NAB EXAM(NAB NHA EXAMINATION QUESTIONS WITH COMPLETE SOLUTIONS PLUS
RATIONALES /NEWEST UPDATE 2026!!!
Question 1
If a nourishing snack is served to residents at bedtime, what is the maximum number of hours
that may elapse between a substantial evening meal and breakfast the following morning?
A) 12 hours
B) 14 hours
C) 15 hours
D) 16 hours
E) 18 hours
Correct Answer: D) 16 hours
Rationale: According to CMS federal regulations, the time between a substantial evening
meal and breakfast cannot exceed 14 hours. However, if a nourishing snack is provided at
bedtime and the resident council agrees, the facility may extend that time to 16 hours to
accommodate resident preferences.
Question 2
A widow and widower, both mentally alert residents, have developed a close relationship. A
CNA observes the widow entering the widower's room and closing the door. How should the
administrator direct the staff to handle this?
A) Immediately open the door to ensure safety
B) Notify both families of the potential sexual activity
C) Respect their privacy and monitor the situation for safety/consent
D) Move one of the residents to a different wing
E) Require a psychological evaluation for both residents
Correct Answer: C) Respect their privacy and monitor the situation
Rationale: Residents in long-term care facilities retain their civil rights, including the right
to privacy and the right to engage in consensual relationships. As long as both parties are
mentally competent and the relationship is consensual, staff must respect their privacy
while continuing routine safety monitoring.
Question 3
Which of the following documents is a federal requirement to be available to the nursing facility
at the exact time of a resident's admission?
A) The resident's last five years of tax returns
B) A signed contract from the resident’s primary care physician
C) Orders containing medications and necessary care
D) A copy of the resident's birth certificate
E) A complete list of all living relatives
Correct Answer: C) Orders containing medications and care
Rationale: To ensure resident safety and continuity of care, a facility must have physician
, 2
orders for immediate care, medications, and treatments at the time of admission. This
prevents delays in therapy and reduces the risk of medical errors during the transition of
care.
Question 4
When scheduling and making a dental appointment for a resident, a nursing facility is legally
obligated to:
A) Pay for all dental procedures not covered by insurance
/ B) Assist in scheduling transportation to and from the dental office
C) Accompany the resident into the exam room during the procedure
D) Provide the dentist with the facility’s financial statements
E) Perform the dental work in-house if the resident is unable to travel
Correct Answer: B) Assist in scheduling transportation to/from the dental office
Rationale: Facilities must assist residents in obtaining routine and 24-hour emergency
dental care. While the facility is not generally required to pay for the dental service itself,
they must help the resident make appointments and arrange for transportation to the
dentist.
Question 5
The Occupational Safety and Health Administration (OSHA) requires the "Summary of Work-
Related Injuries and Illnesses" (Form 300A) to be displayed in which of the following months?
A) January only
B) February, March, and April
C) June, July, and August
D) October and November
E) December only
Correct Answer: B) February, March and April
Rationale: OSHA mandates that the 300A summary form, which totals the previous year's
injuries and illnesses, must be posted in a conspicuous place where notices to employees are
customarily posted from February 1st through April 30th of each year.
Question 6
According to current federal labor laws, what is the administrator's restriction regarding union
solicitation within the nursing facility?
A) The administrator can ban all union talk on facility property
B) The administrator can fire any employee seen talking to a union rep
C) The administrator cannot prohibit or interfere with union solicitation during lunch breaks or
off-duty times
D) The administrator must provide the union with a private office in the building
E) The administrator can only allow solicitation during the night shift
Correct Answer: C) Cannot prohibit or interfere with union solicitation during lunch breaks
, 3
or off duty times.
Rationale: Under the National Labor Relations Act (NLRA), employees have the right to
organize. While an administrator can prohibit solicitation during "working time" in
"working areas" to prevent disruption of care, they cannot stop employees from discussing
unions during their own time (breaks/lunches) in non-work areas.
Question 7
The OSHA "Access to Employee Exposure and Medical Records Standard" requires long-term
care employers to retain medical records of employees with bloodborne pathogen exposure for
how long?
A) 5 years after the incident
B) 10 years after retirement
C) The duration of employment plus 30 years
D) 50 years from the date of hire
E) 7 years after the employee leaves
Correct Answer: C) The duration of employment plus 30 years
Rationale: Due to the long latency period of some bloodborne diseases (like Hepatitis or
HIV), OSHA requires these specific medical records to be preserved for the entire length of
employment plus an additional 30 years to protect the former employee’s right to
healthcare data.
