Federal Nursing Home Administrator Exam, Exams of Nursing

Federal Nursing Home Administrator Exam

Typology: Exams

2025/2026

Available from 05/20/2026

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Federal Nursing
Home Administrator
Exam
1) OBRA asserts some separate committees can be folded into the quality
improvement/assurance committee. Safety, Pharmacy and which committee below
can be added into QA/QI committee? - -ANSWER---Infection Control
2) Nursing homes are responsible for obtaining and providing dental care for
residents. Who usually pays for dental services? - -ANSWER---The resident or a
family member
3) A facility is not allowed to charge a resident who is Medicaid and Medicare
eligible except for: - -ANSWER---Co-pays
4) You calculate the average percent of occupancy by: - -ANSWER---Dividing the
total census (occupied bed days) by the total number of days, then multiply by 100
5) Resident's rights should be explained to the resident and or family member: - -
ANSWER---Prior to admission
6) In case of an emergency, when no attending or back up physician is available,
the decision as to who will attend to the resident is to be made by the: - -
ANSWER---Administrator
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Federal Nursing

Home Administrator

Exam

  1. OBRA asserts some separate committees can be folded into the quality improvement/assurance committee. Safety, Pharmacy and which committee below can be added into QA/QI committee? - - ANSWER-- - Infection Control
  2. Nursing homes are responsible for obtaining and providing dental care for residents. Who usually pays for dental services? - - ANSWER-- - The resident or a family member
  3. A facility is not allowed to charge a resident who is Medicaid and Medicare eligible except for: - - ANSWER-- - Co-pays
  4. You calculate the average percent of occupancy by: - - ANSWER-- - Dividing the total census (occupied bed days) by the total number of days, then multiply by 100
  5. Resident's rights should be explained to the resident and or family member: - - ANSWER-- - Prior to admission
  6. In case of an emergency, when no attending or back up physician is available, the decision as to who will attend to the resident is to be made by the: - - ANSWER-- - Administrator
  1. Federal law states that facilities must retain menus of food actually served for at least: - - ANSWER-- - 30 days
  2. A resident with a living will and DPOA specified she wants to receive heroic measures if necessary. Six months later the resident requires CPR, but is now incompetent and the son request CPR be withheld. What is the right thing to do? - - ANSWER-- - Provide the CPR
  3. A resident asks to see his chart. The doctor tells the nurse not to allow the resident access to the chart. What do you do? - - ANSWER-- - Tell the doctor the law gives the resident the right to view the medical records
  4. Medical records belong to: - - ANSWER-- - Facility
  5. When a resident passes away, the personal funds deposited with the facility must be given to the resident's estate with a final accounting of the funds within: - - ANSWER-- - 30 days
  6. The suffix "algia" refers to: - - ANSWER-- - Pain
  7. Physical restraints must be removed: - - ANSWER-- - Every two hours
  8. Depression is one of many psychological changes related to the aging process. Others include the following except for: - - ANSWER-- - Hearing loss
  9. "Nosocomal" refers to - - ANSWER-- - Infection occurring inside the facility (institutionalized)
  1. Procedures are: - - ANSWER-- - Not flexable
  2. Short range (tactical) goals can be accomplished - - ANSWER-- - In less than one year
  3. Policies should be developed by the: - - ANSWER-- - Governing body
  4. The charge nurse is considered - - ANSWER-- - Line level management
  5. McGregor's Theory X and Theory Y discuss individual's: - - ANSWER-- - Employees's attitudes towards work
  6. Decision making requires all of the following except: - - ANSWER-- - Controlling behavior
  7. Public relations has been defined as: - - ANSWER-- - The management of communications
  8. Strategic Planning is: - - ANSWER-- - Long term plans based on the organizations overall business objectives
  9. Marketing should: - - ANSWER-- - Increase and maintain census
  10. Keys to success in reducing turnover are all except: - - ANSWER-- - Scheduling
  11. Which is not a recognized type of management? - - ANSWER-- - Scalar Chain Management
  1. Unity of Command is: - - ANSWER-- - Each person reports to one supervisor
  2. Speed is a communication barrier because, on average, a person speaks 180 words per minute, but thinks at: - - ANSWER-- - 300 words per minute
  3. The most overlooked aspect of communication in health facilities is: - - ANSWER-- - Two way feedback loops
