Texas Nursing Home Administrator License Practice
Exam – 100 MCQs with Detailed Answers,
Explanations, and Realistic Test Preparation Guide
1.
A nursing home administrator is responsible for ensuring that residents receive quality care while
the facility complies with all applicable regulations. Which of the following best describes the
primary responsibility of a nursing home administrator?
A. Performing medical procedures for residents
B. Managing operations, regulatory compliance, and quality of resident care
C. Prescribing medications for residents
D. Providing physical therapy services
✅ Correct Answer: B – Managing operations, regulatory compliance, and quality of
resident care
Explanation:
The administrator oversees the facility’s daily operations, staff management, financial planning,
and regulatory compliance to ensure residents receive safe and quality care.
2.
A long-term care facility must follow federal regulations related to resident rights. Which
resident right is most fundamental in nursing home care?
A. The right to choose the facility’s physician
B. The right to dignity, privacy, and respect in care
C. The right to unlimited visitors at any time
D. The right to manage all staff decisions
✅ Correct Answer: B – The right to dignity, privacy, and respect in care
Explanation:
Federal regulations require facilities to respect residents’ dignity, individuality, and privacy.
3.
,Which federal program primarily provides health coverage for most nursing home residents in
the United States?
A. Social Security
B. Medicaid
C. Veterans Affairs
D. Private insurance only
✅ Correct Answer: B – Medicaid
Explanation:
Medicaid is the largest payer for long-term nursing home care.
4.
Which leadership style is most effective for nursing home administrators when managing
interdisciplinary care teams?
A. Autocratic leadership
B. Laissez-faire leadership
C. Collaborative leadership
D. Passive leadership
✅ Correct Answer: C – Collaborative leadership
Explanation:
Collaborative leadership encourages teamwork between nurses, therapists, physicians, and other
staff.
5.
Which document outlines the individualized care plan for a nursing home resident?
A. Financial record
B. Resident care plan
C. Staff schedule
D. Facility policy manual
✅ Correct Answer: B – Resident care plan
Explanation:
The care plan details medical, emotional, and social needs for each resident.
,6.
Which of the following is the most important goal of infection control programs in nursing
homes?
A. Reducing staff workload
B. Increasing facility profits
C. Preventing the spread of infectious diseases
D. Increasing medication use
✅ Correct Answer: C – Preventing the spread of infectious diseases
Explanation:
Infection control protects residents and staff from illness.
7.
Which federal law established national standards for nursing home care quality?
A. Affordable Care Act
B. Social Security Act
C. Omnibus Budget Reconciliation Act of 1987 (OBRA)
D. HIPAA
✅ Correct Answer: C – OBRA 1987
Explanation:
OBRA established federal requirements for nursing homes receiving Medicare or Medicaid
funding.
8.
Which department in a nursing home is primarily responsible for maintaining medical records?
A. Dietary department
B. Health information management department
C. Housekeeping department
D. Recreation department
, ✅ Correct Answer: B – Health information management department
Explanation:
This department manages resident medical documentation and records.
9.
Which of the following best describes “quality assurance” in long-term care facilities?
A. Hiring more staff
B. Monitoring and improving care services continuously
C. Increasing room prices
D. Expanding building space
✅ Correct Answer: B – Monitoring and improving care services continuously
Explanation:
Quality assurance programs evaluate services and improve care outcomes.
10.
Which of the following is an example of resident abuse?
A. Ignoring a request for water occasionally
B. Intentionally causing physical harm to a resident
C. Delayed meal service
D. Misplacing paperwork
✅ Correct Answer: B – Intentionally causing physical harm
Explanation:
Any physical, emotional, or financial harm to residents is considered abuse.
11.
Which professional typically coordinates the nursing care provided to residents?
A. Dietitian
B. Administrator
Exam – 100 MCQs with Detailed Answers,
Explanations, and Realistic Test Preparation Guide
1.
A nursing home administrator is responsible for ensuring that residents receive quality care while
the facility complies with all applicable regulations. Which of the following best describes the
primary responsibility of a nursing home administrator?
A. Performing medical procedures for residents
B. Managing operations, regulatory compliance, and quality of resident care
C. Prescribing medications for residents
D. Providing physical therapy services
✅ Correct Answer: B – Managing operations, regulatory compliance, and quality of
resident care
Explanation:
The administrator oversees the facility’s daily operations, staff management, financial planning,
and regulatory compliance to ensure residents receive safe and quality care.
2.
A long-term care facility must follow federal regulations related to resident rights. Which
resident right is most fundamental in nursing home care?
A. The right to choose the facility’s physician
B. The right to dignity, privacy, and respect in care
C. The right to unlimited visitors at any time
D. The right to manage all staff decisions
✅ Correct Answer: B – The right to dignity, privacy, and respect in care
Explanation:
Federal regulations require facilities to respect residents’ dignity, individuality, and privacy.
3.
,Which federal program primarily provides health coverage for most nursing home residents in
the United States?
A. Social Security
B. Medicaid
C. Veterans Affairs
D. Private insurance only
✅ Correct Answer: B – Medicaid
Explanation:
Medicaid is the largest payer for long-term nursing home care.
4.
Which leadership style is most effective for nursing home administrators when managing
interdisciplinary care teams?
A. Autocratic leadership
B. Laissez-faire leadership
C. Collaborative leadership
D. Passive leadership
✅ Correct Answer: C – Collaborative leadership
Explanation:
Collaborative leadership encourages teamwork between nurses, therapists, physicians, and other
staff.
5.
Which document outlines the individualized care plan for a nursing home resident?
A. Financial record
B. Resident care plan
C. Staff schedule
D. Facility policy manual
✅ Correct Answer: B – Resident care plan
Explanation:
The care plan details medical, emotional, and social needs for each resident.
,6.
Which of the following is the most important goal of infection control programs in nursing
homes?
A. Reducing staff workload
B. Increasing facility profits
C. Preventing the spread of infectious diseases
D. Increasing medication use
✅ Correct Answer: C – Preventing the spread of infectious diseases
Explanation:
Infection control protects residents and staff from illness.
7.
Which federal law established national standards for nursing home care quality?
A. Affordable Care Act
B. Social Security Act
C. Omnibus Budget Reconciliation Act of 1987 (OBRA)
D. HIPAA
✅ Correct Answer: C – OBRA 1987
Explanation:
OBRA established federal requirements for nursing homes receiving Medicare or Medicaid
funding.
8.
Which department in a nursing home is primarily responsible for maintaining medical records?
A. Dietary department
B. Health information management department
C. Housekeeping department
D. Recreation department
, ✅ Correct Answer: B – Health information management department
Explanation:
This department manages resident medical documentation and records.
9.
Which of the following best describes “quality assurance” in long-term care facilities?
A. Hiring more staff
B. Monitoring and improving care services continuously
C. Increasing room prices
D. Expanding building space
✅ Correct Answer: B – Monitoring and improving care services continuously
Explanation:
Quality assurance programs evaluate services and improve care outcomes.
10.
Which of the following is an example of resident abuse?
A. Ignoring a request for water occasionally
B. Intentionally causing physical harm to a resident
C. Delayed meal service
D. Misplacing paperwork
✅ Correct Answer: B – Intentionally causing physical harm
Explanation:
Any physical, emotional, or financial harm to residents is considered abuse.
11.
Which professional typically coordinates the nursing care provided to residents?
A. Dietitian
B. Administrator
