A+
NAB Nursing Home Administrator Licensing
Exam 2026/2027 | 250 Q&A | Complete Mock
Practice
LATEST 2026/2027 | 100% VERIFIED ANSWERS WITH RATIONALE |
GRADED A+ | 250 REAL EXAM-STYLE QUESTIONS | NAB NURSING
HOME ADMINISTRATOR
Verified Questions, Answers and Rationales
250 Exam-Style Questions · Guaranteed Pass
Format: Q&A plus Rationales plus Why Grade: A+ / Guaranteed Pass
Wrong
Questions: 250 Exam-Style Questions Access: Instant PDF Download
100% verified correct answers with detailed NAB Why Wrong sections for every incorrect option
exam rationales
Covers resident care, human resources, and Includes regulatory compliance, federal/state
financial management laws, and survey processes
Addresses long-term care administration, Based on NAB exam domains and nursing home
leadership, and ethics administration standards
High-yield content for aspiring nursing home Instant PDF download – start studying
administrators immediately
Description
This NAB Nursing Home Administrator Licensing Exam Review 2026/2027 study guide is designed
to help you master the essential concepts needed to excel in your NAB licensing exam. Inside, you
will find 250 practice questions that closely mirror the actual exam in style, difficulty, and content
distribution. We cover all key domains: resident care and services, human resources and
management, financial management and operations, regulatory compliance, federal and state
laws, survey and certification processes, leadership and ethics, quality improvement, and long-
, term care administration. Each question comes with a 100% verified correct answer, a clear
rationale that explains the reasoning behind it, and a targeted Why Wrong section that shows you
exactly why the other choices are incorrect. Updated for the latest testing cycle, this A+ graded
review will give you the confidence you need to pass your NAB exam on the very first attempt.
Abstract
This document provides a complete review of the NAB Nursing Home Administrator licensing
exam through 250 realistic exam-style questions covering resident care, human resources,
financial management, regulatory compliance, federal/state laws, survey processes, leadership,
and long-term care administration. Each question is paired with a 100% verified correct answer, a
detailed rationale, and a thorough Why Wrong breakdown. Updated for the latest testing cycle,
this study guide is designed to help aspiring nursing home administrators achieve a high score
and pass the NAB exam with guaranteed accuracy.
Content Area Questions Key Topics Weight
Resident Care & Services 1 – 45 Resident rights, care planning, ADLs, psychosocial 18%
needs, clinical care, discharge planning.
Human Resources & 46 – 85 Staffing, recruitment, training, performance 16%
Management evaluation, employee relations, labor laws.
Financial Management & 86 – 120 Budgeting, reimbursement, Medicare/Medicaid, 14%
Operations revenue cycle, cost control, reporting.
Regulatory Compliance 121 – 160 Federal regulations, state laws, OBRA 1987, HIPAA, 16%
& Laws OSHA, ADA, FMLA, CMS guidelines.
Survey & Certification 161 – 195 Survey preparation, deficiency management, plan 14%
Processes of correction, quality indicators, QAPI.
Leadership, Ethics & 196 – 250 Governance, leadership styles, ethical decision- 22%
Quality Improvement making, risk management, quality improvement.
Pass your NAB Nursing Home Administrator Licensing Exam on your first attempt with
this comprehensive, A+ graded review.
,250 Exam-Style Questions with Verified Answers
and Rationales
Qn 1. A resident in a nursing home has a diagnosis of dementia and frequently wanders
into other residents' rooms. What is the administrator's priority responsibility?
A A. Implement a restrictive intervention to prevent wandering
B B. Develop a person-centered care plan to address the wandering behavior
C C. Transfer the resident to a secure unit without assessment
D D. Notify the resident's family that the resident will be discharged
Correct Answer: B. Develop a person-centered care plan to address the wandering
behavior
Rationale: The administrator must ensure that resident care is person-centered and that
individualized care plans are developed to address behaviors like wandering. Restrictive
interventions should be minimized, and assessments must be conducted before any transfer.
Why Wrong:
A. A: Restrictive interventions should be a last resort and must be based on assessment,
not the priority approach.
B. C: Transfer to a secure unit requires proper assessment and consent, not immediate
action without evaluation.
C. D: Discharge should not be based on wandering behavior; the facility must provide
appropriate care.