Question 8
A nursing facility must have a full-time Director of Nursing (DON). How does federal law define
"full-time" for this position?
A) 30 hours minimum per week
B) 35 hours minimum per week
C) 40 hours minimum per week
D) 45 hours minimum per week
E) 50 hours minimum per week
Correct Answer: B) 35 hours minimum per week
Rationale: Federal regulations define "full-time" as the number of hours the facility
considers full-time, but it must be at least 35 hours per week. The DON is responsible for
the overall management of the nursing department and must be a licensed Registered
Nurse (RN).
Question 9
In a "closed shop" union environment, what is the requirement for employees in the bargaining
class?
A) They may choose to pay dues or not
B) They must join the certified union as a condition of employment
C) They are prohibited from joining the union
, 4
D) They must be part of management to join
E) They must leave the union after one year
Correct Answer: B) Who are in the bargaining class must join the certified union
Rationale: In a "closed shop" (where permitted by state law), the employer agrees to hire
only union members. In a "union shop," employees must join the union within a certain
timeframe after being hired. This is distinct from "Right-to-Work" states where union
membership cannot be a condition of employment.
Question 10
A statement that presents the specific tasks to be performed along with associated duties and
responsibilities for a particular role is known as a:
A) Job Specification
B) Job Analysis
C) Job Description
D) Performance Appraisal
E) Career Ladder
Correct Answer: C) Description
Rationale: A job description is a functional document that outlines the expectations,
reporting structure, and required duties of a position. A "job specification" focuses more
on the person’s required qualifications (skills, education, traits).
Question 11
To comply with the Code of Federal Regulations (CFR) regarding the transparency of nursing
hours, an administrator must post which of the following daily?
A) The facility's total budget for the month
B) A list of all residents and their diagnoses
C) A breakdown of nursing staff and the actual hours they are working each shift
D) The administrator’s home phone number
E) A list of all past survey deficiencies
Correct Answer: C) A breakdown of staff and the actual hours they are working each shift
Rationale: Facilities must post daily for each shift the number of licensed and unlicensed
nursing staff directly responsible for resident care. This must be visible to both residents
and visitors and the data must be kept on file for 18 months.
Question 12
Shutting down dangerous machines and ensuring they remain off until maintenance or service
work is completed is an OSHA safety standard known as:
A) Hazard Communication
B) Bloodborne Pathogens Standard
C) Lockout/Tagout
D) Universal Precautions
RATIONALES /NEWEST UPDATE 2026!!!
Question 1
If a nourishing snack is served to residents at bedtime, what is the maximum number of hours
that may elapse between a substantial evening meal and breakfast the following morning?
A) 12 hours
B) 14 hours
C) 15 hours
D) 16 hours
E) 18 hours
Correct Answer: D) 16 hours
Rationale: According to CMS federal regulations, the time between a substantial evening
meal and breakfast cannot exceed 14 hours. However, if a nourishing snack is provided at
bedtime and the resident council agrees, the facility may extend that time to 16 hours to
accommodate resident preferences.
Question 2
A widow and widower, both mentally alert residents, have developed a close relationship. A
CNA observes the widow entering the widower's room and closing the door. How should the
administrator direct the staff to handle this?
A) Immediately open the door to ensure safety
B) Notify both families of the potential sexual activity
C) Respect their privacy and monitor the situation for safety/consent
D) Move one of the residents to a different wing
E) Require a psychological evaluation for both residents
Correct Answer: C) Respect their privacy and monitor the situation
Rationale: Residents in long-term care facilities retain their civil rights, including the right
to privacy and the right to engage in consensual relationships. As long as both parties are
mentally competent and the relationship is consensual, staff must respect their privacy
while continuing routine safety monitoring.
Question 3
Which of the following documents is a federal requirement to be available to the nursing facility
at the exact time of a resident's admission?
A) The resident's last five years of tax returns
B) A signed contract from the resident’s primary care physician
C) Orders containing medications and necessary care
D) A copy of the resident's birth certificate
E) A complete list of all living relatives
Correct Answer: C) Orders containing medications and care
Rationale: To ensure resident safety and continuity of care, a facility must have physician
, 2
orders for immediate care, medications, and treatments at the time of admission. This
prevents delays in therapy and reduces the risk of medical errors during the transition of
care.
Question 4
When scheduling and making a dental appointment for a resident, a nursing facility is legally
obligated to:
A) Pay for all dental procedures not covered by insurance
/ B) Assist in scheduling transportation to and from the dental office
C) Accompany the resident into the exam room during the procedure
D) Provide the dentist with the facility’s financial statements
E) Perform the dental work in-house if the resident is unable to travel
Correct Answer: B) Assist in scheduling transportation to/from the dental office
Rationale: Facilities must assist residents in obtaining routine and 24-hour emergency
dental care. While the facility is not generally required to pay for the dental service itself,
they must help the resident make appointments and arrange for transportation to the
dentist.
