Core NAB Question and answers
100% correct 2025/2026
Within the spirit of OBRA and culture change, which one of the following is most descriptive of the
movement? - correct answer ✔The spirit of the OBRA and the culture change movement is to accord
more dignity to residents, create a more resident centered care that allows the resident to determine
when they want to do things.
According to Code of Federal Regulations, if the staff development coordinator is promoted to director
of nursing, the nursing facility must notify the: - correct answer ✔The facility must provide written
notice to the State agency responsible for licensing the facility at the time of change for the facility
administrator or director of nursing.
The Minimum Data Set (MDS) - correct answer ✔a comprehensive evaluation of the functional
capabilities of each resident in a long-term care facility
MDS - correct answer ✔Minimum Data Set
Mrs. Johnson is a 78-year-old care recipient who is receiving post-acute services following a shoulder
replacement. She has no cognitive deficits and is generally pleasant and cooperative with the care team.
Prior to her surgery, she had been recently diagnosed as a Type II diabetic and is on a medication to help
regulate her blood sugar. Her family is very involved in her progress, stopping by daily to offer support
and encouragement.
On their visits, they also occasionally will bring some homemade sweets which are not recommended
for Mrs. Johnson to eat due to her diabetes. Regardless of the recommendations, Mrs. Johnson eats
these treats which results in hyper-glycemic episodes. The care team has attempted to speak to Mrs.
Johnson about these concerns, and she became rather agitated with them, raising her voice, and
choosing to end her therapy session early. The team calls on their Administrator for advice. - correct
answer ✔First you need to recall the healthcare team's role with care recipients in general and with this
situation specifically.
, It is the healthcare team's role to assess the care recipient, ensure that the prescribed diet that is being
offered by the team is in accordance with the recommendations of the physician and the dietician, and
educate the care recipient on why that particular diet has been prescribed for them.
Further, in the case that the care recipient chooses to ignore the recommended diet, the care team
should continue to educate as to the risks associated with being noncompliant, document that
education has been provided, and include the refusal in the plan-of-care.
Mr. Apple is a 91-year-old care recipient with some mild cognitive loss. As housekeeping was making
daily rounds, he reported that he has been unable to locate his wallet. The housekeeper assisting in Mr.
Apple's room helped him search and when the wallet was not found, immediately reported it as missing
to nursing staff supervisor who then reported it to you, the administrator. - correct answer ✔Have your
social worker or designated person investigate.
A timeline should be made from the last time the wallet was seen to when it was missing.
Question all possible suspects - this includes staff, residents, and the care recipient's family and friends.
Sometimes the wallet is not lost but rather put in a safe place by staff (e.g. in a med cart) or taken home
by family and the resident forgets.
Have staff ask within the community to determine if this missing wallet is an isolated event or if others
are missing items.
Make sure each step of the investigation is documented.
Make sure the investigation keeps momentum and an outcome is decided.
If it is determined the wallet was stolen,
Call police and file report.
Report incident to State Hotline or other required entities, depending on your state.
100% correct 2025/2026
Within the spirit of OBRA and culture change, which one of the following is most descriptive of the
movement? - correct answer ✔The spirit of the OBRA and the culture change movement is to accord
more dignity to residents, create a more resident centered care that allows the resident to determine
when they want to do things.
According to Code of Federal Regulations, if the staff development coordinator is promoted to director
of nursing, the nursing facility must notify the: - correct answer ✔The facility must provide written
notice to the State agency responsible for licensing the facility at the time of change for the facility
administrator or director of nursing.
The Minimum Data Set (MDS) - correct answer ✔a comprehensive evaluation of the functional
capabilities of each resident in a long-term care facility
MDS - correct answer ✔Minimum Data Set
Mrs. Johnson is a 78-year-old care recipient who is receiving post-acute services following a shoulder
replacement. She has no cognitive deficits and is generally pleasant and cooperative with the care team.
Prior to her surgery, she had been recently diagnosed as a Type II diabetic and is on a medication to help
regulate her blood sugar. Her family is very involved in her progress, stopping by daily to offer support
and encouragement.
On their visits, they also occasionally will bring some homemade sweets which are not recommended
for Mrs. Johnson to eat due to her diabetes. Regardless of the recommendations, Mrs. Johnson eats
these treats which results in hyper-glycemic episodes. The care team has attempted to speak to Mrs.
Johnson about these concerns, and she became rather agitated with them, raising her voice, and
choosing to end her therapy session early. The team calls on their Administrator for advice. - correct
answer ✔First you need to recall the healthcare team's role with care recipients in general and with this
situation specifically.
, It is the healthcare team's role to assess the care recipient, ensure that the prescribed diet that is being
offered by the team is in accordance with the recommendations of the physician and the dietician, and
educate the care recipient on why that particular diet has been prescribed for them.
Further, in the case that the care recipient chooses to ignore the recommended diet, the care team
should continue to educate as to the risks associated with being noncompliant, document that
education has been provided, and include the refusal in the plan-of-care.
Mr. Apple is a 91-year-old care recipient with some mild cognitive loss. As housekeeping was making
daily rounds, he reported that he has been unable to locate his wallet. The housekeeper assisting in Mr.
Apple's room helped him search and when the wallet was not found, immediately reported it as missing
to nursing staff supervisor who then reported it to you, the administrator. - correct answer ✔Have your
social worker or designated person investigate.
A timeline should be made from the last time the wallet was seen to when it was missing.
Question all possible suspects - this includes staff, residents, and the care recipient's family and friends.
Sometimes the wallet is not lost but rather put in a safe place by staff (e.g. in a med cart) or taken home
by family and the resident forgets.
Have staff ask within the community to determine if this missing wallet is an isolated event or if others
are missing items.
Make sure each step of the investigation is documented.
Make sure the investigation keeps momentum and an outcome is decided.
If it is determined the wallet was stolen,
Call police and file report.
Report incident to State Hotline or other required entities, depending on your state.
