Comprehensive NAB Nursing Home
Administrator Exam Review 2026/2027
latest test exam
What is the total number of questions in the NAB Core exam? - correct answer -100 questions
How many questions are in the Care, Services, and Supports domain? - correct answer -39 questions
What is the proper procedure for correcting charting errors? - correct answer -Mark through the error,
correct it, date, and initial by the person who made the error.
What is the time frame for completing a discharge summary? - correct answer -Must be completed
within 90 days after discharge.
What are the security requirements for medical records? - correct answer -Proper storage, limited
access procedures, and confidentiality must be maintained.
What is the retention requirement for medical records according to CMS? - correct answer -Five years
unless state law specifies otherwise.
What types of specialists may be involved in a rehabilitation program? - correct answer -Physical
therapists, occupational therapists, speech/language pathologists, and mental health specialists.
What is the goal of a rehabilitation program in nursing homes? - correct answer -To help each person
live at their fullest potential, such as walking again or feeding themselves.
What must be done before implementing a rehabilitation program? - correct answer -Assess the
resident's needs, set goals, and select treatment modalities.
,What is the role of the activity director in rehabilitation? - correct answer -Certain resident activities
may be rehabilitative and are carried out by the activity director.
What is required for the accessibility of medical records to residents? - correct answer -Residents must
be able to read their records within 24 hours and receive copies within two working days.
What is the legal liability of medical records? - correct answer -The liability is borne by the physician.
What is required for Business Associate Agreements under HIPAA? - correct answer -Formal
agreements must exist between the facility and any entity that reviews or transmits protected health
information.
What does the HIPAA Breach Notification Rule require? - correct answer -Notification following a
breach of unsecured protected health information.
What must be done with electronically transmitted PHI? - correct answer -It must be encrypted.
What is the primary purpose of resident rights in a facility? - correct answer -To ensure residents have
autonomy and choice over how they wish to live and receive care.
What must a facility do prior to or at admission regarding resident rights? - correct answer -Notify and
document residents of their rights in a language they understand.
What rights do residents have concerning their medical care? - correct answer -Residents have the
right to refuse admission, choose their own physician, and refuse treatment after discussing
alternatives.
What is required of a facility when there is a significant change in a resident's status? - correct answer -
The facility must consult with the resident, consult with the physician, and notify the family within 24
hours.
,What rights do residents have regarding their personal property? - correct answer -Residents have the
right to retain and use personal possessions unless it hinders staff function or threatens health and
safety.
What is the facility's obligation regarding grievances and complaints? - correct answer -Residents are
allowed to voice complaints without discrimination or reprisal, and the facility must promptly
investigate and resolve all complaints.
What is the bed-hold policy before transferring a resident to the hospital? - correct answer -The facility
must explain the duration of stay under state plan and policy on bed-hold periods.
What is required for a resident to manage their financial affairs? - correct answer -Residents have the
right to manage their own financial affairs and can request to deposit funds with the facility in writing.
What must a facility provide regarding access and visitation? - correct answer -Facilities must provide
immediate access to representatives of CMS, the resident's physician, ombudsman, and advocacy
representatives.
What is the policy regarding married couples sharing a room? - correct answer -Married couples may
share a room if both consent, but facilities are not required to provide for unmarried couples.
What is the protocol for transferring or discharging a resident? - correct answer -Residents may refuse
transfer unless their needs cannot be met, health improves, or their stay endangers others.
What must be included in the notice given to residents before a transfer or discharge? - correct answer
-The notice must include the reason, effective date, location to which transferred, right to appeal, and
full information to advocacy agencies.
What is the significance of documenting grievances? - correct answer -Documenting grievances helps
determine frequency and patterns of complaints.
, What is the role of crisis intervention in addressing resident grievances? - correct answer -Crisis
intervention helps maintain emotional equilibrium and allows residents to express feelings before
problem-solving.
What rights do residents have regarding their mail? - correct answer -Residents have the right to
uncensored, unopened mail and access to stationery and stamps.
What must a facility do if a resident's needs cannot be met? - correct answer -The facility must
document the resident's needs and ensure proper communication regarding transfer or discharge.
What is the requirement for resident privacy during care? - correct answer -Residents have the right to
privacy of body during care and treatment, with visual privacy at least by curtains.
What is the facility's responsibility regarding resident funds? - correct answer -Facilities must allow
residents to manage their own funds and provide a written request process for deposits.
What must be done if a resident refuses to perform a useful service? - correct answer -The facility
must document the resident's refusal and ensure it is included in the care plan.
What is the guideline for telephone access in a facility? - correct answer -Residents must have access
to private use of a telephone, with accommodations for hearing impaired and wheelchair-bound
residents.
What is the facility's obligation regarding survey results? - correct answer -Residents are allowed to
examine survey results and plans of care, which must be readily available.
What is the importance of evaluating resident satisfaction? - correct answer -Evaluating resident
satisfaction helps improve the quality of care and life within the facility.
What should be done if a resident expresses a desire to go home? - correct answer -Facilities should
document the reasons for complaints and address the feelings of residents and family members
regarding placement.
