Texas sTaTe NursiNg Home admiNisTraTor TesT NewesT 2026 acTual exam
wiTH compleTe QuesTioNs aNd correcT deTailed aNswers (Verified
aNswers) |already graded a+||braNd New VersioN!!!
Authorized electronic monitoring - correcT aNswer-The placement of an electronic
monitoring device in a resident's room and using the device to make tapes or
recordings after making a request to the facility to allow electronic monitoring.
Barrier precautions - correcT aNswer-Precautions including the use of gloves,
masks, gowns, resuscitation equipment, eye protectors, aprons, face shields, and
protective clothing for purposes of infection control.
Care and treatment - correcT aNswer-Services required to maximize resident
independence, personal choice, participation, health, self-care, psychosocial
functioning and reasonable safety, all consistent with the preferences of the
resident.
Certification - correcT aNswer-The determination by HHSC that a nursing facility
meets all the requirements of the Medicaid or Medicare programs.
Change of ownership - correcT aNswer-An event that results in a change to the
federal taxpayer identification number of the license holder of a facility. The
substitution of a personal representative for a deceased license holder is not a
change of ownership.
CFR - correcT aNswer-Code of Federal Regulations.
,Complaint - correcT aNswer-Any allegation received by HHSC other than an incident
reported by the facility. Such allegations include, but are not limited to, abuse,
neglect, exploitation, or violation of state or federal standards.
Completion date - correcT aNswer-The date an RN assessment coordinator signs an
MDS assessment as complete.
Comprehensive assessment - correcT aNswer-An interdisciplinary description of a
resident's needs and capabilities including daily life functions and significant
impairments of functional capacity.
Comprehensive care plan - correcT aNswer-A plan of care prepared by an
interdisciplinary team that includes measurable short-term and long-term objectives
and timetables to meet the resident's needs developed for each resident after
admission. The plan addresses at least the following needs: medical, nursing,
rehabilitative, psychosocial, dietary, activity, and resident's rights. The plan includes
strategies developed by the team, consistent with the physician's prescribed plan of
care, to assist the resident in eliminating, managing, or alleviating health or
psychosocial problems identified through assessment.
Medicaid specific requirements apply to? - correcT aNswer-All residents, including,
but not limited to private-pay. Medicaid applicants and recipients, VA patients, and
Medicare recipients, who are admitted to and reside in a Medicaid certified facility
or a Medicaid-certified distinct part of a facility. These requirements do not apply to
SNFs licensed under the Health and Safety Code Chapter 241, participating only in
the Medicare program
Abuse - correcT aNswer-Negligent or willful infliction of injury, unreasonable
confinement, intimidation, or punishment with resulting physical or emotional harm
or pain to a resident; or sexual abuse, including involuntary or nonconsensual sexual
conduct that would constitute an offense under Penal Code §21.08 (indecent
exposure) or Penal Code Chapter 22 (assaultive offenses), sexual harassment, sexual
coercion, or sexual assault.
,Act - correcT aNswer-Chapter 242 of the Texas Health and Safety Code.
Admission MDS assessment - correcT aNswer-An MDS assessment that determines
a recipient's initial determination of eligibility for medical necessity for admission
into the Texas Medicaid Nursing Facility Program.
Advanced practice registered nurse - correcT aNswer-A person licensed by the
Texas Board of Nursing as an advanced practice registered nurse.
Agent - correcT aNswer-An adult to whom authority to make health care decisions
is delegated under a durable power of attorney for health care.
APA - correcT aNswer-The Administrative Procedure Act, Texas Government Code,
Chapter 2001.
Attending physician - correcT aNswer-A physician, currently licensed by the Texas
Medical Board, who is designated by the resident or responsible party as having
primary responsibility for the treatment and care of the resident.
Comprehensive Care Plan includes? - correcT aNswer-(A) goal setting;
(B) establishing priorities for management of care;
(C) making decisions about specific measures to be used to resolve the resident's
problems; and
(D) assisting in the development of appropriate coping mechanisms.
Covert electronic monitoring - correcT aNswer-The placement and use of an
electronic monitoring device that is not open and obvious, and the facility and HHSC
have not been informed about the device by the resident, by a person who placed the
device in the room, or by a person who uses the device.
, DADS - correcT aNswer-The term referred to the Department of Aging and Disability
Services; it now refers to HHSC.
DHS - correcT aNswer-This term referred to the Texas Department of Human
Services; it now refers to HHSC, unless the context concerns an administrative
hearing. Administrative hearings were formerly the responsibility of DHS; they now
are the responsibility of the HHSC.
Dietitian - correcT aNswer-A qualified dietitian is one who is qualified based upon
either:
(A) registration by the Commission on Dietetic Registration of the Academy of
Nutrition and Dietetics; or
(B) licensure, or provisional licensure, as a dietitian under Texas Occupations Code,
Chapter 701 and one year of supervisory experience in dietetic service of a health
care facility.
Direct care by licensed nurses - correcT aNswer-Direct care consonant with the
physician's planned regimen of total resident care includes:
(A) assessment of the resident's health care status;
(B) planning for the resident's care;
(C) assignment of duties to achieve the resident's care;
(D) nursing intervention; and
(E) evaluation and change of approaches as necessary.
Direct ownership interest - correcT aNswer-Ownership of equity in the capital,
stock, or profits of, or a membership interest in, an applicant or license holder.
