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SMQT PRACTICE EXAM 2026 Updated | 60 SURE Questions with
Answers & Rationales
Question 1
Which federal agency is primarily responsible for oversight of
nursing homes and the survey process?
A. CDC
B. CMS
C. FDA
D. OSHA
Answer: B
Rationale: CMS (Centers for Medicare & Medicaid Services)
oversees nursing home regulation, survey, certification, and
enforcement.
Question 2
What does the acronym “LTC” stand for in surveyor
terminology?
A. Long-Term Condition
B. Long-Term Care
C. Licensed Treatment Center
D. Local Treatment Clinic
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Answer: B
Rationale: LTC = Long-Term Care.
Question 3
The federal nursing home regulations are found in which part of
the Code of Federal Regulations?
A. 42 CFR Part 483
B. 42 CFR Part 484
C. 42 CFR Part 485
D. 42 CFR Part 486
Answer: A
Rationale: Long-term care facility requirements are in 42 CFR
Part 483, Subpart B.
Question 4
What is the primary purpose of the nursing home survey
process?
A. To close underperforming facilities
B. To determine compliance with federal regulations and
protect residents
C. To increase facility revenue
D. To train nursing home staff
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Answer: B
Rationale: Surveys assess compliance with federal
requirements to ensure resident safety and quality of care.
Question 5
Which of the following is a core element of the survey process?
A. Resident interviews and observations
B. Only reviewing medical records
C. Only checking building codes
D. Ignoring staff interviews
Answer: A
Rationale: Surveys include resident, family, and staff interviews;
observations; and record reviews.
Question 6
What is an Immediate Jeopardy (IJ)?
A. A minor deficiency with no harm
B. A situation in which a facility’s noncompliance has caused or
is likely to cause serious injury, harm, impairment, or death
C. A billing error
D. A staffing shortage only
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SMQT PRACTICE EXAM 2026 Updated | 60 SURE Questions with
Answers & Rationales
Question 1
Which federal agency is primarily responsible for oversight of
nursing homes and the survey process?
A. CDC
B. CMS
C. FDA
D. OSHA
Answer: B
Rationale: CMS (Centers for Medicare & Medicaid Services)
oversees nursing home regulation, survey, certification, and
enforcement.
Question 2
What does the acronym “LTC” stand for in surveyor
terminology?
A. Long-Term Condition
B. Long-Term Care
C. Licensed Treatment Center
D. Local Treatment Clinic
1|Page
, Page |2
Answer: B
Rationale: LTC = Long-Term Care.
Question 3
The federal nursing home regulations are found in which part of
the Code of Federal Regulations?
A. 42 CFR Part 483
B. 42 CFR Part 484
C. 42 CFR Part 485
D. 42 CFR Part 486
Answer: A
Rationale: Long-term care facility requirements are in 42 CFR
Part 483, Subpart B.
Question 4
What is the primary purpose of the nursing home survey
process?
A. To close underperforming facilities
B. To determine compliance with federal regulations and
protect residents
C. To increase facility revenue
D. To train nursing home staff
2|Page
, Page |3
Answer: B
Rationale: Surveys assess compliance with federal
requirements to ensure resident safety and quality of care.
Question 5
Which of the following is a core element of the survey process?
A. Resident interviews and observations
B. Only reviewing medical records
C. Only checking building codes
D. Ignoring staff interviews
Answer: A
Rationale: Surveys include resident, family, and staff interviews;
observations; and record reviews.
Question 6
What is an Immediate Jeopardy (IJ)?
A. A minor deficiency with no harm
B. A situation in which a facility’s noncompliance has caused or
is likely to cause serious injury, harm, impairment, or death
C. A billing error
D. A staffing shortage only
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