PA State NHA (Nursing Home Administrator)
Exam 2026 | Complete Exam Question Study
Guide with Verified Answers & Detailed Solutions
| Latest Update- Graded A+
EXAM OVERVIEW
The Pennsylvania State Nursing Home Administrator (NHA) examination is
administered by the State Board of Examiners of Nursing Home Administrators. The
exam is comprised of two parts: a uniform part on general principles of nursing home
administration and a state part on Pennsylvania Department of Health regulations (28
Pa. Code Part IV Subpart C) . Candidates are required to meet specific educational and
experience requirements based on their qualifying pathway . The exam is designed to
ensure administrators understand federal regulations, OBRA requirements, NFPA
standards, resident rights, and Pennsylvania-specific long-term care facility regulations.
Question 1
A long term care facility may order up to a _______ day supply of medications from a
contract pharmacy when a selected pharmacy is not able to supply the ordered meds.
A) 5
B) 7
C) 4
D) 6
Correct Answer: B
Explanation: When a resident's selected pharmacy is unable to supply ordered
medications, the facility may order a 7-day emergency supply from a contract
pharmacy .
Question 2
The medical director of a long term care facility can be employed as which of the
following?
A) A medical director must be employed as full time
B) A medical director must be employed as part time
C) A medical director may be employed as either part time or full time
D) Medical directors are neither part time nor full time but designated as contract only
pg. 1
,Correct Answer: C
Explanation: The medical director may be employed as either part-time or full-time,
depending on the facility's needs and structure .
Question 3
A nurse has taken a telephone order which must be countersigned with the original
signature of the physician within ______ days of receipt of the order.
A) 7 days
B) 5 days
C) 3 days
D) 48 hours
Correct Answer: D
Explanation: Telephone orders must be countersigned by the physician within 48
hours of receipt . This ensures timely verification and accountability.
Question 4
Physical restraints must be removed for at least ______ minutes every ______ during
normal waking hours.
A) 20 minutes every 2 hours
B) 10 minutes every 1 hour
C) 20 minutes every 2 hours
D) 10 minutes every 2 hours
Correct Answer: D
Explanation: Physical restraints must be removed for at least 10 minutes every 2
hours during waking hours to allow for range of motion, toileting, and comfort .
Question 5
Which of the following services cannot be located in the basement area without prior
approval from the Division of Nursing Care Facilities?
A) Kitchen services
B) Central supply
C) Storage
D) Laundry services
Correct Answer: B
Explanation: Central supply services cannot be located in the basement area without
pg. 2
,prior approval from the Division of Nursing Care Facilities due to infection control and
accessibility concerns .
Question 6
A facility shall assure that dentures are ______ by the resident.
A) Cleaned
B) Sanitized
C) Retained
D) Safeguarded
Correct Answer: C
Explanation: The facility must ensure that dentures are retained by the resident.
Dentures must be properly labeled and safeguarded to prevent loss or misplacement .
Question 7
There must be at least 1 nursing staff on duty per ______ residents.
A) 28
B) 26
C) 24
D) 20
Correct Answer: D
Explanation: Facilities must maintain at least one nursing staff member on duty per
20 residents to ensure adequate care coverage .
Question 8
All electrical systems at your skilled facility have been upgraded and must comply with
which of the following NFPA standards?
A) NFPA 70
B) NFPA 101
C) NFPA 2000
D) NFPA 48
Correct Answer: A
Explanation: NFPA 70 is the National Electrical Code (NEC) that governs electrical
system installation and safety in healthcare facilities .
pg. 3
, Question 9
According to the proper NFPA standards, what is the minimum lighting level for toilets
and bathing facilities?
A) 20 lumens
B) 20 foot candles
C) 30 lumens
D) 30 foot candles
Correct Answer: B
Explanation: Toilets and bathing facilities require a minimum of 20 foot-candles of
lighting to ensure safety and visibility .
Question 10
An exposed hot water pipe must be covered or protected to prevent injury or burns
when it reaches temperatures above ______°F.
A) 120°F
B) 125°F
C) 130°F
D) 135°F
Correct Answer: B
Explanation: Exposed hot water pipes must be covered or protected when
temperatures exceed 125°F to prevent burns and injuries to residents .
Question 11
Each floor in a facility must have at least one centralized bathtub with ______ feet of
clearance on 3 sides.
A) 6
B) 5
C) 4
D) 3
Correct Answer: D
Explanation: Each floor must have at least one centralized bathtub with a minimum of
3 feet of clearance on three sides to allow for safe access .
Question 12
A resident has requested that she and her husband share a room. Is this allowed?
