NAB NHA Exam (Compiled Cards)
d d d d
thedphysicaldplantdcorrectdanswerallddesigned,dconstructed,dequipped,danddmaintaineddtodprotectdhealthd
anddsafetydofdresidents,dpersonnel,dpublic
LifedSafetydCoded(LSC)dcorrectdanswerEntiredconstructiondplandanddmaterialsdmeetdLSCdstandards|||CMSd
requiresdunlessdhavedwaiverdordexception.dCMSdgrantsdwaiversdondSNFs;dstatesdondNFs
(NFPA)dcorrectdanswerNationaldFiredProtectiondAssociationd||establisheddLSC
PurposedofdLSCdcorrectdanswertodprovidedreasonableddegreedofdsafetydfromdfire.
WaiversdfordLifedSafetydCodedcorrectdanswerIfdCMSdfindsdadstatedfiredanddsafetydcodedadequatelydprotects
dresidentsdanddpersonneldthenLSCddoesdnotdapply.dOLderdfacilitiesdmaydobtaindadwaiverdifdtheydaredanddha
vedbeendindcompliancedwithdandolderdadditiondofdLSCdasdspecifieddbydCMS.||Beforedadnursingdhomedmayd
bedbuiltditdmustdpresentdarchitecturaldplantdtodStatedMedicaiddorddesignateddagencydthatdapprovesdconstr
uction.dAlldmajordrenovations,dsuchdasdadditionaldbeds,dchangedindutilizationdofdspace,danddsodondmustdrec
eivedapproval.dThedstatedprovidesdguidelinesdondwhatdmustdbedadapproved.dUpkeepdanddrepairsddodnotdre
quiredpriordapproaval.
BluedPrintsdcorrectdanswerkeepdas-
builtdplansdavailabledfordsurveyorsdwhoddodLSCdinspectiondasdwelldasdfordrepairdpersonsdwhodmaydneeddpri
ntsdfordbigdjobs.
LSCdanddotherdstandardsdcorrectdanswerBuildingdanddcontactdstandardsdaredsetdbydLSC,dCMS,dANSI/ADAA
Gd-d(dependentdondwhichdthedstatedchooses)danddstatedanddlocaldcodes.d||-dfordhandicapped|-
followdwhichdondspecificdstatedrequiresd(ANSI/ADAAG)
LSCdanddANSI/ADAAGdcorrectdanswerLSCdacceptsdbothdstandardsdsodtheydaredessentiallydalldLSCdstandards
.dAdministratorddoesdnotdneeddtodknowdEVERYdstandard,dbutdmustdkeepdadcopydofdthed"LSCdHandbook"das
dreference.dThedarchitectdwhoddesignsdthedfacilitydmustdknowdanddincorporatedalldLSCdanddotherdstandard
s,dbutditdisdadvisabledfordthedNHAdtodcheckdhisdbuildingdtodensuredcompliance.
,LSC,dANSI/ADAAG,danddCMSdcorrectdanswer**-dbuildingdmaterialsd-dfire-
ratedaccordingdtodnumberdofdstories.d2dhourdandd1dhourdrating|**-dsprinklersd-
dnewdbuildingsdhavedautomaticallydactivateddbydsmoke/heat|-dexitsd-
dnodroomdmoredthand100dfeetdfromdexit.dLighteddexitdsignsdofdspecificdsize.d|-
dwallsdextenddcontinuouslydtodroofddeckdofdnextdfloor.dwalldfinishdmustdmeetdflame-
spreaddrequirementsd(dhavedcertificatedofdthis)|-dfurnishingsd-dcurtainsdanddcarpetdmustdmeetdfiredrating|-
droomsd-dCMSdrequirementsd-d4dresidentsdtodroomdMAX.d80dsqdft/residentd(multi-
residentdroom),d100dsqdftdfordsingledoccupancy.
