NAB NHA/CORE EXAM QUESTIONS AND
CORRECT ANSWERS WITH COMPLETE
SOLUTIONS | NEW 2026 UPDATE | GRADED A+
Question 1: In the case of non-Medicare Part A residents, the initial resident
assessment must be completed:
1. Within 10 days of admission
2. Within 14 days of admission
3. Within the first week of admission
4. Prior to formally admitting the resident
• Answer: 2. Within 14 days of admission
Question 2: According to the federal certification standards, the QA committee is
required to meet?
• Answer: Quarterly
Question 3: A resident is admitted to a nursing home that has been certified as a SNF
only. What is not required to be adhered to by the facility?
• Answer: State Medicaid standards for payment
Question 4: Unless a waiver has been secured, a registered nurse is required to be in
the facility?
• Answer: At least 8 consecutive hours, 7 days a week
Question 5: Restorative care must be provided by:
• Answer: Nursing staff based on a comprehensive assessment
Question 6: The facility will determine what the needs of the resident are based on:
• Answer: The MDS assessments
Question 7: Physician visits are required:
• Answer: Every 60 days after the initial required visits
,Question 8: Which one below is an exception to when a facility may release resident
identifiable information under the HIPAA Privacy Standard without the resident's
permission?
1. For research conducted by CMS
2. When any immediate family member requests it
3. To consumer groups
4. When a resident is transferred to another health care institution
• Answer: 4. When a resident is transferred to another health care institution
Question 9: Standard precautions are to be used when providing personal care to:
• Answer: ALL residents
Question 10: All of the following are barriers regarding the recognition of chronic pain
except for:
1. Staff who are using valid tools to screen for pain
2. Elderly who may show verbal or non-verbal symptoms
3. Cognitive impairment and communication barriers hinder a resident's ability to
report pain
4. Staff may not have knowledge or be skilled in assessing pain
• Answer: 1. Staff who are utilizing valid tools to screen for pain
Question 11: Facilities are expected to provide a pleasant dining experience for all
residents. This includes all except:
1. Providing a well-lit, well-ventilated dining room
2. Providing adequate space and seating accommodations
3. Maintaining a level of dignity when serving all residents
4. Serving residents without attempting to honor food preferences
• Answer: 4. Serving residents without attempting to honor food preferences
Which of the following is not a correct policy for dietary services?
1. Receiving of food for facility use must be from approved sources
2. Storage of food brought in by staff must be store separately from facility food
3. Facilities are required to provide a therapeutic diet, prescribed by the dietary
consultant, when a nutrition problem exists
,4. A specific food temperature level is required at the time of serving -
ANSWERS 3. Facilities are required to provide a therapeutic diet, prescribed by
the dietary consultant, when a nutrition problem exists
One specified reason for a "significant change" comprehensive reassessment is an
unplanned weight loss of either ___% over 30 days or ___ over 180 days?
1. 5%, 7%
2. 7% 10%
3. 5%, 10%
4. 10%, 29% - ANSWERS 3. 5%, 10%
Which one of the following statements is true for the medical director?
1. May also service as an attending physician
2. Must be a member of the facility's QA committee
3. Must be seen by the resident at least every 30 days after the initial required
visits
4. Must personally approve each order for each resident to the admitted to the
facility - ANSWERS 1. May also service as an attending physicia
Which of the following is true regarding a facility providing medically related social
services to the facility?
1. A facility must have a full-time qualified social worker on staff for each work
shift except weekends
, 2. A facilities social worker must have a BA degree in social work and one year of
supervised experience in a health care setting
3. A facility must have one social worker for each 75 residents
4. A facilities qualified social worker's bachelor degree can be in a human services
field or in another degree with one year of supervised social work experience in a
health care setting working with individuals - ANSWERS 4. A facilities qualified
social worker's bachelor degree can be in a human services field or in another
degree with one year of supervised social work experience in a health care setting
working with individuals
Nurse aids must have a minimum of----hours in-service training annually? -
ANSWERS 12
Which of the following statements is true?
1. Any employee may serve as a feeding assistant when the need desires
2. A family member must complete a state-approved course for feeding assistants
before feeding their family member
3. Paid feeding assistants must successfully complete a state-approved training
course
4. A family member is not allowed to feed their relative - ANSWERS 3. Paid
feeding assistants must successfully complete a state-approved training course
Which changes in the dietary department would most closely reflect the principles
behind culture change?
