NAB CORE EXAM PRACTICE EXAMINATION 2026–
2027 — NURSING HOME ADMINISTRATOR STUDY
GUIDE | LATEST UPDATE 2026/2027 | PRACTICE
QUESTIONS AND ANSWERS | EXAM REVIEW | 100%
CORRECT ANSWERS | VERIFIED SOLUTIONS |
ALREADY GRADED A+ NEWEST
1. Which of the following is the primary responsibility of a nursing home
administrator?
A) Providing direct nursing care
B) Managing facility operations and ensuring regulatory compliance
C) Cooking meals for residents
D) Performing maintenance tasks
Correct Answer: B
The nursing home administrator manages facility operations, finances, staffing,
and ensures compliance with federal, state, and local regulations. Direct care,
cooking, and maintenance are performed by specialized staff under the
administrator's oversight.
2. A nursing home's governing body is responsible for:
A) Daily staff scheduling only
B) Establishing policies, providing resources, and overseeing the
administrator
C) Preparing resident meals
D) Administering medications
Correct Answer: B
The governing body establishes facility policies, ensures adequate resources, and
holds the administrator accountable for operations. It is not involved in daily
scheduling, meal preparation, or medication administration.
3. A facility is implementing a person-centered care model. Which of the
following is a key component?
, A) Uniform daily schedules for all residents
B) Respecting resident preferences and promoting autonomy
C) Limiting family involvement
D) Focusing only on clinical outcomes
Correct Answer: B
Person-centered care emphasizes resident choice, autonomy, and individualized
care. Uniform schedules, limiting family, and focusing only on clinical outcomes
contradict person-centered philosophy.
4. Which of the following is a requirement for a skilled nursing facility under
Medicare?
A) All residents must be under age 65
B) Provide 24-hour skilled nursing care
C) No dietary services required
D) No social services required
Correct Answer: B
Skilled nursing facilities provide 24-hour skilled nursing care and related services.
Residents may be over 65 or younger if qualifying. Dietary and social services are
required by regulations.
5. A nursing home administrator receives a complaint from a resident's family
about care. What is the first step?
A) Ignore the complaint
B) Investigate the complaint and respond promptly
C) Tell the family to write a letter
D) Discharge the resident
Correct Answer: B
The administrator must investigate complaints promptly, take corrective action if
needed, and communicate with the family. Ignoring, deflecting, or retaliating is
inappropriate and may violate regulations.
6. Which of the following is a key financial metric for nursing home viability?
A) Occupancy rate
B) Number of employees only
, C) Building age only
D) Number of parking spaces
Correct Answer: A
Occupancy rate directly affects revenue and financial viability. Employee count,
building age, and parking are not primary financial metrics.
7. Medicare Part A covers skilled nursing facility care when:
A) The resident has a 3-day qualifying hospital stay and needs skilled care
B) The resident requests any custodial care
C) The resident is under 65
D) The resident has any chronic condition
Correct Answer: A
Medicare Part A covers SNF care after a qualifying 3-day hospital stay and when
skilled nursing or therapy is needed. Custodial care alone is not covered. Age is
not the determining factor.
8. A facility's quality assurance and performance improvement (QAPI)
program must:
A) Identify and address quality problems
B) Be optional
C) Focus only on financial outcomes
D) Exclude resident input
Correct Answer: A
QAPI programs systematically identify, address, and monitor quality problems,
incorporating resident and staff input. They are required and must go beyond
financial focus.
9. Which of the following is a resident right under federal regulations?
A) To be free from abuse and neglect
B) To be restrained for convenience
C) To have no privacy
D) To be denied visitors
Correct Answer: A
Residents have the right to be free from abuse, neglect, and restraints used for
2027 — NURSING HOME ADMINISTRATOR STUDY
GUIDE | LATEST UPDATE 2026/2027 | PRACTICE
QUESTIONS AND ANSWERS | EXAM REVIEW | 100%
CORRECT ANSWERS | VERIFIED SOLUTIONS |
ALREADY GRADED A+ NEWEST
1. Which of the following is the primary responsibility of a nursing home
administrator?
A) Providing direct nursing care
B) Managing facility operations and ensuring regulatory compliance
C) Cooking meals for residents
D) Performing maintenance tasks
Correct Answer: B
The nursing home administrator manages facility operations, finances, staffing,
and ensures compliance with federal, state, and local regulations. Direct care,
cooking, and maintenance are performed by specialized staff under the
administrator's oversight.
2. A nursing home's governing body is responsible for:
A) Daily staff scheduling only
B) Establishing policies, providing resources, and overseeing the
administrator
C) Preparing resident meals
D) Administering medications
Correct Answer: B
The governing body establishes facility policies, ensures adequate resources, and
holds the administrator accountable for operations. It is not involved in daily
scheduling, meal preparation, or medication administration.
3. A facility is implementing a person-centered care model. Which of the
following is a key component?
, A) Uniform daily schedules for all residents
B) Respecting resident preferences and promoting autonomy
C) Limiting family involvement
D) Focusing only on clinical outcomes
Correct Answer: B
Person-centered care emphasizes resident choice, autonomy, and individualized
care. Uniform schedules, limiting family, and focusing only on clinical outcomes
contradict person-centered philosophy.
4. Which of the following is a requirement for a skilled nursing facility under
Medicare?
A) All residents must be under age 65
B) Provide 24-hour skilled nursing care
C) No dietary services required
D) No social services required
Correct Answer: B
Skilled nursing facilities provide 24-hour skilled nursing care and related services.
Residents may be over 65 or younger if qualifying. Dietary and social services are
required by regulations.
5. A nursing home administrator receives a complaint from a resident's family
about care. What is the first step?
A) Ignore the complaint
B) Investigate the complaint and respond promptly
C) Tell the family to write a letter
D) Discharge the resident
Correct Answer: B
The administrator must investigate complaints promptly, take corrective action if
needed, and communicate with the family. Ignoring, deflecting, or retaliating is
inappropriate and may violate regulations.
6. Which of the following is a key financial metric for nursing home viability?
A) Occupancy rate
B) Number of employees only
, C) Building age only
D) Number of parking spaces
Correct Answer: A
Occupancy rate directly affects revenue and financial viability. Employee count,
building age, and parking are not primary financial metrics.
7. Medicare Part A covers skilled nursing facility care when:
A) The resident has a 3-day qualifying hospital stay and needs skilled care
B) The resident requests any custodial care
C) The resident is under 65
D) The resident has any chronic condition
Correct Answer: A
Medicare Part A covers SNF care after a qualifying 3-day hospital stay and when
skilled nursing or therapy is needed. Custodial care alone is not covered. Age is
not the determining factor.
8. A facility's quality assurance and performance improvement (QAPI)
program must:
A) Identify and address quality problems
B) Be optional
C) Focus only on financial outcomes
D) Exclude resident input
Correct Answer: A
QAPI programs systematically identify, address, and monitor quality problems,
incorporating resident and staff input. They are required and must go beyond
financial focus.
9. Which of the following is a resident right under federal regulations?
A) To be free from abuse and neglect
B) To be restrained for convenience
C) To have no privacy
D) To be denied visitors
Correct Answer: A
Residents have the right to be free from abuse, neglect, and restraints used for