References: NAB Exam Content Outline; NAB Study Guide; CMS Requirements of
Participation; Long-Term Care Administration Handbook.
Qn 2. A resident has a fall and sustains a hip fracture. The facility must report this
incident to which entity?
A A. State survey agency
B B. Local police department
C C. Resident's family only
D D. Federal Department of Justice
Correct Answer: A. State survey agency
, Rationale: Falls resulting in injury that requires hospitalization must be reported to the
state survey agency as part of the facility's mandatory reporting requirements. This is
required under CMS regulations and state law.
Why Wrong:
A. B: Local police are not typically involved unless there is suspected abuse or neglect.
B. C: While the family should be notified, reporting to the state is also required.
C. D: Federal Department of Justice is not the reporting entity for falls in nursing homes.
References: NAB Exam Content Outline; NAB Study Guide; CMS Requirements of
Participation; Long-Term Care Administration Handbook.
Qn 3. A resident has a pressure injury that has progressed to Stage 3. What is the most
appropriate next step?
A A. Continue current wound care regimen
B B. Initiate a comprehensive wound care assessment and revise the care plan
C C. Transfer the resident to an acute care facility
D D. Apply a dry sterile dressing and monitor
Correct Answer: B. Initiate a comprehensive wound care assessment and revise the care
plan
Rationale: A Stage 3 pressure injury requires a comprehensive wound assessment,
including evaluation of the wound, nutritional status, and underlying causes. The care plan
must be revised based on the assessment to provide appropriate treatment and prevent
further progression.
Why Wrong:
A. A: Continuing the current regimen is not appropriate if the injury has progressed to
Stage 3.
B. C: Transfer to acute care is not required for a Stage 3 pressure injury unless there are
complications.
C. D: A dry sterile dressing alone is not sufficient for a Stage 3 pressure injury.
References: NAB Exam Content Outline; NAB Study Guide; CMS Requirements of
Participation; Long-Term Care Administration Handbook.
Qn 4. A resident has a Living Will and Advance Directive. The family disagrees with the
resident's documented wishes. What is the administrator's responsibility?
A A. Honor the family's wishes to maintain family relations
B B. Honor the resident's documented wishes as per the Advance Directive
NAB Nursing Home Administrator Licensing
Exam 2026/2027 | 250 Q&A | Complete Mock
Practice
LATEST 2026/2027 | 100% VERIFIED ANSWERS WITH RATIONALE |
GRADED A+ | 250 REAL EXAM-STYLE QUESTIONS | NAB NURSING
HOME ADMINISTRATOR
Verified Questions, Answers and Rationales
250 Exam-Style Questions · Guaranteed Pass
Format: Q&A plus Rationales plus Why Grade: A+ / Guaranteed Pass
Wrong
Questions: 250 Exam-Style Questions Access: Instant PDF Download
100% verified correct answers with detailed NAB Why Wrong sections for every incorrect option
exam rationales
Covers resident care, human resources, and Includes regulatory compliance, federal/state
financial management laws, and survey processes
Addresses long-term care administration, Based on NAB exam domains and nursing home
leadership, and ethics administration standards
High-yield content for aspiring nursing home Instant PDF download – start studying
administrators immediately
Description
This NAB Nursing Home Administrator Licensing Exam Review 2026/2027 study guide is designed
to help you master the essential concepts needed to excel in your NAB licensing exam. Inside, you
will find 250 practice questions that closely mirror the actual exam in style, difficulty, and content
distribution. We cover all key domains: resident care and services, human resources and
management, financial management and operations, regulatory compliance, federal and state
laws, survey and certification processes, leadership and ethics, quality improvement, and long-
, term care administration. Each question comes with a 100% verified correct answer, a clear
rationale that explains the reasoning behind it, and a targeted Why Wrong section that shows you
exactly why the other choices are incorrect. Updated for the latest testing cycle, this A+ graded
review will give you the confidence you need to pass your NAB exam on the very first attempt.
Abstract
This document provides a complete review of the NAB Nursing Home Administrator licensing
exam through 250 realistic exam-style questions covering resident care, human resources,
financial management, regulatory compliance, federal/state laws, survey processes, leadership,
and long-term care administration. Each question is paired with a 100% verified correct answer, a
detailed rationale, and a thorough Why Wrong breakdown. Updated for the latest testing cycle,
this study guide is designed to help aspiring nursing home administrators achieve a high score
and pass the NAB exam with guaranteed accuracy.
