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NAB Test Exam Questions and Answers: A Comprehensive Guide to Nursing Home Regulations, Exams of Nursing

A comprehensive set of multiple-choice questions and answers related to the nab test, covering key aspects of nursing home regulations and standards. It delves into topics such as resident rights, physician visits, quality management, and facility operations, offering valuable insights for individuals preparing for the nab exam. Designed to enhance understanding of nursing home regulations and promote successful exam preparation.

Typology: Exams

2024/2025

Available from 03/17/2025

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NAB TEST EXAM Questions and
Answers Graded A+ Latest
Versions 2025
The new administrator starts December 1, 2007 and reviews the minutes of the Quality
Assurance Committee. The committee met the second Tuesday on January 7, 2007;
June 21, 2007; and November 15, 2007. The administrator should
.
1. Be reassured the meetings were held timely
2. Change future meeting dates to January, May, July, and September to bring he
facility into compliance with OBRA 1987
3. Change the meeting dates to ensure he or she can attend the meetings are required
4. Change the meeting dates to the first Tuesday of January, April, July, and October to
bring the facility into compliance with OBRA 1987 - Answer 4. Change the meeting
dates to the first Tuesday of January, April, July, and October to bring the facility into
compliance with OBRA 1987
A resident was only given lunch that day, given the wrong medication in the morning,
had her room changed without notification, and was not given a bath as requested. Per
OBRA 1987, how many resident rights were violated?
1. 1
2. 2
3. 3
4. 4 - Answer 3. 3
A resident was admitted on June 1. The attending physician charted a visit and physical
examination on June 27, July 29, and September 4. With respect to required physician
visits per OBRA 1987, the facility .
1. Was in compliance and would not be cited
2. Is not responsible to ensure timely physician visits
3. Was out of compliance and would be cited
4. The facility would only be cited if there was actual harm to a resident - Answer 1. Was
in compliance and would not be cited
The has legal responsibility to adopt and implement facility
policies.
1. Medical director
2. Director of nursing
3. Governing body
4. Administrator - Answer 3. Governing body
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Download NAB Test Exam Questions and Answers: A Comprehensive Guide to Nursing Home Regulations and more Exams Nursing in PDF only on Docsity!

NAB TEST EXAM Questions and

Answers Graded A+ Latest

Versions 2025

The new administrator starts December 1, 2007 and reviews the minutes of the Quality Assurance Committee. The committee met the second Tuesday on January 7, 2007; June 21, 2007; and November 15, 2007. The administrator should .

  1. Be reassured the meetings were held timely
  2. Change future meeting dates to January, May, July, and September to bring he facility into compliance with OBRA 1987
  3. Change the meeting dates to ensure he or she can attend the meetings are required
  4. Change the meeting dates to the first Tuesday of January, April, July, and October to bring the facility into compliance with OBRA 1987 - Answer 4. Change the meeting dates to the first Tuesday of January, April, July, and October to bring the facility into compliance with OBRA 1987 A resident was only given lunch that day, given the wrong medication in the morning, had her room changed without notification, and was not given a bath as requested. Per OBRA 1987, how many resident rights were violated?
  5. 1
  6. 2
  7. 3
  8. 4 - Answer 3. 3 A resident was admitted on June 1. The attending physician charted a visit and physical examination on June 27, July 29, and September 4. With respect to required physician visits per OBRA 1987, the facility.
  9. Was in compliance and would not be cited
  10. Is not responsible to ensure timely physician visits
  11. Was out of compliance and would be cited
  12. The facility would only be cited if there was actual harm to a resident - Answer 1. Was in compliance and would not be cited The has legal responsibility to adopt and implement facility policies.
  13. Medical director
  14. Director of nursing
  15. Governing body
  16. Administrator - Answer 3. Governing body

A resident was admitted on June 1. The attending physician charted a visit and physical examination on June 27, July 29, September 4, and November 17. With respect to required physician visits per OBRA 1987, the facility.

