NAB NHA/CORE EXAM
Questions and Correct
Answers
In the case of non-Medicare Part A residents, the initial resident assessment must be completed:
1. Within 10 days of admission
2. Within 14 days of admission
3. Within the first week of admission
4. Prior to formally admitting the resident - Correct Answer: 2. Within 14 days of admission
According to the federal certification standards, the QA committee is required to meet? - Correct
Answer: Quarterly
A resident is admitted to a nursing home that has been certified as a SNF only. What is not required to
be adhered to by the facility? - Correct Answer: State Medicaid standards for payment
Unless a wavier has been secured, a registered nurse is required to be in the facility? - Correct Answer:
At least 8 consecutive hours, 7 days a week
Restorative care must be provided by: - Correct Answer: Nursing staff based on a comprehensive
assessment
The facility will determine what the needs of the resident are based on: - Correct Answer: The MDS
assessments
Physician visits are required: - Correct Answer: Every 60 days after the initial required visits
Which one below is an exception to when a facility may release resident identifiable information under
the HIPPA Privacy Standard without the residents permission?
,1. For research conducted by CMS
2. Why any immediate family member requests it?
3. To consumer groups
4. When a resident is transferred to another health care institution - Correct Answer: 4. when a resident
is transferred
Standard precautions are to be used when providing personal care to: - Correct Answer: ALL residents
All of the following are barriers regarding the recognition of chronic pain expect for:
1. Staff who are using valid tools to screen for pain
2. Elderly who may show verbal or non verbal symptoms
3. Cognitive impairment and communication barriers hinder a resident ability to report pain
4. Staff may not have knowledge or be skilled in assessing pain - Correct Answer: 1. Staff who are
utilizing valid tools to screen for pain
Facilities are expected to provide a pleasant dining experience for all residents. This includes all except:
1. Providing well-lit, well ventilated dinning room
2. Providing adequate space and seating accommodations
3. Maintaining a level of dignity when serving all residents
4. Serving residents without attempting to honor food preferences - Correct Answer: 4. Serving residents
without attempting to honor food preferences
Which of the following is not a correct policy for dietary services?
1. Receiving of food for facility use must be from approved sources
2. Storage of food brought in by staff must be store separately from facility food
3. Facilities are required to provide a therapeutic diet, prescribed by the dietary consultant, when a
nutrition problem exists
4. A specific food temperature level is required at the time of serving - Correct Answer: 3. Facilities are
required to provide a therapeutic diet, prescribed by the dietary consultant, when a nutrition problem
exists
,One specified reason for a "significant change" comprehensive reassessment is an unplanned weight
loss of either ___% over 30 days or ___ over 180 days?
1. 5%, 7%
2. 7% 10%
3. 5%, 10%
4. 10%, 29% - Correct Answer: 3. 5%, 10%
Which one of the following statements is true for the medical director?
1. May also service as an attending physician
2. Must be a member of the facility's QA committee
3. Must be seen by the resident at least every 30 days after the initial required visits
4. Must personally approve each order for each resident to the admitted to the facility - Correct Answer:
1. May also service as an attending physicia
Which of the following is true regarding a facility providing medically related social services to the
facility?
1. A facility must have a full-time qualified social worker on staff for each work shift except weekends
2. A facilities social worker must have a BA degree in social work and one year of supervised experience
in a health care setting
3. A facility must have one social worker for each 75 residents
4. A facilities qualified social worker's bachelor degree can be in a human services field or in another
degree with one year of supervised social work experience in a health care setting working with
individuals - Correct Answer: 4. A facilities qualified social worker's bachelor degree can be in a human
services field or in another degree with one year of supervised social work experience in a health care
setting working with individuals
Nurse aids must have a minimum of----hours in-service training annually? - Correct Answer: 12
Which of the following statements is true?
, 1. Any employee may serve as a feeding assistant when the need desires
2. A family member must complete a state-approved course for feeding assistants before feeding their
family member
3. Paid feeding assistants must successfully complete a state-approved training course
4. A family member is not allowed to feed their relative - Correct Answer: 3. Paid feeding assistants must
successfully complete a state-approved training course
Which changes in the dietary department would most closely reflect the principles behind culture
change?
1. Providing set meal service times with little flexibility to maintain a daily routing for the residents
2. Liberalizing therapeutic diets to provide more food choices to residents
3. Increasing the number of pureed or soft diet orders to make feeding easier for the staff
4. Structuring meal times to the benefit of staff schedules - Correct Answer: 2. LIberalizing therapeutic
diets to provide more food choices to resients
If a resident refuses to consume all of a meal initially given, the nursing staff should:
1. Do nothing, it is the residents right to refuse meals
2. Document that the resident was being uncooperative for that meal
3. Offer a suitable meal replacement or nutrition supplement to provide adequate calories
4. Force-feed the resident the meal as served - Correct Answer: 3. Offer a suitable meal replacement or
nutrition supplement to provide adequate calories
Which of the following statements is correct regarding activities provided through the activities
department of a facility?
