CORE NAB EXAM QUESTIONS AND
ANSWERS 2026
Within the spirit of OBRA and culture change, which one of the following is most
descriptive of the movement? - ANSWERSThe spirit of the OBRA and the culture
change movement is to accord more dignity to residents, create a more resident
centered care that allows the resident to determine when they want to do things.
According to Code of Federal Regulations, if the staff development coordinator is
promoted to director of nursing, the nursing facility must notify the: - ANSWERSThe
facility must provide written notice to the State agency responsible for licensing the
facility at the time of change for the facility administrator or director of nursing.
The Minimum Data Set (MDS) - ANSWERSa comprehensive evaluation of the
functional capabilities of each resident in a long-term care facility
MDS - ANSWERSMinimum Data Set
Mrs. Johnson is a 78-year-old care recipient who is receiving post-acute services
following a shoulder replacement. She has no cognitive deficits and is generally
pleasant and cooperative with the care team. Prior to her surgery, she had been
recently diagnosed as a Type II diabetic and is on a medication to help regulate her
blood sugar. Her family is very involved in her progress, stopping by daily to offer
support and encouragement.
On their visits, they also occasionally will bring some homemade sweets which are not
recommended for Mrs. Johnson to eat due to her diabetes. Regardless of the
recommendations, Mrs. Johnson eats these treats which results in hyper-glycemic
episodes. The care team has attempted to speak to Mrs. Johnson about these
concerns, and she became rather agitated with them, raising her voice, and choosing to
end her therapy session early. The team calls on their Administrator for advice. -
ANSWERSFirst you need to recall the healthcare team's role with care recipients in
general and with this situation specifically.
It is the healthcare team's role to assess the care recipient, ensure that the prescribed
diet that is being offered by the team is in accordance with the recommendations of the
physician and the dietician, and educate the care recipient on why that particular diet
has been prescribed for them.
Further, in the case that the care recipient chooses to ignore the recommended diet, the
care team should continue to educate as to the risks associated with being
noncompliant, document that education has been provided, and include the refusal in
the plan-of-care.
, Mr. Apple is a 91-year-old care recipient with some mild cognitive loss. As
housekeeping was making daily rounds, he reported that he has been unable to locate
his wallet. The housekeeper assisting in Mr. Apple's room helped him search and when
the wallet was not found, immediately reported it as missing to nursing staff supervisor
who then reported it to you, the administrator. - ANSWERSHave your social worker or
designated person investigate.
A timeline should be made from the last time the wallet was seen to when it was
missing.
Question all possible suspects - this includes staff, residents, and the care recipient's
family and friends. Sometimes the wallet is not lost but rather put in a safe place by staff
(e.g. in a med cart) or taken home by family and the resident forgets.
Have staff ask within the community to determine if this missing wallet is an isolated
event or if others are missing items.
Make sure each step of the investigation is documented.
Make sure the investigation keeps momentum and an outcome is decided.
If it is determined the wallet was stolen,
Call police and file report.
Report incident to State Hotline or other required entities, depending on your state.
Mr. Apple is a 91-year-old care recipient with some mild cognitive loss. As
housekeeping was making daily rounds, he reported that he has been unable to locate
his wallet. The housekeeper assisting in Mr. Apple's room helped him search and when
the wallet was not found, immediately reported it as missing to nursing staff supervisor
who then reported it to you, the administrator.
Is this situation:
A. An example of a negligent resident.
B. A problem the resident representative needs to fix
C. Misappropriation of Resident Property or Property misplacement due to cognitive
loss.
D. A problem for the local police department. - ANSWERSThis example covers
Misappropriation of Resident Property. It is also important to consider all aspects of this
incident, including the possibility of Mr. Apple's mild cognitive loss playing a role in the
wallet possibly being misplaced.
