Comprehensive NAB Nursing Home
Administrator Exam Review 2026/2027
latest test exam
Overview
This exam review covers the key principles of long-term care in nursing facilities, including
resident assessment and care planning processes, regulatory requirements, and staff roles.
It emphasizes tools like PASRR, MDS, and Care Area Assessments (CAA) for identifying
resident needs, as well as the responsibilities of the interdisciplinary team in ensuring
accurate evaluations and individualized care. The material also reviews normal and
abnormal aging changes, activities of daily living (ADLs), medication management and
error prevention, infection control practices, and the importance of maintaining resident
safety, quality of care, and compliance with healthcare standards.
What is the purpose of the Preadmission Screening and Resident Review (PASRR)? - correct answer -To
ensure individuals are not inappropriately placed in nursing homes for long-term care.
What is the role of the administrator in nursing services? - correct answer -To ensure staff have the
newest geriatric knowledge and a suitable environment.
What is the definition of mental illness (MI) in the context of PASRR? - correct answer -A person with a
serious mental illness who does not have a primary diagnosis of dementia.
What does MDS stand for? - correct answer -Minimum Data Set
What is the purpose of the Care Area Assessments (CAA)? - correct answer -To identify physical and/or
psycho-social problems the resident is suffering from.
What is the significance of the interdisciplinary team in resident assessment? - correct answer -They
conduct assessments and must certify their accuracy.
What is the normal change in the aging process related to physical health? - correct answer -Muscle
loss, changes in skin texture, and problems with balance.
,What are some abnormal changes in the aging process? - correct answer -Parkinson's, Alzheimer's,
strokes, glaucoma, incontinence.
What is a misconception about aging and intellectual functioning? - correct answer -That aged
individuals normally decrease in intellectual functioning and cannot care for themselves.
What does the acronym CNA stand for? - correct answer -Certified Nurse Aide
What does the acronym RN stand for? - correct answer -Registered Nurse
What is the role of the Director of Nursing (DON)? - correct answer -To oversee nursing services and
ensure quality care.
What does the acronym PT stand for? - correct answer -Physical Therapist
What does the acronym OT stand for? - correct answer -Occupational Therapist
What is the definition of intellectual disability (ID)? - correct answer -A person diagnosed as
intellectually disabled.
What is the purpose of admission orders in a nursing facility? - correct answer -To provide immediate
care instructions for each resident upon admission.
What is the role of the Certified Dietary Manager (CDM)? - correct answer -To oversee dietary services
and ensure nutritional needs are met.
What does PRN mean in a medical context? - correct answer -As needed
What is the definition of dementia? - correct answer -A decline in cognitive function that interferes
with daily life.
,What is the purpose of the MDS in nursing facilities? - correct answer -To identify physical and psycho-
social problems of residents.
How long must a facility maintain resident assessments? - correct answer -All assessments completed
within the previous 15 months.
What is the timeline for electronic reporting of MDS data to CMS? - correct answer -Within 14 days
after assessment completion and at least monthly for all assessments conducted.
Who coordinates the assessment process in a nursing facility? - correct answer -The RNAC (Registered
Nurse Assessment Coordinator).
What is the frequency of assessments for long-stay non-skilled residents? - correct answer -No later
than 14 days after admission, after significant change, annually, and quarterly.
What is the required assessment for short-stay Medicare under PDPM? - correct answer -Only one
assessment is required—the five-day assessment.
What constitutes a significant change in a resident's condition? - correct answer -Deterioration in two
or more ADLs, cognitive abilities, or communication that appears permanent.
What is a baseline care plan? - correct answer -A plan developed within 48 hours of admission that
includes instructions for effective and person-centered care.
What is included in a comprehensive plan of care? - correct answer -Measurable objectives and
timetables to meet a resident's medical, nursing, and psychosocial needs.
What are the four key activities of daily living (ADLs) that impact facility quality measures? - correct
answer -Transfer, bed mobility, toileting, and eating.
, What distinguishes acute diseases from chronic diseases? - correct answer -Acute diseases have a
rapid onset and can be cured, while chronic diseases develop over time and can be treated but not
cured.
What are some examples of adverse events in nursing facilities? - correct answer -Falls, medication
errors, spread of disease, pressure ulcers, injuries from abuse or neglect.
What is the primary focus of fall prevention in nursing facilities? - correct answer -To assess risk factors
and implement programs to reduce falls.
What does CMS define as a fall? - correct answer -An episode where a resident lost balance and would
have fallen without staff intervention.
What are the roles of a pharmacist in a nursing facility? - correct answer -Review each drug regimen
monthly and consult on the overall medications program.
What is the significance of an automatic stop order for medications? - correct answer -It requires a
nurse to call the MD before the last dose of a medication not limited by time or number of doses.
What is the definition of a medication error in nursing facilities? - correct answer -An error rate of 5%
or more that causes resident discomfort or jeopardizes health and safety.
What is the formula for calculating the medication error rate? - correct answer -Error Rate = (# of
errors / # of opportunities) x 100.
What is the role of the interdisciplinary team in self-administration of medication? - correct answer -
They decide if a resident can self-administer medication.
What are instrumental activities of daily living (IADLs)? - correct answer -Tasks requiring more physical
and mental abilities, such as shopping, food preparation, and managing finances.
