NAB Exam (NAB NHA Examination) Questions With Complete
Solutions |Latest Update
1. The primary federal regulation governing nursing facilities that participate in Medicare and Medicaid
is:
a) OBRA '87
b) HIPAA
c) OSHA Act
d) False Claims Act
ANSWER: a) OBRA '87
2. The MDS (Minimum Data Set) is used primarily for:
a) Employee performance reviews
b) Resident assessment and care planning
c) Billing for ancillary services
d) Infection control tracking
ANSWER: b) Resident assessment and care planning
3. A resident's care plan must be developed within how many days of admission?
a) 7 days
b) 14 days
c) 21 days
d) 30 days
ANSWER: a) 7 days
4. The "Resident Rights" component of OBRA mandates that residents have the right to:
a) Be free from physical and chemical restraints used for discipline or convenience.
b) Unlimited visitors at any time.
c) Manage the facility's budget.
,d) Refuse all care without consequence.
ANSWER: a) Be free from physical and chemical restraints used for discipline or convenience.
5. The Quality Assurance and Performance Improvement (QAPI) program is a systematic approach to:
a) Reducing staff hours
b) Improving care and services through ongoing data collection and analysis
c) Marketing the facility to new residents
d) Managing the facility's financial investments
ANSWER: b) Improving care and services through ongoing data collection and analysis
6. The role of the State Survey Agency is to:
a) Set Medicaid reimbursement rates
b) Conduct licensure and certification surveys of nursing facilities
c) Provide legal representation for residents
d) Hire facility staff
ANSWER: b) Conduct licensure and certification surveys of nursing facilities
7. An "Immediate Jeopardy" citation indicates a situation where:
a) A resident has a minor complaint.
b) The facility's paint is chipped.
c) Non-compliance has caused, or is likely to cause, serious injury, harm, impairment, or death.
d) A staff member is a few minutes late for work.
ANSWER: c) Non-compliance has caused, or is likely to cause, serious injury, harm, impairment, or death.
8. The official responsible for the overall management, operation, and financial viability of a nursing
home is the:
a) Director of Nursing
b) Medical Director
c) Nursing Home Administrator
,d) Chief Financial Officer
ANSWER: c) Nursing Home Administrator
9. A key financial ratio used to assess a facility's ability to meet its short-term obligations is the:
a) Debt-to-Equity Ratio
b) Current Ratio
c) Total Asset Turnover
d) Operating Margin
ANSWER: b) Current Ratio
10. The largest operating expense in a nursing home is typically:
a) Food and dietary services
b) Laundry and housekeeping
c) Staffing (salaries and benefits)
d) Utilities and maintenance
ANSWER: c) Staffing (salaries and benefits)
11. The "Case-Mix Index" in a PPS (Prospective Payment System) is used to:
a) Determine the acuity level of residents and adjust reimbursement accordingly.
b) Calculate the number of meals to prepare.
c) Schedule staff vacations.
d) Set admission criteria.
ANSWER: a) Determine the acuity level of residents and adjust reimbursement accordingly.
12. A "variance" in a budget represents the difference between:
a) Actual results and budgeted expectations.
b) Two different years' revenue.
c) Medicare and Medicaid rates.
d) Day shift and night shift staffing.
, ANSWER: a) Actual results and budgeted expectations.
13. Which leadership style is generally considered most effective in a healthcare setting?
a) Autocratic
b) Laissez-Faire
c) Transformational
d) Bureaucratic
ANSWER: c) Transformational
14. The process of identifying, attracting, and hiring qualified candidates is known as:
a) Orientation
b) Recruitment
c) Performance Appraisal
d) Succession Planning
ANSWER: b) Recruitment
15. A "360-degree evaluation" involves receiving performance feedback from:
a) Supervisors only
b) Peers, subordinates, supervisors, and sometimes residents/families
c) The administrator only
d) A written test
ANSWER: b) Peers, subordinates, supervisors, and sometimes residents/families
16. The federal law that sets minimum wage, overtime pay, and child labor standards is the:
a) Fair Labor Standards Act (FLSA)
b) Family and Medical Leave Act (FMLA)
c) Americans with Disabilities Act (ADA)
d) National Labor Relations Act (NLRA)
ANSWER: a) Fair Labor Standards Act (FLSA)
Solutions |Latest Update
1. The primary federal regulation governing nursing facilities that participate in Medicare and Medicaid
is:
