Nursing Home Administrator COMPLETE Exam Mastery
Guide with Verified Answers (2025–2026)
The _____________ has ultimate legal responsibility for the operation of a nursing facility.
1 Medical Director
2 Nursing home Administrator
3 Long term care ombudsman
4 Governing body - correct answer -Governing body has ultimate responsiblity
3 Per OBRA 1987, air temperature is measured _____________.
1 At ceiling level
2 At level with the thermostat control box
3 Just above the floor
4 18 inches below the ceiling - correct answer -Air temperature is measured just off the floor
The rights of an individual determined by a court to be incompetent would be exercised by a(n)
____________________.
1 Attorney in Fact
2 A person appointed by a court or court guardian
3 Durable power of attorney
4. Ombudsman - correct answer -Ombudsman
A resident was only given lunch that day, was given the wrong medication in the morning, had
her room changed without notification and was not given a bath as requested. Per OBRA 1987,
how many resident rights were violated? - correct answer -3 (bath is not a right)
,The _______has legal responsibility to adopt and implement facility policies.
1. Medical Director
2. Director of Nursing
3. Governing body
4. Administrator - correct answer -Governing body
A resident was admitted on June 1. The attending physician charted a visit and physical
examination of the resident on June 27, July 29, Sept 4 and November 17, 2007. Per OBRA 1987
with respect to required physician visits, the facility ___________.
Complied with required physician visits
Would be cited for a late visit in November
Is not responsible for late physician visits and would not be cited
The facility would only be cited if there was actual harm to a resident - correct answer -Would
be cited for a late visit in November
A state surveyor learns in interviews with residents that when residents are admitted, they were
provided a written list of names of physicians who cared for residents in the facility in their
admission packet. The facility assigned an attending physician to each resident prior to
admission from a rotating list of physicians. Per OBRA 1987, the facility _______.
Was out of compliance and would be cited
Fully complied with all requirements
Must transfer these residents to another facility
Must immediately transfer these residents to the care of the medical director - correct answer -
Was out of compliance and would be cited
______ is the most comprehensive and effective improvement model.
Total Quality Management
Quality Assurance
,Continuous Improvement
Performance Improvement - correct answer -Total Quality Management
HCFA stands for ________________.
Health Care Financing Authority
Health Costs Financing Administration
Health Care Financing Administration
Health Care Financing Agency - correct answer -Health Care Financing Administration
Telephone cords must be a minimum length of ______ .
12 inches
15 inches
24 inches
29 inches - correct answer -29 inches
Adding baking soda to food will primarily affect its ________.
Nutritive value
Palatability
Attractiveness
Temperature - correct answer -Nutritive value
The resident's quality of life and physical condition is the focus of:________.
Structure
Process
Outcomes
All of the above - correct answer -Outcomes
, Electrical switches must be located at a minimum of ___ inches above the floor.
1. 6
2. 12
3. 15
4. 24 - correct answer -12
Nursing homes must have hearing aid compatible phones with volume control that canadjust
the volume between a minimum of ____ and a maximum of ____ decibels above normal.
6,11
12, 18
15, 20
20, 29 - correct answer -12, 18
The emergency generator must be visually inspected and checked ________.
1. Daily
2. weekly
3. Monthly
4. Quarterly - correct answer -WEEKLY
Federal resident care standards are now ___ and ___ and are no longer considered minimal
standards.
State of art, maximal
Outdated, irrelevant
Disputed, questioned
Voluntary, mammal - correct answer -State of art, maximal
Guide with Verified Answers (2025–2026)
The _____________ has ultimate legal responsibility for the operation of a nursing facility.
1 Medical Director
2 Nursing home Administrator
3 Long term care ombudsman
4 Governing body - correct answer -Governing body has ultimate responsiblity
3 Per OBRA 1987, air temperature is measured _____________.
1 At ceiling level
2 At level with the thermostat control box
3 Just above the floor
4 18 inches below the ceiling - correct answer -Air temperature is measured just off the floor
The rights of an individual determined by a court to be incompetent would be exercised by a(n)
____________________.
1 Attorney in Fact
2 A person appointed by a court or court guardian
3 Durable power of attorney
4. Ombudsman - correct answer -Ombudsman
A resident was only given lunch that day, was given the wrong medication in the morning, had
her room changed without notification and was not given a bath as requested. Per OBRA 1987,
how many resident rights were violated? - correct answer -3 (bath is not a right)
,The _______has legal responsibility to adopt and implement facility policies.
1. Medical Director
2. Director of Nursing
3. Governing body
4. Administrator - correct answer -Governing body
A resident was admitted on June 1. The attending physician charted a visit and physical
examination of the resident on June 27, July 29, Sept 4 and November 17, 2007. Per OBRA 1987
with respect to required physician visits, the facility ___________.
Complied with required physician visits
Would be cited for a late visit in November
Is not responsible for late physician visits and would not be cited
The facility would only be cited if there was actual harm to a resident - correct answer -Would
be cited for a late visit in November
A state surveyor learns in interviews with residents that when residents are admitted, they were
provided a written list of names of physicians who cared for residents in the facility in their
admission packet. The facility assigned an attending physician to each resident prior to
admission from a rotating list of physicians. Per OBRA 1987, the facility _______.
Was out of compliance and would be cited
Fully complied with all requirements
Must transfer these residents to another facility
Must immediately transfer these residents to the care of the medical director - correct answer -
Was out of compliance and would be cited
______ is the most comprehensive and effective improvement model.
Total Quality Management
Quality Assurance
,Continuous Improvement
Performance Improvement - correct answer -Total Quality Management
HCFA stands for ________________.
Health Care Financing Authority
Health Costs Financing Administration
Health Care Financing Administration
Health Care Financing Agency - correct answer -Health Care Financing Administration
Telephone cords must be a minimum length of ______ .
12 inches
15 inches
24 inches
29 inches - correct answer -29 inches
Adding baking soda to food will primarily affect its ________.
Nutritive value
Palatability
Attractiveness
Temperature - correct answer -Nutritive value
The resident's quality of life and physical condition is the focus of:________.
Structure
Process
Outcomes
All of the above - correct answer -Outcomes
, Electrical switches must be located at a minimum of ___ inches above the floor.
1. 6
2. 12
3. 15
4. 24 - correct answer -12
Nursing homes must have hearing aid compatible phones with volume control that canadjust
the volume between a minimum of ____ and a maximum of ____ decibels above normal.
6,11
12, 18
15, 20
20, 29 - correct answer -12, 18
The emergency generator must be visually inspected and checked ________.
1. Daily
2. weekly
3. Monthly
4. Quarterly - correct answer -WEEKLY
Federal resident care standards are now ___ and ___ and are no longer considered minimal
standards.
State of art, maximal
Outdated, irrelevant
Disputed, questioned
Voluntary, mammal - correct answer -State of art, maximal
