Illinois Nursing Home Administrator Licensing Exam Questions And Correct Answers | Latest Update 2026/2027 | Graded A+ (Verified Answers) Plus Rationales | Guaranteed Pass.

Illinois Nursing Home Administrator Licensing Exam Questions And Correct Answers | Latest Update 2026/2027 | Graded A+ (Verified Answers) Plus Rationales | Guaranteed Pass. 1. Which federal law established the minimum standards of care and rights for residents in nursing homes? A. Health Insurance Portability and Accountability Act (HIPAA) B. Patient Self-Determination Act (PSDA) C. Nursing Home Reform Act (OBRA 1987) D. Medicare Prescription Drug, Improvement, and Modernization Act Rationale: The Nursing Home Reform Act of 1987, part of OBRA, sets minimum standards for quality of care, residents’ rights, and staffing in nursing facilities. 2. What is the primary role of the Nursing Home Administrator? A. Provide direct patient care B. Ensure the facility complies with regulations and manages operations C. Perform financial audits exclusively D. Conduct clinical research Rationale: The administrator oversees operations, compliance, finances, and staff management, ensuring quality care and regulatory adherence. 3. A resident refuses medication prescribed by their physician. What is the correct action? A. Force the resident to take the medication B. Ignore the refusal C. Document the refusal and notify the physician D. Remove the resident from the facility Rationale: Residents have the right to refuse treatment under federal and state law; refusal should be documented and communicated to the physician. 5. The minimum number of hours per week a licensed nurse must provide in a skilled nursing facility is regulated by: A. OSHA B. State and federal nursing regulations C. CMS financial policy D. HIPAA Rationale: Staffing requirements, including minimum nursing hours, are set by state and federal law to ensure adequate patient care. 6. Which document outlines a resident’s medical, psychosocial, and functional status in a nursing home? A. Care Plan B. Consent Form C. Minimum Data Set (MDS) D. Incident Report Rationale: The MDS is a standardized assessment used to track residents’ health and functional abilities. 7. Which federal agency is primarily responsible for enforcing regulations in nursing homes? A. FDA B. NIH C. Centers for Medicare & Medicaid Services (CMS) D. CDC Rationale: CMS monitors compliance with federal regulations and conducts inspections in nursing facilities. 8. What is the primary purpose of the resident council in a nursing home? A. Conduct audits B. Provide residents a forum to express concerns and suggestions C. Approve budgets D. Hire staff Rationale: Resident councils give residents a voice in facility operations and help protect their rights. 9. Which type of survey assesses nursing home compliance with federal regulations? A. Accreditation Survey B. Certification Survey C. Performance Audit D. Financial Review Rationale: Certification surveys are conducted by state agencies to ensure facilities meet Medicare and Medicaid requirements. 4. Which department is responsible for monitoring infection control in a nursing home? A. Social Services B. Dietary C. Infection Control/Quality Assurance D. Activities Rationale: Infection control programs are mandated by federal regulations, and the Infection Control/Quality Assurance department ensures compliance. 10. A resident exhibits aggressive behavior. What is the first step in addressing it? A. Restrain the resident immediately B. Report to law enforcement C. Assess the cause and implement appropriate interventions D. Discharge the resident Rationale: Behavioral issues should be assessed for underlying causes and managed using care plans and non-restrictive interventions whenever possible. 11. What is the purpose of a Quality Assurance Performance Improvement (QAPI) program?