NAB National Core of Knowledge for Long Term Care
Administrators (CORE) Exam
Question 1. Which of the following is the primary goal of person-centered care in long-term care
facilities?
A) Maximizing facility efficiency
B) Focusing on resident preferences and choices
C) Reducing staff workload
D) Meeting only medical needs
Answer: B
Explanation: Person-centered care emphasizes tailoring care to individual resident preferences, values,
and choices, improving quality of life.
Question 2. What is a key responsibility of the administrator during the resident admission process?
A) Determining staff salaries
B) Ensuring eligibility criteria are met
C) Supervising kitchen operations
D) Scheduling recreational activities
Answer: B
Explanation: Administrators must verify that residents meet eligibility requirements and that the intake
process follows regulations.
Question 3. Which document outlines a resident’s preferences, care needs, and service delivery in a
long-term care facility?
A) Resident Service Plan
B) Incident Report
C) Employee Handbook
D) Discharge Summary
Answer: A
Explanation: The service plan is individualized and details the resident’s care needs and preferences.
Question 4. What is the primary purpose of care coordination in long-term care?
A) Assigning housekeeping tasks
B) Ensuring seamless collaboration among care providers
C) Maintaining financial records
D) Managing dietary menus
Answer: B
Explanation: Care coordination ensures all providers work together to meet the holistic needs of the
resident.
Question 5. Which of the following is essential for effective palliative and end-of-life care in long-term
care facilities?
A) Ignoring advance directives
B) Providing only curative treatments
C) Respecting advance directives and comfort measures
D) Discharging residents at end-of-life
Answer: C
Explanation: Respecting advance directives and focusing on comfort are foundational to quality
palliative care.
, NAB National Core of Knowledge for Long Term Care
Administrators (CORE) Exam
Question 6. What is the administrator’s role in medication management?
A) Prescribing medication
B) Ensuring medications are administered safely and stored securely
C) Choosing resident meal plans
D) Administering injections
Answer: B
Explanation: Administrators oversee proper storage, administration, and disposal of medications to
ensure safety and compliance.
Question 7. Bloodborne pathogen protocols are part of which facility function?
A) Infection control
B) Dietary services
C) Recreation management
D) Resident admissions
Answer: A
Explanation: Infection control includes protocols for handling bloodborne pathogens to prevent disease
transmission.
Question 8. Why are individualized dietary plans important in long-term care?
A) To reduce food costs
B) To meet each resident’s nutritional and medical needs
C) To simplify kitchen tasks
D) To match staff preferences
Answer: B
Explanation: Individualized plans ensure residents receive proper nutrition tailored to their health
requirements.
Question 9. Which emergency response procedure should be regularly practiced in a long-term care
facility?
A) Weekly grocery shopping
B) Fire and medical emergency drills
C) Plant watering
D) Staff picnics
Answer: B
Explanation: Regular drills help staff respond effectively to emergencies, ensuring resident safety.
Question 10. Promoting resident autonomy primarily involves:
A) Making all decisions for residents
B) Encouraging residents to participate in care decisions and daily choices
C) Assigning chores to residents
D) Limiting visitor access
Answer: B
Explanation: Supporting autonomy means involving residents in decisions affecting their lives and care.
Question 11. What is the role of a resident advocate?
A) To represent staff interests
, NAB National Core of Knowledge for Long Term Care
Administrators (CORE) Exam
B) To protect residents’ rights and address their concerns
C) To manage facility finances
D) To supervise maintenance
Answer: B
Explanation: Resident advocates ensure residents’ voices are heard and their rights are protected.
Question 12. How should complaints from residents or families be managed?
A) Ignored unless repeated
B) Addressed promptly through a structured grievance process
C) Given to kitchen staff
D) Discussed only at annual meetings
Answer: B
Explanation: A structured process ensures complaints are resolved efficiently, maintaining trust and
compliance.
Question 13. Social and recreational programs in long-term care facilities are designed to:
A) Reduce facility expenses
B) Enhance quality of life and encourage social engagement
C) Limit resident movement
D) Replace therapy sessions
Answer: B
Explanation: These programs improve well-being and reduce isolation among residents.
Question 14. Which financial document shows a facility’s assets, liabilities, and equity at a specific point
in time?
A) Income Statement
B) Balance Sheet
C) Payroll Report
D) Cash Flow Statement
Answer: B
Explanation: The balance sheet provides a snapshot of the facility’s financial position.
