Federal Nursing Home
Administrator Exam
(Fully Updated 2026) Exam Questions + Verified &
250+
Rationalized Answers | A+ Graded
VERIFIED ANSWERS
Question 1
1) OBRA asserts some separate committees can be folded into the quality improvement/assurance committee. Safety,
Pharmacy and which committee below can be added into QA/QI committee?
Correct Answer
Infection Control
Rationale:
Infection Control is a critical component of quality improvement/assurance in healthcare settings as it directly impacts patient safety and health
outcomes, making it a natural fit for the QA/QI committee. OBRA's flexibility in allowing separate committees to be folded into QA/QI
committee highlights the importance of integrating infection control practices into overall quality improvement strategies.
Question 2
2) Nursing homes are responsible for obtaining and providing dental care for residents. Who usually pays for dental
services?
Correct Answer
The resident or a family member
Rationale:
The correct answer is because the patient typically has a right to choose their own healthcare providers, including dentists, and therefore
would be responsible for paying for dental services, with the assistance of a family member if needed. Nursing homes often have policies
allowing residents to select their dentists, and the cost of dental care would usually be borne by the individual or their family.
Question 3
3) A facility is not allowed to charge a resident who is Medicaid and Medicare eligible except for:
Correct Answer
Co-pays
Rationale:
A facility is allowed to charge a Medicaid and Medicare eligible resident for any costs that are not covered by either Medicaid or Medicare,
which is referred to as a "co-pay." This is a standard practice in the healthcare industry, enabling facilities to recoup some expenses not
reimbursed by these government programs.
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,Question 4
4) You calculate the average percent of occupancy by:
Correct Answer
Dividing the total census (occupied bed days) by the total number of days, then multiply by 100
Rationale:
To calculate the average percent of occupancy, you need to first understand that the total census (occupied bed days) represents the total time
beds were occupied, and the total number of days represents the total time the beds were available. By dividing the total census by the total
number of days and multiplying by 100, you are essentially finding the proportion of occupied days out of total days, and then converting that
proportion into a percentage.
Question 5
5) Resident's rights should be explained to the resident and or family member:
Correct Answer
Prior to admission
Rationale:
"Prior to admission" is the correct answer because it emphasizes the importance of establishing clear communication and setting expectations
early on, allowing the resident to make informed decisions and feel more in control of their care. By explaining resident rights before they
actually become a resident, the facility can establish trust and ensure that the individual understands their rights and responsibilities from the
outset.
Question 6
6) In case of an emergency, when no attending or back up physician is available, the decision as to who will attend to the
resident is to be made by the:
Correct Answer
Administrator
Rationale:
In a healthcare setting, the Administrator is responsible for overseeing the overall operation and management of the facility, which includes
making critical decisions in case of emergencies when medical staff is unavailable. This role provides the necessary authority and perspective to
make timely and informed decisions regarding resident care, ensuring continuity and patient safety.
Question 7
7) Federal law states that facilities must retain menus of food actually served for at least:
Correct Answer
30 days
Rationale:
The correct answer of "30 days" is due to the fact that federal law is likely referencing the USDA's record retention requirements for school
meal programs, which mandate that facilities retain menus of food served for no less than 30 calendar days. This time frame allows for
accurate record-keeping, tracking of food waste, and compliance with federal regulations.
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,Question 8
8) A resident with a living will and DPOA specified she wants to receive heroic measures if necessary. Six months later the
resident requires CPR, but is now incompetent and the son request CPR be withheld. What is the right thing to do?
Correct Answer
Provide the CPR
Rationale:
The primary reason "Provide the CPR" is the correct answer is that the resident's advance directive (living will and DPOA) superseded their
current incompetent state, making their prior wishes to receive heroic measures binding. Since the resident's advance directive specified a
desire for heroic measures, the healthcare provider must respect and honor this previously expressed wish, rather than deferring to the son's
current request.
Question 9
9) A resident asks to see his chart. The doctor tells the nurse not to allow the resident access to the chart. What do you do?
Correct Answer
Tell the doctor the law gives the resident the right to view the medical records
Rationale:
You would inform the doctor that the law gives the resident the right to view their medical records because medical records belong to the
patient, not the healthcare provider, and patients have a fundamental right to access their own information. This right is often protected by
laws such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States, which ensures patients' confidentiality and
access to their medical records.
Question 10
10) Medical records belong to:
Correct Answer
Facility
Rationale:
Medical records belong to the facility because the facility, such as a hospital or clinic, is responsible for creating, storing, and maintaining the
records, and the patient generally does not own or have direct control over the records. This ownership is a standard policy in the healthcare
industry to ensure patient confidentiality and to allow the facility to manage and protect sensitive medical information.
