NURSING HOME ADMINISTRATOR TEST COMPLETE EXAM
MASTERY GUIDE WITH VERIFIED ANSWERS (2025–2026)
In a chance conversation with the owner of an 8 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 an effective than efficient since the quality
indicators are all at or above the states average. The owner would be
A. be pleased
B. be distressed
C. be content
D. praise the newly hired administrator - correct answer -B. be distressed
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 the past bills are paid fully. The medical supplies
provider
A. is smart to cut losses at that point
B. does not understand how bankruptcy works
C. will now likely get his past due bills paid
D. is farsighted - correct answer -B. does not understand how bankruptcy works
an administrator who adopts the leadership by walking around approach by walking through
the facility once a week and intently observing has
A. become an effective leader
B. chose a good management style
C. failed to understand LBWA
D. implemented a useful strategy - correct answer -C. failed to understand LBWA
,the candidate for administrator said that they use a variety of administrative styles but could
not say exactly which they would use in ever circumstance. The interviewer should be
A. favorably impressed
B. unfavorably impressed
C. concerned about possible indecisiveness
D. looking for one leadership style - correct answer -A. favorably impressed
the candidate for administrator indicated that they consistently chose the charismatic style of
leadership. This should _____ the interviewer
A. reassure
B. alert
C. confirm the candidate's qualifications to
D. please - correct answer -B. alert
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
A. deficient
B. appropriate
C. out of focus
D. inadequate - correct answer -B. appropriate
congress and the federal rule makers behave as if the facility will run successfully if Congress
and CMS cam write enough rules. They are
A. incorrect
B. correct, according to behavior theory
C. pessimistic about the need for rules
,D. correct, according to emerging management theory - correct answer -A. incorrect
the administrator insists that a timely copy of all reports generated within the facility come
across their desk before anyone signs them. The administrator is
A. not rationalizing their management information system
B. making appropriate and desirable requests
C. exercising good judgement
D. initiating an appropriate management information system - correct answer -A. not
rationalizing their management information system
Worried about the level of actual resident care achieved in the facility, the administrator directs
the nurse to spend less time charting and more time focusing on the effectiveness of care being
given to the residents. The likely result will be___
A. better resident care and possibly increased deficiency citations
B. better resident care and decreased deficiency citations
C. no real improvement in resident care and decreased charting
D. greater sensitivity to residents' needs and better documentation - correct answer -A. better
resident care and possibly increased deficiency citations
the administrator who takes steps that ensure that the goals are accomplished and that each
job is done as planned is successfully
A. getting results
B. improving outputs
C. controlling quality
D. sensing organizational needs - correct answer -C. controlling quality
, the administrator who conducts a national search for a DON position and interviews 20
candidates from 7 different surrounding states by phone is engaged in the managerial functions
of
A. directing personnel development
B. staffing
C. broad personnel searches
D. in depth interviewing - correct answer -B. staffing
Giving every employee the space to innovate at least a little; listening to residents and acting on
their ideas; and wandering around with residents, staff, and suppliers are examples of the
difficult-to-achieve ________
A. long range goals
B. short range goals
C. commonsense, obvious goals
D. typical facility approach - correct answer -C. commonsense, obvious goals
In a facility of 120 beds, the administrator ____personally performs each of the management
tasks.
A. need not
B. should
C. over a month will
D. over a year will - correct answer -A. need not
A licensed person responsible for formulating and enforcing policies that will be applied to an
entire facility is thought of as a/an ____
a. upper-level management
b. senior administration
c. board member
MASTERY GUIDE WITH VERIFIED ANSWERS (2025–2026)
In a chance conversation with the owner of an 8 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 an effective than efficient since the quality
indicators are all at or above the states average. The owner would be
A. be pleased
B. be distressed
C. be content
D. praise the newly hired administrator - correct answer -B. be distressed
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 the past bills are paid fully. The medical supplies
provider
A. is smart to cut losses at that point
B. does not understand how bankruptcy works
C. will now likely get his past due bills paid
D. is farsighted - correct answer -B. does not understand how bankruptcy works
an administrator who adopts the leadership by walking around approach by walking through
the facility once a week and intently observing has
A. become an effective leader
B. chose a good management style
C. failed to understand LBWA
D. implemented a useful strategy - correct answer -C. failed to understand LBWA
,the candidate for administrator said that they use a variety of administrative styles but could
not say exactly which they would use in ever circumstance. The interviewer should be
A. favorably impressed
B. unfavorably impressed
C. concerned about possible indecisiveness
D. looking for one leadership style - correct answer -A. favorably impressed
the candidate for administrator indicated that they consistently chose the charismatic style of
leadership. This should _____ the interviewer
A. reassure
B. alert
C. confirm the candidate's qualifications to
D. please - correct answer -B. alert
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
A. deficient
B. appropriate
C. out of focus
D. inadequate - correct answer -B. appropriate
congress and the federal rule makers behave as if the facility will run successfully if Congress
and CMS cam write enough rules. They are
A. incorrect
B. correct, according to behavior theory
C. pessimistic about the need for rules
,D. correct, according to emerging management theory - correct answer -A. incorrect
the administrator insists that a timely copy of all reports generated within the facility come
across their desk before anyone signs them. The administrator is
A. not rationalizing their management information system
B. making appropriate and desirable requests
C. exercising good judgement
D. initiating an appropriate management information system - correct answer -A. not
rationalizing their management information system
Worried about the level of actual resident care achieved in the facility, the administrator directs
the nurse to spend less time charting and more time focusing on the effectiveness of care being
given to the residents. The likely result will be___
A. better resident care and possibly increased deficiency citations
B. better resident care and decreased deficiency citations
C. no real improvement in resident care and decreased charting
D. greater sensitivity to residents' needs and better documentation - correct answer -A. better
resident care and possibly increased deficiency citations
the administrator who takes steps that ensure that the goals are accomplished and that each
job is done as planned is successfully
A. getting results
B. improving outputs
C. controlling quality
D. sensing organizational needs - correct answer -C. controlling quality
, the administrator who conducts a national search for a DON position and interviews 20
candidates from 7 different surrounding states by phone is engaged in the managerial functions
of
A. directing personnel development
B. staffing
C. broad personnel searches
D. in depth interviewing - correct answer -B. staffing
Giving every employee the space to innovate at least a little; listening to residents and acting on
their ideas; and wandering around with residents, staff, and suppliers are examples of the
difficult-to-achieve ________
A. long range goals
B. short range goals
C. commonsense, obvious goals
D. typical facility approach - correct answer -C. commonsense, obvious goals
In a facility of 120 beds, the administrator ____personally performs each of the management
tasks.
A. need not
B. should
C. over a month will
D. over a year will - correct answer -A. need not
A licensed person responsible for formulating and enforcing policies that will be applied to an
entire facility is thought of as a/an ____
a. upper-level management
b. senior administration
c. board member
