HEALTHCARE LICENSURE · OBJECTIVE ASSESSMENT A+ VERIFIED
Florida NHA Practice Test and Florida NHA
Laws and Rules Practice Test — Complete
Official Exam
200 Questions Full Rationales Verified Answers
A+ 6 100%
QUESTIONS SECTIONS RATIONALES
Complete coverage Core exam domains Every answer explained
WHAT THIS COVERS
01 Federal & State Regulations
02 Leadership & Management
03 Financial Management
04 Resident Care & Quality Assurance
05 Human Resources & Ethics
06 Florida Laws & Rules
ABOUT THIS ASSESSMENT
Build mastery in Florida nursing home administration — from federal and
state regulations and leadership principles to financial management,
resident care quality assurance, human resources, and Florida-specific
laws and rules. This original study bank targets application and analysis
skills for the FL NHA licensure exam, with full rationales for every answer.
For review use only; not an institutional proctored assessment.
PASSING SCORE LEVEL FORMAT
75% Advanced (Licensure) Application / Analysis
STUVIA ACTUAL EXAM Page 1
, SECTION 1: Federal & State Regulations
Q1. During preparation for an upcoming CMS survey, the administrator reviews policies on OBRA 1987 nursing home reform. Staff
education has been inconsistent. Which approach most effectively ensures ongoing compliance with requirements involving
resident rights survey?
A. Implement a written, time-limited plan of correction that includes monitoring of resident rights survey and staff accountability
B. Defer all action until the next annual survey to avoid drawing attention to OBRA 1987 nursing home reform
C. Assign responsibility solely to the charge nurse without leadership oversight of resident rights survey
D. Document that OBRA 1987 nursing home reform is the responsibility of the medical director alone and take no facility action
Correct Answer: A
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing resident rights survey with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
Q2. A resident family files a complaint alleging failure to uphold CMS Conditions of Participation. Surveyors arrive for a complaint
investigation. Which documentation and process best support the facility's position on skilled nursing facility?
A. Defer all action until the next annual survey to avoid drawing attention to CMS Conditions of Participation
B. Implement a written, time-limited plan of correction that includes monitoring of skilled nursing facility and staff accountability
C. Assign responsibility solely to the charge nurse without leadership oversight of skilled nursing facility
D. Document that CMS Conditions of Participation is the responsibility of the medical director alone and take no facility action
Correct Answer: B
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing skilled nursing facility with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
Q3. The quality assurance committee identifies a trend linked to Life Safety Code. Leadership must implement corrective action
aligned with federal standards. Which priority action addresses fire drills evacuation most appropriately?
A. Defer all action until the next annual survey to avoid drawing attention to Life Safety Code
B. Assign responsibility solely to the charge nurse without leadership oversight of fire drills evacuation
C. Implement a written, time-limited plan of correction that includes monitoring of fire drills evacuation and staff accountability
D. Document that Life Safety Code is the responsibility of the medical director alone and take no facility action
Correct Answer: C
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing fire drills evacuation with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
Q4. A nursing facility receives a standard survey citation related to MDS 3.0 assessment. The administrator must respond with a plan
of correction that addresses the root cause and systemic prevention. Which action best demonstrates regulatory compliance
regarding care planning deadlines?
A. Defer all action until the next annual survey to avoid drawing attention to MDS 3.0 assessment
B. Assign responsibility solely to the charge nurse without leadership oversight of care planning deadlines
C. Document that MDS 3.0 assessment is the responsibility of the medical director alone and take no facility action
D. Implement a written, time-limited plan of correction that includes monitoring of care planning deadlines and staff accountability
Correct Answer: D
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing care planning deadlines with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
STUVIA ACTUAL EXAM · Page 2
, SECTION 1: Federal & State Regulations
Q5. During preparation for an upcoming CMS survey, the administrator reviews policies on Quality Measures public reporting. Staff
education has been inconsistent. Which approach most effectively ensures ongoing compliance with requirements involving
Five-Star rating?
A. Implement a written, time-limited plan of correction that includes monitoring of Five-Star rating and staff accountability
B. Defer all action until the next annual survey to avoid drawing attention to Quality Measures public reporting
C. Assign responsibility solely to the charge nurse without leadership oversight of Five-Star rating
D. Document that Quality Measures public reporting is the responsibility of the medical director alone and take no facility action
Correct Answer: A
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing Five-Star rating with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
Q6. A resident family files a complaint alleging failure to uphold Abuse neglect reporting. Surveyors arrive for a complaint
investigation. Which documentation and process best support the facility's position on mandatory timeline?
