Texas Nursing Home Administrator
License Practice Test Exam| All 250
Questions Have Accurate Answers
With Rationales Selected from Past
Papers| Reviewed and Updated
2026/2027| Guaranteed Pass (New!)
1. How must a facility explain to the resident his/her rights, and the rules of
conduct for residents in the facility? - ANSWER-Both orally and in writing
in a language the resident understands
2. Can a resident of a facility work at the facility? - ANSWER-Yes, if the
resident agrees to and it is in the care plan
3. A nursing home is at capacity with 58 residents; how many monthly hours of
dietary consultation must they have at a minimum? - ANSWER-8 hours
monthly
The facility must ensure a qualified dietitian is available as frequently and
for such time as is necessary to assure each resident a diet that meets the
daily nutritional and special dietary needs of each resident, based upon the
acuity and clinical needs of the resident. The facility must ensure that
monthly dietary consultant hours are provided, at a minimum, as follows: (1)
facility population: 60 residents or under - eight hours; (2) facility
population: each additional 30 residents or fraction thereof - four hours.
4. Resident bedrooms must measure at least ___ square feet per resident in
multiple resident rooms and ___ square feet for single resident rooms -
ANSWER-80; 100
5. What group gives recommendations for facility lighting? - ANSWER-
Illumination Engineering Society of North America
,6. Auxiliary buildings located on the site within ____ of the main licensed
structure and which contain hazardous operations or contents, must meet the
same requirements for safety as the main licensed structure `
Heating and air conditioning must be designed and installed in accordance
with NFPA 90A and Heating, Ventilating, and Air-Conditioning Guide
created by who? - ANSWER-American Society of Heating, Refrigeration,
and Air-Conditioning Engineers (ASHRAE)
7. The DON may serve as charge nursing when there is an average daily
occupancy of how many residents? - ANSWER-60 or fewer
8. Who is responsible for developing a policy to avoid injuries to residents and
nurses involved in lifting, moving, transferring, and repositioning residents?
- ANSWER-The Quality Assessment and Assurance Committee
9. Medicaid-certified facilities must keep financial records re: purchases made
on a residents' behalf for how long? - ANSWER-3 years and 90 days with a
contract (or for 3 years after the end of the federal fiscal year in which
services were provided if there was a provider agreement/contract with no
specific termination date in effect)
10.Hilltop Park has just admitted Mike, a 15 year old male to the facility. What
must the facility NOT send to the local education agency (LEA)? -
ANSWER-Diet menu
11.How many unannounced visits during a licensing period will DHS invite a
citizen advocate to accompany them during a licensing inspection? -
ANSWER-2 visits
12.There must be at least one approved, readily accessible fire hydrant within
how many feet of the facility? - ANSWER-300 feet
13.Golden Acres just got a deficiency in their dietary dept because they didn't
keep records properly. How long should they retain the menus for? -
ANSWER-At least 30 days
14.What is the minimum amount of lighting in a resident bedroom? -
ANSWER-10 foot candles
, 15.Corridors must be equipped with handrails that are how far from the floor? -
ANSWER-33-36 inches from the floor
16.If a facility has no other policy, how long at minimum should a facility keep
the daily posted nurse staffing data? - ANSWER-2 years
17.If DADS decides to revoke a facility's license at some point, how long after
receiving the certified letter stating such action, does the licensee holder
have to request a hearing? - ANSWER-30 days
18.Brentwood Nursing Facility must have written policies that include plans for
promoting ___________ and _________________ - ANSWER-Self-care
and independence
19.Nurse aide in-service training is derived from what? - ANSWER-Nurse aide
performance reviews
20.The facilities Medical Director is responsible for what? - ANSWER-
Implementation of resident care policies
21.What is incorrect regarding resident personal funds? - ANSWER-A facility
can require that a resident deposit their personal funds with the facility
22.Resident bedrooms must be able to accommodate how many people? -
ANSWER-No more than 4
23.If a facility provides blood bank transfusion services, they must meet the
requirements for laboratories specified by what? - ANSWER-CFR 493
24.A facility must assist residents with obtaining routine and __________
dental care - ANSWER-24 hour emergency
25.Rolling Meadows Nursing Home has Tiffany, an unlicensed nursing student,
working the evening shift during the weekends. Can Tiffany administer
medications to the residents? - ANSWER-Not until she is fully licensed
26.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? - ANSWER-16 hours
License Practice Test Exam| All 250
Questions Have Accurate Answers
With Rationales Selected from Past
Papers| Reviewed and Updated
2026/2027| Guaranteed Pass (New!)
