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NAB Exam Practice Questions & Answers 2026 | Latest Study Guide | Complete Nursing Home Administrator Certification Exam Prep

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Prepare for the NAB (National Association of Long Term Care Administrator Boards) Licensure Examination with this comprehensive 2026 Latest Study Guide. This resource features well-organized practice questions and detailed answers covering the core knowledge domains commonly assessed on the NAB Core and Line of Service examinations. Topics include resident-centered care, quality assurance and performance improvement (QAPI), healthcare leadership, human resource management, EEOC and employment laws, OSHA regulations, finance and budgeting, operations management, regulatory compliance, ethics, resident rights, infection prevention and control, emergency preparedness, risk management, communication, strategic planning, survey readiness, long-term care regulations, reimbursement systems, and certification-style application questions. Designed to reinforce long-term care administration knowledge, strengthen leadership and decision-making skills, and support effective preparation for NAB licensing examinations, this study guide is an excellent review resource for aspiring nursing home and long-term care administrators.

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NAB Exam Practice Questions | Most Tested Questions &
100% Correct Answers | 2026 Update
1. Name the two entities responsible for setting regulations on emergency
electrical power requirements in healthcare facilities.

Centers for Medicare & Medicaid Services (CMS) and the Food and
Drug Administration (FDA)

The Joint Commission and the National Fire Protection Association
(NFPA)

World Health Organization (WHO) and the Centers for Disease
Control and Prevention (CDC)

Occupational Safety and Health Administration (OSHA) and the
American Nurses Association (ANA)

2. Discuss the importance of maintaining a minimum usable space in a resident's
room within nursing facilities.

Maintaining a minimum usable space ensures comfort, safety, and
accessibility for residents.

Residents prefer smaller rooms for a cozier feel.

Space requirements are only necessary for new facilities.

Minimum space is irrelevant as long as the room is clean.

3. If an employee loses their job due to company downsizing, what steps must
the employer take regarding COBRA coverage?

The employer must notify the employee of their right to continue
health insurance under COBRA.

The employer is required to offer a different insurance plan instead.

, The employer can choose not to inform the employee about COBRA
options.

The employer must immediately terminate all health insurance
benefits.

4. What is the term used to describe authority that involves direct oversight of
subordinates?

Functional authority

Staff authority

Advisory authority

Line authority

5. A trial balance is a listing of

transactions and events that impact the business entity's profitability

the totals from the journal pages

the chart of accounts

general ledger accounts and their balances

6. If a healthcare facility is experiencing a decline in patient satisfaction scores,
how might the Quality Assurance Committee (QAC) address this issue?

By increasing the number of staff without assessing current practices.

By solely focusing on financial management aspects.

By conducting a thorough review of care practices and
implementing improvement strategies.

By reducing the number of quality indicators monitored.

,7. A patient is prescribed eye drops marked with 'OU'. How should the nurse
proceed with the administration?

Administer the drops in the left eye only.

Administer the drops orally.

Administer the drops in the right eye only.

Administer the drops in both eyes.

8. What is the first level of needs in Maslow's Hierarchy?

Safety needs

Love and belonging needs

Physiological needs

Esteem needs

9. Examples of schedule 2 drugs include:

Opiates

Stimulants

Depressants

Hallucinogens

A, B, C

All of the above

10. The type of authority, where the administrator exercises direct supervision
over the employees, is most often used. It is called

Assertive Authority

Functional Authority

, Line Authority

Centralized Authority


11. What type of budget is used for long term asset expenditures which will be
useful for over one year?

Revenue budget

Capital Budget

Expense budget

Cash budget

12. Your state regulations require health records to be kept for a statute of
limitations period of 7 years. Federal law requires records to be retained for
5 years. The minimum retention period for health records in your facility
should be

10 years.

7 years.

5 years.

either 5 or 7 years, as determined by the facility.

13. If a medication is to be administered "IM," where in the body will the
medication be given?

in the muscle

in the vein

in the subcutaneous tissue

by mouth

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