Federal Nursing Home Administrator Exam questions, Exams of Advanced Education

Federal Nursing Home Administrator Exam questions

Typology: Exams

2025/2026

Available from 03/16/2026

tizian-mwangi
tizian-mwangi 🇺🇸

4.1

(8)

27K documents

1 / 24

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
1 / 24
Federal Nursing Home Administrator Exam questions
1. 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?:
Infection Control
2. 2) Nursing homes are responsible for obtaining and providing
dental care for
residents. Who usually pays for dental services?: The resident
or a family member
3.
3) A facility is not allowed to charge a resident who is Medicaid
and Medicare
eligible except for:: Co-pays
4.
4) You calculate the average percent of occupancy by:: Dividing the total
census (occupied
bed days) by the total number of days, then multiply by 100
5. 5) Resident's rights should be explained to the resident and or
family mem-
ber:: Prior to admission
6.
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:: Administrator
7. 7) Federal law states that facilities must retain menus of food
actually served for at least:: 30 days
8.
8) 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?:
Provide the CPR
9. 9) 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?:
Tell the doctor the
law gives the resident the
right to view the medical records
10. 10) Medical records belong to::
Facility
11.
11) 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::
30 days
12. 12) The suffix "algia" refers to:: Pain
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18

Partial preview of the text

Download Federal Nursing Home Administrator Exam questions and more Exams Advanced Education in PDF only on Docsity!

1 / 24

Federal Nursing Home Administrator Exam questions

    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?: Infection Control
    1. Nursing homes are responsible for obtaining and providing dental care for residents. Who usually pays for dental services?: The resident or a family member
    1. A facility is not allowed to charge a resident who is Medicaid and Medicare eligible except for:: Co-pays
    1. You calculate the average percent of occupancy by:: Dividing the total census (occupied bed days) by the total number of days, then multiply by 100
    1. Resident's rights should be explained to the resident and or family mem- ber:: Prior to admission
    1. 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:: Administrator
    1. Federal law states that facilities must retain menus of food actually served for at least:: 30 days
    1. 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?: Provide the CPR
    1. 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?: Tell the doctor the law gives the resident the right to view the medical records
    1. Medical records belong to:: Facility
    1. 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:: 30 days
    1. The suffix "algia" refers to:: Pain

2 / 24

    1. Physical restraints must be removed:: Every two hours
    1. Depression is one of many psychological changes related to the aging process. Others include the following except for:: Hearing loss
    1. "Nosocomal" refers to: Infection occurring inside the facility (institutionalized)
    1. A capital budget is mostly about:: Equipment and real estate
    1. Current debts are debts that are:: Due within one year
    1. A ledger is a complete listing of:: Accounts payable and receivable
    1. Which resource usually provides the least revenue for a nursing home?- : Insurance
    1. Past due accounts should not exceed:: 5%
    1. All of the following are a cash expense except:: Depreciation
    1. A pro forma is primarily: A financial statement or prediction
    1. A function of management is controlling, which means:: Measuring outcomes against benchmarks, then responding
    1. OBRA requires every facility to have:: A governing body - The Omnibus Reconciliation Act
    1. Management by objectives means:: A system that determines goals and objectives
    1. Policies are:: General and flexible statements that guid thinking
    1. Procedures are:: Not flexable
    1. Short range (tactical) goals can be accomplished: In less than one year
    1. Policies should be developed by the:: Governing body
    1. The charge nurse is considered: Line level management
    1. McGregor's Theory X and Theory Y discuss individual's:: Employees's attitudes towards work
    1. Decision making requires all of the following except:: Controlling behavior
    1. Public relations has been defined as:: The management of communications
    1. Strategic Planning is:: Long term plans based on the organizations overall

