NAB CORE Exam 2026 Study Guide | 2 Full
Practice Versions with Verified Questions &
Detailed Answers | Complete Nursing Home
Administrator Exam Prep (Updated A+ Test
Bank PDF)
NAB CORE EXAM 2026 PRACTICE EXAM | VERSION 1
DOCUMENT OVERVIEW
• Comprehensive 200-Question Practice Bank — Full-length exam covering all
NAB CORE domains with detailed answer explanations to strengthen weak areas
and build confidence before test day.
• Strategic Study Approach — Work through questions in focused blocks by topic
area; review EXPERT RATIONALE for incorrect answers; retake weak sections to
achieve mastery and consistent 75%+ performance.
1. A nursing home administrator is reviewing incident reports and notes an
increase in resident falls over the past month. What is the first step in
addressing this issue?
A) Implement new fall prevention protocols immediately across all units
B) Conduct a comprehensive analysis to identify patterns and root causes
C) Increase staffing levels in all departments
D) Require all staff to attend mandatory fall prevention training
E) Install cameras in all resident rooms
✓ B) Conduct a comprehensive analysis to identify patterns and root causes
EXPERT RATIONALE: Before implementing solutions, administrators must gather
data to understand why falls are increasing. This might reveal causes such as
inadequate staffing, environmental hazards, medication side effects, or specific
,times/units where incidents cluster. Analysis guides targeted, cost-effective
interventions rather than blanket approaches that may not address the actual
problem.
2. Which of the following is a primary responsibility of the nursing home
administrator regarding regulatory compliance?
A) Hiring and disciplining nursing staff only
B) Ensuring the facility meets or exceeds all federal and state regulations
C) Managing the dietary department independently
D) Handling all direct resident care activities
E) Approving all medication orders
✓ B) Ensuring the facility meets or exceeds all federal and state regulations
EXPERT RATIONALE: The administrator is ultimately responsible for overall facility
compliance with CMS regulations, state laws, and licensing requirements. This
includes oversight of all departments, quality assurance, infection control, staffing
standards, and environmental safety. Failure to maintain compliance can result in
citations, penalties, or loss of licensure.
3. A staff member reports a potential violation of resident rights. How should
the administrator respond?
A) Dismiss the report if the resident did not formally complain
B) Investigate promptly and document findings thoroughly
C) Discuss the matter only with the direct supervisor involved
D) Wait until the annual compliance audit to address it
,E) Advise the staff member to handle it independently
✓ B) Investigate promptly and document findings thoroughly
EXPERT RATIONALE: Administrators must take all resident rights violations
seriously and investigate immediately. Documentation protects both residents and
the facility. Timely investigation prevents further violations, demonstrates
commitment to resident welfare, and helps address systemic issues. Delays or
cover-ups can result in regulatory action and legal liability.
4. What is the purpose of an emergency preparedness plan in a nursing home?
A) To comply with OSHA regulations only
B) To ensure the facility can respond effectively to disasters and protect resident
safety
C) To satisfy insurance company requirements
D) To provide a document for the administrator's files
E) To train staff in how to evacuate quickly
✓ B) To ensure the facility can respond effectively to disasters and protect
resident safety
EXPERT RATIONALE: An emergency preparedness plan identifies potential hazards,
establishes evacuation routes, designates shelter areas, ensures adequate supplies,
and assigns roles and responsibilities. The plan enables the facility to respond to
fires, severe weather, utility failures, pandemics, and other emergencies while
maintaining resident safety and continuity of care.
5. A nursing home is experiencing high employee turnover. Which strategy is
most likely to improve retention?
, A) Reduce wages to cut operational costs
B) Increase mandatory overtime requirements
C) Implement competitive compensation, career development, and positive work
culture
D) Replace experienced staff with entry-level workers
E) Eliminate employee benefits programs
✓ C) Implement competitive compensation, career development, and positive
work culture
EXPERT RATIONALE: Turnover costs are substantial (recruitment, training, lost
productivity). Retention improves through fair wages aligned with market rates,
professional development opportunities, positive management practices,
recognition programs, and a supportive work environment. Motivated staff provide
better care, improve resident outcomes, and reduce overall costs.
6. When must a nursing home report a serious injury to state authorities?
A) Only if the injury results in death
B) When required by state regulations and facility policy
C) Only with resident or family member written consent
D) At the end of each fiscal year
E) Only when an external investigation is requested
✓ B) When required by state regulations and facility policy
EXPERT RATIONALE: State regulations specify reportable incidents, which typically
include serious injuries, abuse, neglect, exploitation, and deaths. The facility must
report these within the timeframe specified (often 24-48 hours) to the Department
of Health or similar agency. Failure to report is a serious compliance violation.
