NAB CORE FINAL EXAM Complete Exam Guide
with Verified Questions, Answers & Rationales.
1. Which one of the following steps should be taken first in a risk management
program?
A) Purchasing of adequate insurance
B) Conducting of employee safety drills
C) Identifying hazards and risks
D) Conducting staff in-services on incident reporting
Correct Answer: C
Explanation: The first step in any risk management program is to identify potential
hazards and risks. Insurance, training, and drills are all subsequent steps taken to address
the risks that have been identified .
2. Which of the following professionals is authorized to dispense medications?
A) Registered nurse
B) Licensed nurse, physician and, in some states, medication aide
C) Licensed nurse and physician
D) Pharmacist
Correct Answer: D
Explanation: Dispensing medication, which includes preparing and labeling it for patient
use, requires a pharmacist's license. While nurses may administer medications, the act of
dispensing is legally the role of a pharmacist .
3. Aphasia occurs frequently as a result of:
A) A stroke
B) Diabetes
,C) Death of a spouse
D) Pressure ulcers
Correct Answer: A
Explanation: Aphasia is the loss of ability to understand or express speech. It most
commonly results from brain damage caused by a stroke, which can affect the brain's
language centers .
4. In collective bargaining, when labor and management select a third party to
decide an issue, and agree to accept that third party's decision as final and binding
on both sides, the process is called:
A) Mediation
B) Arbitration
C) Conciliation
D) Subrogation
Correct Answer: B
Explanation: Arbitration is a method of conflict resolution where a neutral third party (the
arbitrator) listens to both sides and makes a decision that is final and binding on all
parties. Mediation, in contrast, is non-binding .
5. Which class of fire extinguisher is appropriate for use on a grease fire?
A) A
B) B
C) C
D) D
Correct Answer: B
Explanation: Class B fire extinguishers are designed for fires involving flammable liquids,
such as grease, oil, gasoline, or paint. Class A is for ordinary combustibles (wood, paper),
and Class C is for electrical fires .
,6. The age-related clouding of the lens of the eye is called:
A) Macular degeneration
B) A cataract
C) Glaucoma
D) Conjunctivitis
Correct Answer: B
Explanation: A cataract is the clouding of the eye's lens, which is a common age-related
condition. Macular degeneration affects the retina, glaucoma damages the optic nerve,
and conjunctivitis is an inflammation or infection of the conjunctiva .
7. A check should generally be issued only when which one of the following is
available and properly signed?
A) Purchase order
B) Lien
C) Warranty
D) General ledger
Correct Answer: A
Explanation: A purchase order is a formal document authorizing a purchase. A properly
authorized and signed purchase order provides the necessary financial control to ensure a
check is only issued for a legitimate, approved expense .
8. What is the quarterly turnover rate for an organization that had 18 separations
in the quarter and averaged 225, 220, and 215 employees over the three months?
A) 8 percent
B) 18 percent
C) 92 percent
D) 32 percent
Correct Answer: A
Explanation: The average number of employees for the quarter is (225 + 220 + 215) / 3 =
220. The turnover rate is then (separations / average employees) × 100 = () × 100
= 8.18%, which rounds to 8 percent .
, 9. Which of the following styles of leadership involves the leader simply stating
what needs to be accomplished and how it will be done?
A) Laissez-faire
B) Democratic
C) Autocratic
D) Proactive
Correct Answer: C
Explanation: An autocratic leadership style is characterized by a leader who makes
decisions unilaterally and clearly directs staff on what to do and how to do it, without
seeking their input .
10. A statement outlining the desired future of the organization is the:
A) Vision
B) Mission
C) By-laws
D) Articles of incorporation
Correct Answer: A
Explanation: A vision statement describes the organization's desired future state—what it
aspires to become. The mission statement describes its current purpose and reason for
existing. Bylaws and articles of incorporation are formal governing documents .
11. Which of the following is NOT a requirement of the long-term care
ombudsman program?
A) Provide public agencies with information regarding problems of care recipients
B) Participate and observe the exit conference of a nursing home survey
C) License administrators of long-term care
D) Monitor, develop, and ensure implementation of laws governing long-term care
Correct Answer: C
Explanation: The long-term care ombudsman program advocates for residents but does
not license administrators. Licensing is typically a function of a state's regulatory board or
with Verified Questions, Answers & Rationales.
