1|Page
FLORIDA NURSING HOME ADMINISTRATOR EXAM
(FL NHA)## PRACTICE TEST BANK | 2026/2027
SERIES### HIGH-YIELD QUESTIONS WITH ANSWERS
& RATIONALES | BASED ON FLORIDA STATUTES (F.S.
400 & F.A.C. 59A-4) | AIT & LICENSURE PREP
## Table of Contents
| Domain | Topic Area | Question Numbers |
| 1 | Licensure Requirements & Eligibility | 1–10 |
| 2 | Resident Rights & Quality of Life (F-Tags) | 11–25 |
| 3 | Florida Staffing Standards (HB 1239 / F.S. 400) | 26–35 |
| 4 | Environmental & Life Safety (Emergency Power, 59A-4) | 36–45 |
| 5 | Adverse Incident Reporting & Risk Management | 46–55 |
| 6 | Resident Trust Funds & Financial Compliance | 56–65 |
| 7 | Clinical Care (Pressure Ulcers, Falls, Infections) | 66–75 |
| 8 | Federal Regulations (CMS, 42 CFR Part 483) | 76–85 |
| 9 | Human Resources & Background Screening | 86–95 |
| 10 | Ethics, Negligence, & Legal Liability | 96–105 |
| 11 | Survey Process, Deficiency Citations & Fines | 106–115 |
| 12 | Quality Assurance & Performance Improvement (QAPI) | 116–125 |
| 13 | Admission, Transfer, & Discharge (Involuntary) | 126–130 |
| 14 | Food Service & Sanitation Regulations | 131–140 |
| 15 | Gold Seal Program & Quality Recognition | 141–145 |
| 16 | Medicaid Bed Hold & Reimbursement | 146–150 |
| 17 | Emergency Preparedness & Disaster Planning | 151–155 |
| 18 | Comprehensive Mixed Review (Exam-Style) | 156–160 |
,2|Page
# DOMAIN 1: LICENSURE REQUIREMENTS & ELIGIBILITY (Questions 1–10)
*Based on F.S. 468.1695 & F.A.C. 64B10-11.002 *
**1. The Florida NHA licensure examination consists of which two parts?**
A. Florida Laws and Rules only
B. NAB NHA examination and Florida Laws and Rules examination
C. Federal CMS survey simulation and state financial management test
D. Clinical skills assessment and administrative case studies
**Correct Answer: B – NAB NHA examination and Florida Laws and Rules
examination**
*Rationale:* The Florida Department of Health requires both the national NAB
examination (developed by the National Association of Long Term Care
Administrator Boards) and a state-specific exam on Florida laws and regulations
governing nursing home administrators . The Florida Laws and Rules exam is
developed by the DOH and administered by a contracted vendor .
**2. Which of the following educational pathways meets the eligibility
requirements for licensure by examination in Florida?**
A. High school diploma with 5 years of nursing home management experience
B. Associate degree in any field with a 2,000-hour AIT program
C. Baccalaureate degree with a major in health care administration AND
completion of a 1,000-hour AIT program
D. No degree required if the applicant passes a competency exam
**Correct Answer: C – Baccalaureate degree with a major in health care
administration AND completion of a 1,000-hour AIT program**
,3|Page
*Rationale:* Florida law requires either: (a) a bachelor's in health care
administration with a 1,000-hour AIT/internship, OR (b) a bachelor's degree (any
field) with a 2,000-hour AIT, OR (c) a bachelor's degree plus 1 year of
management experience in a skilled nursing facility (or equivalent with 1,000-hour
AIT if experience is outside a SNF) .
**3. A preceptor supervising an Administrator-in-Training (AIT) must have been a
licensed NHA for at least how many years within the preceding 5 years?**
A. 1 year
B. 2 years
C. 3 years
D. 5 years
**Correct Answer: B – 2 years**
*Rationale:* Florida Administrative Code Rule 64B10-11.002 and preceptor
certification requirements mandate that a preceptor must demonstrate active NHA
practice for at least 2 of the prior 5 years to effectively mentor an AIT . Florida
legally defines NHA mastery as 3 active years of practice within the preceding 5
years for certain eligibility pathways .
**4. An AIT can complete a maximum of how many internship hours between the
hours of 10 PM and 7 AM?**
A. 40 hours
B. 60 hours
C. 80 hours
D. 100 hours
, 4|Page
**Correct Answer: C – 80 hours**
*Rationale:* Florida regulations limit overnight internship hours to ensure
adequate supervision and protect resident safety during nighttime operations.
**5. A temporary NHA license is issued for how many months?**
A. 3 months
B. 6 months
C. 9 months
D. 12 months
**Correct Answer: B – 6 months**
*Rationale:* Florida issues a temporary NHA license for 6 months to allow an
administrator to practice while completing remaining licensure requirements.
**6. A preceptor can supervise how many AITs at the same time?**
A. 1 AIT
B. 2 AITs
C. 3 AITs
D. Unlimited with board approval
**Correct Answer: A – 1 AIT**
*Rationale:* To ensure quality mentorship and adequate supervision, a preceptor
may supervise only one AIT at a time.
