Louisiana Nursing Home Administrator
(LNHA) License Exam | 270 Practice
Questions with Correct Answers &
Rationales (2026–2027 Update) | Test
Bank
Q1. In Louisiana, the state agency responsible for licensing and
surveying nursing homes is:
A) Louisiana Department of Health (LDH)
B) Louisiana Board of Nursing
C) Louisiana Department of Insurance
D) Louisiana Attorney General's Office
Correct Answer: A
Rationale: The Louisiana Department of Health (LDH) through its Health
Standards Section (HSS) is responsible for licensing, surveying, and
certifying nursing homes for Medicare/Medicaid participation.
Q2. The federal law that established nursing home reform and
residents' rights is:
A) HIPAA
B) OBRA '87 (Nursing Home Reform Act)
C) ADA
D) EMTALA
Correct Answer: B
Rationale: The Omnibus Budget Reconciliation Act (OBRA) of 1987
,established comprehensive nursing home reform, including residents'
rights, minimum staffing standards, and survey/enforcement provisions.
Q3. The Louisiana Administrative Code (LAC) title that governs
nursing facility administrators is:
A) Title 46, Part XLIX
B) Title 28, Part III
C) Title 51, Part I
D) Title 40, Part VII
Correct Answer: A
Rationale: The Louisiana Administrative Code Title 46, Part XLIX contains
the regulations governing the licensing and practice of nursing facility
administrators in Louisiana.
Q4. The federal agency that administers Medicare and Medicaid
programs is:
A) FDA
B) CMS (Centers for Medicare & Medicaid Services)
C) CDC
D) HRSA
Correct Answer: B
Rationale: The Centers for Medicare & Medicaid Services (CMS) is the
federal agency responsible for administering Medicare, Medicaid, and
the Children's Health Insurance Program, including oversight of nursing
home certification.
Q5. Under OBRA '87, a comprehensive care plan must be completed
within how many days of admission?
,A) 7 days
B) 14 days
C) 21 days
D) 30 days
Correct Answer: C
Rationale: OBRA '87 requires that a comprehensive care plan be
completed within 21 days of admission.
Q6. Which of the following is NOT a required component of a nursing
home's resident assessment under MDS 3.0?
A) Physical functioning and structural problems
B) Cognitive patterns
C) Resident's preferred leisure activities
D) Family financial status
Correct Answer: D
Rationale: Family financial status is not part of the Minimum Data Set
(MDS) 3.0 assessment. The MDS covers clinical, functional, and
psychosocial domains relevant to resident care planning.
Q7. The Louisiana state standards examination for nursing home
administrators is administered by:
A) Louisiana Department of Education
B) Louisiana Board of Examiners of Nursing Facility Administrators
(LABENFA)
C) Louisiana State Medical Society
D) Louisiana Hospital Association
Correct Answer: B
Rationale: The Louisiana Board of Examiners of Nursing Facility
, Administrators (LABENFA) administers the state standards examination
for nursing home administrator licensure.
Q8. The Elder Justice Act of 2009 primarily addresses:
A) Medicare reimbursement rates
B) Elder abuse, neglect, and exploitation
C) Nursing home construction standards
D) Staffing ratios
Correct Answer: B
Rationale: The Elder Justice Act of 2009 was enacted to combat elder
abuse, neglect, and exploitation, and it created the Elder Justice
Coordinating Council and the ombudsman program.
Q9. Under Louisiana law, nursing home administrators must
complete how many hours of continuing education per licensing
period?
A) 10 hours
B) 20 hours
C) 30 hours
D) 40 hours
Correct Answer: C
Rationale: Louisiana requires nursing home administrators to complete
30 hours of continuing education per licensing period, with specific
requirements for topics such as resident rights and infection control.
Q10. The federal survey process for nursing homes is conducted
under which authority?
A) Social Security Act, Section 1819
B) Affordable Care Act
(LNHA) License Exam | 270 Practice
Questions with Correct Answers &
Rationales (2026–2027 Update) | Test
Bank
Q1. In Louisiana, the state agency responsible for licensing and
surveying nursing homes is:
A) Louisiana Department of Health (LDH)
B) Louisiana Board of Nursing
C) Louisiana Department of Insurance
D) Louisiana Attorney General's Office
Correct Answer: A
Rationale: The Louisiana Department of Health (LDH) through its Health
Standards Section (HSS) is responsible for licensing, surveying, and
certifying nursing homes for Medicare/Medicaid participation.
Q2. The federal law that established nursing home reform and
residents' rights is:
A) HIPAA
B) OBRA '87 (Nursing Home Reform Act)
C) ADA
D) EMTALA
Correct Answer: B
Rationale: The Omnibus Budget Reconciliation Act (OBRA) of 1987
,established comprehensive nursing home reform, including residents'
rights, minimum staffing standards, and survey/enforcement provisions.
Q3. The Louisiana Administrative Code (LAC) title that governs
nursing facility administrators is:
A) Title 46, Part XLIX
B) Title 28, Part III
C) Title 51, Part I
D) Title 40, Part VII
Correct Answer: A
Rationale: The Louisiana Administrative Code Title 46, Part XLIX contains
the regulations governing the licensing and practice of nursing facility
administrators in Louisiana.
Q4. The federal agency that administers Medicare and Medicaid
programs is:
A) FDA
B) CMS (Centers for Medicare & Medicaid Services)
C) CDC
D) HRSA
Correct Answer: B
Rationale: The Centers for Medicare & Medicaid Services (CMS) is the
federal agency responsible for administering Medicare, Medicaid, and
the Children's Health Insurance Program, including oversight of nursing
home certification.
Q5. Under OBRA '87, a comprehensive care plan must be completed
within how many days of admission?
,A) 7 days
B) 14 days
C) 21 days
D) 30 days
Correct Answer: C
Rationale: OBRA '87 requires that a comprehensive care plan be
completed within 21 days of admission.
Q6. Which of the following is NOT a required component of a nursing
home's resident assessment under MDS 3.0?
A) Physical functioning and structural problems
B) Cognitive patterns
C) Resident's preferred leisure activities
D) Family financial status
Correct Answer: D
Rationale: Family financial status is not part of the Minimum Data Set
(MDS) 3.0 assessment. The MDS covers clinical, functional, and
psychosocial domains relevant to resident care planning.
Q7. The Louisiana state standards examination for nursing home
administrators is administered by:
A) Louisiana Department of Education
B) Louisiana Board of Examiners of Nursing Facility Administrators
(LABENFA)
C) Louisiana State Medical Society
D) Louisiana Hospital Association
Correct Answer: B
Rationale: The Louisiana Board of Examiners of Nursing Facility
, Administrators (LABENFA) administers the state standards examination
for nursing home administrator licensure.
Q8. The Elder Justice Act of 2009 primarily addresses:
A) Medicare reimbursement rates
B) Elder abuse, neglect, and exploitation
C) Nursing home construction standards
D) Staffing ratios
Correct Answer: B
Rationale: The Elder Justice Act of 2009 was enacted to combat elder
abuse, neglect, and exploitation, and it created the Elder Justice
Coordinating Council and the ombudsman program.
Q9. Under Louisiana law, nursing home administrators must
complete how many hours of continuing education per licensing
period?
A) 10 hours
B) 20 hours
C) 30 hours
D) 40 hours
Correct Answer: C
Rationale: Louisiana requires nursing home administrators to complete
30 hours of continuing education per licensing period, with specific
requirements for topics such as resident rights and infection control.
Q10. The federal survey process for nursing homes is conducted
under which authority?
A) Social Security Act, Section 1819
B) Affordable Care Act
