NAB NHA/CORE EXAM QUESTIONS
AND ANSWERS 2025/2026
In the case of non-Medicare PartAA residents, the initial resident assessment must be
completed:
1. Within 10 days of admission
2. Within 14 days of admission
3. Within the first week of admission
4. Prior to formally admitting the resident - CORRECT ANSWERS -
2. Within 14 days of admission
According to the federal certification standards, the QA committee is required to meet? -
CORRECT ANSWERS -Quarterly
A resident is admitted to a nursing home thatAhas been certified as a SNF only. What is
not required to be adhered to by the facility? - CORRECT ANSWERS -
State Medicaid standards for payment
Unless a wavier has been secured, a registered nurse is required to be in the facility? -
CORRECT ANSWERS -At least 8 consecutive hours, 7 days a week
Restorative care must be provided by: - CORRECT ANSWERS -
Nursing staff based on a comprehensive assessment
The facility will determine what the needs of the resident are based on: -
CORRECT ANSWERS -The MDS assessments
Physician visits are required: - CORRECT ANSWERS -
Every 60 days after the initial required visits
Which one below is an exception to when a facility may release resident identifiable info
rmation under the HIPPA Privacy Standard without the residents permission?
1. For research conducted by CMS
2. Why any immediate family member requests it?
3. To consumer groups
4. When a resident is transferred to another health care institution -
CORRECT ANSWERS -4. when a residentAis transferred
Standard precautions are to be used when providing personal care to: -
CORRECT ANSWERS -ALL residents
All of the following are barriers regarding the recognition of chronic pain expect for:
1. Staff who are using valid tools to screen for pain
2. Elderly who may show verbal or non verbal symptoms
3. cognitive impairment and communication barriers hinder a resident ability to report
pain
4. Staff may not have knowledge or be skilled in assessing pain -
CORRECT ANSWERS -1. Staff who are utilizing valid tools to screen for pain
Facilities are expected to provide a pleasantAdining experience for all residents. This incl
udes all except:
1. Providing well-lit, well ventilated dinning room
,2. Providing adequate space and seating accommodations
3. Maintaining a level of dignity when serving all residents
4. Serving residents without attempting to honor food preferences -
CORRECT ANSWERS -
4. Serving residents without attempting to honor food preferences
Which of the following is not a correct policy for dietary services?
1. Receiving of food for facility use mustAbe from approved sources
2. Storage of food brought in by staff must be store separately from facility food
3. Facilities are required to provide a therapeutic diet, prescribed by the dietary consulta
nt, when a nutrition problem exists
4. A specific food temperature level is required at the time of serving -
CORRECT ANSWERS -
3. Facilities are required to provide a therapeutic diet, prescribed by the dietary consulta
nt, when a nutrition problem exists
One specified reason for a "significant change" comprehensive reassessment is an unpl
anned weight loss of either % over 30 days or over 180 days?
1. 5%, 7%
2. 7% 10%
3. 5%, 10%
4. 10%, 29% - CORRECT ANSWERS -3. 5%, 10%
Which one of the following statements is true for the medical director?
1. May also service as an attending physician
2. Must be a member of the facility's QA committee
3. Must be seen by the resident at least every 30 days after the initial required visits
4. Must personally approve each order for each resident to the admitted to the facility -
CORRECT ANSWERS -1. May also service as an attending physicia
Which of the following is true regarding a facility providing medically related social servic
es to the facility?
1. A facility must have a full-
time qualified social worker on staff for each work shift except weekends
2. A facilities social worker must have a BA degree in social work and one year of super
vised experience in a health care setting
3. A facility must have one social worker for each 75 residents
4. A facilities qualified social worker's bachelor degree can be in a human services field
or in another degree with one year of supervised social workAexperience in a health care
setting working with individuals - CORRECT ANSWERS -
4. A facilities qualified social worker's bachelor degree can be in a human services field
or in another degree with one year of supervised social workAexperience in a health care
setting working with individuals
Nurse aids must have a minimum of ---- hours in-service training annually? -
CORRECT ANSWERS -12
Which of the following statements is true?
