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NAB CORE & NHA EXAM ALL 300 RANDOMIZED
PRACTICE QUESTIONS WITH ANSWERS &
RATIONALES LATEST VERSION THIS YEAR
NAB CORE & NHA EXAM – 300 RANDOMIZED QUESTIONS WITH ANSWERS AND RATIONALES
The NAB (National Association of Long Term Care Administrator Boards) exams are competency-based
assessments for long-term care administrators. The CORE exam has 125 questions (100 scored, 25
pretest), while the NHA line of service exam has 75 questions. Both are multiple-choice with four answer
options. All questions are based on the four content domains: Care, Services, and
Supports; Operations; Environment and Quality; and Leadership and Strategy.
QUESTIONS 1–60: CARE, SERVICES, AND SUPPORTS
Resident Rights, Quality of Life & Psychosocial Needs
1. A resident with dementia repeatedly wanders into restricted areas. What is the most appropriate initial
intervention?
A) Apply physical restraints to prevent wandering
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B) Place the resident in a locked seclusion room
C) Conduct a behavioral assessment and implement person-centered interventions
D) Notify the family and request they take the resident home
Answer: C Person-centered care requires assessing the underlying cause of wandering and implementing
non-restrictive interventions. Restraints should only be used as a last resort under specific regulations,
and OBRA '87 emphasizes the least restrictive environment.
2. Under OBRA '87 regulations, which of the following is a resident right?
A) The right to vote in federal elections only
B) The right to be free from physical and chemical restraints
C) The right to refuse all medical treatment without exception
D) The right to have family members make all decisions
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Answer: B OBRA '87 established that residents have the right to be free from unnecessary physical and
chemical restraints. While residents have many rights, some medical decisions may require capacity
assessment, and family cannot override a resident's wishes without legal authority.
3. A resident refuses to take prescribed medication. The nursing home administrator should:
A) Force the resident to take the medication
B) Document the refusal and attempt to understand the reason
C) Discharge the resident immediately
D) Call the resident's family to override the decision
Answer: B Residents have the right to refuse treatment. Staff should attempt to understand the reason
for refusal, provide education, and document the refusal. Involuntary medication administration is only
permitted in limited emergency circumstances.
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4. The facility's Resident Council has expressed concerns about menu variety. The administrator's best
response is:
A) Dismiss the concerns as unimportant
B) Meet with the Council, review the menu options, and involve the dietary manager
C) Tell residents they can purchase their own food
D) Change the menu immediately without consultation
Answer: B Resident Councils are a key part of resident rights and quality of life. The administrator should
listen to concerns, collaborate with the dietary manager, and involve residents in menu planning where
feasible.
5. A family member complains that their loved one is not receiving enough attention from staff. The most
appropriate response is:
A) Tell the family member they are being unreasonable
B) Assure the family member that staffing is adequate
NAB CORE & NHA EXAM ALL 300 RANDOMIZED
PRACTICE QUESTIONS WITH ANSWERS &
RATIONALES LATEST VERSION THIS YEAR
NAB CORE & NHA EXAM – 300 RANDOMIZED QUESTIONS WITH ANSWERS AND RATIONALES
The NAB (National Association of Long Term Care Administrator Boards) exams are competency-based
assessments for long-term care administrators. The CORE exam has 125 questions (100 scored, 25
pretest), while the NHA line of service exam has 75 questions. Both are multiple-choice with four answer
options. All questions are based on the four content domains: Care, Services, and
Supports; Operations; Environment and Quality; and Leadership and Strategy.
QUESTIONS 1–60: CARE, SERVICES, AND SUPPORTS
Resident Rights, Quality of Life & Psychosocial Needs
1. A resident with dementia repeatedly wanders into restricted areas. What is the most appropriate initial
intervention?
A) Apply physical restraints to prevent wandering
, Page 2 of 165
B) Place the resident in a locked seclusion room
C) Conduct a behavioral assessment and implement person-centered interventions
D) Notify the family and request they take the resident home
Answer: C Person-centered care requires assessing the underlying cause of wandering and implementing
non-restrictive interventions. Restraints should only be used as a last resort under specific regulations,
and OBRA '87 emphasizes the least restrictive environment.
2. Under OBRA '87 regulations, which of the following is a resident right?
A) The right to vote in federal elections only
B) The right to be free from physical and chemical restraints
C) The right to refuse all medical treatment without exception
D) The right to have family members make all decisions
, Page 3 of 165
Answer: B OBRA '87 established that residents have the right to be free from unnecessary physical and
chemical restraints. While residents have many rights, some medical decisions may require capacity
assessment, and family cannot override a resident's wishes without legal authority.
3. A resident refuses to take prescribed medication. The nursing home administrator should:
A) Force the resident to take the medication
B) Document the refusal and attempt to understand the reason
C) Discharge the resident immediately
D) Call the resident's family to override the decision
Answer: B Residents have the right to refuse treatment. Staff should attempt to understand the reason
for refusal, provide education, and document the refusal. Involuntary medication administration is only
permitted in limited emergency circumstances.
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4. The facility's Resident Council has expressed concerns about menu variety. The administrator's best
response is:
A) Dismiss the concerns as unimportant
B) Meet with the Council, review the menu options, and involve the dietary manager
C) Tell residents they can purchase their own food
D) Change the menu immediately without consultation
Answer: B Resident Councils are a key part of resident rights and quality of life. The administrator should
listen to concerns, collaborate with the dietary manager, and involve residents in menu planning where
feasible.
5. A family member complains that their loved one is not receiving enough attention from staff. The most
appropriate response is:
A) Tell the family member they are being unreasonable
B) Assure the family member that staffing is adequate
