Nursing home administrator exam
questions with all correct answers 2025
1. The most likely single cause for the series of bankruptcies among larger nursing
home chains around the year 2000 was ____.
1. Too small increases in government reimbursement rates
2. Paying too much for acquisitions in 1998 and 1999
3. Not taking advantage of falling interest rates
4. Thinking too small CORRECT ANSWERS 2
2. In a chance conversation with the owner of an eight-facility chain, the newly hired
administrator for the oldest facility in the chain indicates that, because the mortgage is
fully retired, the administrator will concentrate more on being effec- tive than efficient
since the Quality Indicators are all at or above the state's aver-age. The owner would
likely ____.
1. Be pleased
2. Be distressed
3. Be content
4. Praise the newly hired administrator CORRECT ANSWERS 2
3.
Occupancy of Facility A has been a steady 70% since the Prospective Payment System
was introduced. Two weeks ago, a new 120-bed, equally equipped facil- ity opened
several blocks away. The Facility A administrator tells the admissions counselor to
continue the usual recruitment approach. The chain owners ought to _____.
1. Rest comfortably
2. Seek a new administrator
3. Appoint a new admissions counselor
4. Take no action CORRECT ANSWERS 2
4. Bankruptcies among larger nursing home chains prior to 2000 _____.
1. Were frequent
2. Were ubiquitous
3. Were highly unusual
4. Were routinely declared to avoid too much accumulated debt CORRECT ANSWERS
3
5. Under the Prospective Payment System, nursing facilities' reimbursed costs _____.
1. Were about the same as previously
2. Were more bundled
3. Used an unbundled cost structure
4. Were reimbursement for actual costs CORRECT ANSWERS 2
6. In recent years, Medicare has _____.
,1. Allowed facilities to make a modest profit
2. Shifted more costs onto nursing facilities
3. Eased up on economic pressures previously placed on facilities
4. Remained relatively unchanged in its reimbursement structure CORRECT
ANSWERS 2
7. The nurse newly promoted to director of nursing insists on giving four RN hours of
patient care each day on the Alzheimer's wing in the 175-bed facility. The administrator
should _____.
1. Praise the new director of nursing for her resident centeredness
2. Appoint an assistant director of nursing
3. Adapt the job description to fit her pattern
4. Seek a new director of nursing CORRECT ANSWERS 4
8. The applicant for the administrator position in a facility near a large teaching hospital
insists that, as before in his rural facility, if hied he would not let the Medicare
reimbursement policies affect his case mix. This applicant _____.
1. Should be hired
2. Is likely to succeed if hired
3. Can likely succeed in his goal
4. Is out of touch CORRECT ANSWERS 4
9. The newly hired assistant to the administrator insists that the organizational chart
dotted line between this position and the Department of Nursing be a solid line. The
administrator should _____.
1. Agree in general
2. Agree to this special case
3. Ask the director of nursing for his or her opinion 4. Be forewarned CORRECT
ANSWERS 4
10. The medical supplies provider tells the administrator of a facility that has not paid
bills for the past 3 months but is now operating under a bankruptcy judge's approved
plan for restructuring, that no more deliveries will be made until past bills are fully paid.
The medical supplies provider _____.
1. Is smart to cut losses at that point
2. Does not understand how bankruptcy works 3. Will now likely get his past due bills
paid
4. Is farsighted CORRECT ANSWERS 2
11. An administrator who adopts the leadership-by-walking-around (LBWA) approach by
walking through the facility weekly and intently observing has _____.
1. Become an effective leader
2. Chosen a good management style 3. Failed to understand LBWA
4. Implemented a useful strategy CORRECT ANSWERS 3
,12. The nursing facility administrator who, using the leadership-by-walking around
(LBWA) technique, succeeds in actually making appropriate corrections on the spot
during her rounds _____.
1. Is effectively implementing the concept
2. Gains additional power through the process 3. Exhibits appropriate leadership
4. Does not understand LBWA CORRECT ANSWERS 4
13. The rate of increase in the total number of nursing facilities in the United States
during the years 2008 to 2012 is _____.
1. Likely to be about level
2. Likely to double
3. Likely to triple to accommodate the baby boomer generation 4. Likely to decrease
markedly CORRECT ANSWERS 1
14. The applicant for administrator of the facility insists that he has successfully used
democratic leadership to the exclusion of all other leadership styles. The interviewer
should _____.
1. Recommend hiring this candidate
2. Praise the candidate
3. Be favorably impressed
4. Continue to interview candidates CORRECT ANSWERS 4
15. The candidate for administrator said that she used a variety of administrative styles,
but could not say exactly which she would use in every circumstance. The interviewer
should be _____.
1. Favorably impressed
2. Unfavorably impressed
3. Concerned about possible indecisiveness 4. Looking for one leadership style
CORRECT ANSWERS 1
16. The candidate for administrator indicated that he consistently chose the charis-
matic style of leadership. This should _____ the interviewer.
