NAB Exam 2026/2027 – Study Guide by Stan
Mucinic with Test Questions and Verified
Answers (100% Guaranteed)
Question 1
Under OBRA 1987 federal guidelines, a nursing facility must complete a newly admitted
resident's initial comprehensive assessment (MDS) within how many days of the physical
admission date?
A) 7 days
B) 14 days
C) 21 days
D) 30 days
Answer: B
Rationale: Federal long-term care guidelines state that a facility must complete a resident's
comprehensive assessment within 14 calendar days of admission. This assessment must be
directed by a registered nurse and signed to verify its accuracy. A comprehensive care plan must
then be developed within 7 days after the assessment's completion .
Question 2
The comprehensive assessment must be signed by which of the following?
A) The attending physician
B) The nursing home administrator
C) A Registered Nurse
D) The social worker
Answer: C
Rationale: Per OBRA regulations, the comprehensive assessment must be signed and certified
by a Registered Nurse. The RN coordinates the interdisciplinary team's assessment and ensures
accuracy and completeness .
Question 3
A resident was admitted on June 1. The attending physician charted a visit and physical
,examination on June 27, July 29, and September 4. With respect to required physician visits per
OBRA 1987, the facility:
A) Was out of compliance and would be cited
B) Was in compliance and would not be cited
C) Must have a physician visit every 30 days regardless of condition
D) Only required a visit if the resident's condition changed
Answer: B
Rationale: OBRA 1987 requires physician visits at least every 60 days for the first 90 days after
admission, then at least every 90 days thereafter. The visits on June 27 (26 days after
admission), July 29 (58 days after admission), and September 4 (within 90 days of the July visit)
meet these requirements .
Question 4
The Quality Assurance and Performance Improvement (QAPI) committee is required to meet at
a minimum frequency under federal regulatory standards. What is this minimum required
interval?
A) Monthly
B) Bi-monthly
C) Quarterly
D) Annually
Answer: C
Rationale: The Quality Assurance Committee must meet at least quarterly per OBRA 1987
requirements . QAPI is a comprehensive system for quality improvement.
Question 5
A resident was only given lunch that day, was given the wrong medication in the morning, had
her room changed without notification, and was not given a bath as requested. Per OBRA 1987,
how many rights were violated?
A) 1
B) 2
C) 3
D) 4
,Answer: C
Rationale: Three rights were violated: (1) the right to receive appropriate medication, (2) the
right to be notified before room changes, and (3) the right to personal hygiene/bathing. The
meal issue is not a rights violation if meals were otherwise adequate .
Question 6
A change of 1/4 inch to 1/2 inch in level surface requires:
A) A ramp
B) A beveled edge
C) A warning sign
D) No modification
Answer: B
Rationale: A change between 1/4 inch and 1/2 inch in level surface requires a beveled edge to
ensure safe wheelchair navigation .
Question 7
A change in level surface over 1/2 inch requires:
A) A beveled edge
B) A ramp treatment
C) A warning sign
D) No modification
Answer: B
Rationale: A change in level surface over 1/2 inch requires ramp treatment under ADA
accessibility standards .
Question 8
Under OBRA, a resident has the right to review all their records within what timeframe of an
oral or written request (excluding weekends and holidays)?
A) 12 hours
B) 24 hours
, C) 48 hours
D) 72 hours
Answer: B
Rationale: Per OBRA 1987, a resident has the right to review all their records within 24 hours of
an oral or written request, excluding weekends and holidays .
Question 9
A resident with dementia repeatedly wanders into restricted areas. Staff apply a bed alarm
without consent. Which resident right is most violated?
A) Right to privacy
B) Freedom from chemical restraints
C) Freedom from physical restraints
D) Right to refuse treatment
Answer: C
Rationale: Alarms can be considered restraints if they restrict movement; this requires use of
the least restrictive alternatives and consent/documentation (Domain 1B14: Restraint Usage
and Reduction; F689) .
Question 10
The most common psychological response to nursing home placement is:
A) Depression
B) Anxiety related to the unknown
C) Anger
D) Acceptance
Answer: B
Rationale: Anxiety related to the unknown is the most common psychological response to
nursing home placement. Residents face uncertainty about their new environment, routines,
caregivers, and separation from familiar surroundings. This requires sensitive orientation and
support .