FLORIDA NURSING HOME ADMINISTRATOR EXAM
(FL NHA)## PRACTICE TEST BANK | 2026/2027
SERIES### HIGH-YIELD QUESTIONS WITH ANSWERS
& RATIONALES | BASED ON FLORIDA STATUTES (F.S.
400 & F.A.C. 59A-4) | AIT & LICENSURE PREP
## Table of Contents
| Domain | Topic Area | Question Numbers |
| 1 | Licensure Requirements & Eligibility | 1–10 |
| 2 | Resident Rights & Quality of Life (F-Tags) | 11–25 |
| 3 | Florida Staffing Standards (HB 1239 / F.S. 400) | 26–35 |
| 4 | Environmental & Life Safety (Emergency Power, 59A-4) | 36–45 |
| 5 | Adverse Incident Reporting & Risk Management | 46–55 |
| 6 | Resident Trust Funds & Financial Compliance | 56–65 |
| 7 | Clinical Care (Pressure Ulcers, Falls, Infections) | 66–75 |
| 8 | Federal Regulations (CMS, 42 CFR Part 483) | 76–85 |
| 9 | Human Resources & Background Screening | 86–95 |
| 10 | Ethics, Negligence, & Legal Liability | 96–105 |
| 11 | Survey Process, Deficiency Citations & Fines | 106–115 |
| 12 | Quality Assurance & Performance Improvement (QAPI) | 116–125 |
| 13 | Admission, Transfer, & Discharge (Involuntary) | 126–130 |
| 14 | Food Service & Sanitation Regulations | 131–140 |
| 15 | Gold Seal Program & Quality Recognition | 141–145 |
| 16 | Medicaid Bed Hold & Reimbursement | 146–150 |
| 17 | Emergency Preparedness & Disaster Planning | 151–155 |
| 18 | Comprehensive Mixed Review (Exam-Style) | 156–160 |
,2|Page
# DOMAIN 1: LICENSURE REQUIREMENTS & ELIGIBILITY (Questions 1–10)
*Based on F.S. 468.1695 & F.A.C. 64B10-11.002 *
**1. The Florida NHA licensure examination consists of which two parts?**
A. Florida Laws and Rules only
B. NAB NHA examination and Florida Laws and Rules examination
C. Federal CMS survey simulation and state financial management test
D. Clinical skills assessment and administrative case studies
**Correct Answer: B – NAB NHA examination and Florida Laws and Rules
examination**
*Rationale:* The Florida Department of Health requires both the national NAB
examination (developed by the National Association of Long Term Care
Administrator Boards) and a state-specific exam on Florida laws and regulations
governing nursing home administrators . The Florida Laws and Rules exam is
developed by the DOH and administered by a contracted vendor .
**2. Which of the following educational pathways meets the eligibility
requirements for licensure by examination in Florida?**
A. High school diploma with 5 years of nursing home management experience
B. Associate degree in any field with a 2,000-hour AIT program
C. Baccalaureate degree with a major in health care administration AND
completion of a 1,000-hour AIT program
D. No degree required if the applicant passes a competency exam
**Correct Answer: C – Baccalaureate degree with a major in health care
administration AND completion of a 1,000-hour AIT program**
,3|Page
*Rationale:* Florida law requires either: (a) a bachelor's in health care
administration with a 1,000-hour AIT/internship, OR (b) a bachelor's degree (any
field) with a 2,000-hour AIT, OR (c) a bachelor's degree plus 1 year of
management experience in a skilled nursing facility (or equivalent with 1,000-hour
AIT if experience is outside a SNF) .
**3. A preceptor supervising an Administrator-in-Training (AIT) must have been a
licensed NHA for at least how many years within the preceding 5 years?**
A. 1 year
B. 2 years
C. 3 years
D. 5 years
**Correct Answer: B – 2 years**
*Rationale:* Florida Administrative Code Rule 64B10-11.002 and preceptor
certification requirements mandate that a preceptor must demonstrate active NHA
practice for at least 2 of the prior 5 years to effectively mentor an AIT . Florida
legally defines NHA mastery as 3 active years of practice within the preceding 5
years for certain eligibility pathways .
**4. An AIT can complete a maximum of how many internship hours between the
hours of 10 PM and 7 AM?**
A. 40 hours
B. 60 hours
C. 80 hours
D. 100 hours
, 4|Page
**Correct Answer: C – 80 hours**
*Rationale:* Florida regulations limit overnight internship hours to ensure
adequate supervision and protect resident safety during nighttime operations.
**5. A temporary NHA license is issued for how many months?**
A. 3 months
B. 6 months
C. 9 months
D. 12 months
**Correct Answer: B – 6 months**
*Rationale:* Florida issues a temporary NHA license for 6 months to allow an
administrator to practice while completing remaining licensure requirements.
**6. A preceptor can supervise how many AITs at the same time?**
A. 1 AIT
B. 2 AITs
C. 3 AITs
D. Unlimited with board approval
**Correct Answer: A – 1 AIT**
*Rationale:* To ensure quality mentorship and adequate supervision, a preceptor
may supervise only one AIT at a time.
