NAB exam study guide 2025
While Title XVIII (Medicare) and Title XIX (Medicaid) both refer to fire safety and construction
information, the actual provisions in those areas are specified by:
1. American National Standards Institute (ANSI)
2. Occupational Safety and Health Administration (OSHA)
3. Life Safety Code (LSC)
4. Uniform Building Codes (UBC) - correct answer-3. Life Safety Code
Written policies and procedures are used by the facility for all of the following except:
1. To communicate what management expects in any situation.
2. To prepare staff for dealing with emergency situations.
3. To establish the management style for operating the facility.
4. To set guidelines for staff to follow in delivery of care. - correct answer-3. To establish the
management style for operating the facility.
When admitted to the nursing home, which of following is not required to be given to the
resident:
1. The resident's rights and rules and regulations governing resident conduct and
responsibilities during the stay in the facility.
2. Services to be provided and their associated cost.
3. The federal standards and state licensing rules for nursing facilities.
4. Information regarding an advance directive. - correct answer-3. The federal standards and
state licensing rules for nursing facilities.
In the case of non-Medicare Part A 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 answer-2. Within 14 days of admission.
(Time frame set by CMS)
According to the federal certification standards, the QA committee is required to meet:
1. When a problem arises that requires immediate attention.
2. At least twice a year.
3. At least quarterly.
4. When directed by the medical director. - correct answer-3. At least quarterly.
A resident is admitted to a nursing home that has been certified as a (Medicare) Skilled
Nursing Facility only. Which of the following is not required to be adhered to by the facility:
1. State Medicaid standards for payment.
2. SNF regulations.
3. State licensing regulations.
4. Office of Civil Rights laws. - correct answer-1. State Medicaid standards for payment.
,Unless a waiver has been secured, a registered nurse is required to be in the facility:
1. At least eight hours within every 24 hour period.
2. At least eight consecutive hours a day, seven days a week.
3. At least eight consecutive hours Monday through Friday.
4. There is no minimum number of hours required. - correct answer-2. At least eight
consecutive hours a day, seven days a week.
Restorative care must be provided:
1. Only with the order of the facility's physical therapist.
2. By specialized qualified staff for which the facility has contracted.
3. Only if the resident can't provide his/her own care.
4. By nursing staff based on a comprehensive assessment. - correct answer-4. By nursing
staff based on a comprehensive assessment.
The facility staff will determine what the needs of the resident are based on:
1. Quality indicator reports
2. Family interviews
3. The MDS assessments
4. Quality measures - correct answer-3. The MDS assessments
Physician visits are required:
1. Monthly after the initial required visits
2. Quarterly after the initial required visits
3. Every 60 days after the initial required visits
4. Twice a year after the initial required visits - correct answer-3. Every 60 days after the
initial required visits
Which one below is an exception to when a facility may release resident identifiable
information under the HIPAA Privacy Standard without the resident's permission?
1. For a research study conducted by CMS
2. When any immediate family member requests it
3. To consumer groups
4. When a resident is transferred to another health care institution - correct answer-4. When
a resident is transferred to another health care institution
Standard precautions (previously referred to as universal precautions) are to be used when
providing personal care to:
1. All residents.
2. Residents with AIDS
3. Residents with Hepatitis
4. Residents with Tuberculosis - correct answer-1. All residents
All of the following are barriers regarding the recognition of chronic pain except for:
1. Cognitive impairment and communication barriers (language or speech) hinder a
resident's ability to report pain or respond to caregiver's questions regarding pain.
2. Staff who are utilizing valid tools to screen for pain.
3. Elderly may not show verbal or non-verbal symptoms of pain.
, 4. Staff may not have knowledge of or be skilled in assessing pain. - correct answer-2. Staff
who are utilizing valid tools to screen for pain.
Which of the following does not support resident centered care concepts?
1. Upon admission the resident indicates a preference to bathe at night, the facility policy
requires all baths to be given on the day shift.
2. Breakfast is served from 6:30am to 8:00am; the resident chooses to sleep until 9:00am so
the nursing staff makes sure cereal and milk are available at 9:00
3. Upon admission the resident was allowed to bring his personal recliner to the facility to
furnish his room
4. Prior to living in the nursing facility the resident enjoyed fishing; the activity staff arrange
for the resident to attend the annual fishing rodeo located 30 miles from the facility. - correct
answer-1. Upon admission the resident indicates a preference to bathe at night, the facility
policy requires all baths to be given on the day shift.
Facilities are expected to provide a pleasant dining experience for all residents. This
includes all except:
1. Providing well-lit, well ventilated dining 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 resident food preferences - correct
answer-4. Serving residents without attempting to honor resident food preferences
Which one of the following is not a correct policy for dietary services?
1. Receiving of food for facility use must be from approved sources
2. Storage of food brought in by staff must be stored separately from facility food
3. Facilities are required to provide a therapeutic diet, prescribed by the dietary consultant,
when a nutrition problem exists
4. A specific food temperature level is required at the time of serving. - correct answer-3.
Facilities are required to provide a therapeutic diet, prescribed by the dietary consultant,
when a nutrition problem exists
(when prescribed by an attending physician)
One specified reason for a "significant change" comprehensive reassessment is an
unplanned weight loss of either % over 30 days or % over 180 days?
1. 5%; 7%
2. 7%; 10%
3. 5%; 10%
4. 10%; 29% - correct answer-3. 5%; 10%
(7.5% over 90 days)
Which one of the following statements is true for the medical director?
1. May also serve as an attending physician.
2. Must be a member of the facility's Quality Assessment 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 individual to be admitted to the facility. -
correct answer-1. May also serve as an attending physician.