a) OBRA '87
b) HIPAA
c) OSHA Act
d) False Claims Act
ANSWER: a) OBRA '87
2. The MDS (Minimum Data Set) is used primarily for:
a) Employee performance reviews
b) Resident assessment and care planning
c) Billing for ancillary services
d) Infection control tracking
ANSWER: b) Resident assessment and care planning
3. A resident's care plan must be developed within how many days of admission?
a) 7 days
b) 14 days
c) 21 days
d) 30 days
ANSWER: a) 7 days
4. The "Resident Rights" component of OBRA mandates that residents have the right to:
a) Be free from physical and chemical restraints used for discipline or convenience.
b) Unlimited visitors at any time.
c) Manage the facility's budget.
,d) Refuse all care without consequence.
ANSWER: a) Be free from physical and chemical restraints used for discipline or convenience.
5. The Quality Assurance and Performance Improvement (QAPI) program is a systematic approach to:
a) Reducing staff hours
b) Improving care and services through ongoing data collection and analysis
c) Marketing the facility to new residents
d) Managing the facility's financial investments
ANSWER: b) Improving care and services through ongoing data collection and analysis
6. The role of the State Survey Agency is to:
a) Set Medicaid reimbursement rates
b) Conduct licensure and certification surveys of nursing facilities
c) Provide legal representation for residents
d) Hire facility staff
ANSWER: b) Conduct licensure and certification surveys of nursing facilities
7. An "Immediate Jeopardy" citation indicates a situation where:
a) A resident has a minor complaint.
b) The facility's paint is chipped.
c) Non-compliance has caused, or is likely to cause, serious injury, harm, impairment, or death.
d) A staff member is a few minutes late for work.
ANSWER: c) Non-compliance has caused, or is likely to cause, serious injury, harm, impairment, or death.
8. The official responsible for the overall management, operation, and financial viability of a nursing
home is the:
a) Director of Nursing
b) Medical Director
c) Nursing Home Administrator
,d) Chief Financial Officer
ANSWER: c) Nursing Home Administrator
9. A key financial ratio used to assess a facility's ability to meet its short-term obligations is the:
a) Debt-to-Equity Ratio
b) Current Ratio
c) Total Asset Turnover
d) Operating Margin
ANSWER: b) Current Ratio
10. The largest operating expense in a nursing home is typically:
a) Food and dietary services
b) Laundry and housekeeping
c) Staffing (salaries and benefits)
d) Utilities and maintenance
ANSWER: c) Staffing (salaries and benefits)
11. The "Case-Mix Index" in a PPS (Prospective Payment System) is used to:
a) Determine the acuity level of residents and adjust reimbursement accordingly.
b) Calculate the number of meals to prepare.
c) Schedule staff vacations.
d) Set admission criteria.
ANSWER: a) Determine the acuity level of residents and adjust reimbursement accordingly.
12. A "variance" in a budget represents the difference between:
a) Actual results and budgeted expectations.
b) Two different years' revenue.
c) Medicare and Medicaid rates.
d) Day shift and night shift staffing.
, ANSWER: a) Actual results and budgeted expectations.
13. Which leadership style is generally considered most effective in a healthcare setting?
a) Autocratic
b) Laissez-Faire
c) Transformational
d) Bureaucratic
ANSWER: c) Transformational
14. The process of identifying, attracting, and hiring qualified candidates is known as:
a) Orientation
b) Recruitment
c) Performance Appraisal
d) Succession Planning
ANSWER: b) Recruitment
15. A "360-degree evaluation" involves receiving performance feedback from:
a) Supervisors only
b) Peers, subordinates, supervisors, and sometimes residents/families
c) The administrator only
d) A written test
ANSWER: b) Peers, subordinates, supervisors, and sometimes residents/families
16. The federal law that sets minimum wage, overtime pay, and child labor standards is the:
a) Fair Labor Standards Act (FLSA)
b) Family and Medical Leave Act (FMLA)
c) Americans with Disabilities Act (ADA)
d) National Labor Relations Act (NLRA)
ANSWER: a) Fair Labor Standards Act (FLSA)
