National Association of Long-Term Care Administrator Boards (NAB)
CORE Practice Examination With Correct Answers 2026/2027
1. What is the very first step that an administrator must take when establishing a
comprehensive risk management program for a long-term care facility?
Correct Answer: Identifying potential risks and hazards throughout the organization
2. Which professional is uniquely authorized and licensed to legally dispense medications
within a long-term care facility?
Correct Answer: Registered Pharmacist
3. What management practice allows a long-term care administrator to see first-hand the real-
time needs and operational conditions of care recipients and staff?
Correct Answer: Management by walking around
4. Aphasia, which is the loss of ability to understand or express speech, occurs most frequently
in long-term care residents as a result of what acute medical event?
Correct Answer: A stroke
5. To ensure proper fiscal control, a business check should generally be issued by the
accounting department only when which signed document is available?
Correct Answer: A purchase order matched with a verified invoice
6. Which specific class of portable fire extinguishers is rated and appropriate for use on a
commercial kitchen grease fire?
Correct Answer: Class K fire extinguisher
7. What age-related visual condition involves the progressive clouding of the natural lens of the
human eye?
Correct Answer: A cataract
8. In collective bargaining, when labor and management select a neutral third party to decide a
dispute and agree that the decision will be final and legally binding, what is this process
called?
Correct Answer: Arbitration
9. According to the Life Safety Code, what is the maximum travel distance from any point within
a long-term care resident room to a corridor exit door?
Correct Answer: 100 feet
10. What specific federal act mandates that long-term care facilities protect the absolute privacy,
security, and digital sharing of a resident’s personal health information?
Correct Answer: Health Insurance Portability and Accountability Act (HIPAA)
11. Under the Fair Labor Standards Act (FLSA), an hourly, non-exempt long-term care employee
must receive overtime pay after working how many hours in a standard workweek?
Correct Answer: 40 hours
12. What primary accounting tool lists all of a long-term care facility's assets, liabilities, and
equity at one specific, fixed point in time?
Correct Answer: Balance sheet
, 13. What is the fundamental, clinical purpose of the Minimum Data Set (MDS) assessment tool
used in skilled nursing facilities?
Correct Answer: To comprehensively assess a resident's functional capabilities and build an
individualized care plan
14. What type of leadership style relies heavily on involving staff members, department heads,
and residents in the facility's high-level decision-making processes?
Correct Answer: Democratic leadership
15. What specific clinical term refers to the painful, dangerous, and permanent shortening of a
muscle or joint caused by prolonged immobility?
Correct Answer: Contracture
16. What primary financial document summarizes a facility’s actual revenues earned and
expenses incurred over a specific period, such as a month or a fiscal year?
Correct Answer: Income statement
17. According to the Occupational Safety and Health Administration (OSHA), long-term care
facilities must maintain documentation of all work-related injuries and illnesses using which
master log?
Correct Answer: OSHA Form 300
18. What specific federal agency oversees and enforces the civil rights laws that protect long-
term care employees from workplace discrimination and harassment?
Correct Answer: Equal Employment Opportunity Commission (EEOC)
19. What specific environmental condition is the primary, most common trigger for the rapid
growth and spread of Legionella bacteria within a facility's plumbing infrastructure?
Correct Answer: Stagnant, lukewarm water within the hot water delivery system
20. What specific federal statutory framework, enacted in 1987, established the comprehensive
quality of care and resident rights standards for all Medicare and Medicaid-certified nursing
homes?
Correct Answer: Omnibus Budget Reconciliation Act (OBRA '87)
21. What is the maximum number of consecutive hours that a skilled nursing facility may
operate without a licensed nurse physically present on-site?
Correct Answer: Zero hours
22. What specific human resource document outlines the operational duties, physical
requirements, and necessary clinical credentials required for a specific employment
position?
Correct Answer: Job description
23. Which accounting method records revenues when they are earned and expenses when they
are incurred, regardless of when the actual cash changes hands?
Correct Answer: Accrual basis accounting
24. What specific type of legal directive allows a competent resident to designate a specific
proxy to make medical decisions on their behalf if they become incapacitated?
