Illinois Nursing Home Administrators
Practice Exam #1 (John Cirn) 2026 | 200
Questions & Answers | Complete Exam Prep
Study Guide
ILLINOIS NURSING HOME ADMINISTRATORS PRACTICE EXAM #1 JOHN CIRN |
2026 EDITION | QUESTIONS & ANSWERS | COMPLETE EXAM PREP STUDY GUIDE
• This study guide contains exam-style multiple-choice questions with five answer
options each, a bolded correct answer, and a detailed EXPERT RATIONALE — all
structured to mirror the scope, format, and rigor of the Illinois Nursing Home
Administrator licensure examination across every tested domain.
• Read each question independently before reviewing the correct answer; use the
EXPERT RATIONALE for every question — right or wrong — to reinforce concepts,
fill knowledge gaps, and build the exam-day confidence needed to pass on your
first attempt.
══════════════════════════════════════════════ SECTION 1:
FEDERAL REGULATIONS & OBRA 1987
1. OBRA 1987 requires nursing facilities participating in Medicare and
Medicaid to conduct comprehensive resident assessments using which
instrument?
A. OASIS (Outcome and Assessment Information Set)
B. HEDIS (Healthcare Effectiveness Data and Information Set)
C. PASRR (Pre-Admission Screening and Resident Review)
,**D. RAI (Resident Assessment Instrument) including the MDS**
E. UHDDS (Uniform Hospital Discharge Data Set)
✓ Correct Answer: D. RAI (Resident Assessment Instrument) including the MDS
EXPERT RATIONALE: OBRA 1987 mandated the use of the Resident Assessment
Instrument (RAI), which includes the Minimum Data Set (MDS), to ensure
comprehensive standardized assessment of each resident's functional capacity and
care needs. This was a landmark requirement to improve quality of care in nursing
facilities.
2. Under the Omnibus Budget Reconciliation Act of 1987 (OBRA), nursing
facilities must provide each resident with:
A. A private room at no additional cost
B. Daily physician visits
**C. Care and services to attain or maintain the highest practicable physical,
mental, and psychosocial well-being**
D. A minimum of three hours of recreational therapy per day
,E. Weekly laboratory work and diagnostics
✓ Correct Answer: C. Care and services to attain or maintain the highest
practicable physical, mental, and psychosocial well-being
EXPERT RATIONALE: OBRA 1987 established the standard of care for nursing
facilities as ensuring each resident achieves or maintains their "highest practicable"
level of well-being. This standard covers physical, mental, and psychosocial
dimensions of health and is central to the entire regulatory framework.
3. Which federal agency is primarily responsible for overseeing the
certification of nursing facilities for Medicare and Medicaid participation?
A. The Department of Veterans Affairs (VA)
B. The Office of Inspector General (OIG)
**C. The Centers for Medicare & Medicaid Services (CMS)**
D. The Joint Commission (TJC)
E. The Agency for Healthcare Research and Quality (AHRQ)
, ✓ Correct Answer: C. The Centers for Medicare & Medicaid Services (CMS)
EXPERT RATIONALE: CMS is the federal agency within the U.S. Department of
Health and Human Services responsible for administering Medicare and Medicaid
programs, including setting standards and overseeing the certification and survey
process for nursing facilities.
4. The MDS 3.0 must be completed for which of the following residents?
A. Only Medicare Part A residents
B. Only Medicaid residents
C. Only residents in skilled nursing facilities
**D. All residents in Medicare- and Medicaid-certified nursing facilities**
E. Only residents who have been in the facility for more than 90 days
✓ Correct Answer: D. All residents in Medicare- and Medicaid-certified nursing
facilities
EXPERT RATIONALE: The MDS 3.0 is required for all residents in Medicare- and
Medicaid-certified nursing facilities, regardless of their payer source. It is a federally
mandated assessment tool used to capture clinical information for care planning
and reimbursement.
Practice Exam #1 (John Cirn) 2026 | 200
Questions & Answers | Complete Exam Prep
Study Guide
ILLINOIS NURSING HOME ADMINISTRATORS PRACTICE EXAM #1 JOHN CIRN |
2026 EDITION | QUESTIONS & ANSWERS | COMPLETE EXAM PREP STUDY GUIDE
• This study guide contains exam-style multiple-choice questions with five answer
options each, a bolded correct answer, and a detailed EXPERT RATIONALE — all
structured to mirror the scope, format, and rigor of the Illinois Nursing Home
Administrator licensure examination across every tested domain.
• Read each question independently before reviewing the correct answer; use the
EXPERT RATIONALE for every question — right or wrong — to reinforce concepts,
fill knowledge gaps, and build the exam-day confidence needed to pass on your
first attempt.
══════════════════════════════════════════════ SECTION 1:
FEDERAL REGULATIONS & OBRA 1987
1. OBRA 1987 requires nursing facilities participating in Medicare and
Medicaid to conduct comprehensive resident assessments using which
instrument?
A. OASIS (Outcome and Assessment Information Set)
B. HEDIS (Healthcare Effectiveness Data and Information Set)
C. PASRR (Pre-Admission Screening and Resident Review)
,**D. RAI (Resident Assessment Instrument) including the MDS**
E. UHDDS (Uniform Hospital Discharge Data Set)
✓ Correct Answer: D. RAI (Resident Assessment Instrument) including the MDS
EXPERT RATIONALE: OBRA 1987 mandated the use of the Resident Assessment
Instrument (RAI), which includes the Minimum Data Set (MDS), to ensure
comprehensive standardized assessment of each resident's functional capacity and
care needs. This was a landmark requirement to improve quality of care in nursing
facilities.
2. Under the Omnibus Budget Reconciliation Act of 1987 (OBRA), nursing
facilities must provide each resident with:
A. A private room at no additional cost
B. Daily physician visits
**C. Care and services to attain or maintain the highest practicable physical,
mental, and psychosocial well-being**
D. A minimum of three hours of recreational therapy per day
,E. Weekly laboratory work and diagnostics
✓ Correct Answer: C. Care and services to attain or maintain the highest
practicable physical, mental, and psychosocial well-being
EXPERT RATIONALE: OBRA 1987 established the standard of care for nursing
facilities as ensuring each resident achieves or maintains their "highest practicable"
level of well-being. This standard covers physical, mental, and psychosocial
dimensions of health and is central to the entire regulatory framework.
3. Which federal agency is primarily responsible for overseeing the
certification of nursing facilities for Medicare and Medicaid participation?
A. The Department of Veterans Affairs (VA)
B. The Office of Inspector General (OIG)
**C. The Centers for Medicare & Medicaid Services (CMS)**
D. The Joint Commission (TJC)
E. The Agency for Healthcare Research and Quality (AHRQ)
, ✓ Correct Answer: C. The Centers for Medicare & Medicaid Services (CMS)
EXPERT RATIONALE: CMS is the federal agency within the U.S. Department of
Health and Human Services responsible for administering Medicare and Medicaid
programs, including setting standards and overseeing the certification and survey
process for nursing facilities.
4. The MDS 3.0 must be completed for which of the following residents?
A. Only Medicare Part A residents
B. Only Medicaid residents
C. Only residents in skilled nursing facilities
**D. All residents in Medicare- and Medicaid-certified nursing facilities**
E. Only residents who have been in the facility for more than 90 days
✓ Correct Answer: D. All residents in Medicare- and Medicaid-certified nursing
facilities
EXPERT RATIONALE: The MDS 3.0 is required for all residents in Medicare- and
Medicaid-certified nursing facilities, regardless of their payer source. It is a federally
mandated assessment tool used to capture clinical information for care planning
and reimbursement.
