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Nursing home administrator exam (James Allen)
Questions with Detailed Verified Answers
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 Ans: ✓ ✓ ✓ 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 Ans: ✓ ✓ ✓ 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
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3. Appoint a new admissions counselor
4. Take no action Ans: ✓ ✓ ✓ 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 Ans: ✓ ✓ ✓ 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 Ans: ✓ ✓ ✓ 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 Ans: ✓ ✓ ✓ 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 Ans: ✓ ✓ ✓ 4
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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 Ans: ✓ ✓ ✓ 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 Ans: ✓ ✓ ✓ 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 Ans: ✓ ✓ ✓ 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 Ans: ✓ ✓ ✓ 3
© Get it right 2025 Getaway - Stuvia US All rights reserved
Nursing home administrator exam (James Allen)
Questions with Detailed Verified Answers
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 Ans: ✓ ✓ ✓ 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 Ans: ✓ ✓ ✓ 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
© Get it right 2025 Getaway - Stuvia US All rights reserved
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3. Appoint a new admissions counselor
4. Take no action Ans: ✓ ✓ ✓ 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 Ans: ✓ ✓ ✓ 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 Ans: ✓ ✓ ✓ 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 Ans: ✓ ✓ ✓ 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 Ans: ✓ ✓ ✓ 4
© Get it right 2025 Getaway - Stuvia US All rights reserved
, Click here for more: Scholars nexus
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 Ans: ✓ ✓ ✓ 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 Ans: ✓ ✓ ✓ 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 Ans: ✓ ✓ ✓ 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 Ans: ✓ ✓ ✓ 3
© Get it right 2025 Getaway - Stuvia US All rights reserved
