NAB CORE EXAM ACTUAL EXAM 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+|BRAND
NEW!!
1. A nursing home resident expresses dissatisfaction with the food choices and requests a
specific meal not on the menu. According to resident rights, the administrator should:
A) Inform the resident that the facility cannot accommodate individual food preferences
outside the menu.
B) Explain that the kitchen staff are too busy to prepare special meals.
C) Work with the dietary department to reasonably accommodate the resident's
dietary needs and preferences.
D) Document the complaint but take no further action, as it's a minor issue.
E) Suggest the resident bring in food from outside the facility.
Correct Answer: C) Work with the dietary department to reasonably accommodate
the resident's dietary needs and preferences.
Rationale: Federal regulations (42 CFR §483.25(i)) emphasize resident rights to receive
food that meets their nutritional needs and dietary preferences. Facilities must make
reasonable accommodations to meet these needs and preferences.
2. A new regulation is issued regarding infection control practices. The most appropriate
initial action for the nursing home administrator is to:
A) Immediately implement the new practices without staff training.
B) Delegate the responsibility to the Director of Nursing without follow-up.
C) Conduct a gap analysis to identify current practices versus new requirements and
develop a plan for implementation, including staff training.
D) Wait for the next annual survey to address the new regulation.
E) Only implement the new practices if a resident contracts an infection.
Correct Answer: C) Conduct a gap analysis to identify current practices versus new
requirements and develop a plan for implementation, including staff training.
Rationale: Proactive compliance involves understanding the new regulation, assessing
current systems, planning for necessary changes, and ensuring staff are adequately
trained to implement them.
3. The primary purpose of a Material Safety Data Sheet (MSDS), now Safety Data Sheet
(SDS), is to:
A) Provide a list of all chemicals used in the facility.
B) Detail the nutritional content of food items.
C) Inform employees about hazardous substances, including safe handling, storage, and
emergency procedures.
D) Document cleaning schedules for all departments.
E) Outline the facility's disaster preparedness plan.
Correct Answer: C) Inform employees about hazardous substances, including safe
handling, storage, and emergency procedures.
, Rationale: SDSs are a critical component of OSHA's Hazard Communication Standard,
providing comprehensive information about potentially hazardous chemicals to ensure
employee safety.
4. A resident with dementia repeatedly attempts to leave the facility. The least restrictive
intervention to ensure resident safety would be to:
A) Apply physical restraints during wandering episodes.
B) Administer sedative medication to reduce agitation.
C) Implement an alarm system on exterior doors and engage the resident in supervised
activities in a secure area.
D) Place the resident in a locked room alone.
E) Dismiss the resident from the facility due to wandering behavior.
Correct Answer: C) Implement an alarm system on exterior doors and engage the
resident in supervised activities in a secure area.
Rationale: Federal regulations mandate that facilities must not use chemical or physical
restraints for convenience or discipline. The least restrictive intervention involves
environmental modifications (alarms, secure units) and engaging activities to prevent
elopement while respecting resident autonomy as much as possible.
5. When a nursing home receives payment from Medicare for services provided to
residents, this is an example of:
A) Private pay
B) Fee-for-service
C) Prospective Payment System (PPS)
D) Managed care
E) Capitation
Correct Answer: C) Prospective Payment System (PPS)
Rationale: Medicare reimbursement for skilled nursing facilities (SNFs) operates under
a Prospective Payment System (PPS), specifically using the Patient-Driven Payment
Model (PDPM), where facilities receive a predetermined daily payment based on
resident characteristics, regardless of the actual costs incurred.
6. A key component of a comprehensive Quality Assurance and Performance
Improvement (QAPI) program in a nursing home is:
A) Conducting annual staff performance reviews.
B) Identifying areas for improvement through data collection and analysis.
C) Solely responding to external survey deficiencies.
D) Implementing a new policy only when a critical incident occurs.
E) Focusing exclusively on resident satisfaction surveys.
Correct Answer: B) Identifying areas for improvement through data collection and
analysis.
, Rationale: QAPI is an ongoing, data-driven program that involves systematically
identifying opportunities for improvement, developing and implementing interventions,
and continuously monitoring their effectiveness to enhance resident care and outcomes.
7. A facility must ensure that residents are free from physical or mental abuse, corporal
punishment, involuntary seclusion, and which other form of abuse?
A) Verbal abuse
B) Restraint application for convenience
C) Neglect
D) Sexual abuse
E) All of the above
Correct Answer: E) All of the above
Rationale: Federal regulations (42 CFR §483.12) define abuse broadly to include
physical, sexual, verbal, and mental abuse, as well as corporal punishment, involuntary
seclusion, and neglect.
8. The term "Palliative Care" in a long-term care setting primarily focuses on:
A) Aggressive treatment to cure illness.
B) Providing care to improve the quality of life for residents and their families facing life-
limiting illness.
C) Only providing care to residents nearing the end of life (hospice care).
D) Restricting resident activities to conserve energy.
E) Administering experimental drugs.
Correct Answer: B) Providing care to improve the quality of life for residents and
their families facing life-limiting illness.
