NAB AND LOS EXAM EXAMINATION TEST
2026 QUESTIONS WITH SOLUTIONS
◉ The nurse newly promoted to director of nursing insists on personally
giving four RN hours of resident care each day on the Alzheimer's wing
in the 175-bed facility. The administrator should _____.
A. Praise the new director of nursing for their resident centeredness
B. Appoint an assistant director of nursing
C. Adapt the job description to fit the director of nursing's pattern
D. Seek a new director of nursing Answer: D. Seek a new director of
nursing.
The director of nursing fails to understand that using expensive RN
hours when less expensive licensed practical nurse (LPN) and certified
nurse's assistant (CNA) hours are the industry standard will be
unsustainably expensive for the facility. Additionally, the director of
nursing is not a direct care role, and their time should be spent in other
applicable areas for their position.
◉ The newly hired assistant to the administrator insists that the
organizational chart dotted line between this position and the
Department of Nursing should be a solid line. The administrator should
_____.
A. Agree in general
B. Agree to this special case
C. Ask the director of nursing for their opinion
,D. Be forewarned Answer: D. Be forewarned.
The director of nursing normally reports directly to the administrator.
The assistant administrator wants too much power or does not
understand how normal nursing facilities function
◉ The nursing facility administrator who, using the leadership by
walking around (LBWA) technique, succeeds in making appropriate
corrections on the spot during their rounds _____.
A. Is effectively implementing the concept
B. Gains additional power through the process
C. Exhibits appropriate leadership
D. Does not understand LBWA Answer: D. Does not understand
LBWA.
It is normally better to go through the chain of command and let the
employees' immediate supervisor request the corrections.
◉ When the administrator notices that the director of nursing seeks to
turn as many duties as possible over to housekeeping, the administrator
should conclude that the director of nursing is _____.
A. Behaving normally, but worthy of oversight
B, Holding a grudge against housekeeping
C. Unwilling to be cooperative
D. Wielding power desirably Answer: A. Behaving normally, but
worthy of oversight.
, It is normal for the various departments such as nursing, housekeeping,
and dietary to seek to "turn over" as much work to other departments as
they can.
◉ The administrator notices that incident reports are being insufficiently
filled out, but does nothing, believing that the situation will likely correct
itself. The administrator is _____.
A. Practicing effective control
B. Likely to be correct
C. Failing to control effectively
D. Right to monitor the situation for a period Answer: C. Failing to
control effectively.
Correctly filled-out incident reports are a must for the facility and this
situation is not likely to "correct itself" without the administrator's active
intervention. This is a very significant area of concern and can quickly
lead to immediate jeopardy level citations should it remain uncorrected.
◉ The administrator of a nursing facility must organize the _____ and
_____ available to best meet the needs of the residents.
A. Care/staffing
B. Staffing/employees
C. Employees/resources
D. Resources/finances Answer: D. Resources/finances.
2026 QUESTIONS WITH SOLUTIONS
◉ The nurse newly promoted to director of nursing insists on personally
giving four RN hours of resident care each day on the Alzheimer's wing
in the 175-bed facility. The administrator should _____.
A. Praise the new director of nursing for their resident centeredness
B. Appoint an assistant director of nursing
C. Adapt the job description to fit the director of nursing's pattern
D. Seek a new director of nursing Answer: D. Seek a new director of
nursing.
The director of nursing fails to understand that using expensive RN
hours when less expensive licensed practical nurse (LPN) and certified
nurse's assistant (CNA) hours are the industry standard will be
unsustainably expensive for the facility. Additionally, the director of
nursing is not a direct care role, and their time should be spent in other
applicable areas for their position.
◉ The newly hired assistant to the administrator insists that the
organizational chart dotted line between this position and the
Department of Nursing should be a solid line. The administrator should
_____.
A. Agree in general
B. Agree to this special case
C. Ask the director of nursing for their opinion
,D. Be forewarned Answer: D. Be forewarned.
The director of nursing normally reports directly to the administrator.
The assistant administrator wants too much power or does not
understand how normal nursing facilities function
◉ The nursing facility administrator who, using the leadership by
walking around (LBWA) technique, succeeds in making appropriate
corrections on the spot during their rounds _____.
A. Is effectively implementing the concept
B. Gains additional power through the process
C. Exhibits appropriate leadership
D. Does not understand LBWA Answer: D. Does not understand
LBWA.
It is normally better to go through the chain of command and let the
employees' immediate supervisor request the corrections.
◉ When the administrator notices that the director of nursing seeks to
turn as many duties as possible over to housekeeping, the administrator
should conclude that the director of nursing is _____.
A. Behaving normally, but worthy of oversight
B, Holding a grudge against housekeeping
C. Unwilling to be cooperative
D. Wielding power desirably Answer: A. Behaving normally, but
worthy of oversight.
, It is normal for the various departments such as nursing, housekeeping,
and dietary to seek to "turn over" as much work to other departments as
they can.
◉ The administrator notices that incident reports are being insufficiently
filled out, but does nothing, believing that the situation will likely correct
itself. The administrator is _____.
A. Practicing effective control
B. Likely to be correct
C. Failing to control effectively
D. Right to monitor the situation for a period Answer: C. Failing to
control effectively.
Correctly filled-out incident reports are a must for the facility and this
situation is not likely to "correct itself" without the administrator's active
intervention. This is a very significant area of concern and can quickly
lead to immediate jeopardy level citations should it remain uncorrected.
◉ The administrator of a nursing facility must organize the _____ and
_____ available to best meet the needs of the residents.
A. Care/staffing
B. Staffing/employees
C. Employees/resources
D. Resources/finances Answer: D. Resources/finances.
