NAB Exam 2027 – Study Guide by Stan Mucinic with Test
Questions and Verified Answers
100% GUARANTEED PASS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES | LATEST EXAM UPDATE
1. A nursing home resident is refusing to take their prescribed blood pressure
medication. Which of the following actions is MOST appropriate for the nursing
home administrator to take?
A) Administer the medication via another route without consent
B) Document the refusal, notify the physician, and explore the resident's reasons
for refusal
C) Restrain the resident to administer the medication
D) Discharge the resident for non-compliance
Rationale: Under OBRA regulations, residents have the right to refuse treatment. The
appropriate response is to document the refusal, notify the physician, and have staff
explore the reasons for refusal with the resident. Education and alternative approaches
may help address the resident's concerns.
2. A facility is cited for a "J-level" deficiency during a survey. What does this
indicate?
A) No actual harm with potential for minimal harm
B) Immediate jeopardy to resident health or safety
C) Actual harm that is not immediate jeopardy
D) No harm
Rationale: Severity J indicates immediate jeopardy to resident health or safety. This is the
most serious deficiency level and requires immediate corrective action. The facility must
submit a Plan of Correction and may face fines or termination from Medicare/Medicaid.
,3. Under federal regulations, a resident's comprehensive care plan must be
reviewed at which frequency?
A) Monthly
B) Quarterly
C) Semi-annually
D) Annually
Rationale: The comprehensive care plan must be reviewed and revised at least quarterly
(every 3 months), or more frequently if the resident's condition changes significantly. This
ensures the plan remains current and addresses the resident's changing needs.
4. A resident with dementia is wandering into other residents' rooms and
becoming agitated. Which intervention is MOST appropriate?
A) Place the resident in physical restraints
B) Provide a supervised wandering area with structured activities
C) Confront the resident about the behavior
D) Place the resident in a locked room
Rationale: The least restrictive approach is preferred. Providing a supervised wandering
area with structured activities addresses the resident's need for mobility while ensuring
safety. Restraints should be avoided as they can increase agitation and cause injury.
5. A resident has a stage 3 pressure ulcer on the sacrum. Which of the following
interventions is MOST appropriate?
A) Apply a dry gauze dressing only
B) Implement a repositioning schedule and use a pressure-redistributing support
surface
C) Place the resident in a prone position
D) Massage the area surrounding the ulcer
Rationale: Stage 3 pressure ulcers require pressure redistribution (specialty mattress,
repositioning every 2 hours), moisture management, and appropriate wound dressings.
Massage is contraindicated as it can damage tissue.
,6. A resident with type 2 diabetes has a blood glucose of 45 mg/dL. Which of the
following is the MOST appropriate initial intervention?
A) Administer insulin immediately
B) Provide 15 grams of fast-acting carbohydrate (glucose tablets, orange juice) and
recheck in 15 minutes
C) Provide a full meal
D) Place the resident in a supine position
Rationale: Hypoglycemia (blood glucose < 70 mg/dL) is treated with 15 grams of fast-
acting carbohydrate. The rule of 15 is followed: give 15 grams of carbs, wait 15 minutes,
and recheck blood glucose. Insulin would worsen the hypoglycemia.
7. A resident is experiencing acute confusion and restlessness. Which of the
following should the nurse do FIRST?
A) Administer a sedative medication
B) Assess for underlying causes such as infection, pain, dehydration, or medications
C) Apply physical restraints
D) Place the resident in a dark room
Rationale: Acute confusion (delirium) has underlying causes that must be identified and
treated. Common causes include infection (especially UTI), pain, dehydration, medication
side effects, and metabolic imbalances. Treating the underlying cause is the priority.
8. A resident requests to see their medical records. The administrator should:
A) Deny the request
B) Allow the resident to review their records with appropriate supervision
C) Charge the resident a $100 fee
D) Provide only a summary of the records
Rationale: Federal regulations guarantee residents the right to access their medical records
upon request. The facility may require reasonable notice and may charge a reasonable
, copying fee (typically per page). Supervision may be provided to ensure the resident
understands the records.
9. A resident is receiving hospice care. Which of the following is the PRIMARY
focus of hospice services?
A) Curative treatment for the underlying disease
B) Palliative care and comfort measures
C) Rehabilitation and physical therapy
D) Diagnostic testing and monitoring
Rationale: Hospice focuses on palliative care and comfort for residents with a life
expectancy of 6 months or less. The goal is to manage symptoms, provide comfort, and
support the resident and family emotionally and spiritually.
10. A resident with a colostomy reports that the pouch is leaking frequently.
Which nursing intervention is MOST appropriate?
A) Tell the resident to change the pouch less often
B) Assess the stoma size and pouching system, and measure for a proper fit
C) Apply tape over the leaking area
D) Advise the resident to eat less
Rationale: Frequent leakage often indicates an improper fit. The stoma size should be
measured, and the pouching system should be evaluated for correct sizing and
application. The opening should be cut to fit the stoma exactly (1/8 inch larger).
