Page 1 of 67
TX NURSING HOME ADMINISTRATOR
LICENSE 2026 EXAM BANK COMPLETE
QUESTIONS AND DETAILED CORRECT
(EXPERT VERIFIED) ANSWERS/TOP-RATED
A+.
NURSING
Maximize your success on the Texas Nursing Home
Administrator (NHA) licensing exam with focused preparation
that strengthens your understanding of Texas Health and Human
Services regulations, resident care standards, financial
management, and ethical facility leadership. It is specifically
designed for candidates seeking certification to manage and
lead long-term care facilities in Texas.
A resident's ADL's (Activities of Daily Living) are derived from
what? ....... ANSWER ....... ✓ ✓ The comprehensive
assessment
(1) Activities of daily living (ADLs). Based on the
comprehensive assessment of the resident, the facility must
ensure that: (A) a resident's abilities in activities of daily
, Page 2 of 67
living do not diminish unless the circumstances of the
individual's clinical condition demonstrate that diminution is
unavoidable
The Quality Assessment and Assurance Committee
must meet how often? ....... ANSWER ....... ✓ ✓ Quarterly
(1) Meets at least quarterly to identify issues with respect to
which quality assessment and assurance activities are
necessary
Qualifications for a qualified speech-language therapist are:
....... ANSWER ....... ✓ ✓ (i) is a Texas licensed speech-
language pathologist; or (ii) meets the educational
requirements for licensed and has accumulated, or is in the
process of accumulating, the supervised professional
experience (the internship) required for license
A qualified audiologist therapist is: ....... ANSWER ....... ✓
✓ (i) is a Texas-licensed audiologist; or (ii) meets the
educational requirements for license and has accumulated,
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or is in the process of accumulating, the supervised
professional experience (the internship) required for license
Resident bedrooms can accommodate no more than how
many residents? ....... ANSWER ....... ✓ ✓ No more than
four (4)
For a facility of 60 or fewer residents, how many hours of
dietary consultation must they have? ....... ANSWER .......
✓ ✓ At least 8
What is PASARR? ....... ANSWER ....... ✓ ✓ Pre-Admission
Screening and Annual Resident Review
In the event a facilty must close voluntarily, how soon must
the facility notify it's residents? ....... ANSWER ....... ✓ ✓
RULE §19.1921 General Requirements for a Nursing Facility
(d) In the event any facility ceases operation, temporarily or
permanently, voluntarily or involuntarily, notice must be
provided to the residents and residents' relatives or
responsible parties of closure.
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(1) If the closure is voluntary, notice to residents' relatives or
responsible parties must be in writing, not later than one
week after the date on which the decision to close is made.
Every registered nurse, LVN, and nurse assistant, must each
year receive at least 1 hour training on caring for what type of
people? ....... ANSWER ....... ✓ ✓ Alzheimers
The director of nursing may serve as a charge nurse only
when the facility has an average daily occupancy of ____ or
fewer residents. ....... ANSWER ....... ✓ ✓ 60 or fewer. -
The director of nursing may serve as a charge nurse only
when the facility has an average daily occupancy of 60 or
fewer residents.
The definition of Involuntary Seclusion is: ....... ANSWER
....... ✓ ✓ Separation of a resident from others or from his
room against the resident's will or the will of the resident's
legal representative. Temporary monitored separation from
other residents will not be considered involuntary seclusion
and may be permitted if used as a therapeutic intervention
as determined by professional staff and consistent with the
resident's plan of care.
TX NURSING HOME ADMINISTRATOR
LICENSE 2026 EXAM BANK COMPLETE
QUESTIONS AND DETAILED CORRECT
(EXPERT VERIFIED) ANSWERS/TOP-RATED
A+.
NURSING
Maximize your success on the Texas Nursing Home
Administrator (NHA) licensing exam with focused preparation
that strengthens your understanding of Texas Health and Human
Services regulations, resident care standards, financial
management, and ethical facility leadership. It is specifically
designed for candidates seeking certification to manage and
lead long-term care facilities in Texas.
A resident's ADL's (Activities of Daily Living) are derived from
what? ....... ANSWER ....... ✓ ✓ The comprehensive
assessment
(1) Activities of daily living (ADLs). Based on the
comprehensive assessment of the resident, the facility must
ensure that: (A) a resident's abilities in activities of daily
, Page 2 of 67
living do not diminish unless the circumstances of the
individual's clinical condition demonstrate that diminution is
unavoidable
The Quality Assessment and Assurance Committee
must meet how often? ....... ANSWER ....... ✓ ✓ Quarterly
(1) Meets at least quarterly to identify issues with respect to
which quality assessment and assurance activities are
necessary
Qualifications for a qualified speech-language therapist are:
....... ANSWER ....... ✓ ✓ (i) is a Texas licensed speech-
language pathologist; or (ii) meets the educational
requirements for licensed and has accumulated, or is in the
process of accumulating, the supervised professional
experience (the internship) required for license
A qualified audiologist therapist is: ....... ANSWER ....... ✓
✓ (i) is a Texas-licensed audiologist; or (ii) meets the
educational requirements for license and has accumulated,
, Page 3 of 67
or is in the process of accumulating, the supervised
professional experience (the internship) required for license
Resident bedrooms can accommodate no more than how
many residents? ....... ANSWER ....... ✓ ✓ No more than
four (4)
For a facility of 60 or fewer residents, how many hours of
dietary consultation must they have? ....... ANSWER .......
✓ ✓ At least 8
What is PASARR? ....... ANSWER ....... ✓ ✓ Pre-Admission
Screening and Annual Resident Review
In the event a facilty must close voluntarily, how soon must
the facility notify it's residents? ....... ANSWER ....... ✓ ✓
RULE §19.1921 General Requirements for a Nursing Facility
(d) In the event any facility ceases operation, temporarily or
permanently, voluntarily or involuntarily, notice must be
provided to the residents and residents' relatives or
responsible parties of closure.
, Page 4 of 67
(1) If the closure is voluntary, notice to residents' relatives or
responsible parties must be in writing, not later than one
week after the date on which the decision to close is made.
Every registered nurse, LVN, and nurse assistant, must each
year receive at least 1 hour training on caring for what type of
people? ....... ANSWER ....... ✓ ✓ Alzheimers
The director of nursing may serve as a charge nurse only
when the facility has an average daily occupancy of ____ or
fewer residents. ....... ANSWER ....... ✓ ✓ 60 or fewer. -
The director of nursing may serve as a charge nurse only
when the facility has an average daily occupancy of 60 or
fewer residents.
The definition of Involuntary Seclusion is: ....... ANSWER
....... ✓ ✓ Separation of a resident from others or from his
room against the resident's will or the will of the resident's
legal representative. Temporary monitored separation from
other residents will not be considered involuntary seclusion
and may be permitted if used as a therapeutic intervention
as determined by professional staff and consistent with the
resident's plan of care.