Question 5
The Occupational Safety and Health Administration (OSHA) requires the "Summary of Work-
Related Injuries and Illnesses" (Form 300A) to be displayed in which of the following months?
A) January only
B) February, March, and April
C) June, July, and August
D) October and November
E) December only
Correct Answer: B) February, March and April
Rationale: OSHA mandates that the 300A summary form, which totals the previous year's
injuries and illnesses, must be posted in a conspicuous place where notices to employees are
customarily posted from February 1st through April 30th of each year.
Question 6
According to current federal labor laws, what is the administrator's restriction regarding union
solicitation within the nursing facility?
A) The administrator can ban all union talk on facility property
B) The administrator can fire any employee seen talking to a union rep
C) The administrator cannot prohibit or interfere with union solicitation during lunch breaks or
off-duty times
D) The administrator must provide the union with a private office in the building
E) The administrator can only allow solicitation during the night shift
Correct Answer: C) Cannot prohibit or interfere with union solicitation during lunch breaks
, 3
or off duty times.
Rationale: Under the National Labor Relations Act (NLRA), employees have the right to
organize. While an administrator can prohibit solicitation during "working time" in
"working areas" to prevent disruption of care, they cannot stop employees from discussing
unions during their own time (breaks/lunches) in non-work areas.
Question 7
The OSHA "Access to Employee Exposure and Medical Records Standard" requires long-term
care employers to retain medical records of employees with bloodborne pathogen exposure for
how long?
A) 5 years after the incident
B) 10 years after retirement
C) The duration of employment plus 30 years
D) 50 years from the date of hire
E) 7 years after the employee leaves
Correct Answer: C) The duration of employment plus 30 years
Rationale: Due to the long latency period of some bloodborne diseases (like Hepatitis or
HIV), OSHA requires these specific medical records to be preserved for the entire length of
employment plus an additional 30 years to protect the former employee’s right to
healthcare data.
Question 8
A nursing facility must have a full-time Director of Nursing (DON). How does federal law define
"full-time" for this position?
A) 30 hours minimum per week
B) 35 hours minimum per week
C) 40 hours minimum per week
D) 45 hours minimum per week
E) 50 hours minimum per week
Correct Answer: B) 35 hours minimum per week
Rationale: Federal regulations define "full-time" as the number of hours the facility
considers full-time, but it must be at least 35 hours per week. The DON is responsible for
the overall management of the nursing department and must be a licensed Registered
Nurse (RN).
Question 9
In a "closed shop" union environment, what is the requirement for employees in the bargaining
class?
A) They may choose to pay dues or not
B) They must join the certified union as a condition of employment
C) They are prohibited from joining the union
, 4
D) They must be part of management to join
E) They must leave the union after one year
Correct Answer: B) Who are in the bargaining class must join the certified union
Rationale: In a "closed shop" (where permitted by state law), the employer agrees to hire
only union members. In a "union shop," employees must join the union within a certain
timeframe after being hired. This is distinct from "Right-to-Work" states where union
membership cannot be a condition of employment.
Question 10
A statement that presents the specific tasks to be performed along with associated duties and
responsibilities for a particular role is known as a:
A) Job Specification
B) Job Analysis
C) Job Description
D) Performance Appraisal
E) Career Ladder
Correct Answer: C) Description
Rationale: A job description is a functional document that outlines the expectations,
reporting structure, and required duties of a position. A "job specification" focuses more
on the person’s required qualifications (skills, education, traits).
Question 11
To comply with the Code of Federal Regulations (CFR) regarding the transparency of nursing
hours, an administrator must post which of the following daily?
A) The facility's total budget for the month
B) A list of all residents and their diagnoses
C) A breakdown of nursing staff and the actual hours they are working each shift
D) The administrator’s home phone number
E) A list of all past survey deficiencies
Correct Answer: C) A breakdown of staff and the actual hours they are working each shift
Rationale: Facilities must post daily for each shift the number of licensed and unlicensed
nursing staff directly responsible for resident care. This must be visible to both residents
and visitors and the data must be kept on file for 18 months.
Question 12
Shutting down dangerous machines and ensuring they remain off until maintenance or service
work is completed is an OSHA safety standard known as:
A) Hazard Communication
B) Bloodborne Pathogens Standard
C) Lockout/Tagout
D) Universal Precautions
