NAB Exam (NAB NHA Examination) Questions With Complete Solutions |Latest Update

1. The primary federal regulation governing nursing facilities that participate in Medicare and Medicaid is: a) OBRA '87 b) HIPAA c) OSHA Act d) False Claims Act ANSWER: a) OBRA '87 2. The MDS (Minimum Data Set) is used primarily for: a) Employee performance reviews b) Resident assessment and care planning c) Billing for ancillary services d) Infection control tracking ANSWER: b) Resident assessment and care planning 3. A resident's care plan must be developed within how many days of admission? a) 7 days b) 14 days c) 21 days d) 30 days ANSWER: a) 7 days 4. The "Resident Rights" component of OBRA mandates that residents have the right to: a) Be free from physical and chemical restraints used for discipline or convenience. b) Unlimited visitors at any time. c) Manage the facility's budget. d) Refuse all care without consequence. ANSWER: a) Be free from physical and chemical restraints used for discipline or convenience. 5. The Quality Assurance and Performance Improvement (QAPI) program is a systematic approach to: a) Reducing staff hours b) Improving care and services through ongoing data collection and analysis c) Marketing the facility to new residents d) Managing the facility's financial investments ANSWER: b) Improving care and services through ongoing data collection and analysis 6. The role of the State Survey Agency is to: a) Set Medicaid reimbursement rates b) Conduct licensure and certification surveys of nursing facilities c) Provide legal representation for residents d) Hire facility staff ANSWER: b) Conduct licensure and certification surveys of nursing facilities 7. An "Immediate Jeopardy" citation indicates a situation where: a) A resident has a minor complaint. b) The facility's paint is chipped. c) Non-compliance has caused, or is likely to cause, serious injury, harm, impairment, or death. d) A staff member is a few minutes late for work. ANSWER: c) Non-compliance has caused, or is likely to cause, serious injury, harm, impairment, or death. 8. The official responsible for the overall management, operation, and financial viability of a nursing home is the: a) Director of Nursing b) Medical Director c) Nursing Home Administrator d) Chief Financial Officer ANSWER: c) Nursing Home Administrator 9. A key financial ratio used to assess a facility's ability to meet its short-term obligations is the: a) Debt-to-Equity Ratio b) Current Ratio c) Total Asset Turnover d) Operating Margin ANSWER: b) Current Ratio 10. The largest operating expense in a nursing home is typically: a) Food and dietary services b) Laundry and housekeeping c) Staffing (salaries and benefits) d) Utilities and maintenance ANSWER: c) Staffing (salaries and benefits) 11. The "Case-Mix Index" in a PPS (Prospective Payment System) is used to: a) Determine the acuity level of residents and adjust reimbursement accordingly. b) Calculate the number of meals to prepare. c) Schedule staff vacations. d) Set admission criteria. ANSWER: a) Determine the acuity level of residents and adjust reimbursement accordingly. 12. A "variance" in a budget represents the difference between: a) Actual results and budgeted expectations. b) Two different years' revenue. c) Medicare and Medicaid rates. d) Day shift and night shift staffing. ANSWER: a) Actual results and budgeted expectations. 13. Which leadership style is generally considered most effective in a healthcare setting? a) Autocratic b) Laissez-Faire c) Transformational d) Bureaucratic ANSWER: c) Transformational 14. The process of identifying, attracting, and hiring qualified candidates is known as: a) Orientation b) Recruitment c) Performance Appraisal d) Succession Planning ANSWER: b) Recruitment 15. A "360-degree evaluation" involves receiving performance feedback from: a) Supervisors only b) Peers, subordinates, supervisors, and sometimes residents/families c) The administrator only d) A written test ANSWER: b) Peers, subordinates, supervisors, and sometimes residents/families 16. The federal law that sets minimum wage, overtime pay, and child labor standards is the: a) Fair Labor Standards Act (FLSA) b) Family and Medical Leave Act (FMLA) c) Americans with Disabilities Act (ADA) d) National Labor Relations Act (NLRA) ANSWER: a) Fair Labor Standards Act (FLSA) 17. The FMLA requires employers to provide up to ____ weeks of unpaid, job-protected leave for certain family and medical reasons. a) 6 weeks b) 12 weeks c) 18 weeks d) 24 weeks ANSWER: b) 12 weeks 18. A "hostile work environment" is a form of harassment that is: a) Always physical. b) Severe or pervasive enough to create an intimidating or offensive work environment. c) Only illegal if it involves a supervisor. d) The same as a simple personality conflict. ANSWER: b) Severe or pervasive enough to create an intimidating or offensive work environment. 19. The primary purpose of an incident report is to: a) Assign blame for an event. b) Document the facts of an unexpected event and facilitate corrective action. c) Satisfy an insurance requirement. d) Discipline an employee. ANSWER: b) Document the facts of an unexpected event and facilitate corrective action. 20. Person-centered care is a philosophy that emphasizes: a) Standardized care for all residents. b) Focusing on tasks and routines. c) Placing the resident's values, preferences, and needs at the forefront of care. d) Making care easier for the staff. ANSWER: c) Placing the resident's values, preferences, and needs at the forefront of care.