Page 1 of 32
NAB CORE PRACTICE EXAM 2025–2026 –
100 QUESTIONS WITH VERIFIED ANSWERS
& EXPLANATIONS| DELIVERED AS
INSTANT PDF DOWNLOAND
1. A resident with advanced dementia repeatedly tries to leave
the facility. Which of the following is the most appropriate initial
intervention?
A) Apply a soft wrist restraint during evening hours
B) Request a prescription for an antipsychotic medication
C) Conduct a behavioral assessment and implement non-
pharmacological interventions
D) Notify the family that the resident must be transferred to a
locked unit
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Correct Answer: C – Federal regulations require the least
restrictive approach. Non-pharmacological interventions (e.g.,
redirection, environmental modifications, increased supervision)
must be attempted before restraints or psychotropics.
2. The Minimum Data Set (MDS) must be completed for all
residents:
A) Only upon admission and discharge
B) Upon admission, annually, quarterly, and upon significant
change
C) Every 90 days for Medicare Part A residents only
D) Whenever the family requests an update
Correct Answer: B – OBRA ’87 mandates the MDS at admission
(within 14 days), annually, quarterly, and upon significant
change in condition. This drives care planning and reimbursement.
,Page 3 of 32
3. Scenario: A resident who is normally alert becomes confused
and lethargic over 24 hours. The nurse suspects a urinary tract
infection. What is the administrator’s priority?
A) Ensure the physician is notified and a urinalysis is obtained
B) Transfer the resident to the hospital immediately
C) Increase the resident’s fluid intake and monitor for 48 hours
D) Document the change in the next MDS assessment
Correct Answer: A – Sudden change in mental status in an
elderly resident may indicate infection, dehydration, or
medication reaction. The physician must be notified promptly;
delaying care could be neglect.
4. Which of the following is not an Activity of Daily Living (ADL)?
A) Bathing
B) Toileting
, Page 4 of 32
C) Managing finances
D) Eating
Correct Answer: C – Managing finances is an Instrumental
Activity of Daily Living (IADL). Basic ADLs include bathing,
dressing, toileting, transferring, continence, and eating.
5. A resident refuses to take a prescribed blood pressure
medication. The nurse should:
A) Crush the medication and mix it with applesauce
B) Respect the refusal, document it, and notify the physician
C) Call the family to force the resident to comply
D) Administer the medication intramuscularly
Correct Answer: B – Residents have the right to refuse treatment.
The facility must respect that right, document the refusal, and
inform the physician. Alternative formulations or timing may be
explored.
NAB CORE PRACTICE EXAM 2025–2026 –
100 QUESTIONS WITH VERIFIED ANSWERS
& EXPLANATIONS| DELIVERED AS
INSTANT PDF DOWNLOAND
1. A resident with advanced dementia repeatedly tries to leave
the facility. Which of the following is the most appropriate initial
intervention?
A) Apply a soft wrist restraint during evening hours
B) Request a prescription for an antipsychotic medication
C) Conduct a behavioral assessment and implement non-
pharmacological interventions
D) Notify the family that the resident must be transferred to a
locked unit
,Page 2 of 32
Correct Answer: C – Federal regulations require the least
restrictive approach. Non-pharmacological interventions (e.g.,
redirection, environmental modifications, increased supervision)
must be attempted before restraints or psychotropics.
2. The Minimum Data Set (MDS) must be completed for all
residents:
A) Only upon admission and discharge
B) Upon admission, annually, quarterly, and upon significant
change
C) Every 90 days for Medicare Part A residents only
D) Whenever the family requests an update
Correct Answer: B – OBRA ’87 mandates the MDS at admission
(within 14 days), annually, quarterly, and upon significant
change in condition. This drives care planning and reimbursement.
,Page 3 of 32
3. Scenario: A resident who is normally alert becomes confused
and lethargic over 24 hours. The nurse suspects a urinary tract
infection. What is the administrator’s priority?
A) Ensure the physician is notified and a urinalysis is obtained
B) Transfer the resident to the hospital immediately
C) Increase the resident’s fluid intake and monitor for 48 hours
D) Document the change in the next MDS assessment
Correct Answer: A – Sudden change in mental status in an
elderly resident may indicate infection, dehydration, or
medication reaction. The physician must be notified promptly;
delaying care could be neglect.
4. Which of the following is not an Activity of Daily Living (ADL)?
A) Bathing
B) Toileting
, Page 4 of 32
C) Managing finances
D) Eating
Correct Answer: C – Managing finances is an Instrumental
Activity of Daily Living (IADL). Basic ADLs include bathing,
dressing, toileting, transferring, continence, and eating.
5. A resident refuses to take a prescribed blood pressure
medication. The nurse should:
A) Crush the medication and mix it with applesauce
B) Respect the refusal, document it, and notify the physician
C) Call the family to force the resident to comply
D) Administer the medication intramuscularly
Correct Answer: B – Residents have the right to refuse treatment.
The facility must respect that right, document the refusal, and
inform the physician. Alternative formulations or timing may be
explored.
