Residential Care / Assisted Living Administration
NAB Test Bank A with 390 Recently Tested
Questions and Correct Verified Answers Latest
2025-2026/ NAB RCAL Practice Test A
All nursing facilities must be licensed by the __________________.
1. State
2. CMS
3. HCFA
4. None of the above - ANSWER-1. State
Per OBRA 1987, a resident has the right to review all their records within
__________________ of an oral or written request (excluding weekends and
holidays).
1. 24 hours
2. 36 hours
3. 48 hours
4. 72 hours - ANSWER-1. 24 hours
The comprehensive assessment must be signed by __________________.
1. MDS coordinator
2. Registered nurse
3. Medical director
4. Attending physician - ANSWER-2. Registered nurse
pg. 1
,The __________________ has legal responsibility for the day-to-day operation of
a skilled nursing home.
1. Governing body
2. Medical director
3. Director of nursing
4. Administrator - ANSWER-4. Administrator
Facilities that are licensed by the state and certified to receive Medicare and
Medicaid reimbursement must submit to __________________.
1. State inspection only
2. State and federal inspection
3. Federal inspection only
4. CMS - ANSWER-2. State and federal inspection
When the administrator writes a letter to the local state survey office to challenge
the findings and citations issued during a survey, the administrator is using the
__________________.
1. Informal dispute resolution process
2. Formal dispute resolution process
3. Civil court mediation
4. By filing an appeal directly to the U.S. Supreme Court - ANSWER-1. Informal
dispute resolution
Per OBRA 1987, a nursing home must maintain the highest __________________
for residents.
1. Physical, mental, and psychosocial well-being
2. Psychosocial and physical status
pg. 2
,3. Social, dietary, and ambulatory well-being
4. Physical and mental well-being - ANSWER-1. Physical, mental, and
psychosocial well-being
When a facility requests a hearing before an administrative law judge to challenge
the findings made during a state survey, the facility is using the
__________________.
1. Informal dispute resolution process
2. Formal dispute resolution process
3. Civil court mediation
4. By filing an appeal directly to the U.S. Supreme Court - ANSWER-2. Formal
dispute resolution process
Federal inspection of resident care in nursing facilities is overseen by
__________________.
1. Long-term care ombudsman
2. Area Agency on Aging
3. CMS
4. OSHA - ANSWER-3. CMS
Care provided a resident to relieve pain is __________________.
1. Palliative care
2. Custodial care
3. Treatment
4. Hospice care - ANSWER-1. Palliative care
Which is not true regarding facilities?
pg. 3
, 1. Must provide residents notice of all available services prior to or upon admission
2. Must inform residents of all covered and non-covered services under Medicare
and Medicaid
3. Must advise residents within 21 days in advance of any changes in charges
4. Must advise residents of the cost of all services in the facility prior to or upon
admission to the facility - ANSWER-3. Must advise residents within 21 days in
advance of any changes in charges
Quality indicator (QI) reports for nursing homes available through the CMS would
not include which of the following?
1. Facility characteristics
2. Nursing home watch list
3. Facility profile
4. Resident level summary - ANSWER-2. Nursing home watch list
Prior to entering a facility, a state survey team would not review
the__________________.
1. Facility compliance report
2. Most recent compliance survey/inspection
3. Ombudsman reports and investigations
4. Resident council minutes - ANSWER-4. Resident council minutes
The __________________ is responsible to identify and address safety hazards
that can injure residents and staff and is required by OSHA.
1. Safety committee
2. Risk management committee
3. Quality assurance committee
pg. 4
NAB Test Bank A with 390 Recently Tested
Questions and Correct Verified Answers Latest
2025-2026/ NAB RCAL Practice Test A
All nursing facilities must be licensed by the __________________.
1. State
2. CMS
3. HCFA
4. None of the above - ANSWER-1. State
Per OBRA 1987, a resident has the right to review all their records within
__________________ of an oral or written request (excluding weekends and
holidays).
1. 24 hours
2. 36 hours
3. 48 hours
4. 72 hours - ANSWER-1. 24 hours
The comprehensive assessment must be signed by __________________.
1. MDS coordinator
2. Registered nurse
3. Medical director
4. Attending physician - ANSWER-2. Registered nurse
pg. 1
,The __________________ has legal responsibility for the day-to-day operation of
a skilled nursing home.
1. Governing body
2. Medical director
3. Director of nursing
4. Administrator - ANSWER-4. Administrator
Facilities that are licensed by the state and certified to receive Medicare and
Medicaid reimbursement must submit to __________________.
1. State inspection only
2. State and federal inspection
3. Federal inspection only
4. CMS - ANSWER-2. State and federal inspection
When the administrator writes a letter to the local state survey office to challenge
the findings and citations issued during a survey, the administrator is using the
__________________.
1. Informal dispute resolution process
2. Formal dispute resolution process
3. Civil court mediation
4. By filing an appeal directly to the U.S. Supreme Court - ANSWER-1. Informal
dispute resolution
Per OBRA 1987, a nursing home must maintain the highest __________________
for residents.
1. Physical, mental, and psychosocial well-being
2. Psychosocial and physical status
pg. 2
,3. Social, dietary, and ambulatory well-being
4. Physical and mental well-being - ANSWER-1. Physical, mental, and
psychosocial well-being
When a facility requests a hearing before an administrative law judge to challenge
the findings made during a state survey, the facility is using the
__________________.
1. Informal dispute resolution process
2. Formal dispute resolution process
3. Civil court mediation
4. By filing an appeal directly to the U.S. Supreme Court - ANSWER-2. Formal
dispute resolution process
Federal inspection of resident care in nursing facilities is overseen by
__________________.
1. Long-term care ombudsman
2. Area Agency on Aging
3. CMS
4. OSHA - ANSWER-3. CMS
Care provided a resident to relieve pain is __________________.
1. Palliative care
2. Custodial care
3. Treatment
4. Hospice care - ANSWER-1. Palliative care
Which is not true regarding facilities?
pg. 3
, 1. Must provide residents notice of all available services prior to or upon admission
2. Must inform residents of all covered and non-covered services under Medicare
and Medicaid
3. Must advise residents within 21 days in advance of any changes in charges
4. Must advise residents of the cost of all services in the facility prior to or upon
admission to the facility - ANSWER-3. Must advise residents within 21 days in
advance of any changes in charges
Quality indicator (QI) reports for nursing homes available through the CMS would
not include which of the following?
1. Facility characteristics
2. Nursing home watch list
3. Facility profile
4. Resident level summary - ANSWER-2. Nursing home watch list
Prior to entering a facility, a state survey team would not review
the__________________.
1. Facility compliance report
2. Most recent compliance survey/inspection
3. Ombudsman reports and investigations
4. Resident council minutes - ANSWER-4. Resident council minutes
The __________________ is responsible to identify and address safety hazards
that can injure residents and staff and is required by OSHA.
1. Safety committee
2. Risk management committee
3. Quality assurance committee
pg. 4