Rationale: Palliative care focuses on relieving symptoms, pain, and stress of a serious
illness, regardless of prognosis. It aims to improve the quality of life for both the patient
and the family and can be provided concurrently with curative treatment.
9. Which department is responsible for developing, implementing, and monitoring
individualized care plans for residents?
A) Dietary Department
B) Social Services Department
C) Nursing Department
D) Interdisciplinary Team (IDT)
E) Activities Department
Correct Answer: D) Interdisciplinary Team (IDT)
Rationale: Care planning is a collaborative effort involving the resident, their family (if
appropriate), and various members of the healthcare team (nursing, social services,
dietary, activities, therapy, physician) to ensure a holistic approach.
, 10. The purpose of a root cause analysis (RCA) in a nursing home is to:
A) Assign blame for adverse events.
B) Identify the underlying systemic reasons for a problem or adverse event to prevent
recurrence.
C) Document all incidents that occur in the facility.
D) Determine the cost implications of an adverse event.
E) Satisfy regulatory requirements without initiating change.
Correct Answer: B) Identify the underlying systemic reasons for a problem or adverse
event to prevent recurrence.
Rationale: RCA is a structured investigation method used to analyze serious adverse
events. Its goal is to look beyond the immediate causes to uncover the deep-seated
systemic factors that contributed to the event, leading to sustainable preventative
measures.
11. According to OSHA, the Occupational Safety and Health Administration, what is the
primary responsibility of a nursing home regarding employee safety?
A) Provide personal protective equipment (PPE) only upon request.
B) Ensure a workplace free from recognized hazards that are causing or are likely to
cause death or serious physical harm.
C) Conduct safety training only for new employees.
D) Rely solely on employees to identify safety hazards.
E) Document all accidents but not necessarily investigate them.
Correct Answer: B) Ensure a workplace free from recognized hazards that are
causing or are likely to cause death or serious physical harm.
Rationale: This statement directly reflects OSHA's General Duty Clause, which is the
foundational principle for employer responsibility in workplace safety.
12. A critical aspect of financial management in a nursing home involves understanding the
difference between accounts receivable and accounts payable. Accounts receivable
represents:
A) Money the facility owes to its suppliers and vendors.
B) Money owed to the facility for services provided.
C) The total operating expenses for a given period.
D) The facility's cash on hand.
E) The depreciation of facility assets.
Correct Answer: B) Money owed to the facility for services provided.
Rationale: Accounts receivable refers to the money that clients (or their
insurance/Medicare/Medicaid) owe the business for goods or services that have been
delivered or used but not yet paid for.
DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+|BRAND
NEW!!
1. A nursing home resident expresses dissatisfaction with the food choices and requests a
specific meal not on the menu. According to resident rights, the administrator should:
A) Inform the resident that the facility cannot accommodate individual food preferences
outside the menu.
B) Explain that the kitchen staff are too busy to prepare special meals.
C) Work with the dietary department to reasonably accommodate the resident's
dietary needs and preferences.
D) Document the complaint but take no further action, as it's a minor issue.
E) Suggest the resident bring in food from outside the facility.
Correct Answer: C) Work with the dietary department to reasonably accommodate
the resident's dietary needs and preferences.
Rationale: Federal regulations (42 CFR §483.25(i)) emphasize resident rights to receive
food that meets their nutritional needs and dietary preferences. Facilities must make
reasonable accommodations to meet these needs and preferences.
2. A new regulation is issued regarding infection control practices. The most appropriate
initial action for the nursing home administrator is to:
A) Immediately implement the new practices without staff training.
B) Delegate the responsibility to the Director of Nursing without follow-up.
C) Conduct a gap analysis to identify current practices versus new requirements and
develop a plan for implementation, including staff training.
D) Wait for the next annual survey to address the new regulation.
E) Only implement the new practices if a resident contracts an infection.
Correct Answer: C) Conduct a gap analysis to identify current practices versus new
requirements and develop a plan for implementation, including staff training.
Rationale: Proactive compliance involves understanding the new regulation, assessing
current systems, planning for necessary changes, and ensuring staff are adequately
trained to implement them.
3. The primary purpose of a Material Safety Data Sheet (MSDS), now Safety Data Sheet
(SDS), is to:
A) Provide a list of all chemicals used in the facility.
B) Detail the nutritional content of food items.
C) Inform employees about hazardous substances, including safe handling, storage, and
emergency procedures.
D) Document cleaning schedules for all departments.
E) Outline the facility's disaster preparedness plan.
Correct Answer: C) Inform employees about hazardous substances, including safe
handling, storage, and emergency procedures.
, Rationale: SDSs are a critical component of OSHA's Hazard Communication Standard,
providing comprehensive information about potentially hazardous chemicals to ensure
employee safety.
4. A resident with dementia repeatedly attempts to leave the facility. The least restrictive
intervention to ensure resident safety would be to:
A) Apply physical restraints during wandering episodes.
B) Administer sedative medication to reduce agitation.
C) Implement an alarm system on exterior doors and engage the resident in supervised
activities in a secure area.
