MARYLAND NURSING HOME
ADMINISTRATOR EXAM 2
21. A facility administrator wants to improve resident
satisfaction. Which action is most effective?
A. Increase staff hours without feedback
B. Conduct resident satisfaction surveys and act on results
C. Reduce recreational programs
D. Focus only on financial performance
Answer: B. Conduct resident satisfaction surveys and
act on results
Rationale: Resident surveys provide actionable
feedback to improve care and quality of life.
,22. Which is a primary responsibility of the nursing
home administrator during a survey?
A. Supervising medical procedures
B. Ensuring documentation is accurate and available
C. Providing therapy directly
D. Preparing meals
Answer: B. Ensuring documentation is accurate and
available
Rationale: Administrators must provide surveyors
with complete and organized records for compliance
review.
23. A resident has a pressure ulcer. The administrator
should ensure:
A. Staff ignore it unless the family complains
B. Care plan is updated, wound care is documented, and
preventive measures are implemented
C. Only the nurse treats it without documentation
D. The resident is discharged immediately
Answer: B. Care plan is updated, wound care is
documented, and preventive measures are
implemented
, Rationale: Proper documentation and care plans are
required to prevent complications and meet
regulations.
24. A nursing home is experiencing high staff
turnover. The administrator should first:
A. Replace staff quickly
B. Conduct exit interviews and staff satisfaction surveys
C. Ignore the problem
D. Reduce wages to save money
Answer: B. Conduct exit interviews and staff
satisfaction surveys
Rationale: Understanding why staff leave helps
develop strategies to improve retention.
25. Which federal law protects residents’ health
information privacy?
A. HIPAA
B. OBRA 1987
C. ADA
D. Affordable Care Act
ADMINISTRATOR EXAM 2
21. A facility administrator wants to improve resident
satisfaction. Which action is most effective?
A. Increase staff hours without feedback
B. Conduct resident satisfaction surveys and act on results
C. Reduce recreational programs
D. Focus only on financial performance
Answer: B. Conduct resident satisfaction surveys and
act on results
Rationale: Resident surveys provide actionable
feedback to improve care and quality of life.
,22. Which is a primary responsibility of the nursing
home administrator during a survey?
A. Supervising medical procedures
B. Ensuring documentation is accurate and available
C. Providing therapy directly
D. Preparing meals
Answer: B. Ensuring documentation is accurate and
available
Rationale: Administrators must provide surveyors
with complete and organized records for compliance
review.
23. A resident has a pressure ulcer. The administrator
should ensure:
A. Staff ignore it unless the family complains
B. Care plan is updated, wound care is documented, and
preventive measures are implemented
C. Only the nurse treats it without documentation
D. The resident is discharged immediately
Answer: B. Care plan is updated, wound care is
documented, and preventive measures are
implemented
, Rationale: Proper documentation and care plans are
required to prevent complications and meet
regulations.
24. A nursing home is experiencing high staff
turnover. The administrator should first:
A. Replace staff quickly
B. Conduct exit interviews and staff satisfaction surveys
C. Ignore the problem
D. Reduce wages to save money
Answer: B. Conduct exit interviews and staff
satisfaction surveys
Rationale: Understanding why staff leave helps
develop strategies to improve retention.
25. Which federal law protects residents’ health
information privacy?
A. HIPAA
B. OBRA 1987
C. ADA
D. Affordable Care Act