4 / 24

    1. A maintenance program that saves time and money focuses on:: Preventive maintenance
    1. Class C fires involve:: Electricity
  1. PHYSICAL ENVIRONMENT ANT ATMOSPHERE:
    1. Indoor temperatures: 71 - 81 degrees ferinhight
    1. Disaster plans: OBRA requirement for written plan
    1. Life Safety Code: Reasonably ensure the public protection from fire in public buildings
    1. MSDS: Information on potentially hazardous material
    1. OSHA: federal agency overseeing employee safety
    1. NFPA: establishes LSC
    1. Personnal Protective Equipment: gloves
    1. Preventative measures: time for schedules repairs
    1. Offer HBV: within 10 working days
    1. Smoke compartments: 200 feet or less
    1. Occupant loads for exit requirements:: one person per 120 sq ft of floor area in sleeping areas and one person per 240 sq ft in treatment areas
    1. Means of Egress Requirements Emergency lighting:: Mandatory and Automatically available not requiring manual intervention for contin- uous operation when power is interupted
    1. Means of Egress Requirements Exit Marking:: clearly marked with signs no more than 100 feet from exit
    1. Emergency Power:: Check generator weekly, test under full load for 30 minutes monthly
    1. Handrails at bottom of stairs must be:: extended parallel to floor for 12 inches
    1. Windows must have opening force requirement:: of no more than 5 lbs.
    1. Generator should provide for full load for: 4 hours, under emergency power need
    1. Resident rooms: No more than 4 residents per room 80 sq ft per resident in multi-bed rooms

5 / 24 100 sq ft in private room window to outside

    1. OBRA requires housekeeping services necessary to: maintain a sanitary, orderly, and clean interior
    1. Exposure Control Plan must be updated: Annually
  1. HUMAN RESOURCES:
    1. Bargaining Unit: Workers identified by NlRB to form a group to unionize
    1. Construct Validity: Extent to which a tool measures a trait important to job performance
    1. Line management: Performs personnel functioned, delegated authority to make decisions
    1. Skill Analysis: identification of attributes required to
    1. Task Analysis: review of job description
    1. Employee Handbook: Policies related to work conditions
    1. Career Path: Avenues for upward mobility within organization
    1. Progressive Discipline: Use of specific number and type of warnings
    1. Job description: list of duties and responsibilities
    1. COLA: Group of temporary workers
    1. Election for unionization: Conducted by NLRB
    1. FLSA: minimum wage
    1. Halo Effect: One trait colors all performance
    1. In-Out migration: Movements of workers in and out of geographic area
    1. Pool: Group of temporary workers
    1. Labor Market: geographic area of recruitment
    1. Union election: NLRB conducts; 50% plus 1 potential bargaining unit members VOTING wins
  2. LEADERSHIP AND MANAGEMENT (23% - 35 questions):
    1. Strategic Planning: setting long term goals
    1. Case mix: residents categorized by acuity
    1. Governing body: legally responsible for management
    1. Tactical planning: selecting goals for one year
    1. Management: achieve common goals thru organization
    1. Market segment: potential users of services

7 / 24 omission or commis- sion)

    1. Governing:: excersis authority
    1. Advisory:: not binding
    1. Stewardship:: accumulation and use of assets
    1. Planning and monitoring:: goals and progress
    1. Determining Facility Objectives:: measurable, verifiable, and attainable
    1. Governing Body:: Approval of P & P Approval of budget Selection and Appraisal of Administrator
  1. FINANCE (14% - 21 questions):
    1. Accounting Equation: Assets = Liabilities + Capital
    1. Accounts payable: Amounts owed by facility
    1. Balance Sheet: Statement showing solvency
    1. Solvency: the ability of a corporation to meet its long term fixed expenses and to accomplish long-term expansion and growth
    1. General ledger: Summaries entries in each journal for accounting period
    1. Cost Center: Organizational unit whose costs are separately accumulated
    1. Accrual: Record revenue when entered; expenses when incurred
    1. Functional Accounting: Recording aggregated data for related activities
    1. Aggregated: formed by the conjunction or collection of particulars into a whole mass or sum; total; combined
    1. Contractual Discount: Uncollectible ditterence between charges and third party payor agree- ments
    1. Depreciation: spreading of cost of capital assests over useful life
    1. Operating Statement: total revenues - total expenses =net income (loss)138)
    1. Working Capital: Current assets - current liabilities
    1. Entity Concept:: The facility, its records and monies are separate from owners. Ensuring consistency in accounting through full ownership disclosure.
    1. On-Going Concern:: The facility will continue to operate INDEFINITLEY
    1. Consistency:: The accounting reports will be prepared in the same way year to year to allow the facility to compare history to determine risks, and allow for clarity

