NAB Exam 2026/2027 – Study Guide by Stan Mucinic
200 Practice Questions & Verified Answers | NHA Licensure
Prep | A+ Graded
DOMAIN I: CARE, SERVICES, AND SUPPORTS (Questions 1–70)
1. A resident with dementia exhibits increased confusion and agitation in the late afternoon. This
phenomenon is known as:
A) Wandering behavior
B) Sundowning syndrome
C) Delirium
D) Alzheimer's disease
Correct Answer: B
Rationale: Sundowning syndrome refers to increased confusion, agitation, and restlessness that occurs
in the late afternoon and evening in residents with dementia. This is a common phenomenon in
Alzheimer's disease and other dementias.
2. Which of the following is the most common cause of preventable injury in longterm care facilities?
A) Falls
B) Medication errors
C) Pressure ulcers
D) Infections
Correct Answer: A
,Rationale: Falls are the most common cause of preventable injury in longterm care facilities. Risk
management programs should focus on identifying fall hazards, adequate lighting, and appropriate
staffing to prevent falls.
3. A resident with a feeding tube is at risk for which complication?
A) Constipation
B) Aspiration pneumonia
C) Hypertension
D) Hyperglycemia
Correct Answer: B
Rationale: Residents with feeding tubes are at risk for aspiration pneumonia, particularly if the tube is
displaced or if the resident is positioned improperly during feedings. The head of the bed should be
elevated to at least 30 degrees during feedings.
4. The acronym "FACES" is used to assess which of the following?
A) Cognitive status
B) Nutritional status
C) Pain level in nonverbal residents
D) Mobility status
Correct Answer: C
Rationale: The FACES pain scale is a validated tool used to assess pain in residents who cannot
selfreport, including those with dementia. It uses facial expressions to indicate pain intensity.
,5. According to OBRA 1987, the quality assurance committee must meet at least how often?
A) Monthly
B) Quarterly
C) Annually
D) Biannually
Correct Answer: B
Rationale: The quality assurance committee must meet at least quarterly per OBRA 1987 requirements.
6. A comprehensive assessment is due how many days after admission?
A) 7 days
B) 14 days
C) 21 days
D) 30 days
Correct Answer: B
Rationale: A comprehensive assessment is due within 14 days after admission.
7. Which of the following is the most appropriate consistency for a resident on a pureed diet?
, A) Whole grapes
B) Mashed potatoes
C) Ground meat
D) Puddinglike consistency
Correct Answer: D
Rationale: A pureed diet consists of foods that are blended to a smooth, puddinglike consistency.
Pudding is appropriate. Mashed potatoes and ground meat are mechanically altered but not pureed.
Whole grapes are not permitted on any modified consistency diet.
8. A resident with dementia who wanders into restricted areas should be managed by:
A) Physical restraints
B) Chemical restraints
C) Environmental modifications and supervision
D) Discharge from the facility
Correct Answer: C
Rationale: Environmental modifications (such as secured units, alarms, and visual cues) and adequate
supervision are the preferred approaches for managing wandering behavior. Restraints should be
avoided unless absolutely necessary.
9. The most common cause of preventable injury in longterm care facilities is:
A) Whole grapes
B) Mashed potatoes
200 Practice Questions & Verified Answers | NHA Licensure
Prep | A+ Graded
DOMAIN I: CARE, SERVICES, AND SUPPORTS (Questions 1–70)
1. A resident with dementia exhibits increased confusion and agitation in the late afternoon. This
phenomenon is known as:
A) Wandering behavior
B) Sundowning syndrome
C) Delirium
D) Alzheimer's disease
Correct Answer: B
Rationale: Sundowning syndrome refers to increased confusion, agitation, and restlessness that occurs
in the late afternoon and evening in residents with dementia. This is a common phenomenon in
Alzheimer's disease and other dementias.
2. Which of the following is the most common cause of preventable injury in longterm care facilities?
A) Falls
B) Medication errors
C) Pressure ulcers
D) Infections
Correct Answer: A
,Rationale: Falls are the most common cause of preventable injury in longterm care facilities. Risk
management programs should focus on identifying fall hazards, adequate lighting, and appropriate
staffing to prevent falls.
3. A resident with a feeding tube is at risk for which complication?
A) Constipation
B) Aspiration pneumonia
C) Hypertension
D) Hyperglycemia
Correct Answer: B
Rationale: Residents with feeding tubes are at risk for aspiration pneumonia, particularly if the tube is
displaced or if the resident is positioned improperly during feedings. The head of the bed should be
elevated to at least 30 degrees during feedings.
4. The acronym "FACES" is used to assess which of the following?
A) Cognitive status
B) Nutritional status
C) Pain level in nonverbal residents
D) Mobility status
Correct Answer: C
Rationale: The FACES pain scale is a validated tool used to assess pain in residents who cannot
selfreport, including those with dementia. It uses facial expressions to indicate pain intensity.
,5. According to OBRA 1987, the quality assurance committee must meet at least how often?
A) Monthly
B) Quarterly
C) Annually
D) Biannually
Correct Answer: B
Rationale: The quality assurance committee must meet at least quarterly per OBRA 1987 requirements.
6. A comprehensive assessment is due how many days after admission?
A) 7 days
B) 14 days
C) 21 days
D) 30 days
Correct Answer: B
Rationale: A comprehensive assessment is due within 14 days after admission.
7. Which of the following is the most appropriate consistency for a resident on a pureed diet?
, A) Whole grapes
B) Mashed potatoes
C) Ground meat
D) Puddinglike consistency
Correct Answer: D
Rationale: A pureed diet consists of foods that are blended to a smooth, puddinglike consistency.
Pudding is appropriate. Mashed potatoes and ground meat are mechanically altered but not pureed.
Whole grapes are not permitted on any modified consistency diet.
8. A resident with dementia who wanders into restricted areas should be managed by:
A) Physical restraints
B) Chemical restraints
C) Environmental modifications and supervision
D) Discharge from the facility
Correct Answer: C
Rationale: Environmental modifications (such as secured units, alarms, and visual cues) and adequate
supervision are the preferred approaches for managing wandering behavior. Restraints should be
avoided unless absolutely necessary.
9. The most common cause of preventable injury in longterm care facilities is:
A) Whole grapes
B) Mashed potatoes