,1. Any employee may serve as a feeding assistant when the need desires
2. A family member must complete a state-
approved course for feeding assistants before feeding their family member
3. Paid feeding assistants mustAsuccessfully complete a state-approved training course
4. A family member is not allowed to feed their relative - CORRECT ANSWERS -
3. Paid feeding assistants must successfully complete a state-approved training course
Which changes in the dietary department would mostAclosely reflectAthe principles behin
d culture change?
1. Providing set meal service times with little flexibility to maintain a daily routing for the
residents
2. Liberalizing therapeutic diets to provide more food choices to residents
3. Increasing the number of pureed or soft diet orders to make feeding easier for the sta
ff
4. Structuring meal times to the benefit of staff schedules - CORRECT ANSWERS -
2. LIberalizing therapeutic diets to provide more food choices to resients
If a resident refuses to consume all of a meal initially given, the nursing staff should:
1. Do nothing, it is the residents right to refuse meals
2. Document that the resident was being uncooperative for that meal
3. Offer a suitable meal replacement or nutrition supplement to provide adequate calorie
s
4. Force-feed the resident the meal as served - CORRECT ANSWERS -
3. Offer a suitable meal replacement or nutrition supplement to provide adequate calorie
s
Which of the following statements is correct regarding activities provided through the act
ivities department of a facility?
1. Spiritual services are not allowed in a facility that receives federal funding
2. Manicures/pedicures, hair styling, makeovers may be considered part of the activities
program
3. Trips to casinos, museums, fishing, etc. are notAto be provided because of liberalities
4. Most activities should be of a physical nature - CORRECT ANSWERS -
2. Manicures/pedicures, hair styling, makeovers may be considered part of the activities
program
Which of the following statements is correct aboutAnasogastic tube feeding while in a fac
ility?
1. An individual who needs to be fed may be given a nasogastric tube to make eating ea
sier for the resident
2. The facility mustAensure the resident receives appropriate treatment to restore, if poss
ible, normal eating skills
3. With the family's permission, the resident may be given a nasogastric tube
4. The initial assessment demonstrates that the resident's clinical condition indicated he/
she can't eat by himself/herself - CORRECT ANSWERS -
4. The initial assessment demonstrates that the resident's clinical condition indicated he/
she can't eat by himself/herself
, According to federal certification standards, when a nourishing snack is provided at bedt
ime, up to -----
may elapse between a substantial meal and breakfast the following day is a -
CORRECT ANSWERS -14 hours
refer to any endeavor in which a resident participates that is intended to enhance their s
elf of well-
being and to promote or enhance physical, affective, spiritual, cognitive, and emotional
health - CORRECT ANSWERS -activities
How many hours a day mustAa facility provide a resident with access to physical service
s or with transportation to a hospital emergency room? - CORRECT ANSWERS -
24 hours
In the event of an error in administration of medication, the first action to take is to:
1. Report to the attending physician
2. Report any adverse reaction to the resident
3. Report to the D.O.N
4. Report to the administrator - CORRECT ANSWERS -
1. Report to the attending physician
A valid court order directing that medical records be made available to a given third part
y, or revealed in a given circumstance, mustAbe honored:
1. only if the resident has raised issue of medical care in a law suit
2. Residents consentAis required if the third part is an insurance company
3. Only with the resident's consent
4. The resident's consent is not required - CORRECT ANSWERS -
4. The resident's consent is not required
Medications not given as intended by the prescriber, as required by the drug manufactur
er, or according to professional standards is: - CORRECT ANSWERS -
a medication error
Facility employees are allowed to serve as feeding assistants during meal time as long
as the meet certain requirements. Which of the following is NOT true:
1. Feeding assistants must work under the supervision of an RN or an LPN
2. Feeding assistants can only assist resident who have no difficulty swallowing
3. Feeding assistants must complete a state approved training program
4. Feeding assistants can assistAt residents who are at risk for aspiration -
CORRECT ANSWERS -
4. Feeding assistants can assistAt residents who are at risk for aspiration
Which of the following is not a step used by management to deal with unexcused absen
ces or excessive absenteeism by an employee?
