NAB CORE Examination – QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | PLUS
RATIONALES | DOWNLOAD AND PASS | LATEST EXAM UPDATE 2026/2027
Core Domains
1. Resident Care and Quality of Life
2. Human Resources and Staff Management
3. Financial Management and Resource Allocation
4. Regulatory and Legal Compliance
5. Environment and Safety Management
6. Leadership and Organizational Governance
7. Marketing and Public Relations
8. Ethical Standards and Decision-Making
Introduction
This comprehensive examination is designed to rigorously assess the knowledge, skills, and abilities essential for
effective leadership in long-term care administration. The exam evaluates mastery across critical domains including
resident care, regulatory compliance, financial stewardship, human resource management, and ethical leadership.
Candidates will encounter multiple-choice questions that test foundational theory and complex scenario-based items
that demand practical application and sound decision-making. The assessment emphasizes real-world challenges,
,requiring administrators to integrate knowledge from diverse areas to ensure quality care, resident safety, and
organizational success. This test bank serves as a vital preparation tool for the NAB Core Examination.
SECTION ONE: Questions 1–50
1. A new resident is admitted with a diagnosis of moderate dementia. The resident frequently wanders into other
residents' rooms. What is the administrator's most appropriate initial action?
A. Request a psychotropic medication order from the attending physician.
B. Place the resident in a secured unit with limited access to other areas.
C. Assess the resident's behavior and implement person-centered interventions.
D. Notify the family that the resident is a high elopement risk.
🟢 Correct Answer: C. Assess the resident's behavior and implement person-centered interventions.
🔴 Explanation: Person-centered care requires understanding the individual's needs and triggers for wandering. The
initial response should be a thorough assessment and non-pharmacological interventions, not restrictive measures
or immediate medication.
2. Under federal regulations, which of the following is a requirement for a skilled nursing facility's Quality
Assessment and Assurance (QAA) Committee?
,A. The committee must be chaired by the Director of Nursing.
B. The committee must meet at least quarterly.
C. The committee must include a representative of the medical staff.
D. The committee's findings must be posted in a public area.
🟢 Correct Answer: B. The committee must meet at least quarterly.
🔴 Explanation: Federal regulations mandate that the QAA committee meet at least quarterly to identify and
address quality issues. While other options may represent best practice, they are not specific federal requirements.
3. A long-term care facility is implementing a new electronic health record (EHR) system. What is the
administrator's primary responsibility during this transition?
A. Selecting the specific software vendor.
B. Ensuring data security and staff training are prioritized.
C. Testing all hardware components personally.
D. Delegating all implementation tasks to the IT department.
🟢 Correct Answer: B. Ensuring data security and staff training are prioritized.
🔴 Explanation: While administrators may be involved in vendor selection and project oversight, their primary duty
is to ensure that the transition safeguards resident information (HIPAA compliance) and that staff are adequately
trained to use the system effectively.
, 4. Which of the following is a key component of a facility's disaster preparedness plan required by CMS?
A. A policy to discharge all residents to their homes within 24 hours.
B. An annual tabletop exercise and a full-scale drill every two years.
C. A communication plan that includes methods for notifying staff and families.
D. A stockpile of supplies sufficient for a 30-day period.
🟢 Correct Answer: C. A communication plan that includes methods for notifying staff and families.
🔴 Explanation: CMS requires a comprehensive communication plan as part of the emergency preparedness
program. This includes identifying how the facility will communicate with staff, residents' families, and external
agencies during an emergency.
5. A resident's family member expresses dissatisfaction with the level of assistance their loved one is receiving.
The administrator's best initial response is to:
A. Explain the facility's staffing ratios and resource limitations.
B. Listen actively, acknowledge the concern, and arrange a care conference.
C. Apologize and offer a rent credit for the following month.
D. Refer the family member directly to the state ombudsman.
🟢 Correct Answer: B. Listen actively, acknowledge the concern, and arrange a care conference.
