NAB CORE FINAL EXAM LATEST 2025
NAB CORE FINAL EXAM LATEST 2025
REAL EXAM COMPLETE 350 VERIFIED QUESTIONS
AND CORRECT DETAILED ANSWERS with WELL –
ELABORATED RATIONALES TEST BANK
(VERIFIED ANSWERS) | GRADED A+
GUARANTEED PASS UPDATED VERSION
Which of the following disorders is more likely to go unnoticed by the staff?
a. Incontinence
b. Irritable bowel syndrome
c. Depression
d. Very slight strokes
c. Depression
Why?
Depression is often hard to notice in long-term care because symptoms can be subtle,
dismissed as part of aging, or mistaken for other conditions. Residents may not openly
express feelings of sadness, making it easy to overlook unless staff are trained to recognize
behavioral changes.
A+ TEST BANK 1
, NAB CORE FINAL EXAM LATEST 2025
Why the Other Choices Are More Noticeable:
• a. Incontinence → Easy to spot.
• Staff quickly notice accidents and changes in toileting habits.
• b. Irritable bowel syndrome → Residents report symptoms.
• IBS often causes discomfort, pain, or changes in bowel movements that residents mention.
• d. Very slight strokes → Usually have visible effects.
• Even minor strokes (TIAs) can cause sudden confusion, weakness, or speech issues, which
staff are trained to detect.
Easy Way to Remember:
"Depression hides in plain sight—other conditions show themselves."
Which of the following is not defined as a fall in long-term care facility?
a. When a resident loses his balance and would have fallen if not for staff intervention.
b. When a resident slips and lands on a sofa and is not injured.
c. When the staff finds a resident on the floor but cannot determine how he landed there.
d. When the staff witnesses one resident push another to the ground.
d. When the staff witnesses one resident push another to the ground.
Why?
According to CMS, a fall is an unintentional movement to a lower surface (floor, bed, chair,
etc.). Being pushed is not a fall—it's an altercation or behavioral incident because an
external force caused it.
Why the Other Choices Are Falls (CMS Guidelines):
• a. Losing balance but caught by staff → Still a fall (CMS: "Intercepted fall").
• b. Slipping onto a sofa → Still a fall (Any unintentional descent to a lower surface counts).
• c. Found on the floor, unknown cause → CMS assumes it's a fall unless proven otherwise.
Easy Way to Remember:
"Falls = Accidents. If someone else causes it, CMS says it's NOT a fall!"
Ms. Jones complains that her physician will not listen or answer her questions. What is the
best approach to this situation?
A+ TEST BANK 2
, NAB CORE FINAL EXAM LATEST 2025
a. Coach Ms. Jones on how to relate to her physician.
b. Report the problem to the medical director so she can talk to Ms. Jones's doctor.
c. Inform the administrator so she can take appropriate action.
d. Discuss the problem with the family seeking their help with the doctor.
a. Coach Ms. Jones on how to relate to her physician.
Why?
The best approach is to help the resident improve communication with their doctor before
escalating the issue. Sometimes, misunderstandings happen because of differences in
communication styles, and coaching Ms. Jones on how to express her concerns clearly can
help resolve the issue without unnecessary conflict.
Why the Other Choices Are Not the Best First Step:
• b. Report to the medical director → Escalates too soon.
• While this may be needed later, it's best to first try helping the resident communicate
better before involving the medical director.
• c. Inform the administrator → Not their role.
• Administrators oversee facility operations, but they don't manage doctor-patient
communication.
• d. Discuss the problem with the family → May not resolve the issue.
• The family can advocate for Ms. Jones, but the doctor needs to hear concerns directly
from the patient whenever possible.
Easy Way to Remember:
"Teach first, escalate later!"
Robert Hornbeck is only 65 years old but suffers from early-onset dementia. His family
struggles with his condition but is determined to do whatever they can to ensure that he has
the highest quality of life possible. They have consulted with the local Alzheimer's
Association and learned that there are care areas that can "make a significant difference in
his quality of life." Which of the following is not one of these recommended areas?
a. Food and fluid consumption.
b. Pain Management.
c. Social engagement.
d. Physical exercise.
A+ TEST BANK 3
, NAB CORE FINAL EXAM LATEST 2025
d. Physical exercise.
Why?
While physical exercise is beneficial for overall health, it is not considered one of the
primary care areas that make a significant difference in quality of life for dementia patients
according to the Alzheimer's Association. The focus is more on meeting basic needs,
reducing distress, and maintaining meaningful engagement rather than structured exercise
routines.
Why the Other Choices Are Important for Dementia Care:
• a. Food and fluid consumption → Prevents malnutrition & dehydration.
• People with dementia often forget to eat or drink, leading to serious health risks.
Ensuring proper nutrition helps with energy levels and cognitive function.
• b. Pain management → Reduces agitation & discomfort.
• Dementia patients may not be able to express pain verbally, leading to increased agitation
or behavioral changes. Proper pain management improves overall well-being.
• c. Social engagement → Reduces loneliness & improves mood.
• Interaction with family, caregivers, and peers helps prevent depression and enhances
cognitive function by keeping the brain stimulated.
Easy Way to Remember:
"Food, comfort, and connection matter most—exercise is secondary!"
Caretakers have noticed Mr. Branch is having more difficulty seeing. They made an eye
appointment with his opthalmologist. He is diagnosed with an eye disorder and through a
surgical procedure, it can reverse some of his eye loss and drastically improve his quality of
life. The diagnosis would be:
a. age-related macular degeneration.
b. cataracts.
c. glaucoma.
d. diabetic retinopathy.
b. cataracts.
Why?
