1|Page
NAB Core Practice Exam 110 Questions and Answers
with Rationales
Exam (elaborations)
NAB CORE PRACTICE EXAM
110 Questions with Correct Detailed Answers and Rationales
2025/2026 | Already Graded A+
Domain 1: Resident-Centered Care and Quality of Life (Questions
1-25)
1. Which one of the following steps should be taken first in a risk
management program?
A. Purchasing of adequate insurance
B. Conducting of employee safety drills
C. Identifying hazards and risks
D. Conducting staff in-services on incident reporting and accident
prevention.
Correct Answer: C. Identifying hazards and risks
Rationale: The first step in any risk management program is to identify
potential hazards and risks. Only after identifying what the risks are can
you take subsequent steps like purchasing insurance (to cover the risk),
conducting drills, or training staff .
2. Which of the following professionals is authorized to dispense
medications?
A. registered nurse
B. licensed nurse, physician and, in some states, medication aide
C. licensed nurse and physician
D. pharmacist
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Correct Answer: D. pharmacist
Rationale: "Dispensing" is the act of preparing and giving out
medications pursuant to a prescription order, which is a function legally
reserved for a licensed pharmacist. Nurses and physicians are typically
authorized to "administer" medications (giving a single dose to a
patient) .
3. Aphasia occurs frequently as a result of:
A. a stroke
B. diabetes
C. death of a spouse
D. pressure ulcers
Correct Answer: A. a stroke
Rationale: Aphasia, the loss of the ability to understand or express
speech, is most commonly caused by damage to the brain's language
centers, often due to a stroke (cerebrovascular accident) .
4. The age-related clouding of the lens of the eye is called:
A. macular degeneration
B. a cataract
C. glaucoma
D. conjunctivitis
Correct Answer: B. a cataract
Rationale: A cataract is a clouding of the normally clear lens of the eye.
Macular degeneration affects the retina, glaucoma involves damage to
the optic nerve, and conjunctivitis is an inflammation of the
conjunctiva .
5. In collective bargaining, when labor and management select a
third party to decide an issue, and agree to accept that third party's
decision as final and binding on both sides, the process is called:
A. mediation
B. Arbitration
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C. conciliation
D. subrogation
Correct Answer: B. Arbitration
Rationale: Arbitration involves a neutral third party (the arbitrator) who
hears evidence from both sides and makes a binding decision. Mediation
and conciliation involve a third party who facilitates a agreement but
does not impose a decision .
6. Cultural diversity in an organization's delivery of services would
entail all EXCEPT which one of the following?
A. Educating staff in the distinctive beliefs and values held by the
various ethnic and racial groups being served.
B. Using interpreters and in other ways trying to eliminate language
barriers between staff and clients.
C. Getting staff to identify how their own biases regarding people of
other religious backgrounds may affect their care-giving.
D. Offering customers of different ethnic and racial backgrounds the
same food and beverages in order to foster a sense of community and
equality.
Correct Answer: D. Offering customers of different ethnic and racial
backgrounds the same food and beverages in order to foster a sense of
community and equality.
Rationale: Cultural diversity means respecting and accommodating
individual differences. Offering the exact same food to everyone ignores
dietary preferences and restrictions based on culture or religion, which is
the opposite of a culturally diverse approach .
7. Which of the following is a chronic disease?
A. pneumonia
B. botulism
C. Parkinson's disease
D. shingles
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Correct Answer: C. Parkinson's disease
Rationale: A chronic disease is a long-lasting condition that can be
controlled but not cured. Parkinson's disease is a progressive, long-term
disorder of the nervous system. Pneumonia, botulism, and shingles are
acute conditions .
8. Spread of cancer cells from one part of the body to another is
referred to as...
A. dysphagia
B. metastasis
C. myasthenia
D. necrosis
Correct Answer: B. metastasis
Rationale: Metastasis is the process by which cancer cells break away
from the primary tumor and spread to other parts of the body to form
new tumors .
9. The type of therapeutic diet often prescribed for people with
hypertension is:
A. low fat
B. low sodium
C. bland
D. liquid
Correct Answer: B. low sodium
Rationale: Hypertension (high blood pressure) is often managed by
reducing sodium intake, as sodium can cause the body to retain fluid,
which increases blood pressure .
10. When milk and meat must be refrigerated, they should be held
at or below how many degrees Fahrenheit?