A. Defer all action until the next annual survey to avoid drawing attention to Abuse neglect reporting
B. Implement a written, time-limited plan of correction that includes monitoring of mandatory timeline and staff accountability
C. Assign responsibility solely to the charge nurse without leadership oversight of mandatory timeline
D. Document that Abuse neglect reporting is the responsibility of the medical director alone and take no facility action
Correct Answer: B
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing mandatory timeline with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
Q7. The quality assurance committee identifies a trend linked to Resident fund management. Leadership must implement corrective
action aligned with federal standards. Which priority action addresses trust accounts most appropriately?
A. Implement a written, time-limited plan of correction that includes monitoring of trust accounts and staff accountability
B. Defer all action until the next annual survey to avoid drawing attention to Resident fund management
C. Assign responsibility solely to the charge nurse without leadership oversight of trust accounts
D. Document that Resident fund management is the responsibility of the medical director alone and take no facility action
Correct Answer: A
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing trust accounts with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
Q8. A nursing facility receives a standard survey citation related to Admission agreement requirements. The administrator must
respond with a plan of correction that addresses the root cause and systemic prevention. Which action best demonstrates
regulatory compliance regarding arbitration clauses?
A. Defer all action until the next annual survey to avoid drawing attention to Admission agreement requirements
B. Assign responsibility solely to the charge nurse without leadership oversight of arbitration clauses
C. Document that Admission agreement requirements is the responsibility of the medical director alone and take no facility action
D. Implement a written, time-limited plan of correction that includes monitoring of arbitration clauses and staff accountability
Correct Answer: D
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing arbitration clauses with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
STUVIA ACTUAL EXAM · Page 3
, SECTION 1: Federal & State Regulations
Q9. During preparation for an upcoming CMS survey, the administrator reviews policies on Transfer discharge notice. Staff education
has been inconsistent. Which approach most effectively ensures ongoing compliance with requirements involving 30-day rule?
A. Implement a written, time-limited plan of correction that includes monitoring of 30-day rule and staff accountability
B. Defer all action until the next annual survey to avoid drawing attention to Transfer discharge notice
C. Assign responsibility solely to the charge nurse without leadership oversight of 30-day rule
D. Document that Transfer discharge notice is the responsibility of the medical director alone and take no facility action
Correct Answer: A
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing 30-day rule with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership involvement
is insufficient.
Q10. A resident family files a complaint alleging failure to uphold PASRR Level I and II. Surveyors arrive for a complaint investigation.
Which documentation and process best support the facility's position on mental illness screening?
A. Defer all action until the next annual survey to avoid drawing attention to PASRR Level I and II
B. Implement a written, time-limited plan of correction that includes monitoring of mental illness screening and staff accountability
C. Assign responsibility solely to the charge nurse without leadership oversight of mental illness screening
D. Document that PASRR Level I and II is the responsibility of the medical director alone and take no facility action
Correct Answer: B
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing mental illness screening with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
Q11. The quality assurance committee identifies a trend linked to HIPAA privacy in long-term care. Leadership must implement
corrective action aligned with federal standards. Which priority action addresses minimum necessary most appropriately?
A. Defer all action until the next annual survey to avoid drawing attention to HIPAA privacy in long-term care
B. Implement a written, time-limited plan of correction that includes monitoring of minimum necessary and staff accountability
C. Assign responsibility solely to the charge nurse without leadership oversight of minimum necessary
D. Document that HIPAA privacy in long-term care is the responsibility of the medical director alone and take no facility action
Correct Answer: B
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing minimum necessary with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
Q12. A nursing facility receives a standard survey citation related to OSHA bloodborne pathogens. The administrator must respond
with a plan of correction that addresses the root cause and systemic prevention. Which action best demonstrates regulatory
compliance regarding exposure control plan?