RATIONALES | DOWNLOAD AND PASS | LATEST EXAM UPDATE 2026/2027
Core Domains
1. Resident Care and Quality of Life
2. Human Resources and Staff Management
3. Financial Management and Resource Allocation
4. Regulatory and Legal Compliance
5. Environment and Safety Management
6. Leadership and Organizational Governance
7. Marketing and Public Relations
8. Ethical Standards and Decision-Making
Introduction
This comprehensive examination is designed to rigorously assess the knowledge, skills, and abilities essential for
effective leadership in long-term care administration. The exam evaluates mastery across critical domains including
resident care, regulatory compliance, financial stewardship, human resource management, and ethical leadership.
Candidates will encounter multiple-choice questions that test foundational theory and complex scenario-based items
that demand practical application and sound decision-making. The assessment emphasizes real-world challenges,
,requiring administrators to integrate knowledge from diverse areas to ensure quality care, resident safety, and
organizational success. This test bank serves as a vital preparation tool for the NAB Core Examination.
SECTION ONE: Questions 1–50
1. A new resident is admitted with a diagnosis of moderate dementia. The resident frequently wanders into other
residents' rooms. What is the administrator's most appropriate initial action?
A. Request a psychotropic medication order from the attending physician.
B. Place the resident in a secured unit with limited access to other areas.
C. Assess the resident's behavior and implement person-centered interventions.
D. Notify the family that the resident is a high elopement risk.
🟢 Correct Answer: C. Assess the resident's behavior and implement person-centered interventions.
🔴 Explanation: Person-centered care requires understanding the individual's needs and triggers for wandering. The
initial response should be a thorough assessment and non-pharmacological interventions, not restrictive measures
or immediate medication.
2. Under federal regulations, which of the following is a requirement for a skilled nursing facility's Quality
Assessment and Assurance (QAA) Committee?
,A. The committee must be chaired by the Director of Nursing.
B. The committee must meet at least quarterly.
C. The committee must include a representative of the medical staff.
D. The committee's findings must be posted in a public area.
🟢 Correct Answer: B. The committee must meet at least quarterly.
🔴 Explanation: Federal regulations mandate that the QAA committee meet at least quarterly to identify and
address quality issues. While other options may represent best practice, they are not specific federal requirements.
3. A long-term care facility is implementing a new electronic health record (EHR) system. What is the
administrator's primary responsibility during this transition?
A. Selecting the specific software vendor.
B. Ensuring data security and staff training are prioritized.
C. Testing all hardware components personally.
D. Delegating all implementation tasks to the IT department.
🟢 Correct Answer: B. Ensuring data security and staff training are prioritized.
🔴 Explanation: While administrators may be involved in vendor selection and project oversight, their primary duty
is to ensure that the transition safeguards resident information (HIPAA compliance) and that staff are adequately
trained to use the system effectively.
, 4. Which of the following is a key component of a facility's disaster preparedness plan required by CMS?
A. A policy to discharge all residents to their homes within 24 hours.
B. An annual tabletop exercise and a full-scale drill every two years.
C. A communication plan that includes methods for notifying staff and families.
D. A stockpile of supplies sufficient for a 30-day period.
🟢 Correct Answer: C. A communication plan that includes methods for notifying staff and families.
🔴 Explanation: CMS requires a comprehensive communication plan as part of the emergency preparedness
program. This includes identifying how the facility will communicate with staff, residents' families, and external
agencies during an emergency.
5. A resident's family member expresses dissatisfaction with the level of assistance their loved one is receiving.
The administrator's best initial response is to:
A. Explain the facility's staffing ratios and resource limitations.
B. Listen actively, acknowledge the concern, and arrange a care conference.
C. Apologize and offer a rent credit for the following month.
D. Refer the family member directly to the state ombudsman.
🟢 Correct Answer: B. Listen actively, acknowledge the concern, and arrange a care conference.
