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Federal Nursing Home Administrator Exam Questions and Answers 2026/2027 A+ Grade – Complete Long-Term Care Administration Study Guide

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It covers key topics in long-term care administration, including federal regulations, resident rights, healthcare management, quality assurance, leadership, financial management, human resources, risk management, compliance, ethics, and nursing home operations. The material includes exam-style practice questions with detailed answers to strengthen understanding of regulatory requirements and administrative responsibilities. It serves as an essential study resource for individuals preparing for Nursing Home Administrator licensure, certification examinations, and professional advancement in long-term care management.

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Federal Nursing Home Administrator Exam questions
and answers 2026\2027 A+ Grade


1) OBRA asserts some separate committees can be folded into the quality improvement/assurance
committee. Safety, Pharmacy and which committee below can be added into QA/QI committee?
- correct answer Infection Control



2) Nursing homes are responsible for obtaining and providing dental care for residents. Who usually
pays for dental services?
- correct answer The resident or a family member



3) A facility is not allowed to charge a resident who is Medicaid and Medicare eligible except for:
- correct answer Co-pays



4) You calculate the average percent of occupancy by:
- correct answer Dividing the total census (occupied bed days) by the total number of days, then
multiply by 100



5) Resident's rights should be explained to the resident and or family member:
- correct answer Prior to admission



6) In case of an emergency, when no attending or back up physician is available, the decision as to who
will attend to the resident is to be made by the:
- correct answer Administrator



7) Federal law states that facilities must retain menus of food actually served for at least:
- correct answer 30 days

,8) A resident with a living will and DPOA specified she wants to receive heroic measures if necessary. Six
months later the resident requires CPR, but is now incompetent and the son request CPR be withheld.
What is the right thing to do?
- correct answer Provide the CPR



9) A resident asks to see his chart. The doctor tells the nurse not to allow the resident access to the
chart. What do you do?
- correct answer Tell the doctor the law gives the resident the right to view the medical records



10) Medical records belong to:
- correct answer Facility



11) When a resident passes away, the personal funds deposited with the facility must be given to the
resident's estate with a final accounting of the funds within:
- correct answer 30 days



12) The suffix "algia" refers to:
- correct answer Pain



13) Physical restraints must be removed:
- correct answer Every two hours



14) Depression is one of many psychological changes related to the aging process. Others include the
following except for:
- correct answer Hearing loss



15) "Nosocomal" refers to
- correct answer Infection occurring inside the facility (institutionalized)



17) A capital budget is mostly about:
- correct answer Equipment and real estate



18) Current debts are debts that are:
- correct answer Due within one year

, 19) A ledger is a complete listing of:
- correct answer Accounts payable and receivable



20) Which resource usually provides the least revenue for a nursing home?
- correct answer Insurance



20) Past due accounts should not exceed:
- correct answer 5%



21) All of the following are a cash expense except:
- correct answer Depreciation



22) A pro forma is primarily
- correct answer A financial statement or prediction



23) A function of management is controlling, which means:
- correct answer Measuring outcomes against benchmarks, then responding



24) OBRA requires every facility to have:
- correct answer A governing body - The Omnibus Reconciliation Act



25) Management by objectives means:
- correct answer A system that determines goals and objectives



26) Policies are:
- correct answer General and flexible statements that guid thinking



27) Procedures are:
- correct answer Not flexable



28) Short range (tactical) goals can be accomplished
- correct answer In less than one year

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