NAB Core Exam Practice Questions
2026/2027 | Over 100 Q&A for Nursing Home
Administrator Licensing | Updated Multiple-
Choice Format/NAB CORE EXAM.
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
What is the primary goal of person-centered care in a long-term care facility?
A) Maximizing operational efficiency
B) Placing the resident's preferences, needs, and values at the center of care decisions
C) Reducing staffing costs
D) Standardizing care for all residents
Answer: B
Rationale: Person-centered care focuses on treating each resident as an individual, respecting
their preferences, needs, and values in all care decisions .
,Question 3
Which federal regulation requires that residents be free from physical or chemical restraints
imposed for purposes of discipline or convenience?
A) OBRA '87
B) HIPAA
C) ADA
D) EMTALA
Answer: A
Rationale: The Omnibus Budget Reconciliation Act of 1987 (OBRA '87) established federal
requirements for nursing homes, including the right to be free from unnecessary restraints .
Question 4
Per 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 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 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. The resident's right to freedom
from physical restraints is violated.
Question 7
When consumers perceive a facility renders poor care because of the performance of one
employee, this is called:
A) Inconsistency rule
B) Inseparability rule
C) Variability principle
D) Service failure rule
Answer: B
Rationale: When consumers perceive a facility renders poor care because of the performance of
one employee, this is called the "inseparability rule."
Question 8
The Minimum Data Set (MDS) is used to:
A) Assess residents' functional capabilities and care needs
B) Determine facility staffing requirements
, C) Evaluate staff performance
D) Conduct resident satisfaction surveys
Answer: A
Rationale: The Minimum Data Set (MDS) is a standardized assessment tool used to assess
residents' functional capabilities, care needs, and health status .
Question 9
The Care Area Assessment (CAA) process is used to:
A) Identify potential problems and guide care planning
B) Evaluate staff performance
C) Calculate facility reimbursement
D) Conduct resident satisfaction surveys
Answer: A
Rationale: The CAA process uses Care Area Triggers (CATs) to identify potential problems and
guide the development of the care plan .
Question 10
Which of the following is a common indicator of pain in a resident with dementia?
A) Verbal complaints of pain
B) Behavioral changes such as agitation or withdrawal
C) Requesting pain medication
D) Normal activity levels
Answer: B
Rationale: Residents with cognitive impairment may express pain through behavioral changes
such as agitation, withdrawal, or facial expressions rather than verbal complaints .
Clinical Care & Services
Question 11
The comprehensive assessment must be signed by which of the following?
2026/2027 | Over 100 Q&A for Nursing Home
Administrator Licensing | Updated Multiple-
Choice Format/NAB CORE EXAM.
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
What is the primary goal of person-centered care in a long-term care facility?
A) Maximizing operational efficiency
B) Placing the resident's preferences, needs, and values at the center of care decisions
C) Reducing staffing costs
D) Standardizing care for all residents
Answer: B
Rationale: Person-centered care focuses on treating each resident as an individual, respecting
their preferences, needs, and values in all care decisions .
,Question 3
Which federal regulation requires that residents be free from physical or chemical restraints
imposed for purposes of discipline or convenience?
A) OBRA '87
B) HIPAA
C) ADA
D) EMTALA
Answer: A
Rationale: The Omnibus Budget Reconciliation Act of 1987 (OBRA '87) established federal
requirements for nursing homes, including the right to be free from unnecessary restraints .
Question 4
Per 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 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 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. The resident's right to freedom
from physical restraints is violated.
Question 7
When consumers perceive a facility renders poor care because of the performance of one
employee, this is called:
A) Inconsistency rule
B) Inseparability rule
C) Variability principle
D) Service failure rule
Answer: B
Rationale: When consumers perceive a facility renders poor care because of the performance of
one employee, this is called the "inseparability rule."
Question 8
The Minimum Data Set (MDS) is used to:
A) Assess residents' functional capabilities and care needs
B) Determine facility staffing requirements
, C) Evaluate staff performance
D) Conduct resident satisfaction surveys
Answer: A
Rationale: The Minimum Data Set (MDS) is a standardized assessment tool used to assess
residents' functional capabilities, care needs, and health status .
Question 9
The Care Area Assessment (CAA) process is used to:
A) Identify potential problems and guide care planning
B) Evaluate staff performance
C) Calculate facility reimbursement
D) Conduct resident satisfaction surveys
Answer: A
Rationale: The CAA process uses Care Area Triggers (CATs) to identify potential problems and
guide the development of the care plan .
Question 10
Which of the following is a common indicator of pain in a resident with dementia?
A) Verbal complaints of pain
B) Behavioral changes such as agitation or withdrawal
C) Requesting pain medication
D) Normal activity levels
Answer: B
Rationale: Residents with cognitive impairment may express pain through behavioral changes
such as agitation, withdrawal, or facial expressions rather than verbal complaints .
Clinical Care & Services
Question 11
The comprehensive assessment must be signed by which of the following?
