NAB NHA Nursing Home Administrator Exam |
Complete Practice QUESTIONs, Verified Answers &
Detailed Rationales (2026/2027)
QUESTION 1
Which of the following federal agencies is primarily responsible for
establishing and enforcing regulations for skilled nursing facilities
participating in Medicare and Medicaid?
A. CDC
B. CMS
C. OSHA
D. FDA
Correct Answer: B. CMS
Rationale: The Centers for Medicare and Medicaid Services sets the
federal health and safety standards for nursing homes.
QUESTION 2
,According to OBRA 87, a resident's comprehensive care plan must be
developed within how many days of admission?
A. 7 days
B. 14 days
C. 21 days
D. 30 days
Correct Answer: B. 14 days
Rationale: Federal regulations require that a comprehensive care plan
be completed within 14 days of admission.
QUESTION 3
What is the primary purpose of a Quality Assurance and Performance
Improvement program in a nursing home?
A. To reduce staff turnover through monetary incentives
B. To oversee financial billing practices and insurance claims
C. To systematically monitor and improve quality of care and resident
services
D. To prepare facility documents exclusively for annual state surveys
,Correct Answer: C. To systematically monitor and improve quality of
care and resident services
Rationale: QAPI is an ongoing, data-driven program aimed at identifying
areas for operational and clinical improvement to enhance resident
safety and quality of life.
QUESTION 4
Under the Americans with Disabilities Act, which entity is generally
responsible for covering the cost of reasonable accommodations for an
employee, unless it causes an undue hardship?
A. The employee
B. The federal government
C. The employer
D. The state health department
Correct Answer: C. The employer
Rationale: The ADA requires employers to provide reasonable
accommodations to qualified individuals with disabilities unless doing
so creates a significant difficulty or expense.
, QUESTION 5
Which financial statement provides a snapshot of a facility's assets,
liabilities, and equity at a specific point in time?
A. Income statement
B. Statement of cash flows
C. Balance sheet
D. Statement of retained earnings
Correct Answer: C. Balance sheet
Rationale: The balance sheet reports a nursing home's financial position
at a given date by displaying assets, liabilities, and fund balance or
equity.
QUESTION 6
What does the Life Safety Code, maintained by the National Fire
Protection Association, primarily regulate?
A. Employee wage and hour compliance
B. Building construction, protection, and occupancy features to
minimize fire hazards
Complete Practice QUESTIONs, Verified Answers &
Detailed Rationales (2026/2027)
QUESTION 1
Which of the following federal agencies is primarily responsible for
establishing and enforcing regulations for skilled nursing facilities
participating in Medicare and Medicaid?
A. CDC
B. CMS
C. OSHA
D. FDA
Correct Answer: B. CMS
Rationale: The Centers for Medicare and Medicaid Services sets the
federal health and safety standards for nursing homes.
QUESTION 2
,According to OBRA 87, a resident's comprehensive care plan must be
developed within how many days of admission?
A. 7 days
B. 14 days
C. 21 days
D. 30 days
Correct Answer: B. 14 days
Rationale: Federal regulations require that a comprehensive care plan
be completed within 14 days of admission.
QUESTION 3
What is the primary purpose of a Quality Assurance and Performance
Improvement program in a nursing home?
A. To reduce staff turnover through monetary incentives
B. To oversee financial billing practices and insurance claims
C. To systematically monitor and improve quality of care and resident
services
D. To prepare facility documents exclusively for annual state surveys
,Correct Answer: C. To systematically monitor and improve quality of
care and resident services
Rationale: QAPI is an ongoing, data-driven program aimed at identifying
areas for operational and clinical improvement to enhance resident
safety and quality of life.
QUESTION 4
Under the Americans with Disabilities Act, which entity is generally
responsible for covering the cost of reasonable accommodations for an
employee, unless it causes an undue hardship?
A. The employee
B. The federal government
C. The employer
D. The state health department
Correct Answer: C. The employer
Rationale: The ADA requires employers to provide reasonable
accommodations to qualified individuals with disabilities unless doing
so creates a significant difficulty or expense.
, QUESTION 5
Which financial statement provides a snapshot of a facility's assets,
liabilities, and equity at a specific point in time?
A. Income statement
B. Statement of cash flows
C. Balance sheet
D. Statement of retained earnings
Correct Answer: C. Balance sheet
Rationale: The balance sheet reports a nursing home's financial position
at a given date by displaying assets, liabilities, and fund balance or
equity.
QUESTION 6
What does the Life Safety Code, maintained by the National Fire
Protection Association, primarily regulate?
A. Employee wage and hour compliance
B. Building construction, protection, and occupancy features to
minimize fire hazards