  4. Of the following, the task management performs that contribute most effectively and positively to morale is: - - ANSWER-- - Discipline consistentlyr and fairly
  5. In a bargaining unit, only ____ need to sign a card to call a union election: - - ANSWER-- - 30 percent
  6. During an interview or on a job application, you may ask for all except: - - ANSWER-- - Place of Birth
  7. To be eligible for FMLA, an employee must first work - - ANSWER-- - 1250 hours in the last 12 months
  8. If an employee works 52 hours in one week at a rate of $7 per hour, what would be the total gross salary? - - ANSWER-- - $
  9. Fire safety regulations come primarily from: - - ANSWER-- - LSC Life Safety Code
  1. OSHA - - ANSWER-- - federal agency overseeing employee safety
  2. NFPA - - ANSWER-- - establishes LSC
  3. Personnal Protective Equipment - - ANSWER-- - gloves
  4. Preventative measures - - ANSWER-- - time for schedules repairs
  5. Offer HBV - - ANSWER-- - within 10 working days
  6. Smoke compartments - - ANSWER-- - 200 feet or less
  7. Occupant loads for exit requirements: - - ANSWER-- - one person per 120 sq ft of floor area in sleeping areas and one person per 240 sq ft in treatment areas
  8. Means of Egress Requirements Emergency lighting: - - ANSWER-- - Mandatory and Automatically available not requiring manual intervention for continuous operation when power is interupted
  9. Means of Egress Requirements Exit Marking: - - ANSWER-- - clearly marked with signs no more than 100 feet from exit
  10. Emergency Power: - - ANSWER-- - Check generator weekly, test under full load for 30 minutes monthly
  1. Handrails at bottom of stairs must be: - - ANSWER-- - extended parallel to floor for 12 inches
  2. Windows must have opening force requirement: - - ANSWER-- - of no more than 5 lbs.
  3. Generator should provide for full load for - - ANSWER-- - 4 hours, under emergency power need
  4. Resident rooms - - ANSWER-- - No more than 4 residents per room 80 sq ft per resident in multi-bed rooms 100 sq ft in private room window to outside
  5. OBRA requires housekeeping services necessary to - - ANSWER-- - maintain a sanitary, orderly, and clean interior
  6. Exposure Control Plan must be updated - - ANSWER-- - Annually HUMAN RESOURCES - - ANSWER-- -
  7. Bargaining Unit - - ANSWER-- - Workers identified by NlRB to form a group to unionize
  8. Construct Validity - - ANSWER-- - Extent to which a tool measures a trait important to job performance
  1. Pool - - ANSWER-- - Group of temporary workers
  2. Labor Market - - ANSWER-- - geographic area of recruitment
  3. Union election - - ANSWER-- - NLRB conducts; 50% plus 1 potential bargaining unit members VOTING wins LEADERSHIP AND MANAGEMENT (23% - 35 questions) - - ANSWER-- -
  4. Strategic Planning - - ANSWER-- - setting long term goals
  5. Case mix - - ANSWER-- - residents categorized by acuity
  6. Governing body - - ANSWER-- - legally responsible for management
  7. Tactical planning - - ANSWER-- - selecting goals for one year
  8. Management - - ANSWER-- - achieve common goals thru organization
  9. Market segment - - ANSWER-- - potential users of services
  10. Payor mix - - ANSWER-- - residents categorized by payment type
  11. Rules - - ANSWER-- - commands for action or non-action
  1. Procedures - - ANSWER-- - required methods for handling activities
  2. Risk management - - ANSWER-- - proactive means of anticipating problems
  3. Staff authority - - ANSWER-- - advisory relationship with line management
  4. Forecasting - - ANSWER-- - projects trends and needs which facility management must decide in future economic, social and political environment expected and resources available.
  5. Bench Marking - - ANSWER-- - improve business by comparing with best practice of others (standards from which you measure)
  6. Upper-Level management - - ANSWER-- - responsible for the overall functioning of the facility, normally interacting directly with the Board of Directors and/or owners.
  7. Middle-Level management - - ANSWER-- - report to upper-level while interacting with lower-level (DON)
  8. Lower-level management - - ANSWER-- - directly supervise the staff who do the actual work
  9. Line Position (Authority): - - ANSWER-- - empowered by administrator to make decisions for organization (DON can fire, fire, give orders)
  1. Scope of Employment: - - ANSWER-- - range of employee activities (resident services by omission or commission)
  2. Governing: - - ANSWER-- - excersis authority
  3. Advisory: - - ANSWER-- - not binding
  4. Stewardship: - - ANSWER-- - accumulation and use of assets
  5. Planning and monitoring: - - ANSWER-- - goals and progress
  6. Determining Facility Objectives: - - ANSWER-- - measurable, verifiable, and attainable