A. 50
B. 32
C. 41
D. 0
NAB Core Practice Exam 110 Questions and Answers
with Rationales
Exam (elaborations)
NAB CORE PRACTICE EXAM
110 Questions with Correct Detailed Answers and Rationales
2025/2026 | Already Graded A+
Domain 1: Resident-Centered Care and Quality of Life (Questions
1-25)
1. Which one of the following steps should be taken first in a risk
management program?
A. Purchasing of adequate insurance
B. Conducting of employee safety drills
C. Identifying hazards and risks
D. Conducting staff in-services on incident reporting and accident
prevention.
Correct Answer: C. Identifying hazards and risks
Rationale: The first step in any risk management program is to identify
potential hazards and risks. Only after identifying what the risks are can
you take subsequent steps like purchasing insurance (to cover the risk),
conducting drills, or training staff .
2. Which of the following professionals is authorized to dispense
medications?
A. registered nurse
B. licensed nurse, physician and, in some states, medication aide
C. licensed nurse and physician
D. pharmacist
,2|Page
Correct Answer: D. pharmacist
Rationale: "Dispensing" is the act of preparing and giving out
medications pursuant to a prescription order, which is a function legally
reserved for a licensed pharmacist. Nurses and physicians are typically
authorized to "administer" medications (giving a single dose to a
patient) .
3. Aphasia occurs frequently as a result of:
A. a stroke
B. diabetes
C. death of a spouse
D. pressure ulcers
Correct Answer: A. a stroke
Rationale: Aphasia, the loss of the ability to understand or express
speech, is most commonly caused by damage to the brain's language
centers, often due to a stroke (cerebrovascular accident) .
4. The age-related clouding of the lens of the eye is called:
A. macular degeneration
B. a cataract
C. glaucoma
D. conjunctivitis
Correct Answer: B. a cataract
Rationale: A cataract is a clouding of the normally clear lens of the eye.
Macular degeneration affects the retina, glaucoma involves damage to
the optic nerve, and conjunctivitis is an inflammation of the
conjunctiva .
5. In collective bargaining, when labor and management select a
third party to decide an issue, and agree to accept that third party's
decision as final and binding on both sides, the process is called:
A. mediation
B. Arbitration
,3|Page
C. conciliation
D. subrogation
Correct Answer: B. Arbitration
Rationale: Arbitration involves a neutral third party (the arbitrator) who
hears evidence from both sides and makes a binding decision. Mediation
and conciliation involve a third party who facilitates a agreement but
does not impose a decision .
6. Cultural diversity in an organization's delivery of services would
entail all EXCEPT which one of the following?
A. Educating staff in the distinctive beliefs and values held by the
various ethnic and racial groups being served.
B. Using interpreters and in other ways trying to eliminate language
barriers between staff and clients.
C. Getting staff to identify how their own biases regarding people of
other religious backgrounds may affect their care-giving.
D. Offering customers of different ethnic and racial backgrounds the
same food and beverages in order to foster a sense of community and
equality.
Correct Answer: D. Offering customers of different ethnic and racial
backgrounds the same food and beverages in order to foster a sense of
community and equality.
Rationale: Cultural diversity means respecting and accommodating
individual differences. Offering the exact same food to everyone ignores
dietary preferences and restrictions based on culture or religion, which is
the opposite of a culturally diverse approach .
7. Which of the following is a chronic disease?
A. pneumonia
B. botulism
C. Parkinson's disease
D. shingles
, 4|Page
Correct Answer: C. Parkinson's disease
Rationale: A chronic disease is a long-lasting condition that can be
controlled but not cured. Parkinson's disease is a progressive, long-term
disorder of the nervous system. Pneumonia, botulism, and shingles are
acute conditions .
8. Spread of cancer cells from one part of the body to another is
referred to as...
A. dysphagia
B. metastasis
C. myasthenia
D. necrosis
Correct Answer: B. metastasis
Rationale: Metastasis is the process by which cancer cells break away
from the primary tumor and spread to other parts of the body to form
new tumors .
9. The type of therapeutic diet often prescribed for people with
hypertension is:
A. low fat
B. low sodium
C. bland
D. liquid
Correct Answer: B. low sodium
Rationale: Hypertension (high blood pressure) is often managed by
reducing sodium intake, as sodium can cause the body to retain fluid,
which increases blood pressure .
10. When milk and meat must be refrigerated, they should be held
at or below how many degrees Fahrenheit?
A. 50
B. 32
C. 41
D. 0