D) Place the resident in a locked room alone.
E) Dismiss the resident from the facility due to wandering behavior.
Correct Answer: C) Implement an alarm system on exterior doors and engage the
resident in supervised activities in a secure area.
Rationale: Federal regulations mandate that facilities must not use chemical or physical
restraints for convenience or discipline. The least restrictive intervention involves
environmental modifications (alarms, secure units) and engaging activities to prevent
elopement while respecting resident autonomy as much as possible.
5. When a nursing home receives payment from Medicare for services provided to
residents, this is an example of:
A) Private pay
B) Fee-for-service
C) Prospective Payment System (PPS)
D) Managed care
E) Capitation
Correct Answer: C) Prospective Payment System (PPS)
Rationale: Medicare reimbursement for skilled nursing facilities (SNFs) operates under
a Prospective Payment System (PPS), specifically using the Patient-Driven Payment
Model (PDPM), where facilities receive a predetermined daily payment based on
resident characteristics, regardless of the actual costs incurred.
6. A key component of a comprehensive Quality Assurance and Performance
Improvement (QAPI) program in a nursing home is:
A) Conducting annual staff performance reviews.
B) Identifying areas for improvement through data collection and analysis.
C) Solely responding to external survey deficiencies.
D) Implementing a new policy only when a critical incident occurs.
E) Focusing exclusively on resident satisfaction surveys.
Correct Answer: B) Identifying areas for improvement through data collection and
analysis.
, Rationale: QAPI is an ongoing, data-driven program that involves systematically
identifying opportunities for improvement, developing and implementing interventions,
and continuously monitoring their effectiveness to enhance resident care and outcomes.
7. A facility must ensure that residents are free from physical or mental abuse, corporal
punishment, involuntary seclusion, and which other form of abuse?
A) Verbal abuse
B) Restraint application for convenience
C) Neglect
D) Sexual abuse
E) All of the above
Correct Answer: E) All of the above
Rationale: Federal regulations (42 CFR §483.12) define abuse broadly to include
physical, sexual, verbal, and mental abuse, as well as corporal punishment, involuntary
seclusion, and neglect.
8. The term "Palliative Care" in a long-term care setting primarily focuses on:
A) Aggressive treatment to cure illness.
B) Providing care to improve the quality of life for residents and their families facing life-
limiting illness.
C) Only providing care to residents nearing the end of life (hospice care).
D) Restricting resident activities to conserve energy.
E) Administering experimental drugs.
Correct Answer: B) Providing care to improve the quality of life for residents and
their families facing life-limiting illness.
Rationale: Palliative care focuses on relieving symptoms, pain, and stress of a serious
illness, regardless of prognosis. It aims to improve the quality of life for both the patient
and the family and can be provided concurrently with curative treatment.
9. Which department is responsible for developing, implementing, and monitoring
individualized care plans for residents?
A) Dietary Department
B) Social Services Department
C) Nursing Department
D) Interdisciplinary Team (IDT)
E) Activities Department
Correct Answer: D) Interdisciplinary Team (IDT)
Rationale: Care planning is a collaborative effort involving the resident, their family (if
appropriate), and various members of the healthcare team (nursing, social services,
dietary, activities, therapy, physician) to ensure a holistic approach.
, 10. The purpose of a root cause analysis (RCA) in a nursing home is to:
A) Assign blame for adverse events.
B) Identify the underlying systemic reasons for a problem or adverse event to prevent
recurrence.
C) Document all incidents that occur in the facility.
D) Determine the cost implications of an adverse event.
E) Satisfy regulatory requirements without initiating change.
Correct Answer: B) Identify the underlying systemic reasons for a problem or adverse
event to prevent recurrence.
Rationale: RCA is a structured investigation method used to analyze serious adverse
events. Its goal is to look beyond the immediate causes to uncover the deep-seated
systemic factors that contributed to the event, leading to sustainable preventative
measures.
11. According to OSHA, the Occupational Safety and Health Administration, what is the
primary responsibility of a nursing home regarding employee safety?
A) Provide personal protective equipment (PPE) only upon request.
B) Ensure a workplace free from recognized hazards that are causing or are likely to
cause death or serious physical harm.
C) Conduct safety training only for new employees.
D) Rely solely on employees to identify safety hazards.
E) Document all accidents but not necessarily investigate them.
Correct Answer: B) Ensure a workplace free from recognized hazards that are
causing or are likely to cause death or serious physical harm.
Rationale: This statement directly reflects OSHA's General Duty Clause, which is the
foundational principle for employer responsibility in workplace safety.
12. A critical aspect of financial management in a nursing home involves understanding the
difference between accounts receivable and accounts payable. Accounts receivable
represents:
A) Money the facility owes to its suppliers and vendors.
B) Money owed to the facility for services provided.
C) The total operating expenses for a given period.
D) The facility's cash on hand.
E) The depreciation of facility assets.
Correct Answer: B) Money owed to the facility for services provided.
Rationale: Accounts receivable refers to the money that clients (or their
insurance/Medicare/Medicaid) owe the business for goods or services that have been
delivered or used but not yet paid for.
