State Exam Oklahoma Nursing Home Administrator
Prep Test Bank 2026-2027 with 500 Real Test
Questions and Correct Answers/ Oklahoma Nursing
Home Admin Exam 2026/ NAB / NAB CORE
1. Who was the authority, under ordinary circumstances, to deny a resident a
visitor?
Correct answer: Administrator
Rationale: The administrator has the ultimate authority over facility operations,
including visitor policies, under ordinary circumstances.
2. How often shall the resident receive an accounting of their personal finances
when the facility manages their trust funds?
Correct answer: At least quarterly
Rationale: Quarterly accounting ensures transparency and protects resident
financial rights.
3. Do you have to make your state survey available to the public?
Correct answer: Yes
Rationale: State survey results are public records and must be available upon
request.
4. Do you have to make residents rights available to the public?
Correct answer: Yes
Rationale: Resident rights must be posted and accessible to residents, families,
and the public.
5. Do you have to have current licensure information available to the public?
1
,Correct answer: Yes
Rationale: Licensure information demonstrates legal operation and must be
publicly displayed.
6. Who destroys medications prescribed for residents after they've expired?
Correct answer: Pharmacist, DON, OR DON & LPN
Rationale: Expired medications must be destroyed by authorized personnel to
prevent misuse and ensure safety.
7. Concerning CEU's if the NAB has approved a class for credit, can you presume
that OSBELTCA will also approve that class?
Correct answer: Yes
Rationale: OSBELTCA presumptively accepts NAB/NCERS-approved
continuing education.
8. According to OSBELTCA rules, how many days do you have to notify them of
the relocation of your business or personal mailing address?
Correct answer: 15 business days
Rationale: Timely notification ensures accurate records and communication.
9. According to the health department standards, how frequently is your facility
required to provide in service training for fire safety and first aid?
Correct answer: Semi-Annually
Rationale: Twice-yearly training maintains staff preparedness for emergencies.
10. What is the time frame for reporting resident abuse, Neglect, and/or
exploitation to the State Health Department, or allegations of abuse to the
DHS/long-term care investigation unit?
2
,Correct answer: 24 hrs
Rationale: Immediate reporting (within 24 hours) is mandated to protect resident
safety.
11. How many days do you have (in addition to telephone reporting) to make an
initial report of an incident of resident abuse to the State Department of Health?
Correct answer: 24hrs
Rationale: Written follow-up is required within 24 hours of telephone notification.
12. How long are a physicians oral orders for a chemical restraint valid without a
written order?
Correct answer: 48hrs
Rationale: Oral orders for restraints must be reduced to writing within 48 hours.
13. How frequently are circumstances requiring physical restraints re-evaluated?
Correct answer: 30 minutes
Rationale: Frequent re-evaluation (every 30 minutes) ensures restraint necessity
and resident safety.
14. How many days, per the Nursing Home Care Act, is an owner of a licensed
facility required to give notice prior to voluntarily closing all or part of a facility
that will require the transfer or discharge of more than 10% of its residents?
Correct answer: 90 days
Rationale: Advance notice protects residents from abrupt displacement.
15. Who is allowed to administer medications?
Correct answer: Nurses, physicians, pharmacists, CMA
Rationale: Only licensed or certified personnel with appropriate training may
administer medications.
3
, 16. Where are social services rendered recorded, and how frequently are progress
notes written?
Correct answer: At least monthly and significant change
Rationale: Regular documentation tracks resident progress and care plan
effectiveness.
17. What happens if you fail to renew your license on time (and when is it due)?
Correct answer: Vacated licensure, late fees $100 week, Dec. 31st
Rationale: Licenses expire December 31; late renewal incurs fees and may result
in lapsed status.
18. Who issues licenses to Long-Term Care Administrators?
Correct answer: OSBELTCA
Rationale: The Oklahoma State Board of Examiners for Long-Term Care
Administrators (OSBELTCA) is the licensing authority.
19. How many days does a facility have to contest the non-renewal or revocation
of a license or the assessment of administrative penalties by notifying the
Commissioner of its request for hearing?
Correct answer: 10 days
Rationale: Prompt appeal rights protect facility due process.
20. What are the only items you are allowed to bulk dispense, in nursing homes?
Correct answer: Non-prescription drugs
Rationale: Only over-the-counter medications may be bulk dispensed for safety
and control.
21. How frequently, per health department regulations, shall the written resident
assessment and care plan be reviewed and updated?
