TX Nursing Home Administrator License
Practice Test 2026 with 250 Latest Exam
Questions and Correct Answers/ Texas Nursing
Home Administrator 2026 Exam Prep Guide
(Latest!)
A facility must comply with which version of the NFPA Life Safety code? -
CORRECT ANSWER ✔✔ - 2000
The facility must meet the applicable provisions of the 2000 edition of the Life
Safety Code of the National Fire Protection Association (NFPA). The Life Safety
Code is available for inspection at the Office of the Federal Register Information
Center, Washington, D.C.
How must a facility explain to the resident his/her rights, and the rules of conduct
for residents in the facility? - CORRECT ANSWER ✔✔ - Both orally and in writing in
a language the resident understands
Can a resident of a facility work at the facility? - CORRECT ANSWER ✔✔ - Yes, if
the resident agrees to and it is in the care plan
Can a resident self-administer their own drugs? - CORRECT ANSWER ✔✔ - Yes, if
the interdisciplinary team has determined the practice is safe. This will be
reviewed periodically.
Ma and Pa's nursing facility was just informed that it needs to offer its resident
the pneumococcal vaccine. Which residents does it need to offer this vaccine to? -
1|Page
,CORRECT ANSWER ✔✔ - To those that are 65 years or older or those that are
candidates because of chronic illness
A nursing home is at capacity with 58 residents; how many monthly hours of
dietary consultation must they have at a minimum? - CORRECT ANSWER ✔✔ - 8
hours monthly
The facility must ensure a qualified dietitian is available as frequently and for such
time as is necessary to assure each resident a diet that meets the daily nutritional
and special dietary needs of each resident, based upon the acuity and clinical
needs of the resident. The facility must ensure that monthly dietary consultant
hours are provided, at a minimum, as follows: (1) facility population: 60 residents
or under - eight hours; (2) facility population: each additional 30 residents or
fraction thereof - four hours.
Resident bedrooms must measure at least ___ square feet per resident in
multiple resident rooms and ___ square feet for single resident rooms - CORRECT
ANSWER ✔✔ - 80; 100
What group gives recommendations for facility lighting? - CORRECT ANSWER ✔✔
- Illumination Engineering Society of North America
Auxiliary buildings located on the site within ____ of the main licensed structure
and which contain hazardous operations or contents, must meet the same
requirements for safety as the main licensed structure - CORRECT ANSWER ✔✔ -
20 feet
2|Page
,Heating and air conditioning must be designed and installed in accordance with
NFPA 90A and Heating, Ventilating, and Air-Conditioning Guide created by who? -
CORRECT ANSWER ✔✔ - American Society of Heating, Refrigeration, and Air-
Conditioning Engineers (ASHRAE)
The DON may serve as charge nursing when there is an average daily occupancy
of how many residents? - CORRECT ANSWER ✔✔ - 60 or fewer
Who is responsible for developing a policy to avoid injuries to residents and
nurses involved in lifting, moving, transferring, and repositioning residents? -
CORRECT ANSWER ✔✔ - The Quality Assessment and Assurance Committee
Medicaid-certified facilities must keep financial records re: purchases made on a
residents' behalf for how long? - CORRECT ANSWER ✔✔ - 3 years and 90 days
with a contract (or for 3 years after the end of the federal fiscal year in which
services were provided if there was a provider agreement/contract with no
specific termination date in effect)
Hilltop Park has just admitted Mike, a 15 year old male to the facility. What must
the facility NOT send to the local education agency (LEA)? - CORRECT ANSWER
✔✔ - Diet menu
How many unannounced visits during a licensing period will DHS invite a citizen
advocate to accompany them during a licensing inspection? - CORRECT ANSWER
✔✔ - 2 visits
There must be at least one approved, readily accessible fire hydrant within how
many feet of the facility? - CORRECT ANSWER ✔✔ - 300 feet
3|Page
, Golden Acres just got a deficiency in their dietary dept because they didn't keep
records properly. How long should they retain the menus for? - CORRECT
ANSWER ✔✔ - At least 30 days
What is the minimum amount of lighting in a resident bedroom? - CORRECT
ANSWER ✔✔ - 10 foot candles
Corridors must be equipped with handrails that are how far from the floor? -
CORRECT ANSWER ✔✔ - 33-36 inches from the floor
If a facility has no other policy, how long at minimum should a facility keep the
daily posted nurse staffing data? - CORRECT ANSWER ✔✔ - 2 years
If DADS decides to revoke a facility's license at some point, how long after
receiving the certified letter stating such action, does the licensee holder have to
request a hearing? - CORRECT ANSWER ✔✔ - 30 days
Brentwood Nursing Facility must have written policies that include plans for
promoting ___________ and _________________ - CORRECT ANSWER ✔✔ - Self-
care and independence
Nurse aide in-service training is derived from what? - CORRECT ANSWER ✔✔ -
Nurse aide performance reviews
The facilities Medical Director is responsible for what? - CORRECT ANSWER ✔✔ -
Implementation of resident care policies
4|Page
Practice Test 2026 with 250 Latest Exam
Questions and Correct Answers/ Texas Nursing
Home Administrator 2026 Exam Prep Guide
(Latest!)