While Title XVIII (Medicare) and Title XIX (Medicaid) both refer to fire safety and construction
information, the actual provisions in those areas are specified by:
1. American National Standards Institute (ANSI)
2. Occupational Safety and Health Administration (OSHA)
3. Life Safety Code (LSC)
4. Uniform Building Codes (UBC) - correct answer-3. Life Safety Code
Written policies and procedures are used by the facility for all of the following except:
1. To communicate what management expects in any situation.
2. To prepare staff for dealing with emergency situations.
3. To establish the management style for operating the facility.
4. To set guidelines for staff to follow in delivery of care. - correct answer-3. To establish the
management style for operating the facility.
When admitted to the nursing home, which of following is not required to be given to the
resident:
1. The resident's rights and rules and regulations governing resident conduct and
responsibilities during the stay in the facility.
2. Services to be provided and their associated cost.
3. The federal standards and state licensing rules for nursing facilities.
4. Information regarding an advance directive. - correct answer-3. The federal standards and
state licensing rules for nursing facilities.
In the case of non-Medicare Part A 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 answer-2. Within 14 days of admission.
(Time frame set by CMS)
According to the federal certification standards, the QA committee is required to meet:
1. When a problem arises that requires immediate attention.
2. At least twice a year.
3. At least quarterly.
4. When directed by the medical director. - correct answer-3. At least quarterly.
A resident is admitted to a nursing home that has been certified as a (Medicare) Skilled
Nursing Facility only. Which of the following is not required to be adhered to by the facility:
1. State Medicaid standards for payment.
2. SNF regulations.
3. State licensing regulations.
4. Office of Civil Rights laws. - correct answer-1. State Medicaid standards for payment.
,Unless a waiver has been secured, a registered nurse is required to be in the facility:
1. At least eight hours within every 24 hour period.
2. At least eight consecutive hours a day, seven days a week.
3. At least eight consecutive hours Monday through Friday.
4. There is no minimum number of hours required. - correct answer-2. At least eight
consecutive hours a day, seven days a week.
Restorative care must be provided:
1. Only with the order of the facility's physical therapist.
2. By specialized qualified staff for which the facility has contracted.
3. Only if the resident can't provide his/her own care.
4. By nursing staff based on a comprehensive assessment. - correct answer-4. By nursing
staff based on a comprehensive assessment.
The facility staff will determine what the needs of the resident are based on:
1. Quality indicator reports
2. Family interviews
3. The MDS assessments
4. Quality measures - correct answer-3. The MDS assessments
Physician visits are required:
1. Monthly after the initial required visits
2. Quarterly after the initial required visits
3. Every 60 days after the initial required visits
4. Twice a year after the initial required visits - correct answer-3. Every 60 days after the
initial required visits
Which one below is an exception to when a facility may release resident identifiable
information under the HIPAA Privacy Standard without the resident's permission?
1. For a research study conducted by CMS
2. When any immediate family member requests it
3. To consumer groups
4. When a resident is transferred to another health care institution - correct answer-4. When
a resident is transferred to another health care institution
Standard precautions (previously referred to as universal precautions) are to be used when
providing personal care to:
1. All residents.
2. Residents with AIDS
3. Residents with Hepatitis
4. Residents with Tuberculosis - correct answer-1. All residents
All of the following are barriers regarding the recognition of chronic pain except for:
1. Cognitive impairment and communication barriers (language or speech) hinder a
resident's ability to report pain or respond to caregiver's questions regarding pain.
2. Staff who are utilizing valid tools to screen for pain.
3. Elderly may not show verbal or non-verbal symptoms of pain.
, 4. Staff may not have knowledge of or be skilled in assessing pain. - correct answer-2. Staff
who are utilizing valid tools to screen for pain.
Which of the following does not support resident centered care concepts?
1. Upon admission the resident indicates a preference to bathe at night, the facility policy
requires all baths to be given on the day shift.
2. Breakfast is served from 6:30am to 8:00am; the resident chooses to sleep until 9:00am so
the nursing staff makes sure cereal and milk are available at 9:00
3. Upon admission the resident was allowed to bring his personal recliner to the facility to
furnish his room
4. Prior to living in the nursing facility the resident enjoyed fishing; the activity staff arrange
for the resident to attend the annual fishing rodeo located 30 miles from the facility. - correct
answer-1. Upon admission the resident indicates a preference to bathe at night, the facility
policy requires all baths to be given on the day shift.
Facilities are expected to provide a pleasant dining experience for all residents. This
includes all except:
1. Providing well-lit, well ventilated dining 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 resident food preferences - correct
answer-4. Serving residents without attempting to honor resident food preferences
Which one of the following is not a correct policy for dietary services?
1. Receiving of food for facility use must be from approved sources
2. Storage of food brought in by staff must be stored separately from facility food
3. Facilities are required to provide a therapeutic diet, prescribed by the dietary consultant,
when a nutrition problem exists
4. A specific food temperature level is required at the time of serving. - correct answer-3.
Facilities are required to provide a therapeutic diet, prescribed by the dietary consultant,
when a nutrition problem exists
(when prescribed by an attending physician)
One specified reason for a "significant change" comprehensive reassessment is an
unplanned weight loss of either % over 30 days or % over 180 days?
1. 5%; 7%
2. 7%; 10%
3. 5%; 10%
4. 10%; 29% - correct answer-3. 5%; 10%
(7.5% over 90 days)
Which one of the following statements is true for the medical director?
1. May also serve as an attending physician.
2. Must be a member of the facility's Quality Assessment 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 individual to be admitted to the facility. -
correct answer-1. May also serve as an attending physician.
