NAB CORE OF KNOWLEDGE EXAM
PRACTICE QUESTIONS WITH RATIONALES
2026 2027 LONG TERM CARE
ADMINISTRATOR CERTIFICATION
GRADED A+ JUST RELEASED
TABLE OF CONTENTS
| 1 | Resident Centered Care and Services | 1 to 20 |
| 2 | Human Resources Management | 21 to 40 |
| 3 | Leadership and Organizational Management | 41 to 60 |
| 4 | Finance and Business Operations | 61 to 80 |
| 5 | Quality Improvement and Performance Management | 81 to 95 |
| 6 | Environment and Safety Management | 96 to 110 |
| 7 | Regulatory Compliance and Ethics | 111 to 130 |
| 8 | Risk Management and Legal Responsibilities | 131 to 150 |
,SECTION 1: RESIDENT CENTERED CARE AND SERVICES
Question 1
A nursing facility administrator learns that residents with cognitive
impairment are experiencing increased anxiety during shift changes.
Which action best reflects resident centered care principles
A. Increase documentation requirements during shift changes
B. Restrict resident movement during staffing transitions
C. Implement consistent staff assignments and structured
communication routines
D. Reduce family visitation during high activity periods
Correct Answer C
Rationale Resident centered care emphasizes predictability dignity and
individualized support. Consistent staffing promotes trust and reduces
confusion among cognitively impaired residents. Option A increases
administrative burden without addressing anxiety. Option B may
unnecessarily limit resident autonomy. Option D reduces social support
and does not address the underlying concern.
Question 2
,During a care conference a resident refuses a recommended dietary
modification despite documented health risks. What should the
administrator ensure occurs
A. Staff enforce the dietary plan regardless of resident preference
B. The residents informed choice is respected and documented
C. Family members override the residents decision
D. The physicians recommendation automatically supersedes resident
wishes
Correct Answer B
Rationale Residents have the right to make informed decisions about
their care including refusing treatment. The administrator should ensure
that the residents choice is respected and documented. The
interdisciplinary team should explore the residents reasons and provide
education but cannot force compliance.
Question 3
A resident requests a later wake up time that conflicts with traditional
facility routines. What is the administrators best response
A. Require adherence to the facility schedule
B. Accommodate the preference whenever clinically appropriate
, C. Deny the request because consistency is essential
D. Permit the change only if all residents agree
Correct Answer B
Rationale Resident centered care supports individualized daily routines.
Unless clinical or safety concerns exist preferences regarding sleep
meals and activities should be honored. This promotes resident
autonomy and quality of life.
Question 4
Which practice best supports resident dignity
A. Discussing care plans in public hallways
B. Standardizing all room arrangements
C. Providing privacy during personal care activities
D. Limiting resident participation in decision making
Correct Answer C
Rationale Privacy is fundamental to preserving dignity and respect.
Discussing care plans in public hallways violates confidentiality.
Standardizing room arrangements and limiting resident participation
undermine autonomy and individual preferences.
PRACTICE QUESTIONS WITH RATIONALES
2026 2027 LONG TERM CARE
ADMINISTRATOR CERTIFICATION
GRADED A+ JUST RELEASED
TABLE OF CONTENTS
| 1 | Resident Centered Care and Services | 1 to 20 |
| 2 | Human Resources Management | 21 to 40 |
| 3 | Leadership and Organizational Management | 41 to 60 |
| 4 | Finance and Business Operations | 61 to 80 |
| 5 | Quality Improvement and Performance Management | 81 to 95 |
| 6 | Environment and Safety Management | 96 to 110 |
| 7 | Regulatory Compliance and Ethics | 111 to 130 |
| 8 | Risk Management and Legal Responsibilities | 131 to 150 |
,SECTION 1: RESIDENT CENTERED CARE AND SERVICES
Question 1
A nursing facility administrator learns that residents with cognitive
impairment are experiencing increased anxiety during shift changes.
Which action best reflects resident centered care principles
A. Increase documentation requirements during shift changes
B. Restrict resident movement during staffing transitions
C. Implement consistent staff assignments and structured
communication routines
D. Reduce family visitation during high activity periods
Correct Answer C
Rationale Resident centered care emphasizes predictability dignity and
individualized support. Consistent staffing promotes trust and reduces
confusion among cognitively impaired residents. Option A increases
administrative burden without addressing anxiety. Option B may
unnecessarily limit resident autonomy. Option D reduces social support
and does not address the underlying concern.
Question 2
,During a care conference a resident refuses a recommended dietary
modification despite documented health risks. What should the
administrator ensure occurs
A. Staff enforce the dietary plan regardless of resident preference
B. The residents informed choice is respected and documented
C. Family members override the residents decision
D. The physicians recommendation automatically supersedes resident
wishes
Correct Answer B
Rationale Residents have the right to make informed decisions about
their care including refusing treatment. The administrator should ensure
that the residents choice is respected and documented. The
interdisciplinary team should explore the residents reasons and provide
education but cannot force compliance.
Question 3
A resident requests a later wake up time that conflicts with traditional
facility routines. What is the administrators best response
A. Require adherence to the facility schedule
B. Accommodate the preference whenever clinically appropriate
, C. Deny the request because consistency is essential
D. Permit the change only if all residents agree
Correct Answer B
Rationale Resident centered care supports individualized daily routines.
Unless clinical or safety concerns exist preferences regarding sleep
meals and activities should be honored. This promotes resident
autonomy and quality of life.
Question 4
Which practice best supports resident dignity
A. Discussing care plans in public hallways
B. Standardizing all room arrangements
C. Providing privacy during personal care activities
D. Limiting resident participation in decision making
Correct Answer C
Rationale Privacy is fundamental to preserving dignity and respect.
Discussing care plans in public hallways violates confidentiality.
Standardizing room arrangements and limiting resident participation
undermine autonomy and individual preferences.
