TEXAS NURSING HOME ADMINISTRATOR EXAM MOST RECENT EXAM QUESTIONS AND ANSWERS
ALREADY GRADED A+. 100% VERIFIED SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED A+....
Core Domains
- Licensure, Governance, and Organizational Management (Texas Administrative Code, HHSC)
- Resident Care and Quality of Life (Person-Centered Care, Assessments, Care Planning)
- Human Resources and Staff Management (Recruitment, Retention, Training, Labor Laws)
- Financial Management and Business Operations (Budgeting, Billing, Medicaid/Medicare)
- Environment, Safety, and Risk Management (Life Safety Code, Infection Control, Emergency Preparedness)
- Regulatory Compliance and Legal Standards (Federal and State Regulations, Surveys, Enforcement)
- Ethics and Professional Standards
- Long-Term Care Administration and Leadership
Introduction
This comprehensive practice examination is meticulously designed for candidates preparing for the Texas Nursing
Home Administrator (LNFA) Licensure Exam. The assessment evaluates a candidate's mastery of the essential
knowledge and competencies required to effectively manage a skilled nursing facility in Texas, including a
thorough understanding of both state-specific regulations (Texas Administrative Code, HHSC standards) and the
national NAB Core of Knowledge. The multiple-choice format includes scenario-based questions that test critical
thinking and decision-making in real-world long-term care administration scenarios, ensuring candidates are
prepared for the rigors of the official licensing examination.
Section One: Questions 1-100
,1. According to Texas Administrative Code §555.18, an applicant seeking a license as a nursing facility
administrator (NFA) from the Texas Health and Human Services Commission (HHSC) must pass which
examinations?
A. Only the state examination on nursing facility requirements in Texas.
B. Only the NAB examinations.
C. Both the state examination and the NAB examinations.
D. Either the state examination or the NAB examinations.
🟢 C. Both the state examination and the NAB examinations.
🔴 RATIONALE: Except for applicants presenting evidence of a health services executive (HSE) qualification, all
applicants must pass both the state examination on nursing facility requirements in Texas and the NAB
examinations to be licensed .
2. An applicant who meets the academic and internship requirements by presenting evidence of a health
services executive (HSE) qualification must pass which examination?
A. The NAB examinations only.
B. The state examination only.
C. Both examinations.
D. Neither examination.
🟢 B. The state examination only.
🔴 RATIONALE: An applicant who meets the academic and internship requirements by presenting evidence of a
health services executive (HSE) qualification must pass the state examination on nursing facility requirements in
Texas .
,3. An applicant who fails the state or NAB examination three consecutive times must complete what before
retaking the examination?
A. An additional 40 hours of continuing education.
B. An additional 1,000-hour administrator-in-training internship.
C. A remedial course approved by HHSC.
D. A 6-month waiting period.
🟢 B. An additional 1,000-hour administrator-in-training internship.
🔴 RATIONALE: An applicant who fails the state or NAB examination three consecutive times must complete an
additional 1,000-hour administrator-in-training internship before retaking the examination .
4. How long is a nursing facility administrator license valid in Texas?
A. 1 year.
B. 2 years.
C. 3 years.
D. 4 years.
🟢 B. 2 years.
🔴 RATIONALE: A nursing facility administrator license in Texas is valid for 2 years and is subject to biennial
renewal .
5. Which of the following best demonstrates person-centered care?
A. Scheduling activities without resident input.
B. Allowing residents to choose daily routines and meals.
, C. Requiring residents to attend mandatory sessions.
D. Serving meals at fixed times for all residents.
🟢 B. Allowing residents to choose daily routines and meals.
🔴 RATIONALE: Person-centered care respects the individual preferences and autonomy of residents. Allowing
residents to choose daily routines and meals empowers them and enhances their quality of life, moving away
from a facility-centered, rigid schedule .
6. A facility must keep a supply of how much perishable food?
A. 1 day.
B. 2 days.
C. 7 days.
D. 14 days.
🟢 B. 2 days.
🔴 RATIONALE: The dietary department must keep a seven-day supply of staple foods and a two-day supply of
perishable foods at all times .
7. How often must a resident's drug regimen be reviewed by a licensed pharmacist?
A. Weekly.
B. Monthly.
C. Quarterly.
D. Annually.
🟢 B. Monthly.
