NAB NHA Exam (Compiled Cards)
b b b b
thebphysicalbplantbcorrectbanswerallbdesigned,bconstructed,bequipped,bandbmaintainedbtobprotectbhealthb
andbsafetybofbresidents,bpersonnel,bpublic
LifebSafetybCodeb(LSC)bcorrectbanswerEntirebconstructionbplanbandbmaterialsbmeetbLSCbstandards|||CMSb
requiresbunlessbhavebwaiverborbexception.bCMSbgrantsbwaiversbonbSNFs;bstatesbonbNFs
(NFPA)bcorrectbanswerNationalbFirebProtectionbAssociationb||establishedbLSC
PurposebofbLSCbcorrectbanswertobprovidebreasonablebdegreebofbsafetybfrombfire.
WaiversbforbLifebSafetybCodebcorrectbanswerIfbCMSbfindsbabstatebfirebandbsafetybcodebadequatelybprotects
bresidentsbandbpersonnelbthenLSCbdoesbnotbapply.bOLderbfacilitiesbmaybobtainbabwaiverbifbtheybarebandbha
vebbeenbinbcompliancebwithbanbolderbadditionbofbLSCbasbspecifiedbbybCMS.||Beforebabnursingbhomebmayb
bebbuiltbitbmustbpresentbarchitecturalbplantbtobStatebMedicaidborbdesignatedbagencybthatbapprovesbconstr
uction.bAllbmajorbrenovations,bsuchbasbadditionalbbeds,bchangebinbutilizationbofbspace,bandbsobonbmustbrec
eivebapproval.bThebstatebprovidesbguidelinesbonbwhatbmustbbebabapproved.bUpkeepbandbrepairsbdobnotbre
quirebpriorbapproaval.
BluebPrintsbcorrectbanswerkeepbas-
builtbplansbavailablebforbsurveyorsbwhobdobLSCbinspectionbasbwellbasbforbrepairbpersonsbwhobmaybneedbpri
ntsbforbbigbjobs.
LSCbandbotherbstandardsbcorrectbanswerBuildingbandbcontactbstandardsbarebsetbbybLSC,bCMS,bANSI/ADAA
Gb-b(dependentbonbwhichbthebstatebchooses)bandbstatebandblocalbcodes.b||-bforbhandicapped|-
followbwhichbonbspecificbstatebrequiresb(ANSI/ADAAG)
LSCbandbANSI/ADAAGbcorrectbanswerLSCbacceptsbbothbstandardsbsobtheybarebessentiallyballbLSCbstandards
.bAdministratorbdoesbnotbneedbtobknowbEVERYbstandard,bbutbmustbkeepbabcopybofbtheb"LSCbHandbook"bas
breference.bThebarchitectbwhobdesignsbthebfacilitybmustbknowbandbincorporateballbLSCbandbotherbstandard
s,bbutbitbisbadvisablebforbthebNHAbtobcheckbhisbbuildingbtobensurebcompliance.
,LSC,bANSI/ADAAG,bandbCMSbcorrectbanswer**-bbuildingbmaterialsb-bfire-
ratebaccordingbtobnumberbofbstories.b2bhourbandb1bhourbrating|**-bsprinklersb-
bnewbbuildingsbhavebautomaticallybactivatedbbybsmoke/heat|-bexitsb-
bnobroombmorebthanb100bfeetbfrombexit.bLightedbexitbsignsbofbspecificbsize.b|-
bwallsbextendbcontinuouslybtobroofbdeckbofbnextbfloor.bwallbfinishbmustbmeetbflame-
spreadbrequirementsb(bhavebcertificatebofbthis)|-bfurnishingsb-bcurtainsbandbcarpetbmustbmeetbfirebrating|-
broomsb-bCMSbrequirementsb-b4bresidentsbtobroombMAX.b80bsqbft/residentb(multi-
residentbroom),b100bsqbftbforbsingleboccupancy.
