NAB PRACTICE LATEST 2026/2027 EXAM 100 QUESTIONS WITH
VERIFIED ANSWERS AND RATIONALES
1. A long-term care administrator receives a report that a resident has experienced two falls
within one week. What should be the priority?
A. Move the resident to another room
B. Conduct a comprehensive assessment and investigate contributing factors
C. Restrict the resident to bed
D. Discontinue all medications
Correct Answer: B. Conduct a comprehensive assessment and investigate contributing
factors
Rationale: Recurrent falls require assessment for clinical, environmental, medication-related, and
functional risk factors.
2. The primary purpose of a care plan is to:
A. Replace nursing documentation
B. Identify individualized resident needs, goals, and interventions
C. Determine employee schedules
D. Calculate facility expenses
Correct Answer: B. Identify individualized resident needs, goals, and interventions
Rationale: The care plan coordinates individualized services based on the resident's assessed
needs, preferences, and goals.
3. A resident refuses a prescribed treatment. What is the most appropriate administrative
response?
A. Force the treatment
B. Respect the refusal while ensuring the resident understands the consequences
C. Discharge the resident immediately
D. Ask another resident to persuade them
Correct Answer: B. Respect the refusal while ensuring the resident understands the
consequences
Rationale: Residents generally have the right to participate in decisions about their care and
refuse treatment after being appropriately informed.
4. A resident's condition suddenly deteriorates. What should occur first?
,A. Wait until the next care-plan meeting
B. Ensure immediate clinical assessment and appropriate intervention
C. Update the resident's financial record
D. Notify housekeeping
Correct Answer: B. Ensure immediate clinical assessment and appropriate intervention
Rationale: Acute changes in condition require prompt clinical evaluation to protect resident
safety.
5. Which approach best promotes resident-centered care?
A. Providing identical services to every resident
B. Incorporating individual preferences, needs, and goals
C. Prioritizing staff convenience
D. Limiting resident choices
Correct Answer: B. Incorporating individual preferences, needs, and goals
Rationale: Person-centered care respects each resident's preferences, values, needs, and desired
outcomes.
6. A resident develops a pressure injury. The administrator should ensure that the facility:
A. Blames the resident
B. Assesses the injury, provides appropriate treatment, and investigates contributing factors
C. Removes the resident from all activities
D. Stops documenting the condition
Correct Answer: B. Assesses the injury, provides appropriate treatment, and investigates
contributing factors
Rationale: Pressure injuries require clinical management, prevention strategies, documentation,
and investigation of contributing factors.
7. Which intervention is most appropriate for preventing pressure injuries?
A. Repositioning and individualized skin-care interventions
B. Restricting fluids
C. Keeping residents in one position
D. Avoiding skin assessments
Correct Answer: A. Repositioning and individualized skin-care interventions
Rationale: Pressure injury prevention includes individualized repositioning, nutrition, moisture
management, mobility, and skin assessment.
, 8. A resident has difficulty swallowing. What should the administrator ensure?
A. The resident receives regular food regardless of risk
B. Appropriate swallowing assessment and individualized dietary interventions
C. All food is withheld permanently
D. The resident eats without supervision
Correct Answer: B. Appropriate swallowing assessment and individualized dietary
interventions
Rationale: Dysphagia can cause aspiration and requires appropriate clinical assessment and
dietary modifications.
9. Which outcome is most useful for evaluating quality improvement?
A. Number of staff birthdays
B. Fall rate before and after an intervention
C. Number of facility decorations
D. Number of administrative meetings
Correct Answer: B. Fall rate before and after an intervention
Rationale: Quality indicators should measure meaningful outcomes and determine whether
interventions produce improvement.
10. A quality improvement project identifies frequent medication errors. What should happen
next?
A. Ignore errors that did not harm residents
B. Analyze the causes and implement corrective interventions
C. Fire all medication staff immediately
D. Stop medication administration
Correct Answer: B. Analyze the causes and implement corrective interventions
Rationale: Quality improvement focuses on identifying system causes and developing
sustainable solutions.
11. What is the purpose of an interdisciplinary team?
A. Allow one department to make all decisions
B. Coordinate care from multiple professional perspectives
C. Eliminate resident participation
D. Reduce communication
Correct Answer: B. Coordinate care from multiple professional perspectives
VERIFIED ANSWERS AND RATIONALES
1. A long-term care administrator receives a report that a resident has experienced two falls
within one week. What should be the priority?