  1. Complied with required physician visits
  2. Would be cited for a late visit in November
  3. Is not responsible for late physician visits and would not be cited
  4. The facility would only be cited if there was actual harm to a resident - Answer 2. Would be cited for a late visit in November A state surveyor learns in interviews with residents that when residents are admitted, they were provided a written list of names of physicians who cared for residents in the facility in their admission packet. The facility was assigned an attending physician to each resident prior to admission from a rotating list of physicians. Per OBRA 1987, the facility.
  5. Was out of compliance and would be cited
  6. Fully complied with all requirements
  7. Must transfer these residents to another facility
  8. Must immediately transfer these residents to the care of the medical director - Answer
  9. Was out of compliance and would be cited A housekeeper notices a resident is asleep in the room she needs to clean. She knocks on the resident's door, identifies herself as a housekeeper, and seeing there is no response from the resident, decides to enter the room and begins cleaning. The housekeeper should be.
  10. Commended for her efficiency in keeping to her schedule
  11. Promoted to director of housekeeping services
  12. In-serviced
  13. Transferred to the night shift - Answer 3. In-serviced is not an element of a Total Quality Managment (TQM) program

To save money, the administrator of a 100 bed facility reduced the hours of the dietary service manager to 20 hours per week. The governing body should .

  1. Commend the administrator for substantial cost savings
  2. Immediately increase the manager's hours to 30 hours per week
  3. Restore the dietary manager's hours to full time and eliminate the consultant dietician
  4. Reprimand the administrator - Answer 4. Reprimand the administrator Adding baking soda to food will primarily affect its.
  5. Nutritive value
  6. Palatability
  7. Attractiveness
  8. Temperature - Answer 1. Nutritive value The resident's quality of life and physical condition is the focus of .
  9. Structure
  10. Process
  11. Outcomes
  12. All of the above - Answer 3. Outcomes is not typical of a TQM program.
  13. Empowering employees
  14. Use of teams
  15. Individual responsibility
  16. Minimal training of staff - Answer 4. Minimal training of staff A resident recently lost her husband and is tearful and depressed and is worried how she will pay for her stay. The administrator would ask the to help her.
  17. Nursing department
  18. Social services director
  19. Administrator
  20. Business office - Answer 2. Social services director Electrical switches must be located at a minimum of inches above the floor.
  21. 6
  22. 12
  23. 15
  24. 24 - Answer 3. 15 Stooped posture, shuffling gait, garbled speech, and tremors are symptoms of .
  25. Senile dementia
  26. Alzeheimer's
  1. Parkinson's disease
  2. Muscular sclerosis - Answer 3. Parkinson's disease Nursing homes must have hearing aid compatible phones with volume control that can adjust the volume between a minimum of and a maximum of decibels above normal.
  3. 6, 11
  4. 12, 18
  5. 15, 20
  6. 20, 29 - Answer 2. 12, 18 Grab bars and railings must support a minimum weight of pounds.
  7. 100
  8. 150
  9. 200
  10. 250 - Answer 4. 250 The emergency generator must be visually inspected and checked .
  11. Daily
  12. Weekly
  13. Monthly
  14. Quarterly - Answer 2. Weekly Federal resident care standards are now and and are no longer considered minimal standards.
  15. State of the art, maximal
  16. Outdated, irrelevant
  17. Disputed, questioned
  18. Voluntary, mammal - Answer 1. State of the art, maximal The largest payor source for long-term care is.
  19. Private pay
  20. Managed care
  21. Medicare
  22. Medicaid - Answer 4. Medicaid The average short-term stay for a Medicare resident is.
  23. 15 days
  24. 30 days
  25. 45 days
  26. 90 days - Answer 2. 30 days ANSI stands for.
  27. American National Standards Institute

Parking must be at least " wide with an accessible handicap aisle at least " wide.