requirementbforbrooms|bcorrectbanswer-bdirectbaccessbtobcorridor|-
boutsidebwindowb(CMS)borbdoorb(LSC)|-bprivacy|-
bfurnishing|bseparatebbed,bproperbsizebandbheight|bbeddingbappropriatebtobclimate|bindividualbclosetbspa
ce|bbedsidebtable|bcomfortablebchair|benoughboverbidbtablesbtobmeetbneedsbofbrsidents|-
btoiletsb(CMS,bANSI,bADA)|-bbathingbfacilitiesb(CMS)|-bresidentbcallbsystemb(CMS,bLSC)b24/7b-
bbackbupbsystembavailable|-btemperaturebrangeb(71-
81bdegreebF)b(threebfeetbabovebfloor),bstatesbsetbactual,bA/Cbnotbrequired
DoorsbcorrectbanswerAllb44"borbmorebinbnewbconstructionb(41.5bopening)|outsidebdoorsbopenbegress.|no
blocksbonbresidentbdoorbexceptbstaffbhasbkeyb(LSC)||Bathroombdoorb32"b(ANSI/ADAAG)||FirebDoorsbwithb
automaticbhold-openbdevicesbrequiredbinbcorridors||(overbbedbtablesbnotbrequiredbforbpatient)
corridorsbcorrectbanswernobdead-endsb(LSC)||8bfeetbwideb(CMS)
Floorsbcorrectbansweratborbabovebgroundblevel.b(LSC)b|Firebratingbifbcarpeted.b(LSC)|Non-
slipbbath/toiletb(ANSI,bLSC)|Asphaltbtilebbest
Firebalarmsbcorrectbanswerflashingbandbaudible.b|connectbwithblocalbfirebdept,bifbpossible|mustbhavebNFP
Ab71bcertificationbofbfirebalarmbservice|
smokebdetectorsbcorrectbanswerapprovedbdetectorsbrequried
smokingbcorrectbanswerwrittenbregulations,benforced.b|smokingbaresbwithbnon-
combustiblebashtrays,bmetalbcontainersbwithbself-
closingblids.|Prohibitedbareasbincludebresidentbroomsbandbbeds,boxygen,bflammablebliquidbstorage.|prope
rbsignsbposted.|supervisebnon-responsible.
,ANSI/ADAAG(AmericansbwithbDisabiltiesbActbAccessibilitybGuidelines)bcorrectbanswerMakebbuildingbavail
ablebtobandbusablebbybphysicallybhandicapped,bnobmentalb(blind,bdeaf,bnon-ambulatory,bsemi-
ambulatory,buncoordinated).bADAAGb=bMAKEbBUILDINGSbAVAILABLEbTObADA'S.b|Statebdecidesbwhetherbt
obapplybANSIborbADAAGbstandardsbtobnursingbhomes
accessiblebroutebcorrectbanswernobinclinebmorebthanb10%
Wheelchairbpassagebcorrectbanswer32"bbathroombdoors||36"belsewhere
parkingbcorrectbanswer13bFEET||cannotbblockbsidewalk;balleybforb2bcars.|Thebnumberbofbhandicapbparkin
gbplacesbisbdeterminedbfrombabgridbissuedbbybANSI.bItbMUSTbBEbNOTEDbTHATbFORbEVERYbEIGHTb(8)bHANDI
CAPbPARKINGbSLOTS,bONEbMUSTbBEbVANbACCESSIBLE.||Ifbthebfacilitybonlybhasbonebhandicappedbplace,bitb
mustbbebvanbaccessible.
