Federal Nursing Home Administrator
Exam Prep Document 2026/2027 | NAB
Core of Knowledge, Long-Term Care
Management Exam QUESTIONS AND
VERIFIED ACCURATE SOLUTION (DETAILED
& ELABORATED) |GET IT 100%
ACCURATE!! 2026 TEST
1. Which federal agency primarily regulates Medicare- and
Medicaid-certified nursing homes?
A. OSHA
B. CDC
C. CMS
D. FDA
Answer: C. CMS
Rationale: The Centers for Medicare & Medicaid Services
(CMS) establishes and enforces federal regulations
governing certified nursing facilities.
2. The primary responsibility of a nursing home
administrator is to:
A. Provide direct nursing care
B. Prescribe medications
C. Ensure quality resident care while managing facility
,operations
D. Conduct laboratory testing
Answer: C. Ensure quality resident care while managing
facility operations
Rationale: Administrators oversee all operational, financial,
regulatory, and quality functions to ensure safe, effective
resident care.
3. Which document outlines residents' rights in federally
certified nursing facilities?
A. HIPAA Manual
B. OSHA Guidelines
C. Federal Nursing Home Reform Act (OBRA 1987)
D. Fair Labor Standards Act
Answer: C. Federal Nursing Home Reform Act (OBRA 1987)
Rationale: OBRA '87 established comprehensive resident
rights and quality standards for nursing homes.
4. A Quality Assurance and Performance Improvement
(QAPI) program primarily focuses on:
A. Employee payroll
B. Marketing
C. Continuous quality improvement
D. Purchasing equipment
Answer: C. Continuous quality improvement
,Rationale: QAPI identifies opportunities to improve care
quality and organizational performance through systematic
evaluation.
5. A facility's mission statement should primarily:
A. Increase profits
B. Reduce staffing
C. Guide organizational purpose and decision-making
D. Meet insurance requirements
Answer: C. Guide organizational purpose and decision-
making
Rationale: A mission statement defines the organization's
purpose and guides strategic planning.
6. Which staffing position is legally responsible for nursing
services?
A. Administrator
B. Social Worker
C. Director of Nursing
D. Dietitian
Answer: C. Director of Nursing
Rationale: The Director of Nursing oversees nursing care
delivery and regulatory compliance.
, 7. The most effective leadership style during an emergency
is:
A. Laissez-faire
B. Democratic
C. Directive
D. Passive
Answer: C. Directive
Rationale: Emergencies require clear, decisive leadership to
ensure resident safety.
8. Which financial statement measures revenues and
expenses over time?
A. Balance Sheet
B. Cash Ledger
C. Income Statement
D. Inventory Log
Answer: C. Income Statement
Rationale: The income statement summarizes revenues,
expenses, and net income during a reporting period.
9. Medicare Part A primarily covers:
A. Routine custodial care
B. Long-term housing
C. Short-term skilled nursing care after qualifying
Exam Prep Document 2026/2027 | NAB
Core of Knowledge, Long-Term Care
Management Exam QUESTIONS AND
VERIFIED ACCURATE SOLUTION (DETAILED
& ELABORATED) |GET IT 100%
ACCURATE!! 2026 TEST
1. Which federal agency primarily regulates Medicare- and
Medicaid-certified nursing homes?
A. OSHA
B. CDC
C. CMS
D. FDA
Answer: C. CMS
Rationale: The Centers for Medicare & Medicaid Services
(CMS) establishes and enforces federal regulations
governing certified nursing facilities.
2. The primary responsibility of a nursing home
administrator is to:
A. Provide direct nursing care
B. Prescribe medications
C. Ensure quality resident care while managing facility
,operations
D. Conduct laboratory testing
Answer: C. Ensure quality resident care while managing
facility operations
Rationale: Administrators oversee all operational, financial,
regulatory, and quality functions to ensure safe, effective
resident care.
3. Which document outlines residents' rights in federally
certified nursing facilities?
A. HIPAA Manual
B. OSHA Guidelines
C. Federal Nursing Home Reform Act (OBRA 1987)
D. Fair Labor Standards Act
Answer: C. Federal Nursing Home Reform Act (OBRA 1987)
Rationale: OBRA '87 established comprehensive resident
rights and quality standards for nursing homes.
4. A Quality Assurance and Performance Improvement
(QAPI) program primarily focuses on:
A. Employee payroll
B. Marketing
C. Continuous quality improvement
D. Purchasing equipment
Answer: C. Continuous quality improvement
,Rationale: QAPI identifies opportunities to improve care
quality and organizational performance through systematic
evaluation.
5. A facility's mission statement should primarily:
A. Increase profits
B. Reduce staffing
C. Guide organizational purpose and decision-making
D. Meet insurance requirements
Answer: C. Guide organizational purpose and decision-
making
Rationale: A mission statement defines the organization's
purpose and guides strategic planning.
6. Which staffing position is legally responsible for nursing
services?
A. Administrator
B. Social Worker
C. Director of Nursing
D. Dietitian
Answer: C. Director of Nursing
Rationale: The Director of Nursing oversees nursing care
delivery and regulatory compliance.
, 7. The most effective leadership style during an emergency
is:
A. Laissez-faire
B. Democratic
C. Directive
D. Passive
Answer: C. Directive
Rationale: Emergencies require clear, decisive leadership to
ensure resident safety.
8. Which financial statement measures revenues and
expenses over time?
A. Balance Sheet
B. Cash Ledger
C. Income Statement
D. Inventory Log
Answer: C. Income Statement
Rationale: The income statement summarizes revenues,
expenses, and net income during a reporting period.
9. Medicare Part A primarily covers:
A. Routine custodial care
B. Long-term housing
C. Short-term skilled nursing care after qualifying
