NAB NHA/CORE EXAM 2025/2026
In the case of non-Medicare Part A residents, the initial resident assessment must be
completed:
1. Within 10 days of admission
2. Within 14 days of admission
3. Within the first week of admission
4. Prior to formally admitting the resident - ANSWER- 2. Within 14 days of admission
According to the federal certification standards, the QA committee is required to meet? -
ANSWER- Quarterly
A resident is admitted to a nursing home that has been certified as a SNF only. What is
not required to be adhered to by the facility? - ANSWER- State Medicaid standards for
payment
Unless a wavier has been secured, a registered nurse is required to be in the facility? -
ANSWER- At least 8 consecutive hours, 7 days a week
Restorative care must be provided by: - ANSWER- Nursing staff based on a
comprehensive assessment
The facility will determine what the needs of the resident are based on: - ANSWER- The
MDS assessments
Physician visits are required: - ANSWER- Every 60 days after the initial required visits
Which one below is an exception to when a facility may release resident identifiable
information under the HIPPA Privacy Standard without the residents permission?
1. For research conducted by CMS
2. Why any immediate family member requests it?
3. To consumer groups
4. When a resident is transferred to another health care institution - ANSWER- 4. when
a resident is transferred
Standard precautions are to be used when providing personal care to: - ANSWER- ALL
residents
All of the following are barriers regarding the recognition of chronic pain expect for:
1. Staff who are using valid tools to screen for pain
2. Elderly who may show verbal or non verbal symptoms
3. Cognitive impairment and communication barriers hinder a resident ability to report
pain
,4. Staff may not have knowledge or be skilled in assessing pain - ANSWER- 1. Staff
who are utilizing valid tools to screen for pain
Facilities are expected to provide a pleasant dining experience for all residents. This
includes all except:
1. Providing well-lit, well ventilated dinning room
2. Providing adequate space and seating accommodations
3. Maintaining a level of dignity when serving all residents
4. Serving residents without attempting to honor food preferences - ANSWER- 4.
Serving residents without attempting to honor food preferences
Which of the following is not a correct policy for dietary services?
1. Receiving of food for facility use must be from approved sources
2. Storage of food brought in by staff must be store separately from facility food
3. Facilities are required to provide a therapeutic diet, prescribed by the dietary
consultant, when a nutrition problem exists
4. A specific food temperature level is required at the time of serving - ANSWER- 3.
Facilities are required to provide a therapeutic diet, prescribed by the dietary consultant,
when a nutrition problem exists
One specified reason for a "significant change" comprehensive reassessment is an
unplanned weight loss of either ___% over 30 days or ___ over 180 days?
1. 5%, 7%
2. 7% 10%
3. 5%, 10%
4. 10%, 29% - ANSWER- 3. 5%, 10%
Which one of the following statements is true for the medical director?
1. May also service as an attending physician
2. Must be a member of the facility's QA committee
3. Must be seen by the resident at least every 30 days after the initial required visits
4. Must personally approve each order for each resident to the admitted to the facility -
ANSWER- 1. May also service as an attending physicia
Which of the following is true regarding a facility providing medically related social
services to the facility?
1. A facility must have a full-time qualified social worker on staff for each work shift
except weekends
2. A facilities social worker must have a BA degree in social work and one year of
supervised experience in a health care setting
3. A facility must have one social worker for each 75 residents
4. A facilities qualified social worker's bachelor degree can be in a human services field
or in another degree with one year of supervised social work experience in a health care
,setting working with individuals - ANSWER- 4. A facilities qualified social worker's
bachelor degree can be in a human services field or in another degree with one year of
supervised social work experience in a health care setting working with individuals
Nurse aids must have a minimum of----hours in-service training annually? - ANSWER-
12
Which of the following statements is true?
1. Any employee may serve as a feeding assistant when the need desires
2. A family member must complete a state-approved course for feeding assistants
before feeding their family member
3. Paid feeding assistants must successfully complete a state-approved training course
4. A family member is not allowed to feed their relative - ANSWER- 3. Paid feeding
assistants must successfully complete a state-approved training course
Which changes in the dietary department would most closely reflect the principles
behind culture change?
1. Providing set meal service times with little flexibility to maintain a daily routing for the
residents
2. Liberalizing therapeutic diets to provide more food choices to residents
3. Increasing the number of pureed or soft diet orders to make feeding easier for the
staff
4. Structuring meal times to the benefit of staff schedules - ANSWER- 2. LIberalizing
therapeutic diets to provide more food choices to resients
If a resident refuses to consume all of a meal initially given, the nursing staff should:
1. Do nothing, it is the residents right to refuse meals
2. Document that the resident was being uncooperative for that meal
3. Offer a suitable meal replacement or nutrition supplement to provide adequate
calories
4. Force-feed the resident the meal as served - ANSWER- 3. Offer a suitable meal
replacement or nutrition supplement to provide adequate calories
Which of the following statements is correct regarding activities provided through the
activities department of a facility?
