National Association of Long-Term Care Administrator Boards (NAB)
CORE Practice Examination II With Correct Answers Version
2026/2027
1. What specific component of the Medicare program provides primary reimbursement for a
resident’s short-term, skilled rehabilitative care following a qualifying three-day hospital
stay?
Correct Answer: Medicare Part A
2. Which structural accounting category represents the physical property, buildings, and heavy
clinical equipment owned by a long-term care facility that are not intended for sale?
Correct Answer: Fixed assets
3. Under Title VII of the Civil Rights Act, what explicit legal standard applies when an employer's
facially neutral policy or hiring test unintentionally excludes a protected class?
Correct Answer: Disparate impact
4. What specific neurological symptom involves a resident displaying an inability to articulate
words or speak clearly despite knowing exactly what they want to say?
Correct Answer: Expressive aphasia
5. What specific operational calculation is derived by dividing a facility's total inpatient service
days by the total number of available beds within a given calendar year?
Correct Answer: Occupancy percentage
6. According to the National Fire Protection Association (NFPA) 101 Life Safety Code, what is the
maximum standard length allowed for an extension cord or temporary power strip used in a
resident care room?
Correct Answer: Zero feet (Extension cords are prohibited for permanent use)
7. What age-related auditory pathology involves the progressive, symmetrical loss of high-
frequency hearing due to inner ear hair cell degeneration?
Correct Answer: Presbycusis
8. In labor relations, what explicit term describes an impasse resolution mechanism where a
neutral third party listens to both sides, makes recommendations, but lacks the power to
enforce a binding decision?
Correct Answer: Mediation
9. According to the Life Safety Code, what is the minimum required clear width for all exit
corridors in a newly constructed healthcare occupancy facility?
Correct Answer: 8 feet
10. What specific statutory provision allows a long-term care employee to access their own
formal personnel files and review supervisor performance evaluations under state or federal
guidelines?
Correct Answer: Right to privacy and inspection laws
11. Under the Portal-to-Portal Act, an employer is generally not required to pay non-exempt staff
for which routine daily activity unless specified by a contract?
Correct Answer: Standard home-to-work commuting time
, 12. What primary financial tracking metric measures a facility's immediate ability to meet its
absolute shortest-term liabilities using only cash and cash equivalents?
Correct Answer: Acid-test ratio (Quick ratio)
13. Which interdisciplinary team member possesses the legal and clinical accountability to verify
that a resident's psychoactive medication dosage matches explicit diagnostic indicators?
Correct Answer: Attending Physician
14. What management philosophy focuses on empowering self-directed work teams, eliminating
cross-departmental silos, and continuously improving resident care delivery outcomes?
Correct Answer: Total Quality Management (TQM)
15. What specific type of physical contracture involves a permanent flexion of the fingers toward
the palm, frequently seen in residents with severe neurological decline?
Correct Answer: Dupuytren's contracture
16. What primary accounting term defines the absolute dollar value of all goods and services
sold or rendered by a facility, before any operational deductions or expenses are subtracted?
Correct Answer: Gross revenue
17. Within how many calendar days must an employer formally record a serious, work-related
sharp or needlestick injury on the OSHA Form 300 log?
Correct Answer: 7 calendar days
18. What explicit legal protection prevents an employer from retaliating against a long-term care
staff member who formally reports systemic healthcare fraud to a federal agency?
Correct Answer: Whistleblower protection provisions
19. To eliminate the risk of growing waterborne pathogens, a facility's master water storage
tanks must maintain hot water at what minimum internal temperature before it enters the
mixing valves?
Correct Answer: 140°F
20. What specific F-tag regulatory category is cited by surveyors if a facility completely fails to
maintain a clean, comfortable, and homelike physical environment for its residents?
Correct Answer: Physical Environment standards (F-584)
21. What specific professional credential must be held by the individual who directs the
complete nutritional and dietary services department within a Medicare-certified facility?
Correct Answer: Registered Dietitian (RD)
22. What specific human resource methodology involves analyzing the essential tasks, physical
demands, and cognitive requirements of a position to establish hiring criteria?
Correct Answer: Job analysis
23. What specific financial accounting tool logs every single daily business transaction in exact
chronological order before the data is transferred to the general ledger?
Correct Answer: Journal
24. What specific type of advanced legal directive outlines an individual's explicit refusal of
mechanical ventilation or artificial nutrition if they enter a persistent vegetative state?
