2026/2027
Residential Care and Assisted Living
Administration NAB Exam Review and
Practice Workbook 2026/2027 for Licensing
Preparation, Mock Tests, and Study
Success
Question 1
Who is responsible for the national licensure examination for nursing home
administrators?
A. NHAP
B. CAHF
C. NAB
D. PES
Correct Answer: C. NAB
Rationale: The National Association of Long Term Care Administrator Boards (NAB)
is responsible for developing and overseeing the national licensure examination for
nursing home administrators. NHAP is a professional association, CAHF is a state-
level organization, and PES is an exam service provider but not the governing body
responsible for licensure standards.
Question 2
What is the most important factor for success in the nursing home administrator
licensure examination?
A. Memorization of study materials
B. Knowledge of federal regulations only
C. Understanding both federal and state regulations
D. Understanding job tasks, required skills, and application of knowledge
Correct Answer: D. Understanding job tasks, required skills, and application of
knowledge
Rationale: Success in the examination depends on practical application of knowledge,
not memorization alone. Administrators must understand real-life tasks, decision-
making responsibilities, and the competencies required for effective leadership in
long-term care settings.
,2026/2027
Question 3
Which federal legislation eventually led to the establishment of nursing home
administrator licensing programs in states?
A. Older Americans Act
B. Social Security Act
C. Wagner Act
D. Fair Labor Standards Act
Correct Answer: B. Social Security Act
Rationale: The Social Security Act provided the foundation for federal involvement in
long-term care regulation, eventually leading states to establish licensing requirements
for nursing home administrators. The other acts relate to labor rights and employment
standards.
Question 4
Approximately what percentage of nursing homes in the United States are Medicaid-
certified facilities?
A. 40–50%
B. 60–70%
C. 75–80%
D. 85–95%
Correct Answer: C. 75–80%
Rationale: The majority of nursing home residents are funded through Medicaid,
making Medicaid the primary payer in long-term care facilities nationwide.
Question 5
The study of aging that includes biological, psychological, and social aspects is
known as:
A. Psychiatry
B. Geriatrics
C. Gerontology
D. Psychology
Correct Answer: C. Gerontology
,2026/2027
Rationale: Gerontology is the multidisciplinary study of aging, covering physical,
mental, and social changes. Geriatrics focuses on medical treatment, while
psychology and psychiatry are narrower disciplines.
Question 6
The medical specialty focused on diagnosis and treatment of diseases in older adults
is:
A. Gerontology
B. Psychiatry
C. Geriatrics
D. Psychology
Correct Answer: C. Geriatrics
Rationale: Geriatrics is the branch of medicine specifically focused on health care of
elderly individuals, including prevention and management of age-related conditions.
Question 7
Discrimination or prejudice based on age is called:
A. Ageism
B. New Ageism
C. Bias
D. Stereotyping
Correct Answer: A. Ageism
Rationale: Ageism refers to negative attitudes, stereotypes, or discrimination directed
at individuals because of their age, particularly older adults.
Question 8
Overly protective or patronizing behavior toward elderly residents is best described as:
A. Ageism
B. Passing judgment
C. New Ageism
D. Age neutrality
Correct Answer: C. New Ageism
, 2026/2027
Rationale: New Ageism refers to subtle, often well-intended but patronizing behaviors
that undermine independence and dignity of older adults.
Question 9
Which set represents the four dimensions of aging?
A. Mental, physical, emotional, spiritual
B. Social, psychological, biological, chronological
C. Emotional, biological, financial, social
D. Cognitive, physical, legal, psychological
Correct Answer: B. Social, psychological, biological, chronological
Rationale: Aging is multidimensional, involving biological changes, psychological
development, social roles, and chronological age.
Question 10
Which elderly population group is growing the fastest?
A. Young-old (65–74)
B. Old-old (75–84)
C. Oldest-old (85+)
D. Middle-aged elderly (55–64)
Correct Answer: C. Oldest-old (85+)
Rationale: The oldest-old population is increasing rapidly due to advances in
healthcare and life expectancy improvements.
Question 11
Why are women more common than men in nursing facilities?
A. Genetic differences
B. Better healthcare access
C. Longer life expectancy and fewer available spouses as caregivers
D. Lower rates of chronic disease
Correct Answer: C. Longer life expectancy and fewer available spouses as
caregivers
Rationale: Women tend to live longer than men and are more likely to outlive spouses
who often serve as caregivers, increasing institutional placement.
