arkansas-nha-state-exam-2026-2027-prep-test-bank-1-with-a-revi
ew-of-225-questions-and-correct-answers-arkansas-nursing-home
-administrator-license-exam-prep-test-bank-1 — 159 Questions
and Answers Already Graded A+ Premium Exam Tested And
Verified
Subject Area arkansas-nha-state-exam-2026-2027-prep-test-bank-1-with-a-review-of-225-q
uestions-and-correct-answers-arkansas-nursing-home-administrator-license-
exam-prep-test-bank-1
Description Comprehensive examination on arkansas-nha-state-exam-2026-2027-prep-test-ba
nk-1-with-a-review-of-225-questions-and-correct-answers-arkansas-nursing-home
-administrator-license-exam-prep-test-bank-1.
Expected Grade A+
Total Questions 159
Duration 3 hours
Learning Outcomes 1. Demonstrate mastery of core concepts
Accreditation Aligned with US university standards.
Page 1
,1. A nursing home administrator is reviewing the facility's compliance with the
Omnibus Budget Reconciliation Act (OBRA) of 1987. Which of the following
findings would most directly indicate a violation of OBRA's requirements regarding
nurse aide training and competency evaluation?
A. The facility employs nurse aides who have not completed a state-approved training
program within four months of hire.
B. The facility's nurse aide registry includes aides who have been inactive for more than two
years.
C. The facility allows nurse aides to perform duties beyond their scope of practice as defined
by state regulations.
D. The facility does not provide annual in-service education for nurse aides.
Answer: A. The facility employs nurse aides who have not completed a
state-approved training program within four months of hire.
OBRA mandates that nurse aides must complete a state-approved training program
and competency evaluation within four months of employment. Failure to do so is a
direct violation. Option B is not a violation; inactive aides can be listed. Option C
relates to scope of practice, not OBRA training requirements. Option D is not a specific
OBRA requirement; annual in-service is recommended but not mandated by OBRA.
Page 2
,2. In the context of the Minimum Data Set (MDS) 3.0, a resident is assessed as
having moderate cognitive impairment with a Brief Interview for Mental Status
(BIMS) score of 10. The resident exhibits frequent behavioral symptoms, including
verbal aggression and resistance to care. Which of the following approaches is most
consistent with the principles of person-centered care and regulatory compliance?
A. Implement a standardized behavioral modification program for all residents with similar
BIMS scores.
B. Initiate an antipsychotic medication as a first-line intervention, with gradual dose
reduction trials.
C. Develop an individualized care plan incorporating non-pharmacological interventions,
with ongoing monitoring and documentation.
D. Transfer the resident to a secured dementia unit to minimize environmental triggers.
Answer: C. Develop an individualized care plan incorporating
non-pharmacological interventions, with ongoing monitoring and documentation.
Person-centered care requires individualized care plans based on the resident's specific
needs and preferences. Non-pharmacological interventions are recommended as
first-line for behavioral symptoms, especially given the BIMS score indicating moderate
impairment. Option A is not individualized. Option B violates guidelines against
antipsychotic use as first-line. Option D may be considered but is not the most
immediate person-centered approach; transfer should be based on assessment and less
restrictive alternatives.
Page 3
, 3. A nursing home administrator is analyzing the facility's quality measures (QMs)
provided by the Centers for Medicare & Medicaid Services (CMS). The facility's
rate of 'long-stay residents who received an antipsychotic medication' is significantly
above the national average. Which of the following actions should the administrator
prioritize to address this issue while ensuring compliance with federal regulations?
A. Discontinue all antipsychotic medications for long-stay residents immediately to reduce
the rate.
B. Conduct a thorough review of each resident's medical records to ensure appropriate
indications, including diagnoses of schizophrenia or Tourette's syndrome.
C. Implement a policy requiring psychiatric consultation for any resident receiving an
antipsychotic.
D. Increase documentation of behavioral symptoms to justify the use of antipsychotics.
Answer: B. Conduct a thorough review of each resident's medical records to
ensure appropriate indications, including diagnoses of schizophrenia or Tourette's
syndrome.
CMS regulations require that antipsychotic medications be used only for residents with
specific diagnoses (e.g., schizophrenia, Tourette's) or for short-term use in behavioral
emergencies. A review of each case is essential to ensure appropriate use and to identify
unnecessary prescriptions. Option A is dangerous and could cause harm. Option C may
be helpful but is not the first priority; the immediate need is to assess current
appropriateness. Option D does not address the underlying issue of inappropriate use.