1. Interviewing employee upon return to work
2. Stating policies after an infraction
3. Recognizing the worker's positive work performance as a means of encouragement
AND ANSWERS 2025/2026
In the case of non-Medicare PartAA residents, the initial resident assessment must be
completed:
1. Within 10 days of admission
2. Within 14 days of admission
3. Within the first week of admission
4. Prior to formally admitting the resident - CORRECT ANSWERS -
2. Within 14 days of admission
According to the federal certification standards, the QA committee is required to meet? -
CORRECT ANSWERS -Quarterly
A resident is admitted to a nursing home thatAhas been certified as a SNF only. What is
not required to be adhered to by the facility? - CORRECT ANSWERS -
State Medicaid standards for payment
Unless a wavier has been secured, a registered nurse is required to be in the facility? -
CORRECT ANSWERS -At least 8 consecutive hours, 7 days a week
Restorative care must be provided by: - CORRECT ANSWERS -
Nursing staff based on a comprehensive assessment
The facility will determine what the needs of the resident are based on: -
CORRECT ANSWERS -The MDS assessments
Physician visits are required: - CORRECT ANSWERS -
Every 60 days after the initial required visits
Which one below is an exception to when a facility may release resident identifiable info
rmation under the HIPPA Privacy Standard without the residents permission?
1. For research conducted by CMS
2. Why any immediate family member requests it?
3. To consumer groups
4. When a resident is transferred to another health care institution -
CORRECT ANSWERS -4. when a residentAis transferred
Standard precautions are to be used when providing personal care to: -
CORRECT ANSWERS -ALL residents
All of the following are barriers regarding the recognition of chronic pain expect for:
1. Staff who are using valid tools to screen for pain
2. Elderly who may show verbal or non verbal symptoms
3. cognitive impairment and communication barriers hinder a resident ability to report
pain
4. Staff may not have knowledge or be skilled in assessing pain -
CORRECT ANSWERS -1. Staff who are utilizing valid tools to screen for pain
Facilities are expected to provide a pleasantAdining experience for all residents. This incl
udes all except:
1. Providing well-lit, well ventilated dinning room
,2. Providing adequate space and seating accommodations
3. Maintaining a level of dignity when serving all residents
4. Serving residents without attempting to honor food preferences -
CORRECT ANSWERS -
4. Serving residents without attempting to honor food preferences
Which of the following is not a correct policy for dietary services?
1. Receiving of food for facility use mustAbe from approved sources
2. Storage of food brought in by staff must be store separately from facility food
3. Facilities are required to provide a therapeutic diet, prescribed by the dietary consulta
nt, when a nutrition problem exists
4. A specific food temperature level is required at the time of serving -
CORRECT ANSWERS -
3. Facilities are required to provide a therapeutic diet, prescribed by the dietary consulta
nt, when a nutrition problem exists
One specified reason for a "significant change" comprehensive reassessment is an unpl
anned weight loss of either % over 30 days or over 180 days?
1. 5%, 7%
2. 7% 10%
3. 5%, 10%
4. 10%, 29% - CORRECT ANSWERS -3. 5%, 10%
Which one of the following statements is true for the medical director?
1. May also service as an attending physician
2. Must be a member of the facility's QA committee
3. Must be seen by the resident at least every 30 days after the initial required visits
4. Must personally approve each order for each resident to the admitted to the facility -
CORRECT ANSWERS -1. May also service as an attending physicia
Which of the following is true regarding a facility providing medically related social servic
es to the facility?
1. A facility must have a full-
time qualified social worker on staff for each work shift except weekends
2. A facilities social worker must have a BA degree in social work and one year of super
vised experience in a health care setting
3. A facility must have one social worker for each 75 residents
4. A facilities qualified social worker's bachelor degree can be in a human services field
or in another degree with one year of supervised social workAexperience in a health care
setting working with individuals - CORRECT ANSWERS -
4. A facilities qualified social worker's bachelor degree can be in a human services field
or in another degree with one year of supervised social workAexperience in a health care
setting working with individuals
Nurse aids must have a minimum of ---- hours in-service training annually? -
CORRECT ANSWERS -12
Which of the following statements is true?
