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ILLINOIS SUPPLEMENTAL NURSING HOME
ADMINISTRATOR IDPH NHA Licensing
Examination Exam Questions and Answers
Rationales Brand New 2026
1. 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
<<CORRECT ANSWER>>B
Rationale: Illinois law mandates reporting suspected abuse or neglect to authorities promptly.
2. 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
<<CORRECT ANSWER>>B
Rationale: IDPH regulations define minimum nurse and CNA staffing ratios to ensure
resident safety.
3. The administrator’s role in quality assurance includes:
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A) Only financial reporting
B) Monitoring clinical care, identifying trends, and implementing corrective actions
C) Personal care of residents
D) Only hiring staff
<<CORRECT ANSWER>>B
Rationale: Quality Assurance (QA) programs ensure continuous improvement in care delivery
and compliance.
4. 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
<<CORRECT ANSWER>>B
Rationale: Residents are legally protected from abuse and neglect; administrators must ensure
safeguards.
5. Infection control programs must include:
A) Policies, staff training, and outbreak reporting
B) Only handwashing
C) Disinfecting floors weekly
D) Resident isolation only
<<CORRECT ANSWER>>A
Rationale: Comprehensive infection control addresses prevention, training, and regulatory
compliance.
6. A facility survey identifies a deficiency. The administrator should:
A) Ignore it
B) Develop and implement a corrective action plan promptly
C) Blame staff
D) Wait for a follow-up survey
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<<CORRECT ANSWER>>B
Rationale: Prompt corrective action is required by IDPH to ensure safety and regulatory
compliance.
7. 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
<<CORRECT ANSWER>>B
Rationale: Administrators are accountable for meeting all applicable regulations, including
CMS and IDPH rules.
8. Which of the following is a key component of a resident care plan?
A) Staff vacation schedule
B) Resident needs, interventions, goals, and evaluation
C) Administrator’s personal schedule
D) Insurance premiums
<<CORRECT ANSWER>>B
Rationale: Care plans guide individualized care and must be documented and reviewed
regularly.
9. Which professional can legally administer medications in a nursing home?
A) CNA
B) Licensed nurse (RN or LPN) under supervision
C) Any staff
D) Administrator
<<CORRECT ANSWER>>B
Rationale: Medication administration requires licensure; CNAs may assist only with oral
medications under state rules.
10. A nursing home must maintain what type of medical records?
ILLINOIS SUPPLEMENTAL NURSING HOME
ADMINISTRATOR IDPH NHA Licensing
Examination Exam Questions and Answers
Rationales Brand New 2026
1. 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
<<CORRECT ANSWER>>B
Rationale: Illinois law mandates reporting suspected abuse or neglect to authorities promptly.
2. 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
<<CORRECT ANSWER>>B
Rationale: IDPH regulations define minimum nurse and CNA staffing ratios to ensure
resident safety.
3. The administrator’s role in quality assurance includes:
,2
A) Only financial reporting
B) Monitoring clinical care, identifying trends, and implementing corrective actions
C) Personal care of residents
D) Only hiring staff
<<CORRECT ANSWER>>B
Rationale: Quality Assurance (QA) programs ensure continuous improvement in care delivery
and compliance.
4. 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
<<CORRECT ANSWER>>B
Rationale: Residents are legally protected from abuse and neglect; administrators must ensure
safeguards.
5. Infection control programs must include:
A) Policies, staff training, and outbreak reporting
B) Only handwashing
C) Disinfecting floors weekly
D) Resident isolation only
<<CORRECT ANSWER>>A
Rationale: Comprehensive infection control addresses prevention, training, and regulatory
compliance.
6. A facility survey identifies a deficiency. The administrator should:
A) Ignore it
B) Develop and implement a corrective action plan promptly
C) Blame staff
D) Wait for a follow-up survey
, 3
<<CORRECT ANSWER>>B
Rationale: Prompt corrective action is required by IDPH to ensure safety and regulatory
compliance.
7. 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
<<CORRECT ANSWER>>B
Rationale: Administrators are accountable for meeting all applicable regulations, including
CMS and IDPH rules.
8. Which of the following is a key component of a resident care plan?
A) Staff vacation schedule
B) Resident needs, interventions, goals, and evaluation
C) Administrator’s personal schedule
D) Insurance premiums
<<CORRECT ANSWER>>B
Rationale: Care plans guide individualized care and must be documented and reviewed
regularly.
9. Which professional can legally administer medications in a nursing home?
A) CNA
B) Licensed nurse (RN or LPN) under supervision
C) Any staff
D) Administrator
<<CORRECT ANSWER>>B
Rationale: Medication administration requires licensure; CNAs may assist only with oral
medications under state rules.
10. A nursing home must maintain what type of medical records?