A) Yes, a married couple can upon request from one spouse room together
pg. 4
Exam 2026 | Complete Exam Question Study
Guide with Verified Answers & Detailed Solutions
| Latest Update- Graded A+
EXAM OVERVIEW
The Pennsylvania State Nursing Home Administrator (NHA) examination is
administered by the State Board of Examiners of Nursing Home Administrators. The
exam is comprised of two parts: a uniform part on general principles of nursing home
administration and a state part on Pennsylvania Department of Health regulations (28
Pa. Code Part IV Subpart C) . Candidates are required to meet specific educational and
experience requirements based on their qualifying pathway . The exam is designed to
ensure administrators understand federal regulations, OBRA requirements, NFPA
standards, resident rights, and Pennsylvania-specific long-term care facility regulations.
Question 1
A long term care facility may order up to a _______ day supply of medications from a
contract pharmacy when a selected pharmacy is not able to supply the ordered meds.
A) 5
B) 7
C) 4
D) 6
Correct Answer: B
Explanation: When a resident's selected pharmacy is unable to supply ordered
medications, the facility may order a 7-day emergency supply from a contract
pharmacy .
Question 2
The medical director of a long term care facility can be employed as which of the
following?
A) A medical director must be employed as full time
B) A medical director must be employed as part time
C) A medical director may be employed as either part time or full time
D) Medical directors are neither part time nor full time but designated as contract only
pg. 1
,Correct Answer: C
Explanation: The medical director may be employed as either part-time or full-time,
depending on the facility's needs and structure .
Question 3
A nurse has taken a telephone order which must be countersigned with the original
signature of the physician within ______ days of receipt of the order.
A) 7 days
B) 5 days
C) 3 days
D) 48 hours
Correct Answer: D
Explanation: Telephone orders must be countersigned by the physician within 48
hours of receipt . This ensures timely verification and accountability.
Question 4
Physical restraints must be removed for at least ______ minutes every ______ during
normal waking hours.
A) 20 minutes every 2 hours
B) 10 minutes every 1 hour
C) 20 minutes every 2 hours
D) 10 minutes every 2 hours
Correct Answer: D
Explanation: Physical restraints must be removed for at least 10 minutes every 2
hours during waking hours to allow for range of motion, toileting, and comfort .
Question 5
Which of the following services cannot be located in the basement area without prior
approval from the Division of Nursing Care Facilities?
A) Kitchen services
B) Central supply
C) Storage
D) Laundry services
Correct Answer: B
Explanation: Central supply services cannot be located in the basement area without
pg. 2
,prior approval from the Division of Nursing Care Facilities due to infection control and
accessibility concerns .
Question 6
A facility shall assure that dentures are ______ by the resident.
A) Cleaned
B) Sanitized
C) Retained
D) Safeguarded
Correct Answer: C
Explanation: The facility must ensure that dentures are retained by the resident.
Dentures must be properly labeled and safeguarded to prevent loss or misplacement .
Question 7
There must be at least 1 nursing staff on duty per ______ residents.
A) 28
B) 26
C) 24
D) 20
Correct Answer: D
Explanation: Facilities must maintain at least one nursing staff member on duty per
20 residents to ensure adequate care coverage .
Question 8
All electrical systems at your skilled facility have been upgraded and must comply with
which of the following NFPA standards?
A) NFPA 70
B) NFPA 101
C) NFPA 2000
D) NFPA 48
Correct Answer: A
Explanation: NFPA 70 is the National Electrical Code (NEC) that governs electrical
system installation and safety in healthcare facilities .
pg. 3
, Question 9
According to the proper NFPA standards, what is the minimum lighting level for toilets
and bathing facilities?
A) 20 lumens
B) 20 foot candles
C) 30 lumens
D) 30 foot candles
Correct Answer: B
Explanation: Toilets and bathing facilities require a minimum of 20 foot-candles of
lighting to ensure safety and visibility .
Question 10
An exposed hot water pipe must be covered or protected to prevent injury or burns
when it reaches temperatures above ______°F.
A) 120°F
B) 125°F
C) 130°F
D) 135°F
Correct Answer: B
Explanation: Exposed hot water pipes must be covered or protected when
temperatures exceed 125°F to prevent burns and injuries to residents .
Question 11
Each floor in a facility must have at least one centralized bathtub with ______ feet of
clearance on 3 sides.
A) 6
B) 5
C) 4
D) 3
Correct Answer: D
Explanation: Each floor must have at least one centralized bathtub with a minimum of
3 feet of clearance on three sides to allow for safe access .
Question 12
A resident has requested that she and her husband share a room. Is this allowed?
A) Yes, a married couple can upon request from one spouse room together
pg. 4