11. Which of the following is a sign of inadequate hydration in an elderly resident?
A) Concentrated, dark urine and poor skin turgor
B) Bounding pulse and edema
C) Weight gain and hypertension
D) Clear, dilute urine
Questions and Verified Answers
100% GUARANTEED PASS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES | LATEST EXAM UPDATE
1. A nursing home resident is refusing to take their prescribed blood pressure
medication. Which of the following actions is MOST appropriate for the nursing
home administrator to take?
A) Administer the medication via another route without consent
B) Document the refusal, notify the physician, and explore the resident's reasons
for refusal
C) Restrain the resident to administer the medication
D) Discharge the resident for non-compliance
Rationale: Under OBRA regulations, residents have the right to refuse treatment. The
appropriate response is to document the refusal, notify the physician, and have staff
explore the reasons for refusal with the resident. Education and alternative approaches
may help address the resident's concerns.
2. A facility is cited for a "J-level" deficiency during a survey. What does this
indicate?
A) No actual harm with potential for minimal harm
B) Immediate jeopardy to resident health or safety
C) Actual harm that is not immediate jeopardy
D) No harm
Rationale: Severity J indicates immediate jeopardy to resident health or safety. This is the
most serious deficiency level and requires immediate corrective action. The facility must
submit a Plan of Correction and may face fines or termination from Medicare/Medicaid.
,3. Under federal regulations, a resident's comprehensive care plan must be
reviewed at which frequency?
A) Monthly
B) Quarterly
C) Semi-annually
D) Annually
Rationale: The comprehensive care plan must be reviewed and revised at least quarterly
(every 3 months), or more frequently if the resident's condition changes significantly. This
ensures the plan remains current and addresses the resident's changing needs.
4. A resident with dementia is wandering into other residents' rooms and
becoming agitated. Which intervention is MOST appropriate?
A) Place the resident in physical restraints
B) Provide a supervised wandering area with structured activities
C) Confront the resident about the behavior
D) Place the resident in a locked room
Rationale: The least restrictive approach is preferred. Providing a supervised wandering
area with structured activities addresses the resident's need for mobility while ensuring
safety. Restraints should be avoided as they can increase agitation and cause injury.
5. A resident has a stage 3 pressure ulcer on the sacrum. Which of the following
interventions is MOST appropriate?
A) Apply a dry gauze dressing only
B) Implement a repositioning schedule and use a pressure-redistributing support
surface
C) Place the resident in a prone position
D) Massage the area surrounding the ulcer
Rationale: Stage 3 pressure ulcers require pressure redistribution (specialty mattress,
repositioning every 2 hours), moisture management, and appropriate wound dressings.
Massage is contraindicated as it can damage tissue.
,6. A resident with type 2 diabetes has a blood glucose of 45 mg/dL. Which of the
following is the MOST appropriate initial intervention?
A) Administer insulin immediately
B) Provide 15 grams of fast-acting carbohydrate (glucose tablets, orange juice) and
recheck in 15 minutes
C) Provide a full meal
D) Place the resident in a supine position
Rationale: Hypoglycemia (blood glucose < 70 mg/dL) is treated with 15 grams of fast-
acting carbohydrate. The rule of 15 is followed: give 15 grams of carbs, wait 15 minutes,
and recheck blood glucose. Insulin would worsen the hypoglycemia.
7. A resident is experiencing acute confusion and restlessness. Which of the
following should the nurse do FIRST?
A) Administer a sedative medication
B) Assess for underlying causes such as infection, pain, dehydration, or medications
C) Apply physical restraints
D) Place the resident in a dark room
Rationale: Acute confusion (delirium) has underlying causes that must be identified and
treated. Common causes include infection (especially UTI), pain, dehydration, medication
side effects, and metabolic imbalances. Treating the underlying cause is the priority.
8. A resident requests to see their medical records. The administrator should:
A) Deny the request
B) Allow the resident to review their records with appropriate supervision
C) Charge the resident a $100 fee
D) Provide only a summary of the records
Rationale: Federal regulations guarantee residents the right to access their medical records
upon request. The facility may require reasonable notice and may charge a reasonable
, copying fee (typically per page). Supervision may be provided to ensure the resident
understands the records.
9. A resident is receiving hospice care. Which of the following is the PRIMARY
focus of hospice services?
A) Curative treatment for the underlying disease
B) Palliative care and comfort measures
C) Rehabilitation and physical therapy
D) Diagnostic testing and monitoring
Rationale: Hospice focuses on palliative care and comfort for residents with a life
expectancy of 6 months or less. The goal is to manage symptoms, provide comfort, and
support the resident and family emotionally and spiritually.
10. A resident with a colostomy reports that the pouch is leaking frequently.
Which nursing intervention is MOST appropriate?
A) Tell the resident to change the pouch less often
B) Assess the stoma size and pouching system, and measure for a proper fit
C) Apply tape over the leaking area
D) Advise the resident to eat less
Rationale: Frequent leakage often indicates an improper fit. The stoma size should be
measured, and the pouching system should be evaluated for correct sizing and
application. The opening should be cut to fit the stoma exactly (1/8 inch larger).
11. Which of the following is a sign of inadequate hydration in an elderly resident?
A) Concentrated, dark urine and poor skin turgor
B) Bounding pulse and edema
C) Weight gain and hypertension
D) Clear, dilute urine
