NAB Core of Knowledge Exam
Complete Practice Exam (150 Questions)
1. The primary goal of person-centered care in a long-term care facility is to:
A. Increase staff efficiency
B. Standardize care procedures
C. Honor resident preferences and choices
D. Reduce staff turnover
Correct Answer💜💜: C. Honor resident preferences and choices
Rationale: Person-centered care focuses on autonomy, dignity, and individualized
preferences rather than rigid procedures .
2. The Minimum Data Set (MDS) is used primarily to:
A. Track staff performance
B. Collect standardized resident assessment data
C. Report financial performance
D. Schedule activities
Correct Answer💜💜: B. Collect standardized resident assessment data
Rationale: The MDS ensures consistent, comprehensive resident assessments and
drives care planning and reimbursement under CMS .
3. The comprehensive care plan must be developed within how many days of
admission?
A. 7 days
B. 14 days
C. 21 days
D. 30 days
Correct Answer💜💜: B. 14 days
Rationale: Federal regulations (F-Tag 279) require a comprehensive care plan
within 7 days of the MDS completion—effectively 14 days post-admission .
4. Which of the following is a key indicator of quality of life in a nursing facility?
A. Profit margin
,B. Staff-to-resident ratio
C. Resident satisfaction and autonomy
D. Average daily census
Correct Answer💜💜: C. Resident satisfaction and autonomy
Rationale: CMS defines quality of life by dignity, autonomy, and meaningful
engagement—not operational metrics .
5. Pressure ulcers are most effectively prevented by:
A. Routine wound dressing
B. Frequent repositioning and skin inspection
C. Applying topical creams daily
D. Increasing dietary fat
Correct Answer💜💜: B. Frequent repositioning and skin inspection
Rationale: Regular turning and assessment prevent pressure injury formation—a
core part of quality nursing care .
6. A resident refuses medication. What is the best response?
A. Document the refusal and notify the nurse
B. Attempt to persuade repeatedly
C. Hide the medication in food
D. Ignore the refusal if it's minor
Correct Answer💜💜: A. Document the refusal and notify the nurse
Rationale: Residents have the right to refuse treatment; the nurse must assess
and document it appropriately .
7. Which federal law established residents' rights in nursing facilities?
A. HIPAA
B. Omnibus Budget Reconciliation Act (OBRA) of 1987
C. Affordable Care Act
D. Americans with Disabilities Act (ADA)
Correct Answer💜💜: B. OBRA of 1987
Rationale: OBRA established the Resident Bill of Rights and quality standards for
long-term care .
,8. Advance directives should be reviewed:
A. Once upon admission only
B. Annually
C. Whenever the resident's condition or wishes change
D. Every 90 days
Correct Answer💜💜: C. Whenever the resident's condition or wishes change
Rationale: Resident rights include control over healthcare decisions; directives
must reflect current wishes .
9. Infection control in long-term care requires:
A. Antibiotics for all residents
B. Isolation of all new admissions
C. Hand hygiene and surveillance programs
D. Weekly staff temperature checks only
Correct Answer💜💜: C. Hand hygiene and surveillance programs
Rationale: Infection prevention is centered on hand hygiene, surveillance, and
staff education .
10. Which staff member is responsible for ensuring compliance with infection
control regulations?
A. Nursing Supervisor
B. Infection Preventionist (IP)
C. Medical Director
D. Unit Clerk
Correct Answer💜💜: B. Infection Preventionist (IP)
Rationale: CMS requires each facility to designate a trained Infection
Preventionist responsible for oversight and compliance .
11. A resident with dementia exhibits increased agitation during personal care.
The best initial approach is to:
A. Complete care quickly to minimize distress
B. Use gentle redirection and explain each step calmly
C. Request a prescription for anti-anxiety medication
D. Assign two staff members to hold the resident still
, Correct Answer💜💜: B. Use gentle redirection and explain each step calmly
Rationale: Person-centered care for dementia patients emphasizes
communication, reassurance, and maintaining dignity. Restraint or forced care
should be avoided.
12. The care plan for a resident must include:
A. Staff work schedules
B. Measurable objectives and timetables
C. Family visitation hours
D. Vendor contracts for supplies
Correct Answer💜💜: B. Measurable objectives and timetables
Rationale: Care plans must include specific, measurable goals with timeframes to
track progress and adjust interventions.
13. When a resident experiences an unexpected weight loss of 5% in one month,
the administrator should first:
A. Order nutritional supplements
B. Convene the interdisciplinary team to assess causes
C. Notify the family and physician
D. Increase portion sizes at meals
Correct Answer💜💜: B. Convene the interdisciplinary team to assess causes
Rationale: Significant weight loss requires a comprehensive assessment by the IDT
(dietary, nursing, social services) to identify underlying causes before
implementing solutions.
14. Activities of daily living (ADLs) include:
A. Medication management
B. Bathing, dressing, and eating
C. Paying bills
D. Attending religious services
Correct Answer💜💜: B. Bathing, dressing, and eating
Rationale: ADLs are fundamental self-care tasks. Instrumental ADLs (IADLs)
include more complex activities like medication management and financial
management.
