NEWEST NAB CORE PRACTICE EXAM AND UPDATED
STUDY GUIDE ACCURATE EXAM QUESTIONS AND
DETAILED ANSWERS WITH RATIONALES A NEW
UPDATED VERSION LATEST 2026-2027 (VERIFIED
ANSWERS) ALREADY A+ MOST RECENT!!!!
1. Aphasia occurs frequently as a result of:
A. Diabetes
B. Death of a spouse
C. A stroke
D. Pressure ulcers
Rationale: Aphasia, the loss of ability to understand or express speech, is most commonly
caused by stroke, which damages the language centers of the brain. Other conditions like
traumatic brain injury or brain tumors can also cause aphasia, but stroke is the most frequent
cause. Diabetes, grief, and pressure ulcers do not directly cause aphasia.
2. Spread of cancer cells from one part of the body to another is referred to as:
A. Dysphagia
B. Metastasis
C. Myasthenia
D. Necrosis
,Rationale: Metastasis is the process by which cancer cells spread from the primary tumor site to
other parts of the body through the lymphatic system or bloodstream. Dysphagia refers to
difficulty swallowing, myasthenia refers to muscle weakness, and necrosis refers to cell death.
3. The age-related clouding of the lens of the eye is called:
A. Macular degeneration
B. A cataract
C. Glaucoma
D. Conjunctivitis
Rationale: A cataract is the clouding of the normally clear lens of the eye, which is a common
age-related condition. Macular degeneration affects the macula (central part of the retina),
glaucoma involves damage to the optic nerve from increased eye pressure, and conjunctivitis is
an inflammation of the conjunctiva.
4. A normal psychosocial change in the elderly is:
A. Paranoia
B. Difficulty handling change
C. Severe depression
D. Complete loss of social interest
Rationale: As people age, they may experience difficulty adapting to change due to cognitive
processing slowing and a preference for familiar routines. Paranoia, severe depression, and
complete loss of social interest are not considered normal age-related changes and may indicate
underlying pathology.
5. Mental changes in elderly residents are usually caused by:
A. Normal aging
B. Medication side effects
C. Arteriosclerosis
D. Loneliness
,Rationale: Arteriosclerosis, or hardening of the arteries, reduces blood flow to the brain and is a
common cause of cognitive changes in the elderly. While medications and loneliness can affect
mental status, arteriosclerosis is a primary vascular cause of age-related mental changes.
6. The type of therapeutic diet often prescribed for people with hypertension is:
A. Low fat
B. Low sodium
C. Bland
D. Liquid
Rationale: A low-sodium diet is commonly prescribed for hypertension because sodium can
increase blood pressure by causing fluid retention. Low-fat diets may be prescribed for
cardiovascular health, bland diets for gastrointestinal issues, and liquid diets for swall owing
difficulties or post-surgery.
7. Which of the following is a chronic disease?
A. Pneumonia
B. Botulism
C. Parkinson's disease
D. Shingles
Rationale: Parkinson's disease is a chronic, progressive neurological disorder. Pneumonia,
botulism, and shingles are typically acute conditions that resolve with treatment, though
shingles can have long-term complications.
8. Which of the following professionals is authorized to dispense medications?
A. Registered nurse
B. Licensed nurse, physician, and in some states, medication aide
C. Licensed nurse and physician
D. Pharmacist
Rationale: Pharmacists are the healthcare professionals specifically authorized to dispense
medications. While nurses and physicians may administer medications, only pharmacists are
, licensed to dispense them from a pharmacy. Some states allow medication aides to administer
medications, but not to dispense.
9. The plan of care in person-centered care is centered around the preferences of the:
A. Care recipient
B. Family
C. Physician
D. Staff
Rationale: Person-centered care places the care recipient at the center of all care decisions.
Their preferences, values, and choices guide the development and implementation of the plan
of care. While family, physicians, and staff provide valuable input, the care recipient's wishes are
paramount.
10. Which of the following does NOT support care recipient-centered care concepts:
A. Breakfast is served from 6:30 am to 8:00 am; the care recipient chooses to sleep until 9:00
am so staff makes sure cereal and milk are available.
B. Upon admission, the care recipient was allowed to bring their personal recliner to furnish
their room.
C. Prior to living in the healthcare organization, the care recipient enjoyed fishing; staff arrange
for the care recipient to attend the annual fishing rodeo located 30 miles away.
D. Upon admission, the care recipient indicated a preference to bathe at night; the healthcare
organization policy requires all baths to be given on the day shift.
Rationale: Person-centered care requires honoring individual preferences and choices. A policy
that mandates bathing on the day shift regardless of the care recipient's preference does not
support person-centered care. The other options demonstrate flexibility and respect for
individual choices.
