NAB NHA Exam 2026 Questions and
Answers
the physical plant - Correct Answer -all designed, constructed, equipped, and
maintained to protect health and safety of residents, personnel, public
Life Safety Code (LSC) - Correct Answer -Entire construction plan and materials
meet LSC standards|||CMS requires unless have waiver or exception. CMS grants
waivers on SNFs; states on NFs
(NFPA) - Correct Answer -National Fire Protection Association ||established LSC
Purpose of LSC - Correct Answer -to provide reasonable degree of safety from
fire.
Waivers for Life Safety Code - Correct Answer -If CMS finds a state fire and
safety code adequately protects residents and personnel thenLSC does not apply.
OLder facilities may obtain a waiver if they are and have been in compliance with
an older addition of LSC as specified by CMS.||Before a nursing home may be
built it must present architectural plant to State Medicaid or designated agency that
approves construction. All major renovations, such as additional beds, change in
©COPYRIGHT 2025 ALL RIGHTS RESERVED 1
,utilization of space, and so on must receive approval. The state provides guidelines
on what must be a approved. Upkeep and repairs do not require prior approaval.
Blue Prints - Correct Answer -keep as-built plans available for surveyors who do
LSC inspection as well as for repair persons who may need prints for big jobs.
LSC and other standards - Correct Answer -Building and contact standards are set
by LSC, CMS, ANSI/ADAAG - (dependent on which the state chooses) and state
and local codes. ||- for handicapped|-follow which on specific state requires
(ANSI/ADAAG)
LSC and ANSI/ADAAG - Correct Answer -LSC accepts both standards so they are
essentially all LSC standards. Administrator does not need to know EVERY
standard, but must keep a copy of the "LSC Handbook" as reference. The architect
who designs the facility must know and incorporate all LSC and other standards,
but it is advisable for the NHA to check his building to ensure compliance.
LSC, ANSI/ADAAG, and CMS - Correct Answer -**- building materials - fire-rate
according to number of stories. 2 hour and 1 hour rating|**- sprinklers - new
buildings have automatically activated by smoke/heat|- exits - no room more than
100 feet from exit. Lighted exit signs of specific size. |- walls extend continuously
to roof deck of next floor. wall finish must meet flame-spread requirements ( have
certificate of this)|- furnishings - curtains and carpet must meet fire rating|- rooms -
©COPYRIGHT 2025 ALL RIGHTS RESERVED 2
,CMS requirements - 4 residents to room MAX. 80 sq ft/resident (multi-resident
room), 100 sq ft for single occupancy.
requirement for rooms| - Correct Answer -- direct access to corridor|- outside
window (CMS) or door (LSC)|- privacy|- furnishing| separate bed, proper size and
height| bedding appropriate to climate| individual closet space| bedside table|
comfortable chair| enough overbid tables to meet needs of rsidents|- toilets (CMS,
ANSI, ADA)|- bathing facilities (CMS)|- resident call system (CMS, LSC) 24/7 -
back up system available|- temperature range (71-81 degree F) (three feet above
floor), states set actual, A/C not required
Doors - Correct Answer -All 44" or more in new construction (41.5
opening)|outside doors open egress.|no locks on resident door except staff has key
(LSC)||Bathroom door 32" (ANSI/ADAAG)||Fire Doors with automatic hold-open
devices required in corridors||(over bed tables not required for patient)
corridors - Correct Answer -no dead-ends (LSC)||8 feet wide (CMS)
Floors - Correct Answer -at or above ground level. (LSC) |Fire rating if carpeted.
(LSC)|Non-slip bath/toilet (ANSI, LSC)|Asphalt tile best
Fire alarms - Correct Answer -flashing and audible. |connect with local fire dept, if
possible|must have NFPA 71 certification of fire alarm service|
©COPYRIGHT 2025 ALL RIGHTS RESERVED 3
, smoke detectors - Correct Answer -approved detectors requried
smoking - Correct Answer -written regulations, enforced. |smoking ares with non-
combustible ashtrays, metal containers with self-closing lids.|Prohibited areas
include resident rooms and beds, oxygen, flammable liquid storage.|proper signs
posted.|supervise non-responsible.
ANSI/ADAAG(Americans with Disabilties Act Accessibility Guidelines) - Correct
Answer -Make building available to and usable by physically handicapped, no
mental (blind, deaf, non-ambulatory, semi-ambulatory, uncoordinated). ADAAG =
MAKE BUILDINGS AVAILABLE TO ADA'S. |State decides whether to apply
ANSI or ADAAG standards to nursing homes
accessible route - Correct Answer -no incline more than 10%
Wheelchair passage - Correct Answer -32" bathroom doors||36" elsewhere
parking - Correct Answer -13 FEET||cannot block sidewalk; alley for 2 cars.|The
number of handicap parking places is determined from a grid issued by ANSI. It
MUST BE NOTED THAT FOR EVERY EIGHT (8) HANDICAP PARKING
SLOTS, ONE MUST BE VAN ACCESSIBLE.||If the facility only has one
handicapped place, it must be van accessible.
ramps - Correct Answer -maximum rise 30". Slope not more than 1:10
©COPYRIGHT 2025 ALL RIGHTS RESERVED 4
Answers
the physical plant - Correct Answer -all designed, constructed, equipped, and
maintained to protect health and safety of residents, personnel, public
Life Safety Code (LSC) - Correct Answer -Entire construction plan and materials
meet LSC standards|||CMS requires unless have waiver or exception. CMS grants
waivers on SNFs; states on NFs
(NFPA) - Correct Answer -National Fire Protection Association ||established LSC
Purpose of LSC - Correct Answer -to provide reasonable degree of safety from
fire.