Administrator Exam Review 2026/2027
latest test exam
What is the total number of questions in the NAB Core exam? - correct answer -100 questions
How many questions are in the Care, Services, and Supports domain? - correct answer -39 questions
What is the proper procedure for correcting charting errors? - correct answer -Mark through the error,
correct it, date, and initial by the person who made the error.
What is the time frame for completing a discharge summary? - correct answer -Must be completed
within 90 days after discharge.
What are the security requirements for medical records? - correct answer -Proper storage, limited
access procedures, and confidentiality must be maintained.
What is the retention requirement for medical records according to CMS? - correct answer -Five years
unless state law specifies otherwise.
What types of specialists may be involved in a rehabilitation program? - correct answer -Physical
therapists, occupational therapists, speech/language pathologists, and mental health specialists.
What is the goal of a rehabilitation program in nursing homes? - correct answer -To help each person
live at their fullest potential, such as walking again or feeding themselves.
What must be done before implementing a rehabilitation program? - correct answer -Assess the
resident's needs, set goals, and select treatment modalities.
,What is the role of the activity director in rehabilitation? - correct answer -Certain resident activities
may be rehabilitative and are carried out by the activity director.
What is required for the accessibility of medical records to residents? - correct answer -Residents must
be able to read their records within 24 hours and receive copies within two working days.
What is the legal liability of medical records? - correct answer -The liability is borne by the physician.
What is required for Business Associate Agreements under HIPAA? - correct answer -Formal
agreements must exist between the facility and any entity that reviews or transmits protected health
information.
What does the HIPAA Breach Notification Rule require? - correct answer -Notification following a
breach of unsecured protected health information.
What must be done with electronically transmitted PHI? - correct answer -It must be encrypted.
What is the primary purpose of resident rights in a facility? - correct answer -To ensure residents have
autonomy and choice over how they wish to live and receive care.
What must a facility do prior to or at admission regarding resident rights? - correct answer -Notify and
document residents of their rights in a language they understand.
What rights do residents have concerning their medical care? - correct answer -Residents have the
right to refuse admission, choose their own physician, and refuse treatment after discussing
alternatives.
What is required of a facility when there is a significant change in a resident's status? - correct answer -
The facility must consult with the resident, consult with the physician, and notify the family within 24
hours.
,What rights do residents have regarding their personal property? - correct answer -Residents have the
right to retain and use personal possessions unless it hinders staff function or threatens health and
safety.
What is the facility's obligation regarding grievances and complaints? - correct answer -Residents are
allowed to voice complaints without discrimination or reprisal, and the facility must promptly
investigate and resolve all complaints.
What is the bed-hold policy before transferring a resident to the hospital? - correct answer -The facility
must explain the duration of stay under state plan and policy on bed-hold periods.
What is required for a resident to manage their financial affairs? - correct answer -Residents have the
right to manage their own financial affairs and can request to deposit funds with the facility in writing.
What must a facility provide regarding access and visitation? - correct answer -Facilities must provide
immediate access to representatives of CMS, the resident's physician, ombudsman, and advocacy
representatives.
What is the policy regarding married couples sharing a room? - correct answer -Married couples may
share a room if both consent, but facilities are not required to provide for unmarried couples.
What is the protocol for transferring or discharging a resident? - correct answer -Residents may refuse
transfer unless their needs cannot be met, health improves, or their stay endangers others.
What must be included in the notice given to residents before a transfer or discharge? - correct answer
-The notice must include the reason, effective date, location to which transferred, right to appeal, and
full information to advocacy agencies.
What is the significance of documenting grievances? - correct answer -Documenting grievances helps
determine frequency and patterns of complaints.
, What is the role of crisis intervention in addressing resident grievances? - correct answer -Crisis
intervention helps maintain emotional equilibrium and allows residents to express feelings before
problem-solving.
What rights do residents have regarding their mail? - correct answer -Residents have the right to
uncensored, unopened mail and access to stationery and stamps.
What must a facility do if a resident's needs cannot be met? - correct answer -The facility must
document the resident's needs and ensure proper communication regarding transfer or discharge.
What is the requirement for resident privacy during care? - correct answer -Residents have the right to
privacy of body during care and treatment, with visual privacy at least by curtains.
What is the facility's responsibility regarding resident funds? - correct answer -Facilities must allow
residents to manage their own funds and provide a written request process for deposits.
What must be done if a resident refuses to perform a useful service? - correct answer -The facility
must document the resident's refusal and ensure it is included in the care plan.
What is the guideline for telephone access in a facility? - correct answer -Residents must have access
to private use of a telephone, with accommodations for hearing impaired and wheelchair-bound
residents.
What is the facility's obligation regarding survey results? - correct answer -Residents are allowed to
examine survey results and plans of care, which must be readily available.
What is the importance of evaluating resident satisfaction? - correct answer -Evaluating resident
satisfaction helps improve the quality of care and life within the facility.
What should be done if a resident expresses a desire to go home? - correct answer -Facilities should
document the reasons for complaints and address the feelings of residents and family members
regarding placement.