A. Defer all action until the next annual survey to avoid drawing attention to OSHA bloodborne pathogens
B. Assign responsibility solely to the charge nurse without leadership oversight of exposure control plan
C. Document that OSHA bloodborne pathogens is the responsibility of the medical director alone and take no facility action
D. Implement a written, time-limited plan of correction that includes monitoring of exposure control plan and staff accountability
Correct Answer: D
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing exposure control plan with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
STUVIA ACTUAL EXAM · Page 4
Florida NHA Practice Test and Florida NHA
Laws and Rules Practice Test — Complete
Official Exam
200 Questions Full Rationales Verified Answers
A+ 6 100%
QUESTIONS SECTIONS RATIONALES
Complete coverage Core exam domains Every answer explained
WHAT THIS COVERS
01 Federal & State Regulations
02 Leadership & Management
03 Financial Management
04 Resident Care & Quality Assurance
05 Human Resources & Ethics
06 Florida Laws & Rules
ABOUT THIS ASSESSMENT
Build mastery in Florida nursing home administration — from federal and
state regulations and leadership principles to financial management,
resident care quality assurance, human resources, and Florida-specific
laws and rules. This original study bank targets application and analysis
skills for the FL NHA licensure exam, with full rationales for every answer.
For review use only; not an institutional proctored assessment.
PASSING SCORE LEVEL FORMAT
75% Advanced (Licensure) Application / Analysis
STUVIA ACTUAL EXAM Page 1
, SECTION 1: Federal & State Regulations
Q1. During preparation for an upcoming CMS survey, the administrator reviews policies on OBRA 1987 nursing home reform. Staff
education has been inconsistent. Which approach most effectively ensures ongoing compliance with requirements involving
resident rights survey?
A. Implement a written, time-limited plan of correction that includes monitoring of resident rights survey and staff accountability
B. Defer all action until the next annual survey to avoid drawing attention to OBRA 1987 nursing home reform
C. Assign responsibility solely to the charge nurse without leadership oversight of resident rights survey
D. Document that OBRA 1987 nursing home reform is the responsibility of the medical director alone and take no facility action
Correct Answer: A
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing resident rights survey with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
Q2. A resident family files a complaint alleging failure to uphold CMS Conditions of Participation. Surveyors arrive for a complaint
investigation. Which documentation and process best support the facility's position on skilled nursing facility?
A. Defer all action until the next annual survey to avoid drawing attention to CMS Conditions of Participation
B. Implement a written, time-limited plan of correction that includes monitoring of skilled nursing facility and staff accountability
C. Assign responsibility solely to the charge nurse without leadership oversight of skilled nursing facility
D. Document that CMS Conditions of Participation is the responsibility of the medical director alone and take no facility action
Correct Answer: B
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing skilled nursing facility with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
Q3. The quality assurance committee identifies a trend linked to Life Safety Code. Leadership must implement corrective action
aligned with federal standards. Which priority action addresses fire drills evacuation most appropriately?
A. Defer all action until the next annual survey to avoid drawing attention to Life Safety Code
B. Assign responsibility solely to the charge nurse without leadership oversight of fire drills evacuation
C. Implement a written, time-limited plan of correction that includes monitoring of fire drills evacuation and staff accountability
D. Document that Life Safety Code is the responsibility of the medical director alone and take no facility action
Correct Answer: C
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing fire drills evacuation with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
Q4. A nursing facility receives a standard survey citation related to MDS 3.0 assessment. The administrator must respond with a plan
of correction that addresses the root cause and systemic prevention. Which action best demonstrates regulatory compliance
regarding care planning deadlines?
A. Defer all action until the next annual survey to avoid drawing attention to MDS 3.0 assessment
B. Assign responsibility solely to the charge nurse without leadership oversight of care planning deadlines
C. Document that MDS 3.0 assessment is the responsibility of the medical director alone and take no facility action
D. Implement a written, time-limited plan of correction that includes monitoring of care planning deadlines and staff accountability
Correct Answer: D
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing care planning deadlines with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
STUVIA ACTUAL EXAM · Page 2
, SECTION 1: Federal & State Regulations
Q5. During preparation for an upcoming CMS survey, the administrator reviews policies on Quality Measures public reporting. Staff
education has been inconsistent. Which approach most effectively ensures ongoing compliance with requirements involving
Five-Star rating?
A. Implement a written, time-limited plan of correction that includes monitoring of Five-Star rating and staff accountability
B. Defer all action until the next annual survey to avoid drawing attention to Quality Measures public reporting
C. Assign responsibility solely to the charge nurse without leadership oversight of Five-Star rating
D. Document that Quality Measures public reporting is the responsibility of the medical director alone and take no facility action
Correct Answer: A
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing Five-Star rating with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
Q6. A resident family files a complaint alleging failure to uphold Abuse neglect reporting. Surveyors arrive for a complaint
investigation. Which documentation and process best support the facility's position on mandatory timeline?