Practice Versions with Verified Questions &
Detailed Answers | Complete Nursing Home
Administrator Exam Prep (Updated A+ Test
Bank PDF)
NAB CORE EXAM 2026 PRACTICE EXAM | VERSION 1
DOCUMENT OVERVIEW
• Comprehensive 200-Question Practice Bank — Full-length exam covering all
NAB CORE domains with detailed answer explanations to strengthen weak areas
and build confidence before test day.
• Strategic Study Approach — Work through questions in focused blocks by topic
area; review EXPERT RATIONALE for incorrect answers; retake weak sections to
achieve mastery and consistent 75%+ performance.
1. A nursing home administrator is reviewing incident reports and notes an
increase in resident falls over the past month. What is the first step in
addressing this issue?
A) Implement new fall prevention protocols immediately across all units
B) Conduct a comprehensive analysis to identify patterns and root causes
C) Increase staffing levels in all departments
D) Require all staff to attend mandatory fall prevention training
E) Install cameras in all resident rooms
✓ B) Conduct a comprehensive analysis to identify patterns and root causes
EXPERT RATIONALE: Before implementing solutions, administrators must gather
data to understand why falls are increasing. This might reveal causes such as
inadequate staffing, environmental hazards, medication side effects, or specific
,times/units where incidents cluster. Analysis guides targeted, cost-effective
interventions rather than blanket approaches that may not address the actual
problem.
2. Which of the following is a primary responsibility of the nursing home
administrator regarding regulatory compliance?
A) Hiring and disciplining nursing staff only
B) Ensuring the facility meets or exceeds all federal and state regulations
C) Managing the dietary department independently
D) Handling all direct resident care activities
E) Approving all medication orders
✓ B) Ensuring the facility meets or exceeds all federal and state regulations
EXPERT RATIONALE: The administrator is ultimately responsible for overall facility
compliance with CMS regulations, state laws, and licensing requirements. This
includes oversight of all departments, quality assurance, infection control, staffing
standards, and environmental safety. Failure to maintain compliance can result in
citations, penalties, or loss of licensure.
3. A staff member reports a potential violation of resident rights. How should
the administrator respond?
A) Dismiss the report if the resident did not formally complain
B) Investigate promptly and document findings thoroughly
C) Discuss the matter only with the direct supervisor involved
D) Wait until the annual compliance audit to address it
,E) Advise the staff member to handle it independently
✓ B) Investigate promptly and document findings thoroughly
EXPERT RATIONALE: Administrators must take all resident rights violations
seriously and investigate immediately. Documentation protects both residents and
the facility. Timely investigation prevents further violations, demonstrates
commitment to resident welfare, and helps address systemic issues. Delays or
cover-ups can result in regulatory action and legal liability.
4. What is the purpose of an emergency preparedness plan in a nursing home?
A) To comply with OSHA regulations only
B) To ensure the facility can respond effectively to disasters and protect resident
safety
C) To satisfy insurance company requirements
D) To provide a document for the administrator's files
E) To train staff in how to evacuate quickly
✓ B) To ensure the facility can respond effectively to disasters and protect
resident safety
EXPERT RATIONALE: An emergency preparedness plan identifies potential hazards,
establishes evacuation routes, designates shelter areas, ensures adequate supplies,
and assigns roles and responsibilities. The plan enables the facility to respond to
fires, severe weather, utility failures, pandemics, and other emergencies while
maintaining resident safety and continuity of care.
5. A nursing home is experiencing high employee turnover. Which strategy is
most likely to improve retention?
, A) Reduce wages to cut operational costs
B) Increase mandatory overtime requirements
C) Implement competitive compensation, career development, and positive work
culture
D) Replace experienced staff with entry-level workers
E) Eliminate employee benefits programs
✓ C) Implement competitive compensation, career development, and positive
work culture
EXPERT RATIONALE: Turnover costs are substantial (recruitment, training, lost
productivity). Retention improves through fair wages aligned with market rates,
professional development opportunities, positive management practices,
recognition programs, and a supportive work environment. Motivated staff provide
better care, improve resident outcomes, and reduce overall costs.
6. When must a nursing home report a serious injury to state authorities?
A) Only if the injury results in death
B) When required by state regulations and facility policy
C) Only with resident or family member written consent
D) At the end of each fiscal year
E) Only when an external investigation is requested
✓ B) When required by state regulations and facility policy
EXPERT RATIONALE: State regulations specify reportable incidents, which typically
include serious injuries, abuse, neglect, exploitation, and deaths. The facility must
report these within the timeframe specified (often 24-48 hours) to the Department
of Health or similar agency. Failure to report is a serious compliance violation.
