Missouri Nursing Home Administrator
Exam Practice Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026 Q&A | Instant
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1. A nursing home administrator’s primary responsibility is to:
A) Provide direct nursing care
B) Manage overall facility operations and compliance
C) Prescribe medications
D) Perform surgical procedures
Answer: B) Manage overall facility operations and compliance
Rationale: The administrator is responsible for overall leadership,
regulatory compliance, staffing, budgeting, and resident care coordination,
not direct clinical treatment.
2. Which federal law governs nursing home residents’ rights?
A) HIPAA
, B) OSHA
C) OBRA 1987
D) EMTALA
Answer: C) OBRA 1987
Rationale: OBRA 1987 established the Nursing Home Reform Act, defining
resident rights and care standards.
3. The most important goal of infection control in nursing homes is to:
A) Reduce staffing costs
B) Prevent and control spread of infection
C) Increase medication use
D) Limit resident mobility
Answer: B) Prevent and control spread of infection
Rationale: Infection control programs aim to reduce transmission of
infectious diseases among residents and staff.
4. HIPAA primarily protects:
A) Employee wages
B) Resident financial records only
C) Protected health information
D) Facility ownership data
,Answer: C) Protected health information
Rationale: HIPAA ensures confidentiality and security of resident health
information.
5. Which agency conducts nursing home surveys?
A) CDC
B) CMS
C) FBI
D) DEA
Answer: B) CMS
Rationale: The Centers for Medicare & Medicaid Services oversee
certification and surveys of nursing homes.
6. A deficiency in a nursing home survey indicates:
A) Positive performance
B) Violation of a regulation or standard
C) Financial success
D) Staff promotion
Answer: B) Violation of a regulation or standard
Rationale: Deficiencies are cited when facilities fail to meet federal or state
requirements.
7. The purpose of a care plan is to:
A) Assign staff schedules
, B) Guide individualized resident care
C) Track payroll
D) Replace physician orders
Answer: B) Guide individualized resident care
Rationale: Care plans outline resident needs and interventions for
coordinated care.
8. Which is a resident right under OBRA?
A) Forced medication compliance
B) Privacy and dignity
C) Unlimited restraints
D) Restricted visitation
Answer: B) Privacy and dignity
Rationale: Residents have the right to privacy, dignity, and autonomy in
care decisions.
9. A QAPI program focuses on:
A) Hiring only nurses
B) Quality Assurance and Performance Improvement
C) Increasing admissions only
D) Reducing documentation
Exam Practice Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026 Q&A | Instant
Download Pdf
1. A nursing home administrator’s primary responsibility is to:
A) Provide direct nursing care
B) Manage overall facility operations and compliance
C) Prescribe medications
D) Perform surgical procedures
Answer: B) Manage overall facility operations and compliance
Rationale: The administrator is responsible for overall leadership,
regulatory compliance, staffing, budgeting, and resident care coordination,
not direct clinical treatment.
2. Which federal law governs nursing home residents’ rights?
A) HIPAA
, B) OSHA
C) OBRA 1987
D) EMTALA
Answer: C) OBRA 1987
Rationale: OBRA 1987 established the Nursing Home Reform Act, defining
resident rights and care standards.
3. The most important goal of infection control in nursing homes is to:
A) Reduce staffing costs
B) Prevent and control spread of infection
C) Increase medication use
D) Limit resident mobility
Answer: B) Prevent and control spread of infection
Rationale: Infection control programs aim to reduce transmission of
infectious diseases among residents and staff.
4. HIPAA primarily protects:
A) Employee wages
B) Resident financial records only
C) Protected health information
D) Facility ownership data
,Answer: C) Protected health information
Rationale: HIPAA ensures confidentiality and security of resident health
information.
5. Which agency conducts nursing home surveys?
A) CDC
B) CMS
C) FBI
D) DEA
Answer: B) CMS
Rationale: The Centers for Medicare & Medicaid Services oversee
certification and surveys of nursing homes.
6. A deficiency in a nursing home survey indicates:
A) Positive performance
B) Violation of a regulation or standard
C) Financial success
D) Staff promotion
Answer: B) Violation of a regulation or standard
Rationale: Deficiencies are cited when facilities fail to meet federal or state
requirements.
7. The purpose of a care plan is to:
A) Assign staff schedules
, B) Guide individualized resident care
C) Track payroll
D) Replace physician orders
Answer: B) Guide individualized resident care
Rationale: Care plans outline resident needs and interventions for
coordinated care.
8. Which is a resident right under OBRA?
A) Forced medication compliance
B) Privacy and dignity
C) Unlimited restraints
D) Restricted visitation
Answer: B) Privacy and dignity
Rationale: Residents have the right to privacy, dignity, and autonomy in
care decisions.
9. A QAPI program focuses on:
A) Hiring only nurses
B) Quality Assurance and Performance Improvement
C) Increasing admissions only
D) Reducing documentation