Question 15. In budget development, which of the following is most important?
A) Guessing expenses
B) Aligning anticipated revenue with projected expenses
C) Ignoring occupancy
D) Only considering last year’s budget
Answer: B
Explanation: Accurate budgeting ensures financial stability and supports facility operations.
Question 16. What does revenue cycle management in long-term care primarily involve?
A) Staff scheduling
B) Processes from admission to billing and collections
C) Meal planning
D) Activity scheduling
Answer: B
, NAB National Core of Knowledge for Long Term Care
Administrators (CORE) Exam
Explanation: Revenue cycle management tracks financial transactions to ensure timely payment and
cash flow.
Question 17. Which best describes effective purchasing and inventory management?
A) Buying in bulk only
B) Tracking supply levels and ordering as needed
C) Ignoring expiration dates
D) Allowing staff to order supplies individually
Answer: B
Explanation: Efficient management prevents shortages, waste, and excess costs.
Question 18. What is the main purpose of staffing plans in long-term care?
A) To reduce resident interaction
B) To ensure adequate and appropriate staff coverage
C) To increase overtime
D) To limit staff training
Answer: B
Explanation: Proper staffing plans are essential for quality care and regulatory compliance.
Question 19. Effective onboarding of new staff includes:
A) Providing a brief tour only
B) Comprehensive orientation and training on policies and procedures
C) Assigning them directly to residents
D) Skipping background checks
Answer: B
Explanation: Thorough onboarding helps new hires understand their roles and provides necessary
training for quality care.
Question 20. What is the primary goal of employee performance evaluations?
A) To reduce morale
B) To assess performance and identify areas for development
C) To terminate underperforming staff
D) To increase paperwork
Answer: B
Explanation: Evaluations help improve staff performance and identify training needs.
Question 21. Which is a key component of involuntary discharge procedures?
A) Ignoring resident input
B) Providing written notice and following regulatory guidelines
C) Immediate removal without explanation
D) Only verbal notification
Answer: B
Explanation: Written notice and adherence to regulations protect resident rights and facility compliance.
Question 22. What is the role of the ombudsman program in long-term care?
A) Auditing financial records
Administrators (CORE) Exam
Question 1. Which of the following is the primary goal of person-centered care in long-term care
facilities?
A) Maximizing facility efficiency
B) Focusing on resident preferences and choices
C) Reducing staff workload
D) Meeting only medical needs
Answer: B
Explanation: Person-centered care emphasizes tailoring care to individual resident preferences, values,
and choices, improving quality of life.
Question 2. What is a key responsibility of the administrator during the resident admission process?
A) Determining staff salaries
B) Ensuring eligibility criteria are met
C) Supervising kitchen operations
D) Scheduling recreational activities
Answer: B
Explanation: Administrators must verify that residents meet eligibility requirements and that the intake
process follows regulations.
Question 3. Which document outlines a resident’s preferences, care needs, and service delivery in a
long-term care facility?
A) Resident Service Plan
B) Incident Report
C) Employee Handbook
D) Discharge Summary
Answer: A
Explanation: The service plan is individualized and details the resident’s care needs and preferences.
Question 4. What is the primary purpose of care coordination in long-term care?
A) Assigning housekeeping tasks
B) Ensuring seamless collaboration among care providers
C) Maintaining financial records
D) Managing dietary menus
Answer: B
Explanation: Care coordination ensures all providers work together to meet the holistic needs of the
resident.
Question 5. Which of the following is essential for effective palliative and end-of-life care in long-term
care facilities?
A) Ignoring advance directives
B) Providing only curative treatments
C) Respecting advance directives and comfort measures
D) Discharging residents at end-of-life
Answer: C
Explanation: Respecting advance directives and focusing on comfort are foundational to quality
palliative care.
, NAB National Core of Knowledge for Long Term Care
Administrators (CORE) Exam
Question 6. What is the administrator’s role in medication management?
A) Prescribing medication
B) Ensuring medications are administered safely and stored securely
C) Choosing resident meal plans
D) Administering injections
Answer: B
Explanation: Administrators oversee proper storage, administration, and disposal of medications to
ensure safety and compliance.
Question 7. Bloodborne pathogen protocols are part of which facility function?