Administrator Exam Review 2026/2027
latest test exam
Overview
This exam review covers the key principles of long-term care in nursing facilities, including
resident assessment and care planning processes, regulatory requirements, and staff roles.
It emphasizes tools like PASRR, MDS, and Care Area Assessments (CAA) for identifying
resident needs, as well as the responsibilities of the interdisciplinary team in ensuring
accurate evaluations and individualized care. The material also reviews normal and
abnormal aging changes, activities of daily living (ADLs), medication management and
error prevention, infection control practices, and the importance of maintaining resident
safety, quality of care, and compliance with healthcare standards.
What is the purpose of the Preadmission Screening and Resident Review (PASRR)? - correct answer -To
ensure individuals are not inappropriately placed in nursing homes for long-term care.
What is the role of the administrator in nursing services? - correct answer -To ensure staff have the
newest geriatric knowledge and a suitable environment.
What is the definition of mental illness (MI) in the context of PASRR? - correct answer -A person with a
serious mental illness who does not have a primary diagnosis of dementia.
What does MDS stand for? - correct answer -Minimum Data Set
What is the purpose of the Care Area Assessments (CAA)? - correct answer -To identify physical and/or
psycho-social problems the resident is suffering from.
What is the significance of the interdisciplinary team in resident assessment? - correct answer -They
conduct assessments and must certify their accuracy.
What is the normal change in the aging process related to physical health? - correct answer -Muscle
loss, changes in skin texture, and problems with balance.
,What are some abnormal changes in the aging process? - correct answer -Parkinson's, Alzheimer's,
strokes, glaucoma, incontinence.
What is a misconception about aging and intellectual functioning? - correct answer -That aged
individuals normally decrease in intellectual functioning and cannot care for themselves.
What does the acronym CNA stand for? - correct answer -Certified Nurse Aide
What does the acronym RN stand for? - correct answer -Registered Nurse
What is the role of the Director of Nursing (DON)? - correct answer -To oversee nursing services and
ensure quality care.
What does the acronym PT stand for? - correct answer -Physical Therapist
What does the acronym OT stand for? - correct answer -Occupational Therapist
What is the definition of intellectual disability (ID)? - correct answer -A person diagnosed as
intellectually disabled.
What is the purpose of admission orders in a nursing facility? - correct answer -To provide immediate
care instructions for each resident upon admission.
What is the role of the Certified Dietary Manager (CDM)? - correct answer -To oversee dietary services
and ensure nutritional needs are met.
What does PRN mean in a medical context? - correct answer -As needed
What is the definition of dementia? - correct answer -A decline in cognitive function that interferes
with daily life.
,What is the purpose of the MDS in nursing facilities? - correct answer -To identify physical and psycho-
social problems of residents.
How long must a facility maintain resident assessments? - correct answer -All assessments completed
within the previous 15 months.
What is the timeline for electronic reporting of MDS data to CMS? - correct answer -Within 14 days
after assessment completion and at least monthly for all assessments conducted.
Who coordinates the assessment process in a nursing facility? - correct answer -The RNAC (Registered
Nurse Assessment Coordinator).
What is the frequency of assessments for long-stay non-skilled residents? - correct answer -No later
than 14 days after admission, after significant change, annually, and quarterly.
What is the required assessment for short-stay Medicare under PDPM? - correct answer -Only one
assessment is required—the five-day assessment.
What constitutes a significant change in a resident's condition? - correct answer -Deterioration in two
or more ADLs, cognitive abilities, or communication that appears permanent.
What is a baseline care plan? - correct answer -A plan developed within 48 hours of admission that
includes instructions for effective and person-centered care.
What is included in a comprehensive plan of care? - correct answer -Measurable objectives and
timetables to meet a resident's medical, nursing, and psychosocial needs.
What are the four key activities of daily living (ADLs) that impact facility quality measures? - correct
answer -Transfer, bed mobility, toileting, and eating.
, What distinguishes acute diseases from chronic diseases? - correct answer -Acute diseases have a
rapid onset and can be cured, while chronic diseases develop over time and can be treated but not
cured.
What are some examples of adverse events in nursing facilities? - correct answer -Falls, medication
errors, spread of disease, pressure ulcers, injuries from abuse or neglect.
What is the primary focus of fall prevention in nursing facilities? - correct answer -To assess risk factors
and implement programs to reduce falls.
What does CMS define as a fall? - correct answer -An episode where a resident lost balance and would
have fallen without staff intervention.
What are the roles of a pharmacist in a nursing facility? - correct answer -Review each drug regimen
monthly and consult on the overall medications program.
What is the significance of an automatic stop order for medications? - correct answer -It requires a
nurse to call the MD before the last dose of a medication not limited by time or number of doses.
What is the definition of a medication error in nursing facilities? - correct answer -An error rate of 5%
or more that causes resident discomfort or jeopardizes health and safety.
What is the formula for calculating the medication error rate? - correct answer -Error Rate = (# of
errors / # of opportunities) x 100.
What is the role of the interdisciplinary team in self-administration of medication? - correct answer -
They decide if a resident can self-administer medication.
What are instrumental activities of daily living (IADLs)? - correct answer -Tasks requiring more physical
and mental abilities, such as shopping, food preparation, and managing finances.