4
Prep Test Bank 2026-2027 with 500 Real Test
Questions and Correct Answers/ Oklahoma Nursing
Home Admin Exam 2026/ NAB / NAB CORE
1. Who was the authority, under ordinary circumstances, to deny a resident a
visitor?
Correct answer: Administrator
Rationale: The administrator has the ultimate authority over facility operations,
including visitor policies, under ordinary circumstances.
2. How often shall the resident receive an accounting of their personal finances
when the facility manages their trust funds?
Correct answer: At least quarterly
Rationale: Quarterly accounting ensures transparency and protects resident
financial rights.
3. Do you have to make your state survey available to the public?
Correct answer: Yes
Rationale: State survey results are public records and must be available upon
request.
4. Do you have to make residents rights available to the public?
Correct answer: Yes
Rationale: Resident rights must be posted and accessible to residents, families,
and the public.
5. Do you have to have current licensure information available to the public?
1
,Correct answer: Yes
Rationale: Licensure information demonstrates legal operation and must be
publicly displayed.
6. Who destroys medications prescribed for residents after they've expired?
Correct answer: Pharmacist, DON, OR DON & LPN
Rationale: Expired medications must be destroyed by authorized personnel to
prevent misuse and ensure safety.
7. Concerning CEU's if the NAB has approved a class for credit, can you presume
that OSBELTCA will also approve that class?
Correct answer: Yes
Rationale: OSBELTCA presumptively accepts NAB/NCERS-approved
continuing education.
8. According to OSBELTCA rules, how many days do you have to notify them of
the relocation of your business or personal mailing address?
Correct answer: 15 business days
Rationale: Timely notification ensures accurate records and communication.
9. According to the health department standards, how frequently is your facility
required to provide in service training for fire safety and first aid?
Correct answer: Semi-Annually
Rationale: Twice-yearly training maintains staff preparedness for emergencies.
10. What is the time frame for reporting resident abuse, Neglect, and/or
exploitation to the State Health Department, or allegations of abuse to the
DHS/long-term care investigation unit?
2
,Correct answer: 24 hrs
Rationale: Immediate reporting (within 24 hours) is mandated to protect resident
safety.
11. How many days do you have (in addition to telephone reporting) to make an
initial report of an incident of resident abuse to the State Department of Health?
Correct answer: 24hrs
Rationale: Written follow-up is required within 24 hours of telephone notification.
12. How long are a physicians oral orders for a chemical restraint valid without a
written order?
Correct answer: 48hrs
Rationale: Oral orders for restraints must be reduced to writing within 48 hours.
13. How frequently are circumstances requiring physical restraints re-evaluated?
Correct answer: 30 minutes
Rationale: Frequent re-evaluation (every 30 minutes) ensures restraint necessity
and resident safety.
14. How many days, per the Nursing Home Care Act, is an owner of a licensed
facility required to give notice prior to voluntarily closing all or part of a facility
that will require the transfer or discharge of more than 10% of its residents?
Correct answer: 90 days
Rationale: Advance notice protects residents from abrupt displacement.
15. Who is allowed to administer medications?
Correct answer: Nurses, physicians, pharmacists, CMA
Rationale: Only licensed or certified personnel with appropriate training may
administer medications.
3
, 16. Where are social services rendered recorded, and how frequently are progress
notes written?
Correct answer: At least monthly and significant change
Rationale: Regular documentation tracks resident progress and care plan
effectiveness.
17. What happens if you fail to renew your license on time (and when is it due)?
Correct answer: Vacated licensure, late fees $100 week, Dec. 31st
Rationale: Licenses expire December 31; late renewal incurs fees and may result
in lapsed status.
18. Who issues licenses to Long-Term Care Administrators?
Correct answer: OSBELTCA
Rationale: The Oklahoma State Board of Examiners for Long-Term Care
Administrators (OSBELTCA) is the licensing authority.
19. How many days does a facility have to contest the non-renewal or revocation
of a license or the assessment of administrative penalties by notifying the
Commissioner of its request for hearing?
Correct answer: 10 days
Rationale: Prompt appeal rights protect facility due process.
20. What are the only items you are allowed to bulk dispense, in nursing homes?
Correct answer: Non-prescription drugs
Rationale: Only over-the-counter medications may be bulk dispensed for safety
and control.
21. How frequently, per health department regulations, shall the written resident
assessment and care plan be reviewed and updated?
4
