NAB-NHA Line of Service Exam Review 2026 Actual
Exam Test Bank| Complete 300 Real Exam Questions
and Correct Detailed Answers (Verified Answers)
Graded A+|| Brand New!!
1. A new administrator discovers that the governing body has
not reviewed the facility's bylaws in 10 years. What is the
most immediate risk?
A) Medicare reimbursement delay
B) Noncompliance with F-tag 500 (Governing Body)
C) Loss of state license
D) Immediate termination of Medicaid contract
Correct Answer: B
Rationale: F-tag 500 requires the governing body to assume full
legal responsibility for the facility’s total operation, including
regular review of bylaws and policies.
1
,2. A board member asks to see a specific resident’s medical
record without a signed release. What should the
administrator do?
A) Allow access as board oversight
B) Deny access without resident consent
C) Allow only if board member is a physician
D) Require a court order
Correct Answer: B
Rationale: HIPAA and F-tag 552 require resident authorization
for record access unless board member is directly involved in
treatment or QAPI with patient-level consent.
3. Which of the following is the best example of strategic
leadership in a nursing home?
A) Approving weekly payroll
2
, B) Implementing a 3-year diversity, equity, and inclusion
plan
C) Ordering office supplies
D) Completing daily meal audits
Correct Answer: B
Rationale: Strategic leadership involves long-term vision,
planning, and organizational culture change, not operational or
transactional tasks.
4. A facility’s mission statement focuses solely on financial
profitability. This most directly conflicts with which CMS
principle?
A) Resident rights
B) Value-based purchasing
C) Least restrictive environment
D) Staffing transparency
3
, Correct Answer: A
Rationale: Resident rights (F-tag 550) require person-centered
care, dignity, and quality of life over profit. A mission statement
ignoring this suggests regulatory risk.
5. A facility has three vacancies on its 7-member board. How
soon must vacancies be filled?
A) 30 days
B) 60 days
C) As specified in state licensing regulations
D) Before the next annual survey
Correct Answer: C
Rationale: Governing body composition requirements vary by
state (and sometimes by corporate bylaws), but federal
regulations do not prescribe a fixed timeline—state law governs.
4
Exam Test Bank| Complete 300 Real Exam Questions
and Correct Detailed Answers (Verified Answers)
Graded A+|| Brand New!!
1. A new administrator discovers that the governing body has
not reviewed the facility's bylaws in 10 years. What is the
most immediate risk?
A) Medicare reimbursement delay
B) Noncompliance with F-tag 500 (Governing Body)
C) Loss of state license
D) Immediate termination of Medicaid contract
Correct Answer: B
Rationale: F-tag 500 requires the governing body to assume full
legal responsibility for the facility’s total operation, including
regular review of bylaws and policies.
1
,2. A board member asks to see a specific resident’s medical
record without a signed release. What should the
administrator do?
A) Allow access as board oversight
B) Deny access without resident consent
C) Allow only if board member is a physician
D) Require a court order
Correct Answer: B
Rationale: HIPAA and F-tag 552 require resident authorization
for record access unless board member is directly involved in
treatment or QAPI with patient-level consent.
3. Which of the following is the best example of strategic
leadership in a nursing home?
A) Approving weekly payroll
2
, B) Implementing a 3-year diversity, equity, and inclusion
plan
C) Ordering office supplies
D) Completing daily meal audits
Correct Answer: B
Rationale: Strategic leadership involves long-term vision,
planning, and organizational culture change, not operational or
transactional tasks.
4. A facility’s mission statement focuses solely on financial
profitability. This most directly conflicts with which CMS
principle?
A) Resident rights
B) Value-based purchasing
C) Least restrictive environment
D) Staffing transparency
3
, Correct Answer: A
Rationale: Resident rights (F-tag 550) require person-centered
care, dignity, and quality of life over profit. A mission statement
ignoring this suggests regulatory risk.
5. A facility has three vacancies on its 7-member board. How
soon must vacancies be filled?
A) 30 days
B) 60 days
C) As specified in state licensing regulations
D) Before the next annual survey
Correct Answer: C
Rationale: Governing body composition requirements vary by
state (and sometimes by corporate bylaws), but federal
regulations do not prescribe a fixed timeline—state law governs.
4
