NAB NHA EXAM NEWEST 2026/2027 ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
• Care, Services, and Supports
• Operations
• Environment and Quality
• Leadership and Strategy
Introduction
The NAB Nursing Home Administrator (NHA) Examination
assesses the candidate's readiness to manage long-term care
facilities in accordance with federal and state regulations. It
evaluates knowledge across four domains of practice: Care
Services and Supports, Operations, Environment and Quality,
and Leadership and Strategy. The examination uses multiple-
choice questions requiring application of regulatory knowledge,
management principles, and resident-centered care. Candidates
must demonstrate critical thinking and decision-making aligned
with professional nursing home administration standards.
SECTION ONE: QUESTIONS 1–100
1. The NAB NHA Line of Service exam consists of how many
scored questions, and what is the time limit for completion?
A. 100 questions, 2 hours
B. 75 questions, 90 minutes
,C. 150 questions, 3 hours
D. 50 questions, 60 minutes
B. 75 questions, 90 minutes
RATIONALE: The NHA line of service exam has 75 total
questions (60 scored and 15 pretest) with 90 minutes allotted for
completion .
2. Which of the following is NOT one of the four domains of
practice for the NAB NHA exam effective July 1, 2022?
A. Care, Services, and Supports
B. Human Resources
C. Operations
D. Leadership and Strategy
B. Human Resources
RATIONALE: The four domains are Care, Services, and
Supports; Operations; Environment and Quality; and Leadership
and Strategy. Human Resources was part of the former five-
domain structure .
3. Every five years, NAB conducts a Professional Practice
Analysis (PPA) for what purpose?
A. To evaluate individual administrator performance
B. To ensure NAB licensure exams accurately represent the
current scope of practice
C. To determine which states require licensure
D. To set continuing education requirements
, B. To ensure NAB licensure exams accurately represent the
current scope of practice
RATIONALE: The PPA is conducted every five years to
ensure the NAB licensure exams accurately represent the current
scope of practice of the profession .
4. According to federal regulations, how often must a
licensed pharmacist review the drug regimen of each
resident?
A. At least once every 3 months
B. At least once a month
C. At least once every 6 months
D. At least once a week
B. At least once a month
RATIONALE: Federal regulations require that the drug
regimen of each resident be reviewed by a licensed pharmacist
at least once a month to ensure appropriate medication
management and reduce the risk of adverse drug events .
5. Which schedule of drugs is characterized as having no
accepted medical use and being illegal to prescribe?
A. Schedule I
B. Schedule II
C. Schedule III
D. Schedule IV
A. Schedule I
, RATIONALE: Schedule I drugs have no accepted medical
use and are not legal to prescribe or dispense. Examples include
heroin and LSD .
6. A nursing home administrator notices that the facility's
occupancy rate has dropped to 70%. Which of the following
is the most appropriate first step?
A. Immediately reduce staff to cut costs
B. Conduct a market analysis to identify causes
C. Increase advertising spending immediately
D. Lower room rates across all payor types
B. Conduct a market analysis to identify causes
RATIONALE: The first step in addressing declining
occupancy is to conduct a market analysis to understand the
underlying causes before implementing any changes. Premature
cost-cutting or rate changes may exacerbate the problem without
addressing root causes .
7. 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
B. 7 days
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF.
Core Domains
• Care, Services, and Supports
• Operations
• Environment and Quality
• Leadership and Strategy
Introduction
The NAB Nursing Home Administrator (NHA) Examination
assesses the candidate's readiness to manage long-term care
facilities in accordance with federal and state regulations. It
evaluates knowledge across four domains of practice: Care
Services and Supports, Operations, Environment and Quality,
and Leadership and Strategy. The examination uses multiple-
choice questions requiring application of regulatory knowledge,
management principles, and resident-centered care. Candidates
must demonstrate critical thinking and decision-making aligned
with professional nursing home administration standards.
SECTION ONE: QUESTIONS 1–100
1. The NAB NHA Line of Service exam consists of how many
scored questions, and what is the time limit for completion?
A. 100 questions, 2 hours
B. 75 questions, 90 minutes
,C. 150 questions, 3 hours
D. 50 questions, 60 minutes
B. 75 questions, 90 minutes
RATIONALE: The NHA line of service exam has 75 total
questions (60 scored and 15 pretest) with 90 minutes allotted for
completion .
2. Which of the following is NOT one of the four domains of
practice for the NAB NHA exam effective July 1, 2022?
A. Care, Services, and Supports
B. Human Resources
C. Operations
D. Leadership and Strategy
B. Human Resources
RATIONALE: The four domains are Care, Services, and
Supports; Operations; Environment and Quality; and Leadership
and Strategy. Human Resources was part of the former five-
domain structure .
3. Every five years, NAB conducts a Professional Practice
Analysis (PPA) for what purpose?
A. To evaluate individual administrator performance
B. To ensure NAB licensure exams accurately represent the
current scope of practice
C. To determine which states require licensure
D. To set continuing education requirements
, B. To ensure NAB licensure exams accurately represent the
current scope of practice
RATIONALE: The PPA is conducted every five years to
ensure the NAB licensure exams accurately represent the current
scope of practice of the profession .
4. According to federal regulations, how often must a
licensed pharmacist review the drug regimen of each
resident?
A. At least once every 3 months
B. At least once a month
C. At least once every 6 months
D. At least once a week
B. At least once a month
RATIONALE: Federal regulations require that the drug
regimen of each resident be reviewed by a licensed pharmacist
at least once a month to ensure appropriate medication
management and reduce the risk of adverse drug events .
5. Which schedule of drugs is characterized as having no
accepted medical use and being illegal to prescribe?
A. Schedule I
B. Schedule II
C. Schedule III
D. Schedule IV
A. Schedule I
, RATIONALE: Schedule I drugs have no accepted medical
use and are not legal to prescribe or dispense. Examples include
heroin and LSD .
6. A nursing home administrator notices that the facility's
occupancy rate has dropped to 70%. Which of the following
is the most appropriate first step?
A. Immediately reduce staff to cut costs
B. Conduct a market analysis to identify causes
C. Increase advertising spending immediately
D. Lower room rates across all payor types
B. Conduct a market analysis to identify causes
RATIONALE: The first step in addressing declining
occupancy is to conduct a market analysis to understand the
underlying causes before implementing any changes. Premature
cost-cutting or rate changes may exacerbate the problem without
addressing root causes .
7. 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
B. 7 days
