TEXAS NURSING HOME ADMINISTRATOR
EXAM 2026 COMPLETE QUESTIONS AND
ANSWERS | VERIFIED LATEST UPDATE |
FULL EXAM STUDY GUIDE
• This is a comprehensive 200-question study guide for the Texas Nursing Home
Administrator (NHA) Exam 2026, covering all core domains tested on the official
examination with verified answers and detailed EXPERT RATIONALE.
• Use this material by reading each question carefully, selecting your answer before
checking the correct option, and studying the EXPERT RATIONALE to reinforce
understanding of the concept behind each answer.
TEXAS NURSING HOME ADMINISTRATOR EXAM 2026 COMPLETE QUESTIONS
AND ANSWERS | VERIFIED LATEST UPDATE | FULL EXAM STUDY GUIDE
1. Which federal agency oversees the certification of nursing home
administrators?
A. The Centers for Medicare and Medicaid Services (CMS)
B. The Department of Veterans Affairs
C. The Occupational Safety and Health Administration
D. The Food and Drug Administration
E. The Joint Commission
CORRECT ANSWER: A. The Centers for Medicare and Medicaid Services
(CMS)
EXPERT RATIONALE: CMS is the federal agency responsible for overseeing the
certification and regulation of nursing facilities participating in Medicare and
Medicaid programs, including administrator licensure standards under OBRA 1987.
2. Under Texas law, which body is responsible for licensing nursing home
administrators?
,A. Texas Medical Board
B. Texas Health and Human Services Commission
C. Texas State Board of Examiners for Nursing Home Administrators
D. Texas Department of Aging
E. Texas Nurses Association
CORRECT ANSWER: C. Texas State Board of Examiners for Nursing Home
Administrators
EXPERT RATIONALE: The Texas State Board of Examiners for Nursing Home
Administrators is the designated body under Texas law responsible for licensing,
regulating, and overseeing nursing home administrators in the state.
3. The OBRA 1987 legislation primarily focused on which of the following?
A. Expanding Medicare coverage to all citizens
B. Improving the quality of care in nursing facilities
C. Establishing the Medicaid program
D. Regulating pharmaceutical companies
E. Creating the Department of Health and Human Services
CORRECT ANSWER: B. Improving the quality of care in nursing facilities
EXPERT RATIONALE: The Omnibus Budget Reconciliation Act of 1987 (OBRA 87)
introduced sweeping reforms to nursing home care, including resident rights,
quality of care standards, and comprehensive assessment requirements (MDS).
4. The Minimum Data Set (MDS) is used in nursing facilities primarily to:
A. Track administrator licensure renewal
B. Assess and document resident care needs comprehensively
,C. Calculate staff-to-patient ratios
D. Determine facility construction standards
E. Monitor infection control outcomes
CORRECT ANSWER: B. Assess and document resident care needs
comprehensively
EXPERT RATIONALE: The MDS is a standardized assessment tool required by
CMS for all Medicare/Medicaid certified nursing facilities. It captures clinical,
functional, and psychosocial information to guide individualized care planning.
5. A nursing home administrator must report suspected elder abuse to:
A. Only the facility's medical director
B. The facility's board of directors
C. Texas Adult Protective Services and appropriate state agencies
D. The local police department exclusively
E. The resident's family only
CORRECT ANSWER: C. Texas Adult Protective Services and appropriate
state agencies
EXPERT RATIONALE: Texas law mandates that nursing home administrators
report suspected abuse, neglect, or exploitation of residents to Texas Adult
Protective Services (APS) and relevant regulatory bodies within required
timeframes.
6. Which of the following is considered a resident's right under federal nursing
home regulations?
A. The right to unlimited visitation at all hours without restriction
B. The right to choose a physician and participate in care planning
, C. The right to refuse all facility policies
D. The right to transfer to any facility of their choice immediately
E. The right to have family make all care decisions without consent
CORRECT ANSWER: B. The right to choose a physician and participate in
care planning
EXPERT RATIONALE: Federal regulations under 42 CFR Part 483 guarantee
residents the right to choose their personal physician and to participate
meaningfully in the development and revision of their care plan.
7. What is the purpose of a Resident Care Plan in a nursing facility?
A. To document billing codes for reimbursement
B. To outline individualized goals and interventions for each resident
C. To schedule staff work assignments
D. To document facility compliance with fire codes
E. To track visitor sign-in logs
CORRECT ANSWER: B. To outline individualized goals and interventions for
each resident
EXPERT RATIONALE: The Resident Care Plan is an individualized,
interdisciplinary document that identifies each resident's specific needs, goals, and
the interventions staff will use to meet those needs, ensuring person-centered care.
8. How often must nursing facilities conduct a comprehensive MDS
assessment?
