NAB Exam(NAB NHA Examination)With Complete Solutions
2025
Question 1
According to federal regulations (e.g., F-Tag 680), which of the following is
the primary purpose of a resident's Comprehensive Care Plan in a nursing
facility?
A) To dictate the facility's staffing levels.
B) To serve as a legal contract between the resident and the facility.
C) To describe the resident's medical diagnosis and prognosis only.
D) To outline the resident's individualized needs, goals, and interventions to
achieve the highest practicable physical, mental, and psychosocial well-
being.
E) To determine the resident's monthly billing charges.
Correct Answer: D) To outline the resident's individualized needs,
goals, and interventions to achieve the highest practicable physical,
mental, and psychosocial well-being.
Rationale: The Comprehensive Care Plan is a cornerstone of resident-
centered care. It must address all identified needs, incorporate
resident preferences, set measurable goals, and describe the
specific interventions by the interdisciplinary team to optimize the
resident's well-being.
Question 2
An Administrator discovers that a staff member has a prior conviction for
elder abuse that was not disclosed during the background check. What is the
Administrator's immediate responsibility?
A) To warn the employee and monitor their behavior.
B) To retrain the employee on abuse prevention.
C) To immediately remove the employee from direct contact with residents
and report to the State Survey Agency and law enforcement.
D) To ask the employee to resign quietly.
E) To conduct an internal investigation over several weeks.
Correct Answer: C) To immediately remove the employee from direct
contact with residents and report to the State Survey Agency and
law enforcement.
Rationale: Discovery of a prior conviction for elder abuse is a critical
violation. The Administrator has a mandatory legal and ethical
obligation to protect residents, requiring immediate removal of the
individual from resident contact and prompt reporting to the State
Survey Agency (e.g., Department of Health) and, if a crime, to law
enforcement. Failure to do so can result in severe penalties
including license revocation and criminal charges.
,Question 3
Which federal regulation mandates that nursing facilities must protect and
promote the rights of each resident, including the right to be free from
abuse, neglect, and exploitation?
A) Health Insurance Portability and Accountability Act (HIPAA)
B) Americans with Disabilities Act (ADA)
C) Omnibus Budget Reconciliation Act of 1987 (OBRA '87)
D) Family and Medical Leave Act (FMLA)
E) Occupational Safety and Health Act (OSHA)
Correct Answer: C) Omnibus Budget Reconciliation Act of 1987 (OBRA
'87)
Rationale: OBRA '87 revolutionized long-term care by establishing
comprehensive regulations for nursing facilities that receive
Medicare or Medicaid funding, with a strong emphasis on resident
rights, quality of care, and quality of life.
Question 4
When developing an emergency preparedness plan, a Nursing Home
Administrator must ensure the plan includes procedures for:
A) Only fire drills.
B) Only natural disasters like earthquakes.
C) Evacuation, relocation, communication, and continuity of operations for
various types of emergencies.
D) Only staff training.
E) Only food and water supply.
Correct Answer: C) Evacuation, relocation, communication, and
continuity of operations for various types of emergencies.
Rationale: A comprehensive emergency preparedness plan must
address all-hazards, including natural, technological, and human-
caused disasters. It requires detailed procedures for resident
evacuation and relocation, robust internal and external
communication strategies, continuity of essential services, and
coordination with community emergency response systems.
Question 5
A resident in a nursing facility is refusing to take their prescribed medication.
What is the Administrator's primary responsibility in this situation?
A) To force the resident to take the medication for their health.
B) To document the refusal and notify the resident's physician and
responsible party.
C) To secretly mix the medication into the resident's food.
,D) To tell the resident they will be discharged if they don't comply.
E) To ask another staff member to convince the resident.
Correct Answer: B) To document the refusal and notify the resident's
physician and responsible party.
Rationale: Residents have the right to refuse treatment, including
medication, if they are deemed capable of making such decisions.
The Administrator must ensure the refusal is documented, the
physician and responsible party are promptly notified, and any
potential risks of refusal are discussed with the resident. Forcing
medication (without a legal basis like a court order for involuntary
treatment) or covert administration is a violation of resident rights
and potentially abuse.
Question 6
According to federal regulations, how often must a resident's Comprehensive
Care Plan be reviewed and revised?
A) Monthly.
B) At least quarterly, and when the resident's condition changes significantly.
C) Only upon admission.
D) Annually, regardless of condition change.
E) Only if the resident requests it.
Correct Answer: B) At least quarterly, and when the resident's
condition changes significantly.