Question 11
11) When a resident passes away, the personal funds deposited with the facility must be given to the resident's estate with
a final accounting of the funds within:
Correct Answer
30 days
Rationale:
The correct answer is "30 days" because this timeframe aligns with the federal and state regulations that govern nursing homes and long-term
care facilities, dictating that the facility must provide a detailed accounting of the deceased resident's personal funds within a specific window
after their passing. This allows the estate to reconcile the resident's financial records and settle any outstanding obligations.
Trusted by thousands of students and professionals worldwide Page 3 of 66
, Question 12
12) The suffix "algia" refers to:
Correct Answer
Pain
Rationale:
The suffix "algia" is derived from the Greek word "algesis," which means pain or the sensation of pain. This etymology directly links the suffix
to the concept of pain, making it a fitting term to describe words that relate to pain or discomfort.
Question 13
13) Physical restraints must be removed:
Correct Answer
Every two hours
Rationale:
Physical restraints are typically applied and monitored by nursing staff, with orders usually specified in terms of hours or shifts, making "Every
two hours" a practical and common timeframe for checking and removing restraints. This frequency allows for ongoing assessment and
adjustment of the restraints to prevent discomfort, injury, or other adverse effects.
Question 14
14) Depression is one of many psychological changes related to the aging process. Others include the following except for:
Correct Answer
Hearing loss
Rationale:
The correct answer is "Hearing loss" because it is not a psychological change, but rather a physical change related to the aging process.
Hearing loss is typically caused by the degeneration of the auditory system, which affects the ear's ability to detect sounds, making it a
physical rather than psychological change.
Question 15
15) "Nosocomal" refers to
Correct Answer
Infection occurring inside the facility (institutionalized)
Rationale:
The term "nosocomial" specifically refers to infections or conditions that originate within a healthcare facility, such as a hospital, due to the
environment or medical treatment. This term is derived from the Greek words "nosokomeion," meaning hospital, and "logos," meaning study or
discourse, highlighting the focus on hospital-acquired infections.
Trusted by thousands of students and professionals worldwide Page 4 of 66
Administrator Exam
(Fully Updated 2026) Exam Questions + Verified &
250+
Rationalized Answers | A+ Graded
VERIFIED ANSWERS
Question 1
1) OBRA asserts some separate committees can be folded into the quality improvement/assurance committee. Safety,
Pharmacy and which committee below can be added into QA/QI committee?
Correct Answer
Infection Control
Rationale:
Infection Control is a critical component of quality improvement/assurance in healthcare settings as it directly impacts patient safety and health
outcomes, making it a natural fit for the QA/QI committee. OBRA's flexibility in allowing separate committees to be folded into QA/QI
committee highlights the importance of integrating infection control practices into overall quality improvement strategies.
Question 2
2) Nursing homes are responsible for obtaining and providing dental care for residents. Who usually pays for dental
services?
Correct Answer
The resident or a family member
Rationale:
The correct answer is because the patient typically has a right to choose their own healthcare providers, including dentists, and therefore
would be responsible for paying for dental services, with the assistance of a family member if needed. Nursing homes often have policies
allowing residents to select their dentists, and the cost of dental care would usually be borne by the individual or their family.
Question 3
3) A facility is not allowed to charge a resident who is Medicaid and Medicare eligible except for:
Correct Answer
Co-pays
Rationale:
A facility is allowed to charge a Medicaid and Medicare eligible resident for any costs that are not covered by either Medicaid or Medicare,
which is referred to as a "co-pay." This is a standard practice in the healthcare industry, enabling facilities to recoup some expenses not
reimbursed by these government programs.
Trusted by thousands of students and professionals worldwide Page 1 of 66
,Question 4
4) You calculate the average percent of occupancy by:
Correct Answer
Dividing the total census (occupied bed days) by the total number of days, then multiply by 100
Rationale:
To calculate the average percent of occupancy, you need to first understand that the total census (occupied bed days) represents the total time
beds were occupied, and the total number of days represents the total time the beds were available. By dividing the total census by the total
number of days and multiplying by 100, you are essentially finding the proportion of occupied days out of total days, and then converting that
proportion into a percentage.
Question 5
5) Resident's rights should be explained to the resident and or family member:
Correct Answer
Prior to admission
Rationale:
"Prior to admission" is the correct answer because it emphasizes the importance of establishing clear communication and setting expectations
early on, allowing the resident to make informed decisions and feel more in control of their care. By explaining resident rights before they
actually become a resident, the facility can establish trust and ensure that the individual understands their rights and responsibilities from the
outset.
