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Nursing Home Administrator Exam Review Guide 2025/2026 | James Allen NHA Practice Questions & Exam Prep

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Prepare confidently for the Nursing Home Administrator (NHA) Exam 2025/2026 with this comprehensive James Allen NHA Review Guide, designed to support effective preparation for state and national licensure exams. This review guide includes exam-style practice questions with clear explanations, aligned with NAB (National Association of Long Term Care Administrator Boards) domains, helping candidates strengthen knowledge in leadership, healthcare operations, resident care, and regulatory compliance. What’s Included: NHA exam review content based on James Allen methodology Practice questions with detailed explanations Covers core NAB exam domains Supports first-time and repeat exam candidates Ideal for long-term care administrators and students Updated for 2025/2026 testing standards This Nursing Home Administrator exam review guide is a valuable supplemental resource for individuals preparing for NHA licensure exams.

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(James Allen)

Terms in this set (217)



1. The most likely single cause for the series 2
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

,2. In a chance conversation with the owner 2
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

,3. 2
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
3. Appoint a new admissions counselor
4. Take no action


4. Bankruptcies among larger nursing home 3
chains prior to 2000 _____.
1. Were frequent
2. Were ubiquitous
3. Were highly unusual
4. Were routinely declared to avoid too
much accumulated debt

, 5. Under the Prospective Payment System, 2
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


6. In recent years, Medicare has _____. 2
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


7. The nurse newly promoted to director of 4
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

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