Waivers for Life Safety Code - Correct Answer -If CMS finds a state fire and
safety code adequately protects residents and personnel thenLSC does not apply.
OLder facilities may obtain a waiver if they are and have been in compliance with
an older addition of LSC as specified by CMS.||Before a nursing home may be
built it must present architectural plant to State Medicaid or designated agency that
approves construction. All major renovations, such as additional beds, change in
©COPYRIGHT 2025 ALL RIGHTS RESERVED 1
,utilization of space, and so on must receive approval. The state provides guidelines
on what must be a approved. Upkeep and repairs do not require prior approaval.
Blue Prints - Correct Answer -keep as-built plans available for surveyors who do
LSC inspection as well as for repair persons who may need prints for big jobs.
LSC and other standards - Correct Answer -Building and contact standards are set
by LSC, CMS, ANSI/ADAAG - (dependent on which the state chooses) and state
and local codes. ||- for handicapped|-follow which on specific state requires
(ANSI/ADAAG)
LSC and ANSI/ADAAG - Correct Answer -LSC accepts both standards so they are
essentially all LSC standards. Administrator does not need to know EVERY
standard, but must keep a copy of the "LSC Handbook" as reference. The architect
who designs the facility must know and incorporate all LSC and other standards,
but it is advisable for the NHA to check his building to ensure compliance.
LSC, ANSI/ADAAG, and CMS - Correct Answer -**- building materials - fire-rate
according to number of stories. 2 hour and 1 hour rating|**- sprinklers - new
buildings have automatically activated by smoke/heat|- exits - no room more than
100 feet from exit. Lighted exit signs of specific size. |- walls extend continuously
to roof deck of next floor. wall finish must meet flame-spread requirements ( have
certificate of this)|- furnishings - curtains and carpet must meet fire rating|- rooms -
©COPYRIGHT 2025 ALL RIGHTS RESERVED 2
,CMS requirements - 4 residents to room MAX. 80 sq ft/resident (multi-resident
room), 100 sq ft for single occupancy.
requirement for rooms| - Correct Answer -- direct access to corridor|- outside
window (CMS) or door (LSC)|- privacy|- furnishing| separate bed, proper size and
height| bedding appropriate to climate| individual closet space| bedside table|
comfortable chair| enough overbid tables to meet needs of rsidents|- toilets (CMS,
ANSI, ADA)|- bathing facilities (CMS)|- resident call system (CMS, LSC) 24/7 -
back up system available|- temperature range (71-81 degree F) (three feet above
floor), states set actual, A/C not required
Doors - Correct Answer -All 44" or more in new construction (41.5
opening)|outside doors open egress.|no locks on resident door except staff has key
(LSC)||Bathroom door 32" (ANSI/ADAAG)||Fire Doors with automatic hold-open
devices required in corridors||(over bed tables not required for patient)
corridors - Correct Answer -no dead-ends (LSC)||8 feet wide (CMS)
Floors - Correct Answer -at or above ground level. (LSC) |Fire rating if carpeted.
(LSC)|Non-slip bath/toilet (ANSI, LSC)|Asphalt tile best
Fire alarms - Correct Answer -flashing and audible. |connect with local fire dept, if
possible|must have NFPA 71 certification of fire alarm service|
©COPYRIGHT 2025 ALL RIGHTS RESERVED 3
, smoke detectors - Correct Answer -approved detectors requried
smoking - Correct Answer -written regulations, enforced. |smoking ares with non-
combustible ashtrays, metal containers with self-closing lids.|Prohibited areas
include resident rooms and beds, oxygen, flammable liquid storage.|proper signs
posted.|supervise non-responsible.
ANSI/ADAAG(Americans with Disabilties Act Accessibility Guidelines) - Correct
Answer -Make building available to and usable by physically handicapped, no
mental (blind, deaf, non-ambulatory, semi-ambulatory, uncoordinated). ADAAG =
MAKE BUILDINGS AVAILABLE TO ADA'S. |State decides whether to apply
ANSI or ADAAG standards to nursing homes
accessible route - Correct Answer -no incline more than 10%
Wheelchair passage - Correct Answer -32" bathroom doors||36" elsewhere
parking - Correct Answer -13 FEET||cannot block sidewalk; alley for 2 cars.|The
number of handicap parking places is determined from a grid issued by ANSI. It
MUST BE NOTED THAT FOR EVERY EIGHT (8) HANDICAP PARKING
SLOTS, ONE MUST BE VAN ACCESSIBLE.||If the facility only has one
handicapped place, it must be van accessible.
ramps - Correct Answer -maximum rise 30". Slope not more than 1:10
©COPYRIGHT 2025 ALL RIGHTS RESERVED 4