requirementdfordrooms|dcorrectdanswer-ddirectdaccessdtodcorridor|-
doutsidedwindowd(CMS)dorddoord(LSC)|-dprivacy|-
dfurnishing|dseparatedbed,dproperdsizedanddheight|dbeddingdappropriatedtodclimate|dindividualdclosetdspa
ce|dbedsidedtable|dcomfortabledchair|denoughdoverbiddtablesdtodmeetdneedsdofdrsidents|-
dtoiletsd(CMS,dANSI,dADA)|-dbathingdfacilitiesd(CMS)|-dresidentdcalldsystemd(CMS,dLSC)d24/7d-
dbackdupdsystemdavailable|-dtemperaturedranged(71-
81ddegreedF)d(threedfeetdabovedfloor),dstatesdsetdactual,dA/Cdnotdrequired
DoorsdcorrectdanswerAlld44"dordmoredindnewdconstructiond(41.5dopening)|outsideddoorsdopendegress.|no
dlocksdondresidentddoordexceptdstaffdhasdkeyd(LSC)||Bathroomddoord32"d(ANSI/ADAAG)||FiredDoorsdwithd
automaticdhold-openddevicesdrequireddindcorridors||(overdbeddtablesdnotdrequireddfordpatient)
corridorsdcorrectdanswernoddead-endsd(LSC)||8dfeetdwided(CMS)
Floorsdcorrectdansweratdordabovedgrounddlevel.d(LSC)d|Firedratingdifdcarpeted.d(LSC)|Non-
slipdbath/toiletd(ANSI,dLSC)|Asphaltdtiledbest
Firedalarmsdcorrectdanswerflashingdanddaudible.d|connectdwithdlocaldfireddept,difdpossible|mustdhavedNFP
Ad71dcertificationdofdfiredalarmdservice|
smokeddetectorsdcorrectdanswerapprovedddetectorsdrequried
smokingdcorrectdanswerwrittendregulations,denforced.d|smokingdaresdwithdnon-
combustibledashtrays,dmetaldcontainersdwithdself-
closingdlids.|Prohibiteddareasdincludedresidentdroomsdanddbeds,doxygen,dflammabledliquiddstorage.|prope
rdsignsdposted.|supervisednon-responsible.
,ANSI/ADAAG(AmericansdwithdDisabiltiesdActdAccessibilitydGuidelines)dcorrectdanswerMakedbuildingdavail
abledtodanddusabledbydphysicallydhandicapped,dnodmentald(blind,ddeaf,dnon-ambulatory,dsemi-
ambulatory,duncoordinated).dADAAGd=dMAKEdBUILDINGSdAVAILABLEdTOdADA'S.d|Stateddecidesdwhetherdt
odapplydANSIdordADAAGdstandardsdtodnursingdhomes
accessibledroutedcorrectdanswernodinclinedmoredthand10%
Wheelchairdpassagedcorrectdanswer32"dbathroomddoors||36"delsewhere
parkingdcorrectdanswer13dFEET||cannotdblockdsidewalk;dalleydford2dcars.|Thednumberdofdhandicapdparkin
gdplacesdisddetermineddfromdadgriddissueddbydANSI.dItdMUSTdBEdNOTEDdTHATdFORdEVERYdEIGHTd(8)dHANDI
CAPdPARKINGdSLOTS,dONEdMUSTdBEdVANdACCESSIBLE.||Ifdthedfacilitydonlydhasdonedhandicappeddplace,ditd
mustdbedvandaccessible.
