Texas Nursing Home Administrator License Practice
Test 2026: Comprehensive Exam Preparation Guide
with 250 Updated Practice Questions and Verified
Answers
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? - 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? - Answer - At least every 60 days
Rapid response teams can visit long-term care (LTC) facilities identified through
the Department of Aging and Disability Services what? - Answer - Early warning
system
Can a resident self-administer their own drugs? - 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? -
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? - 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
accept the vaccination, the facility must make the vaccination available at that
time.
What is the minimum allowable room between beds? - Answer - 3 feet or 36
inches
If a facility finds that one of its employees has a communicable disease, the facility
must prohibit that employee from what? - Answer - Direct contact with residents or
their food
How often must a facility performance performance reviews of the nurse aides? -
Answer - Every 12 months
An incident that appears to be of a serious nature can be investigated under the
direction of which of the following? - Answer - The Administrator
,Dr. Nama seems to be late for all of her scheduled visits to the nursing home. How
late can Dr. Nama be and still have her visits be considered timely? - Answer - 10
days
A physician visit is considered timely if it occurs not later than ten (10) days after
the date the visit was required
When testing the emergency generators EVERY WEEK, how long should the
generators run for under the full load? - Answer - 30 minutes
How often does a facility need to have an inspection by the local fire marshal? -
Answer - At least annually
Keeneland just received another bad survey result. Does Keeneland need to make
the results of this survey available to the residents? - Answer - Yes, they must
always make survey results available to the residents
Ms. Rich, the facility administrator, has received a subpoena for the medical
records of Mr. York, a resident in the facility. What should Ms. Rich do now? -
Answer - Comply with the terms of the subpoena and send Mr. York's medical
records.
(2) Except as provided in paragraph (3)(B) of this section, the resident may
approve or refuse the release of personal and clinical records to any individual
outside of the facility.
(3) The resident's right to refuse release of personal and clinical records does not
apply when: (A) the resident is transferred to another health care institution;
(B) record release is required by law
, Which type of drugs have their own separate record? - Answer - Schedule II, III,
and IV
Facility License Period - Answer - 2 years
Licensed Nurse Ratio in 24 hr period - Answer - 1 to 20
TDADS approval for plans for new buildings, additions, conversion is good for... -
Answer - Two years
Must not use any nurse aide who has worked less than... - Answer - 4 months
A written report of suspected abuse is required by TDADs within... - Answer - 5
days
Dietary department days of perishables supply - Answer - 2 days
Dietary department days of staples supply - Answer - 7 days
Days the Hep B vaccination must be offered to employees at risk - Answer - 10
days
Frequency of review of drug regimen by a licensed pharmacist - Answer - Once a
month
Minimum square footage for single bed - Answer - 100 sq ft
Test 2026: Comprehensive Exam Preparation Guide
with 250 Updated Practice Questions and Verified
Answers
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? - 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? - Answer - At least every 60 days
Rapid response teams can visit long-term care (LTC) facilities identified through
the Department of Aging and Disability Services what? - Answer - Early warning
system
Can a resident self-administer their own drugs? - 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? -
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? - 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
accept the vaccination, the facility must make the vaccination available at that
time.
What is the minimum allowable room between beds? - Answer - 3 feet or 36
inches
If a facility finds that one of its employees has a communicable disease, the facility
must prohibit that employee from what? - Answer - Direct contact with residents or
their food
How often must a facility performance performance reviews of the nurse aides? -
Answer - Every 12 months
An incident that appears to be of a serious nature can be investigated under the
direction of which of the following? - Answer - The Administrator
,Dr. Nama seems to be late for all of her scheduled visits to the nursing home. How
late can Dr. Nama be and still have her visits be considered timely? - Answer - 10
days
A physician visit is considered timely if it occurs not later than ten (10) days after
the date the visit was required
When testing the emergency generators EVERY WEEK, how long should the
generators run for under the full load? - Answer - 30 minutes
How often does a facility need to have an inspection by the local fire marshal? -
Answer - At least annually
Keeneland just received another bad survey result. Does Keeneland need to make
the results of this survey available to the residents? - Answer - Yes, they must
always make survey results available to the residents
Ms. Rich, the facility administrator, has received a subpoena for the medical
records of Mr. York, a resident in the facility. What should Ms. Rich do now? -
Answer - Comply with the terms of the subpoena and send Mr. York's medical
records.
(2) Except as provided in paragraph (3)(B) of this section, the resident may
approve or refuse the release of personal and clinical records to any individual
outside of the facility.
(3) The resident's right to refuse release of personal and clinical records does not
apply when: (A) the resident is transferred to another health care institution;
(B) record release is required by law
, Which type of drugs have their own separate record? - Answer - Schedule II, III,
and IV
Facility License Period - Answer - 2 years
Licensed Nurse Ratio in 24 hr period - Answer - 1 to 20
TDADS approval for plans for new buildings, additions, conversion is good for... -
Answer - Two years
Must not use any nurse aide who has worked less than... - Answer - 4 months
A written report of suspected abuse is required by TDADs within... - Answer - 5
days
Dietary department days of perishables supply - Answer - 2 days
Dietary department days of staples supply - Answer - 7 days
Days the Hep B vaccination must be offered to employees at risk - Answer - 10
days
Frequency of review of drug regimen by a licensed pharmacist - Answer - Once a
month
Minimum square footage for single bed - Answer - 100 sq ft
