could face serious health risks if they do not continue their care.What is the hospital's responsibility in this situation? A) Force the patient to stay for their own safety. B) Ensure the patient signs a LAMA consent form and document the reasons for leaving. C) Provide the patient with a full refund for any services already rendered. D) Call emergency services to intervene. Answer: B Question 45 Adhiparasakthi Dental Hospital is preparing for NABH accreditation. As part of the process, they need to ensure that all staff are aware of their responsibilities regarding patient rights. How should the hospital ensure that all staff understand their role in protecting patient rights? A) Conduct a one-time training session for all staff. B) Display patient rights and responsibilities prominently throughout the hospital. C) Include patient rights education in the ongoing training program for staff. D) Only inform senior staff about patient rights. Answer: C Question 46 Adhiparasakthi Dental Hospital is implementing a new care plan for patients. The plan involves incorporating religious and cultural views into patient care. How should the hospital ensure that the care plan respects these aspects? A) Conduct a survey among patients to understand their religious and cultural preferences. B) Modify the care plan based on the dominant religious and cultural practices in the area. C) Involve patients and their families in the decision-making process to incorporate their views. D) Ignore cultural and religious differences to maintain uniformity in care. Answer: C Question 47 Adhiparasakthi Dental Hospital is conducting an internal audit to ensure compliance with NABH standards. During the audit, it is discovered that some patient records are not properly maintained. What action should the hospital take in response to this finding? A) Ignore the issue, as it is minor. B) Implement corrective actions to improve record-keeping practices. C) Fire the staff responsible for the oversight. D) Delay addressing the issue until the next audit. Answer: B Question 48 The HR department at Adhiparasakthi Dental College & Hospital is reviewing its performance appraisal system to align with NABH standards. According to NABH standards, what is the purpose of having a performance appraisal system? A) To discipline underperforming employees B) To evaluate employee performance as part of HRM C) To solely reward high-performing employees D) To reduce employee turnover Answer: B Question 49 Adhiparasakthi Dental College & Hospital is preparing for its review meetings of the HR manual to ensure compliance with NABH standards. How often should the HR manual be reviewed and updated according to NABH standards? A) Quarterly B) Annually C) Bi-annually D) Only when major changes occur Correct Answer: B) Annually Question 50 During a routine review of patient records, it is discovered that a nurse has made an unauthorized entry in a patient's medical record. What action should be taken according to the NABH standards? A) The nurse should be immediately terminated for violating confidentiality. B) The entry should be corrected with an affidavit from the notary, and the nurse should be counseled. C) The nurse should be allowed to continue working without any action. D) The entry should be removed without any documentation. Answer: B