New York Nursing Home Administrator Licensing Exam Questions And Correct Answers | Latest Update 2026/2027 | Graded A+ | Guaranteed Pass (Verified Answers)

New York Nursing Home Administrator Licensing Exam Questions And Correct Answers | Latest Update 2026/2027 | Graded A+ | Guaranteed Pass (Verified Answers) 1. What is the primary role of a Nursing Home Administrator? a) Providing direct patient care b) Developing community health programs c) Overseeing the operations of a nursing home d) Conducting clinical research The administrator is responsible for the overall management and operations of the nursing home, ensuring compliance with regulations and quality care delivery. 2. Which federal law governs the standards for nursing home care? a) HIPAA b) Nursing Home Reform Act of 1987 c) Affordable Care Act d) Occupational Safety and Health Act The Nursing Home Reform Act established federal standards for quality of care, resident rights, and safety in nursing homes. 3. In developing a facility’s budget, the administrator should primarily consider: a) Community demographics b) Staff preferences c) Operating expenses, revenue, and regulatory requirements d) Marketing strategies Budgeting involves aligning financial resources with operational needs while complying with regulatory requirements. 5. A sudden increase in resident falls may indicate: a) Improved resident mobility b) Safety hazards or inadequate staffing c) Better reporting d) None of the above An increase in falls often points to environmental risks, insufficient supervision, or staffing issues. 6. What is the purpose of a Quality Assurance and Performance Improvement (QAPI) program? a) To increase revenue b) To reduce staff turnover c) To systematically improve resident care and outcomes d) To advertise services QAPI programs are designed to monitor, analyze, and improve care delivery and facility processes. 7. How often must a nursing home administrator review the facility’s emergency preparedness plan? a) Monthly b) Every 5 years c) Annually d) Only after an emergency Regulations require annual review and updates of emergency preparedness plans to ensure readiness. 8. Which federal agency is responsible for inspecting nursing homes? a) FDA b) CDC c) Centers for Medicare & Medicaid Services (CMS) d) OSHA CMS, often through state survey agencies, inspects nursing homes to ensure compliance with federal standards. 9. What is the first step in managing a complaint from a resident or family member? a) Call legal counsel b) Document and ignore c) Listen, investigate, and resolve promptly d) Transfer the resident Effective complaint management requires immediate attention, proper investigation, and resolution. 4. Which of the following is a core resident right under federal law? a) Free internet access b) Unlimited visitors c) Right to participate in their own care planning d) Free transportation Residents have the right to be involved in decisions regarding their care, including treatment plans. 10.A staffing plan should primarily consider: a) Marketing needs b) Resident preferences c) Resident acuity and regulatory staffing requirements d) Employee vacation schedules Staffing plans ensure adequate staff are available to meet the needs of residents safely and in compliance with law. 11.Which of the following is a common financial indicator for nursing home performance? a) Employee satisfaction b) Operating margin c) Resident happiness d) Community outreach Operating margin measures the difference between revenues and expenses and reflects financial health. 12.A violation of infection control standards may result in: a) Increased revenue b) Staff bonuses c) Fines, citations, or legal action d) Additional residents Non-compliance with infection control can lead to penalties, lawsuits, and compromised resident safety. 13.Which of the following best describes a “person-centered care” approach? a) Standardized treatment for all residents b) Care focused on cost reduction c) Tailoring care to the individual preferences, needs, and values of each resident d) Care solely directed by the physician Person-centered care emphasizes respect for resident preferences and active involvement in care planning. 14.Which record is legally required to be maintained for each resident? a) Social media posts b) Employee reviews c) Comprehensive medical and care records d) Marketing surveys Accurate and complete resident records are required for care coordination, regulatory compliance, and legal purposes. 15.A facility experiences a fire in the kitchen. The administrator should first: a) Call the insurance company b) Ensure the safety of residents and staff c) Notify the press d) Review the budget Resident and staff safety is the immediate priority in any emergency