1. Spiritual services are not allowed in a facility that receives federal funding
2. Manicures/pedicures, hair styling, makeovers may be considered part of the activities
program
3. Trips to casinos, museums, fishing, etc. are not to be provided because of liberalities
4. Most activities should be of a physical nature - ANSWER- 2. Manicures/pedicures,
hair styling, makeovers may be considered part of the activities program
, Which of the following statements is correct about nasogastic tube feeding while in a
facility?
1.An individual who needs to be fed may be given a nasogastric tube to make eating
easier for the resident
2. The facility must ensure the resident receives appropriate treatment to restore, if
possible, normal eating skills
3. With the family's permission, the resident may be given a nasogastric tube
4. The initial assessment demonstrates that the resident's clinical condition indicated
he/she can't eat by himself/herself - ANSWER- 4. The initial assessment demonstrates
that the resident's clinical condition indicated he/she can't eat by himself/herself
According to federal certification standards, when a nourishing snack is provided at
bedtime, up to ----- may elapse between a substantial meal and breakfast the following
day is a - ANSWER- 14 hours
------refer to any endeavor in which a resident participates that is intended to enhance
their self of well-being and to promote or enhance physical, affective, spiritual, cognitive,
and emotional health - ANSWER- activities
How many hours a day must a facility provide a resident with access to physical
services or with transportation to a hospital emergency room? - ANSWER- 24 hours
In the event of an error in administration of medication, the first action to take is to:
1. Report to the attending physician
2. Report any adverse reaction to the resident
3. Report to the D.O.N
4. Report to the administrator - ANSWER- 1. Report to the attending physician
A valid court order directing that medical records be made available to a given third
party, or revealed in a given circumstance, must be honored:
1. only if the resident has raised issue of medical care in a law suit
2. Residents consent is required if the third part is an insurance company
3. Only with the resident's consent
4. The resident's consent is not required - ANSWER- 4. The resident's consent is not
required
Medications not given as intended by the prescriber, as required by the drug
manufacturer, or according to professional standards is: - ANSWER- a medication error
Facility employees are allowed to serve as feeding assistants during meal time as long
as the meet certain requirements. Which of the following is NOT true:
1. Feeding assistants must work under the supervision of an RN or an LPN
2. Feeding assistants can only assist resident who have no difficulty swallowing
3. Feeding assistants must complete a state approved training program
In the case of non-Medicare Part A residents, the initial resident assessment must be
completed:
1. Within 10 days of admission
2. Within 14 days of admission
3. Within the first week of admission
4. Prior to formally admitting the resident - ANSWER- 2. Within 14 days of admission
According to the federal certification standards, the QA committee is required to meet? -
ANSWER- Quarterly
A resident is admitted to a nursing home that has been certified as a SNF only. What is
not required to be adhered to by the facility? - ANSWER- State Medicaid standards for
payment
Unless a wavier has been secured, a registered nurse is required to be in the facility? -
ANSWER- At least 8 consecutive hours, 7 days a week
Restorative care must be provided by: - ANSWER- Nursing staff based on a
comprehensive assessment
The facility will determine what the needs of the resident are based on: - ANSWER- The
MDS assessments
Physician visits are required: - ANSWER- Every 60 days after the initial required visits
Which one below is an exception to when a facility may release resident identifiable
information under the HIPPA Privacy Standard without the residents permission?
1. For research conducted by CMS
2. Why any immediate family member requests it?
3. To consumer groups
4. When a resident is transferred to another health care institution - ANSWER- 4. when
a resident is transferred
Standard precautions are to be used when providing personal care to: - ANSWER- ALL
residents
All of the following are barriers regarding the recognition of chronic pain expect for:
1. Staff who are using valid tools to screen for pain
2. Elderly who may show verbal or non verbal symptoms
3. Cognitive impairment and communication barriers hinder a resident ability to report
pain
,4. Staff may not have knowledge or be skilled in assessing pain - ANSWER- 1. Staff
who are utilizing valid tools to screen for pain
Facilities are expected to provide a pleasant dining experience for all residents. This
includes all except:
1. Providing well-lit, well ventilated dinning room
2. Providing adequate space and seating accommodations
3. Maintaining a level of dignity when serving all residents
4. Serving residents without attempting to honor food preferences - ANSWER- 4.
Serving residents without attempting to honor food preferences
Which of the following is not a correct policy for dietary services?
1. Receiving of food for facility use must be from approved sources
2. Storage of food brought in by staff must be store separately from facility food
3. Facilities are required to provide a therapeutic diet, prescribed by the dietary
consultant, when a nutrition problem exists
4. A specific food temperature level is required at the time of serving - ANSWER- 3.
Facilities are required to provide a therapeutic diet, prescribed by the dietary consultant,
when a nutrition problem exists
One specified reason for a "significant change" comprehensive reassessment is an
unplanned weight loss of either ___% over 30 days or ___ over 180 days?
