Illinois Supplemental Nursing Home Administrator Exam
(2026/2027) – IDPH NHA Licensing Examination | Actual
Exam Questions and Answers | Brand New | Graded A+
| Guaranteed Pass.
1. What is the primary purpose of the Illinois Nursing Home Care Act?
A) Establish hospital regulations
B) Protect residents’ rights and ensure quality care in nursing homes
C) Regulate physician practice
D) Control insurance rates
Answer: B
Rationale: The Nursing Home Care Act establishes standards for resident care, rights, and
facility operation in Illinois.
2. According to Illinois law, who is responsible for overall management of a
nursing home?
A) Chief Medical Officer
B) Licensed Nursing Home Administrator (NHA)
C) Head Nurse
D) Board of Directors only
Answer: B
Rationale: The NHA has legal responsibility for compliance, operations, and quality of care in
the facility.
3. A nursing home resident requests access to their medical records. The
administrator should:
A) Deny access
B) Provide records promptly in accordance with HIPAA and Illinois law
,Answer: B
C) Charge an unlimited fee
D) Require a court order
Rationale: Residents have the right to access medical records; administrators must comply
with HIPAA and state law.
4. Which body regulates nursing homes in Illinois?
A) Illinois Department of Public Health (IDPH)
B) Centers for Disease Control (CDC)
C) Food and Drug Administration (FDA)
D) Illinois Board of Education
Answer: A
Rationale: IDPH licenses and inspects nursing facilities, ensuring compliance with state
regulations.
5. A resident exhibits signs of abuse. The administrator must:
A) Ignore it
B) Report immediately to the Illinois Department of Public Health and Adult Protective Services
C) Wait for family complaint
D) Document only internally
Answer: B
Rationale: Illinois law mandates reporting suspected abuse or neglect to authorities promptly.
6. Minimum staffing requirements in Illinois nursing homes are established by:
A) NHA discretion
B) Illinois Department of Public Health regulations
C) Resident council
D) Local city ordinances
Answer: B
Rationale: IDPH regulations define minimum nurse and CNA staffing ratios to ensure
resident safety.
, 7. The administrator’s role in quality assurance includes:
A) Only financial reporting
B) Monitoring clinical care, identifying trends, and implementing corrective actions
C) Personal care of residents D) Only hiring staff
Answer: B
Rationale: Quality Assurance (QA) programs ensure continuous improvement in care delivery
and compliance.
8. Which of the following is considered a resident right under Illinois law?
A) Choice of roommate
B) Freedom from abuse, neglect, and exploitation
C) Control of facility policies D) Setting staff schedules
Answer: B
Rationale: Residents are legally protected from abuse and neglect; administrators must ensure
safeguards.
9. Infection control programs must include:
A) Policies, staff training, and outbreak reporting
B) Only handwashing
C) Disinfecting floors weekly
D) Resident isolation only
Answer: A
Rationale: Comprehensive infection control addresses prevention, training, and regulatory
compliance.
11. The Nursing Home Administrator must ensure compliance with:
A) Only state regulations
B) Both state and federal regulations (IDPH and CMS)
C) Only resident requests D) Only financial audits
(2026/2027) – IDPH NHA Licensing Examination | Actual
Exam Questions and Answers | Brand New | Graded A+
| Guaranteed Pass.
1. What is the primary purpose of the Illinois Nursing Home Care Act?
A) Establish hospital regulations
B) Protect residents’ rights and ensure quality care in nursing homes
C) Regulate physician practice
D) Control insurance rates
Answer: B
Rationale: The Nursing Home Care Act establishes standards for resident care, rights, and
facility operation in Illinois.
2. According to Illinois law, who is responsible for overall management of a
nursing home?
A) Chief Medical Officer
B) Licensed Nursing Home Administrator (NHA)
C) Head Nurse
D) Board of Directors only
Answer: B
Rationale: The NHA has legal responsibility for compliance, operations, and quality of care in
the facility.
3. A nursing home resident requests access to their medical records. The
administrator should:
A) Deny access
B) Provide records promptly in accordance with HIPAA and Illinois law
,Answer: B
C) Charge an unlimited fee
D) Require a court order
Rationale: Residents have the right to access medical records; administrators must comply
with HIPAA and state law.
4. Which body regulates nursing homes in Illinois?
A) Illinois Department of Public Health (IDPH)
B) Centers for Disease Control (CDC)
C) Food and Drug Administration (FDA)
D) Illinois Board of Education
Answer: A
Rationale: IDPH licenses and inspects nursing facilities, ensuring compliance with state
regulations.
5. A resident exhibits signs of abuse. The administrator must:
A) Ignore it
B) Report immediately to the Illinois Department of Public Health and Adult Protective Services
C) Wait for family complaint
D) Document only internally
Answer: B
Rationale: Illinois law mandates reporting suspected abuse or neglect to authorities promptly.
6. Minimum staffing requirements in Illinois nursing homes are established by:
A) NHA discretion
B) Illinois Department of Public Health regulations
C) Resident council
D) Local city ordinances
Answer: B
Rationale: IDPH regulations define minimum nurse and CNA staffing ratios to ensure
resident safety.
, 7. The administrator’s role in quality assurance includes:
A) Only financial reporting
B) Monitoring clinical care, identifying trends, and implementing corrective actions
C) Personal care of residents D) Only hiring staff
Answer: B
Rationale: Quality Assurance (QA) programs ensure continuous improvement in care delivery
and compliance.
8. Which of the following is considered a resident right under Illinois law?
A) Choice of roommate
B) Freedom from abuse, neglect, and exploitation
C) Control of facility policies D) Setting staff schedules
Answer: B
Rationale: Residents are legally protected from abuse and neglect; administrators must ensure
safeguards.
9. Infection control programs must include:
A) Policies, staff training, and outbreak reporting
B) Only handwashing
C) Disinfecting floors weekly
D) Resident isolation only
Answer: A
Rationale: Comprehensive infection control addresses prevention, training, and regulatory
compliance.
11. The Nursing Home Administrator must ensure compliance with:
A) Only state regulations
B) Both state and federal regulations (IDPH and CMS)
C) Only resident requests D) Only financial audits
