NAB NHA Exam- Physical, Environmental,
and Atmosphere Questions and Answers
Theaphysicalaplanta-ACORRECTAANSWERSA-
alladesigned,Aconstructed,Aequipped,aandamaintainedatoaprotectahealthaandasafetyaofa
residents,Apersonnel,Apublic
Lifeasafetyacodea(LSC)A-ACORRECTAANSWERSA-
entireaconstructionaplanaandamaterialsameetalscastandards|||cmsarequiresaunlessahave
awaiveraoraexception.acmsagrantsawaiversaonasnfs;astatesaonanfs
(NFPA)A-ACORRECTAANSWERSA-nationalafireaprotectionaassociationa||establishedalsc
Purposeaofalsca-ACORRECTAANSWERSA-toaprovideareasonableadegreeaofasafetyafromafire.
Waiversaforalifeasafetyacodea-ACORRECTAANSWERSA-
ifacmsafindsaaastateafireaandasafetyacodeaadequatelyaprotectsaresidentsaandapersonnelathen
lscadoesanotaapply.aolderafacilitiesamayaobtainaaawaiveraifatheyaareaandahaveabeenainacompli
anceawithaanaolderaadditionaofalscaasaspecifiedabyacms.||beforeaaanursingahomeamayabeabuil
taitamustapresentaarchitecturalaplantatoastateamedicaidaoradesignatedaagencyathataapprovesa
construction.aallamajorarenovations,asuchaasaadditionalabeds,achangeainautilizationaofaspac
e,aandasoaonamustareceiveaapproval.atheastateaprovidesaguidelinesaonawhatamustabeaaaappr
oved.aupkeepaandarepairsadoanotarequireaprioraapproaval.
Blueaprintsa-ACORRECTAANSWERSA-keepaas-
builtaplansaavailableaforasurveyorsawhoadoalscainspectionaasawellaasaforarepairapersonsawho
amayaneedaprintsaforabigajobs.
Lscaandaotherastandardsa-ACORRECTAANSWERSA-
buildingaandacontactastandardsaareasetabyalsc,ACMS,AANSI/ADAAGA-
A(dependentaonawhichatheastateachooses)aandastateaandalocalacodes.A||-aforahandicapped|-
followawhichaonaspecificastatearequiresa(ANSI/ADAAG)
Lscaandaansi/ADAAGA-ACORRECTAANSWERSA-
lscaacceptsabothastandardsasoatheyaareaessentiallyaallalscastandards.aadministratoradoesan
otaneedatoaknowaeveryastandard,abutamustakeepaaacopyaofathea"lscahandbook"aasareference
.atheaarchitectawhoadesignsatheafacilityamustaknowaandaincorporateaallalscaandaotherastanda
rds,abutaitaisaadvisableaforatheanhaatoacheckahisabuildingatoaensureacompliance.
LSC,AANSI/ADAAG,aandacmsa-ACORRECTAANSWERSA-**-abuildingamaterialsa-Afire-
rateaaccordingatoanumberaofastories.a2ahouraanda1ahourarating|**-asprinklersa-
anewabuildingsahaveaautomaticallyaactivatedabyasmoke/heat|-aexitsa-
anoaroomamoreathana100afeetafromaexit.alightedaexitasignsaofaspecificasize.A|-
awallsaextendacontinuouslyatoaroof adeckaofanextafloor.awallafinishamustameetaflame-
spreadarequirementsa(ahaveacertificateaofathis)|-afurnishingsa-
acurtainsaandacarpetamustameetafirearating|-aroomsa-acmsarequirementsa-
a4aresidentsatoaroomamax.a80asqaft/residenta(multi-
residentaroom),a100asqaftaforasingleaoccupancy.
