TX NURSING HOME ADMINISTRATOR LICENSE
PRACTICE TEST 250 LATEST EXAM COMPLETE
QUESTIONS WITH VERIFIED ANSWERS
Domain 1: Resident Care & Quality of Life (Questions 1-50)
1. A resident with dementia repeatedly attempts to leave the facility.
What is the most appropriate initial intervention?
A) Chemical restraints as needed for safety
B) 24-hour direct observation by a single staff member
C) Implement a person-centered wandering management plan
D) Notify family to take resident home
Correct Answer: C
2. Under the Texas Administrative Code, how often must a
comprehensive resident assessment be completed?
A) Upon admission only
B) Quarterly for the first year, then annually
C) Within 14 days of admission and annually thereafter
D) Within 14 days of admission, annually, and with significant change
Correct Answer: D
3. An unexpected death of a resident must be reported to the Texas
Department of Aging and Disability Services (now HHSC) within:
A) 24 hours
B) 48 hours
C) 4 hours
D) Immediately by phone
,Correct Answer: A
4. Which of the following is NOT a residents’ right under OBRA ’87?
A) Manage personal finances
B) Refuse restraints
C) Vote in federal elections
D) Access to phone and mail
Correct Answer: C
5. A resident with a stage 3 pressure injury refuses treatment. The
facility should:
A) Notify the family and get consent over resident objection
B) Document refusal and provide education/alternatives
C) Transfer resident immediately to hospital
D) Apply treatment under implied consent
Correct Answer: B
6. The Minimum Data Set (MDS) must be completed by a Registered
Nurse Assessment Coordinator (RNAC) within how many days of
admission? A) 5 days
B) 7 days
C) 14 days
D) 30 days
Correct Answer: C
7. What is the maximum time between pain assessments for a resident
with chronic pain? A) No requirement
B) Every shift
C) At least quarterly
D) With each MDS assessment
,Correct Answer: D
8. A resident is placed in a wheelchair with a lap buddy without
consent. This is considered:
A) Physical restraint – illegal unless emergency
B) Safety device – always allowed
C) Positioning device – not a restraint
D) Least restrictive – acceptable Correct Answer: A
9. Texas requires facilities to have an Abuse, Neglect, and Exploitation
reporting policy. Reports go to:
A) Only HHSC
B) HHSC and local law enforcement
C) DPS only
D) Ombudsman only Correct
Answer: B
10. A resident with capacity asks to leave against medical advice. The
facility must:
A) Call police to prevent leaving
B) Notify physician and family, then allow departure
C) Obtain court order for detention
D) Refuse discharge until family agrees
Correct Answer: B
11. What is the maximum number of consecutive days a resident can be
on antipsychotic medication without a specific diagnosis under F-tag
757?
A) 7 days
B) 14 days
C) 21 days
, D) 30 days
Correct Answer: B
12. A resident falls and fractures a hip. The facility must report this to
HHSC within:
A) 24 hours
B) 48 hours
C) 4 business hours
D) Immediately by phone
Correct Answer: A
13. Which of the following is a "significant change" requiring a new
MDS?
A) Improvement in mood
B) Weight loss of 5% in 30 days
C) Change in room preference
D) New dentures
Correct Answer: B
14. The Care Plan must be developed within how many days of the
comprehensive MDS?
A) 3 days
B) 7 days
C) 14 days
D) 21 days
Correct Answer: B
15. A resident with a feeding tube refuses feedings. The appropriate
action is:
A) Restart feeding when resident sleeps
B) Notify physician and document refusal
PRACTICE TEST 250 LATEST EXAM COMPLETE
QUESTIONS WITH VERIFIED ANSWERS
Domain 1: Resident Care & Quality of Life (Questions 1-50)
1. A resident with dementia repeatedly attempts to leave the facility.
What is the most appropriate initial intervention?
A) Chemical restraints as needed for safety
B) 24-hour direct observation by a single staff member
C) Implement a person-centered wandering management plan
D) Notify family to take resident home
Correct Answer: C
2. Under the Texas Administrative Code, how often must a
comprehensive resident assessment be completed?
A) Upon admission only
B) Quarterly for the first year, then annually
C) Within 14 days of admission and annually thereafter
D) Within 14 days of admission, annually, and with significant change
Correct Answer: D
3. An unexpected death of a resident must be reported to the Texas
Department of Aging and Disability Services (now HHSC) within:
A) 24 hours
B) 48 hours
C) 4 hours
D) Immediately by phone
,Correct Answer: A
4. Which of the following is NOT a residents’ right under OBRA ’87?
A) Manage personal finances
B) Refuse restraints
C) Vote in federal elections
D) Access to phone and mail
Correct Answer: C
5. A resident with a stage 3 pressure injury refuses treatment. The
facility should:
A) Notify the family and get consent over resident objection
B) Document refusal and provide education/alternatives
C) Transfer resident immediately to hospital
D) Apply treatment under implied consent
Correct Answer: B
6. The Minimum Data Set (MDS) must be completed by a Registered
Nurse Assessment Coordinator (RNAC) within how many days of
admission? A) 5 days
B) 7 days
C) 14 days
D) 30 days
Correct Answer: C
7. What is the maximum time between pain assessments for a resident
with chronic pain? A) No requirement
B) Every shift
C) At least quarterly
D) With each MDS assessment
,Correct Answer: D
8. A resident is placed in a wheelchair with a lap buddy without
consent. This is considered:
A) Physical restraint – illegal unless emergency
B) Safety device – always allowed
C) Positioning device – not a restraint
D) Least restrictive – acceptable Correct Answer: A
9. Texas requires facilities to have an Abuse, Neglect, and Exploitation
reporting policy. Reports go to:
A) Only HHSC
B) HHSC and local law enforcement
C) DPS only
D) Ombudsman only Correct
Answer: B
10. A resident with capacity asks to leave against medical advice. The
facility must:
A) Call police to prevent leaving
B) Notify physician and family, then allow departure
C) Obtain court order for detention
D) Refuse discharge until family agrees
Correct Answer: B
11. What is the maximum number of consecutive days a resident can be
on antipsychotic medication without a specific diagnosis under F-tag
757?
A) 7 days
B) 14 days
C) 21 days
, D) 30 days
Correct Answer: B
12. A resident falls and fractures a hip. The facility must report this to
HHSC within:
A) 24 hours
B) 48 hours
C) 4 business hours
D) Immediately by phone
Correct Answer: A
13. Which of the following is a "significant change" requiring a new
MDS?
A) Improvement in mood
B) Weight loss of 5% in 30 days
C) Change in room preference
D) New dentures
Correct Answer: B
14. The Care Plan must be developed within how many days of the
comprehensive MDS?
A) 3 days
B) 7 days
C) 14 days
D) 21 days
Correct Answer: B
15. A resident with a feeding tube refuses feedings. The appropriate
action is:
A) Restart feeding when resident sleeps
B) Notify physician and document refusal
