Home Administrator Federal Nursing Exam 2026 Practice Guide, Exams of Nursing

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Home Administrator Federal Nursing Exam 2026 Practice Guide

a | Ds ce eee ee ee es Home Administrator Federal Nursing Exam 2026 Practice Guide 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? - CORRECT AINSWVERE Infection Control 2) Nursing homes are responsible for obtaining and providing dental care for residents. Who usually pays for dental services? - CORRECT 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: - 4) You calculate the average percent of occupancy by: - CORRDCTANGWER)-Dividing the total census (occupied bed days) by che total number of days, then multiply by 100 5) Resident's rights should be explained to the resident and or family member: - CORREGIANSIERI- 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: - GORRECTANS WER. Administrator 7) Federal law states that facilities must retain menus of food actually served for at least: - CORRECT ENSWER 30 cays 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? - GORRECTANSWER Provide the CPR bua ee ee ee ee eee ee ee ee ee eee eee eee “1 I I I I I I I I I I I I I I I I I I I I I I I I al 9) A resident asks to see his chart. The doctor tells the nurse not to allow the resident access to the chart. Whar do you do? - CORRECT ANSWER-Tell the doctor the law gives the resident the right to view the medical records 10) Medical records belong to: - GORRECTANSWER Facility 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: - GORREGMANSWER!-30 days 12) The suffix “algia" refers to: - GORRECTANSWER-Pain 13) Physical restraints must be removed: - CORRECT ANSWER -Every two hours 14} Depression is one of many psychological changes related to the aging process, Others include the following excep: for: - SORREGHANSWER) Hearing loss 15} “"Nosocomal" refers to - GORRECTANSWER Infection occurring inside the facility (institutionalized) 17) A capital budget is mostly about: - GORRECTANSWER Equipment and real estate 18} Current debts ace debs chac arc: - SORRIGIANSWER!-D uc within one year 19) A ledger is a complete listing of - SORRECMANSWER Accounts payable and receivable 20) Which resource usually provides the least revenue for a nursing home? - CORRECT ANSWER - Insurance r I I I I I I I I I I I I I I I I I I I I I I I I L a | 31) McGregor's Theory X and Theory ¥ discuss individual's: - GORRECTANSWER! Employees's attitudes towards work 32) Decision making requires all of the following except: - GORRECTANSWER! Controlling behavior 33) Public relations has been defined as: CORRECT ANSWER. The management of communications 34) Strategic Planning is: - GORRECTANSWERIL ong term plans based on the organizations overall business objectives 35) Marketing should: - GORRECTANS WER Increase and maintain census 36) Keys to success in reducing turnover are all except: - GORRECTANSWER Scheduling 37) Which is not a recognized type of management? - CORRECT ANSWER -Scalar Chain Management 38) Unity of Command is: - CORRECT ANSWER -Each person reports to one supervisor 39) Speed is a communication barrier because, on average, a person speaks 180 words per minute, but thinks CORRECT ANSWER -300 words per minute at. 40) The most overlooked aspect of communication in health facilities is: feedback loops 41) Of the following, the task management performs that contribute most effectively and positively to morale CORRECT ANSWER. Discipline consistenclyr and fairly i bua ee ee ee ee eee ee ee ee ee eee eee eee Ds ce eee ee ee es “1 I I I I I I I I I I I I I I I I I I I I I I I I al 42) In a bargaining unit, only need to sign a card to call a union election: - CORRECT ANSWER -30 percent 44) During an interview or on a job application, you may ask for all except: - CORRECT ANSWER -Place of Birth 45) To be eligible for FMLA, an employee must first work - CORRECT ANSWER -1250 hours in the last 12 months 46) If an employee works 52 hours in one week ata rate of $7 per hour, what would be the total gross salary? - CORRECHANSWER 0. 47) Fire safety regulations come primarily from: - CORRECT ANSWER -LSC Life Safety Code 48) The purpose of an enunciator panel is to: - SORRECGIAINSWERL Indicate the zone of a fire 49) Generators must be checked - GORRECTANSWERmoncly 50) Employee's Right to know refers to - GORRECTANSWER Hazardous communicatins 51) The primary fire - defense tools of a nursing home staff are: - GORRECTANSWER Smoke barriers, corridor walls, and resident rooms 52) A maintenance program that saves time and money focuses on: - GORRECTENGWER Preventive maintenance 53) Class C fies involve: - SGRRECTIANSIIER! Electricity r I I I I I I I I I I I I I I I I I I I I I I I I L “1 I I I I I I I I I I I I I I I I I I I I I I I I al 64) Occupant loads for exit requirements: - GORRECINAINSWER one person per 120 sq ft of floor area in sleeping areas and one person per 240 sq ft in treatment areas 65) Means of Egress Requirements Emergency lighting: - SQRIREGISANSWVER)-Mandacory and Automatically available not requiring manual intervention for continuous operation when power is intecupted 66) Means of Egress Requirements Exit Marking: - G@ORRB@MANSWER!