NAB NHA EXAM PREP BY STAN MUCINIC (PDF) | 2026 EXAM
QUESTIONS AND ANSWERS + RATIONALES | STUDY GUIDE |
100% CORRECT
1. Under the Omnibus Budget Reconciliation Act of 1987 (OBRA), a comprehensive care
plan for a newly admitted resident must be developed within how many days of
admission?
A) 7 days
B) 14 days
C) 21 days
D) 48 hours
Correct Answer: A) 7 days
Rationale: OBRA 1987 requires that a comprehensive care plan be developed within 7 days of
admission . A baseline care plan must be initiated within 48 hours, but the full comprehensive
plan is finalized within 7 days after the completion of the Minimum Data Set (MDS) assessment.
2. The Life Safety Code (LSC) is established by which organization and enforced by CMS?
A) OSHA
B) NFPA
C) EPA
D) CDC
Correct Answer: B) NFPA
Rationale: The National Fire Protection Association (NFPA) establishes the Life Safety Code .
CMS requires compliance with the LSC unless a waiver or exception is granted. The code is
designed to provide a reasonable degree of safety from fire in healthcare facilities.
3. A nursing home administrator is reviewing the facility's financial statements. Which
document shows the facility's financial position at a specific point in time?
A) Income statement
B) Cash flow statement
C) Balance sheet
D) Operating budget
Correct Answer: C) Balance sheet
Rationale: The balance sheet provides a snapshot of the facility's financial position at a specific
point in time, listing assets, liabilities, and equity . The income statement shows performance
over a period, and the cash flow statement tracks cash movements.
4. Which of the following best describes the purpose of the MDS (Minimum Data Set)
assessment?
A) To determine Medicaid eligibility
B) To evaluate resident functional status and develop care plans
, C) To calculate Medicare reimbursement only
D) To assess staff competency
Correct Answer: B) To evaluate resident functional status and develop care plans
Rationale: The MDS is a comprehensive assessment tool used to evaluate resident functional
status, identify care needs, and develop individualized care plans . It is also used for quality
measures and Medicare reimbursement, but its primary purpose is care planning.
5. A resident has the right to manage their own financial affairs unless:
A) They have a diagnosis of dementia
B) The facility determines they are incapable
C) A court has adjudicated them incompetent
D) They are over 85 years old
Correct Answer: C) A court has adjudicated them incompetent
Rationale: Residents retain the right to manage their own finances unless a court has adjudicated
them incompetent . This is a fundamental resident right under OBRA regulations. The facility
cannot make this determination independently.
6. A nursing home administrator is calculating the facility's occupancy rate. The facility has
120 licensed beds and currently has 108 residents. What is the occupancy percentage?
A) 90%
B) 85%
C) 95%
D) 80%
Correct Answer: A) 90%
Rationale: Occupancy rate is calculated by dividing the number of occupied beds by the total
licensed beds and multiplying by 100 . 108 ÷ 120 × 100 = 90%. This is a key financial metric for
nursing home administrators.
7. Which regulation requires that nursing homes provide care in a manner that maintains or
improves each resident's quality of life?
A) OSHA
B) OBRA 1987
C) HIPAA
D) ADA
Correct Answer: B) OBRA 1987
Rationale: OBRA 1987 established the requirement that nursing homes provide care that
maintains or improves each resident's quality of life . This includes dignity, respect, and the right
to participate in activities and decisions about their care.
8. A surveyor is conducting a Life Safety Code inspection. Which document should the
administrator have available for review?
, A) As-built blueprints
B) Employee personnel files
C) Resident care plans
D) Budget reports
Correct Answer: A) As-built blueprints
Rationale: As-built blueprints must be kept available for surveyors during Life Safety Code
inspections . These plans show the actual construction of the facility and are essential for
verifying compliance with fire safety and building standards.
9. The administrator is reviewing staffing patterns. Which position is required to be
available 24 hours a day in a skilled nursing facility?
A) Medical director
B) Registered nurse
C) Dietary manager
D) Social worker
Correct Answer: B) Registered nurse
Rationale: A Registered Nurse (RN) must be available 24 hours a day in a skilled nursing facility
to provide nursing supervision and care . The RN is responsible for overseeing the nursing staff
and ensuring residents receive appropriate care.
10. What is the primary purpose of the Quality Assurance and Performance Improvement
(QAPI) program?
A) To reduce staff turnover
B) To identify and correct quality issues
C) To increase occupancy rates
D) To maximize Medicare reimbursement
Correct Answer: B) To identify and correct quality issues
Rationale: QAPI programs are required in nursing homes to identify and correct quality issues
through data-driven performance improvement . The focus is on continuous quality improvement
across all aspects of resident care and facility operations.