rampsdcorrectdanswermaximumdrised30".dSlopednotdmoredthand1:10
Whatditemsdmustdbedaccessibledtodwheelchairdresidents?|dcorrectdanswerWATERdFOUNTAINS,dtelephone
sd(non-Braille),dlightdswitches
Toiletsdanddhandrailsd-
dheightdcorrectdanswertoiletsd(AlsodADAdfordstaff)dseatd**17"dtod19"dheight;||handdrails/grabdbarsd33"dtod
36".d|5%dordmoredmeetdstandardsdasddetermineddbydstatedanddCMS||(easierdtodreplacedwithdhandicappe
ddtoilet)
Handrailsdcorrectdansweroutsidedramp,dstairwell,dbathroomdrequireddbydANSI,danddspecificdheight.||CMS
drequiresdindcorridors.||ADAAGdspecifiesdalld34"dtod38"dindpublicdplaces.d|Ondstairwelldmustdbed32"danddM
USTdEXTENDd12"dbeyonddlastdstep.d(ANSI|
MonitoreddcorrectdanswermonitoreddnationallydthedOfficedofdCivildRightsdmonitorsdANSI.dStatesdmaydassig
ndtodFiredMarshall,dMedicaiddAgency,dother.d|ADAAGdisdmonitoreddbydStatedAgencydhandlingdLSCdanddANS
I.
Alarmsdcorrectdanswerflashingdalarmsdforddeaf,dsounddalarmsdfordblind,dtactiledwarningsdfordblinddtodident
ifyddangerdareas.
, GratingdcorrectdanswerNodgreaterdthandone-
halfdinch;dopeningsdperpendiculardtodtraveldrout,difdelongated.
Thresholddcorrectdanswernodmoredthand1/2dinchdondentrancedanddexitddoors,dexceptdexteriordslidingddoor
dcandbed3/4dinchdindheight
GROUNDSdanddparkingdcorrectdanswerMaintenancedcost-
mowingdbiggest.dStateddecidesdondnumberdofdparkingdspacesdperdbed.
Waterdcorrectdanswerwaterdmustdhavedbackupdsourcedofdsupply.dTemperaturedestablisheddbydstate.dAuto
maticdControldValves.d(surveyorsdwilldaskdfordcontract)d(110ddegreesdindGA)
VentilationdcorrectdanswerAlldareasdventilateddtodoutsided-
dwindow,dmechanicaldventilation,dordcombination.d|da.dgooddmovementd(stateddetermines|db.dacceptable
dhumidity/temperaturedlevelsd(stateddetermines)|dc.dsurveyordrating:|dA=dGooddmovement;dacceptabledt
emp/humidity/odordlevels|dB=dLittledmovement;dtemp/humidity/odordlevelsdlessdacceptable.|dC=dNodmo
vement;dtemp/humidity/odordlevelsdunacceptable.dResidentsdanddstaffdappreaddistresseddduedtodlevels.
PestdcontroldcorrectdanswerPREVENTIONdPROGRAMdBEST;dusedcontractordanddstaff||nodtraps,dpoisons,ds
tickydflydpaper.||advantaged-
dtodusedpestdcontroldservice:||licenseddanddtraineddindusedofdalldpesticides,dhowdtodrotatedchemicalsdtodpr
eventdbuildupdofdresistance.d||(closedgarbagedbin:dattractsdpests)
SpacedanddEquipmentdcorrectdanswerFacilitydmustdprovidedsufficientdspacedanddequipmentdforddining,dhe
althcaredservices,drecreationdanddrehabilitation.d||Sufficientdmeansdenoughdtodenabledstaffdtodprovidedre
sidentsdwithdneededdservicesdasdidentifieddindthedplandofdcare.|d-
dspacedlargedenoughdtodaccommodatedusualdnumberdthatdusedit;dmustdbedaccessible.|d-
daccommodatedwheelchairs,dwalkers,dotherdambulatoryddevices.|d-
drehabdareasdhavedexercisedequipment,dstoragedfordsuppliesdanddequipment.