A) Infection control
B) Dietary services
C) Recreation management
D) Resident admissions
Answer: A
Explanation: Infection control includes protocols for handling bloodborne pathogens to prevent disease
transmission.
Question 8. Why are individualized dietary plans important in long-term care?
A) To reduce food costs
B) To meet each resident’s nutritional and medical needs
C) To simplify kitchen tasks
D) To match staff preferences
Answer: B
Explanation: Individualized plans ensure residents receive proper nutrition tailored to their health
requirements.
Question 9. Which emergency response procedure should be regularly practiced in a long-term care
facility?
A) Weekly grocery shopping
B) Fire and medical emergency drills
C) Plant watering
D) Staff picnics
Answer: B
Explanation: Regular drills help staff respond effectively to emergencies, ensuring resident safety.
Question 10. Promoting resident autonomy primarily involves:
A) Making all decisions for residents
B) Encouraging residents to participate in care decisions and daily choices
C) Assigning chores to residents
D) Limiting visitor access
Answer: B
Explanation: Supporting autonomy means involving residents in decisions affecting their lives and care.
Question 11. What is the role of a resident advocate?
A) To represent staff interests
, NAB National Core of Knowledge for Long Term Care
Administrators (CORE) Exam
B) To protect residents’ rights and address their concerns
C) To manage facility finances
D) To supervise maintenance
Answer: B
Explanation: Resident advocates ensure residents’ voices are heard and their rights are protected.
Question 12. How should complaints from residents or families be managed?
A) Ignored unless repeated
B) Addressed promptly through a structured grievance process
C) Given to kitchen staff
D) Discussed only at annual meetings
Answer: B
Explanation: A structured process ensures complaints are resolved efficiently, maintaining trust and
compliance.
Question 13. Social and recreational programs in long-term care facilities are designed to:
A) Reduce facility expenses
B) Enhance quality of life and encourage social engagement
C) Limit resident movement
D) Replace therapy sessions
Answer: B
Explanation: These programs improve well-being and reduce isolation among residents.
Question 14. Which financial document shows a facility’s assets, liabilities, and equity at a specific point
in time?
A) Income Statement
B) Balance Sheet
C) Payroll Report
D) Cash Flow Statement
Answer: B
Explanation: The balance sheet provides a snapshot of the facility’s financial position.
Question 15. In budget development, which of the following is most important?
A) Guessing expenses
B) Aligning anticipated revenue with projected expenses
C) Ignoring occupancy
D) Only considering last year’s budget
Answer: B
Explanation: Accurate budgeting ensures financial stability and supports facility operations.
Question 16. What does revenue cycle management in long-term care primarily involve?
A) Staff scheduling
B) Processes from admission to billing and collections
C) Meal planning
D) Activity scheduling
Answer: B
, NAB National Core of Knowledge for Long Term Care
Administrators (CORE) Exam
Explanation: Revenue cycle management tracks financial transactions to ensure timely payment and
cash flow.
Question 17. Which best describes effective purchasing and inventory management?
A) Buying in bulk only
B) Tracking supply levels and ordering as needed
C) Ignoring expiration dates
D) Allowing staff to order supplies individually
Answer: B
Explanation: Efficient management prevents shortages, waste, and excess costs.
Question 18. What is the main purpose of staffing plans in long-term care?
A) To reduce resident interaction
B) To ensure adequate and appropriate staff coverage
C) To increase overtime
D) To limit staff training
Answer: B
Explanation: Proper staffing plans are essential for quality care and regulatory compliance.
Question 19. Effective onboarding of new staff includes:
A) Providing a brief tour only
B) Comprehensive orientation and training on policies and procedures
C) Assigning them directly to residents
D) Skipping background checks
Answer: B
Explanation: Thorough onboarding helps new hires understand their roles and provides necessary
training for quality care.
Question 20. What is the primary goal of employee performance evaluations?
A) To reduce morale
B) To assess performance and identify areas for development
C) To terminate underperforming staff
D) To increase paperwork
Answer: B
Explanation: Evaluations help improve staff performance and identify training needs.
Question 21. Which is a key component of involuntary discharge procedures?
A) Ignoring resident input
B) Providing written notice and following regulatory guidelines
C) Immediate removal without explanation
D) Only verbal notification
Answer: B
Explanation: Written notice and adherence to regulations protect resident rights and facility compliance.
Question 22. What is the role of the ombudsman program in long-term care?
A) Auditing financial records