1. Reassure
2. Alert
3. Confirm the candidate's qualifications to 4. Please CORRECT ANSWERS 2
17. The costs of providing subacute care to nursing home residents _____. 1. Is
perhaps triple that of the more typical patient
2. Covered by Medicare
3. Absorbed by Medicaid if Medicare coverage is inadequate
4. Mostly covered by private insurance CORRECT ANSWERS 1
18. The nurse supervisor who had just been appointed director of nursing announced at
the first department head meeting that she had circulated a memo among the nurses
that only formal communications were to be allowed in the nursing department. The
administrator should _____.
, 1. Be relieved
2. Confirm the decision 3. Be supportive
4. Anticipate problems CORRECT ANSWERS 4
19. The department head was not surprised to learn that an employee had heard only
the positive comments to the employee and ignored the criticisms. The department
head's grasp of the communication process is _____.
1. Deficient
2. Appropriate 3. Out of focus 4. Inadequate CORRECT ANSWERS 2
20. The administrator routinely accepted as a nearly exclusive information source the
director of nursing's positive reports that nursing was going well. The administrator is
_____.
1. Showing appropriate confidence in the director of nursing
2. Utilizing the director of nursing properly
3. Realizing a successful appointment has been made 4. Placing himself at risk
CORRECT ANSWERS 4
21. Periodic shortage of nurses available for nursing home employment _____. 1. Is
being solved by community college programs
2. Is decreasing
3. Can be readily solved by hiring temporary nurses
4. Is likely to remain for the foreseeable future CORRECT ANSWERS 4
22. Congress and the federal rule makers behave as if the facility will run success- fully
if Congress and the Centers for Medicare and Medicaid Services can write enough
rules. They are _____.
1. Incorrect
2. Correct, according to behavior theory
3. Pessimistic about the need for rules
4. Correct, according to emerging management theory CORRECT ANSWERS 1
23. When the administrator notices that the director of nursing seeks to turn as many
duties as possible over to housekeeping, the administrator should con- clude that the
director of nursing is _____.
1. Behaving normally
2. Holding a grudge against housekeeping 3. Unwilling to be cooperative
4. Wielding power desirably CORRECT ANSWERS 1
24. The administrator insists that a timely copy of all reports generated within the facility
come across her desk before anyone signs them. The administrator is _____.
1. Not rationalizing her management information system
2. Making appropriate and desirable requests
3. Exercising good judgment
4. Initiating an appropriate management information system CORRECT ANSWERS 1
questions with all correct answers 2025
1. The most likely single cause for the series of bankruptcies among larger nursing
home chains around the year 2000 was ____.
1. Too small increases in government reimbursement rates
2. Paying too much for acquisitions in 1998 and 1999
3. Not taking advantage of falling interest rates
4. Thinking too small CORRECT ANSWERS 2
2. In a chance conversation with the owner of an eight-facility chain, the newly hired
administrator for the oldest facility in the chain indicates that, because the mortgage is
fully retired, the administrator will concentrate more on being effec- tive than efficient
since the Quality Indicators are all at or above the state's aver-age. The owner would
likely ____.
1. Be pleased
2. Be distressed
3. Be content
4. Praise the newly hired administrator CORRECT ANSWERS 2
3.
Occupancy of Facility A has been a steady 70% since the Prospective Payment System
was introduced. Two weeks ago, a new 120-bed, equally equipped facil- ity opened
several blocks away. The Facility A administrator tells the admissions counselor to
continue the usual recruitment approach. The chain owners ought to _____.
1. Rest comfortably
2. Seek a new administrator
3. Appoint a new admissions counselor
4. Take no action CORRECT ANSWERS 2
4. Bankruptcies among larger nursing home chains prior to 2000 _____.
1. Were frequent
2. Were ubiquitous
3. Were highly unusual
4. Were routinely declared to avoid too much accumulated debt CORRECT ANSWERS
3
5. Under the Prospective Payment System, nursing facilities' reimbursed costs _____.
1. Were about the same as previously
2. Were more bundled
3. Used an unbundled cost structure
4. Were reimbursement for actual costs CORRECT ANSWERS 2
6. In recent years, Medicare has _____.
,1. Allowed facilities to make a modest profit
2. Shifted more costs onto nursing facilities
3. Eased up on economic pressures previously placed on facilities
4. Remained relatively unchanged in its reimbursement structure CORRECT
ANSWERS 2
7. The nurse newly promoted to director of nursing insists on giving four RN hours of
patient care each day on the Alzheimer's wing in the 175-bed facility. The administrator
should _____.
1. Praise the new director of nursing for her resident centeredness
2. Appoint an assistant director of nursing
3. Adapt the job description to fit her pattern
4. Seek a new director of nursing CORRECT ANSWERS 4
8. The applicant for the administrator position in a facility near a large teaching hospital
insists that, as before in his rural facility, if hied he would not let the Medicare
reimbursement policies affect his case mix. This applicant _____.
