NAB CORE Exam 2025 | 200 Practice
Questions with Detailed Answers &
Rationales – Complete Study Guide/NAB
CORE Exam 2025: Comprehensive Study
Guide with Practice Questions & 100%
Correct Answers
Domain: Resident-Centered Care & Quality of Life
Q1. A resident refuses to take a prescribed medication. What should
the administrator ensure staff members do first?
A. Document the refusal and notify the physician
B. Persuade the resident until they take the medication
C. Hide the medication in food
D. Report the incident directly to CMS
, Answer: A
Rationale: Residents have the right to refuse treatment. The correct
action is to respect the refusal, document it, and notify the physician.
Persuading or concealing medication violates resident rights.
Q2. The facility is implementing a new falls prevention program.
What is the first step in the quality improvement process?
A. Train staff on new interventions
B. Evaluate current fall rates and risk factors
C. Purchase new equipment
D. Notify residents’ families
Answer: B
Rationale: Quality improvement starts with assessing the current
situation and identifying risk factors. Only after evaluation should
interventions and training be implemented.
Domain: Human Resources
Q3. An employee complains of harassment from a coworker. What is
the administrator’s responsibility?
A. Tell the employee to resolve it directly with the coworker
B. Investigate promptly and follow organizational policies
C. Wait for more complaints before acting
D. Notify the resident council
Answer: B
Rationale: Administrators must ensure a safe workplace and comply
with HR and legal policies. Prompt investigation and corrective
action protect both employees and the facility.
,Q4. What is the minimum time frame that employee health records
must be kept according to OSHA standards?
A. 1 year
B. 5 years
C. Duration of employment + 30 years
D. Permanently
Answer: C
Rationale: OSHA requires employee health and exposure records to
be kept for the duration of employment plus 30 years.
Domain: Finance
Q5. A facility’s accounts receivable turnover ratio is decreasing.
What does this indicate?
A. The facility is collecting payments faster
B. The facility is taking longer to collect payments
C. Revenue is increasing
D. Expenses are decreasing
Answer: B
Rationale: A decreasing A/R turnover ratio means it takes longer to
collect payments, which negatively impacts cash flow.
Q6. Medicare Part A primarily covers which type of service in a
skilled nursing facility?
A. Routine dental exams
B. Short-term rehabilitation after hospitalization
C. Custodial long-term care
D. Prescription drugs
, Answer: B
Rationale: Medicare Part A covers short-term post-acute skilled
nursing and rehabilitation services, not custodial care or routine
services.
Domain: Environment
Q7. According to Life Safety Code (NFPA 101), exit doors in a
nursing facility must:
A. Be at least 32 inches wide and swing in the direction of egress
B. Be locked at all times for resident safety
C. Open inward to prevent falls
D. Require a key to exit during emergencies
Answer: A
Rationale: Fire safety regulations require doors to be wide enough
for safe passage and to swing in the direction of egress. Locked or
inward-swinging doors violate code.
Q8. Which of the following best describes an effective infection
control program?
A. Written policies, regular staff training, surveillance, and
corrective action
B. Annual review of CDC guidelines only
C. Resident self-reporting of infections
D. Outsourcing all infection control responsibilities
Answer: A
Rationale: Infection prevention requires policies, ongoing training,
surveillance, and action steps. Compliance must be continuous, not
annual only.
Questions with Detailed Answers &
Rationales – Complete Study Guide/NAB
CORE Exam 2025: Comprehensive Study
Guide with Practice Questions & 100%
Correct Answers
Domain: Resident-Centered Care & Quality of Life
Q1. A resident refuses to take a prescribed medication. What should
the administrator ensure staff members do first?
A. Document the refusal and notify the physician
B. Persuade the resident until they take the medication
C. Hide the medication in food
D. Report the incident directly to CMS
, Answer: A
Rationale: Residents have the right to refuse treatment. The correct
action is to respect the refusal, document it, and notify the physician.
Persuading or concealing medication violates resident rights.
Q2. The facility is implementing a new falls prevention program.
What is the first step in the quality improvement process?
A. Train staff on new interventions
B. Evaluate current fall rates and risk factors
C. Purchase new equipment
D. Notify residents’ families
Answer: B
Rationale: Quality improvement starts with assessing the current
situation and identifying risk factors. Only after evaluation should
interventions and training be implemented.
Domain: Human Resources
Q3. An employee complains of harassment from a coworker. What is
the administrator’s responsibility?
A. Tell the employee to resolve it directly with the coworker
B. Investigate promptly and follow organizational policies
C. Wait for more complaints before acting
D. Notify the resident council
Answer: B
Rationale: Administrators must ensure a safe workplace and comply
with HR and legal policies. Prompt investigation and corrective
action protect both employees and the facility.
,Q4. What is the minimum time frame that employee health records
must be kept according to OSHA standards?
A. 1 year
B. 5 years
C. Duration of employment + 30 years
D. Permanently
Answer: C
Rationale: OSHA requires employee health and exposure records to
be kept for the duration of employment plus 30 years.
Domain: Finance
Q5. A facility’s accounts receivable turnover ratio is decreasing.
What does this indicate?
A. The facility is collecting payments faster
B. The facility is taking longer to collect payments
C. Revenue is increasing
D. Expenses are decreasing
Answer: B
Rationale: A decreasing A/R turnover ratio means it takes longer to
collect payments, which negatively impacts cash flow.
Q6. Medicare Part A primarily covers which type of service in a
skilled nursing facility?
A. Routine dental exams
B. Short-term rehabilitation after hospitalization
C. Custodial long-term care
D. Prescription drugs
, Answer: B
Rationale: Medicare Part A covers short-term post-acute skilled
nursing and rehabilitation services, not custodial care or routine
services.
Domain: Environment
Q7. According to Life Safety Code (NFPA 101), exit doors in a
nursing facility must:
A. Be at least 32 inches wide and swing in the direction of egress
B. Be locked at all times for resident safety
C. Open inward to prevent falls
D. Require a key to exit during emergencies
Answer: A
Rationale: Fire safety regulations require doors to be wide enough
for safe passage and to swing in the direction of egress. Locked or
inward-swinging doors violate code.
Q8. Which of the following best describes an effective infection
control program?
A. Written policies, regular staff training, surveillance, and
corrective action
B. Annual review of CDC guidelines only
C. Resident self-reporting of infections
D. Outsourcing all infection control responsibilities
Answer: A
Rationale: Infection prevention requires policies, ongoing training,
surveillance, and action steps. Compliance must be continuous, not
annual only.
