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FLORIDA STATE NURSING HOME
ADMINISTRATOR (NHA) 2026 PREP EXAM
COMPLETE (160) CURRENT TESTING
QUESTIONS AND CORRECT ANSWERS WITH
DETAILED RATIONALES|GRADED A+.
NHA
Prepare for the Florida State Nursing Home Administrator (NHA) Prep
Exam with practice questions covering healthcare administration, long-
term care regulations, patient rights, facility management, ethics,
financial operations, and leadership principles. This study guide helps
reinforce essential nursing home administration concepts and supports
effective licensing exam preparation. Designed to improve operational
understanding and boost confidence in long-term care management
responsibilities. Suitable for healthcare administrators, nursing home
managers, and long-term care professionals.
Multiple choice.
Section 1: Licensure and State Rules (Questions 1–20)
1. Which two examinations must an applicant pass to become a
Licensed Nursing Home Administrator (LNHA) in Florida?
A) The Florida Laws and Rules examination only
B) The national NHA examination and the Florida Laws and
Rules examination
C) The Florida Laws and Rules examination and the AIT
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program exit exam
D) The national NHA examination only
Answer: B. The national NHA examination and the Florida Laws and
Rules examination
Explanation: The Florida Board of Nursing Home Administrators
requires both the national NHA exam (developed and administered
by NAB) and a separate examination on Florida laws and rules.
2. According to Florida law, how often must the licensure
examination for nursing home administrators be given?
A) At least once a year
B) At least two times a year
C) At least four times a year
D) On a continuous basis with no set schedule
Answer: B. At least two times a year
Explanation: Florida Statute 468.1695(1) mandates that the
examination shall be given at least two times a year.
3. Which Florida agency is responsible for licensing nursing
homes and enforcing minimum standards for their operation?
A) The Florida Board of Nursing Home Administrators
B) The Agency for Health Care Administration (AHCA)
C) The Department of Elder Affairs
D) The State Ombudsman Program
Answer: B. The Agency for Health Care Administration (AHCA)
Explanation: AHCA oversees the licensure of nursing homes and
enforces compliance with Chapter 59A-4, Florida Administrative
Code (Minimum Standards for Nursing Homes).
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4. To be eligible for licensure by examination in Florida, what is
the minimum educational requirement?
A) An associate degree in any field
B) A baccalaureate degree from an accredited college or
university
C) A high school diploma with five years of management
experience
D) A master's degree in health administration
Answer: B. A baccalaureate degree from an accredited college or
university
Explanation: Florida Statute 468.1695(3)(a)1 requires a
baccalaureate degree with a major in health care administration,
health services administration, or an equivalent major, or at least 60
semester hours in subjects prescribed by board rule.
5. How many total hours are required for a Florida college-
affiliated nursing home administration internship?
A) 500 hours
B) 1,000 hours
C) 650 hours
D) 2,000 hours
Answer: C. 650 hours
Explanation: The applicant must complete a college-affiliated
internship of at least 650 hours with a Board-approved preceptor in
a skilled nursing facility with at least 60 beds.
6. What is the minimum bed size requirement for a skilled nursing
facility where an applicant completes the AIT program?
A) 30 beds
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B) 60 beds
C) 90 beds
D) 120 beds
Answer: B. 60 beds
Explanation: The internship or AIT program must be completed in a
skilled nursing facility that has at least 60 licensed beds.
7. Which type of surety bond is required for nursing home
administrators managing resident trust funds?
A) A bond based on the average monthly balance in the
resident trust fund during the prior year
or 5,000,whicheverisgreaterB)Aflat5,000,whicheverisgreaterB)
Aflat10,000 bond regardless of facility size
C) A bond based solely on the number of residents
D) A personal liability bond of $50,000
Answer: A. A bond based on the average monthly balance in the
resident trust fund during the prior year or $5,000, whichever is
greater
Explanation: This is the specific surety bond requirement for
resident trust funds in Florida nursing homes.
8. A licensee who owns more than one nursing home may
purchase what type of surety bond to cover residents' funds?