MonitoringdcorrectdanswerStatesddecidedwhodwilldmonitordLSCdanddANSI/ADAAGdstandards.dthedmonitord
maydbedthedStatedMedicaiddAgency,dStatedFiredMarshall,dordother.dIfditdisdandagencydotherdthandStatedMedi
caid,dthedmonitoringdagencydmustdcoordinateditsdfindingsdwithdthedMedicaiddagency.
d d d d
thedphysicaldplantdcorrectdanswerallddesigned,dconstructed,dequipped,danddmaintaineddtodprotectdhealthd
anddsafetydofdresidents,dpersonnel,dpublic
LifedSafetydCoded(LSC)dcorrectdanswerEntiredconstructiondplandanddmaterialsdmeetdLSCdstandards|||CMSd
requiresdunlessdhavedwaiverdordexception.dCMSdgrantsdwaiversdondSNFs;dstatesdondNFs
(NFPA)dcorrectdanswerNationaldFiredProtectiondAssociationd||establisheddLSC
PurposedofdLSCdcorrectdanswertodprovidedreasonableddegreedofdsafetydfromdfire.
WaiversdfordLifedSafetydCodedcorrectdanswerIfdCMSdfindsdadstatedfiredanddsafetydcodedadequatelydprotects
dresidentsdanddpersonneldthenLSCddoesdnotdapply.dOLderdfacilitiesdmaydobtaindadwaiverdifdtheydaredanddha
vedbeendindcompliancedwithdandolderdadditiondofdLSCdasdspecifieddbydCMS.||Beforedadnursingdhomedmayd
bedbuiltditdmustdpresentdarchitecturaldplantdtodStatedMedicaiddorddesignateddagencydthatdapprovesdconstr
uction.dAlldmajordrenovations,dsuchdasdadditionaldbeds,dchangedindutilizationdofdspace,danddsodondmustdrec
eivedapproval.dThedstatedprovidesdguidelinesdondwhatdmustdbedadapproved.dUpkeepdanddrepairsddodnotdre
quiredpriordapproaval.
BluedPrintsdcorrectdanswerkeepdas-
builtdplansdavailabledfordsurveyorsdwhoddodLSCdinspectiondasdwelldasdfordrepairdpersonsdwhodmaydneeddpri
ntsdfordbigdjobs.
LSCdanddotherdstandardsdcorrectdanswerBuildingdanddcontactdstandardsdaredsetdbydLSC,dCMS,dANSI/ADAA
Gd-d(dependentdondwhichdthedstatedchooses)danddstatedanddlocaldcodes.d||-dfordhandicapped|-
followdwhichdondspecificdstatedrequiresd(ANSI/ADAAG)
LSCdanddANSI/ADAAGdcorrectdanswerLSCdacceptsdbothdstandardsdsodtheydaredessentiallydalldLSCdstandards
.dAdministratorddoesdnotdneeddtodknowdEVERYdstandard,dbutdmustdkeepdadcopydofdthed"LSCdHandbook"das
dreference.dThedarchitectdwhoddesignsdthedfacilitydmustdknowdanddincorporatedalldLSCdanddotherdstandard
s,dbutditdisdadvisabledfordthedNHAdtodcheckdhisdbuildingdtodensuredcompliance.
,LSC,dANSI/ADAAG,danddCMSdcorrectdanswer**-dbuildingdmaterialsd-dfire-
ratedaccordingdtodnumberdofdstories.d2dhourdandd1dhourdrating|**-dsprinklersd-
dnewdbuildingsdhavedautomaticallydactivateddbydsmoke/heat|-dexitsd-
dnodroomdmoredthand100dfeetdfromdexit.dLighteddexitdsignsdofdspecificdsize.d|-
dwallsdextenddcontinuouslydtodroofddeckdofdnextdfloor.dwalldfinishdmustdmeetdflame-
spreaddrequirementsd(dhavedcertificatedofdthis)|-dfurnishingsd-dcurtainsdanddcarpetdmustdmeetdfiredrating|-
droomsd-dCMSdrequirementsd-d4dresidentsdtodroomdMAX.d80dsqdft/residentd(multi-
residentdroom),d100dsqdftdfordsingledoccupancy.