A facility must comply with which version of the NFPA Life Safety code? -
CORRECT ANSWER ✔✔ - 2000
The facility must meet the applicable provisions of the 2000 edition of the Life
Safety Code of the National Fire Protection Association (NFPA). The Life Safety
Code is available for inspection at the Office of the Federal Register Information
Center, Washington, D.C.
How must a facility explain to the resident his/her rights, and the rules of conduct
for residents in the facility? - CORRECT ANSWER ✔✔ - Both orally and in writing in
a language the resident understands
Can a resident of a facility work at the facility? - CORRECT ANSWER ✔✔ - Yes, if
the resident agrees to and it is in the care plan
Can a resident self-administer their own drugs? - CORRECT ANSWER ✔✔ - Yes, if
the interdisciplinary team has determined the practice is safe. This will be
reviewed periodically.
Ma and Pa's nursing facility was just informed that it needs to offer its resident
the pneumococcal vaccine. Which residents does it need to offer this vaccine to? -
1|Page
,CORRECT ANSWER ✔✔ - To those that are 65 years or older or those that are
candidates because of chronic illness
A nursing home is at capacity with 58 residents; how many monthly hours of
dietary consultation must they have at a minimum? - CORRECT ANSWER ✔✔ - 8
hours monthly
The facility must ensure a qualified dietitian is available as frequently and for such
time as is necessary to assure each resident a diet that meets the daily nutritional
and special dietary needs of each resident, based upon the acuity and clinical
needs of the resident. The facility must ensure that monthly dietary consultant
hours are provided, at a minimum, as follows: (1) facility population: 60 residents
or under - eight hours; (2) facility population: each additional 30 residents or
fraction thereof - four hours.
Resident bedrooms must measure at least ___ square feet per resident in
multiple resident rooms and ___ square feet for single resident rooms - CORRECT
ANSWER ✔✔ - 80; 100
What group gives recommendations for facility lighting? - CORRECT ANSWER ✔✔
- Illumination Engineering Society of North America
Auxiliary buildings located on the site within ____ of the main licensed structure
and which contain hazardous operations or contents, must meet the same
requirements for safety as the main licensed structure - CORRECT ANSWER ✔✔ -
20 feet
2|Page
,Heating and air conditioning must be designed and installed in accordance with
NFPA 90A and Heating, Ventilating, and Air-Conditioning Guide created by who? -
CORRECT ANSWER ✔✔ - American Society of Heating, Refrigeration, and Air-
Conditioning Engineers (ASHRAE)
The DON may serve as charge nursing when there is an average daily occupancy
of how many residents? - CORRECT ANSWER ✔✔ - 60 or fewer
Who is responsible for developing a policy to avoid injuries to residents and
nurses involved in lifting, moving, transferring, and repositioning residents? -
CORRECT ANSWER ✔✔ - The Quality Assessment and Assurance Committee
Medicaid-certified facilities must keep financial records re: purchases made on a
residents' behalf for how long? - CORRECT ANSWER ✔✔ - 3 years and 90 days
with a contract (or for 3 years after the end of the federal fiscal year in which
services were provided if there was a provider agreement/contract with no
specific termination date in effect)
Hilltop Park has just admitted Mike, a 15 year old male to the facility. What must
the facility NOT send to the local education agency (LEA)? - CORRECT ANSWER
✔✔ - Diet menu
How many unannounced visits during a licensing period will DHS invite a citizen
advocate to accompany them during a licensing inspection? - CORRECT ANSWER
✔✔ - 2 visits
There must be at least one approved, readily accessible fire hydrant within how
many feet of the facility? - CORRECT ANSWER ✔✔ - 300 feet
3|Page
, Golden Acres just got a deficiency in their dietary dept because they didn't keep
records properly. How long should they retain the menus for? - CORRECT
ANSWER ✔✔ - At least 30 days
What is the minimum amount of lighting in a resident bedroom? - CORRECT
ANSWER ✔✔ - 10 foot candles
Corridors must be equipped with handrails that are how far from the floor? -
CORRECT ANSWER ✔✔ - 33-36 inches from the floor
If a facility has no other policy, how long at minimum should a facility keep the
daily posted nurse staffing data? - CORRECT ANSWER ✔✔ - 2 years
If DADS decides to revoke a facility's license at some point, how long after
receiving the certified letter stating such action, does the licensee holder have to
request a hearing? - CORRECT ANSWER ✔✔ - 30 days
Brentwood Nursing Facility must have written policies that include plans for
promoting ___________ and _________________ - CORRECT ANSWER ✔✔ - Self-
care and independence
Nurse aide in-service training is derived from what? - CORRECT ANSWER ✔✔ -
Nurse aide performance reviews
The facilities Medical Director is responsible for what? - CORRECT ANSWER ✔✔ -
Implementation of resident care policies
4|Page