Correct Answer: Durable Power of Attorney for Healthcare
CORE Practice Examination With Correct Answers 2026/2027
1. What is the very first step that an administrator must take when establishing a
comprehensive risk management program for a long-term care facility?
Correct Answer: Identifying potential risks and hazards throughout the organization
2. Which professional is uniquely authorized and licensed to legally dispense medications
within a long-term care facility?
Correct Answer: Registered Pharmacist
3. What management practice allows a long-term care administrator to see first-hand the real-
time needs and operational conditions of care recipients and staff?
Correct Answer: Management by walking around
4. Aphasia, which is the loss of ability to understand or express speech, occurs most frequently
in long-term care residents as a result of what acute medical event?
Correct Answer: A stroke
5. To ensure proper fiscal control, a business check should generally be issued by the
accounting department only when which signed document is available?
Correct Answer: A purchase order matched with a verified invoice
6. Which specific class of portable fire extinguishers is rated and appropriate for use on a
commercial kitchen grease fire?
Correct Answer: Class K fire extinguisher
7. What age-related visual condition involves the progressive clouding of the natural lens of the
human eye?
Correct Answer: A cataract
8. In collective bargaining, when labor and management select a neutral third party to decide a
dispute and agree that the decision will be final and legally binding, what is this process
called?
Correct Answer: Arbitration
9. According to the Life Safety Code, what is the maximum travel distance from any point within
a long-term care resident room to a corridor exit door?
Correct Answer: 100 feet
10. What specific federal act mandates that long-term care facilities protect the absolute privacy,
security, and digital sharing of a resident’s personal health information?
Correct Answer: Health Insurance Portability and Accountability Act (HIPAA)
11. Under the Fair Labor Standards Act (FLSA), an hourly, non-exempt long-term care employee
must receive overtime pay after working how many hours in a standard workweek?
Correct Answer: 40 hours
12. What primary accounting tool lists all of a long-term care facility's assets, liabilities, and
equity at one specific, fixed point in time?
Correct Answer: Balance sheet
, 13. What is the fundamental, clinical purpose of the Minimum Data Set (MDS) assessment tool
used in skilled nursing facilities?
Correct Answer: To comprehensively assess a resident's functional capabilities and build an
individualized care plan
14. What type of leadership style relies heavily on involving staff members, department heads,
and residents in the facility's high-level decision-making processes?
Correct Answer: Democratic leadership
15. What specific clinical term refers to the painful, dangerous, and permanent shortening of a
muscle or joint caused by prolonged immobility?
Correct Answer: Contracture
16. What primary financial document summarizes a facility’s actual revenues earned and
expenses incurred over a specific period, such as a month or a fiscal year?
Correct Answer: Income statement
17. According to the Occupational Safety and Health Administration (OSHA), long-term care
facilities must maintain documentation of all work-related injuries and illnesses using which
master log?
Correct Answer: OSHA Form 300
18. What specific federal agency oversees and enforces the civil rights laws that protect long-
term care employees from workplace discrimination and harassment?
Correct Answer: Equal Employment Opportunity Commission (EEOC)
19. What specific environmental condition is the primary, most common trigger for the rapid
growth and spread of Legionella bacteria within a facility's plumbing infrastructure?
Correct Answer: Stagnant, lukewarm water within the hot water delivery system
20. What specific federal statutory framework, enacted in 1987, established the comprehensive
quality of care and resident rights standards for all Medicare and Medicaid-certified nursing
homes?
Correct Answer: Omnibus Budget Reconciliation Act (OBRA '87)
21. What is the maximum number of consecutive hours that a skilled nursing facility may
operate without a licensed nurse physically present on-site?
Correct Answer: Zero hours
22. What specific human resource document outlines the operational duties, physical
requirements, and necessary clinical credentials required for a specific employment
position?
Correct Answer: Job description
23. Which accounting method records revenues when they are earned and expenses when they
are incurred, regardless of when the actual cash changes hands?
Correct Answer: Accrual basis accounting
24. What specific type of legal directive allows a competent resident to designate a specific
proxy to make medical decisions on their behalf if they become incapacitated?
Correct Answer: Durable Power of Attorney for Healthcare