  1. 36, 48
  2. 96, 60
  3. 46, 52
  4. 24, 38 - Answer 2. 96, 60 A broad statement of goals is a.
  5. Plan of action
  6. Mission statement
  7. Policy
  8. Procedure - Answer 3. Policy Long-term residents should be surveyed regarding satisfaction with services .
  9. Just before state inspection/survey
  10. Annually
  11. As requested by resident council
  12. Shortly after discharge - Answer 2. Annually Which is not true of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)?
  13. JCAHO is a private organization that accredits hospitals and nursing homes
  14. JCAHO can impose civil fines
  15. JCAHO accreditation and membership is voluntary for nursing homes
  16. A healthcare facility accredited by JCAHO is exempt from state and federal inspections - Answer 2. JCAHO can impose civil fines Communication occurs when.
  17. A message is transmitted from one individual to another
  18. A message is transmitted by one person and received by another
  19. A message is transmitted by one person and decoded by the other person
  20. A message is transmitted by one person and decoded and understood by the other person - Answer 4. A message is transmitted by one person and decoded and understood by the other person NFPA stands for.
  21. National Fire Protection Agency
  22. National Fire Publications Administration
  23. National Fire Protection Association
  24. Nursing Facilities Protection Act - Answer 3. National Fire Protection Association The emergency generator must be run under full load for every .
  25. 30 minutes, month
  26. 30 minutes, quarter
  1. 60 minutes, month
  2. 60 minutes, week - Answer 1. 30 minutes, month The fire alarm can be silenced during a fire drill conducted between the hours of
  3. 11 AM and 7 PM
  4. 10 PM and 6 AM
  5. 11 AM and 3 PM
  6. 8 AM and 4 PM - Answer 2. 10 PM and 6 AM The is responsible to assembly and analyze incident reports, infection rates, safety issues, medication errors, and restraint use.
  7. Safety committee
  8. Risk management committee
  9. Quality assurance committee
  10. Social committee - Answer 3. Quality assurance committee publishes and promotes fire safety in nursing homes.
  11. OSHA
  12. NFPA
  13. ANSI
  14. ADA - Answer 2. NFPA Listening intently, acceptance, empathy, and understanding the message describes .
  15. Unconditional positive regard
  16. Active listening
  17. Compassionate communication
  18. None of the above - Answer 2. Active listening Patients and family look for when selecting a nursing home.
  19. Variety and quality of food
  20. Good rehab department
  21. Timely communication with nursing staff
  22. Well-known corporate name - Answer 1. Variety and quality of food The Americans with Disabilities Act construction standards are enforced by .
  23. NFPA
  24. ANSI
  25. Architecture and Transportation Barriers Compliance Board
  26. EEOC - Answer 3. Architecture and Transportation Barriers Compliance Board The Americans with Disabilities Act construction standards were developed by .
  27. NFPA

When a facility requests a hearing before an administrative law judge to challenge the findings made during a state survey, the facility is using the.

  1. Informal dispute resolution process
  2. Formal dispute resolution process
  3. Civil court mediation
  4. By filing an appeal directly to the U.S. Supreme Court - Answer 2. Formal dispute resolution process Federal inspection of resident care in nursing facilities is overseen by .
  5. Long-term care ombudsman
  6. Area Agency on Aging
  7. CMS
  8. OSHA - Answer 3. CMS Quality indicator (QI) reports for nursing homes available through the CMS would not include which of the following?
  9. Facility characteristics
  10. Nursing home watch list
  11. Facility profile
  12. Resident level summary - Answer 2. Nursing home watch list Prior to entering a facility, a state survey team would not review the.
  13. Facility compliance report
  14. Most recent compliance survey/inspection
  15. Ombudsman reports and investigations
  16. Resident council minutes - Answer 4. Resident council minutes The is responsible to identify and address safety hazards that can injure residents and staff and is required by OSHA.
  17. Safety committee
  18. Risk management committee
  19. Quality assurance committee
  20. Social committee - Answer 1. Safety committee The federal nursing home certification survey program has a total of different survey types.
  21. 1
  22. 2
  23. 5
  24. 7 - Answer 3. 5

The phase of the state survey where the survey team gathers information from the OSCAR, the ombudsman, and other sources prior to entering a facility is called .