Question 6
6) In case of an emergency, when no attending or back up physician is available, the decision as to who will attend to the
resident is to be made by the:
Correct Answer
Administrator
Rationale:
In a healthcare setting, the Administrator is responsible for overseeing the overall operation and management of the facility, which includes
making critical decisions in case of emergencies when medical staff is unavailable. This role provides the necessary authority and perspective to
make timely and informed decisions regarding resident care, ensuring continuity and patient safety.
Question 7
7) Federal law states that facilities must retain menus of food actually served for at least:
Correct Answer
30 days
Rationale:
The correct answer of "30 days" is due to the fact that federal law is likely referencing the USDA's record retention requirements for school
meal programs, which mandate that facilities retain menus of food served for no less than 30 calendar days. This time frame allows for
accurate record-keeping, tracking of food waste, and compliance with federal regulations.
Trusted by thousands of students and professionals worldwide Page 2 of 66
,Question 8
8) A resident with a living will and DPOA specified she wants to receive heroic measures if necessary. Six months later the
resident requires CPR, but is now incompetent and the son request CPR be withheld. What is the right thing to do?
Correct Answer
Provide the CPR
Rationale:
The primary reason "Provide the CPR" is the correct answer is that the resident's advance directive (living will and DPOA) superseded their
current incompetent state, making their prior wishes to receive heroic measures binding. Since the resident's advance directive specified a
desire for heroic measures, the healthcare provider must respect and honor this previously expressed wish, rather than deferring to the son's
current request.
Question 9
9) A resident asks to see his chart. The doctor tells the nurse not to allow the resident access to the chart. What do you do?
Correct Answer
Tell the doctor the law gives the resident the right to view the medical records
Rationale:
You would inform the doctor that the law gives the resident the right to view their medical records because medical records belong to the
patient, not the healthcare provider, and patients have a fundamental right to access their own information. This right is often protected by
laws such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States, which ensures patients' confidentiality and
access to their medical records.
Question 10
10) Medical records belong to:
Correct Answer
Facility
Rationale:
Medical records belong to the facility because the facility, such as a hospital or clinic, is responsible for creating, storing, and maintaining the
records, and the patient generally does not own or have direct control over the records. This ownership is a standard policy in the healthcare
industry to ensure patient confidentiality and to allow the facility to manage and protect sensitive medical information.
Question 11
11) When a resident passes away, the personal funds deposited with the facility must be given to the resident's estate with
a final accounting of the funds within:
Correct Answer
30 days
Rationale:
The correct answer is "30 days" because this timeframe aligns with the federal and state regulations that govern nursing homes and long-term
care facilities, dictating that the facility must provide a detailed accounting of the deceased resident's personal funds within a specific window
after their passing. This allows the estate to reconcile the resident's financial records and settle any outstanding obligations.
Trusted by thousands of students and professionals worldwide Page 3 of 66
, Question 12
12) The suffix "algia" refers to:
Correct Answer
Pain
Rationale:
The suffix "algia" is derived from the Greek word "algesis," which means pain or the sensation of pain. This etymology directly links the suffix
to the concept of pain, making it a fitting term to describe words that relate to pain or discomfort.
Question 13
13) Physical restraints must be removed:
Correct Answer
Every two hours
Rationale:
Physical restraints are typically applied and monitored by nursing staff, with orders usually specified in terms of hours or shifts, making "Every
two hours" a practical and common timeframe for checking and removing restraints. This frequency allows for ongoing assessment and
adjustment of the restraints to prevent discomfort, injury, or other adverse effects.
Question 14
14) Depression is one of many psychological changes related to the aging process. Others include the following except for:
Correct Answer
Hearing loss
Rationale:
The correct answer is "Hearing loss" because it is not a psychological change, but rather a physical change related to the aging process.
Hearing loss is typically caused by the degeneration of the auditory system, which affects the ear's ability to detect sounds, making it a
physical rather than psychological change.
Question 15
15) "Nosocomal" refers to
Correct Answer
Infection occurring inside the facility (institutionalized)
Rationale:
The term "nosocomial" specifically refers to infections or conditions that originate within a healthcare facility, such as a hospital, due to the
environment or medical treatment. This term is derived from the Greek words "nosokomeion," meaning hospital, and "logos," meaning study or
discourse, highlighting the focus on hospital-acquired infections.
Trusted by thousands of students and professionals worldwide Page 4 of 66