rampsbcorrectbanswermaximumbriseb30".bSlopebnotbmorebthanb1:10
Whatbitemsbmustbbebaccessiblebtobwheelchairbresidents?|bcorrectbanswerWATERbFOUNTAINS,btelephone
sb(non-Braille),blightbswitches
Toiletsbandbhandrailsb-
bheightbcorrectbanswertoiletsb(AlsobADAbforbstaff)bseatb**17"btob19"bheight;||handbrails/grabbbarsb33"btob
36".b|5%borbmorebmeetbstandardsbasbdeterminedbbybstatebandbCMS||(easierbtobreplacebwithbhandicappe
dbtoilet)
Handrailsbcorrectbansweroutsidebramp,bstairwell,bbathroombrequiredbbybANSI,bandbspecificbheight.||CMS
brequiresbinbcorridors.||ADAAGbspecifiesballb34"btob38"binbpublicbplaces.b|Onbstairwellbmustbbeb32"bandbM
USTbEXTENDb12"bbeyondblastbstep.b(ANSI|
MonitoredbcorrectbanswermonitoredbnationallybthebOfficebofbCivilbRightsbmonitorsbANSI.bStatesbmaybassig
nbtobFirebMarshall,bMedicaidbAgency,bother.b|ADAAGbisbmonitoredbbybStatebAgencybhandlingbLSCbandbANS
I.
Alarmsbcorrectbanswerflashingbalarmsbforbdeaf,bsoundbalarmsbforbblind,btactilebwarningsbforbblindbtobident
ifybdangerbareas.
, GratingbcorrectbanswerNobgreaterbthanbone-
halfbinch;bopeningsbperpendicularbtobtravelbrout,bifbelongated.
Thresholdbcorrectbanswernobmorebthanb1/2binchbonbentrancebandbexitbdoors,bexceptbexteriorbslidingbdoor
bcanbbeb3/4binchbinbheight
GROUNDSbandbparkingbcorrectbanswerMaintenancebcost-
mowingbbiggest.bStatebdecidesbonbnumberbofbparkingbspacesbperbbed.
Waterbcorrectbanswerwaterbmustbhavebbackupbsourcebofbsupply.bTemperaturebestablishedbbybstate.bAuto
maticbControlbValves.b(surveyorsbwillbaskbforbcontract)b(110bdegreesbinbGA)
VentilationbcorrectbanswerAllbareasbventilatedbtoboutsideb-
bwindow,bmechanicalbventilation,borbcombination.b|ba.bgoodbmovementb(statebdetermines|bb.bacceptable
bhumidity/temperatureblevelsb(statebdetermines)|bc.bsurveyorbrating:|bA=bGoodbmovement;bacceptablebt
emp/humidity/odorblevels|bB=bLittlebmovement;btemp/humidity/odorblevelsblessbacceptable.|bC=bNobmo
vement;btemp/humidity/odorblevelsbunacceptable.bResidentsbandbstaffbappreabdistressedbduebtoblevels.
PestbcontrolbcorrectbanswerPREVENTIONbPROGRAMbBEST;busebcontractorbandbstaff||nobtraps,bpoisons,bs
tickybflybpaper.||advantageb-
btobusebpestbcontrolbservice:||licensedbandbtrainedbinbusebofballbpesticides,bhowbtobrotatebchemicalsbtobpr
eventbbuildupbofbresistance.b||(closebgarbagebbin:battractsbpests)
SpacebandbEquipmentbcorrectbanswerFacilitybmustbprovidebsufficientbspacebandbequipmentbforbdining,bhe
althcarebservices,brecreationbandbrehabilitation.b||Sufficientbmeansbenoughbtobenablebstaffbtobprovidebre
sidentsbwithbneededbservicesbasbidentifiedbinbthebplanbofbcare.|b-
bspaceblargebenoughbtobaccommodatebusualbnumberbthatbusebit;bmustbbebaccessible.|b-
baccommodatebwheelchairs,bwalkers,botherbambulatorybdevices.|b-
brehabbareasbhavebexercisebequipment,bstoragebforbsuppliesbandbequipment.