A) A separate bond for each facility
B) A single bond covering all nursing homes owned in the state
C) A blanket bond for up to five facilities
D) No bond is required if facilities are owned by the same
person
FLORIDA STATE NURSING HOME
ADMINISTRATOR (NHA) 2026 PREP EXAM
COMPLETE (160) CURRENT TESTING
QUESTIONS AND CORRECT ANSWERS WITH
DETAILED RATIONALES|GRADED A+.
NHA
Prepare for the Florida State Nursing Home Administrator (NHA) Prep
Exam with practice questions covering healthcare administration, long-
term care regulations, patient rights, facility management, ethics,
financial operations, and leadership principles. This study guide helps
reinforce essential nursing home administration concepts and supports
effective licensing exam preparation. Designed to improve operational
understanding and boost confidence in long-term care management
responsibilities. Suitable for healthcare administrators, nursing home
managers, and long-term care professionals.
Multiple choice.
Section 1: Licensure and State Rules (Questions 1–20)
1. Which two examinations must an applicant pass to become a
Licensed Nursing Home Administrator (LNHA) in Florida?
A) The Florida Laws and Rules examination only
B) The national NHA examination and the Florida Laws and
Rules examination
C) The Florida Laws and Rules examination and the AIT
, Page 2 of 67
program exit exam
D) The national NHA examination only
Answer: B. The national NHA examination and the Florida Laws and
Rules examination
Explanation: The Florida Board of Nursing Home Administrators
requires both the national NHA exam (developed and administered
by NAB) and a separate examination on Florida laws and rules.
2. According to Florida law, how often must the licensure
examination for nursing home administrators be given?
A) At least once a year
B) At least two times a year
C) At least four times a year
D) On a continuous basis with no set schedule
Answer: B. At least two times a year
Explanation: Florida Statute 468.1695(1) mandates that the
examination shall be given at least two times a year.
3. Which Florida agency is responsible for licensing nursing
homes and enforcing minimum standards for their operation?
A) The Florida Board of Nursing Home Administrators
B) The Agency for Health Care Administration (AHCA)
C) The Department of Elder Affairs
D) The State Ombudsman Program
Answer: B. The Agency for Health Care Administration (AHCA)
Explanation: AHCA oversees the licensure of nursing homes and
enforces compliance with Chapter 59A-4, Florida Administrative
Code (Minimum Standards for Nursing Homes).
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4. To be eligible for licensure by examination in Florida, what is
the minimum educational requirement?
A) An associate degree in any field
B) A baccalaureate degree from an accredited college or
university
C) A high school diploma with five years of management
experience
D) A master's degree in health administration
Answer: B. A baccalaureate degree from an accredited college or
university
Explanation: Florida Statute 468.1695(3)(a)1 requires a
baccalaureate degree with a major in health care administration,
health services administration, or an equivalent major, or at least 60
semester hours in subjects prescribed by board rule.
5. How many total hours are required for a Florida college-
affiliated nursing home administration internship?
A) 500 hours
B) 1,000 hours
C) 650 hours
D) 2,000 hours
Answer: C. 650 hours
Explanation: The applicant must complete a college-affiliated
internship of at least 650 hours with a Board-approved preceptor in
a skilled nursing facility with at least 60 beds.
6. What is the minimum bed size requirement for a skilled nursing
facility where an applicant completes the AIT program?
A) 30 beds
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B) 60 beds
C) 90 beds
D) 120 beds
Answer: B. 60 beds
Explanation: The internship or AIT program must be completed in a
skilled nursing facility that has at least 60 licensed beds.
7. Which type of surety bond is required for nursing home
administrators managing resident trust funds?
A) A bond based on the average monthly balance in the
resident trust fund during the prior year
or 5,000,whicheverisgreaterB)Aflat5,000,whicheverisgreaterB)
Aflat10,000 bond regardless of facility size
C) A bond based solely on the number of residents
D) A personal liability bond of $50,000
Answer: A. A bond based on the average monthly balance in the
resident trust fund during the prior year or $5,000, whichever is
greater
Explanation: This is the specific surety bond requirement for
resident trust funds in Florida nursing homes.
8. A licensee who owns more than one nursing home may
purchase what type of surety bond to cover residents' funds?
A) A separate bond for each facility
B) A single bond covering all nursing homes owned in the state
C) A blanket bond for up to five facilities
D) No bond is required if facilities are owned by the same
person