Requirementaforarooms|A-ACORRECTAANSWERSA--adirectaaccessatoacorridor|-
aoutsideawindowa(CMS)aoradoora(LSC)|-Aprivacy|-
Afurnishing|aseparateabed,aproperasizeaandaheight|abeddingaappropriateatoaclimate|aindividu
, alaclosetaspace|abedsideatable|acomfortableachair|aenoughaoverbidatablesatoameetaneedsaof
arsidents|-atoiletsa(CMS,AANSI,AADA)|-abathingafacilitiesa(CMS)|-
aresidentacallasystema(CMS,ALSC)A24/7A-abackaupasystemaavailable|-
atemperaturearangea(71-
81adegreeaf)A(threeafeetaaboveafloor),astatesasetaactual,AA/canotarequired
Doorsa-ACORRECTAANSWERSA-
alla44"aoramoreainanewaconstructiona(41.5Aopening)|outsideadoorsaopenaegress.|noalocksao
naresidentadooraexceptastaffahasakeya(LSC)||bathroomadoora32"A(ANSI/ADAAG)||fireadoorsa
withaautomaticahold-
openadevicesarequiredainacorridors||(overabedatablesanotarequiredaforapatient)
Corridorsa-ACORRECTAANSWERSA-noadead-endsa(LSC)||8afeetawidea(CMS)
Floorsa-ACORRECTAANSWERSA-
ataoraaboveagroundalevel.A(LSC)A|firearatingaifacarpeted.A(LSC)|Non-
slipabath/toileta(ANSI,ALSC)|asphaltatileabest
Fireaalarmsa-ACORRECTAANSWERSA-
flashingaandaaudible.A|connectawithalocalafireadept,aifapossible|mustahaveanfpaa71acertificati
onaofafireaalarmaservice|
Smokeadetectorsa-ACORRECTAANSWERSA-approvedadetectorsarequried
Smokinga-ACORRECTAANSWERSA-
writtenaregulations,Aenforced.A|smokingaaresawithanon-
combustibleaashtrays,ametalacontainersawithaself-
closingalids.|prohibitedaareasaincludearesidentaroomsaandabeds,Aoxygen,aflammablealiquida
storage.|properasignsaposted.|superviseanon-responsible.
ANSI/ADAAG(americansawithadisabiltiesaactaaccessibilityaguidelines)A-
ACORRECTAANSWERSA-
makeabuildingaavailableatoaandausableabyaphysicallyahandicapped,anoamentala(blind,Adeaf,A
non-ambulatory,Asemi-
ambulatory,Auncoordinated).AADAAGA=AMAKEABUILDINGSAAVAILABLEATOAADA'S.A|stat
eadecidesawhetheratoaapplyaansiaoraadaagastandardsatoanursingahomes
Accessiblearoutea-ACORRECTAANSWERSA-noainclineamoreathana10%
Wheelchairapassagea-ACORRECTAANSWERSA-32"abathroomadoors||36"Aelsewhere
Parkinga-ACORRECTAANSWERSA-
13AFEET||cannotablockasidewalk;aalleyafora2acars.|theanumberaofahandicapaparkingaplacesai
sadeterminedafromaaagridaissuedabyaansi.aitamustabeanotedathataforaeveryaeighta(8)AHANDIC
APAPARKINGASLOTS,AONEAMUSTABEAVANAACCESSIBLE.||ifatheafacilityaonlyahasaoneah
andicappedaplace,aitamustabeavanaaccessible.
Rampsa-ACORRECTAANSWERSA-maximumarisea30".aslopeanotamoreathana1:10
Whataitemsamustabeaaccessibleatoawheelchairaresidents?|A-ACORRECTAANSWERSA-
WATERAFOUNTAINS,atelephonesa(non-Braille),alightaswitches
Toiletsaandahandrailsa-aheighta-ACORRECTAANSWERSA-
toiletsa(alsoaadaaforastaff)aseata**17"atoa19"Aheight;||handarails/grababarsa33"atoa36".A|5%aora
moreameetastandardsaasadeterminedabyastateaandacms||(easieratoareplaceawithahandicapp
edatoilet)
Handrailsa-ACORRECTAANSWERSA-
outsidearamp,Astairwell,abathroomarequiredabyaansi,aandaspecificaheight.||cmsarequiresainac
and Atmosphere Questions and Answers
Theaphysicalaplanta-ACORRECTAANSWERSA-
alladesigned,Aconstructed,Aequipped,aandamaintainedatoaprotectahealthaandasafetyaofa
residents,Apersonnel,Apublic
Lifeasafetyacodea(LSC)A-ACORRECTAANSWERSA-
entireaconstructionaplanaandamaterialsameetalscastandards|||cmsarequiresaunlessahave
awaiveraoraexception.acmsagrantsawaiversaonasnfs;astatesaonanfs
(NFPA)A-ACORRECTAANSWERSA-nationalafireaprotectionaassociationa||establishedalsc
Purposeaofalsca-ACORRECTAANSWERSA-toaprovideareasonableadegreeaofasafetyafromafire.