Disclosure interest - correcT aNswer-Five percent or more direct or indirect
ownership interest in an applicant or license holder.
wiTH compleTe QuesTioNs aNd correcT deTailed aNswers (Verified
aNswers) |already graded a+||braNd New VersioN!!!
Authorized electronic monitoring - correcT aNswer-The placement of an electronic
monitoring device in a resident's room and using the device to make tapes or
recordings after making a request to the facility to allow electronic monitoring.
Barrier precautions - correcT aNswer-Precautions including the use of gloves,
masks, gowns, resuscitation equipment, eye protectors, aprons, face shields, and
protective clothing for purposes of infection control.
Care and treatment - correcT aNswer-Services required to maximize resident
independence, personal choice, participation, health, self-care, psychosocial
functioning and reasonable safety, all consistent with the preferences of the
resident.
Certification - correcT aNswer-The determination by HHSC that a nursing facility
meets all the requirements of the Medicaid or Medicare programs.
Change of ownership - correcT aNswer-An event that results in a change to the
federal taxpayer identification number of the license holder of a facility. The
substitution of a personal representative for a deceased license holder is not a
change of ownership.
CFR - correcT aNswer-Code of Federal Regulations.
,Complaint - correcT aNswer-Any allegation received by HHSC other than an incident
reported by the facility. Such allegations include, but are not limited to, abuse,
neglect, exploitation, or violation of state or federal standards.
Completion date - correcT aNswer-The date an RN assessment coordinator signs an
MDS assessment as complete.
Comprehensive assessment - correcT aNswer-An interdisciplinary description of a
resident's needs and capabilities including daily life functions and significant
impairments of functional capacity.
Comprehensive care plan - correcT aNswer-A plan of care prepared by an
interdisciplinary team that includes measurable short-term and long-term objectives
and timetables to meet the resident's needs developed for each resident after
admission. The plan addresses at least the following needs: medical, nursing,
rehabilitative, psychosocial, dietary, activity, and resident's rights. The plan includes
strategies developed by the team, consistent with the physician's prescribed plan of
care, to assist the resident in eliminating, managing, or alleviating health or
psychosocial problems identified through assessment.
Medicaid specific requirements apply to? - correcT aNswer-All residents, including,
but not limited to private-pay. Medicaid applicants and recipients, VA patients, and
Medicare recipients, who are admitted to and reside in a Medicaid certified facility
or a Medicaid-certified distinct part of a facility. These requirements do not apply to
SNFs licensed under the Health and Safety Code Chapter 241, participating only in
the Medicare program
Abuse - correcT aNswer-Negligent or willful infliction of injury, unreasonable
confinement, intimidation, or punishment with resulting physical or emotional harm
or pain to a resident; or sexual abuse, including involuntary or nonconsensual sexual
conduct that would constitute an offense under Penal Code §21.08 (indecent
exposure) or Penal Code Chapter 22 (assaultive offenses), sexual harassment, sexual
coercion, or sexual assault.
,Act - correcT aNswer-Chapter 242 of the Texas Health and Safety Code.
Admission MDS assessment - correcT aNswer-An MDS assessment that determines
a recipient's initial determination of eligibility for medical necessity for admission
into the Texas Medicaid Nursing Facility Program.
Advanced practice registered nurse - correcT aNswer-A person licensed by the
Texas Board of Nursing as an advanced practice registered nurse.
Agent - correcT aNswer-An adult to whom authority to make health care decisions
is delegated under a durable power of attorney for health care.
APA - correcT aNswer-The Administrative Procedure Act, Texas Government Code,
Chapter 2001.
Attending physician - correcT aNswer-A physician, currently licensed by the Texas
Medical Board, who is designated by the resident or responsible party as having
primary responsibility for the treatment and care of the resident.
Comprehensive Care Plan includes? - correcT aNswer-(A) goal setting;
(B) establishing priorities for management of care;
(C) making decisions about specific measures to be used to resolve the resident's
problems; and
(D) assisting in the development of appropriate coping mechanisms.
Covert electronic monitoring - correcT aNswer-The placement and use of an
electronic monitoring device that is not open and obvious, and the facility and HHSC
have not been informed about the device by the resident, by a person who placed the
device in the room, or by a person who uses the device.
, DADS - correcT aNswer-The term referred to the Department of Aging and Disability
Services; it now refers to HHSC.
DHS - correcT aNswer-This term referred to the Texas Department of Human
Services; it now refers to HHSC, unless the context concerns an administrative
hearing. Administrative hearings were formerly the responsibility of DHS; they now
are the responsibility of the HHSC.
Dietitian - correcT aNswer-A qualified dietitian is one who is qualified based upon
either:
(A) registration by the Commission on Dietetic Registration of the Academy of
Nutrition and Dietetics; or
(B) licensure, or provisional licensure, as a dietitian under Texas Occupations Code,
Chapter 701 and one year of supervisory experience in dietetic service of a health
care facility.
Direct care by licensed nurses - correcT aNswer-Direct care consonant with the
physician's planned regimen of total resident care includes:
(A) assessment of the resident's health care status;
(B) planning for the resident's care;
(C) assignment of duties to achieve the resident's care;
(D) nursing intervention; and
(E) evaluation and change of approaches as necessary.
Direct ownership interest - correcT aNswer-Ownership of equity in the capital,
stock, or profits of, or a membership interest in, an applicant or license holder.
Disclosure interest - correcT aNswer-Five percent or more direct or indirect
ownership interest in an applicant or license holder.
