NAB CORE EXAM 300 ACTUAL QUESTIONS AND
CORRECT ANSWERS WITH RATIONALE LATEST
UPDATE ALREADY GRADED A+ ASSURED PASS
This comprehensive set of 300 unique multiple-choice questions is meticulously
designed to prepare candidates for the NAB Core Exam by covering all essential
domains of nursing home administration. The questions are systematically
organized into sections addressing care and services, operations, environment and
quality, leadership and strategy, human resources, finance, regulatory compliance,
resident rights, medication management, nutrition, infection control, rehabilitation,
end-of-life care, safety, behavioral health, staffing, legal and ethical issues, care
planning, cultural competence, and admission processes. Each question includes a
correct answer with a detailed rationale to reinforce understanding of regulatory
requirements, management principles, and person-centered care. This resource
serves as an invaluable study tool for mastering the complexities of long-term care
administration and achieving success on the NAB Core Examination.
Section 1: Care, Services, and Supports
Question 1: A care recipient has been diagnosed with a terminal disease but wishes
to participate in therapies to prolong life. The healthcare organization should offer
consultation on which of the following services?
A) Physiatrist
B) Oncology
C) Palliative care
D) Hospice care
Correct Answer: C
Rationale: Palliative care is appropriate for individuals with serious illness who
continue to receive curative treatments, focusing on symptom management and
quality of life. Hospice care is specifically for end-of-life when curative treatment
is no longer pursued. Oncology addresses cancer treatment specifically, and
physiatry focuses on physical rehabilitation .
,Question 2: One goal of effective dementia care is to:
A) Protect care recipients from all safety hazards regardless of abilities and needs
B) Treat all care recipients the same to avoid favoritism
C) Provide personalized care based on knowledge of care recipients abilities and
needs
D) Ensure that all decisions are made by a care recipient's family members
Correct Answer: C
Rationale: Person-centered dementia care requires individualized approaches based
on each resident's unique abilities and needs. Treating all residents identically fails
to respect individual differences, and complete restriction of autonomy is contrary
to person-centered care principles .
Question 3: A care recipient who uses a walker to get to the dining room is told by
an employee to leave the walker outside the room. With regard to the Americans
with Disabilities Act of 1990 (ADA), the healthcare organization:
A) Must provide a space in the dining room for wheelchairs and walkers
B) May formulate its own regarding the use of walkers
C) Must discipline the employee for violating the care recipient's rights
D) Should have a caregiver escort the care recipient to the dining room
Correct Answer: A
Rationale: The ADA requires that healthcare facilities provide reasonable
accommodations, including space for mobility devices, to ensure individuals with
disabilities can participate in activities. Mobility aids are necessary for
independence and must be accommodated .
Question 4: A cognitive care recipient, whose spouse is living, does not have an
advance directive or a Do Not Resuscitate (DNR) order. The care recipient's
daughter has financial Power of Attorney, and the son has Healthcare Power of
Attorney. A DNR order can be authorized by the:
A) Care recipient's son
B) Care recipient
C) Care recipient's spouse
D) Physician
Correct Answer: A
Rationale: The son holds Healthcare Power of Attorney, which authorizes him to
make healthcare decisions including DNR authorization. While the care recipient is
,cognitive, the question implies they are unable to make this decision, making the
Healthcare POA the decision-maker .
Question 5: A care recipient in a long-term care healthcare organization disagrees
with management's decision regarding an aspect of care. The care recipient feels
that it could adversely affect the health, safety, welfare, or rights of care recipients.
The individual or group most responsible for acknowledging, investigating, and
resolving the concern is the:
A) Ombudsman
B) Social worker
C) Care recipient council president
D) Governing body
Correct Answer: B
Rationale: The social worker is typically responsible for investigating and
resolving resident concerns regarding care decisions. The ombudsman is an
advocate external to the facility, while the governing body establishes policy rather
than managing individual grievances .
Question 6: A resident incurs a serious injury that may have been caused by a
defect in the wheelchair he was using. After the facility learns about this event,
among the reports that it must make is which one of the following?