Waiversaforalifeasafetyacodea-ACORRECTAANSWERSA-
ifacmsafindsaaastateafireaandasafetyacodeaadequatelyaprotectsaresidentsaandapersonnelathen
lscadoesanotaapply.aolderafacilitiesamayaobtainaaawaiveraifatheyaareaandahaveabeenainacompli
anceawithaanaolderaadditionaofalscaasaspecifiedabyacms.||beforeaaanursingahomeamayabeabuil
taitamustapresentaarchitecturalaplantatoastateamedicaidaoradesignatedaagencyathataapprovesa
construction.aallamajorarenovations,asuchaasaadditionalabeds,achangeainautilizationaofaspac
e,aandasoaonamustareceiveaapproval.atheastateaprovidesaguidelinesaonawhatamustabeaaaappr
oved.aupkeepaandarepairsadoanotarequireaprioraapproaval.
Blueaprintsa-ACORRECTAANSWERSA-keepaas-
builtaplansaavailableaforasurveyorsawhoadoalscainspectionaasawellaasaforarepairapersonsawho
amayaneedaprintsaforabigajobs.
Lscaandaotherastandardsa-ACORRECTAANSWERSA-
buildingaandacontactastandardsaareasetabyalsc,ACMS,AANSI/ADAAGA-
A(dependentaonawhichatheastateachooses)aandastateaandalocalacodes.A||-aforahandicapped|-
followawhichaonaspecificastatearequiresa(ANSI/ADAAG)
Lscaandaansi/ADAAGA-ACORRECTAANSWERSA-
lscaacceptsabothastandardsasoatheyaareaessentiallyaallalscastandards.aadministratoradoesan
otaneedatoaknowaeveryastandard,abutamustakeepaaacopyaofathea"lscahandbook"aasareference
.atheaarchitectawhoadesignsatheafacilityamustaknowaandaincorporateaallalscaandaotherastanda
rds,abutaitaisaadvisableaforatheanhaatoacheckahisabuildingatoaensureacompliance.
LSC,AANSI/ADAAG,aandacmsa-ACORRECTAANSWERSA-**-abuildingamaterialsa-Afire-
rateaaccordingatoanumberaofastories.a2ahouraanda1ahourarating|**-asprinklersa-
anewabuildingsahaveaautomaticallyaactivatedabyasmoke/heat|-aexitsa-
anoaroomamoreathana100afeetafromaexit.alightedaexitasignsaofaspecificasize.A|-
awallsaextendacontinuouslyatoaroof adeckaofanextafloor.awallafinishamustameetaflame-
spreadarequirementsa(ahaveacertificateaofathis)|-afurnishingsa-
acurtainsaandacarpetamustameetafirearating|-aroomsa-acmsarequirementsa-
a4aresidentsatoaroomamax.a80asqaft/residenta(multi-
residentaroom),a100asqaftaforasingleaoccupancy.