1. Spiritual services are not allowed in a facility that receives federal funding
2. Manicures/pedicures, hair styling, makeovers may be considered part of the activities program
3. Trips to casinos, museums, fishing, etc. are not to be provided because of liberalities
Questions and Correct
Answers
In the case of non-Medicare Part A residents, the initial resident assessment must be completed:
1. Within 10 days of admission
2. Within 14 days of admission
3. Within the first week of admission
4. Prior to formally admitting the resident - Correct Answer: 2. Within 14 days of admission
According to the federal certification standards, the QA committee is required to meet? - Correct
Answer: Quarterly
A resident is admitted to a nursing home that has been certified as a SNF only. What is not required to
be adhered to by the facility? - Correct Answer: State Medicaid standards for payment
Unless a wavier has been secured, a registered nurse is required to be in the facility? - Correct Answer:
At least 8 consecutive hours, 7 days a week
Restorative care must be provided by: - Correct Answer: Nursing staff based on a comprehensive
assessment
The facility will determine what the needs of the resident are based on: - Correct Answer: The MDS
assessments
Physician visits are required: - Correct Answer: Every 60 days after the initial required visits
Which one below is an exception to when a facility may release resident identifiable information under
the HIPPA Privacy Standard without the residents permission?
,1. For research conducted by CMS
2. Why any immediate family member requests it?
3. To consumer groups
4. When a resident is transferred to another health care institution - Correct Answer: 4. when a resident
is transferred
Standard precautions are to be used when providing personal care to: - Correct Answer: ALL residents
All of the following are barriers regarding the recognition of chronic pain expect for:
1. Staff who are using valid tools to screen for pain
2. Elderly who may show verbal or non verbal symptoms
3. Cognitive impairment and communication barriers hinder a resident ability to report pain
4. Staff may not have knowledge or be skilled in assessing pain - Correct Answer: 1. Staff who are
utilizing valid tools to screen for pain
Facilities are expected to provide a pleasant dining experience for all residents. This includes all except:
1. Providing well-lit, well ventilated dinning room
2. Providing adequate space and seating accommodations
3. Maintaining a level of dignity when serving all residents
4. Serving residents without attempting to honor food preferences - Correct Answer: 4. Serving residents
without attempting to honor food preferences
Which of the following is not a correct policy for dietary services?
1. Receiving of food for facility use must be from approved sources
2. Storage of food brought in by staff must be store separately from facility food
3. Facilities are required to provide a therapeutic diet, prescribed by the dietary consultant, when a
nutrition problem exists
4. A specific food temperature level is required at the time of serving - Correct Answer: 3. Facilities are
required to provide a therapeutic diet, prescribed by the dietary consultant, when a nutrition problem
exists
,One specified reason for a "significant change" comprehensive reassessment is an unplanned weight
loss of either ___% over 30 days or ___ over 180 days?
1. 5%, 7%
2. 7% 10%
3. 5%, 10%
4. 10%, 29% - Correct Answer: 3. 5%, 10%
Which one of the following statements is true for the medical director?
1. May also service as an attending physician
2. Must be a member of the facility's QA committee
3. Must be seen by the resident at least every 30 days after the initial required visits
4. Must personally approve each order for each resident to the admitted to the facility - Correct Answer:
1. May also service as an attending physicia
Which of the following is true regarding a facility providing medically related social services to the
facility?
1. A facility must have a full-time qualified social worker on staff for each work shift except weekends
2. A facilities social worker must have a BA degree in social work and one year of supervised experience
in a health care setting
3. A facility must have one social worker for each 75 residents
4. A facilities qualified social worker's bachelor degree can be in a human services field or in another
degree with one year of supervised social work experience in a health care setting working with
individuals - Correct Answer: 4. A facilities qualified social worker's bachelor degree can be in a human
services field or in another degree with one year of supervised social work experience in a health care
setting working with individuals
Nurse aids must have a minimum of----hours in-service training annually? - Correct Answer: 12
Which of the following statements is true?
, 1. Any employee may serve as a feeding assistant when the need desires
2. A family member must complete a state-approved course for feeding assistants before feeding their
family member
3. Paid feeding assistants must successfully complete a state-approved training course
4. A family member is not allowed to feed their relative - Correct Answer: 3. Paid feeding assistants must
successfully complete a state-approved training course
Which changes in the dietary department would most closely reflect the principles behind culture
change?
1. Providing set meal service times with little flexibility to maintain a daily routing for the residents
2. Liberalizing therapeutic diets to provide more food choices to residents
3. Increasing the number of pureed or soft diet orders to make feeding easier for the staff
4. Structuring meal times to the benefit of staff schedules - Correct Answer: 2. LIberalizing therapeutic
diets to provide more food choices to resients
If a resident refuses to consume all of a meal initially given, the nursing staff should:
1. Do nothing, it is the residents right to refuse meals
2. Document that the resident was being uncooperative for that meal
3. Offer a suitable meal replacement or nutrition supplement to provide adequate calories
4. Force-feed the resident the meal as served - Correct Answer: 3. Offer a suitable meal replacement or
nutrition supplement to provide adequate calories
Which of the following statements is correct regarding activities provided through the activities
department of a facility?
1. Spiritual services are not allowed in a facility that receives federal funding
2. Manicures/pedicures, hair styling, makeovers may be considered part of the activities program
3. Trips to casinos, museums, fishing, etc. are not to be provided because of liberalities
