FEDERAL NURSING HOME ADMINISTRATOR
EXAM FINAL PAPER 2026 COMPLETE
QUESTIONS AND ANSWERS
◉ How many months must assessments be kept in the resident's
active record? Answer: 15 months
◉ Assessments are due when? Answer: 14 days, annually, quarterly,
after sig change
◉ Baseline care plan must be developed and implemented in how
many hours of admission? Answer: 48 hours
◉ Comprehensive Care Plan must be developed no later than how
many days of admission? Answer: 21 days
◉ Frequency of Medicare Assessments? Answer: 5 day, 14 day, 30
day, 60 day and 90 day
◉ Late Loss ADL's Answer: Transfer, bed mobility, toileting, eating
◉ What is preferred treatment for contractures? Answer: ROM
,◉ Reality orientation Answer: method of care used to promote
awareness of reality in confused or disoriented patients
◉ CASPER Answer: CMS database that includes demographics,
onsite survey results, and comparison info for state and national
peer info
◉ Continuing Care Retirement Community Answer: independent
living with different levels of service
◉ Iatrogenic Answer: complications caused by the process of
medical care
◉ Title 19 of the Social Security Act Answer: Medicaid
◉ Title 18 of the Social Security Act Answer: Medicare
◉ MDCN Answer: Medicare Data Communication Network
◉ OBRA (1987) is responsible for Answer: restraint reduction, MDS,
and resident rights
,◉ Quality Assurance (QA) Answer: monitor and study the quality of
a facility's services
◉ Quality Indicators (QI) Answer: provider level and resident level
status derived from MDS (OASIS), structure survey process.
◉ Quality Indicator Survey (QIS) Answer: laptop completed facility
survey process
◉ Quality Measure (QM) Answer: Publicly reported info to help
consumers assess the quality of a nursing home
◉ Resident Assessment Instrument (RAI) Answer: helps facility
identify resident needs and strengths to develop an appropriate care
plan
◉ Significant change in condition Answer: requires new assessment
using the MDS instrument
◉ Significant weight loss, what % over 30 days? Answer: 5%
◉ Significant weight loss, what % over 90 days? Answer: 7.5%
◉ Significant weight loss, what % over 180 days? Answer: 10%
, ◉ Validation Therapy Answer: accepting that a patient is actually
living in the past
◉ coaching Answer: help given by a superior to a subordinate
◉ Compensation Theory Answer: wage and benefits motivate
employees o meet requirements
◉ Employee Handbook Answer: a compilation of the facility policies
that directly relate to work conditions. It is often treated as a binding
contract by the courts.
◉ EEOC Answer: Created by the Civil Rights act of 1964. Administers
the ADA, ADEA, EPA
◉ Expectancy Theory Answer: the theory that the level of
motivation to perform is a mathematical function of the expectations
individuals have about future outcomes multiplied by the value the
employee places on these outcomes
◉ Job Analysis Answer: defining a position in terms of tasks or
behaviors required
EXAM FINAL PAPER 2026 COMPLETE
QUESTIONS AND ANSWERS
◉ How many months must assessments be kept in the resident's
active record? Answer: 15 months
◉ Assessments are due when? Answer: 14 days, annually, quarterly,
after sig change
◉ Baseline care plan must be developed and implemented in how
many hours of admission? Answer: 48 hours
◉ Comprehensive Care Plan must be developed no later than how
many days of admission? Answer: 21 days
◉ Frequency of Medicare Assessments? Answer: 5 day, 14 day, 30
day, 60 day and 90 day
◉ Late Loss ADL's Answer: Transfer, bed mobility, toileting, eating
◉ What is preferred treatment for contractures? Answer: ROM
,◉ Reality orientation Answer: method of care used to promote
awareness of reality in confused or disoriented patients
◉ CASPER Answer: CMS database that includes demographics,
onsite survey results, and comparison info for state and national
peer info
◉ Continuing Care Retirement Community Answer: independent
living with different levels of service
◉ Iatrogenic Answer: complications caused by the process of
medical care
◉ Title 19 of the Social Security Act Answer: Medicaid
◉ Title 18 of the Social Security Act Answer: Medicare
◉ MDCN Answer: Medicare Data Communication Network
◉ OBRA (1987) is responsible for Answer: restraint reduction, MDS,
and resident rights
,◉ Quality Assurance (QA) Answer: monitor and study the quality of
a facility's services
◉ Quality Indicators (QI) Answer: provider level and resident level
status derived from MDS (OASIS), structure survey process.
◉ Quality Indicator Survey (QIS) Answer: laptop completed facility
survey process
◉ Quality Measure (QM) Answer: Publicly reported info to help
consumers assess the quality of a nursing home
◉ Resident Assessment Instrument (RAI) Answer: helps facility
identify resident needs and strengths to develop an appropriate care
plan
◉ Significant change in condition Answer: requires new assessment
using the MDS instrument
◉ Significant weight loss, what % over 30 days? Answer: 5%
◉ Significant weight loss, what % over 90 days? Answer: 7.5%
◉ Significant weight loss, what % over 180 days? Answer: 10%
, ◉ Validation Therapy Answer: accepting that a patient is actually
living in the past
◉ coaching Answer: help given by a superior to a subordinate
◉ Compensation Theory Answer: wage and benefits motivate
employees o meet requirements
◉ Employee Handbook Answer: a compilation of the facility policies
that directly relate to work conditions. It is often treated as a binding
contract by the courts.
◉ EEOC Answer: Created by the Civil Rights act of 1964. Administers
the ADA, ADEA, EPA
◉ Expectancy Theory Answer: the theory that the level of
motivation to perform is a mathematical function of the expectations
individuals have about future outcomes multiplied by the value the
employee places on these outcomes
◉ Job Analysis Answer: defining a position in terms of tasks or
behaviors required
