NORTH CAROLINA NURSING HOME
ADMINISTRATOR COMPREHENSIVE EXAM
STUDY GUIDE 2026 FULL QUESTIONS AND
ANSWERS
◍ OBRA '90 - Right to refuse medical treatment
◍ PPO stands for - "Preferred Provider Organization"
◍ HMO stands for - "Health Movement Organization"
◍ HMO - Must use specific health care provider
◍ SNP stands for - "Special Needs Plan"
◍ SNP - Specific condition to see physician
◍ PFFS stands for - Private fee for services
◍ PFF - Can go to any medicare approved physician
,◍ Elder Justice Act - Ombudsman program (abuse, neglected)
◍ Comprehensive Care Plan - Within 21 days
◍ Continuous Care - Nurse/CNA 8-24 days
◍ Retain medical records - 5 years
◍ Intermediate Care - Resident do not need skilled care
◍ Baseline Care Plan - 48 hours
◍ Copy of Medical Records Request by Resident - 2 days
◍ Remotivation Therapy - Aims to engage a resident's interest in the
environment of the facility
◍ QAA stands for - Quality Assessment Assurance
◍ QAA Committee must include... - DNS, a physician designated by the
facility, and at least 3 other members of the facility staff
,◍ Environmental Cued Wandering - Seeing a hallway
◍ Physical Abuse - Use of corporal punishment to control behavior
◍ Physician Assistant - Diagnose and treat patients
◍ Nurse practitioner - Can perform examinations and prescribe
medications
◍ Medication Aide - Can pass meds and monitor BP, temp, and pulse
while under the supervision of an RN or LPN
◍ Recreational wandering - Need for more exercise
◍ Late WSS ADL's - Bed mobility, transfers toilet use, eating
◍ Normal psychological changes in the elderly - memory loss,
depression, confusion
◍ Overflow - enlarged prostate
, ◍ Restraints must be removed how often and for how long? - Every 2
hours for at least 10 minutes
◍ Stress incontinence - Sneezing, jumping
◍ Monitor restraints every... - 30 minutes
◍ Bedridden - Unable to stand or walk
◍ Primary risk factors for decreased ROM - Immobilization by being
bed ridden, unable to stand or walk
◍ Ambulation - able to walk
◍ urge/reflex incontinence - Sudden uncontrollable need to urinate
◍ Transient incontinence - r/t infection
◍ Benign - Non-recurrent or non-progressive
◍ Congenital - dates from birth
ADMINISTRATOR COMPREHENSIVE EXAM
STUDY GUIDE 2026 FULL QUESTIONS AND
ANSWERS
◍ OBRA '90 - Right to refuse medical treatment
◍ PPO stands for - "Preferred Provider Organization"
◍ HMO stands for - "Health Movement Organization"
◍ HMO - Must use specific health care provider
◍ SNP stands for - "Special Needs Plan"
◍ SNP - Specific condition to see physician
◍ PFFS stands for - Private fee for services
◍ PFF - Can go to any medicare approved physician
,◍ Elder Justice Act - Ombudsman program (abuse, neglected)
◍ Comprehensive Care Plan - Within 21 days
◍ Continuous Care - Nurse/CNA 8-24 days
◍ Retain medical records - 5 years
◍ Intermediate Care - Resident do not need skilled care
◍ Baseline Care Plan - 48 hours
◍ Copy of Medical Records Request by Resident - 2 days
◍ Remotivation Therapy - Aims to engage a resident's interest in the
environment of the facility
◍ QAA stands for - Quality Assessment Assurance
◍ QAA Committee must include... - DNS, a physician designated by the
facility, and at least 3 other members of the facility staff
,◍ Environmental Cued Wandering - Seeing a hallway
◍ Physical Abuse - Use of corporal punishment to control behavior
◍ Physician Assistant - Diagnose and treat patients
◍ Nurse practitioner - Can perform examinations and prescribe
medications
◍ Medication Aide - Can pass meds and monitor BP, temp, and pulse
while under the supervision of an RN or LPN
◍ Recreational wandering - Need for more exercise
◍ Late WSS ADL's - Bed mobility, transfers toilet use, eating
◍ Normal psychological changes in the elderly - memory loss,
depression, confusion
◍ Overflow - enlarged prostate
, ◍ Restraints must be removed how often and for how long? - Every 2
hours for at least 10 minutes
◍ Stress incontinence - Sneezing, jumping
◍ Monitor restraints every... - 30 minutes
◍ Bedridden - Unable to stand or walk
◍ Primary risk factors for decreased ROM - Immobilization by being
bed ridden, unable to stand or walk
◍ Ambulation - able to walk
◍ urge/reflex incontinence - Sudden uncontrollable need to urinate
◍ Transient incontinence - r/t infection
◍ Benign - Non-recurrent or non-progressive
◍ Congenital - dates from birth
