NAB CORE EXAM / ACTUAL EXAM
QUESTIONS AND 100% VERIFIED
ANSWERS WITH RATIONALES
GRADED A+ LATEST
1. A resident with advanced dementia is refusing meals. The best initial
approach by the administrator is to:
A. Force the resident to eat to maintain nutrition
B. Assess for underlying causes and involve care staff in alternative
approaches
C. Discontinue meals until the resident complies
D. Document refusal and take no further action
Answer: B
Rationale: Understanding behavioral changes in dementia and using person-
centered approaches ensures care respects resident rights while addressing clinical
concerns.
2. Which of the following is a primary regulatory requirement for nursing
homes under the federal OBRA law?
A. Providing daily entertainment programs
B. Ensuring residents’ rights to participate in care decisions
C. Allowing unrestricted visitation 24/7
D. Guaranteeing private rooms for all residents
,Answer: B
Rationale: OBRA emphasizes resident rights, including involvement in care
planning, informed consent, and protection from abuse or neglect.
3. A resident complains of pain but staff report “he doesn’t look like he’s in
pain.” The administrator should:
A. Accept staff judgment and take no action
B. Ensure a pain assessment is performed and documented
C. Prescribe pain medication without assessment
D. Remove the resident from the care plan
Answer: B
Rationale: Pain is subjective; proper assessment is required for appropriate
treatment and compliance with quality of care standards.
4. Which care practice best supports person-centered care?
A. Offering meals and activities on a fixed schedule
B. Tailoring care plans to each resident’s preferences and history
C. Rotating staff frequently to avoid attachments
D. Standardizing all resident routines
Answer: B
Rationale: Person-centered care emphasizes individualized care planning
respecting resident preferences, values, and history.
5. When a resident’s advance directive conflicts with the care plan, the
administrator should:
A. Follow the care plan regardless of directives
B. Notify legal counsel immediately and disregard resident wishes
, C. Ensure staff follow the resident’s legally binding directives
D. Ask family members to override the resident’s choice
Answer: C
Rationale: Advance directives are legally binding and must be followed, reflecting
resident autonomy.
6. Which of the following interventions is most appropriate for fall prevention
in long-term care?
A. Restrict all mobility to prevent accidents
B. Conduct regular risk assessments and implement individualized
interventions
C. Use restraints for all residents with a fall history
D. Rely solely on bed alarms
Answer: B
Rationale: Fall prevention requires assessment-based interventions, not blanket
restrictions or restraints, aligning with safety and quality standards.
7. A new resident requires medication administration. The administrator
ensures compliance by:
A. Allowing unlicensed staff to administer medication
B. Verifying medications are administered by licensed personnel per policy
C. Delegating administration to family members
D. Ignoring state regulations if staffing is low
Answer: B
Rationale: Medication administration must follow regulatory and licensing
requirements to ensure safety and compliance.
, 8. Which approach best supports resident rights?
A. Limiting visitors to maintain order
B. Encouraging autonomy while ensuring safety
C. Dictating daily routines for efficiency
D. Restricting communication with healthcare providers
Answer: B
Rationale: Balancing autonomy with safety respects resident rights and regulatory
expectations.
9. A resident requests a religious accommodation not currently available. The
administrator should:
A. Deny the request to maintain consistency
B. Evaluate feasibility and provide reasonable accommodation
C. Refer the resident to a legal advocate immediately
D. Ignore the request
Answer: B
Rationale: Providing reasonable accommodations supports resident choice, rights,
and culturally competent care.
10. What is the most effective way to monitor quality of care in a nursing
facility?
A. Conducting annual inspections only
B. Ongoing performance improvement measures and audits
C. Relying on anecdotal staff reports
D. Limiting feedback to family complaints
QUESTIONS AND 100% VERIFIED
ANSWERS WITH RATIONALES
GRADED A+ LATEST
1. A resident with advanced dementia is refusing meals. The best initial
approach by the administrator is to:
A. Force the resident to eat to maintain nutrition
B. Assess for underlying causes and involve care staff in alternative
approaches
C. Discontinue meals until the resident complies
D. Document refusal and take no further action
Answer: B
Rationale: Understanding behavioral changes in dementia and using person-
centered approaches ensures care respects resident rights while addressing clinical
concerns.
2. Which of the following is a primary regulatory requirement for nursing
homes under the federal OBRA law?
A. Providing daily entertainment programs
B. Ensuring residents’ rights to participate in care decisions
C. Allowing unrestricted visitation 24/7
D. Guaranteeing private rooms for all residents
,Answer: B
Rationale: OBRA emphasizes resident rights, including involvement in care
planning, informed consent, and protection from abuse or neglect.
3. A resident complains of pain but staff report “he doesn’t look like he’s in
pain.” The administrator should:
A. Accept staff judgment and take no action
B. Ensure a pain assessment is performed and documented
C. Prescribe pain medication without assessment
D. Remove the resident from the care plan
Answer: B
Rationale: Pain is subjective; proper assessment is required for appropriate
treatment and compliance with quality of care standards.
4. Which care practice best supports person-centered care?
A. Offering meals and activities on a fixed schedule
B. Tailoring care plans to each resident’s preferences and history
C. Rotating staff frequently to avoid attachments
D. Standardizing all resident routines
Answer: B
Rationale: Person-centered care emphasizes individualized care planning
respecting resident preferences, values, and history.
5. When a resident’s advance directive conflicts with the care plan, the
administrator should:
A. Follow the care plan regardless of directives
B. Notify legal counsel immediately and disregard resident wishes
, C. Ensure staff follow the resident’s legally binding directives
D. Ask family members to override the resident’s choice
Answer: C
Rationale: Advance directives are legally binding and must be followed, reflecting
resident autonomy.
6. Which of the following interventions is most appropriate for fall prevention
in long-term care?
A. Restrict all mobility to prevent accidents
B. Conduct regular risk assessments and implement individualized
interventions
C. Use restraints for all residents with a fall history
D. Rely solely on bed alarms
Answer: B
Rationale: Fall prevention requires assessment-based interventions, not blanket
restrictions or restraints, aligning with safety and quality standards.
7. A new resident requires medication administration. The administrator
ensures compliance by:
A. Allowing unlicensed staff to administer medication
B. Verifying medications are administered by licensed personnel per policy
C. Delegating administration to family members
D. Ignoring state regulations if staffing is low
Answer: B
Rationale: Medication administration must follow regulatory and licensing
requirements to ensure safety and compliance.
, 8. Which approach best supports resident rights?
A. Limiting visitors to maintain order
B. Encouraging autonomy while ensuring safety
C. Dictating daily routines for efficiency
D. Restricting communication with healthcare providers
Answer: B
Rationale: Balancing autonomy with safety respects resident rights and regulatory
expectations.
9. A resident requests a religious accommodation not currently available. The
administrator should:
A. Deny the request to maintain consistency
B. Evaluate feasibility and provide reasonable accommodation
C. Refer the resident to a legal advocate immediately
D. Ignore the request
Answer: B
Rationale: Providing reasonable accommodations supports resident choice, rights,
and culturally competent care.
10. What is the most effective way to monitor quality of care in a nursing
facility?
A. Conducting annual inspections only
B. Ongoing performance improvement measures and audits
C. Relying on anecdotal staff reports
D. Limiting feedback to family complaints