Requirementaforarooms|A-ACORRECTAANSWERSA--adirectaaccessatoacorridor|-
aoutsideawindowa(CMS)aoradoora(LSC)|-Aprivacy|-
Afurnishing|aseparateabed,aproperasizeaandaheight|abeddingaappropriateatoaclimate|aindividu
, alaclosetaspace|abedsideatable|acomfortableachair|aenoughaoverbidatablesatoameetaneedsaof
arsidents|-atoiletsa(CMS,AANSI,AADA)|-abathingafacilitiesa(CMS)|-
aresidentacallasystema(CMS,ALSC)A24/7A-abackaupasystemaavailable|-
atemperaturearangea(71-
81adegreeaf)A(threeafeetaaboveafloor),astatesasetaactual,AA/canotarequired
Doorsa-ACORRECTAANSWERSA-
alla44"aoramoreainanewaconstructiona(41.5Aopening)|outsideadoorsaopenaegress.|noalocksao
naresidentadooraexceptastaffahasakeya(LSC)||bathroomadoora32"A(ANSI/ADAAG)||fireadoorsa
withaautomaticahold-
openadevicesarequiredainacorridors||(overabedatablesanotarequiredaforapatient)
Corridorsa-ACORRECTAANSWERSA-noadead-endsa(LSC)||8afeetawidea(CMS)
Floorsa-ACORRECTAANSWERSA-
ataoraaboveagroundalevel.A(LSC)A|firearatingaifacarpeted.A(LSC)|Non-
slipabath/toileta(ANSI,ALSC)|asphaltatileabest
Fireaalarmsa-ACORRECTAANSWERSA-
flashingaandaaudible.A|connectawithalocalafireadept,aifapossible|mustahaveanfpaa71acertificati
onaofafireaalarmaservice|
Smokeadetectorsa-ACORRECTAANSWERSA-approvedadetectorsarequried
Smokinga-ACORRECTAANSWERSA-
writtenaregulations,Aenforced.A|smokingaaresawithanon-
combustibleaashtrays,ametalacontainersawithaself-
closingalids.|prohibitedaareasaincludearesidentaroomsaandabeds,Aoxygen,aflammablealiquida
storage.|properasignsaposted.|superviseanon-responsible.
ANSI/ADAAG(americansawithadisabiltiesaactaaccessibilityaguidelines)A-
ACORRECTAANSWERSA-
makeabuildingaavailableatoaandausableabyaphysicallyahandicapped,anoamentala(blind,Adeaf,A
non-ambulatory,Asemi-
ambulatory,Auncoordinated).AADAAGA=AMAKEABUILDINGSAAVAILABLEATOAADA'S.A|stat
eadecidesawhetheratoaapplyaansiaoraadaagastandardsatoanursingahomes
Accessiblearoutea-ACORRECTAANSWERSA-noainclineamoreathana10%
Wheelchairapassagea-ACORRECTAANSWERSA-32"abathroomadoors||36"Aelsewhere
Parkinga-ACORRECTAANSWERSA-
13AFEET||cannotablockasidewalk;aalleyafora2acars.|theanumberaofahandicapaparkingaplacesai
sadeterminedafromaaagridaissuedabyaansi.aitamustabeanotedathataforaeveryaeighta(8)AHANDIC
APAPARKINGASLOTS,AONEAMUSTABEAVANAACCESSIBLE.||ifatheafacilityaonlyahasaoneah
andicappedaplace,aitamustabeavanaaccessible.
Rampsa-ACORRECTAANSWERSA-maximumarisea30".aslopeanotamoreathana1:10
Whataitemsamustabeaaccessibleatoawheelchairaresidents?|A-ACORRECTAANSWERSA-
WATERAFOUNTAINS,atelephonesa(non-Braille),alightaswitches
Toiletsaandahandrailsa-aheighta-ACORRECTAANSWERSA-
toiletsa(alsoaadaaforastaff)aseata**17"atoa19"Aheight;||handarails/grababarsa33"atoa36".A|5%aora
moreameetastandardsaasadeterminedabyastateaandacms||(easieratoareplaceawithahandicapp
edatoilet)
Handrailsa-ACORRECTAANSWERSA-
outsidearamp,Astairwell,abathroomarequiredabyaansi,aandaspecificaheight.||cmsarequiresainac