  1. Initial tour
  2. Exit conference
  3. Offsite preparation
  4. Entrance conference - Answer 3. Offsite preparation The phase of the state survey where the survey team analyzes and compares observations and findings and determines if any violations were found and their severity is called.
  5. Sample selection
  6. Exit conference
  7. Information gathering
  8. Information analysis - Answer 4. Information analysis Nursing homes must be inspected every.
  9. 12 months
  10. 15 months
  11. 24 months
  12. 30 months - Answer 2. 15 months An electronic medium that allows instantaneous communication internally and externally to thousands of people through a computer server is called.
  13. Email
  14. Firewire
  15. Bluetooth
  16. High frequency radios - Answer 1. Email A finding of "substandard care" requires the survey team to have evidence of .
  17. Insufficient nursing staff
  18. Immediate jeopardy to resident care that has or likely to cause serious injury or death
  19. Inadequate policies and procedures
  20. Financial instability - Answer 2. Immediate jeopardy to resident care that has or likely to cause serious injury or death A tag would indicate substandard care was found.
  21. F250 D
  22. F371 E
  23. F377 J
  24. F251 F - Answer 3. F377 J The phase of the state survey where the survey team sits down with the administrator, the DON, and department heads to discuss the findings of the survey team is called .

A violation or deficiency with the potential for no more than a minor negative impact on a resident is a deficiency.

  1. Level 1
  2. Level 2
  3. Level 3
  4. Level 4 - Answer 1. Level 1 has/have the least impact on influencing a resident or their family in choosing a facility.
  5. Physician referrals
  6. Hospital discharge planners
  7. Media ads
  8. Word of mouth - Answer 3. Media ads Short term residents should be surveyed about satisfaction with services.
  9. Upon admission
  10. Weekly
  11. Monthly
  12. Within 30 days from discharge - Answer 4. Within 30 days from discharge A technology that connects cell phones, hand held devices, and keyboards to a computer by a high speed cable is called.
  13. Email
  14. Firewire
  15. Bluetooth
  16. Facsimile machines - Answer 2. Firewire Implementation of a TQM program takes between.
  17. 1 - 2 years
  18. 2 - 5 years
  19. 5 - 10 years
  20. 10 - 15 years - Answer 3. 5 - 10 years The key consideration in determining the minimum level of staffing in a nursing facility is .
  21. Patient acuity levels
  22. Direction from corporate
  23. Federal and state staffing requirements
  24. Facility census - Answer 1. Patient acuity levels Managing risks of negative outcomes is called.
  25. Risk management
  26. Arbitration
  27. Conflict resolution
  1. Mediation - Answer 1. Risk management The key to a successful TQM program is.
  2. Leadership
  3. Training
  4. Processes
  5. Commitment to customer service - Answer 2. Training An organizational chart shows the reporting relationship between staff. A solid line on the chart denotes.
  6. Staff authority
  7. Line authority
  8. Volunteer status
  9. Advisory authority - Answer 2. Line authority A parking lot with 100 parking spaces would require handicap accessible parking spots.
  10. 1
  11. 2
  12. 4
  13. 6 - Answer 3. 4 The most effective marketing tool for a nursing home to attract new residents is/are .
  14. Ads in newspapers
  15. Ads on television
  16. A tour of the facility
  17. Health care fairs - Answer 3. A tour of the facility A violation with no more than minimal physical, mental, or psychological discomfort is a deficiency.
  18. Level 1
  19. Level 2
  20. Level 3
  21. Level 4 - Answer 2. Level 2 Communication between social and peer groups is an example of .
  22. Formal communication
  23. Informal communication
  24. Information flow
  25. Grapevine - Answer 2. Informal communication Communication directed from upper management to lower level managers and staff is called.
  26. Upward communication

Minimum clear width for a single wheelchair is continuously and at any one point.

  1. 24", 32"
  2. 36", 32"
  3. 34", 29"
  4. 32", 46" - Answer 2. 36", 32" There must be a passing space in an accessible route for wheel chairs every feet.
  5. 100
  6. 150
  7. 200
  8. 400 - Answer 3. 200 A passenger loading zone must be at least " wide and " long.
  9. 30, 15
  10. 36, 20
  11. 45, 15
  12. 60, 20 - Answer 4. 60, 20 The force required to open all doors, flush a toilet, operate faucet handles, and operate a water fountain cannot exceed pounds of pressure.
  13. 5
  14. 7
  15. 10
  16. 15 - Answer 1. 5 Minimum wheelchair turning space is inches.
  17. 30
  18. 34
  19. 60
  20. 72 - Answer 3. 60 The high forward reach from a wheelchair is.
  21. 24"
  22. 36"
  23. 42"
  24. 48" - Answer 4. 48" The side reach from a wheelchair is between " and " off the floor.
  25. 6, 24
  26. 9, 54
  27. 12, 24
  28. 18, 36 - Answer 2. 9, 54

A change in level surface over 1/2 inch.

