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NAB Exam NHA Study Guide | Comprehensive Practice Questions & Detailed Answer Explanations | 2026 Updated Certification Review

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Prepare for the NAB Exam with a structured certification study resource covering essential concepts related to healthcare administration and long-term care. Review resident care, facility operations, leadership, regulatory compliance, ethics, staffing, financial management, quality improvement, safety, and administrative responsibilities. Organized practice questions with detailed answer explanations can help reinforce key concepts and support effective certification preparation.

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NAB Exam Official NHA Questions | Actual Exam
Questions & 100% Correct Answers | Latest Update 2026
| Certification Exam Prep
1. If hand washing is not feasible and hands are not soiled, it is permissible to
use:

diluted chlorine-based solutions

alcohol-based solutions

hydrogen peroxide solutions

nosocomial solutions

2. A closed shop is a company that does which of the following?

sponsors a union

applies to all unionized workplaces

refuses to hire union members

requires employees to become union members

3. What is the required notice period for a resident's discharge or transfer from
a nursing facility?

45 days

90 days

30 days

60 days

4. Which of the following is NOT considered a resident's right in nursing
facilities?

, Privacy for marital relations
A large screen television

Refusing treatment

Seeking medical records

5. If a nursing facility is planning a new activity program, which approach should
they take to ensure it meets regulatory standards?

Schedule activities only during weekdays to maintain consistency.

Focus solely on group activities to promote socialization.

Limit activities to those that can be conducted indoors only.

Conduct assessments of residents' interests and needs to tailor
activities accordingly.

6. In negotiating a transfer agreement a nursing facility's administrator must
ensure that the hospital transferring the residents

Is within a 50 miles radius of the facility

Is approved for participation under both Medicare and Medicaid

has an adequate amount of beds and resources to accommodate
residents

Had been certified by the Joint commission (TJC)

7. According to the Life Safety Code, how many exits must a nursing facility
have for egress?

One unobstructed exit

Two unobstructed, marked and unlocked exits

Four unlocked exits

Three marked exits

,8. If a nursing facility fails to respect a resident's right to privacy for marital
relations, what potential consequences could arise for the facility?

Legal action and loss of accreditation

No consequences as it is not a serious issue

Increased funding from the government

Improved resident satisfaction

9. The comprehensive assessment must be completed within days of
admission of the resident.

14

21

30

7

10. What is the time frame within which a nursing facility must request an
informal dispute resolution (IDR) after receiving a statement of deficiencies?

Ten days

Seven days

Three days

Five days

11. Describe the circumstances under which alcohol-based solutions can be
used for hand hygiene in nursing facilities.

Alcohol-based solutions are only for cleaning surfaces, not hands.

Alcohol-based solutions should only be used when hands are visibly
dirty.

, Alcohol-based solutions can replace hand washing at all times.

Alcohol-based solutions can be used when hand washing is not
feasible and hands are not visibly soiled.

12. A resident is to be discharged from your facility for failure to pay for his care.
According to the "Resident's Bill of Rights," what is the proper amount of
notice that he must be given?

60 days

30 days

No notice is required.

7 days

13. In a situation where a resident speaks a language not commonly spoken in
the facility, what steps should the nursing staff take to ensure effective
communication?

Provide written materials in English only.

Communicate using gestures and body language.

Ask other residents if they can translate.

Arrange for an interpreter who speaks the resident's language.

14. Which of the following resources should a medicare billing clerk use to
determine whether a service or treatment is covered?

Durable Medical Equipment Rental Carrier Program

Means test

Balanced Budget Act of 1997

Health Care Common Procedures Coding system
15. Which report is utilized by the business office to determine daily charges in

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