requirementdfordrooms|dcorrectdanswer-ddirectdaccessdtodcorridor|-
doutsidedwindowd(CMS)dorddoord(LSC)|-dprivacy|-
dfurnishing|dseparatedbed,dproperdsizedanddheight|dbeddingdappropriatedtodclimate|dindividualdclosetdspa
ce|dbedsidedtable|dcomfortabledchair|denoughdoverbiddtablesdtodmeetdneedsdofdrsidents|-
dtoiletsd(CMS,dANSI,dADA)|-dbathingdfacilitiesd(CMS)|-dresidentdcalldsystemd(CMS,dLSC)d24/7d-
dbackdupdsystemdavailable|-dtemperaturedranged(71-
81ddegreedF)d(threedfeetdabovedfloor),dstatesdsetdactual,dA/Cdnotdrequired
DoorsdcorrectdanswerAlld44"dordmoredindnewdconstructiond(41.5dopening)|outsideddoorsdopendegress.|no
dlocksdondresidentddoordexceptdstaffdhasdkeyd(LSC)||Bathroomddoord32"d(ANSI/ADAAG)||FiredDoorsdwithd
automaticdhold-openddevicesdrequireddindcorridors||(overdbeddtablesdnotdrequireddfordpatient)
corridorsdcorrectdanswernoddead-endsd(LSC)||8dfeetdwided(CMS)
Floorsdcorrectdansweratdordabovedgrounddlevel.d(LSC)d|Firedratingdifdcarpeted.d(LSC)|Non-
slipdbath/toiletd(ANSI,dLSC)|Asphaltdtiledbest
Firedalarmsdcorrectdanswerflashingdanddaudible.d|connectdwithdlocaldfireddept,difdpossible|mustdhavedNFP
Ad71dcertificationdofdfiredalarmdservice|
smokeddetectorsdcorrectdanswerapprovedddetectorsdrequried
smokingdcorrectdanswerwrittendregulations,denforced.d|smokingdaresdwithdnon-
combustibledashtrays,dmetaldcontainersdwithdself-
closingdlids.|Prohibiteddareasdincludedresidentdroomsdanddbeds,doxygen,dflammabledliquiddstorage.|prope
rdsignsdposted.|supervisednon-responsible.
,ANSI/ADAAG(AmericansdwithdDisabiltiesdActdAccessibilitydGuidelines)dcorrectdanswerMakedbuildingdavail
abledtodanddusabledbydphysicallydhandicapped,dnodmentald(blind,ddeaf,dnon-ambulatory,dsemi-
ambulatory,duncoordinated).dADAAGd=dMAKEdBUILDINGSdAVAILABLEdTOdADA'S.d|Stateddecidesdwhetherdt
odapplydANSIdordADAAGdstandardsdtodnursingdhomes
accessibledroutedcorrectdanswernodinclinedmoredthand10%
Wheelchairdpassagedcorrectdanswer32"dbathroomddoors||36"delsewhere
parkingdcorrectdanswer13dFEET||cannotdblockdsidewalk;dalleydford2dcars.|Thednumberdofdhandicapdparkin
gdplacesdisddetermineddfromdadgriddissueddbydANSI.dItdMUSTdBEdNOTEDdTHATdFORdEVERYdEIGHTd(8)dHANDI
CAPdPARKINGdSLOTS,dONEdMUSTdBEdVANdACCESSIBLE.||Ifdthedfacilitydonlydhasdonedhandicappeddplace,ditd
mustdbedvandaccessible.
