NAB NHA Exam Prep Stan Mucinic’s
Preparation Guide 2026
Question 1: Under the Omnibus Budget Reconciliation Act of 1987 (OBRA), a
comprehensive baseline care plan for a newly admitted resident must be completed
within how many days of admission?
A) 48 hours
B) 7 days
C) 14 days
D) 21 days
Answer: B) 7 days
Rationale: CMS regulations dictate that a full comprehensive care plan must be
finalized within 7 days after the completion of the Minimum Data Set (MDS)
assessment . A baseline care plan must be completed within 48 hours, but the
comprehensive plan is finalized within 7 days.
Question 2: A Notice of Discharge or Transfer from a Nursing Facility must be given to
the resident at least how many days before the resident is transferred?
A) 30 days
B) 45 days
C) 60 days
D) 90 days
Answer: A) 30 days
Rationale: Federal regulations require that residents receive at least 30 days' notice of
discharge or transfer, unless the discharge is for urgent medical reasons or resident
health/safety is at risk .
Question 3: Which of the following is NOT an example of a resident's right?
,A) Privacy for marital relations
B) A large screen television
C) Seeking medical records
D) Refusing treatment
Answer: B) A large screen television
Rationale: Resident rights include privacy, access to medical records, and the right to
refuse treatment. A large screen television is not a legally guaranteed resident right .
Question 4: If a resident's knowledge of English is inadequate for comprehension, the
nursing facility must:
A) Ensure staff communicate slowly and distinctly
B) Convey information to family members who understand English
C) Provide an interpreter at the resident's expense
D) Provide a means of communication in the resident's primary language
Answer: D) Provide a means of communication in the resident's primary language
Rationale: Facilities must provide effective communication in the resident's primary
language, including translation services or interpreter access. The cost should not be
passed to the resident .
Question 5: A competent individual who objects to admission to a nursing facility
cannot be admitted over their objection. This is based on which principle?
A) Beneficence
B) Nonmaleficence
C) Resident autonomy and right to self-determination
D) Medical necessity
Answer: C) Resident autonomy and right to self-determination
Rationale: Competent individuals have the right to participate in planning their care
and treatment. A competent individual who objects to admission cannot be admitted
against their will unless legally deemed incompetent .
,Question 6: The government agency within the Department of Health and Human
Services responsible for regulating long-term care facilities is the:
A) Council of American Building Codes (CABC)
B) Occupational Safety and Health Administration (OSHA)
C) National Fire Protection Agency (NFPA)
D) Centers for Medicare and Medicaid Services (CMS)
Answer: D) Centers for Medicare and Medicaid Services (CMS)
Rationale: CMS is the federal agency responsible for regulating long-term care facilities,
establishing Conditions of Participation, and enforcing compliance through surveys and
certification .
Question 7: A nursing facility wishes to challenge a deficiency using the Informal
Dispute Resolution (IDR) process. Which statement regarding IDR is true?
A) The facility can use IDR to delay formal imposition of a remedy
B) IDR request must be within five days of receiving the statement of deficiencies
C) The scope and severity of a deficiency that constitutes substandard care or
immediate jeopardy can be challenged
D) An ombudsman should be included on the IDR team
Answer: C) The scope and severity of a deficiency that constitutes substandard
care or immediate jeopardy can be challenged
Rationale: The IDR process allows facilities to challenge the scope and severity of
deficiencies, including those that constitute substandard care. The request must be
made within the specified timeframe and cannot delay formal remedies .
Question 8: The results of all investigations of abuse, neglect, or misappropriation of
resident property must be reported to the administrator and other officials, in
accordance with state law, within:
, A) 24 hours
B) 72 hours
C) 5 working days
D) 7 working days
Answer: C) 5 working days
Rationale: Federal regulations require that the results of abuse, neglect, or
misappropriation investigations be reported to the administrator and other officials
within 5 working days of the investigation's completion .
Question 9: A nursing facility wants to receive a discount on civil monetary penalties.
How many days does it have to request the discount from the notice of the date of
imposition?
A) 5 days
B) 7 days
C) 60 days
D) 90 days
Answer: C) 60 days
Rationale: Facilities have 60 days from the notice of imposition of civil monetary
penalties to request a discount. The request must meet specific criteria to qualify .
Question 10: All of the following are examples of residents' rights EXCEPT:
A) Privacy for marital relations
B) A large screen television
C) Seeking medical records
D) Refusing treatment
Answer: B) A large screen television
Rationale: Resident rights include privacy, access to medical records, and refusal of
treatment. A large screen television is not a guaranteed right; it is a personal preference
not required by regulation .