1. Should be hired
2. Is likely to succeed if hired
3. Can likely succeed in his goal
4. Is out of touch CORRECT ANSWERS 4
9. The newly hired assistant to the administrator insists that the organizational chart
dotted line between this position and the Department of Nursing be a solid line. The
administrator should _____.
1. Agree in general
2. Agree to this special case
3. Ask the director of nursing for his or her opinion 4. Be forewarned CORRECT
ANSWERS 4
10. The medical supplies provider tells the administrator of a facility that has not paid
bills for the past 3 months but is now operating under a bankruptcy judge's approved
plan for restructuring, that no more deliveries will be made until past bills are fully paid.
The medical supplies provider _____.
1. Is smart to cut losses at that point
2. Does not understand how bankruptcy works 3. Will now likely get his past due bills
paid
4. Is farsighted CORRECT ANSWERS 2
11. An administrator who adopts the leadership-by-walking-around (LBWA) approach by
walking through the facility weekly and intently observing has _____.
1. Become an effective leader
2. Chosen a good management style 3. Failed to understand LBWA
4. Implemented a useful strategy CORRECT ANSWERS 3
,12. The nursing facility administrator who, using the leadership-by-walking around
(LBWA) technique, succeeds in actually making appropriate corrections on the spot
during her rounds _____.
1. Is effectively implementing the concept
2. Gains additional power through the process 3. Exhibits appropriate leadership
4. Does not understand LBWA CORRECT ANSWERS 4
13. The rate of increase in the total number of nursing facilities in the United States
during the years 2008 to 2012 is _____.
1. Likely to be about level
2. Likely to double
3. Likely to triple to accommodate the baby boomer generation 4. Likely to decrease
markedly CORRECT ANSWERS 1
14. The applicant for administrator of the facility insists that he has successfully used
democratic leadership to the exclusion of all other leadership styles. The interviewer
should _____.
1. Recommend hiring this candidate
2. Praise the candidate
3. Be favorably impressed
4. Continue to interview candidates CORRECT ANSWERS 4
15. The candidate for administrator said that she used a variety of administrative styles,
but could not say exactly which she would use in every circumstance. The interviewer
should be _____.
1. Favorably impressed
2. Unfavorably impressed
3. Concerned about possible indecisiveness 4. Looking for one leadership style
CORRECT ANSWERS 1
16. The candidate for administrator indicated that he consistently chose the charis-
matic style of leadership. This should _____ the interviewer.
1. Reassure
2. Alert
3. Confirm the candidate's qualifications to 4. Please CORRECT ANSWERS 2
17. The costs of providing subacute care to nursing home residents _____. 1. Is
perhaps triple that of the more typical patient
2. Covered by Medicare
3. Absorbed by Medicaid if Medicare coverage is inadequate
4. Mostly covered by private insurance CORRECT ANSWERS 1
18. The nurse supervisor who had just been appointed director of nursing announced at
the first department head meeting that she had circulated a memo among the nurses
that only formal communications were to be allowed in the nursing department. The
administrator should _____.
, 1. Be relieved
2. Confirm the decision 3. Be supportive
4. Anticipate problems CORRECT ANSWERS 4
19. The department head was not surprised to learn that an employee had heard only
the positive comments to the employee and ignored the criticisms. The department
head's grasp of the communication process is _____.
1. Deficient
2. Appropriate 3. Out of focus 4. Inadequate CORRECT ANSWERS 2
20. The administrator routinely accepted as a nearly exclusive information source the
director of nursing's positive reports that nursing was going well. The administrator is
_____.
1. Showing appropriate confidence in the director of nursing
2. Utilizing the director of nursing properly
3. Realizing a successful appointment has been made 4. Placing himself at risk
CORRECT ANSWERS 4
21. Periodic shortage of nurses available for nursing home employment _____. 1. Is
being solved by community college programs
2. Is decreasing
3. Can be readily solved by hiring temporary nurses
4. Is likely to remain for the foreseeable future CORRECT ANSWERS 4
22. Congress and the federal rule makers behave as if the facility will run success- fully
if Congress and the Centers for Medicare and Medicaid Services can write enough
rules. They are _____.
1. Incorrect
2. Correct, according to behavior theory
3. Pessimistic about the need for rules
4. Correct, according to emerging management theory CORRECT ANSWERS 1
23. When the administrator notices that the director of nursing seeks to turn as many
duties as possible over to housekeeping, the administrator should con- clude that the
director of nursing is _____.
1. Behaving normally
2. Holding a grudge against housekeeping 3. Unwilling to be cooperative
4. Wielding power desirably CORRECT ANSWERS 1
24. The administrator insists that a timely copy of all reports generated within the facility
come across her desk before anyone signs them. The administrator is _____.
1. Not rationalizing her management information system
2. Making appropriate and desirable requests
3. Exercising good judgment
4. Initiating an appropriate management information system CORRECT ANSWERS 1