1. 5%, 7%
2. 7% 10%
3. 5%, 10%
4. 10%, 29% - ANSWER- 3. 5%, 10%
Which one of the following statements is true for the medical director?
1. May also service as an attending physician
2. Must be a member of the facility's QA committee
3. Must be seen by the resident at least every 30 days after the initial required visits
4. Must personally approve each order for each resident to the admitted to the facility -
ANSWER- 1. May also service as an attending physicia
Which of the following is true regarding a facility providing medically related social
services to the facility?
1. A facility must have a full-time qualified social worker on staff for each work shift
except weekends
2. A facilities social worker must have a BA degree in social work and one year of
supervised experience in a health care setting
3. A facility must have one social worker for each 75 residents
4. A facilities qualified social worker's bachelor degree can be in a human services field
or in another degree with one year of supervised social work experience in a health care
,setting working with individuals - ANSWER- 4. A facilities qualified social worker's
bachelor degree can be in a human services field or in another degree with one year of
supervised social work experience in a health care setting working with individuals
Nurse aids must have a minimum of----hours in-service training annually? - ANSWER-
12
Which of the following statements is true?
1. Any employee may serve as a feeding assistant when the need desires
2. A family member must complete a state-approved course for feeding assistants
before feeding their family member
3. Paid feeding assistants must successfully complete a state-approved training course
4. A family member is not allowed to feed their relative - ANSWER- 3. Paid feeding
assistants must successfully complete a state-approved training course
Which changes in the dietary department would most closely reflect the principles
behind culture change?
1. Providing set meal service times with little flexibility to maintain a daily routing for the
residents
2. Liberalizing therapeutic diets to provide more food choices to residents
3. Increasing the number of pureed or soft diet orders to make feeding easier for the
staff
4. Structuring meal times to the benefit of staff schedules - ANSWER- 2. LIberalizing
therapeutic diets to provide more food choices to resients
If a resident refuses to consume all of a meal initially given, the nursing staff should:
1. Do nothing, it is the residents right to refuse meals
2. Document that the resident was being uncooperative for that meal
3. Offer a suitable meal replacement or nutrition supplement to provide adequate
calories
4. Force-feed the resident the meal as served - ANSWER- 3. Offer a suitable meal
replacement or nutrition supplement to provide adequate calories
Which of the following statements is correct regarding activities provided through the
activities department of a facility?
1. Spiritual services are not allowed in a facility that receives federal funding
2. Manicures/pedicures, hair styling, makeovers may be considered part of the activities
program
3. Trips to casinos, museums, fishing, etc. are not to be provided because of liberalities
4. Most activities should be of a physical nature - ANSWER- 2. Manicures/pedicures,
hair styling, makeovers may be considered part of the activities program
, Which of the following statements is correct about nasogastic tube feeding while in a
facility?
1.An individual who needs to be fed may be given a nasogastric tube to make eating
easier for the resident
2. The facility must ensure the resident receives appropriate treatment to restore, if
possible, normal eating skills
3. With the family's permission, the resident may be given a nasogastric tube
4. The initial assessment demonstrates that the resident's clinical condition indicated
he/she can't eat by himself/herself - ANSWER- 4. The initial assessment demonstrates
that the resident's clinical condition indicated he/she can't eat by himself/herself
According to federal certification standards, when a nourishing snack is provided at
bedtime, up to ----- may elapse between a substantial meal and breakfast the following
day is a - ANSWER- 14 hours
------refer to any endeavor in which a resident participates that is intended to enhance
their self of well-being and to promote or enhance physical, affective, spiritual, cognitive,
and emotional health - ANSWER- activities
How many hours a day must a facility provide a resident with access to physical
services or with transportation to a hospital emergency room? - ANSWER- 24 hours
In the event of an error in administration of medication, the first action to take is to:
1. Report to the attending physician
2. Report any adverse reaction to the resident
3. Report to the D.O.N
4. Report to the administrator - ANSWER- 1. Report to the attending physician
A valid court order directing that medical records be made available to a given third
party, or revealed in a given circumstance, must be honored:
1. only if the resident has raised issue of medical care in a law suit
2. Residents consent is required if the third part is an insurance company
3. Only with the resident's consent
4. The resident's consent is not required - ANSWER- 4. The resident's consent is not
required
Medications not given as intended by the prescriber, as required by the drug
manufacturer, or according to professional standards is: - ANSWER- a medication error
Facility employees are allowed to serve as feeding assistants during meal time as long
as the meet certain requirements. Which of the following is NOT true:
1. Feeding assistants must work under the supervision of an RN or an LPN
2. Feeding assistants can only assist resident who have no difficulty swallowing
3. Feeding assistants must complete a state approved training program
