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Texas Nursing Home Administrator Exam
2026 Comprehensive Exam Questions With
Verified Answers
Facility License Period - correct -answer-2 years
| | | | | |
Licensed Nurse Ratio in 24 hr period - correct -answer-1 to 20
| | | | | | | | | | |
The facilities Medical Director is responsible for what? - correct -answer-
| | | | | | | | | |
Implementation of resident care policies
| | | |
What is incorrect regarding resident personal funds? - correct -answer-A facility
| | | | | | | | | |
can require that a resident deposit their personal funds with the facility
| | | | | | | | | | | |
Resident bedrooms must be able to accommodate how many people? - correct -
| | | | | | | | | | | |
answer-No more than 4
| | | |
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If a facility provides blood bank transfusion services, they must meet the
| | | | | | | | | | |
|requirements for laboratories specified by what? - correct -answer-CFR 493
| | | | | | | | |
A facility must assist residents with obtaining routine and
| | | | | | | | | dental care |
- correct -answer-24 hour emergency
| | | |
Rolling Meadows Nursing Home has Tiffany, an unlicensed nursing student,
| | | | | | | | |
working the evening shift during the weekends. Can Tiffany administer
| | | | | | | | | |
medications to the residents? - correct -answer-Not until she is fully licensed
| | | | | | | | | | |
If a nourishing snack is provided at bedtime, and the residents agree, what is the
| | | | | | | | | | | | | |
|maximum length of time allowed between evening meal and morning meals? -
| | | | | | | | | | |
|correct -answer-16 hours
| |
Which of the following would not be considered an activity of daily living? -
| | | | | | | | | | | | |
correct -answer-Cook
| |
If a resident has been admitted with a Class A injury, can they refuse treatment for
| | | | | | | | | | | | | | |
|the injury? - correct -answer-Yes
| | | |
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A resident has the right to refuse treatment, to formulate an advanced directive,
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and to refuse to participate in experimental research. If the resident refuses
| | | | | | | | | | | |
treatment, the resident must be informed of the possible consequences.
| | | | | | | | |
Mr. & Mrs. Thorne have been married for 37 years and both have been admitted
| | | | | | | | | | | | | |
to the Sleepy Hollow Nursing Facility. Mrs. Thorne would like to share a room with
| | | | | | | | | | | | | | |
Mr. Thorne; is this allowable? - correct -answer-Yes, if both people agree to the
| | | | | | | | | | | | | |
arrangement
A nursing facility that has multiple floors and 201 to 350 resident beds on floors
| | | | | | | | | | | | | |
other than the main entrance floor or where the major inpatient services are
| | | | | | | | | | | | |
located, must have how many elevators? - correct -answer-3
| | | | | | | | |
At least three (one of which must be hospital-type) elevators must be installed
| | | | | | | | | | | |
where 201 to 350 resident beds are located on floors other than the main
| | | | | | | | | | | | | |
entrance floor or where the major inpatient services are located on a floor other
| | | | | | | | | | | | |
than those containing resident beds. Elevator service may be reduced for those
| | | | | | | | | | | |
floors which provide only partial inpatient services
| | | | | | |
Unless another schedule is specified, how often must a resident's physician's
| | | | | | | | | |
orders be reviewed? - correct -answer-At least every 60 days
| | | | | | | | | |
, 4 || |P |a |g
|e
Rapid response teams can visit long-term care (LTC) facilities identified through
| | | | | | | | | |
the Department of Aging and Disability Services what? - correct -answer-Early
| | | | | | | | | | |
warning system
| |
Can a resident self-administer their own drugs? - correct -answer-Yes, if the
| | | | | | | | | | |
interdisciplinary team has determined the practice is safe. This will be reviewed
| | | | | | | | | | | |
periodically.
|
Ma and Pa's nursing facility was just informed that it needs to offer its resident the
| | | | | | | | | | | | | | |
pneumococcal vaccine. Which residents does it need to offer this vaccine to? -
| | | | | | | | | | | | |
correct -answer-To those that are 65 years or older or those that are candidates
| | | | | | | | | | | | | |
because of chronic illness
| | | |
If an employee that while at work is at risk of contacting potentially infectious
| | | | | | | | | | | | |
|material or blood declines the Hepatitis B vaccine at first, does the facility have to
| | | | | | | | | | | | | |
|offer them the vaccine at a later date if the employee decides he/she wants to
| | | | | | | | | | | | | |
receive it? - correct -answer-Yes
| | | |
(A) The facility's policy regarding hepatitis B vaccinations must address all
| | | | | | | | |
circumstances requiring vaccinations and include a method to identify employees
| | | | | | | | |
|at risk of directly contacting blood or potentially infectious materials.
