Missouri State Nursing Home Administrator
ACTUAL EXAM 2026/2027 | 150 Verified Q&A |
A+ Graded | Pass Guaranteed - A+ Graded
SECTION 1: MISSOURI STATE REGULATIONS (Q1–Q35)
Q1: Under 19 CSR 30-85.042, a licensed nursing home administrator in Missouri may serve as the
administrator of more than one licensed facility only under which condition?
A. If both facilities are within 10 miles of each other
B. If all facilities are on the same premises
C. If the administrator holds a multi-state license
D. If one facility has fewer than 30 beds
Correct Answer: B
Rationale: 19 CSR 30-85.042(4) states that an administrator cannot be listed or function as an
administrator in more than one licensed facility at the same time, except that one administrator may
serve as the administrator of more than one licensed facility if all facilities are on the same premises.
Q2: Under Missouri law, if a licensed administrator is absent from the facility for more than 30
consecutive days, what requirement applies to the person designated to be in administrative charge?
A. The designee must be a registered nurse
B. The designee must be a currently licensed nursing home administrator
C. The designee must have 5 years of management experience
D. The designee must be approved by the Missouri Board of Nursing Home Administrators
Correct Answer: B
Rationale: 19 CSR 30-85.042(5) requires that if the administrator is absent for more than 30 consecutive
days, the person designated to be in administrative charge shall be a currently licensed nursing home
administrator, and such absences may only occur once within any consecutive 12-month period.
Q3: Under 19 CSR 30-85.042, nursing assistants must successfully complete the entire basic course of
the nursing assistant training program and be certified within how many months of employment?
A. 2 months
B. 3 months
C. 4 months
D. 6 months
Correct Answer: C
Rationale: 19 CSR 30-85.042(21)(A) requires that all nursing assistants successfully complete the entire
,basic course (including passing the final examination) of the nursing assistant training program and be
certified within four months of employment.
Q4: Under Missouri regulations, a skilled nursing facility must have which licensed nursing personnel on
duty on the day shift?
A. A licensed practical nurse (LPN)
B. Either an LPN or a registered nurse (RN)
C. A registered nurse (RN)
D. A nurse practitioner
Correct Answer: C
Rationale: 19 CSR 30-85.042(35)(A) and (B) require that the director of nursing be a registered nurse and
that a registered nurse be on duty in the facility on the day shift; either an LPN or RN may be on duty on
the evening and night shifts, with an RN on call when only an LPN is on duty.
Q5: Under Missouri law, an intermediate care facility (ICF) whose director of nursing is an LPN must
employ an RN as a consultant for a minimum of how many hours per week?
A. 2 hours
B. 4 hours
C. 6 hours
D. 8 hours
Correct Answer: B
Rationale: 19 CSR 30-85.042(36)(B) requires that when the director of nursing is an LPN, an RN shall be
employed as a consultant a minimum of four hours per week to provide consultation to the
administrator and director of nursing in matters relating to nursing care.
Q6: Under Missouri regulations, all nurses employed by a nursing facility must hold which credential?
A. A multi-state compact nursing license
B. Current licensure in Missouri
C. A federal nursing certification
D. A Missouri nursing license or a license from any bordering state
Correct Answer: B
Rationale: 19 CSR 30-85.042(33) requires that all nurses employed by the facility shall be currently
licensed in Missouri, ensuring that nursing personnel meet state-specific licensure standards and
regulatory oversight.
Q7: Under 19 CSR 30-85.042, in a facility with more than 20 residents, nursing personnel shall not
routinely perform which type of duties?
A. Administrative duties
B. Non-nursing duties
C. Physician delegation duties
D. Family communication duties
Correct Answer: B
Rationale: 19 CSR 30-85.042(39) states that nursing personnel in any facility with more than 20 residents
, shall not routinely perform non-nursing duties, protecting nursing time for direct resident care and
clinical responsibilities.
Q8: Under Missouri law, a person between the ages of 17 and 18 may provide direct resident care if
which condition is met?
A. They hold a high school diploma
B. They are listed as a certified nursing assistant with active status on the department's CNA registry and
work under direct supervision of a licensed nurse
C. They have completed 40 hours of orientation
D. They are related to the facility administrator
Correct Answer: B
Rationale: 19 CSR 30-85.042(32) allows a person between 17 and 18 years of age to provide direct
resident care if listed as a CNA with active status on the department's registry, working under direct
supervision of a licensed nurse, and never being left responsible for a nursing unit.
Q9: Under Missouri regulations, the facility must maintain personnel records for at least how long
following termination of employment?
A. 6 months
B. 1 year
C. 2 years
D. 3 years
Correct Answer: B
Rationale: 19 CSR 30-85.042(28) requires facilities to retain personnel records for at least one year
following termination of employment, including documentation of training, licenses, background checks,
and reason for termination.
Q10: Under Missouri law, a facility must post the administrator's license in which location?
A. In the administrator's private office
B. In a public area within the facility
C. In the state surveyor's office only
D. In the employee break room
Correct Answer: B
Rationale: 19 CSR 30-85.042(2) requires that the facility post the administrator's license, and 19 CSR 30-
85.042(10) requires that the facility's current license be readily visible in a public area within the facility,
ensuring transparency and regulatory compliance.
Q11: Under 19 CSR 30-85.042, all persons who have any contact with residents must wear an
identification badge that includes which information?