8 / 24

    1. Full Disclosure:: All information must be shown in financial records accurately reflecting the financial standing of the facility
    1. Cash Accounting:: Expenses are recorded when cash disbursed and revenues are recorded when money received. (Recorded money as it flows in and out of facility. Similar to checkbook) A. Advantage: Simplicity B. Disadvantage: Does not recognize depreciation, accounts receivable, or payable
    1. Time period:: Accounting period (12 months) will be consistent year to year
    1. Objective Evidence:: Accounting records are prepared with documentable records kept by facility (Audit Trail)
    1. Accrual Accounting:: 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
    1. Chart of accounts:: list of every account organized into: Assets, Liabilities, Capital, Revenue, Expenses
    1. Assets:: things the facility OWN
    1. Liabilities:: things the facility OWES
    1. Capital:: Net worth or fund balance
    1. Revenues:: Earnings
    1. Expenses:: cost of personnel and supplies used in provision of service
    1. Journals:: books of original entry (the first place transactions are recorded) Cash receipts, billing, accounts payable (purchases), cash disbursements, payroll, general.

10 / 24 Assistant

    1. Licensed Nurse: Charge Nurse on each tour of duty
    1. Time between Super and Breakfast: 14 hours

11 / 24

    1. RN Coverage: 8 consecutive hours, 7 days per week
    1. Frequency of Activities: 7 days per week during hours requested
    1. Frequency of Doctor Visits: Every 30 days for first 90 days, then every 60 days
    1. Access to records: 24 hours of request
    1. Care Plans: 21 days after admissions
    1. Required in service for CENA: 12 hours per year
    1. QA meetings: Quarterly
    1. Work before NA certified: 4 months
    1. Interest Bearing accounts: trust funds greater than $
    1. Involuntary Transfer Notice: 30 days
    1. CVA: Stroke
    1. COPD: Emphysema, Asthma, Bronchitis
    1. ac: before meals
    1. Meal service:: 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)
    1. Dishwashing: wash at 150 to 1600 degrees F
    1. Hot food tray: leave tray line above 140 degrees F
    1. Cold food: leave tray line at less than 41*F
    1. Freezer: 0* - 20* F
    1. Refrigeration: 32* - 45*F
    1. Storage: room temperature
    1. RDA: Recommended Daily Allowance Bread: 4 servings Fruit/veggies 2 cups Meat: 4 oz Milk: 2 cups
    1. Quality Assurance Committe: DON, a physician, and 3 other statt members A. Care plan B. Infection Control

13 / 24

    1. Administration: A. License B. Compliance with standards and regulations C. Governing body D. Nurse Aide Training E. Medical Director F. Laboratory Services G. Radiology Service H. Clinical Services I. Disaster Plan J. Transfer Agreement K. Quality assurance L. Disclosure
  1. The most likely cause of for series of bankruptcies among larger nursing home chains around the year 2000 was: Paying too much for acquisitions in 1998 and 1999
  2. In a chance conversation with the owner of an eight-facility chain, the newly hired administrator for the oldest facility in the chainindicates that, since the mortgage ia fully retired, he will concentrate more on being effective then effecient since his Quality Indicators are all at or above his state's average. The owner would likely: Be distressed
  3. Occupancy of Facility A has been a steady 70% since Prospective Payment System was introduced. Two weeks ago, a new 120-bed equally equipped facili- ty opened several blocks away. The facility A administrator tells the admissions counselor to continue the usual recruitment approach. The chain owners ought to: Seek a new administrator
  4. Bankruptsy among larger nursing home chains prior to 2000: Were highly unusual
  5. Under the Prospective Payment System, nursing facilities reimbursed costs- : Were never bundled

