NAB CORE ACTUAL FINAL EXAM PREP 2026
ALL QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES ALREADY A
GRADED WITH EXPERT FEEDBACK |NEW AND
REVISED
1. Which function of the management process includes gathering
information and input from stakeholders before making decisions?
A) Directing
B) Decision-making
C) Controlling
D) Organizing
Rationale: Decision-making is the management function that involves
gathering information, analyzing options, and choosing a course of
action. While directing involves guiding staff, controlling involves
monitoring performance, and organizing involves structuring
resources, decision-making specifically requires input gathering and
analysis before committing to a course of action.
2. Management by walking around (MBWA) is an approach that
allows the administrator to:
A) See first-hand the needs of the care recipient
B) Control the staff through direct supervision
C) Reduce the need for formal meetings
D) Eliminate the need for written policies
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Rationale: Management by walking around enables administrators to
observe operations directly, interact with care recipients and staff, and
identify needs and concerns firsthand. This approach promotes
visibility, accessibility, and a deeper understanding of the care
environment that cannot be achieved through reports alone.
3. 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
neurodegenerative disorder that requires long-term management.
Pneumonia and shingles are acute conditions, and botulism is an
acute, potentially life-threatening illness caused by a toxin. Chronic
diseases are characterized by their long duration and slow progression.
4. The primary goal of person-centered care in a long-term care
facility is to:
A) Maximize operational efficiency
B) Provide care that respects the individual's values,
preferences, and choices
C) Standardize care protocols across all residents
D) Reduce staff workloads
Rationale: Person-centered care focuses on the individual's unique
needs, preferences, and values, ensuring that care is tailored to each
care recipient. This approach respects autonomy, promotes dignity,
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and enhances quality of life. Standardization and efficiency are
secondary to individual needs in person-centered care.
5. A care recipient has been diagnosed with a terminal disease but
wishes to participate in therapies to prolong life. The healthcare
organization should offer consultation on which of the following
services?
A) Physiatrist services
B) Oncology services
C) Palliative care
D) Hospice care
Rationale: Palliative care focuses on relieving symptoms and
improving quality of life for individuals with serious illnesses,
regardless of whether they are pursuing curative treatments. Hospice
care is specifically for those no longer pursuing curative treatments.
Oncology and physiatrist services may be part of the treatment plan
but do not address the comprehensive symptom management that
palliative care provides.
6. A care recipient who uses a walker to get to the dining room is
told by an employee to leave the walker outside the room. With
regard to the Americans with Disabilities Act of 1990 (ADA), the
healthcare organization:
A) Must provide a space in the dining room for wheelchairs
and walkers
B) May formulate its own policy regarding the use of walkers
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C) Must discipline the employee for violating the care recipient's
rights
D) Should have a caregiver escort the care recipient to the dining
room
Rationale: The ADA requires that individuals with disabilities have
equal access to facilities and services. This includes providing space
for mobility aids such as walkers and wheelchairs in all areas,
including dining rooms. The organization cannot restrict the use of
mobility aids or require them to be left outside.
7. A symptom of dehydration in an older adult is:
A) Difficulty walking
B) Diarrhea
C) Vomiting
D) Poor skin turgor
Rationale: Poor skin turgor (decreased skin elasticity) is a classic sign
of dehydration. While diarrhea and vomiting can cause dehydration,
they are causes rather than symptoms. Difficulty walking may have
multiple causes. In older adults, skin turgor assessment is a key
clinical indicator of hydration status.
8. The False Claims Act, which seeks to hold entities liable for
submitting false or fraudulent claims for reimbursement to the
federal government, is also known as the:
A) Whistleblower Act
B) Sunshine Act
C) Stark Act