A. Every 30 days for all residents
B. Upon admission, annually, and when significant changes occur
C. Every 6 months without exception
EXAM 2026 COMPLETE QUESTIONS AND
ANSWERS | VERIFIED LATEST UPDATE |
FULL EXAM STUDY GUIDE
• This is a comprehensive 200-question study guide for the Texas Nursing Home
Administrator (NHA) Exam 2026, covering all core domains tested on the official
examination with verified answers and detailed EXPERT RATIONALE.
• Use this material by reading each question carefully, selecting your answer before
checking the correct option, and studying the EXPERT RATIONALE to reinforce
understanding of the concept behind each answer.
TEXAS NURSING HOME ADMINISTRATOR EXAM 2026 COMPLETE QUESTIONS
AND ANSWERS | VERIFIED LATEST UPDATE | FULL EXAM STUDY GUIDE
1. Which federal agency oversees the certification of nursing home
administrators?
A. The Centers for Medicare and Medicaid Services (CMS)
B. The Department of Veterans Affairs
C. The Occupational Safety and Health Administration
D. The Food and Drug Administration
E. The Joint Commission
CORRECT ANSWER: A. The Centers for Medicare and Medicaid Services
(CMS)
EXPERT RATIONALE: CMS is the federal agency responsible for overseeing the
certification and regulation of nursing facilities participating in Medicare and
Medicaid programs, including administrator licensure standards under OBRA 1987.
2. Under Texas law, which body is responsible for licensing nursing home
administrators?
,A. Texas Medical Board
B. Texas Health and Human Services Commission
C. Texas State Board of Examiners for Nursing Home Administrators
D. Texas Department of Aging
E. Texas Nurses Association
CORRECT ANSWER: C. Texas State Board of Examiners for Nursing Home
Administrators
EXPERT RATIONALE: The Texas State Board of Examiners for Nursing Home
Administrators is the designated body under Texas law responsible for licensing,
regulating, and overseeing nursing home administrators in the state.
3. The OBRA 1987 legislation primarily focused on which of the following?
A. Expanding Medicare coverage to all citizens
B. Improving the quality of care in nursing facilities
C. Establishing the Medicaid program
D. Regulating pharmaceutical companies
E. Creating the Department of Health and Human Services
CORRECT ANSWER: B. Improving the quality of care in nursing facilities
EXPERT RATIONALE: The Omnibus Budget Reconciliation Act of 1987 (OBRA 87)
introduced sweeping reforms to nursing home care, including resident rights,
quality of care standards, and comprehensive assessment requirements (MDS).
4. The Minimum Data Set (MDS) is used in nursing facilities primarily to:
A. Track administrator licensure renewal
B. Assess and document resident care needs comprehensively
,C. Calculate staff-to-patient ratios
D. Determine facility construction standards
E. Monitor infection control outcomes
CORRECT ANSWER: B. Assess and document resident care needs
comprehensively
EXPERT RATIONALE: The MDS is a standardized assessment tool required by
CMS for all Medicare/Medicaid certified nursing facilities. It captures clinical,
functional, and psychosocial information to guide individualized care planning.
5. A nursing home administrator must report suspected elder abuse to:
A. Only the facility's medical director
B. The facility's board of directors
C. Texas Adult Protective Services and appropriate state agencies
D. The local police department exclusively
E. The resident's family only
CORRECT ANSWER: C. Texas Adult Protective Services and appropriate
state agencies
EXPERT RATIONALE: Texas law mandates that nursing home administrators
report suspected abuse, neglect, or exploitation of residents to Texas Adult
Protective Services (APS) and relevant regulatory bodies within required
timeframes.
6. Which of the following is considered a resident's right under federal nursing
home regulations?
A. The right to unlimited visitation at all hours without restriction
B. The right to choose a physician and participate in care planning
, C. The right to refuse all facility policies
D. The right to transfer to any facility of their choice immediately
E. The right to have family make all care decisions without consent
CORRECT ANSWER: B. The right to choose a physician and participate in
care planning
EXPERT RATIONALE: Federal regulations under 42 CFR Part 483 guarantee
residents the right to choose their personal physician and to participate
meaningfully in the development and revision of their care plan.
7. What is the purpose of a Resident Care Plan in a nursing facility?
A. To document billing codes for reimbursement
B. To outline individualized goals and interventions for each resident
C. To schedule staff work assignments
D. To document facility compliance with fire codes
E. To track visitor sign-in logs
CORRECT ANSWER: B. To outline individualized goals and interventions for
each resident
EXPERT RATIONALE: The Resident Care Plan is an individualized,
interdisciplinary document that identifies each resident's specific needs, goals, and
the interventions staff will use to meet those needs, ensuring person-centered care.
8. How often must nursing facilities conduct a comprehensive MDS
assessment?
A. Every 30 days for all residents
B. Upon admission, annually, and when significant changes occur
C. Every 6 months without exception