1. Which one of the following steps should be taken first in a risk management
program?
A) Purchasing of adequate insurance
B) Conducting of employee safety drills
C) Identifying hazards and risks
D) Conducting staff in-services on incident reporting
Correct Answer: C
Explanation: The first step in any risk management program is to identify potential
hazards and risks. Insurance, training, and drills are all subsequent steps taken to address
the risks that have been identified .
2. Which of the following professionals is authorized to dispense medications?
A) Registered nurse
B) Licensed nurse, physician and, in some states, medication aide
C) Licensed nurse and physician
D) Pharmacist
Correct Answer: D
Explanation: Dispensing medication, which includes preparing and labeling it for patient
use, requires a pharmacist's license. While nurses may administer medications, the act of
dispensing is legally the role of a pharmacist .
3. Aphasia occurs frequently as a result of:
A) A stroke
B) Diabetes
,C) Death of a spouse
D) Pressure ulcers
Correct Answer: A
Explanation: Aphasia is the loss of ability to understand or express speech. It most
commonly results from brain damage caused by a stroke, which can affect the brain's
language centers .
4. In collective bargaining, when labor and management select a third party to
decide an issue, and agree to accept that third party's decision as final and binding
on both sides, the process is called:
A) Mediation
B) Arbitration
C) Conciliation
D) Subrogation
Correct Answer: B
Explanation: Arbitration is a method of conflict resolution where a neutral third party (the
arbitrator) listens to both sides and makes a decision that is final and binding on all
parties. Mediation, in contrast, is non-binding .
5. Which class of fire extinguisher is appropriate for use on a grease fire?
A) A
B) B
C) C
D) D
Correct Answer: B
Explanation: Class B fire extinguishers are designed for fires involving flammable liquids,
such as grease, oil, gasoline, or paint. Class A is for ordinary combustibles (wood, paper),
and Class C is for electrical fires .
,6. The age-related clouding of the lens of the eye is called:
A) Macular degeneration
B) A cataract
C) Glaucoma
D) Conjunctivitis
Correct Answer: B
Explanation: A cataract is the clouding of the eye's lens, which is a common age-related
condition. Macular degeneration affects the retina, glaucoma damages the optic nerve,
and conjunctivitis is an inflammation or infection of the conjunctiva .
7. A check should generally be issued only when which one of the following is
available and properly signed?
A) Purchase order
B) Lien
C) Warranty
D) General ledger
Correct Answer: A
Explanation: A purchase order is a formal document authorizing a purchase. A properly
authorized and signed purchase order provides the necessary financial control to ensure a
check is only issued for a legitimate, approved expense .
8. What is the quarterly turnover rate for an organization that had 18 separations
in the quarter and averaged 225, 220, and 215 employees over the three months?
A) 8 percent
B) 18 percent
C) 92 percent
D) 32 percent
Correct Answer: A
Explanation: The average number of employees for the quarter is (225 + 220 + 215) / 3 =
220. The turnover rate is then (separations / average employees) × 100 = () × 100
= 8.18%, which rounds to 8 percent .
, 9. Which of the following styles of leadership involves the leader simply stating
what needs to be accomplished and how it will be done?
A) Laissez-faire
B) Democratic
C) Autocratic
D) Proactive
Correct Answer: C
Explanation: An autocratic leadership style is characterized by a leader who makes
decisions unilaterally and clearly directs staff on what to do and how to do it, without
seeking their input .
10. A statement outlining the desired future of the organization is the:
A) Vision
B) Mission
C) By-laws
D) Articles of incorporation
Correct Answer: A
Explanation: A vision statement describes the organization's desired future state—what it
aspires to become. The mission statement describes its current purpose and reason for
existing. Bylaws and articles of incorporation are formal governing documents .
11. Which of the following is NOT a requirement of the long-term care
ombudsman program?
A) Provide public agencies with information regarding problems of care recipients
B) Participate and observe the exit conference of a nursing home survey
C) License administrators of long-term care
D) Monitor, develop, and ensure implementation of laws governing long-term care
Correct Answer: C
Explanation: The long-term care ombudsman program advocates for residents but does
not license administrators. Licensing is typically a function of a state's regulatory board or