Allowing a resident to eat at non-traditional times and make nutritional choices that do
not follow the physician's recommendation is an example of what concepts? -
ANSWERSPerson centered care
ANSWERS 2026
Within the spirit of OBRA and culture change, which one of the following is most
descriptive of the movement? - ANSWERSThe spirit of the OBRA and the culture
change movement is to accord more dignity to residents, create a more resident
centered care that allows the resident to determine when they want to do things.
According to Code of Federal Regulations, if the staff development coordinator is
promoted to director of nursing, the nursing facility must notify the: - ANSWERSThe
facility must provide written notice to the State agency responsible for licensing the
facility at the time of change for the facility administrator or director of nursing.
The Minimum Data Set (MDS) - ANSWERSa comprehensive evaluation of the
functional capabilities of each resident in a long-term care facility
MDS - ANSWERSMinimum Data Set
Mrs. Johnson is a 78-year-old care recipient who is receiving post-acute services
following a shoulder replacement. She has no cognitive deficits and is generally
pleasant and cooperative with the care team. Prior to her surgery, she had been
recently diagnosed as a Type II diabetic and is on a medication to help regulate her
blood sugar. Her family is very involved in her progress, stopping by daily to offer
support and encouragement.
On their visits, they also occasionally will bring some homemade sweets which are not
recommended for Mrs. Johnson to eat due to her diabetes. Regardless of the
recommendations, Mrs. Johnson eats these treats which results in hyper-glycemic
episodes. The care team has attempted to speak to Mrs. Johnson about these
concerns, and she became rather agitated with them, raising her voice, and choosing to
end her therapy session early. The team calls on their Administrator for advice. -
ANSWERSFirst you need to recall the healthcare team's role with care recipients in
general and with this situation specifically.
It is the healthcare team's role to assess the care recipient, ensure that the prescribed
diet that is being offered by the team is in accordance with the recommendations of the
physician and the dietician, and educate the care recipient on why that particular diet
has been prescribed for them.
Further, in the case that the care recipient chooses to ignore the recommended diet, the
care team should continue to educate as to the risks associated with being
noncompliant, document that education has been provided, and include the refusal in
the plan-of-care.
, Mr. Apple is a 91-year-old care recipient with some mild cognitive loss. As
housekeeping was making daily rounds, he reported that he has been unable to locate
his wallet. The housekeeper assisting in Mr. Apple's room helped him search and when
the wallet was not found, immediately reported it as missing to nursing staff supervisor
who then reported it to you, the administrator. - ANSWERSHave your social worker or
designated person investigate.
A timeline should be made from the last time the wallet was seen to when it was
missing.
Question all possible suspects - this includes staff, residents, and the care recipient's
family and friends. Sometimes the wallet is not lost but rather put in a safe place by staff
(e.g. in a med cart) or taken home by family and the resident forgets.
Have staff ask within the community to determine if this missing wallet is an isolated
event or if others are missing items.
Make sure each step of the investigation is documented.
Make sure the investigation keeps momentum and an outcome is decided.
If it is determined the wallet was stolen,
Call police and file report.
Report incident to State Hotline or other required entities, depending on your state.
Mr. Apple is a 91-year-old care recipient with some mild cognitive loss. As
housekeeping was making daily rounds, he reported that he has been unable to locate
his wallet. The housekeeper assisting in Mr. Apple's room helped him search and when
the wallet was not found, immediately reported it as missing to nursing staff supervisor
who then reported it to you, the administrator.
Is this situation:
A. An example of a negligent resident.
B. A problem the resident representative needs to fix
C. Misappropriation of Resident Property or Property misplacement due to cognitive
loss.
D. A problem for the local police department. - ANSWERSThis example covers
Misappropriation of Resident Property. It is also important to consider all aspects of this
incident, including the possibility of Mr. Apple's mild cognitive loss playing a role in the
wallet possibly being misplaced.
Allowing a resident to eat at non-traditional times and make nutritional choices that do
not follow the physician's recommendation is an example of what concepts? -
ANSWERSPerson centered care