Correct Answer: Living will
CORE Practice Examination II With Correct Answers Version
2026/2027
1. What specific component of the Medicare program provides primary reimbursement for a
resident’s short-term, skilled rehabilitative care following a qualifying three-day hospital
stay?
Correct Answer: Medicare Part A
2. Which structural accounting category represents the physical property, buildings, and heavy
clinical equipment owned by a long-term care facility that are not intended for sale?
Correct Answer: Fixed assets
3. Under Title VII of the Civil Rights Act, what explicit legal standard applies when an employer's
facially neutral policy or hiring test unintentionally excludes a protected class?
Correct Answer: Disparate impact
4. What specific neurological symptom involves a resident displaying an inability to articulate
words or speak clearly despite knowing exactly what they want to say?
Correct Answer: Expressive aphasia
5. What specific operational calculation is derived by dividing a facility's total inpatient service
days by the total number of available beds within a given calendar year?
Correct Answer: Occupancy percentage
6. According to the National Fire Protection Association (NFPA) 101 Life Safety Code, what is the
maximum standard length allowed for an extension cord or temporary power strip used in a
resident care room?
Correct Answer: Zero feet (Extension cords are prohibited for permanent use)
7. What age-related auditory pathology involves the progressive, symmetrical loss of high-
frequency hearing due to inner ear hair cell degeneration?
Correct Answer: Presbycusis
8. In labor relations, what explicit term describes an impasse resolution mechanism where a
neutral third party listens to both sides, makes recommendations, but lacks the power to
enforce a binding decision?
Correct Answer: Mediation
9. According to the Life Safety Code, what is the minimum required clear width for all exit
corridors in a newly constructed healthcare occupancy facility?
Correct Answer: 8 feet
10. What specific statutory provision allows a long-term care employee to access their own
formal personnel files and review supervisor performance evaluations under state or federal
guidelines?
Correct Answer: Right to privacy and inspection laws
11. Under the Portal-to-Portal Act, an employer is generally not required to pay non-exempt staff
for which routine daily activity unless specified by a contract?
Correct Answer: Standard home-to-work commuting time
, 12. What primary financial tracking metric measures a facility's immediate ability to meet its
absolute shortest-term liabilities using only cash and cash equivalents?
Correct Answer: Acid-test ratio (Quick ratio)
13. Which interdisciplinary team member possesses the legal and clinical accountability to verify
that a resident's psychoactive medication dosage matches explicit diagnostic indicators?
Correct Answer: Attending Physician
14. What management philosophy focuses on empowering self-directed work teams, eliminating
cross-departmental silos, and continuously improving resident care delivery outcomes?
Correct Answer: Total Quality Management (TQM)
15. What specific type of physical contracture involves a permanent flexion of the fingers toward
the palm, frequently seen in residents with severe neurological decline?
Correct Answer: Dupuytren's contracture
16. What primary accounting term defines the absolute dollar value of all goods and services
sold or rendered by a facility, before any operational deductions or expenses are subtracted?
Correct Answer: Gross revenue
17. Within how many calendar days must an employer formally record a serious, work-related
sharp or needlestick injury on the OSHA Form 300 log?
Correct Answer: 7 calendar days
18. What explicit legal protection prevents an employer from retaliating against a long-term care
staff member who formally reports systemic healthcare fraud to a federal agency?
Correct Answer: Whistleblower protection provisions
19. To eliminate the risk of growing waterborne pathogens, a facility's master water storage
tanks must maintain hot water at what minimum internal temperature before it enters the
mixing valves?
Correct Answer: 140°F
20. What specific F-tag regulatory category is cited by surveyors if a facility completely fails to
maintain a clean, comfortable, and homelike physical environment for its residents?
Correct Answer: Physical Environment standards (F-584)
21. What specific professional credential must be held by the individual who directs the
complete nutritional and dietary services department within a Medicare-certified facility?
Correct Answer: Registered Dietitian (RD)
22. What specific human resource methodology involves analyzing the essential tasks, physical
demands, and cognitive requirements of a position to establish hiring criteria?
Correct Answer: Job analysis
23. What specific financial accounting tool logs every single daily business transaction in exact
chronological order before the data is transferred to the general ledger?
Correct Answer: Journal
24. What specific type of advanced legal directive outlines an individual's explicit refusal of
mechanical ventilation or artificial nutrition if they enter a persistent vegetative state?
Correct Answer: Living will