A. Social Security number and date of birth
B. Name, title, and license/certification status if applicable
C. Home address and emergency contact
D. Years of experience and education level
Correct Answer: B
ACTUAL EXAM 2026/2027 | 150 Verified Q&A |
A+ Graded | Pass Guaranteed - A+ Graded
SECTION 1: MISSOURI STATE REGULATIONS (Q1–Q35)
Q1: Under 19 CSR 30-85.042, a licensed nursing home administrator in Missouri may serve as the
administrator of more than one licensed facility only under which condition?
A. If both facilities are within 10 miles of each other
B. If all facilities are on the same premises
C. If the administrator holds a multi-state license
D. If one facility has fewer than 30 beds
Correct Answer: B
Rationale: 19 CSR 30-85.042(4) states that an administrator cannot be listed or function as an
administrator in more than one licensed facility at the same time, except that one administrator may
serve as the administrator of more than one licensed facility if all facilities are on the same premises.
Q2: Under Missouri law, if a licensed administrator is absent from the facility for more than 30
consecutive days, what requirement applies to the person designated to be in administrative charge?
A. The designee must be a registered nurse
B. The designee must be a currently licensed nursing home administrator
C. The designee must have 5 years of management experience
D. The designee must be approved by the Missouri Board of Nursing Home Administrators
Correct Answer: B
Rationale: 19 CSR 30-85.042(5) requires that if the administrator is absent for more than 30 consecutive
days, the person designated to be in administrative charge shall be a currently licensed nursing home
administrator, and such absences may only occur once within any consecutive 12-month period.
Q3: Under 19 CSR 30-85.042, nursing assistants must successfully complete the entire basic course of
the nursing assistant training program and be certified within how many months of employment?
A. 2 months
B. 3 months
C. 4 months
D. 6 months
Correct Answer: C
Rationale: 19 CSR 30-85.042(21)(A) requires that all nursing assistants successfully complete the entire
,basic course (including passing the final examination) of the nursing assistant training program and be
certified within four months of employment.
Q4: Under Missouri regulations, a skilled nursing facility must have which licensed nursing personnel on
duty on the day shift?
A. A licensed practical nurse (LPN)
B. Either an LPN or a registered nurse (RN)
C. A registered nurse (RN)
D. A nurse practitioner
Correct Answer: C
Rationale: 19 CSR 30-85.042(35)(A) and (B) require that the director of nursing be a registered nurse and
that a registered nurse be on duty in the facility on the day shift; either an LPN or RN may be on duty on
the evening and night shifts, with an RN on call when only an LPN is on duty.
Q5: Under Missouri law, an intermediate care facility (ICF) whose director of nursing is an LPN must
employ an RN as a consultant for a minimum of how many hours per week?
A. 2 hours
B. 4 hours
C. 6 hours
D. 8 hours
Correct Answer: B
Rationale: 19 CSR 30-85.042(36)(B) requires that when the director of nursing is an LPN, an RN shall be
employed as a consultant a minimum of four hours per week to provide consultation to the
administrator and director of nursing in matters relating to nursing care.
Q6: Under Missouri regulations, all nurses employed by a nursing facility must hold which credential?
A. A multi-state compact nursing license
B. Current licensure in Missouri
C. A federal nursing certification
D. A Missouri nursing license or a license from any bordering state
Correct Answer: B
Rationale: 19 CSR 30-85.042(33) requires that all nurses employed by the facility shall be currently
licensed in Missouri, ensuring that nursing personnel meet state-specific licensure standards and
regulatory oversight.
Q7: Under 19 CSR 30-85.042, in a facility with more than 20 residents, nursing personnel shall not
routinely perform which type of duties?
A. Administrative duties
B. Non-nursing duties
C. Physician delegation duties
D. Family communication duties
Correct Answer: B
Rationale: 19 CSR 30-85.042(39) states that nursing personnel in any facility with more than 20 residents
, shall not routinely perform non-nursing duties, protecting nursing time for direct resident care and
clinical responsibilities.
Q8: Under Missouri law, a person between the ages of 17 and 18 may provide direct resident care if
which condition is met?
A. They hold a high school diploma
B. They are listed as a certified nursing assistant with active status on the department's CNA registry and
work under direct supervision of a licensed nurse
C. They have completed 40 hours of orientation
D. They are related to the facility administrator
Correct Answer: B
Rationale: 19 CSR 30-85.042(32) allows a person between 17 and 18 years of age to provide direct
resident care if listed as a CNA with active status on the department's registry, working under direct
supervision of a licensed nurse, and never being left responsible for a nursing unit.
Q9: Under Missouri regulations, the facility must maintain personnel records for at least how long
following termination of employment?
A. 6 months
B. 1 year
C. 2 years
D. 3 years
Correct Answer: B
Rationale: 19 CSR 30-85.042(28) requires facilities to retain personnel records for at least one year
following termination of employment, including documentation of training, licenses, background checks,
and reason for termination.
Q10: Under Missouri law, a facility must post the administrator's license in which location?
A. In the administrator's private office
B. In a public area within the facility
C. In the state surveyor's office only
D. In the employee break room
Correct Answer: B
Rationale: 19 CSR 30-85.042(2) requires that the facility post the administrator's license, and 19 CSR 30-
85.042(10) requires that the facility's current license be readily visible in a public area within the facility,
ensuring transparency and regulatory compliance.
Q11: Under 19 CSR 30-85.042, all persons who have any contact with residents must wear an
identification badge that includes which information?
A. Social Security number and date of birth
B. Name, title, and license/certification status if applicable
C. Home address and emergency contact
D. Years of experience and education level
Correct Answer: B
