NAB Core Practice Exam – COMPLETE QUESTIONS WITH CORRECT
DETAILED ANSWERS || 100% GUARANTEED PASS <BRAND NEW
VERSION 2025>
Description:
This NAB (National Association of Boards) Core Practice Exam guide includes verified questions and 100% correct answers
with detailed explanations. It covers long-term care regulations, ethical leadership, human resources, finance, legal standards, and
resident-centered care. Ideal for candidates preparing for the NAB Core competency exam in nursing home and assisted living
administration.
Keywords:
NAB core exam
long-term care regulations
nursing home administrator test
verified NAB answers
ethical leadership
healthcare HR and finance
resident-centered care
assisted living management
NAB licensure prep
NAB practice test 2025
Topic 1: Leadership and Management
Question 1:
A new administrator notices that the nursing department has high staff turnover,
low morale, and frequent miscommunication during shift handoffs. What is the
,most effective initial action the administrator should take to address the underlying
issues?
A. Implement a mandatory team-building retreat for all nursing staff
B. Replace the current nurse manager with someone who has better leadership
skills
C. Conduct a root cause analysis and staff satisfaction survey to assess current
challenges
D. Increase wages across the board to improve job satisfaction
E. Introduce a new standardized communication protocol like SBAR immediately
Correct Answer: C
Rationale:
Conducting a root cause analysis and staff satisfaction survey provides data-
driven insight into the real issues. Intervening without understanding the cause
could result in ineffective or counterproductive measures.
Topic 2: Human Resources
Question 2:
,Under federal labor regulations (FLSA), which of the following employees in a
skilled nursing facility is most likely to qualify as exempt from overtime pay
requirements?
A. A charge nurse working 45 hours/week and supervising 2 CNAs
B. A dietary aide preparing meals on a fixed schedule
C. A licensed practical nurse (LPN) rotating between floors
D. The HR director with decision-making authority over staffing and policy
E. A certified nursing assistant working 12-hour shifts
F. A scheduler who builds staff schedules but has no hiring authority
Correct Answer: D
Rationale:
The HR director likely meets the criteria for executive exemption under the FLSA
due to independent judgment and authority over key personnel functions. Most
clinical roles (like LPNs, CNAs) are non-exempt.
Topic 3: Finance
Question 3:
, A facility’s operating budget shows a sudden 12% increase in expenses over the
past quarter without a corresponding increase in census. Which of the following
best explains this financial discrepancy?
A. A new group of residents requiring a higher level of care
B. Implementation of a new EHR software system
C. Seasonal fluctuations in utility costs
D. Staff working excessive overtime due to unfilled vacancies
E. A delay in Medicaid reimbursements
Correct Answer: D
Rationale:
Staff working excessive overtime directly impacts labor costs, which is usually the
largest operating expense. While other factors may play a role, they wouldn't cause
such a sudden and significant increase without census change.
Topic 4: Physical Environment and Safety
Question 4:
Which of the following conditions would most likely constitute a violation during
a life safety code survey in a skilled nursing facility?
DETAILED ANSWERS || 100% GUARANTEED PASS <BRAND NEW
VERSION 2025>
Description:
This NAB (National Association of Boards) Core Practice Exam guide includes verified questions and 100% correct answers
with detailed explanations. It covers long-term care regulations, ethical leadership, human resources, finance, legal standards, and
resident-centered care. Ideal for candidates preparing for the NAB Core competency exam in nursing home and assisted living
administration.
Keywords:
NAB core exam
long-term care regulations
nursing home administrator test
verified NAB answers
ethical leadership
healthcare HR and finance
resident-centered care
assisted living management
NAB licensure prep
NAB practice test 2025
Topic 1: Leadership and Management
Question 1:
A new administrator notices that the nursing department has high staff turnover,
low morale, and frequent miscommunication during shift handoffs. What is the
,most effective initial action the administrator should take to address the underlying
issues?
A. Implement a mandatory team-building retreat for all nursing staff
B. Replace the current nurse manager with someone who has better leadership
skills
C. Conduct a root cause analysis and staff satisfaction survey to assess current
challenges
D. Increase wages across the board to improve job satisfaction
E. Introduce a new standardized communication protocol like SBAR immediately
Correct Answer: C
Rationale:
Conducting a root cause analysis and staff satisfaction survey provides data-
driven insight into the real issues. Intervening without understanding the cause
could result in ineffective or counterproductive measures.
Topic 2: Human Resources
Question 2:
,Under federal labor regulations (FLSA), which of the following employees in a
skilled nursing facility is most likely to qualify as exempt from overtime pay
requirements?
A. A charge nurse working 45 hours/week and supervising 2 CNAs
B. A dietary aide preparing meals on a fixed schedule
C. A licensed practical nurse (LPN) rotating between floors
D. The HR director with decision-making authority over staffing and policy
E. A certified nursing assistant working 12-hour shifts
F. A scheduler who builds staff schedules but has no hiring authority
Correct Answer: D
Rationale:
The HR director likely meets the criteria for executive exemption under the FLSA
due to independent judgment and authority over key personnel functions. Most
clinical roles (like LPNs, CNAs) are non-exempt.
Topic 3: Finance
Question 3:
, A facility’s operating budget shows a sudden 12% increase in expenses over the
past quarter without a corresponding increase in census. Which of the following
best explains this financial discrepancy?
A. A new group of residents requiring a higher level of care
B. Implementation of a new EHR software system
C. Seasonal fluctuations in utility costs
D. Staff working excessive overtime due to unfilled vacancies
E. A delay in Medicaid reimbursements
Correct Answer: D
Rationale:
Staff working excessive overtime directly impacts labor costs, which is usually the
largest operating expense. While other factors may play a role, they wouldn't cause
such a sudden and significant increase without census change.
Topic 4: Physical Environment and Safety
Question 4:
Which of the following conditions would most likely constitute a violation during
a life safety code survey in a skilled nursing facility?