Page 4
ew-of-225-questions-and-correct-answers-arkansas-nursing-home
-administrator-license-exam-prep-test-bank-1 — 159 Questions
and Answers Already Graded A+ Premium Exam Tested And
Verified
Subject Area arkansas-nha-state-exam-2026-2027-prep-test-bank-1-with-a-review-of-225-q
uestions-and-correct-answers-arkansas-nursing-home-administrator-license-
exam-prep-test-bank-1
Description Comprehensive examination on arkansas-nha-state-exam-2026-2027-prep-test-ba
nk-1-with-a-review-of-225-questions-and-correct-answers-arkansas-nursing-home
-administrator-license-exam-prep-test-bank-1.
Expected Grade A+
Total Questions 159
Duration 3 hours
Learning Outcomes 1. Demonstrate mastery of core concepts
Accreditation Aligned with US university standards.
Page 1
,1. A nursing home administrator is reviewing the facility's compliance with the
Omnibus Budget Reconciliation Act (OBRA) of 1987. Which of the following
findings would most directly indicate a violation of OBRA's requirements regarding
nurse aide training and competency evaluation?
A. The facility employs nurse aides who have not completed a state-approved training
program within four months of hire.
B. The facility's nurse aide registry includes aides who have been inactive for more than two
years.
C. The facility allows nurse aides to perform duties beyond their scope of practice as defined
by state regulations.
D. The facility does not provide annual in-service education for nurse aides.
Answer: A. The facility employs nurse aides who have not completed a
state-approved training program within four months of hire.
OBRA mandates that nurse aides must complete a state-approved training program
and competency evaluation within four months of employment. Failure to do so is a
direct violation. Option B is not a violation; inactive aides can be listed. Option C
relates to scope of practice, not OBRA training requirements. Option D is not a specific
OBRA requirement; annual in-service is recommended but not mandated by OBRA.
Page 2
,2. In the context of the Minimum Data Set (MDS) 3.0, a resident is assessed as
having moderate cognitive impairment with a Brief Interview for Mental Status
(BIMS) score of 10. The resident exhibits frequent behavioral symptoms, including
verbal aggression and resistance to care. Which of the following approaches is most
consistent with the principles of person-centered care and regulatory compliance?
A. Implement a standardized behavioral modification program for all residents with similar
BIMS scores.
B. Initiate an antipsychotic medication as a first-line intervention, with gradual dose
reduction trials.
C. Develop an individualized care plan incorporating non-pharmacological interventions,
with ongoing monitoring and documentation.
D. Transfer the resident to a secured dementia unit to minimize environmental triggers.
Answer: C. Develop an individualized care plan incorporating
non-pharmacological interventions, with ongoing monitoring and documentation.
Person-centered care requires individualized care plans based on the resident's specific
needs and preferences. Non-pharmacological interventions are recommended as
first-line for behavioral symptoms, especially given the BIMS score indicating moderate
impairment. Option A is not individualized. Option B violates guidelines against
antipsychotic use as first-line. Option D may be considered but is not the most
immediate person-centered approach; transfer should be based on assessment and less
restrictive alternatives.
Page 3
, 3. A nursing home administrator is analyzing the facility's quality measures (QMs)
provided by the Centers for Medicare & Medicaid Services (CMS). The facility's
rate of 'long-stay residents who received an antipsychotic medication' is significantly
above the national average. Which of the following actions should the administrator
prioritize to address this issue while ensuring compliance with federal regulations?
A. Discontinue all antipsychotic medications for long-stay residents immediately to reduce
the rate.
B. Conduct a thorough review of each resident's medical records to ensure appropriate
indications, including diagnoses of schizophrenia or Tourette's syndrome.
C. Implement a policy requiring psychiatric consultation for any resident receiving an
antipsychotic.
D. Increase documentation of behavioral symptoms to justify the use of antipsychotics.
Answer: B. Conduct a thorough review of each resident's medical records to
ensure appropriate indications, including diagnoses of schizophrenia or Tourette's
syndrome.
CMS regulations require that antipsychotic medications be used only for residents with
specific diagnoses (e.g., schizophrenia, Tourette's) or for short-term use in behavioral
emergencies. A review of each case is essential to ensure appropriate use and to identify
unnecessary prescriptions. Option A is dangerous and could cause harm. Option C may
be helpful but is not the first priority; the immediate need is to assess current
appropriateness. Option D does not address the underlying issue of inappropriate use.
Page 4
