Federal Nursing Home Administrator Exam 2026 – Study Guide and
Practice Questions
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
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
3) A facility is not allowed to charge a resident who is Medicaid and Medicare eligible except for:
- correct answer ✔✔ Co-pays
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
5) Resident's rights should be explained to the resident and or family member: - correct answer
✔✔ Prior to admission
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
7) Federal law states that facilities must retain menus of food actually served for at least: -
correct answer ✔✔ 30 days
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
,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
10) Medical records belong to: - correct answer ✔✔ Facility
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
12) The suffix "algia" refers to: - correct answer ✔✔ Pain
13) Physical restraints must be removed: - correct answer ✔✔ Every two hours
14) Depression is one of many psychological changes related to the aging process. Others
include the following except for: - correct answer ✔✔ Hearing loss
15) "Nosocomal" refers to - correct answer ✔✔ Infection occurring inside the facility
(institutionalized)
17) A capital budget is mostly about: - correct answer ✔✔ Equipment and real estate
18) Current debts are debts that are: - correct answer ✔✔ Due within one year
19) A ledger is a complete listing of: - correct answer ✔✔ Accounts payable and receivable
20) Which resource usually provides the least revenue for a nursing home? - correct answer ✔✔
Insurance
, 20) Past due accounts should not exceed: - correct answer ✔✔ 5%
21) All of the following are a cash expense except: - correct answer ✔✔ Depreciation
22) A pro forma is primarily - correct answer ✔✔ A financial statement or prediction
23) A function of management is controlling, which means: - correct answer ✔✔ Measuring
outcomes against benchmarks, then responding
24) OBRA requires every facility to have: - correct answer ✔✔ A governing body - The Omnibus
Reconciliation Act
25) Management by objectives means: - correct answer ✔✔ A system that determines goals
and objectives
26) Policies are: - correct answer ✔✔ General and flexible statements that guid thinking
27) Procedures are: - correct answer ✔✔ Not flexable
28) Short range (tactical) goals can be accomplished - correct answer ✔✔ In less than one year
29) Policies should be developed by the: - correct answer ✔✔ Governing body
30) The charge nurse is considered - correct answer ✔✔ Line level management
31) McGregor's Theory X and Theory Y discuss individual's: - correct answer ✔✔ Employees's
attitudes towards work
Practice Questions
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
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
3) A facility is not allowed to charge a resident who is Medicaid and Medicare eligible except for:
- correct answer ✔✔ Co-pays
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
5) Resident's rights should be explained to the resident and or family member: - correct answer
✔✔ Prior to admission
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
7) Federal law states that facilities must retain menus of food actually served for at least: -
correct answer ✔✔ 30 days
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
,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
10) Medical records belong to: - correct answer ✔✔ Facility
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
12) The suffix "algia" refers to: - correct answer ✔✔ Pain
13) Physical restraints must be removed: - correct answer ✔✔ Every two hours
14) Depression is one of many psychological changes related to the aging process. Others
include the following except for: - correct answer ✔✔ Hearing loss
15) "Nosocomal" refers to - correct answer ✔✔ Infection occurring inside the facility
(institutionalized)
17) A capital budget is mostly about: - correct answer ✔✔ Equipment and real estate
18) Current debts are debts that are: - correct answer ✔✔ Due within one year
19) A ledger is a complete listing of: - correct answer ✔✔ Accounts payable and receivable
20) Which resource usually provides the least revenue for a nursing home? - correct answer ✔✔
Insurance
, 20) Past due accounts should not exceed: - correct answer ✔✔ 5%
21) All of the following are a cash expense except: - correct answer ✔✔ Depreciation
22) A pro forma is primarily - correct answer ✔✔ A financial statement or prediction
23) A function of management is controlling, which means: - correct answer ✔✔ Measuring
outcomes against benchmarks, then responding
24) OBRA requires every facility to have: - correct answer ✔✔ A governing body - The Omnibus
Reconciliation Act
25) Management by objectives means: - correct answer ✔✔ A system that determines goals
and objectives
26) Policies are: - correct answer ✔✔ General and flexible statements that guid thinking
27) Procedures are: - correct answer ✔✔ Not flexable
28) Short range (tactical) goals can be accomplished - correct answer ✔✔ In less than one year
29) Policies should be developed by the: - correct answer ✔✔ Governing body
30) The charge nurse is considered - correct answer ✔✔ Line level management
31) McGregor's Theory X and Theory Y discuss individual's: - correct answer ✔✔ Employees's
attitudes towards work