11. A resident's family member requests to see the resident's medical record. Under HIPAA,
the facility must:
A) Deny the request unless the resident is present
B) Provide access within 30 days of the request
C) Provide access within 15 days of the request
D) Only provide access with a court order
Correct Answer: B) Provide access within 30 days of the request
QUESTIONS AND ANSWERS + RATIONALES | STUDY GUIDE |
100% CORRECT
1. Under the Omnibus Budget Reconciliation Act of 1987 (OBRA), a comprehensive care
plan for a newly admitted resident must be developed within how many days of
admission?
A) 7 days
B) 14 days
C) 21 days
D) 48 hours
Correct Answer: A) 7 days
Rationale: OBRA 1987 requires that a comprehensive care plan be developed within 7 days of
admission . A baseline care plan must be initiated within 48 hours, but the full comprehensive
plan is finalized within 7 days after the completion of the Minimum Data Set (MDS) assessment.
2. The Life Safety Code (LSC) is established by which organization and enforced by CMS?
A) OSHA
B) NFPA
C) EPA
D) CDC
Correct Answer: B) NFPA
Rationale: The National Fire Protection Association (NFPA) establishes the Life Safety Code .
CMS requires compliance with the LSC unless a waiver or exception is granted. The code is
designed to provide a reasonable degree of safety from fire in healthcare facilities.
3. A nursing home administrator is reviewing the facility's financial statements. Which
document shows the facility's financial position at a specific point in time?
A) Income statement
B) Cash flow statement
C) Balance sheet
D) Operating budget
Correct Answer: C) Balance sheet
Rationale: The balance sheet provides a snapshot of the facility's financial position at a specific
point in time, listing assets, liabilities, and equity . The income statement shows performance
over a period, and the cash flow statement tracks cash movements.
4. Which of the following best describes the purpose of the MDS (Minimum Data Set)
assessment?
A) To determine Medicaid eligibility
B) To evaluate resident functional status and develop care plans
, C) To calculate Medicare reimbursement only
D) To assess staff competency
Correct Answer: B) To evaluate resident functional status and develop care plans
Rationale: The MDS is a comprehensive assessment tool used to evaluate resident functional
status, identify care needs, and develop individualized care plans . It is also used for quality
measures and Medicare reimbursement, but its primary purpose is care planning.
5. A resident has the right to manage their own financial affairs unless:
A) They have a diagnosis of dementia
B) The facility determines they are incapable
C) A court has adjudicated them incompetent
D) They are over 85 years old
Correct Answer: C) A court has adjudicated them incompetent
Rationale: Residents retain the right to manage their own finances unless a court has adjudicated
them incompetent . This is a fundamental resident right under OBRA regulations. The facility
cannot make this determination independently.
6. A nursing home administrator is calculating the facility's occupancy rate. The facility has
120 licensed beds and currently has 108 residents. What is the occupancy percentage?
A) 90%
B) 85%
C) 95%
D) 80%
Correct Answer: A) 90%
Rationale: Occupancy rate is calculated by dividing the number of occupied beds by the total
licensed beds and multiplying by 100 . 108 ÷ 120 × 100 = 90%. This is a key financial metric for
nursing home administrators.
7. Which regulation requires that nursing homes provide care in a manner that maintains or
improves each resident's quality of life?
A) OSHA
B) OBRA 1987
C) HIPAA
D) ADA
Correct Answer: B) OBRA 1987
Rationale: OBRA 1987 established the requirement that nursing homes provide care that
maintains or improves each resident's quality of life . This includes dignity, respect, and the right
to participate in activities and decisions about their care.
8. A surveyor is conducting a Life Safety Code inspection. Which document should the
administrator have available for review?
, A) As-built blueprints
B) Employee personnel files
C) Resident care plans
D) Budget reports
Correct Answer: A) As-built blueprints
Rationale: As-built blueprints must be kept available for surveyors during Life Safety Code
inspections . These plans show the actual construction of the facility and are essential for
verifying compliance with fire safety and building standards.
9. The administrator is reviewing staffing patterns. Which position is required to be
available 24 hours a day in a skilled nursing facility?
A) Medical director
B) Registered nurse
C) Dietary manager
D) Social worker
Correct Answer: B) Registered nurse
Rationale: A Registered Nurse (RN) must be available 24 hours a day in a skilled nursing facility
to provide nursing supervision and care . The RN is responsible for overseeing the nursing staff
and ensuring residents receive appropriate care.
10. What is the primary purpose of the Quality Assurance and Performance Improvement
(QAPI) program?
A) To reduce staff turnover
B) To identify and correct quality issues
C) To increase occupancy rates
D) To maximize Medicare reimbursement
Correct Answer: B) To identify and correct quality issues
Rationale: QAPI programs are required in nursing homes to identify and correct quality issues
through data-driven performance improvement . The focus is on continuous quality improvement
across all aspects of resident care and facility operations.
11. A resident's family member requests to see the resident's medical record. Under HIPAA,
the facility must:
A) Deny the request unless the resident is present
B) Provide access within 30 days of the request
C) Provide access within 15 days of the request
D) Only provide access with a court order
Correct Answer: B) Provide access within 30 days of the request