14 / 24

  1. In recent years Medicare has: shifted more cost onto nursing facilities
  2. The nurse newly promoted to director of nurses (DON) insist on giving four RN hours of patient care each day on the Alzheimer's wing in the 175-bed facility. The administrator should: Seek a new DON

16 / 24 he cost of providing subacute care to nursing home residents : Is perhaps triple that of more typical patient

  1. The nurse supervisor who had just been appointed DON announced at the first department head meeting that she had circulated a memo among the

17 / 24 nurses that only formal communications were to be allowed in the nursing department. The administrator should: Anticipate problems

  1. The department head was not surprised to learn that the employee had only heard his positive comments to the employee and ignored his criticism. The department head's grasp of the communicationn process is: Appropriate
  2. The administrator routinely accepted as his nearly exclusive information source the director of nursing's positive reports on how nursing was going well. The administrator is: Placing him at risk
  3. Periodic shortage of nurses available for nursing home employment : Is likely to remain for the foreseeable future
  4. Congress and the Federal rule makers behave as if the facility will run successfully if congress and CMS can write enough rules. They are: Incorrect
  5. When the administrator notices the DON seeks to turn many duties as possible over to housekeeping, the administrator should conclude that the DON is: Behaving normally
  6. The administrator insist that a timely copy of all reports generated within the facility come across her desk before anyone signs them. The administrator is : Not rationalizing her managemnt information system
  7. The administrator notices that incident reports are being insufficiently filled out, but does nothing, believing that the situation will likely correct itself. The administrator is : Failing to control ettectively
  8. Corporate sends a directive its flagship facility administrator, directing the administrator's attention more towards outcome of resident care than cost of resident care during the coming 12 months. Corporate is more concerned with than with .: Ettectiveness/eflciency
  9. The long term care sector

19 / 24

  1. Worried about the level of actual resident care being achieved in the facility, the administrator directs the nurses to spend less time charting and more time focusing on the effeciveness of care being given to residents. The likely result will be : Better resident care, possible increase in deficiency citations
  2. The new social worker informs the head of nursing that admissions is all she has time for and that nursing must monitor and document each resident's socipsychological experience.: Responding appropriately to priorities
  3. Attempting to find the right person for each well-defined job is known as the management function of :
  4. The administrator who takes steps that insure the goals are accomplished and that each job is done as planned is successfully : Controlling quality
  5. The administrators' job is to assure that the employees do the tasks of the organization at an acceptable quality level.: Appropriate
  6. The administrator who conducts a national search for a director of nursing position and interviews 20 candidates from 7 different surrounding states by phone is engaged in the managerial function of : Staflng
  7. Corporate sends a directiveto its flagship facility administrator, directing the administrator's attention more towards outcome of resident care than cost of resudent care during the coming 12 months. Corporate is more concerned with than with .: Ettectiveness/eflciency
  8. The long-term care receiving increased funding and attention from the federal government is the .: Home health care sector
  9. The concept that nursing homes should

20 / 24 be reimbursed by states for their actual cost was part of the .: Hatch Amendment

  1. The intense health care costshifting efforts among providers such as Medicare, Medicaid, and local governments is .: Likely to continue
  2. Worried about the level of actual resident care achieved in the facility, the administrator directs the nurse to spend less time charting and more time focusing on the effectiveness of care being given to the residents. The likely result will be : Better resident care, but increased deficiency citatons
  3. The new social worker informs the head of nursing that the admissions is all she has time for and that nursing must monitor and document each resi-