rampsdcorrectdanswermaximumdrised30".dSlopednotdmoredthand1:10
Whatditemsdmustdbedaccessibledtodwheelchairdresidents?|dcorrectdanswerWATERdFOUNTAINS,dtelephone
sd(non-Braille),dlightdswitches
Toiletsdanddhandrailsd-
dheightdcorrectdanswertoiletsd(AlsodADAdfordstaff)dseatd**17"dtod19"dheight;||handdrails/grabdbarsd33"dtod
36".d|5%dordmoredmeetdstandardsdasddetermineddbydstatedanddCMS||(easierdtodreplacedwithdhandicappe
ddtoilet)
Handrailsdcorrectdansweroutsidedramp,dstairwell,dbathroomdrequireddbydANSI,danddspecificdheight.||CMS
drequiresdindcorridors.||ADAAGdspecifiesdalld34"dtod38"dindpublicdplaces.d|Ondstairwelldmustdbed32"danddM
USTdEXTENDd12"dbeyonddlastdstep.d(ANSI|
MonitoreddcorrectdanswermonitoreddnationallydthedOfficedofdCivildRightsdmonitorsdANSI.dStatesdmaydassig
ndtodFiredMarshall,dMedicaiddAgency,dother.d|ADAAGdisdmonitoreddbydStatedAgencydhandlingdLSCdanddANS
I.
Alarmsdcorrectdanswerflashingdalarmsdforddeaf,dsounddalarmsdfordblind,dtactiledwarningsdfordblinddtodident
ifyddangerdareas.
, GratingdcorrectdanswerNodgreaterdthandone-
halfdinch;dopeningsdperpendiculardtodtraveldrout,difdelongated.
Thresholddcorrectdanswernodmoredthand1/2dinchdondentrancedanddexitddoors,dexceptdexteriordslidingddoor
dcandbed3/4dinchdindheight
GROUNDSdanddparkingdcorrectdanswerMaintenancedcost-
mowingdbiggest.dStateddecidesdondnumberdofdparkingdspacesdperdbed.
Waterdcorrectdanswerwaterdmustdhavedbackupdsourcedofdsupply.dTemperaturedestablisheddbydstate.dAuto
maticdControldValves.d(surveyorsdwilldaskdfordcontract)d(110ddegreesdindGA)
VentilationdcorrectdanswerAlldareasdventilateddtodoutsided-
dwindow,dmechanicaldventilation,dordcombination.d|da.dgooddmovementd(stateddetermines|db.dacceptable
dhumidity/temperaturedlevelsd(stateddetermines)|dc.dsurveyordrating:|dA=dGooddmovement;dacceptabledt
emp/humidity/odordlevels|dB=dLittledmovement;dtemp/humidity/odordlevelsdlessdacceptable.|dC=dNodmo
vement;dtemp/humidity/odordlevelsdunacceptable.dResidentsdanddstaffdappreaddistresseddduedtodlevels.
PestdcontroldcorrectdanswerPREVENTIONdPROGRAMdBEST;dusedcontractordanddstaff||nodtraps,dpoisons,ds
tickydflydpaper.||advantaged-
dtodusedpestdcontroldservice:||licenseddanddtraineddindusedofdalldpesticides,dhowdtodrotatedchemicalsdtodpr
eventdbuildupdofdresistance.d||(closedgarbagedbin:dattractsdpests)
SpacedanddEquipmentdcorrectdanswerFacilitydmustdprovidedsufficientdspacedanddequipmentdforddining,dhe
althcaredservices,drecreationdanddrehabilitation.d||Sufficientdmeansdenoughdtodenabledstaffdtodprovidedre
sidentsdwithdneededdservicesdasdidentifieddindthedplandofdcare.|d-
dspacedlargedenoughdtodaccommodatedusualdnumberdthatdusedit;dmustdbedaccessible.|d-
daccommodatedwheelchairs,dwalkers,dotherdambulatoryddevices.|d-
drehabdareasdhavedexercisedequipment,dstoragedfordsuppliesdanddequipment.
MonitoringdcorrectdanswerStatesddecidedwhodwilldmonitordLSCdanddANSI/ADAAGdstandards.dthedmonitord
maydbedthedStatedMedicaiddAgency,dStatedFiredMarshall,dordother.dIfditdisdandagencydotherdthandStatedMedi
caid,dthedmonitoringdagencydmustdcoordinateditsdfindingsdwithdthedMedicaiddagency.