  1. May be vertical and without edge
  2. Requires ramp treatment
  3. Requires a beveled edge
  4. Requires rubber bumpers - Answer 2. Requires ramp treatment A change between 1/4 and 1/2 inch in level surface.
  5. May be vertical and without edge
  6. Requires ramp treatment
  7. Requires a beveled edge
  8. Requires handrails - Answer 3. Requires a beveled edge A fire extinguisher is checked and serviced .
  9. Monthly, semiannually
  10. Quarterly, annually
  11. Annually, bi-annually
  12. Semiannually, annually - Answer 2. Quarterly, annually Each level of a building that houses patient sleeping a treatment areas must be divided into smoke compartments
  13. 2
  14. 4
  15. 6
  16. 8 - Answer 1. 2 Vision panels are in swinging doors.
  17. Optional
  18. Not allowed
  19. Required
  20. None of the above - Answer 3. Required The maximum window sill height for a window in a resident's room is inches above the floor.
  21. 24
  22. 34
  23. 36
  24. 38 - Answer 3. 36 Doors must be thick, solid bodied core, or with minutes of resistance fire rating.
  25. 1 1/2", composite, 60 minutes
  26. 1 3/4", wood, 20 minutes
  27. 1", metal, 15 minutes
  28. 2", wood, 30 minutes - Answer 2. 1 3/4", wood, 20 minutes

A nursing home must have a(n) operated fire alarm system that is monitored.

  1. Automatically, visually
  2. Manually, electronically
  3. Digitally, continuously
  4. Mechanically, periodically - Answer 2. Manually, electronically Activating or pulling a fire alarm automatically activates all of the following except:
  5. Fire alarms
  6. Fire sprinklers
  7. Door releases
  8. Emergency generator - Answer 4. Emergency generator Phones must be fitted with a cord no shorter than inches.
  9. 16
  10. 30
  11. 29
  12. 60 - Answer 3. 29 Landings are required at the bottom and top of each stairway run and must have a minimum width of.
  13. 36 square feet
  14. 48 square inches
  15. 60 square inches
  16. 96 square inches - Answer 3. 60 square inches Doors must have a clear width of at openings and must be at a ° angle to an accessible route.
  17. 24", 45
  18. 44", 60
  19. 32", 90
  20. 46", 180 - Answer 3. 32", 90 The automatic smoke and fire detection systems must be connected to each other .
  21. Electronically
  22. Manually
  23. Digitally
  24. Visually - Answer 1. Electronically The specifies the number of directors, number of shares to be issued, and governs how the corporation is to be run.
  25. Bylaws
  26. Certificate of incorporation
  27. Stock certificate
  28. Debenture - Answer 1. Bylaws

A review of care provided patients for appropriateness and cost effectiveness is called .

  1. Utilization review
  2. Literature review
  3. Peer review
  4. Billing review - Answer 1. Utilization review A permit required before a nursing facility can begin construction is called a .
  5. Certificate of waiver
  6. Certificate of need
  7. Certificate of occupancy
  8. None of the above - Answer 2. Certificate of need A violation with a severity requiring immediate action due to risk of injury, harm, impairment, or death to a resident is a.
  9. Level 1
  10. Level 2
  11. Level 3
  12. Level 4 - Answer 4. Level 4 The states and CMS cannot impose.
  13. Temporary management of the facility
  14. Termination of certificate/license
  15. Daily fines of up to $10,
  16. Civil and criminal penalties - Answer 4. Civil and criminal penalties A leader who makes decisions based on staff consensus is using the .
  17. Dictatorial style
  18. Democratic style
  19. Laissez faire style
  20. Punitive style - Answer 2. Democratic style A leader who delegates decision-making to subordinates while setting larger objectives is using the.
  21. Dictatorial style
  22. Democratic style
  23. Laissez faire style
  24. Punitive style - Answer 3. Laissez faire style An effective leader would not.
  25. Take advantage of future opportunities
  26. Make good decisions and few disastrous ones
  27. Demonstrate caring for employees