Federal Nursing Home Administrator Exam
Prep Package 2026/2027 | NAB Core of
Knowledge, Long-Term Care Administration
& CMS Compliance Complete Study Guide
with Verified Questions
1. What is the primary purpose of the CMS Five-Star Quality Rating System?
A. To determine Medicare reimbursement rates
B. To compare nursing home quality for consumers
C. To license nursing homes
D. To certify administrators
✅ Correct Answer: B
Rationale: The Five-Star Quality Rating System helps consumers compare nursing home
performance using health inspections, staffing, and quality measures.
2. Which federal law established requirements for nursing home reform and
resident rights?
A. HIPAA
B. OSHA Act
C. OBRA 1987
D. ADA
✅ Correct Answer: C
Rationale: The Omnibus Budget Reconciliation Act (OBRA) of 1987 significantly reformed
nursing home regulations.
3. A nursing home administrator's primary responsibility is to:
,A. Provide direct nursing care
B. Manage overall facility operations and quality of care
C. Dispense medications
D. Conduct physician rounds
✅ Correct Answer: B
Rationale: Administrators oversee all facility operations while ensuring regulatory compliance
and resident well-being.
4. Which resident right includes the ability to make choices about daily
schedules?
A. Right to vote
B. Right to self-determination
C. Right to transfer
D. Right to employment
✅ Correct Answer: B
Rationale: Residents have the right to participate in decisions affecting their lives and care.
5. What is the primary goal of Quality Assurance and Performance
Improvement (QAPI)?
A. Increase occupancy rates
B. Improve care quality and safety through continuous improvement
C. Reduce staffing levels
D. Increase survey frequency
✅ Correct Answer: B
Rationale: QAPI focuses on systematic efforts to improve resident outcomes and facility
performance.
6. Which document outlines a resident's individualized care needs?
A. Employee handbook
B. Strategic plan
, C. Comprehensive care plan
D. Survey report
✅ Correct Answer: C
Rationale: The care plan is developed by the interdisciplinary team to address resident-specific
needs.
7. HIPAA primarily protects:
A. Facility assets
B. Resident health information privacy
C. Staff scheduling records
D. Vendor contracts
✅ Correct Answer: B
Rationale: HIPAA safeguards protected health information (PHI).
8. Which leadership style encourages staff participation in decision-making?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
✅ Correct Answer: B
Rationale: Democratic leaders seek input from team members and promote collaboration.
9. A facility's mission statement should:
A. Describe long-term investment strategies
B. Explain why the organization exists
C. Replace policies and procedures
D. Determine staffing ratios
✅ Correct Answer: B
Prep Package 2026/2027 | NAB Core of
Knowledge, Long-Term Care Administration
& CMS Compliance Complete Study Guide
with Verified Questions
1. What is the primary purpose of the CMS Five-Star Quality Rating System?
A. To determine Medicare reimbursement rates
B. To compare nursing home quality for consumers
C. To license nursing homes
D. To certify administrators
✅ Correct Answer: B
Rationale: The Five-Star Quality Rating System helps consumers compare nursing home
performance using health inspections, staffing, and quality measures.
2. Which federal law established requirements for nursing home reform and
resident rights?
A. HIPAA
B. OSHA Act
C. OBRA 1987
D. ADA
✅ Correct Answer: C
Rationale: The Omnibus Budget Reconciliation Act (OBRA) of 1987 significantly reformed
nursing home regulations.
3. A nursing home administrator's primary responsibility is to:
,A. Provide direct nursing care
B. Manage overall facility operations and quality of care
C. Dispense medications
D. Conduct physician rounds
✅ Correct Answer: B
Rationale: Administrators oversee all facility operations while ensuring regulatory compliance
and resident well-being.
4. Which resident right includes the ability to make choices about daily
schedules?
A. Right to vote
B. Right to self-determination
C. Right to transfer
D. Right to employment
✅ Correct Answer: B
Rationale: Residents have the right to participate in decisions affecting their lives and care.
5. What is the primary goal of Quality Assurance and Performance
Improvement (QAPI)?
A. Increase occupancy rates
B. Improve care quality and safety through continuous improvement
C. Reduce staffing levels
D. Increase survey frequency
✅ Correct Answer: B
Rationale: QAPI focuses on systematic efforts to improve resident outcomes and facility
performance.
6. Which document outlines a resident's individualized care needs?
A. Employee handbook
B. Strategic plan
, C. Comprehensive care plan
D. Survey report
✅ Correct Answer: C
Rationale: The care plan is developed by the interdisciplinary team to address resident-specific
needs.
7. HIPAA primarily protects:
A. Facility assets
B. Resident health information privacy
C. Staff scheduling records
D. Vendor contracts
✅ Correct Answer: B
Rationale: HIPAA safeguards protected health information (PHI).
8. Which leadership style encourages staff participation in decision-making?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic
✅ Correct Answer: B
Rationale: Democratic leaders seek input from team members and promote collaboration.
9. A facility's mission statement should:
A. Describe long-term investment strategies
B. Explain why the organization exists
C. Replace policies and procedures
D. Determine staffing ratios
✅ Correct Answer: B