,1. Any employee may serve as a feeding assistant when the need desires
2. A family member must complete a state-
approved course for feeding assistants before feeding their family member
3. Paid feeding assistants mustAsuccessfully complete a state-approved training course
4. A family member is not allowed to feed their relative - CORRECT ANSWERS -
3. Paid feeding assistants must successfully complete a state-approved training course
Which changes in the dietary department would mostAclosely reflectAthe principles behin
d culture change?
1. Providing set meal service times with little flexibility to maintain a daily routing for the
residents
2. Liberalizing therapeutic diets to provide more food choices to residents
3. Increasing the number of pureed or soft diet orders to make feeding easier for the sta
ff
4. Structuring meal times to the benefit of staff schedules - CORRECT ANSWERS -
2. LIberalizing therapeutic diets to provide more food choices to resients
If a resident refuses to consume all of a meal initially given, the nursing staff should:
1. Do nothing, it is the residents right to refuse meals
2. Document that the resident was being uncooperative for that meal
3. Offer a suitable meal replacement or nutrition supplement to provide adequate calorie
s
4. Force-feed the resident the meal as served - CORRECT ANSWERS -
3. Offer a suitable meal replacement or nutrition supplement to provide adequate calorie
s
Which of the following statements is correct regarding activities provided through the act
ivities department of a facility?
1. Spiritual services are not allowed in a facility that receives federal funding
2. Manicures/pedicures, hair styling, makeovers may be considered part of the activities
program
3. Trips to casinos, museums, fishing, etc. are notAto be provided because of liberalities
4. Most activities should be of a physical nature - CORRECT ANSWERS -
2. Manicures/pedicures, hair styling, makeovers may be considered part of the activities
program
Which of the following statements is correct aboutAnasogastic tube feeding while in a fac
ility?
1. An individual who needs to be fed may be given a nasogastric tube to make eating ea
sier for the resident
2. The facility mustAensure the resident receives appropriate treatment to restore, if poss
ible, normal eating skills
3. With the family's permission, the resident may be given a nasogastric tube
4. The initial assessment demonstrates that the resident's clinical condition indicated he/
she can't eat by himself/herself - CORRECT ANSWERS -
4. The initial assessment demonstrates that the resident's clinical condition indicated he/
she can't eat by himself/herself
, According to federal certification standards, when a nourishing snack is provided at bedt
ime, up to -----
may elapse between a substantial meal and breakfast the following day is a -
CORRECT ANSWERS -14 hours
refer to any endeavor in which a resident participates that is intended to enhance their s
elf of well-
being and to promote or enhance physical, affective, spiritual, cognitive, and emotional
health - CORRECT ANSWERS -activities
How many hours a day mustAa facility provide a resident with access to physical service
s or with transportation to a hospital emergency room? - CORRECT ANSWERS -
24 hours
In the event of an error in administration of medication, the first action to take is to:
1. Report to the attending physician
2. Report any adverse reaction to the resident
3. Report to the D.O.N
4. Report to the administrator - CORRECT ANSWERS -
1. Report to the attending physician
A valid court order directing that medical records be made available to a given third part
y, or revealed in a given circumstance, mustAbe honored:
1. only if the resident has raised issue of medical care in a law suit
2. Residents consentAis required if the third part is an insurance company
3. Only with the resident's consent
4. The resident's consent is not required - CORRECT ANSWERS -
4. The resident's consent is not required
Medications not given as intended by the prescriber, as required by the drug manufactur
er, or according to professional standards is: - CORRECT ANSWERS -
a medication error
Facility employees are allowed to serve as feeding assistants during meal time as long
as the meet certain requirements. Which of the following is NOT true:
1. Feeding assistants must work under the supervision of an RN or an LPN
2. Feeding assistants can only assist resident who have no difficulty swallowing
3. Feeding assistants must complete a state approved training program
4. Feeding assistants can assistAt residents who are at risk for aspiration -
CORRECT ANSWERS -
4. Feeding assistants can assistAt residents who are at risk for aspiration
Which of the following is not a step used by management to deal with unexcused absen
ces or excessive absenteeism by an employee?
1. Interviewing employee upon return to work
2. Stating policies after an infraction
3. Recognizing the worker's positive work performance as a means of encouragement