| | | | | | | | |
(B) The facility must offer all of the employees identified in subparagraph (A) of
| | | | | | | | | | | |
|this paragraph hepatitis B vaccinations within 10 days of employment. If the
| | | | | | | | | | |
employee initially declines the hepatitis B vaccination but at a later date, while still
| | | | | | | | | | | | |
|at risk of directly contacting blood or potentially infectious materials, decides to
| | | | | | | | | | |
|e
Texas Nursing Home Administrator Exam
2026 Comprehensive Exam Questions With
Verified Answers
Facility License Period - correct -answer-2 years
| | | | | |
Licensed Nurse Ratio in 24 hr period - correct -answer-1 to 20
| | | | | | | | | | |
The facilities Medical Director is responsible for what? - correct -answer-
| | | | | | | | | |
Implementation of resident care policies
| | | |
What is incorrect regarding resident personal funds? - correct -answer-A facility
| | | | | | | | | |
can require that a resident deposit their personal funds with the facility
| | | | | | | | | | | |
Resident bedrooms must be able to accommodate how many people? - correct -
| | | | | | | | | | | |
answer-No more than 4
| | | |
,2 || |P |a |g
|e
If a facility provides blood bank transfusion services, they must meet the
| | | | | | | | | | |
|requirements for laboratories specified by what? - correct -answer-CFR 493
| | | | | | | | |
A facility must assist residents with obtaining routine and
| | | | | | | | | dental care |
- correct -answer-24 hour emergency
| | | |
Rolling Meadows Nursing Home has Tiffany, an unlicensed nursing student,
| | | | | | | | |
working the evening shift during the weekends. Can Tiffany administer
| | | | | | | | | |
medications to the residents? - correct -answer-Not until she is fully licensed
| | | | | | | | | | |
If a nourishing snack is provided at bedtime, and the residents agree, what is the
| | | | | | | | | | | | | |
|maximum length of time allowed between evening meal and morning meals? -
| | | | | | | | | | |
|correct -answer-16 hours
| |
Which of the following would not be considered an activity of daily living? -
| | | | | | | | | | | | |
correct -answer-Cook
| |
If a resident has been admitted with a Class A injury, can they refuse treatment for
| | | | | | | | | | | | | | |
|the injury? - correct -answer-Yes
| | | |
,3 || |P |a |g
|e
A resident has the right to refuse treatment, to formulate an advanced directive,
| | | | | | | | | | | |
and to refuse to participate in experimental research. If the resident refuses
| | | | | | | | | | | |
treatment, the resident must be informed of the possible consequences.
| | | | | | | | |
Mr. & Mrs. Thorne have been married for 37 years and both have been admitted
| | | | | | | | | | | | | |
to the Sleepy Hollow Nursing Facility. Mrs. Thorne would like to share a room with
| | | | | | | | | | | | | | |
Mr. Thorne; is this allowable? - correct -answer-Yes, if both people agree to the
| | | | | | | | | | | | | |
arrangement
A nursing facility that has multiple floors and 201 to 350 resident beds on floors
| | | | | | | | | | | | | |
other than the main entrance floor or where the major inpatient services are
| | | | | | | | | | | | |
located, must have how many elevators? - correct -answer-3
| | | | | | | | |
At least three (one of which must be hospital-type) elevators must be installed
| | | | | | | | | | | |
where 201 to 350 resident beds are located on floors other than the main
| | | | | | | | | | | | | |
entrance floor or where the major inpatient services are located on a floor other
| | | | | | | | | | | | |
than those containing resident beds. Elevator service may be reduced for those
| | | | | | | | | | | |
floors which provide only partial inpatient services
| | | | | | |
Unless another schedule is specified, how often must a resident's physician's
| | | | | | | | | |
orders be reviewed? - correct -answer-At least every 60 days
| | | | | | | | | |
, 4 || |P |a |g
|e
Rapid response teams can visit long-term care (LTC) facilities identified through
| | | | | | | | | |
the Department of Aging and Disability Services what? - correct -answer-Early
| | | | | | | | | | |
warning system
| |
Can a resident self-administer their own drugs? - correct -answer-Yes, if the
| | | | | | | | | | |
interdisciplinary team has determined the practice is safe. This will be reviewed
| | | | | | | | | | | |
periodically.
|
Ma and Pa's nursing facility was just informed that it needs to offer its resident the
| | | | | | | | | | | | | | |
pneumococcal vaccine. Which residents does it need to offer this vaccine to? -
| | | | | | | | | | | | |
correct -answer-To those that are 65 years or older or those that are candidates
| | | | | | | | | | | | | |
because of chronic illness
| | | |
If an employee that while at work is at risk of contacting potentially infectious
| | | | | | | | | | | | |
|material or blood declines the Hepatitis B vaccine at first, does the facility have to
| | | | | | | | | | | | | |
|offer them the vaccine at a later date if the employee decides he/she wants to
| | | | | | | | | | | | | |
receive it? - correct -answer-Yes
| | | |
(A) The facility's policy regarding hepatitis B vaccinations must address all
| | | | | | | | |
circumstances requiring vaccinations and include a method to identify employees
| | | | | | | | |
|at risk of directly contacting blood or potentially infectious materials.
| | | | | | | | |
(B) The facility must offer all of the employees identified in subparagraph (A) of
| | | | | | | | | | | |
|this paragraph hepatitis B vaccinations within 10 days of employment. If the
| | | | | | | | | | |
employee initially declines the hepatitis B vaccination but at a later date, while still
| | | | | | | | | | | | |
|at risk of directly contacting blood or potentially infectious materials, decides to
| | | | | | | | | | |