A) Immediately to the FDA
B) Within 10 working days to the FDA and to the wheelchair manufacturer
C) Immediate to the wheelchair manufacturer
D) Within 10 working days to the wheelchair manufacturer
Correct Answer: D
Rationale: The facility must report medical device-related injuries to the
manufacturer within 10 working days. Reporting immediately to the FDA is
required only for deaths or serious injuries under specific circumstances, and
manufacturers must be notified to investigate potential defects .
Question 7: A foreign-language-speaking care recipient is admitted to a healthcare
organization. The foreign language spoken by the care recipient is not commonly
spoken in the region where the organization is located. As part of communicating
care recipient rights, the organization should:
A) Have the care recipient write a signed statement verifying that the care recipient
understands care recipient rights
, B) Explain the rights to a representative of the care recipient who can then explain
the rights to the care recipient
C) Use pictures to explain the rights to the care recipient
D) Provide a written translation to the care recipient
Correct Answer: B
Rationale: When a qualified interpreter is unavailable for an uncommon language,
the facility should use a representative who can interpret rights. Written
translations may not exist for uncommon languages, and picture-based
communication may not adequately convey complex legal rights .
Question 8: The national movement known as culture change was created to:
A) Improve quality of life for seniors
B) Enable staff to make decisions for seniors
C) Provide care for seniors based on their diagnosis
D) Provide structured activities for seniors
Correct Answer: A
Rationale: The culture change movement in long-term care was established to
transform institutional models into person-centered environments that improve
quality of life. This represents a shift from medical-model, institution-centered care
to resident-directed, home-like environments .
Question 9: Alternatives to an advance directive include a:
A) Living will, Healthcare Power of Attorney, and Do Not Resuscitate (DNR)
order
B) Durable Power of Attorney, last will and testament, and living trust
C) Right of survivorship, Do Not Resuscitate (DNR) order, and appointment of
executor
D) Living trust, living will, and medical order for life-sustaining treatment
Correct Answer: A
Rationale: Advance directives include living wills (which document treatment
preferences), Healthcare Powers of Attorney (which designate a decision-maker),
and DNR orders (which specify resuscitation preferences). Last wills, living trusts,
and executors are estate planning documents, not healthcare advance directives .
Question 10: A symptom of dehydration is:
A) Difficulty walking
B) Diarrhea
CORRECT ANSWERS WITH RATIONALE LATEST
UPDATE ALREADY GRADED A+ ASSURED PASS
This comprehensive set of 300 unique multiple-choice questions is meticulously
designed to prepare candidates for the NAB Core Exam by covering all essential
domains of nursing home administration. The questions are systematically
organized into sections addressing care and services, operations, environment and
quality, leadership and strategy, human resources, finance, regulatory compliance,
resident rights, medication management, nutrition, infection control, rehabilitation,
end-of-life care, safety, behavioral health, staffing, legal and ethical issues, care
planning, cultural competence, and admission processes. Each question includes a
correct answer with a detailed rationale to reinforce understanding of regulatory
requirements, management principles, and person-centered care. This resource
serves as an invaluable study tool for mastering the complexities of long-term care
administration and achieving success on the NAB Core Examination.
Section 1: Care, Services, and Supports
Question 1: A care recipient has been diagnosed with a terminal disease but wishes
to participate in therapies to prolong life. The healthcare organization should offer
consultation on which of the following services?
A) Physiatrist
B) Oncology
C) Palliative care
D) Hospice care
Correct Answer: C
Rationale: Palliative care is appropriate for individuals with serious illness who
continue to receive curative treatments, focusing on symptom management and
quality of life. Hospice care is specifically for end-of-life when curative treatment
is no longer pursued. Oncology addresses cancer treatment specifically, and
physiatry focuses on physical rehabilitation .
,Question 2: One goal of effective dementia care is to:
A) Protect care recipients from all safety hazards regardless of abilities and needs
B) Treat all care recipients the same to avoid favoritism
C) Provide personalized care based on knowledge of care recipients abilities and
needs
D) Ensure that all decisions are made by a care recipient's family members
Correct Answer: C
Rationale: Person-centered dementia care requires individualized approaches based
on each resident's unique abilities and needs. Treating all residents identically fails
to respect individual differences, and complete restriction of autonomy is contrary
to person-centered care principles .