A. Defer all action until the next annual survey to avoid drawing attention to Abuse neglect reporting
B. Implement a written, time-limited plan of correction that includes monitoring of mandatory timeline and staff accountability
C. Assign responsibility solely to the charge nurse without leadership oversight of mandatory timeline
D. Document that Abuse neglect reporting is the responsibility of the medical director alone and take no facility action
Correct Answer: B
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing mandatory timeline with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
Q7. The quality assurance committee identifies a trend linked to Resident fund management. Leadership must implement corrective
action aligned with federal standards. Which priority action addresses trust accounts most appropriately?
A. Implement a written, time-limited plan of correction that includes monitoring of trust accounts and staff accountability
B. Defer all action until the next annual survey to avoid drawing attention to Resident fund management
C. Assign responsibility solely to the charge nurse without leadership oversight of trust accounts
D. Document that Resident fund management is the responsibility of the medical director alone and take no facility action
Correct Answer: A
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing trust accounts with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
Q8. A nursing facility receives a standard survey citation related to Admission agreement requirements. The administrator must
respond with a plan of correction that addresses the root cause and systemic prevention. Which action best demonstrates
regulatory compliance regarding arbitration clauses?
A. Defer all action until the next annual survey to avoid drawing attention to Admission agreement requirements
B. Assign responsibility solely to the charge nurse without leadership oversight of arbitration clauses
C. Document that Admission agreement requirements is the responsibility of the medical director alone and take no facility action
D. Implement a written, time-limited plan of correction that includes monitoring of arbitration clauses and staff accountability
Correct Answer: D
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing arbitration clauses with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
STUVIA ACTUAL EXAM · Page 3
, SECTION 1: Federal & State Regulations
Q9. During preparation for an upcoming CMS survey, the administrator reviews policies on Transfer discharge notice. Staff education
has been inconsistent. Which approach most effectively ensures ongoing compliance with requirements involving 30-day rule?
A. Implement a written, time-limited plan of correction that includes monitoring of 30-day rule and staff accountability
B. Defer all action until the next annual survey to avoid drawing attention to Transfer discharge notice
C. Assign responsibility solely to the charge nurse without leadership oversight of 30-day rule
D. Document that Transfer discharge notice is the responsibility of the medical director alone and take no facility action
Correct Answer: A
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing 30-day rule with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership involvement
is insufficient.
Q10. A resident family files a complaint alleging failure to uphold PASRR Level I and II. Surveyors arrive for a complaint investigation.
Which documentation and process best support the facility's position on mental illness screening?
A. Defer all action until the next annual survey to avoid drawing attention to PASRR Level I and II
B. Implement a written, time-limited plan of correction that includes monitoring of mental illness screening and staff accountability
C. Assign responsibility solely to the charge nurse without leadership oversight of mental illness screening
D. Document that PASRR Level I and II is the responsibility of the medical director alone and take no facility action
Correct Answer: B
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing mental illness screening with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
Q11. The quality assurance committee identifies a trend linked to HIPAA privacy in long-term care. Leadership must implement
corrective action aligned with federal standards. Which priority action addresses minimum necessary most appropriately?
A. Defer all action until the next annual survey to avoid drawing attention to HIPAA privacy in long-term care
B. Implement a written, time-limited plan of correction that includes monitoring of minimum necessary and staff accountability
C. Assign responsibility solely to the charge nurse without leadership oversight of minimum necessary
D. Document that HIPAA privacy in long-term care is the responsibility of the medical director alone and take no facility action
Correct Answer: B
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing minimum necessary with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
Q12. A nursing facility receives a standard survey citation related to OSHA bloodborne pathogens. The administrator must respond
with a plan of correction that addresses the root cause and systemic prevention. Which action best demonstrates regulatory
compliance regarding exposure control plan?
A. Defer all action until the next annual survey to avoid drawing attention to OSHA bloodborne pathogens
B. Assign responsibility solely to the charge nurse without leadership oversight of exposure control plan
C. Document that OSHA bloodborne pathogens is the responsibility of the medical director alone and take no facility action
D. Implement a written, time-limited plan of correction that includes monitoring of exposure control plan and staff accountability
Correct Answer: D
Rationale:
Federal nursing home regulations require facilities to correct deficiencies through systemic plans that include monitoring and accountability.
Addressing exposure control plan with measurable steps demonstrates compliance; deferral or sole assignment to front-line staff without leadership
involvement is insufficient.
STUVIA ACTUAL EXAM · Page 4