Rationale: Federal regulations (F-Tag 657/680) require that the
Comprehensive Care Plan be reviewed and revised by the
interdisciplinary team at least quarterly, and whenever there is a
significant change in the resident's physical, mental, or psychosocial
condition, to ensure it remains person-centered and effective.
Question 7
Which of the following is a mandatory reporting requirement for a Nursing
Home Administrator regarding a suspected incident of elder abuse?
A) Report only if physical injuries are observed.
B) Report only if the resident explicitly asks to report.
C) Report immediately to the State Survey Agency and law enforcement (if
applicable).
D) Report only after an internal investigation confirms abuse.
E) Report only if the abuse is committed by a staff member.
Correct Answer: C) Report immediately to the State Survey Agency
and law enforcement (if applicable).
Rationale: Nursing Home Administrators are mandated reporters. Any
, suspected incident of elder abuse (physical, financial, emotional,
neglect, abandonment, etc.) must be reported immediately to the
State Survey Agency (e.g., Department of Health, Department of
Social Services) and, if it meets criminal criteria, to law enforcement
(e.g., Adult Protective Services, police/sheriff).
Question 8
What is the primary purpose of a "Plan of Correction" (POC) in response to a
deficiency cited by a State Survey Agency?
A) To acknowledge the deficiency without committing to action.
B) To outline the specific steps the facility will take to correct the deficiency
and prevent recurrence.
C) To appeal the deficiency citation.
D) To request a waiver from the regulation.
E) To deny the deficiency.
Correct Answer: B) To outline the specific steps the facility will take to
correct the deficiency and prevent recurrence.
Rationale: A POC is a mandatory written response to a deficiency
citation. It details the specific actions the facility will implement to
fix the identified problem, the date by which it will be corrected,
and measures to prevent it from happening again. It's a
commitment to remediation.
Question 9
Which of the following describes "elopement" in a nursing facility setting?
A) A resident leaving their room without permission.
B) A resident leaving the facility premises without authorization and
supervision.
C) A resident refusing to participate in activities.
D) A resident going to an off-site appointment.
E) A resident moving from one unit to another.
Correct Answer: B) A resident leaving the facility premises without
authorization and supervision.
Rationale: Elopement is a serious safety concern in nursing facilities,
especially for residents with cognitive impairment. It refers to a
resident leaving the secured premises without the knowledge or
supervision of staff, potentially exposing them to harm.
Question 10
In the event of a fire, a nursing facility Administrator's or staff's immediate
priority is to:
2025
Question 1
According to federal regulations (e.g., F-Tag 680), which of the following is
the primary purpose of a resident's Comprehensive Care Plan in a nursing
facility?
A) To dictate the facility's staffing levels.
B) To serve as a legal contract between the resident and the facility.
C) To describe the resident's medical diagnosis and prognosis only.
D) To outline the resident's individualized needs, goals, and interventions to
achieve the highest practicable physical, mental, and psychosocial well-
being.
E) To determine the resident's monthly billing charges.
Correct Answer: D) To outline the resident's individualized needs,
goals, and interventions to achieve the highest practicable physical,
mental, and psychosocial well-being.
Rationale: The Comprehensive Care Plan is a cornerstone of resident-
centered care. It must address all identified needs, incorporate
resident preferences, set measurable goals, and describe the
specific interventions by the interdisciplinary team to optimize the
resident's well-being.
Question 2
An Administrator discovers that a staff member has a prior conviction for
elder abuse that was not disclosed during the background check. What is the
Administrator's immediate responsibility?
A) To warn the employee and monitor their behavior.
B) To retrain the employee on abuse prevention.
C) To immediately remove the employee from direct contact with residents
and report to the State Survey Agency and law enforcement.
D) To ask the employee to resign quietly.
E) To conduct an internal investigation over several weeks.
Correct Answer: C) To immediately remove the employee from direct
contact with residents and report to the State Survey Agency and
law enforcement.
Rationale: Discovery of a prior conviction for elder abuse is a critical
violation. The Administrator has a mandatory legal and ethical
obligation to protect residents, requiring immediate removal of the
individual from resident contact and prompt reporting to the State
Survey Agency (e.g., Department of Health) and, if a crime, to law
enforcement. Failure to do so can result in severe penalties
including license revocation and criminal charges.
,Question 3
Which federal regulation mandates that nursing facilities must protect and
promote the rights of each resident, including the right to be free from
abuse, neglect, and exploitation?
A) Health Insurance Portability and Accountability Act (HIPAA)
B) Americans with Disabilities Act (ADA)
C) Omnibus Budget Reconciliation Act of 1987 (OBRA '87)
D) Family and Medical Leave Act (FMLA)
E) Occupational Safety and Health Act (OSHA)
Correct Answer: C) Omnibus Budget Reconciliation Act of 1987 (OBRA
'87)
Rationale: OBRA '87 revolutionized long-term care by establishing
comprehensive regulations for nursing facilities that receive
Medicare or Medicaid funding, with a strong emphasis on resident
rights, quality of care, and quality of life.