-clearly marked with signs no more than 100 feet from exit 67) Emergency Power: - GORRECTANSWERL Check generator weekly, test under full load for 30 minutes monthly 68) Handrails ac bottom of stairs must be: - GORRECTANSWER! extended parallel co floor for 12 inches 69) Windows must have opening force requirement: - CORRTCTANSWER) of no more than 5 Ibs. 70) Generator should provide for full load for - CORRECT ANSWER-4 hours, under emergency power need 71) Resident rooms - CORRECT 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 r I I I I I I I I I I I I I I I I I I I I I I I I L “1 I I I I I I I I I I I I I I I I I I I I I I I I al 72) OBRA requires housekeeping services necessary to - GORRECTANSWER maincain a sanitary, orderly, and clean interior 73) Exposure Control Plan must be updated - GORRECTANSWER Annually HUMAN RESOURCLS - GORRECTANS WER. 74) Bargaining Unic - GORRECTANSWER Workers identified by NIRB to form a group to unionize 75) Construct Validity - GORRECTANSWER Extent to which a tool measures a trait important to job performance 76) Line management - GORRECTANGWER! Performs personnel functioned, delegated authority to make decisions 77) Skill Analysis - GORRECTMNGWER idencification of attributes required to 78) Task Analysis - GORRECTANSWER teview of job description 79} Employee Handbook - CORRTSTANS WERE olicies related to work conditions 80) Career Pach - GORRECIAINSWERI Avenues for upward mobility within organization 81) Progressive Discipline - SORRE@IANSWERUse of specific number and type of warnings 82} Job description - CORRECT ANSWER ist of duties and responsibilities r I I I I I I I I I I I I I I I I I I I I I I I I L “1 I I I I I I I I I I I I I I I I I I I I I I I I al 94) Tactical planning - GORRECTNGWER selecting goals for one year 95} Management - GORRECTANGWER achieve common goals thru organization 96) Market segment - CORRTSTANSWER potential users of services 97) Payor mix - GORRECTANGWER residents categorized by payment type 98) Rules - GORRECTANSWER! commands for action or non-action 99) Procedures - GORRECTANGWER tequited methods for handling acti 100) Risk management - SORREGMENSWER proactive means of anticipating problems 101) Staff authority - GORREGIANSWER) advisory relationship with line management 102) Forecasting - GORRECIANSWVER projects trends and needs which facility management must decide in future economic, social and political environment expected and resources available. 103) Bench Marking - GORRECTANS WER improve business by comparing with best practice of others (standards from which you measure) 104) Upper-Level management - GORRECTANSWER responsible for the overall functioning of the facility, normally interacting directly with the Board of Directors and/or owners. r I I I I I I I I I I I I I I I I I I I I I I I I L “1 I I I I I I I I I I I I I I I I I I I I I I I I al 105) Middle-Level management - GORRECTANSWER tepore to upper-level while interacting with lower- level (DON) 106) Lower-level management - SORRECMANSWER directly supervise the staff who do the actual work 107) Line Position (Authority): - GORRECTANSWER empowered by administrator to make decisions for organization (DON can fire, fire, give orders) 108) Staff Position (Authority) - CORRECT ANSWER -not empowered to make decisions; duties are primarily to advise (consultants, pharmacists, accountants, etc.) 109) Functional Authority - GORRECTANSWER action outside the normal lines of authority 1. Violates unity of command 2, Necessary due to principle of exception The two often have edges of distinction blurred 110) Actionable - GORRTSTANSWER conduct giving rise to legal action 111) Aggrieved party - GORRIECIMANSIVERI one whose rights invaded or who suffered injury 112) Burden of proof - GORRECTANSWER obligation of person bringing action 113) Liable - CORRECTING WER written defamation 114) Slander - GORREGHENSWER verbal defamation r I I I I I I I I I I I I I I I I I I I I I I I I L “1 I I I I I I I I I I I I I I I I I I I I I I I I al 124) Accounting Equation - CORRECT ANSWER -Assets = Liabilities + Capital 125) Accounts payable - GORREGTIANSIVERL A mounts owed by facility 126) Balance Sheet - GORRECTANSWER Statement showing solvency 127) Solvency - GORREGTPANSWER|-the ability of a corporation to meet its long term fixed expenses and to accomplish long-term expansion and growth 128) General ledger - GORRECTANGWER Summaries entries in each journal for accounting period 129) Cost Center - GORRESTANS WER Organizational unit whose costs are separately accumulated. 