NAB NHA EXAMINATION QUESTIONS COMPLETE SOLUTIONS WITH RATIONALES NEWEST UPDATE 2026/2027

NAB NHA EXAMINATION QUESTIONS COMPLETE SOLUTIONS WITH RATIONALES NEWEST UPDATE 2026/2027 Question 1 According to the Centers for Medicare and Medicaid Services (CMS), a comprehensive baseline care plan for a newly admitted resident must be completed within what timeframe? A) 24 hours B) 48 hours C) 72 hours D) 7 days Correct Answer: B) 48 hours Rationale: Under OBRA regulations, a baseline care plan must be developed within 48 hours of admission. This initial plan addresses immediate care needs and serves as a foundation for the comprehensive care plan, which must be completed within 21 days . ________________________________________ Question 2 Which federal law first established comprehensive residents' rights in nursing homes? A) Social Security Act of 1935 B) Omnibus Budget Reconciliation Act of 1987 (OBRA '87) C) Health Insurance Portability and Accountability Act of 1996 (HIPAA) D) Patient Protection and Affordable Care Act of 2010 Correct Answer: B) Omnibus Budget Reconciliation Act of 1987 (OBRA '87) Rationale: OBRA '87 established the first comprehensive federal residents' rights in nursing homes, including rights to privacy, dignity, self-determination, and freedom from unnecessary restraints. It also mandated the Resident Assessment Instrument (RAI) process . ________________________________________ Question 3 The Resident Assessment Instrument (RAI) includes which of the following components? A) Minimum Data Set (MDS) only B) Minimum Data Set (MDS), Care Area Assessments (CAAs), and care planning C) Quality indicators and financial assessment D) Staff competency evaluation Correct Answer: B) Minimum Data Set (MDS), Care Area Assessments (CAAs), and care planning Rationale: The RAI is a comprehensive assessment system that includes three components: the Minimum Data Set (MDS) assessment, Care Area Assessments (CAAs) that trigger from MDS responses, and the care planning process that follows . ________________________________________ Question 4 What is the maximum time frame for completing the Minimum Data Set (MDS) comprehensive assessment after a resident's admission? A) 7 days B) 14 days C) 21 days D) 30 days Correct Answer: B) 14 days Rationale: The comprehensive MDS assessment must be completed within 14 days of admission. This assessment is used to identify resident needs and develop an individualized care plan . ________________________________________ Question 5 A resident with dementia repeatedly wanders into restricted areas. Staff apply a bed alarm without obtaining consent. Which resident right is most violated? A) Right to privacy B) Right to dignity C) Freedom from physical restraints D) Right to refuse treatment Correct Answer: C) Freedom from physical restraints Rationale: A bed alarm, when used as a restraint, is considered a physical restraint. Residents have the right to be free from any physical restraints imposed for purposes of discipline or convenience, and not required to treat medical symptoms. Any restraint use requires consent and must be medically justified . ________________________________________ Question 6 The Patient-Driven Payment Model (PDPM) requires the Interdisciplinary Team (IDT) assessment to be completed by which day of admission? A) Day 1 B) Day 5 C) Day 7 D) Day 14 Correct Answer: A) Day 1 Rationale: Under PDPM, the interdisciplinary team must complete an initial assessment on the day of admission (Day 1) to determine the resident's primary clinical condition and appropriate payment classification . ________________________________________ Question 7 Which statement best describes "person-centered care" as defined in federal regulations? A) All residents receive the same standardized care to ensure consistency B) Care is tailored to each resident's preferences, needs, and values