Mucinic with Test Questions and Verified
Answers (100% Guaranteed)
Question 1
Under OBRA 1987 federal guidelines, a nursing facility must complete a newly admitted
resident's initial comprehensive assessment (MDS) within how many days of the physical
admission date?
A) 7 days
B) 14 days
C) 21 days
D) 30 days
Answer: B
Rationale: Federal long-term care guidelines state that a facility must complete a resident's
comprehensive assessment within 14 calendar days of admission. This assessment must be
directed by a registered nurse and signed to verify its accuracy. A comprehensive care plan must
then be developed within 7 days after the assessment's completion .
Question 2
The comprehensive assessment must be signed by which of the following?
A) The attending physician
B) The nursing home administrator
C) A Registered Nurse
D) The social worker
Answer: C
Rationale: Per OBRA regulations, the comprehensive assessment must be signed and certified
by a Registered Nurse. The RN coordinates the interdisciplinary team's assessment and ensures
accuracy and completeness .
Question 3
A resident was admitted on June 1. The attending physician charted a visit and physical
,examination on June 27, July 29, and September 4. With respect to required physician visits per
OBRA 1987, the facility:
A) Was out of compliance and would be cited
B) Was in compliance and would not be cited
C) Must have a physician visit every 30 days regardless of condition
D) Only required a visit if the resident's condition changed
Answer: B
Rationale: OBRA 1987 requires physician visits at least every 60 days for the first 90 days after
admission, then at least every 90 days thereafter. The visits on June 27 (26 days after
admission), July 29 (58 days after admission), and September 4 (within 90 days of the July visit)
meet these requirements .
Question 4
The Quality Assurance and Performance Improvement (QAPI) committee is required to meet at
a minimum frequency under federal regulatory standards. What is this minimum required
interval?
A) Monthly
B) Bi-monthly
C) Quarterly
D) Annually
Answer: C
Rationale: The Quality Assurance Committee must meet at least quarterly per OBRA 1987
requirements . QAPI is a comprehensive system for quality improvement.
Question 5
A resident was only given lunch that day, was given the wrong medication in the morning, had
her room changed without notification, and was not given a bath as requested. Per OBRA 1987,
how many rights were violated?
A) 1
B) 2
C) 3
D) 4
,Answer: C
Rationale: Three rights were violated: (1) the right to receive appropriate medication, (2) the
right to be notified before room changes, and (3) the right to personal hygiene/bathing. The
meal issue is not a rights violation if meals were otherwise adequate .
Question 6
A change of 1/4 inch to 1/2 inch in level surface requires:
A) A ramp
B) A beveled edge
C) A warning sign
D) No modification
Answer: B
Rationale: A change between 1/4 inch and 1/2 inch in level surface requires a beveled edge to
ensure safe wheelchair navigation .
Question 7
A change in level surface over 1/2 inch requires:
A) A beveled edge
B) A ramp treatment
C) A warning sign
D) No modification
Answer: B
Rationale: A change in level surface over 1/2 inch requires ramp treatment under ADA
accessibility standards .
Question 8
Under OBRA, a resident has the right to review all their records within what timeframe of an
oral or written request (excluding weekends and holidays)?
A) 12 hours
B) 24 hours
, C) 48 hours
D) 72 hours
Answer: B
Rationale: Per OBRA 1987, a resident has the right to review all their records within 24 hours of
an oral or written request, excluding weekends and holidays .
Question 9
A resident with dementia repeatedly wanders into restricted areas. Staff apply a bed alarm
without consent. Which resident right is most violated?
A) Right to privacy
B) Freedom from chemical restraints
C) Freedom from physical restraints
D) Right to refuse treatment
Answer: C
Rationale: Alarms can be considered restraints if they restrict movement; this requires use of
the least restrictive alternatives and consent/documentation (Domain 1B14: Restraint Usage
and Reduction; F689) .
Question 10
The most common psychological response to nursing home placement is:
A) Depression
B) Anxiety related to the unknown
C) Anger
D) Acceptance
Answer: B
Rationale: Anxiety related to the unknown is the most common psychological response to
nursing home placement. Residents face uncertainty about their new environment, routines,
caregivers, and separation from familiar surroundings. This requires sensitive orientation and
support .