ALREADY GRADED A+. 100% VERIFIED SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED A+....
Core Domains
- Licensure, Governance, and Organizational Management (Texas Administrative Code, HHSC)
- Resident Care and Quality of Life (Person-Centered Care, Assessments, Care Planning)
- Human Resources and Staff Management (Recruitment, Retention, Training, Labor Laws)
- Financial Management and Business Operations (Budgeting, Billing, Medicaid/Medicare)
- Environment, Safety, and Risk Management (Life Safety Code, Infection Control, Emergency Preparedness)
- Regulatory Compliance and Legal Standards (Federal and State Regulations, Surveys, Enforcement)
- Ethics and Professional Standards
- Long-Term Care Administration and Leadership
Introduction
This comprehensive practice examination is meticulously designed for candidates preparing for the Texas Nursing
Home Administrator (LNFA) Licensure Exam. The assessment evaluates a candidate's mastery of the essential
knowledge and competencies required to effectively manage a skilled nursing facility in Texas, including a
thorough understanding of both state-specific regulations (Texas Administrative Code, HHSC standards) and the
national NAB Core of Knowledge. The multiple-choice format includes scenario-based questions that test critical
thinking and decision-making in real-world long-term care administration scenarios, ensuring candidates are
prepared for the rigors of the official licensing examination.
Section One: Questions 1-100
,1. According to Texas Administrative Code §555.18, an applicant seeking a license as a nursing facility
administrator (NFA) from the Texas Health and Human Services Commission (HHSC) must pass which
examinations?
A. Only the state examination on nursing facility requirements in Texas.
B. Only the NAB examinations.
C. Both the state examination and the NAB examinations.
D. Either the state examination or the NAB examinations.
🟢 C. Both the state examination and the NAB examinations.
🔴 RATIONALE: Except for applicants presenting evidence of a health services executive (HSE) qualification, all
applicants must pass both the state examination on nursing facility requirements in Texas and the NAB
examinations to be licensed .
2. An applicant who meets the academic and internship requirements by presenting evidence of a health
services executive (HSE) qualification must pass which examination?
A. The NAB examinations only.
B. The state examination only.
C. Both examinations.
D. Neither examination.
🟢 B. The state examination only.
🔴 RATIONALE: An applicant who meets the academic and internship requirements by presenting evidence of a
health services executive (HSE) qualification must pass the state examination on nursing facility requirements in
Texas .
,3. An applicant who fails the state or NAB examination three consecutive times must complete what before
retaking the examination?
A. An additional 40 hours of continuing education.
B. An additional 1,000-hour administrator-in-training internship.
C. A remedial course approved by HHSC.
D. A 6-month waiting period.
🟢 B. An additional 1,000-hour administrator-in-training internship.
🔴 RATIONALE: An applicant who fails the state or NAB examination three consecutive times must complete an
additional 1,000-hour administrator-in-training internship before retaking the examination .
4. How long is a nursing facility administrator license valid in Texas?
A. 1 year.
B. 2 years.
C. 3 years.
D. 4 years.
🟢 B. 2 years.
🔴 RATIONALE: A nursing facility administrator license in Texas is valid for 2 years and is subject to biennial
renewal .
5. Which of the following best demonstrates person-centered care?
A. Scheduling activities without resident input.
B. Allowing residents to choose daily routines and meals.
, C. Requiring residents to attend mandatory sessions.
D. Serving meals at fixed times for all residents.
🟢 B. Allowing residents to choose daily routines and meals.
🔴 RATIONALE: Person-centered care respects the individual preferences and autonomy of residents. Allowing
residents to choose daily routines and meals empowers them and enhances their quality of life, moving away
from a facility-centered, rigid schedule .
6. A facility must keep a supply of how much perishable food?
A. 1 day.
B. 2 days.
C. 7 days.
D. 14 days.
🟢 B. 2 days.
🔴 RATIONALE: The dietary department must keep a seven-day supply of staple foods and a two-day supply of
perishable foods at all times .
7. How often must a resident's drug regimen be reviewed by a licensed pharmacist?
A. Weekly.
B. Monthly.
C. Quarterly.
D. Annually.
🟢 B. Monthly.
