NAB/NHA Long-Term Care Administration
– Practice Exam
Questions (with Answers & Rationales)
1. Which of the following is the primary responsibility of a long-term care
administrator?
A. Ensure compliance with federal and state regulations
B. Provide direct patient care
C. Prescribe medications
D. Perform nursing assessments
✅ Answer: A
Rationale: Administrators oversee operations and ensure the facility meets regulatory
requirements; direct care is delegated to clinical staff.
2. Which regulatory body primarily oversees nursing home operations in
the U.S.?
A. Centers for Medicare & Medicaid Services (CMS)
B. Food and Drug Administration (FDA)
C. Occupational Safety and Health Administration (OSHA)
D. Joint Commission
✅ Answer: A
Rationale: CMS sets federal regulations and standards for long-term care facilities.
3. A facility administrator is reviewing staffing ratios. What is the primary
goal?
A. Ensure residents receive adequate care
B. Reduce employee wages
C. Avoid hiring licensed staff
D. Increase administrative tasks
,✅ Answer: A
Rationale: Appropriate staffing ensures quality care, resident safety, and compliance with
regulations.
4. Which is an example of quality improvement in long-term care?
A. Implementing fall prevention protocols
B. Ignoring incident reports
C. Reducing staff training
D. Limiting resident care plans
✅ Answer: A
Rationale: Quality improvement initiatives enhance resident outcomes and facility performance.
5. A facility must report abuse or neglect within what timeframe under
federal regulations?
A. Immediately or as soon as possible
B. Within 30 days
C. Only if the family complains
D. No reporting is required
✅ Answer: A
Rationale: Federal and state law requires prompt reporting of suspected abuse or neglect.
6. Which financial document is essential for budget planning in a long-term
care facility?
A. Annual operating budget
B. Payroll stub
C. Patient medical record
D. Staff schedules
✅ Answer: A
Rationale: The operating budget guides allocation of resources and financial planning.
, 7. Which leadership style encourages staff participation in
decision-making?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Authoritarian
✅ Answer: A
Rationale: Democratic leadership involves team members, promoting engagement and morale.
8. Which strategy helps reduce staff turnover in long-term care?
A. Providing ongoing training and support
B. Ignoring staff concerns
C. Increasing workload without incentives
D. Limiting communication
✅ Answer: A
Rationale: Staff development, recognition, and support improve retention and job satisfaction.
9. Which type of insurance is mandatory for long-term care facilities?
A. Liability insurance
B. Life insurance for residents
C. Vacation insurance
D. Pet insurance
✅ Answer: A
Rationale: Liability insurance protects the facility from claims related to resident care.
10. Which action demonstrates regulatory compliance in documentation?
A. Accurate, timely, and complete record-keeping
B. Leaving charts incomplete
C. Falsifying records
D. Delaying documentation
– Practice Exam
Questions (with Answers & Rationales)
1. Which of the following is the primary responsibility of a long-term care
administrator?
A. Ensure compliance with federal and state regulations
B. Provide direct patient care
C. Prescribe medications
D. Perform nursing assessments
✅ Answer: A
Rationale: Administrators oversee operations and ensure the facility meets regulatory
requirements; direct care is delegated to clinical staff.
2. Which regulatory body primarily oversees nursing home operations in
the U.S.?
A. Centers for Medicare & Medicaid Services (CMS)
B. Food and Drug Administration (FDA)
C. Occupational Safety and Health Administration (OSHA)
D. Joint Commission
✅ Answer: A
Rationale: CMS sets federal regulations and standards for long-term care facilities.
3. A facility administrator is reviewing staffing ratios. What is the primary
goal?
A. Ensure residents receive adequate care
B. Reduce employee wages
C. Avoid hiring licensed staff
D. Increase administrative tasks
,✅ Answer: A
Rationale: Appropriate staffing ensures quality care, resident safety, and compliance with
regulations.
4. Which is an example of quality improvement in long-term care?
A. Implementing fall prevention protocols
B. Ignoring incident reports
C. Reducing staff training
D. Limiting resident care plans
✅ Answer: A
Rationale: Quality improvement initiatives enhance resident outcomes and facility performance.
5. A facility must report abuse or neglect within what timeframe under
federal regulations?
A. Immediately or as soon as possible
B. Within 30 days
C. Only if the family complains
D. No reporting is required
✅ Answer: A
Rationale: Federal and state law requires prompt reporting of suspected abuse or neglect.
6. Which financial document is essential for budget planning in a long-term
care facility?
A. Annual operating budget
B. Payroll stub
C. Patient medical record
D. Staff schedules
✅ Answer: A
Rationale: The operating budget guides allocation of resources and financial planning.
, 7. Which leadership style encourages staff participation in
decision-making?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Authoritarian
✅ Answer: A
Rationale: Democratic leadership involves team members, promoting engagement and morale.
8. Which strategy helps reduce staff turnover in long-term care?
A. Providing ongoing training and support
B. Ignoring staff concerns
C. Increasing workload without incentives
D. Limiting communication
✅ Answer: A
Rationale: Staff development, recognition, and support improve retention and job satisfaction.
9. Which type of insurance is mandatory for long-term care facilities?
A. Liability insurance
B. Life insurance for residents
C. Vacation insurance
D. Pet insurance
✅ Answer: A
Rationale: Liability insurance protects the facility from claims related to resident care.
10. Which action demonstrates regulatory compliance in documentation?
A. Accurate, timely, and complete record-keeping
B. Leaving charts incomplete
C. Falsifying records
D. Delaying documentation