Cataracts cause cloudy vision due to a buildup of proteins in the eye's lens. They are one of
A+ TEST BANK 4
NAB CORE FINAL EXAM LATEST 2025
REAL EXAM COMPLETE 350 VERIFIED QUESTIONS
AND CORRECT DETAILED ANSWERS with WELL –
ELABORATED RATIONALES TEST BANK
(VERIFIED ANSWERS) | GRADED A+
GUARANTEED PASS UPDATED VERSION
Which of the following disorders is more likely to go unnoticed by the staff?
a. Incontinence
b. Irritable bowel syndrome
c. Depression
d. Very slight strokes
c. Depression
Why?
Depression is often hard to notice in long-term care because symptoms can be subtle,
dismissed as part of aging, or mistaken for other conditions. Residents may not openly
express feelings of sadness, making it easy to overlook unless staff are trained to recognize
behavioral changes.
A+ TEST BANK 1
, NAB CORE FINAL EXAM LATEST 2025
Why the Other Choices Are More Noticeable:
• a. Incontinence → Easy to spot.
• Staff quickly notice accidents and changes in toileting habits.
• b. Irritable bowel syndrome → Residents report symptoms.
• IBS often causes discomfort, pain, or changes in bowel movements that residents mention.
• d. Very slight strokes → Usually have visible effects.
• Even minor strokes (TIAs) can cause sudden confusion, weakness, or speech issues, which
staff are trained to detect.
Easy Way to Remember:
"Depression hides in plain sight—other conditions show themselves."
Which of the following is not defined as a fall in long-term care facility?
a. When a resident loses his balance and would have fallen if not for staff intervention.
b. When a resident slips and lands on a sofa and is not injured.
c. When the staff finds a resident on the floor but cannot determine how he landed there.
d. When the staff witnesses one resident push another to the ground.
d. When the staff witnesses one resident push another to the ground.
Why?
According to CMS, a fall is an unintentional movement to a lower surface (floor, bed, chair,
etc.). Being pushed is not a fall—it's an altercation or behavioral incident because an
external force caused it.
Why the Other Choices Are Falls (CMS Guidelines):
• a. Losing balance but caught by staff → Still a fall (CMS: "Intercepted fall").
• b. Slipping onto a sofa → Still a fall (Any unintentional descent to a lower surface counts).
• c. Found on the floor, unknown cause → CMS assumes it's a fall unless proven otherwise.
Easy Way to Remember:
"Falls = Accidents. If someone else causes it, CMS says it's NOT a fall!"
Ms. Jones complains that her physician will not listen or answer her questions. What is the
best approach to this situation?
A+ TEST BANK 2
, NAB CORE FINAL EXAM LATEST 2025
a. Coach Ms. Jones on how to relate to her physician.
b. Report the problem to the medical director so she can talk to Ms. Jones's doctor.
c. Inform the administrator so she can take appropriate action.
d. Discuss the problem with the family seeking their help with the doctor.
a. Coach Ms. Jones on how to relate to her physician.
Why?
The best approach is to help the resident improve communication with their doctor before
escalating the issue. Sometimes, misunderstandings happen because of differences in
communication styles, and coaching Ms. Jones on how to express her concerns clearly can
help resolve the issue without unnecessary conflict.
Why the Other Choices Are Not the Best First Step:
• b. Report to the medical director → Escalates too soon.
• While this may be needed later, it's best to first try helping the resident communicate
better before involving the medical director.
• c. Inform the administrator → Not their role.
• Administrators oversee facility operations, but they don't manage doctor-patient
communication.
• d. Discuss the problem with the family → May not resolve the issue.
• The family can advocate for Ms. Jones, but the doctor needs to hear concerns directly
from the patient whenever possible.
Easy Way to Remember:
"Teach first, escalate later!"
Robert Hornbeck is only 65 years old but suffers from early-onset dementia. His family
struggles with his condition but is determined to do whatever they can to ensure that he has
the highest quality of life possible. They have consulted with the local Alzheimer's
Association and learned that there are care areas that can "make a significant difference in
his quality of life." Which of the following is not one of these recommended areas?
a. Food and fluid consumption.
b. Pain Management.
c. Social engagement.
d. Physical exercise.
A+ TEST BANK 3
, NAB CORE FINAL EXAM LATEST 2025
d. Physical exercise.
Why?
While physical exercise is beneficial for overall health, it is not considered one of the
primary care areas that make a significant difference in quality of life for dementia patients
according to the Alzheimer's Association. The focus is more on meeting basic needs,
reducing distress, and maintaining meaningful engagement rather than structured exercise
routines.
Why the Other Choices Are Important for Dementia Care:
• a. Food and fluid consumption → Prevents malnutrition & dehydration.
• People with dementia often forget to eat or drink, leading to serious health risks.
Ensuring proper nutrition helps with energy levels and cognitive function.
• b. Pain management → Reduces agitation & discomfort.
• Dementia patients may not be able to express pain verbally, leading to increased agitation
or behavioral changes. Proper pain management improves overall well-being.
• c. Social engagement → Reduces loneliness & improves mood.
• Interaction with family, caregivers, and peers helps prevent depression and enhances
cognitive function by keeping the brain stimulated.
Easy Way to Remember:
"Food, comfort, and connection matter most—exercise is secondary!"
Caretakers have noticed Mr. Branch is having more difficulty seeing. They made an eye
appointment with his opthalmologist. He is diagnosed with an eye disorder and through a
surgical procedure, it can reverse some of his eye loss and drastically improve his quality of
life. The diagnosis would be:
a. age-related macular degeneration.
b. cataracts.
c. glaucoma.
d. diabetic retinopathy.
b. cataracts.
Why?
Cataracts cause cloudy vision due to a buildup of proteins in the eye's lens. They are one of
A+ TEST BANK 4