Question 4
When developing an emergency preparedness plan, a Nursing Home
Administrator must ensure the plan includes procedures for:
A) Only fire drills.
B) Only natural disasters like earthquakes.
C) Evacuation, relocation, communication, and continuity of operations for
various types of emergencies.
D) Only staff training.
E) Only food and water supply.
Correct Answer: C) Evacuation, relocation, communication, and
continuity of operations for various types of emergencies.
Rationale: A comprehensive emergency preparedness plan must
address all-hazards, including natural, technological, and human-
caused disasters. It requires detailed procedures for resident
evacuation and relocation, robust internal and external
communication strategies, continuity of essential services, and
coordination with community emergency response systems.
Question 5
A resident in a nursing facility is refusing to take their prescribed medication.
What is the Administrator's primary responsibility in this situation?
A) To force the resident to take the medication for their health.
B) To document the refusal and notify the resident's physician and
responsible party.
C) To secretly mix the medication into the resident's food.
,D) To tell the resident they will be discharged if they don't comply.
E) To ask another staff member to convince the resident.
Correct Answer: B) To document the refusal and notify the resident's
physician and responsible party.
Rationale: Residents have the right to refuse treatment, including
medication, if they are deemed capable of making such decisions.
The Administrator must ensure the refusal is documented, the
physician and responsible party are promptly notified, and any
potential risks of refusal are discussed with the resident. Forcing
medication (without a legal basis like a court order for involuntary
treatment) or covert administration is a violation of resident rights
and potentially abuse.
Question 6
According to federal regulations, how often must a resident's Comprehensive
Care Plan be reviewed and revised?
A) Monthly.
B) At least quarterly, and when the resident's condition changes significantly.
C) Only upon admission.
D) Annually, regardless of condition change.
E) Only if the resident requests it.
Correct Answer: B) At least quarterly, and when the resident's
condition changes significantly.
Rationale: Federal regulations (F-Tag 657/680) require that the
Comprehensive Care Plan be reviewed and revised by the
interdisciplinary team at least quarterly, and whenever there is a
significant change in the resident's physical, mental, or psychosocial
condition, to ensure it remains person-centered and effective.
Question 7
Which of the following is a mandatory reporting requirement for a Nursing
Home Administrator regarding a suspected incident of elder abuse?
A) Report only if physical injuries are observed.
B) Report only if the resident explicitly asks to report.
C) Report immediately to the State Survey Agency and law enforcement (if
applicable).
D) Report only after an internal investigation confirms abuse.
E) Report only if the abuse is committed by a staff member.
Correct Answer: C) Report immediately to the State Survey Agency
and law enforcement (if applicable).
Rationale: Nursing Home Administrators are mandated reporters. Any
, suspected incident of elder abuse (physical, financial, emotional,
neglect, abandonment, etc.) must be reported immediately to the
State Survey Agency (e.g., Department of Health, Department of
Social Services) and, if it meets criminal criteria, to law enforcement
(e.g., Adult Protective Services, police/sheriff).
Question 8
What is the primary purpose of a "Plan of Correction" (POC) in response to a
deficiency cited by a State Survey Agency?
A) To acknowledge the deficiency without committing to action.
B) To outline the specific steps the facility will take to correct the deficiency
and prevent recurrence.
C) To appeal the deficiency citation.
D) To request a waiver from the regulation.
E) To deny the deficiency.
Correct Answer: B) To outline the specific steps the facility will take to
correct the deficiency and prevent recurrence.
Rationale: A POC is a mandatory written response to a deficiency
citation. It details the specific actions the facility will implement to
fix the identified problem, the date by which it will be corrected,
and measures to prevent it from happening again. It's a
commitment to remediation.
Question 9
Which of the following describes "elopement" in a nursing facility setting?
A) A resident leaving their room without permission.
B) A resident leaving the facility premises without authorization and
supervision.
C) A resident refusing to participate in activities.
D) A resident going to an off-site appointment.
E) A resident moving from one unit to another.
Correct Answer: B) A resident leaving the facility premises without
authorization and supervision.
Rationale: Elopement is a serious safety concern in nursing facilities,
especially for residents with cognitive impairment. It refers to a
resident leaving the secured premises without the knowledge or
supervision of staff, potentially exposing them to harm.
Question 10
In the event of a fire, a nursing facility Administrator's or staff's immediate
priority is to:
