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TX Nursing Home Administrator License Practice Test 2026 with 250 Latest Exam Questions and Correct Answers/ Texas Nursing Home Administrator 2026 Exam Prep Guide (Latest!)

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Prepare for the Texas Nursing Home Administrator License Exam with this comprehensive 2026 practice test containing 250 up-to-date questions and verified answers. This essential study guide covers all key exam topics including HHSC and DADS regulations, Medicaid and Medicare compliance, facility licensing, change of ownership procedures, Life Safety Code (NFPA 101) standards, resident care planning (MDS, comprehensive care), abuse and neglect protocols, staffing and training requirements, infection control, dietary and sanitation rules, fire safety systems, ADA accessibility, and Texas-specific administrative rules. Ideal for aspiring and current administrators seeking to pass the Texas NHA exam and excel in nursing facility management. Fully updated for 2026 exam content and regulatory changes.

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TX Nursing Home Administrator License
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TX Nursing Home Administrator License











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Institution
TX Nursing Home Administrator License
Course
TX Nursing Home Administrator License

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Uploaded on
January 15, 2026
Number of pages
650
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

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TX Nursing Home Administrator License Practice Test
2026 with 250 Latest Exam Questions and Correct
Answers/ Texas Nursing Home Administrator 2026
Exam Prep Guide (Latest!)

Comprehensive assessment ......ANSWER.....An interdisciplinary
description of a resident's needs and capabilities including daily life
functions and significant impairments of functional capacity.


Comprehensive care plan ......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.


Comprehensive Care Plan includes? ......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.

,2|Page




Covert electronic monitoring ......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 ......ANSWER.....The term referred to the Department of Aging
and Disability Services; it now refers to HHSC.


DHS ......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 ......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 ......ANSWER.....Direct care consonant
with the physician's planned regimen of total resident care includes:

,3|Page


(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 ......ANSWER.....Ownership of equity in the
capital, stock, or profits of, or a membership interest in, an applicant
or license holder.


Disclosure interest ......ANSWER.....Five percent or more direct or
indirect ownership interest in an applicant or license holder.


Distinct part ......ANSWER.....That portion of a facility certified to
participate in the Medicaid Nursing Facility program.


Drug (also referred to as medication) ......ANSWER.....Any of the
following:
(A) any substance recognized as a drug in the official US
Pharmacopoeia, official Homeopathic Pharmacopoeia of the US, or
official National Formulary, or any supplement to any of them;
(B) any substance intended for use in the diagnosis, cure, mitigation,
treatment, or prevention of disease in man;

, 4|Page


(C) any substance (other than food) intended to affect the structure
or any function of the body of man; and
(D) any substance intended for use as a component of any substance
specified in (A) - (C). It does not include devices or their components,
parts, or accessories.


Electronic monitoring device ......ANSWER.....Video surveillance
cameras and audio devices installed in a resident's room, designed to
acquire communications or other sounds that occur in the room. An
electronic, mechanical, or other device used specifically for the
nonconsensual interception of wire or electronic communication is
excluded from this definition.


Medicaid specific requirements apply to? ......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 ......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

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