Content Area Questions Key Topics Weight
Resident Care & Services 1 – 45 Resident rights, care planning, ADLs, psychosocial 18%
needs, clinical care, discharge planning.
Human Resources & 46 – 85 Staffing, recruitment, training, performance 16%
Management evaluation, employee relations, labor laws.
Financial Management & 86 – 120 Budgeting, reimbursement, Medicare/Medicaid, 14%
Operations revenue cycle, cost control, reporting.
Regulatory Compliance 121 – 160 Federal regulations, state laws, OBRA 1987, HIPAA, 16%
& Laws OSHA, ADA, FMLA, CMS guidelines.
Survey & Certification 161 – 195 Survey preparation, deficiency management, plan 14%
Processes of correction, quality indicators, QAPI.
Leadership, Ethics & 196 – 250 Governance, leadership styles, ethical decision- 22%
Quality Improvement making, risk management, quality improvement.
Pass your NAB Nursing Home Administrator Licensing Exam on your first attempt with
this comprehensive, A+ graded review.
,250 Exam-Style Questions with Verified Answers
and Rationales
Qn 1. A resident in a nursing home has a diagnosis of dementia and frequently wanders
into other residents' rooms. What is the administrator's priority responsibility?
A A. Implement a restrictive intervention to prevent wandering
B B. Develop a person-centered care plan to address the wandering behavior
C C. Transfer the resident to a secure unit without assessment
D D. Notify the resident's family that the resident will be discharged
Correct Answer: B. Develop a person-centered care plan to address the wandering
behavior
Rationale: The administrator must ensure that resident care is person-centered and that
individualized care plans are developed to address behaviors like wandering. Restrictive
interventions should be minimized, and assessments must be conducted before any transfer.
Why Wrong:
A. A: Restrictive interventions should be a last resort and must be based on assessment,
not the priority approach.
B. C: Transfer to a secure unit requires proper assessment and consent, not immediate
action without evaluation.
C. D: Discharge should not be based on wandering behavior; the facility must provide
appropriate care.
References: NAB Exam Content Outline; NAB Study Guide; CMS Requirements of
Participation; Long-Term Care Administration Handbook.
Qn 2. A resident has a fall and sustains a hip fracture. The facility must report this
incident to which entity?
A A. State survey agency
B B. Local police department
C C. Resident's family only
D D. Federal Department of Justice
Correct Answer: A. State survey agency
, Rationale: Falls resulting in injury that requires hospitalization must be reported to the
state survey agency as part of the facility's mandatory reporting requirements. This is
required under CMS regulations and state law.
Why Wrong:
A. B: Local police are not typically involved unless there is suspected abuse or neglect.
B. C: While the family should be notified, reporting to the state is also required.
C. D: Federal Department of Justice is not the reporting entity for falls in nursing homes.
References: NAB Exam Content Outline; NAB Study Guide; CMS Requirements of
Participation; Long-Term Care Administration Handbook.
Qn 3. A resident has a pressure injury that has progressed to Stage 3. What is the most
appropriate next step?
A A. Continue current wound care regimen
B B. Initiate a comprehensive wound care assessment and revise the care plan
C C. Transfer the resident to an acute care facility
D D. Apply a dry sterile dressing and monitor
Correct Answer: B. Initiate a comprehensive wound care assessment and revise the care
plan
Rationale: A Stage 3 pressure injury requires a comprehensive wound assessment,
including evaluation of the wound, nutritional status, and underlying causes. The care plan
must be revised based on the assessment to provide appropriate treatment and prevent
further progression.
Why Wrong:
A. A: Continuing the current regimen is not appropriate if the injury has progressed to
Stage 3.
B. C: Transfer to acute care is not required for a Stage 3 pressure injury unless there are
complications.
C. D: A dry sterile dressing alone is not sufficient for a Stage 3 pressure injury.
References: NAB Exam Content Outline; NAB Study Guide; CMS Requirements of
Participation; Long-Term Care Administration Handbook.
Qn 4. A resident has a Living Will and Advance Directive. The family disagrees with the
resident's documented wishes. What is the administrator's responsibility?
A A. Honor the family's wishes to maintain family relations
B B. Honor the resident's documented wishes as per the Advance Directive