  7. Governing Body: - - ANSWER-- - Approval of P & P Approval of budget Selection and Appraisal of Administrator FINANCE (14% - 21 questions) - - ANSWER-- -
  8. Accounting Equation - - ANSWER-- - Assets = Liabilities + Capital
  9. Accounts payable - - ANSWER-- - Amounts owed by facility
  10. Balance Sheet - - ANSWER-- - Statement showing solvency
  1. Solvency - - ANSWER-- - the ability of a corporation to meet its long term fixed expenses and to accomplish long-term expansion and growth
  2. General ledger - - ANSWER-- - Summaries entries in each journal for accounting period
  3. Cost Center - - ANSWER-- - Organizational unit whose costs are separately accumulated
  4. Accrual - - ANSWER-- - Record revenue when entered; expenses when incurred
  5. Functional Accounting - - ANSWER-- - Recording aggregated data for related activities
  6. Aggregated - - ANSWER-- - formed by the conjunction or collection of particulars into a whole mass or sum; total; combined
  7. Contractual Discount - - ANSWER-- - Uncollectible difference between charges and third party payor agreements
  8. Depreciation - - ANSWER-- - spreading of cost of capital assests over useful life
  9. Operating Statement - - ANSWER-- - total revenues - total expenses =net income (loss)138)
  10. Working Capital - - ANSWER-- - Current assets - current liabilities
  1. Accrual Accounting: - - ANSWER-- - Revenues are recognized when they are earned and expenses when they are incurred, regardless of when cash transactions take place. A. Advantage: Measure revenues earnings after expenses incurred; include depreciation, AP and AR B. Disadvantage: Complexity
  2. Chart of accounts: - - ANSWER-- - list of every account organized into: Assets, Liabilities, Capital, Revenue, Expenses
  3. Assets: - - ANSWER-- - things the facility OWN
  4. Liabilities: - - ANSWER-- - things the facility OWES
  5. Capital: - - ANSWER-- - Net worth or fund balance
  6. Revenues: - - ANSWER-- - Earnings
  7. Expenses: - - ANSWER-- - cost of personnel and supplies used in provision of service
  8. Journals: - - ANSWER-- - books of original entry (the first place transactions are recorded) Cash receipts, billing, accounts payable (purchases), cash disbursements, payroll, general.
  1. General: - - ANSWER-- - non-repetitive entries. Used to make adjustments to conform to accrual system.
  2. Double entry: - - ANSWER-- - two entries for each transaction DEBIT and CREDIT
  3. General Ledger: - - ANSWER-- - summary of all debits and credits contained in all the journals for the time period.
  1. Continuous balance for each account monthly
  2. Basis for "trail balance"
  1. Financial Statement: - - ANSWER-- - summary of all transactions made in a particular time period and their effect on the finances of the facility.
  2. Handling Cash - - ANSWER-- - Two person procedure; one receives by opening mail or taking in person; the other prepares bank deposit
  3. Collections - - ANSWER-- - policy for deliquent bills. MUST BE CONSISTENT with all payment types; in not facility could be charged with fraud.
  4. Payroll - - ANSWER-- - largest expense (50-70% of operational) controlled by administration separate bank account
  5. Residents' Accounts (Trust fund) - - ANSWER-- - Legally must provide Safe for cash and valuables Separate accounting
  1. Physician Extenders - - ANSWER-- - Nurse Practitioner, Clinical Nurse Specialist or Physician Assistant
  2. Licensed Nurse - - ANSWER-- - Charge Nurse on each tour of duty
  3. Time between Super and Breakfast - - ANSWER-- - 14 hours
  4. RN Coverage - - ANSWER-- - 8 consecutive hours, 7 days per week
  5. Frequency of Activities - - ANSWER-- - 7 days per week during hours requested
  6. Frequency of Doctor Visits - - ANSWER-- - Every 30 days for first 90 days, then every 60 days
  7. Access to records - - ANSWER-- - 24 hours of request
  8. Care Plans - - ANSWER-- - 21 days after admissions
  9. Required in service for CENA - - ANSWER-- - 12 hours per year
  10. QA meetings - - ANSWER-- - Quarterly
  11. Work before NA certified - - ANSWER-- - 4 months
  12. Interest Bearing accounts - - ANSWER-- - trust funds greater than $
  1. Involuntary Transfer Notice - - ANSWER-- - 30 days
  2. CVA - - ANSWER-- - Stroke
  3. COPD - - ANSWER-- - Emphysema, Asthma, Bronchitis
  4. ac - - ANSWER-- - before meals
  5. Meal service: - - ANSWER-- - Key to high resident morale. 3 - 5 meals per day with no more than 14 hours btw evening meal and next breakfast (16 if HS snack)
  6. Dishwashing - - ANSWER-- - wash at 150 to 1600 degrees F
  7. Hot food tray - - ANSWER-- - leave tray line above 140 degrees F
  8. Cold food - - ANSWER-- - leave tray line at less than 41*F
  9. Freezer - - ANSWER-- - 0* - 20* F
  10. Refrigeration - - ANSWER-- - 32* - 45*F
  11. Storage - - ANSWER-- - room temperature
  12. RDA - - ANSWER-- - Recommended Daily Allowance