Complete Practice Exam (150 Questions)
1. The primary goal of person-centered care in a long-term care facility is to:
A. Increase staff efficiency
B. Standardize care procedures
C. Honor resident preferences and choices
D. Reduce staff turnover
Correct Answer💜💜: C. Honor resident preferences and choices
Rationale: Person-centered care focuses on autonomy, dignity, and individualized
preferences rather than rigid procedures .
2. The Minimum Data Set (MDS) is used primarily to:
A. Track staff performance
B. Collect standardized resident assessment data
C. Report financial performance
D. Schedule activities
Correct Answer💜💜: B. Collect standardized resident assessment data
Rationale: The MDS ensures consistent, comprehensive resident assessments and
drives care planning and reimbursement under CMS .
3. The comprehensive care plan must be developed within how many days of
admission?
A. 7 days
B. 14 days
C. 21 days
D. 30 days
Correct Answer💜💜: B. 14 days
Rationale: Federal regulations (F-Tag 279) require a comprehensive care plan
within 7 days of the MDS completion—effectively 14 days post-admission .
4. Which of the following is a key indicator of quality of life in a nursing facility?
A. Profit margin
,B. Staff-to-resident ratio
C. Resident satisfaction and autonomy
D. Average daily census
Correct Answer💜💜: C. Resident satisfaction and autonomy
Rationale: CMS defines quality of life by dignity, autonomy, and meaningful
engagement—not operational metrics .
5. Pressure ulcers are most effectively prevented by:
A. Routine wound dressing
B. Frequent repositioning and skin inspection
C. Applying topical creams daily
D. Increasing dietary fat
Correct Answer💜💜: B. Frequent repositioning and skin inspection
Rationale: Regular turning and assessment prevent pressure injury formation—a
core part of quality nursing care .
6. A resident refuses medication. What is the best response?
A. Document the refusal and notify the nurse
B. Attempt to persuade repeatedly
C. Hide the medication in food
D. Ignore the refusal if it's minor
Correct Answer💜💜: A. Document the refusal and notify the nurse
Rationale: Residents have the right to refuse treatment; the nurse must assess
and document it appropriately .
7. Which federal law established residents' rights in nursing facilities?
A. HIPAA
B. Omnibus Budget Reconciliation Act (OBRA) of 1987
C. Affordable Care Act
D. Americans with Disabilities Act (ADA)
Correct Answer💜💜: B. OBRA of 1987
Rationale: OBRA established the Resident Bill of Rights and quality standards for
long-term care .
,8. Advance directives should be reviewed:
A. Once upon admission only
B. Annually
C. Whenever the resident's condition or wishes change
D. Every 90 days
Correct Answer💜💜: C. Whenever the resident's condition or wishes change
Rationale: Resident rights include control over healthcare decisions; directives
must reflect current wishes .
9. Infection control in long-term care requires:
A. Antibiotics for all residents
B. Isolation of all new admissions
C. Hand hygiene and surveillance programs
D. Weekly staff temperature checks only
Correct Answer💜💜: C. Hand hygiene and surveillance programs
Rationale: Infection prevention is centered on hand hygiene, surveillance, and
staff education .
10. Which staff member is responsible for ensuring compliance with infection
control regulations?
A. Nursing Supervisor
B. Infection Preventionist (IP)
C. Medical Director
D. Unit Clerk
Correct Answer💜💜: B. Infection Preventionist (IP)
Rationale: CMS requires each facility to designate a trained Infection
Preventionist responsible for oversight and compliance .
11. A resident with dementia exhibits increased agitation during personal care.
The best initial approach is to:
A. Complete care quickly to minimize distress
B. Use gentle redirection and explain each step calmly
C. Request a prescription for anti-anxiety medication
D. Assign two staff members to hold the resident still
, Correct Answer💜💜: B. Use gentle redirection and explain each step calmly
Rationale: Person-centered care for dementia patients emphasizes
communication, reassurance, and maintaining dignity. Restraint or forced care
should be avoided.
12. The care plan for a resident must include:
A. Staff work schedules
B. Measurable objectives and timetables
C. Family visitation hours
D. Vendor contracts for supplies
Correct Answer💜💜: B. Measurable objectives and timetables
Rationale: Care plans must include specific, measurable goals with timeframes to
track progress and adjust interventions.
13. When a resident experiences an unexpected weight loss of 5% in one month,
the administrator should first:
A. Order nutritional supplements
B. Convene the interdisciplinary team to assess causes
C. Notify the family and physician
D. Increase portion sizes at meals
Correct Answer💜💜: B. Convene the interdisciplinary team to assess causes
Rationale: Significant weight loss requires a comprehensive assessment by the IDT
(dietary, nursing, social services) to identify underlying causes before
implementing solutions.
14. Activities of daily living (ADLs) include:
A. Medication management
B. Bathing, dressing, and eating
C. Paying bills
D. Attending religious services
Correct Answer💜💜: B. Bathing, dressing, and eating
Rationale: ADLs are fundamental self-care tasks. Instrumental ADLs (IADLs)
include more complex activities like medication management and financial
management.