11. When a care recipient refuses to consume all of a meal initially given to them, staff
should:
A. Do nothing; it is the care recipient's right to refuse meals
B. Document that the care recipient was being uncooperative
STUDY GUIDE ACCURATE EXAM QUESTIONS AND
DETAILED ANSWERS WITH RATIONALES A NEW
UPDATED VERSION LATEST 2026-2027 (VERIFIED
ANSWERS) ALREADY A+ MOST RECENT!!!!
1. Aphasia occurs frequently as a result of:
A. Diabetes
B. Death of a spouse
C. A stroke
D. Pressure ulcers
Rationale: Aphasia, the loss of ability to understand or express speech, is most commonly
caused by stroke, which damages the language centers of the brain. Other conditions like
traumatic brain injury or brain tumors can also cause aphasia, but stroke is the most frequent
cause. Diabetes, grief, and pressure ulcers do not directly cause aphasia.
2. Spread of cancer cells from one part of the body to another is referred to as:
A. Dysphagia
B. Metastasis
C. Myasthenia
D. Necrosis
,Rationale: Metastasis is the process by which cancer cells spread from the primary tumor site to
other parts of the body through the lymphatic system or bloodstream. Dysphagia refers to
difficulty swallowing, myasthenia refers to muscle weakness, and necrosis refers to cell death.
3. The age-related clouding of the lens of the eye is called:
A. Macular degeneration
B. A cataract
C. Glaucoma
D. Conjunctivitis
Rationale: A cataract is the clouding of the normally clear lens of the eye, which is a common
age-related condition. Macular degeneration affects the macula (central part of the retina),
glaucoma involves damage to the optic nerve from increased eye pressure, and conjunctivitis is
an inflammation of the conjunctiva.
4. A normal psychosocial change in the elderly is:
A. Paranoia
B. Difficulty handling change
C. Severe depression
D. Complete loss of social interest
Rationale: As people age, they may experience difficulty adapting to change due to cognitive
processing slowing and a preference for familiar routines. Paranoia, severe depression, and
complete loss of social interest are not considered normal age-related changes and may indicate
underlying pathology.
5. Mental changes in elderly residents are usually caused by:
A. Normal aging
B. Medication side effects
C. Arteriosclerosis
D. Loneliness
,Rationale: Arteriosclerosis, or hardening of the arteries, reduces blood flow to the brain and is a
common cause of cognitive changes in the elderly. While medications and loneliness can affect
mental status, arteriosclerosis is a primary vascular cause of age-related mental changes.
6. The type of therapeutic diet often prescribed for people with hypertension is:
A. Low fat
B. Low sodium
C. Bland
D. Liquid
Rationale: A low-sodium diet is commonly prescribed for hypertension because sodium can
increase blood pressure by causing fluid retention. Low-fat diets may be prescribed for
cardiovascular health, bland diets for gastrointestinal issues, and liquid diets for swall owing
difficulties or post-surgery.
7. Which of the following is a chronic disease?
A. Pneumonia
B. Botulism
C. Parkinson's disease
D. Shingles
Rationale: Parkinson's disease is a chronic, progressive neurological disorder. Pneumonia,
botulism, and shingles are typically acute conditions that resolve with treatment, though
shingles can have long-term complications.
8. Which of the following professionals is authorized to dispense medications?
A. Registered nurse
B. Licensed nurse, physician, and in some states, medication aide
C. Licensed nurse and physician
D. Pharmacist
Rationale: Pharmacists are the healthcare professionals specifically authorized to dispense
medications. While nurses and physicians may administer medications, only pharmacists are
, licensed to dispense them from a pharmacy. Some states allow medication aides to administer
medications, but not to dispense.
9. The plan of care in person-centered care is centered around the preferences of the:
A. Care recipient
B. Family
C. Physician
D. Staff
Rationale: Person-centered care places the care recipient at the center of all care decisions.
Their preferences, values, and choices guide the development and implementation of the plan
of care. While family, physicians, and staff provide valuable input, the care recipient's wishes are
paramount.
10. Which of the following does NOT support care recipient-centered care concepts:
A. Breakfast is served from 6:30 am to 8:00 am; the care recipient chooses to sleep until 9:00
am so staff makes sure cereal and milk are available.
B. Upon admission, the care recipient was allowed to bring their personal recliner to furnish
their room.
C. Prior to living in the healthcare organization, the care recipient enjoyed fishing; staff arrange
for the care recipient to attend the annual fishing rodeo located 30 miles away.
D. Upon admission, the care recipient indicated a preference to bathe at night; the healthcare
organization policy requires all baths to be given on the day shift.
Rationale: Person-centered care requires honoring individual preferences and choices. A policy
that mandates bathing on the day shift regardless of the care recipient's preference does not
support person-centered care. The other options demonstrate flexibility and respect for
individual choices.
11. When a care recipient refuses to consume all of a meal initially given to them, staff
should:
A. Do nothing; it is the care recipient's right to refuse meals
B. Document that the care recipient was being uncooperative