MonitoringbcorrectbanswerStatesbdecidebwhobwillbmonitorbLSCbandbANSI/ADAAGbstandards.bthebmonitorb
maybbebthebStatebMedicaidbAgency,bStatebFirebMarshall,borbother.bIfbitbisbanbagencybotherbthanbStatebMedi
caid,bthebmonitoringbagencybmustbcoordinatebitsbfindingsbwithbthebMedicaidbagency.
b b b b
thebphysicalbplantbcorrectbanswerallbdesigned,bconstructed,bequipped,bandbmaintainedbtobprotectbhealthb
andbsafetybofbresidents,bpersonnel,bpublic
LifebSafetybCodeb(LSC)bcorrectbanswerEntirebconstructionbplanbandbmaterialsbmeetbLSCbstandards|||CMSb
requiresbunlessbhavebwaiverborbexception.bCMSbgrantsbwaiversbonbSNFs;bstatesbonbNFs
(NFPA)bcorrectbanswerNationalbFirebProtectionbAssociationb||establishedbLSC
PurposebofbLSCbcorrectbanswertobprovidebreasonablebdegreebofbsafetybfrombfire.
WaiversbforbLifebSafetybCodebcorrectbanswerIfbCMSbfindsbabstatebfirebandbsafetybcodebadequatelybprotects
bresidentsbandbpersonnelbthenLSCbdoesbnotbapply.bOLderbfacilitiesbmaybobtainbabwaiverbifbtheybarebandbha
vebbeenbinbcompliancebwithbanbolderbadditionbofbLSCbasbspecifiedbbybCMS.||Beforebabnursingbhomebmayb
bebbuiltbitbmustbpresentbarchitecturalbplantbtobStatebMedicaidborbdesignatedbagencybthatbapprovesbconstr
uction.bAllbmajorbrenovations,bsuchbasbadditionalbbeds,bchangebinbutilizationbofbspace,bandbsobonbmustbrec
eivebapproval.bThebstatebprovidesbguidelinesbonbwhatbmustbbebabapproved.bUpkeepbandbrepairsbdobnotbre
quirebpriorbapproaval.
BluebPrintsbcorrectbanswerkeepbas-
builtbplansbavailablebforbsurveyorsbwhobdobLSCbinspectionbasbwellbasbforbrepairbpersonsbwhobmaybneedbpri
ntsbforbbigbjobs.
LSCbandbotherbstandardsbcorrectbanswerBuildingbandbcontactbstandardsbarebsetbbybLSC,bCMS,bANSI/ADAA
Gb-b(dependentbonbwhichbthebstatebchooses)bandbstatebandblocalbcodes.b||-bforbhandicapped|-
followbwhichbonbspecificbstatebrequiresb(ANSI/ADAAG)
LSCbandbANSI/ADAAGbcorrectbanswerLSCbacceptsbbothbstandardsbsobtheybarebessentiallyballbLSCbstandards
.bAdministratorbdoesbnotbneedbtobknowbEVERYbstandard,bbutbmustbkeepbabcopybofbtheb"LSCbHandbook"bas
breference.bThebarchitectbwhobdesignsbthebfacilitybmustbknowbandbincorporateballbLSCbandbotherbstandard
s,bbutbitbisbadvisablebforbthebNHAbtobcheckbhisbbuildingbtobensurebcompliance.
,LSC,bANSI/ADAAG,bandbCMSbcorrectbanswer**-bbuildingbmaterialsb-bfire-
ratebaccordingbtobnumberbofbstories.b2bhourbandb1bhourbrating|**-bsprinklersb-
bnewbbuildingsbhavebautomaticallybactivatedbbybsmoke/heat|-bexitsb-
bnobroombmorebthanb100bfeetbfrombexit.bLightedbexitbsignsbofbspecificbsize.b|-
bwallsbextendbcontinuouslybtobroofbdeckbofbnextbfloor.bwallbfinishbmustbmeetbflame-
spreadbrequirementsb(bhavebcertificatebofbthis)|-bfurnishingsb-bcurtainsbandbcarpetbmustbmeetbfirebrating|-
broomsb-bCMSbrequirementsb-b4bresidentsbtobroombMAX.b80bsqbft/residentb(multi-
residentbroom),b100bsqbftbforbsingleboccupancy.