Preparation Guide 2026
Question 1: Under the Omnibus Budget Reconciliation Act of 1987 (OBRA), a
comprehensive baseline care plan for a newly admitted resident must be completed
within how many days of admission?
A) 48 hours
B) 7 days
C) 14 days
D) 21 days
Answer: B) 7 days
Rationale: CMS regulations dictate that a full comprehensive care plan must be
finalized within 7 days after the completion of the Minimum Data Set (MDS)
assessment . A baseline care plan must be completed within 48 hours, but the
comprehensive plan is finalized within 7 days.
Question 2: A Notice of Discharge or Transfer from a Nursing Facility must be given to
the resident at least how many days before the resident is transferred?
A) 30 days
B) 45 days
C) 60 days
D) 90 days
Answer: A) 30 days
Rationale: Federal regulations require that residents receive at least 30 days' notice of
discharge or transfer, unless the discharge is for urgent medical reasons or resident
health/safety is at risk .
Question 3: Which of the following is NOT an example of a resident's right?
,A) Privacy for marital relations
B) A large screen television
C) Seeking medical records
D) Refusing treatment
Answer: B) A large screen television
Rationale: Resident rights include privacy, access to medical records, and the right to
refuse treatment. A large screen television is not a legally guaranteed resident right .
Question 4: If a resident's knowledge of English is inadequate for comprehension, the
nursing facility must:
A) Ensure staff communicate slowly and distinctly
B) Convey information to family members who understand English
C) Provide an interpreter at the resident's expense
D) Provide a means of communication in the resident's primary language
Answer: D) Provide a means of communication in the resident's primary language
Rationale: Facilities must provide effective communication in the resident's primary
language, including translation services or interpreter access. The cost should not be
passed to the resident .
Question 5: A competent individual who objects to admission to a nursing facility
cannot be admitted over their objection. This is based on which principle?
A) Beneficence
B) Nonmaleficence
C) Resident autonomy and right to self-determination
D) Medical necessity
Answer: C) Resident autonomy and right to self-determination
Rationale: Competent individuals have the right to participate in planning their care
and treatment. A competent individual who objects to admission cannot be admitted
against their will unless legally deemed incompetent .
,Question 6: The government agency within the Department of Health and Human
Services responsible for regulating long-term care facilities is the:
A) Council of American Building Codes (CABC)
B) Occupational Safety and Health Administration (OSHA)
C) National Fire Protection Agency (NFPA)
D) Centers for Medicare and Medicaid Services (CMS)
Answer: D) Centers for Medicare and Medicaid Services (CMS)
Rationale: CMS is the federal agency responsible for regulating long-term care facilities,
establishing Conditions of Participation, and enforcing compliance through surveys and
certification .
Question 7: A nursing facility wishes to challenge a deficiency using the Informal
Dispute Resolution (IDR) process. Which statement regarding IDR is true?
A) The facility can use IDR to delay formal imposition of a remedy
B) IDR request must be within five days of receiving the statement of deficiencies
C) The scope and severity of a deficiency that constitutes substandard care or
immediate jeopardy can be challenged
D) An ombudsman should be included on the IDR team
Answer: C) The scope and severity of a deficiency that constitutes substandard
care or immediate jeopardy can be challenged
Rationale: The IDR process allows facilities to challenge the scope and severity of
deficiencies, including those that constitute substandard care. The request must be
made within the specified timeframe and cannot delay formal remedies .
Question 8: The results of all investigations of abuse, neglect, or misappropriation of
resident property must be reported to the administrator and other officials, in
accordance with state law, within:
, A) 24 hours
B) 72 hours
C) 5 working days
D) 7 working days
Answer: C) 5 working days
Rationale: Federal regulations require that the results of abuse, neglect, or
misappropriation investigations be reported to the administrator and other officials
within 5 working days of the investigation's completion .
Question 9: A nursing facility wants to receive a discount on civil monetary penalties.
How many days does it have to request the discount from the notice of the date of
imposition?
A) 5 days
B) 7 days
C) 60 days
D) 90 days
Answer: C) 60 days
Rationale: Facilities have 60 days from the notice of imposition of civil monetary
penalties to request a discount. The request must meet specific criteria to qualify .
Question 10: All of the following are examples of residents' rights EXCEPT:
A) Privacy for marital relations
B) A large screen television
C) Seeking medical records
D) Refusing treatment
Answer: B) A large screen television
Rationale: Resident rights include privacy, access to medical records, and refusal of
treatment. A large screen television is not a guaranteed right; it is a personal preference
not required by regulation .