Residential Care and Assisted Living
Administration NAB Exam Review and
Practice Workbook 2026/2027 for Licensing
Preparation, Mock Tests, and Study
Success
Question 1
Who is responsible for the national licensure examination for nursing home
administrators?
A. NHAP
B. CAHF
C. NAB
D. PES
Correct Answer: C. NAB
Rationale: The National Association of Long Term Care Administrator Boards (NAB)
is responsible for developing and overseeing the national licensure examination for
nursing home administrators. NHAP is a professional association, CAHF is a state-
level organization, and PES is an exam service provider but not the governing body
responsible for licensure standards.
Question 2
What is the most important factor for success in the nursing home administrator
licensure examination?
A. Memorization of study materials
B. Knowledge of federal regulations only
C. Understanding both federal and state regulations
D. Understanding job tasks, required skills, and application of knowledge
Correct Answer: D. Understanding job tasks, required skills, and application of
knowledge
Rationale: Success in the examination depends on practical application of knowledge,
not memorization alone. Administrators must understand real-life tasks, decision-
making responsibilities, and the competencies required for effective leadership in
long-term care settings.
,2026/2027
Question 3
Which federal legislation eventually led to the establishment of nursing home
administrator licensing programs in states?
A. Older Americans Act
B. Social Security Act
C. Wagner Act
D. Fair Labor Standards Act
Correct Answer: B. Social Security Act
Rationale: The Social Security Act provided the foundation for federal involvement in
long-term care regulation, eventually leading states to establish licensing requirements
for nursing home administrators. The other acts relate to labor rights and employment
standards.
Question 4
Approximately what percentage of nursing homes in the United States are Medicaid-
certified facilities?
A. 40–50%
B. 60–70%
C. 75–80%
D. 85–95%
Correct Answer: C. 75–80%
Rationale: The majority of nursing home residents are funded through Medicaid,
making Medicaid the primary payer in long-term care facilities nationwide.
Question 5
The study of aging that includes biological, psychological, and social aspects is
known as:
A. Psychiatry
B. Geriatrics
C. Gerontology
D. Psychology
Correct Answer: C. Gerontology
,2026/2027
Rationale: Gerontology is the multidisciplinary study of aging, covering physical,
mental, and social changes. Geriatrics focuses on medical treatment, while
psychology and psychiatry are narrower disciplines.
Question 6
The medical specialty focused on diagnosis and treatment of diseases in older adults
is:
A. Gerontology
B. Psychiatry
C. Geriatrics
D. Psychology
Correct Answer: C. Geriatrics
Rationale: Geriatrics is the branch of medicine specifically focused on health care of
elderly individuals, including prevention and management of age-related conditions.
Question 7
Discrimination or prejudice based on age is called:
A. Ageism
B. New Ageism
C. Bias
D. Stereotyping
Correct Answer: A. Ageism
Rationale: Ageism refers to negative attitudes, stereotypes, or discrimination directed
at individuals because of their age, particularly older adults.
Question 8
Overly protective or patronizing behavior toward elderly residents is best described as:
A. Ageism
B. Passing judgment
C. New Ageism
D. Age neutrality
Correct Answer: C. New Ageism
, 2026/2027
Rationale: New Ageism refers to subtle, often well-intended but patronizing behaviors
that undermine independence and dignity of older adults.
Question 9
Which set represents the four dimensions of aging?
A. Mental, physical, emotional, spiritual
B. Social, psychological, biological, chronological
C. Emotional, biological, financial, social
D. Cognitive, physical, legal, psychological
Correct Answer: B. Social, psychological, biological, chronological
Rationale: Aging is multidimensional, involving biological changes, psychological
development, social roles, and chronological age.
Question 10
Which elderly population group is growing the fastest?
A. Young-old (65–74)
B. Old-old (75–84)
C. Oldest-old (85+)
D. Middle-aged elderly (55–64)
Correct Answer: C. Oldest-old (85+)
Rationale: The oldest-old population is increasing rapidly due to advances in
healthcare and life expectancy improvements.
Question 11
Why are women more common than men in nursing facilities?
A. Genetic differences
B. Better healthcare access
C. Longer life expectancy and fewer available spouses as caregivers
D. Lower rates of chronic disease
Correct Answer: C. Longer life expectancy and fewer available spouses as
caregivers
Rationale: Women tend to live longer than men and are more likely to outlive spouses
who often serve as caregivers, increasing institutional placement.