requirementbforbrooms|bcorrectbanswer-bdirectbaccessbtobcorridor|-
boutsidebwindowb(CMS)borbdoorb(LSC)|-bprivacy|-
bfurnishing|bseparatebbed,bproperbsizebandbheight|bbeddingbappropriatebtobclimate|bindividualbclosetbspa
ce|bbedsidebtable|bcomfortablebchair|benoughboverbidbtablesbtobmeetbneedsbofbrsidents|-
btoiletsb(CMS,bANSI,bADA)|-bbathingbfacilitiesb(CMS)|-bresidentbcallbsystemb(CMS,bLSC)b24/7b-
bbackbupbsystembavailable|-btemperaturebrangeb(71-
81bdegreebF)b(threebfeetbabovebfloor),bstatesbsetbactual,bA/Cbnotbrequired
DoorsbcorrectbanswerAllb44"borbmorebinbnewbconstructionb(41.5bopening)|outsidebdoorsbopenbegress.|no
blocksbonbresidentbdoorbexceptbstaffbhasbkeyb(LSC)||Bathroombdoorb32"b(ANSI/ADAAG)||FirebDoorsbwithb
automaticbhold-openbdevicesbrequiredbinbcorridors||(overbbedbtablesbnotbrequiredbforbpatient)
corridorsbcorrectbanswernobdead-endsb(LSC)||8bfeetbwideb(CMS)
Floorsbcorrectbansweratborbabovebgroundblevel.b(LSC)b|Firebratingbifbcarpeted.b(LSC)|Non-
slipbbath/toiletb(ANSI,bLSC)|Asphaltbtilebbest
Firebalarmsbcorrectbanswerflashingbandbaudible.b|connectbwithblocalbfirebdept,bifbpossible|mustbhavebNFP
Ab71bcertificationbofbfirebalarmbservice|
smokebdetectorsbcorrectbanswerapprovedbdetectorsbrequried
smokingbcorrectbanswerwrittenbregulations,benforced.b|smokingbaresbwithbnon-
combustiblebashtrays,bmetalbcontainersbwithbself-
closingblids.|Prohibitedbareasbincludebresidentbroomsbandbbeds,boxygen,bflammablebliquidbstorage.|prope
rbsignsbposted.|supervisebnon-responsible.
,ANSI/ADAAG(AmericansbwithbDisabiltiesbActbAccessibilitybGuidelines)bcorrectbanswerMakebbuildingbavail
ablebtobandbusablebbybphysicallybhandicapped,bnobmentalb(blind,bdeaf,bnon-ambulatory,bsemi-
ambulatory,buncoordinated).bADAAGb=bMAKEbBUILDINGSbAVAILABLEbTObADA'S.b|Statebdecidesbwhetherbt
obapplybANSIborbADAAGbstandardsbtobnursingbhomes
accessiblebroutebcorrectbanswernobinclinebmorebthanb10%
Wheelchairbpassagebcorrectbanswer32"bbathroombdoors||36"belsewhere
parkingbcorrectbanswer13bFEET||cannotbblockbsidewalk;balleybforb2bcars.|Thebnumberbofbhandicapbparkin
gbplacesbisbdeterminedbfrombabgridbissuedbbybANSI.bItbMUSTbBEbNOTEDbTHATbFORbEVERYbEIGHTb(8)bHANDI
CAPbPARKINGbSLOTS,bONEbMUSTbBEbVANbACCESSIBLE.||Ifbthebfacilitybonlybhasbonebhandicappedbplace,bitb
mustbbebvanbaccessible.
