Federal Nursing Home Administrator
Exam Prep Package 2025/2026 | NAB Core
of Knowledge, Long-Term Care
Administration Exam QUESTIONS AND
VERIFIED ACCURATE SOLUTION (DETAILED
& ELABORATED) |GET IT 100%
ACCURATE!! 2026 TEST
1. Which federal law primarily regulates nursing homes
participating in Medicare and Medicaid?
A. HIPAA
B. OSHA
C. OBRA 1987
D. EMTALA
Answer: C. OBRA 1987
Rationale: The Omnibus Budget Reconciliation Act (OBRA)
of 1987 established comprehensive federal standards for
nursing home quality of care and resident rights.
2. The primary responsibility of a Nursing Home
Administrator is to:
A. Provide bedside nursing care
B. Dispense medications
C. Direct overall facility operations while ensuring
,regulatory compliance
D. Perform physician examinations
Answer: C. Direct overall facility operations while ensuring
regulatory compliance
Rationale: Administrators oversee clinical, financial,
operational, regulatory, and human resource functions.
3. Which resident right includes making personal healthcare
decisions?
A. Confidentiality only
B. Self-determination
C. Visitation
D. Financial disclosure
Answer: B. Self-determination
Rationale: Residents have the right to participate in
planning and directing their own care.
4. A Quality Assurance and Performance Improvement
(QAPI) program is designed to:
A. Increase admissions
B. Reduce payroll
C. Continuously improve quality and safety
D. Eliminate surveys
Answer: C. Continuously improve quality and safety
,Rationale: QAPI uses systematic methods to improve
resident outcomes and organizational performance.
5. The interdisciplinary care plan should be developed:
A. Only by physicians
B. Only by nurses
C. With resident and family participation whenever possible
D. Only after discharge
Answer: C. With resident and family participation whenever
possible
Rationale: Federal regulations require resident-centered
care planning.
6. The Minimum Data Set (MDS) primarily supports:
A. Tax reporting
B. OSHA compliance
C. Resident assessment and Medicare reimbursement
D. Employee evaluations
Answer: C. Resident assessment and Medicare
reimbursement
Rationale: MDS assessments drive care planning and
payment methodologies.
7. Which leadership style generally promotes employee
engagement?
, A. Autocratic
B. Laissez-faire
C. Transformational
D. Bureaucratic
Answer: C. Transformational
Rationale: Transformational leaders motivate employees
through inspiration, collaboration, and shared goals.
8. HIPAA primarily protects:
A. Facility buildings
B. Employee wages
C. Resident health information
D. Medicare funding
Answer: C. Resident health information
Rationale: HIPAA establishes standards for privacy and
security of protected health information.
9. A facility's mission statement should:
A. Describe payroll procedures
B. Explain survey penalties
C. Define the organization's purpose
D. Replace policies
Answer: C. Define the organization's purpose
Rationale: A mission statement communicates the
organization's reason for existence.
Exam Prep Package 2025/2026 | NAB Core
of Knowledge, Long-Term Care
Administration Exam QUESTIONS AND
VERIFIED ACCURATE SOLUTION (DETAILED
& ELABORATED) |GET IT 100%
ACCURATE!! 2026 TEST
1. Which federal law primarily regulates nursing homes
participating in Medicare and Medicaid?
A. HIPAA
B. OSHA
C. OBRA 1987
D. EMTALA
Answer: C. OBRA 1987
Rationale: The Omnibus Budget Reconciliation Act (OBRA)
of 1987 established comprehensive federal standards for
nursing home quality of care and resident rights.
2. The primary responsibility of a Nursing Home
Administrator is to:
A. Provide bedside nursing care
B. Dispense medications
C. Direct overall facility operations while ensuring
,regulatory compliance
D. Perform physician examinations
Answer: C. Direct overall facility operations while ensuring
regulatory compliance
Rationale: Administrators oversee clinical, financial,
operational, regulatory, and human resource functions.
3. Which resident right includes making personal healthcare
decisions?
A. Confidentiality only
B. Self-determination
C. Visitation
D. Financial disclosure
Answer: B. Self-determination
Rationale: Residents have the right to participate in
planning and directing their own care.
4. A Quality Assurance and Performance Improvement
(QAPI) program is designed to:
A. Increase admissions
B. Reduce payroll
C. Continuously improve quality and safety
D. Eliminate surveys
Answer: C. Continuously improve quality and safety
,Rationale: QAPI uses systematic methods to improve
resident outcomes and organizational performance.
5. The interdisciplinary care plan should be developed:
A. Only by physicians
B. Only by nurses
C. With resident and family participation whenever possible
D. Only after discharge
Answer: C. With resident and family participation whenever
possible
Rationale: Federal regulations require resident-centered
care planning.
6. The Minimum Data Set (MDS) primarily supports:
A. Tax reporting
B. OSHA compliance
C. Resident assessment and Medicare reimbursement
D. Employee evaluations
Answer: C. Resident assessment and Medicare
reimbursement
Rationale: MDS assessments drive care planning and
payment methodologies.
7. Which leadership style generally promotes employee
engagement?
, A. Autocratic
B. Laissez-faire
C. Transformational
D. Bureaucratic
Answer: C. Transformational
Rationale: Transformational leaders motivate employees
through inspiration, collaboration, and shared goals.
8. HIPAA primarily protects:
A. Facility buildings
B. Employee wages
C. Resident health information
D. Medicare funding
Answer: C. Resident health information
Rationale: HIPAA establishes standards for privacy and
security of protected health information.
9. A facility's mission statement should:
A. Describe payroll procedures
B. Explain survey penalties
C. Define the organization's purpose
D. Replace policies
Answer: C. Define the organization's purpose
Rationale: A mission statement communicates the
organization's reason for existence.