A. Move the resident to another room
B. Conduct a comprehensive assessment and investigate contributing factors
C. Restrict the resident to bed
D. Discontinue all medications
Correct Answer: B. Conduct a comprehensive assessment and investigate contributing
factors
Rationale: Recurrent falls require assessment for clinical, environmental, medication-related, and
functional risk factors.
2. The primary purpose of a care plan is to:
A. Replace nursing documentation
B. Identify individualized resident needs, goals, and interventions
C. Determine employee schedules
D. Calculate facility expenses
Correct Answer: B. Identify individualized resident needs, goals, and interventions
Rationale: The care plan coordinates individualized services based on the resident's assessed
needs, preferences, and goals.
3. A resident refuses a prescribed treatment. What is the most appropriate administrative
response?
A. Force the treatment
B. Respect the refusal while ensuring the resident understands the consequences
C. Discharge the resident immediately
D. Ask another resident to persuade them
Correct Answer: B. Respect the refusal while ensuring the resident understands the
consequences
Rationale: Residents generally have the right to participate in decisions about their care and
refuse treatment after being appropriately informed.
4. A resident's condition suddenly deteriorates. What should occur first?
,A. Wait until the next care-plan meeting
B. Ensure immediate clinical assessment and appropriate intervention
C. Update the resident's financial record
D. Notify housekeeping
Correct Answer: B. Ensure immediate clinical assessment and appropriate intervention
Rationale: Acute changes in condition require prompt clinical evaluation to protect resident
safety.
5. Which approach best promotes resident-centered care?
A. Providing identical services to every resident
B. Incorporating individual preferences, needs, and goals
C. Prioritizing staff convenience
D. Limiting resident choices
Correct Answer: B. Incorporating individual preferences, needs, and goals
Rationale: Person-centered care respects each resident's preferences, values, needs, and desired
outcomes.
6. A resident develops a pressure injury. The administrator should ensure that the facility:
A. Blames the resident
B. Assesses the injury, provides appropriate treatment, and investigates contributing factors
C. Removes the resident from all activities
D. Stops documenting the condition
Correct Answer: B. Assesses the injury, provides appropriate treatment, and investigates
contributing factors
Rationale: Pressure injuries require clinical management, prevention strategies, documentation,
and investigation of contributing factors.
7. Which intervention is most appropriate for preventing pressure injuries?
A. Repositioning and individualized skin-care interventions
B. Restricting fluids
C. Keeping residents in one position
D. Avoiding skin assessments
Correct Answer: A. Repositioning and individualized skin-care interventions
Rationale: Pressure injury prevention includes individualized repositioning, nutrition, moisture
management, mobility, and skin assessment.
, 8. A resident has difficulty swallowing. What should the administrator ensure?
A. The resident receives regular food regardless of risk
B. Appropriate swallowing assessment and individualized dietary interventions
C. All food is withheld permanently
D. The resident eats without supervision
Correct Answer: B. Appropriate swallowing assessment and individualized dietary
interventions
Rationale: Dysphagia can cause aspiration and requires appropriate clinical assessment and
dietary modifications.
9. Which outcome is most useful for evaluating quality improvement?
A. Number of staff birthdays
B. Fall rate before and after an intervention
C. Number of facility decorations
D. Number of administrative meetings
Correct Answer: B. Fall rate before and after an intervention
Rationale: Quality indicators should measure meaningful outcomes and determine whether
interventions produce improvement.
10. A quality improvement project identifies frequent medication errors. What should happen
next?
A. Ignore errors that did not harm residents
B. Analyze the causes and implement corrective interventions
C. Fire all medication staff immediately
D. Stop medication administration
Correct Answer: B. Analyze the causes and implement corrective interventions
Rationale: Quality improvement focuses on identifying system causes and developing
sustainable solutions.
11. What is the purpose of an interdisciplinary team?
A. Allow one department to make all decisions
B. Coordinate care from multiple professional perspectives
C. Eliminate resident participation
D. Reduce communication
Correct Answer: B. Coordinate care from multiple professional perspectives
