Illinois Exam for Nursing Home Administrators
Practice Exam #1 (John Cirn) 200 Questions &
Answers | Latest Update | Exam Prep | 100% Pass
Guarantee
1. Who licenses nursing home administrators in Illinois?
A) CMS
B) OSHA
C) IDFPR (Illinois Department of Financial and Professional Regulation)
D) CDC
Answer C: IDFPR
Rationale: IDFPR licenses nursing home administrators in Illinois, while IDPH
regulates facilities .
2. The Omnibus Budget Reconciliation Act (OBRA) is significant for nursing
homes because it:
A) Established federal standards for nursing home care and resident rights
B) Regulates staff payroll
C) Controls insurance rates
D) Sets dietary guidelines
Answer A: Established federal standards for nursing home care and resident
rights
,Rationale: OBRA set quality of care and resident rights standards for facilities
receiving Medicare/Medicaid funds .
3. An order for a therapeutic diet must be written by:
A) A physician
B) A dietitian
C) The Director of Nursing
D) The food service director
Answer A: A physician
Rationale: A therapeutic diet order must be written by a licensed prescriber
(physician) .
4. Residents have the right to be free from:
A) Abuse, neglect, and exploitation
B) All medical treatment
C) Dietary restrictions
D) Roommate choices
Answer A: Abuse, neglect, and exploitation
Rationale: Residents are legally protected from abuse, neglect, and exploitation;
administrators must ensure safeguards .
5. HIPAA protects:
,A) Residents' privacy and health information
B) Staff payroll records
C) Food safety
D) Building maintenance schedules
Answer A: Residents' privacy and health information
Rationale: HIPAA establishes standards for protecting the privacy of residents'
medical records .
6. A resident receiving hospice services in the nursing home develops a
pressure injury. Who is responsible for wound care?
A) The nursing home only
B) The hospice provider only
C) Both the nursing home and hospice provider collaboratively
D) The resident's family
Answer C: Both the nursing home and hospice provider collaboratively
Rationale: Both entities share responsibility for resident care and must coordinate
wound management .
7. The Quality Assurance and Performance Improvement (QAPI) program
must include which of the following?
A) Annual surveys of resident satisfaction only
B) A systematic approach to identifying problems, implementing solutions, and
monitoring outcomes
, C) Quarterly meetings with no required documentation
D) Focus only on clinical care, not administrative issues
Answer B: A systematic approach to identifying problems, implementing
solutions, and monitoring outcomes
Rationale: QAPI requires a systematic, data-driven approach covering all facility
operations .
8. A resident's family member complains that the resident has lost 10 pounds
in one month. The NHA should FIRST:
A) Review the resident's weight records and notify the Director of Nursing
B) Tell the family that weight loss is normal in older adults
C) Ignore the complaint as the family is overreacting
D) Discharge the resident to home
Answer A: Review the resident's weight records and notify the Director of
Nursing
Rationale: Unplanned weight loss (>5% in 30 days) is a significant quality
indicator requiring immediate investigation .
9. Restraint use in a nursing home is permitted only:
A) For the convenience of staff
B) To prevent a resident from wandering
C) When necessary to treat a medical symptom and less restrictive measures have
failed
Practice Exam #1 (John Cirn) 200 Questions &
Answers | Latest Update | Exam Prep | 100% Pass
Guarantee
1. Who licenses nursing home administrators in Illinois?
A) CMS
B) OSHA
C) IDFPR (Illinois Department of Financial and Professional Regulation)
D) CDC
Answer C: IDFPR
Rationale: IDFPR licenses nursing home administrators in Illinois, while IDPH
regulates facilities .
2. The Omnibus Budget Reconciliation Act (OBRA) is significant for nursing
homes because it:
A) Established federal standards for nursing home care and resident rights
B) Regulates staff payroll
C) Controls insurance rates
D) Sets dietary guidelines
Answer A: Established federal standards for nursing home care and resident
rights
,Rationale: OBRA set quality of care and resident rights standards for facilities
receiving Medicare/Medicaid funds .
3. An order for a therapeutic diet must be written by:
A) A physician
B) A dietitian
C) The Director of Nursing
D) The food service director
Answer A: A physician
Rationale: A therapeutic diet order must be written by a licensed prescriber
(physician) .
4. Residents have the right to be free from:
A) Abuse, neglect, and exploitation
B) All medical treatment
C) Dietary restrictions
D) Roommate choices
Answer A: Abuse, neglect, and exploitation
Rationale: Residents are legally protected from abuse, neglect, and exploitation;
administrators must ensure safeguards .
5. HIPAA protects:
,A) Residents' privacy and health information
B) Staff payroll records
C) Food safety
D) Building maintenance schedules
Answer A: Residents' privacy and health information
Rationale: HIPAA establishes standards for protecting the privacy of residents'
medical records .
6. A resident receiving hospice services in the nursing home develops a
pressure injury. Who is responsible for wound care?
A) The nursing home only
B) The hospice provider only
C) Both the nursing home and hospice provider collaboratively
D) The resident's family
Answer C: Both the nursing home and hospice provider collaboratively
Rationale: Both entities share responsibility for resident care and must coordinate
wound management .
7. The Quality Assurance and Performance Improvement (QAPI) program
must include which of the following?
A) Annual surveys of resident satisfaction only
B) A systematic approach to identifying problems, implementing solutions, and
monitoring outcomes
, C) Quarterly meetings with no required documentation
D) Focus only on clinical care, not administrative issues
Answer B: A systematic approach to identifying problems, implementing
solutions, and monitoring outcomes
Rationale: QAPI requires a systematic, data-driven approach covering all facility
operations .
8. A resident's family member complains that the resident has lost 10 pounds
in one month. The NHA should FIRST:
A) Review the resident's weight records and notify the Director of Nursing
B) Tell the family that weight loss is normal in older adults
C) Ignore the complaint as the family is overreacting
D) Discharge the resident to home
Answer A: Review the resident's weight records and notify the Director of
Nursing
Rationale: Unplanned weight loss (>5% in 30 days) is a significant quality
indicator requiring immediate investigation .
9. Restraint use in a nursing home is permitted only:
A) For the convenience of staff
B) To prevent a resident from wandering
C) When necessary to treat a medical symptom and less restrictive measures have
failed
