NAB NHA/CORE EXAM QUESTIONS WITH
VERIFIED ANSWERS
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
According to the federal certification standards, the QA committee is required to meet? -
CORRECT ANSWER - Quarterly
A resident is admitted to a nursing home that has been certified as a SNF only. What is
not required to be adhered to by the facility? - CORRECT ANSWER - State Medicaid
standards for payment
Unless a wavier has been secured, a registered nurse is required to be in the facility? -
CORRECT ANSWER - At least 8 consecutive hours, 7 days a week
Restorative care must be provided by: - CORRECT ANSWER - Nursing staff based on
a comprehensive assessment
The facility will determine what the needs of the resident are based on: - CORRECT
ANSWER - The MDS assessments
Physician visits are required: - CORRECT ANSWER - 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 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
ANSWER - 4. when a resident is transferred
Standard precautions are to be used when providing personal care to: - CORRECT
ANSWER - 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 ANSWER
- 1. Staff who are utilizing valid tools to screen for pain
Facilities are expected to provide a pleasant dining experience for all residents. This
includes 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
ANSWER - 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 must be 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
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
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%
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 ANSWER - 1. May also service as an attending physicia
Which of the following is true regarding a facility providing medically related social
services 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
supervised 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 work experience in a health care
setting working with individuals - CORRECT ANSWER - 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 work experience in a health care setting working with
individuals
Nurse aids must have a minimum of ---- hours in-service training annually? - CORRECT
ANSWER - 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 must successfully complete a state-approved training course
4. A family member is not allowed to feed their relative - CORRECT ANSWER - 3. Paid
feeding assistants must successfully complete a state-approved training course
Which changes in the dietary department would most closely reflect the principles
behind 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
staff
4. Structuring meal times to the benefit of staff schedules - CORRECT ANSWER - 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
calories
4. Force-feed the resident the meal as served - CORRECT ANSWER - 3. Offer a
suitable meal replacement or nutrition supplement to provide adequate calories
Which of the following statements is correct regarding activities provided through the
activities 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 not to be provided because of liberalities
, 4. Most activities should be of a physical nature - CORRECT ANSWER - 2.
Manicures/pedicures, hair styling, makeovers may be considered part of the activities
program
Which of the following statements is correct about nasogastic tube feeding while in a
facility?
1. An individual who needs to be fed may be given a nasogastric tube to make eating
easier for the resident
2. The facility must ensure the resident receives appropriate treatment to restore, if
possible, 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 ANSWER - 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
bedtime, up to ------ may elapse between a substantial meal and breakfast the following
day is a - CORRECT ANSWER - 14 hours
- ---- refer to any endeavor in which a resident participates that is intended to enhance
their self of well-being and to promote or enhance physical, affective, spiritual, cognitive,
and emotional health - CORRECT ANSWER - activities
How many hours a day must a facility provide a resident with access to physical
services or with transportation to a hospital emergency room? - CORRECT ANSWER -
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 ANSWER - 1. Report to the attending
physician
A valid court order directing that medical records be made available to a given third
party, or revealed in a given circumstance, must be honored:
1. only if the resident has raised issue of medical care in a law suit
2. Residents consent is 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 ANSWER - 4. The resident's
consent is not required
Medications not given as intended by the prescriber, as required by the drug manufacture
r, or according to professional standards is: - CORRECT ANSWER -da medication error
VERIFIED ANSWERS
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
According to the federal certification standards, the QA committee is required to meet? -
CORRECT ANSWER - Quarterly
A resident is admitted to a nursing home that has been certified as a SNF only. What is
not required to be adhered to by the facility? - CORRECT ANSWER - State Medicaid
standards for payment
Unless a wavier has been secured, a registered nurse is required to be in the facility? -
CORRECT ANSWER - At least 8 consecutive hours, 7 days a week
Restorative care must be provided by: - CORRECT ANSWER - Nursing staff based on
a comprehensive assessment
The facility will determine what the needs of the resident are based on: - CORRECT
ANSWER - The MDS assessments
Physician visits are required: - CORRECT ANSWER - 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 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
ANSWER - 4. when a resident is transferred
Standard precautions are to be used when providing personal care to: - CORRECT
ANSWER - 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 ANSWER
- 1. Staff who are utilizing valid tools to screen for pain
Facilities are expected to provide a pleasant dining experience for all residents. This
includes 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
ANSWER - 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 must be 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
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
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%
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 ANSWER - 1. May also service as an attending physicia
Which of the following is true regarding a facility providing medically related social
services 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
supervised 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 work experience in a health care
setting working with individuals - CORRECT ANSWER - 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 work experience in a health care setting working with
individuals
Nurse aids must have a minimum of ---- hours in-service training annually? - CORRECT
ANSWER - 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 must successfully complete a state-approved training course
4. A family member is not allowed to feed their relative - CORRECT ANSWER - 3. Paid
feeding assistants must successfully complete a state-approved training course
Which changes in the dietary department would most closely reflect the principles
behind 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
staff
4. Structuring meal times to the benefit of staff schedules - CORRECT ANSWER - 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
calories
4. Force-feed the resident the meal as served - CORRECT ANSWER - 3. Offer a
suitable meal replacement or nutrition supplement to provide adequate calories
Which of the following statements is correct regarding activities provided through the
activities 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 not to be provided because of liberalities
, 4. Most activities should be of a physical nature - CORRECT ANSWER - 2.
Manicures/pedicures, hair styling, makeovers may be considered part of the activities
program
Which of the following statements is correct about nasogastic tube feeding while in a
facility?
1. An individual who needs to be fed may be given a nasogastric tube to make eating
easier for the resident
2. The facility must ensure the resident receives appropriate treatment to restore, if
possible, 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 ANSWER - 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
bedtime, up to ------ may elapse between a substantial meal and breakfast the following
day is a - CORRECT ANSWER - 14 hours
- ---- refer to any endeavor in which a resident participates that is intended to enhance
their self of well-being and to promote or enhance physical, affective, spiritual, cognitive,
and emotional health - CORRECT ANSWER - activities
How many hours a day must a facility provide a resident with access to physical
services or with transportation to a hospital emergency room? - CORRECT ANSWER -
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 ANSWER - 1. Report to the attending
physician
A valid court order directing that medical records be made available to a given third
party, or revealed in a given circumstance, must be honored:
1. only if the resident has raised issue of medical care in a law suit
2. Residents consent is 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 ANSWER - 4. The resident's
consent is not required
Medications not given as intended by the prescriber, as required by the drug manufacture
r, or according to professional standards is: - CORRECT ANSWER -da medication error