1. Providing set meal service times with little flexibility to maintain a daily routing
for the residents
CORRECT ANSWERS WITH COMPLETE
SOLUTIONS | NEW 2026 UPDATE | GRADED A+
Question 1: In the case of non-Medicare Part A residents, the initial resident
assessment must be completed:
1. Within 10 days of admission
2. Within 14 days of admission
3. Within the first week of admission
4. Prior to formally admitting the resident
• Answer: 2. Within 14 days of admission
Question 2: According to the federal certification standards, the QA committee is
required to meet?
• Answer: Quarterly
Question 3: A resident is admitted to a nursing home that has been certified as a SNF
only. What is not required to be adhered to by the facility?
• Answer: State Medicaid standards for payment
Question 4: Unless a waiver has been secured, a registered nurse is required to be in
the facility?
• Answer: At least 8 consecutive hours, 7 days a week
Question 5: Restorative care must be provided by:
• Answer: Nursing staff based on a comprehensive assessment
Question 6: The facility will determine what the needs of the resident are based on:
• Answer: The MDS assessments
Question 7: Physician visits are required:
• Answer: Every 60 days after the initial required visits
,Question 8: Which one below is an exception to when a facility may release resident
identifiable information under the HIPAA Privacy Standard without the resident's
permission?
1. For research conducted by CMS
2. When any immediate family member requests it
3. To consumer groups
4. When a resident is transferred to another health care institution
• Answer: 4. When a resident is transferred to another health care institution
Question 9: Standard precautions are to be used when providing personal care to:
• Answer: ALL residents
Question 10: All of the following are barriers regarding the recognition of chronic pain
except for:
1. Staff who are using valid tools to screen for pain
2. Elderly who may show verbal or non-verbal symptoms
3. Cognitive impairment and communication barriers hinder a resident's ability to
report pain
4. Staff may not have knowledge or be skilled in assessing pain
• Answer: 1. Staff who are utilizing valid tools to screen for pain
Question 11: Facilities are expected to provide a pleasant dining experience for all
residents. This includes all except:
1. Providing a well-lit, well-ventilated dining room
2. Providing adequate space and seating accommodations
3. Maintaining a level of dignity when serving all residents
4. Serving residents without attempting to honor food preferences
• Answer: 4. Serving residents without attempting to honor food preferences
Which of the following is not a correct policy for dietary services?
1. Receiving of food for facility use must be from approved sources
2. Storage of food brought in by staff must be store separately from facility food
3. Facilities are required to provide a therapeutic diet, prescribed by the dietary
consultant, when a nutrition problem exists
,4. A specific food temperature level is required at the time of serving -
ANSWERS 3. Facilities are required to provide a therapeutic diet, prescribed by
the dietary consultant, when a nutrition problem exists
One specified reason for a "significant change" comprehensive reassessment is an
unplanned weight loss of either ___% over 30 days or ___ over 180 days?
1. 5%, 7%
2. 7% 10%
3. 5%, 10%
4. 10%, 29% - ANSWERS 3. 5%, 10%
Which one of the following statements is true for the medical director?
1. May also service as an attending physician
2. Must be a member of the facility's QA committee
3. Must be seen by the resident at least every 30 days after the initial required
visits
4. Must personally approve each order for each resident to the admitted to the
facility - ANSWERS 1. May also service as an attending physicia
Which of the following is true regarding a facility providing medically related social
services to the facility?
1. A facility must have a full-time qualified social worker on staff for each work
shift except weekends
, 2. A facilities social worker must have a BA degree in social work and one year of
supervised experience in a health care setting
3. A facility must have one social worker for each 75 residents
4. A facilities qualified social worker's bachelor degree can be in a human services
field or in another degree with one year of supervised social work experience in a
health care setting working with individuals - ANSWERS 4. A facilities qualified
social worker's bachelor degree can be in a human services field or in another
degree with one year of supervised social work experience in a health care setting
working with individuals
Nurse aids must have a minimum of----hours in-service training annually? -
ANSWERS 12
Which of the following statements is true?
1. Any employee may serve as a feeding assistant when the need desires
2. A family member must complete a state-approved course for feeding assistants
before feeding their family member
3. Paid feeding assistants must successfully complete a state-approved training
course
4. A family member is not allowed to feed their relative - ANSWERS 3. Paid
feeding assistants must successfully complete a state-approved training course
Which changes in the dietary department would most closely reflect the principles
behind culture change?
1. Providing set meal service times with little flexibility to maintain a daily routing
for the residents