Question 3: A care recipient who uses a walker to get to the dining room is told by
an employee to leave the walker outside the room. With regard to the Americans
with Disabilities Act of 1990 (ADA), the healthcare organization:
A) Must provide a space in the dining room for wheelchairs and walkers
B) May formulate its own regarding the use of walkers
C) Must discipline the employee for violating the care recipient's rights
D) Should have a caregiver escort the care recipient to the dining room
Correct Answer: A
Rationale: The ADA requires that healthcare facilities provide reasonable
accommodations, including space for mobility devices, to ensure individuals with
disabilities can participate in activities. Mobility aids are necessary for
independence and must be accommodated .
Question 4: A cognitive care recipient, whose spouse is living, does not have an
advance directive or a Do Not Resuscitate (DNR) order. The care recipient's
daughter has financial Power of Attorney, and the son has Healthcare Power of
Attorney. A DNR order can be authorized by the:
A) Care recipient's son
B) Care recipient
C) Care recipient's spouse
D) Physician
Correct Answer: A
Rationale: The son holds Healthcare Power of Attorney, which authorizes him to
make healthcare decisions including DNR authorization. While the care recipient is
,cognitive, the question implies they are unable to make this decision, making the
Healthcare POA the decision-maker .
Question 5: A care recipient in a long-term care healthcare organization disagrees
with management's decision regarding an aspect of care. The care recipient feels
that it could adversely affect the health, safety, welfare, or rights of care recipients.
The individual or group most responsible for acknowledging, investigating, and
resolving the concern is the:
A) Ombudsman
B) Social worker
C) Care recipient council president
D) Governing body
Correct Answer: B
Rationale: The social worker is typically responsible for investigating and
resolving resident concerns regarding care decisions. The ombudsman is an
advocate external to the facility, while the governing body establishes policy rather
than managing individual grievances .
Question 6: A resident incurs a serious injury that may have been caused by a
defect in the wheelchair he was using. After the facility learns about this event,
among the reports that it must make is which one of the following?
A) Immediately to the FDA
B) Within 10 working days to the FDA and to the wheelchair manufacturer
C) Immediate to the wheelchair manufacturer
D) Within 10 working days to the wheelchair manufacturer
Correct Answer: D
Rationale: The facility must report medical device-related injuries to the
manufacturer within 10 working days. Reporting immediately to the FDA is
required only for deaths or serious injuries under specific circumstances, and
manufacturers must be notified to investigate potential defects .
Question 7: A foreign-language-speaking care recipient is admitted to a healthcare
organization. The foreign language spoken by the care recipient is not commonly
spoken in the region where the organization is located. As part of communicating
care recipient rights, the organization should:
A) Have the care recipient write a signed statement verifying that the care recipient
understands care recipient rights
, B) Explain the rights to a representative of the care recipient who can then explain
the rights to the care recipient
C) Use pictures to explain the rights to the care recipient
D) Provide a written translation to the care recipient
Correct Answer: B
Rationale: When a qualified interpreter is unavailable for an uncommon language,
the facility should use a representative who can interpret rights. Written
translations may not exist for uncommon languages, and picture-based
communication may not adequately convey complex legal rights .
Question 8: The national movement known as culture change was created to:
A) Improve quality of life for seniors
B) Enable staff to make decisions for seniors
C) Provide care for seniors based on their diagnosis
D) Provide structured activities for seniors
Correct Answer: A
Rationale: The culture change movement in long-term care was established to
transform institutional models into person-centered environments that improve
quality of life. This represents a shift from medical-model, institution-centered care
to resident-directed, home-like environments .
Question 9: Alternatives to an advance directive include a:
A) Living will, Healthcare Power of Attorney, and Do Not Resuscitate (DNR)
order
B) Durable Power of Attorney, last will and testament, and living trust
C) Right of survivorship, Do Not Resuscitate (DNR) order, and appointment of
executor
D) Living trust, living will, and medical order for life-sustaining treatment
Correct Answer: A
Rationale: Advance directives include living wills (which document treatment
preferences), Healthcare Powers of Attorney (which designate a decision-maker),
and DNR orders (which specify resuscitation preferences). Last wills, living trusts,
and executors are estate planning documents, not healthcare advance directives .
Question 10: A symptom of dehydration is:
A) Difficulty walking
B) Diarrhea