130) Accrual - GORRECTENGWER Record revenue when entered; expenses when incurred 131) Functional Accounting - GORRECTENGWER Recording aggregated data for related activities 132) Aggregated - GORRECTANSWER! formed by the conjunction or collection of particulars into a whole mass or sum; total; combined 133) Contractual Discount - CORRECTANSWER! Uncollectible difference between charges and third Party payor agreements 134) Depreciation - GORRECGIANSWERY sp reading of cost of capital assests over useful life 135) Operating Statement - SORRECSTANSWERI-total revenues - total expenses =net income (loss)138) r I I I I I I I I I I I I I I I I I I I I I I I I L a | 136) Working Capital - GORRECTANSWER Current assets - current liabilities 137) Entity Concept: - CORRECT ANSWER ~The facility, its records and monies are separate from owners. Ensuring consistency in accounting through full ownership disclosure. 138) On-Going Concer! CORRECT ANSWER ~The faciliry will continue to operate INDEFINITLEY GORREGIANSWERE 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 139) Consistency: 140) Full Disclosure: - SGRREGISANSWVER All information must be shown in financial records accurately reflecting the financial standing of the facility 141) Cash Accounting: - GORRECTANSWER)-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 142) Time period: - GORRECTMNGWER Accounting period (12 months) will be consistent year to year 143) Objective Evidence: - GORRECTANSWER Accounting records are prepared with documentable records kept by facility (Audit Trail) 144) Accrual Accounting: - GORRECTANSWER! Revenues are recognized when they are earned and expenses when they are incurred, regardless of when cash transactions take place. bua ee ee ee ee eee ee ee ee ee eee eee eee Ds ce eee ee ee es a | Ds ce eee ee ee es 153) Double entry: - CORRECT ANSWER -two entries for each transaction DEBIT and CREDIT 154) General Ledger: - GORRECTANSWER 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” 156) Financial Statement: - GORRECTENGWER summary of all transactions made in a particular time period and their effect on the finances of the facility. 157) Handling Cash - CORRECT ANSWER -Two person procedure; one receives by opening mail or taking in person; the other prepares bank deposit 158) Collections - GORRECTANS WER! policy for deliquenc bills. MUST BE CONSISTENT with all payment types; in not faciliry could be charged with fraud. 159) Payroll - GORRECTANGWER argesc expense (50-70% of operational) controlled by administration separate bank account 160) Residents’ Accounts (Trust fund) - GORRECTENSWER Legally must provide Safe for cash and valuables Separate accounting Incerest Bearing - amounts over $50.00 161) Cost Per Patient Day = - CORRECT ANSWER -Teral cost/census days bua ee ee ee ee eee ee ee ee ee eee eee eee “1 I I I I I I I I I I I I I I I I I I I I I I I I al RESIDENT CARE & QUALITY OF LIFE (35% - 52 questions) - GORRECDANSWER- 162) Nursing Assistant Training - CORRECT ANSWER -75 hour course and exams plus continuing in service 164) Excess Disability - CORREGUANSWERI-Avoidable Dysfunction 165) PASAAR- GORRECTANSWER Insures appropriate treatment for MR/MI population 166) Function - GORRECTANSWER Focus of Rehab 167) Pharmacist - GORRECTANSWER Monthly drug review/ Audits 168) Basis for Menu - G@ORREGMANSWERI-Basic 4 plus recommended daily allowances 168) Nursing Assistants - GORRECTENSWER Provide most direct care 169) OBRA 487 - GORRECTANSWER Conditions to participate in Medicare and Medicaid 170) MDS - GORRECTANSWER Comprehensive Assessment within 14 days of admission 171) Physician Extenders - CORRICTANSWERL Nurse Practitioner, Clinical Nurse Specialist or Physician Assistant 172) Licensed Nurse - GORRECTANGWER-Charge Nurse on each tour of duty r I I I I I I I I I I I I I I I I I I I I I I I I L a | Ds ce eee ee ee es 186) ac - GORRECTANSWER before meals 187) Meal service: - CORRECT ANSWER -Ker to high resident morale. 3-5 meals per day with no more than 14 hours brw evening meal and next breakfast (16 if HS snack) 188) Dishwashing - GORRECTANGWER wash at 150 to 1600 degrees F 189) Hot food tray - GORREGTANSWER leave tray line above 140 degrees F 190) Cold food - G@RIREGIANSWERLeave tray line at less than 41*F 191) Fecoer- SORRECSHANSWTER 0° 20° F 192) Refrigeration - CORRECT ANSWER -32° - 45*F 193) Storage - GORRECTENSWER. 100m temperature 194) RDA - GORRECTINGWER Recommended Daily Allowance Bread: 4 servings Fruit/veggies 2 cups Meat: 4 oz Milk: 2 cups 195) Quality Assurance Committe - GORRECTANSWERL_DON, a physician, and 3 other staff members bua ee ee ee ee eee ee ee ee ee eee eee eee “1 I I I I I I I I I I I I I I I I I I I I I I I I al A. Care plan B, Infection Control C. Pharmacy Committee D. Safery Committe 196) Administration - CORRECT ANSWER -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 The most likely cause of for series of bankruptcies among larger nursing home chains around the year 2000 was - GORRECTIANSWER) Paying too much for acquisitions in 1998 and 1999 Ina 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 - CORRECT ANSWER -Be distressed r I I I I I I I I I I I I I I I I I I I I I I I I L