rampsbcorrectbanswermaximumbriseb30".bSlopebnotbmorebthanb1:10
Whatbitemsbmustbbebaccessiblebtobwheelchairbresidents?|bcorrectbanswerWATERbFOUNTAINS,btelephone
sb(non-Braille),blightbswitches
Toiletsbandbhandrailsb-
bheightbcorrectbanswertoiletsb(AlsobADAbforbstaff)bseatb**17"btob19"bheight;||handbrails/grabbbarsb33"btob
36".b|5%borbmorebmeetbstandardsbasbdeterminedbbybstatebandbCMS||(easierbtobreplacebwithbhandicappe
dbtoilet)
Handrailsbcorrectbansweroutsidebramp,bstairwell,bbathroombrequiredbbybANSI,bandbspecificbheight.||CMS
brequiresbinbcorridors.||ADAAGbspecifiesballb34"btob38"binbpublicbplaces.b|Onbstairwellbmustbbeb32"bandbM
USTbEXTENDb12"bbeyondblastbstep.b(ANSI|
MonitoredbcorrectbanswermonitoredbnationallybthebOfficebofbCivilbRightsbmonitorsbANSI.bStatesbmaybassig
nbtobFirebMarshall,bMedicaidbAgency,bother.b|ADAAGbisbmonitoredbbybStatebAgencybhandlingbLSCbandbANS
I.
Alarmsbcorrectbanswerflashingbalarmsbforbdeaf,bsoundbalarmsbforbblind,btactilebwarningsbforbblindbtobident
ifybdangerbareas.
, GratingbcorrectbanswerNobgreaterbthanbone-
halfbinch;bopeningsbperpendicularbtobtravelbrout,bifbelongated.
Thresholdbcorrectbanswernobmorebthanb1/2binchbonbentrancebandbexitbdoors,bexceptbexteriorbslidingbdoor
bcanbbeb3/4binchbinbheight
GROUNDSbandbparkingbcorrectbanswerMaintenancebcost-
mowingbbiggest.bStatebdecidesbonbnumberbofbparkingbspacesbperbbed.
Waterbcorrectbanswerwaterbmustbhavebbackupbsourcebofbsupply.bTemperaturebestablishedbbybstate.bAuto
maticbControlbValves.b(surveyorsbwillbaskbforbcontract)b(110bdegreesbinbGA)
VentilationbcorrectbanswerAllbareasbventilatedbtoboutsideb-
bwindow,bmechanicalbventilation,borbcombination.b|ba.bgoodbmovementb(statebdetermines|bb.bacceptable
bhumidity/temperatureblevelsb(statebdetermines)|bc.bsurveyorbrating:|bA=bGoodbmovement;bacceptablebt
emp/humidity/odorblevels|bB=bLittlebmovement;btemp/humidity/odorblevelsblessbacceptable.|bC=bNobmo
vement;btemp/humidity/odorblevelsbunacceptable.bResidentsbandbstaffbappreabdistressedbduebtoblevels.
PestbcontrolbcorrectbanswerPREVENTIONbPROGRAMbBEST;busebcontractorbandbstaff||nobtraps,bpoisons,bs
tickybflybpaper.||advantageb-
btobusebpestbcontrolbservice:||licensedbandbtrainedbinbusebofballbpesticides,bhowbtobrotatebchemicalsbtobpr
eventbbuildupbofbresistance.b||(closebgarbagebbin:battractsbpests)
SpacebandbEquipmentbcorrectbanswerFacilitybmustbprovidebsufficientbspacebandbequipmentbforbdining,bhe
althcarebservices,brecreationbandbrehabilitation.b||Sufficientbmeansbenoughbtobenablebstaffbtobprovidebre
sidentsbwithbneededbservicesbasbidentifiedbinbthebplanbofbcare.|b-
bspaceblargebenoughbtobaccommodatebusualbnumberbthatbusebit;bmustbbebaccessible.|b-
baccommodatebwheelchairs,bwalkers,botherbambulatorybdevices.|b-
brehabbareasbhavebexercisebequipment,bstoragebforbsuppliesbandbequipment.
MonitoringbcorrectbanswerStatesbdecidebwhobwillbmonitorbLSCbandbANSI/ADAAGbstandards.bthebmonitorb
maybbebthebStatebMedicaidbAgency,bStatebFirebMarshall,borbother.bIfbitbisbanbagencybotherbthanbStatebMedi
caid,bthebmonitoringbagencybmustbcoordinatebitsbfindingsbwithbthebMedicaidbagency.