1. How must a facility explain to the resident his/her rights, and the rules of
conduct for residents in the facility? - ANSWER-Both orally and in writing
in a language the resident understands
2. Can a resident of a facility work at the facility? - ANSWER-Yes, if the
resident agrees to and it is in the care plan
3. A nursing home is at capacity with 58 residents; how many monthly hours of
dietary consultation must they have at a minimum? - ANSWER-8 hours
monthly
The facility must ensure a qualified dietitian is available as frequently and
for such time as is necessary to assure each resident a diet that meets the
daily nutritional and special dietary needs of each resident, based upon the
acuity and clinical needs of the resident. The facility must ensure that
monthly dietary consultant hours are provided, at a minimum, as follows: (1)
facility population: 60 residents or under - eight hours; (2) facility
population: each additional 30 residents or fraction thereof - four hours.
4. Resident bedrooms must measure at least ___ square feet per resident in
multiple resident rooms and ___ square feet for single resident rooms -
ANSWER-80; 100
5. What group gives recommendations for facility lighting? - ANSWER-
Illumination Engineering Society of North America
,6. Auxiliary buildings located on the site within ____ of the main licensed
structure and which contain hazardous operations or contents, must meet the
same requirements for safety as the main licensed structure `
Heating and air conditioning must be designed and installed in accordance
with NFPA 90A and Heating, Ventilating, and Air-Conditioning Guide
created by who? - ANSWER-American Society of Heating, Refrigeration,
and Air-Conditioning Engineers (ASHRAE)
7. The DON may serve as charge nursing when there is an average daily
occupancy of how many residents? - ANSWER-60 or fewer
8. Who is responsible for developing a policy to avoid injuries to residents and
nurses involved in lifting, moving, transferring, and repositioning residents?
- ANSWER-The Quality Assessment and Assurance Committee
9. Medicaid-certified facilities must keep financial records re: purchases made
on a residents' behalf for how long? - ANSWER-3 years and 90 days with a
contract (or for 3 years after the end of the federal fiscal year in which
services were provided if there was a provider agreement/contract with no
specific termination date in effect)
10.Hilltop Park has just admitted Mike, a 15 year old male to the facility. What
must the facility NOT send to the local education agency (LEA)? -
ANSWER-Diet menu
11.How many unannounced visits during a licensing period will DHS invite a
citizen advocate to accompany them during a licensing inspection? -
ANSWER-2 visits
12.There must be at least one approved, readily accessible fire hydrant within
how many feet of the facility? - ANSWER-300 feet
13.Golden Acres just got a deficiency in their dietary dept because they didn't
keep records properly. How long should they retain the menus for? -
ANSWER-At least 30 days
14.What is the minimum amount of lighting in a resident bedroom? -
ANSWER-10 foot candles
, 15.Corridors must be equipped with handrails that are how far from the floor? -
ANSWER-33-36 inches from the floor
16.If a facility has no other policy, how long at minimum should a facility keep
the daily posted nurse staffing data? - ANSWER-2 years
17.If DADS decides to revoke a facility's license at some point, how long after
receiving the certified letter stating such action, does the licensee holder
have to request a hearing? - ANSWER-30 days
18.Brentwood Nursing Facility must have written policies that include plans for
promoting ___________ and _________________ - ANSWER-Self-care
and independence
19.Nurse aide in-service training is derived from what? - ANSWER-Nurse aide
performance reviews
20.The facilities Medical Director is responsible for what? - ANSWER-
Implementation of resident care policies
21.What is incorrect regarding resident personal funds? - ANSWER-A facility
can require that a resident deposit their personal funds with the facility
22.Resident bedrooms must be able to accommodate how many people? -
ANSWER-No more than 4
23.If a facility provides blood bank transfusion services, they must meet the
requirements for laboratories specified by what? - ANSWER-CFR 493
24.A facility must assist residents with obtaining routine and __________
dental care - ANSWER-24 hour emergency
25.Rolling Meadows Nursing Home has Tiffany, an unlicensed nursing student,
working the evening shift during the weekends. Can Tiffany administer
medications to the residents? - ANSWER-Not until she is fully licensed
26.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? - ANSWER-16 hours
