Written by students who passed Immediately available after payment Read online or as PDF Wrong document? Swap it for free 4.6 TrustPilot
logo-home
Document preview thumbnail
Preview 4 out of 49 pages
Exam (elaborations)

NHA & Core Nursing Home Administrator Exam 2026/2027 – 300+ Questions & Answers, OBRA, CMS, Finance, HR & Life Safety – Nursing Home Administration

Document preview thumbnail
Preview 4 out of 49 pages

This comprehensive NHA and Core Nursing Home Administrator Exam 2026/2027 study resource contains 300+ exam-style questions with answers across 49 pages, covering the regulatory, operational, financial, clinical, human-resource, and life-safety knowledge required for nursing home administration review. The material begins with governing-body responsibilities, OBRA requirements, resident rights, HHS, Total Quality Management, quality outcomes, staffing, emergency generators, grievance procedures, and nursing-home survey standards. It repeatedly examines the administrator's relationship with the governing body and management team, including responsibility for policies, procedures, day-to-day operations, quality improvement, staffing, and resident care. A particularly extensive section covers OBRA, CMS requirements, resident rights, surveys, compliance, and long-term care regulation. Candidates review resident access to clinical records, comprehensive assessments and care plans, the Resident Assessment Instrument, MDS-related concepts, Care Area Assessments, Payroll-Based Journal reporting, survey deficiencies, abbreviated and extended surveys, informal dispute resolution, abuse investigations, physician visits, resident trust funds, catheter use, restraints, therapeutic activities, and resident notification requirements. The questions also address Medicare and Medicaid, Titles XVIII and XIX of the Social Security Act, utilization review, Medicare billing, OIG fraud reporting, and federal-state oversight of nursing facilities. The Life Safety Code, OSHA, ADA/ANSI, emergency preparedness, and facility-management material is equally detailed. Topics include NFPA standards, smoke compartments, fire doors, fire extinguishers, exit access, emergency generators, fire drills, smoke and fire detection, egress lighting, accessible parking, wheelchair clearances, grab bars, door widths, public telephones, dishwasher temperatures, sanitation, emergency food supplies, and environmental requirements. Occupational safety questions cover OSHA Forms 300 and 300A, lockout/tagout, injury reporting, safety committees, hazardous energy, record retention, and workplace injury prevention. A major financial-management component examines budgets, accounting, financial statements, cash flow, working capital, depreciation, assets, liabilities, capital, revenue, and financial ratios. Candidates review the accounting equation, general journal, general ledger, balance sheet, income/profit-and-loss statement, historic costs, gross operating revenue, current ratio, quick/acid-test ratio, accounts receivable, retained earnings, accrual accounting, capital equipment, insurance, and investment of excess cash. The questions connect these accounting concepts directly to nursing-home administration, including decisions about whether revenues cover expenses, facility financial condition, liquidity, monetary risk, and replacement of capital equipment. The resource also provides broad preparation in human resources, employment law, labor relations, leadership, and organizational management. It reviews the Civil Rights Act, EEOC, Equal Pay Act, Age Discrimination in Employment Act, FLSA, FMLA, I-9 employment verification, unemployment benefits, collective bargaining, union elections, NLRB, Wagner and Taft-Hartley concepts, SEIU, compensation, COLA, fringe benefits, interviewing, aptitude testing, and employee records. Management concepts include Management by Objectives, Management by Walking Around, delegation, line and functional authority, mission statements, philosophy, strategic planning, stakeholders, communication barriers, personnel policies, procedures, and organizational charts. Clinical and resident-care knowledge is integrated throughout the exam rather than treated as a separate subject. Questions cover pressure injuries, dementia, reality orientation, malnutrition, gerontology, diabetes mellitus, glaucoma, emphysema, hypertension and hypotension, presbycusis, incontinence, NG tubes, colostomies, indwelling catheters, medications, antipsychotics, dietary services, nutrition, physician documentation, rehabilitation, and medical terminology. The material also examines the roles of the medical director, DON, registered dietitian, pharmacist, social worker, activity director, feeding assistants, nursing aides, and other members of the interdisciplinary long-term care team. For deeper academic preparation, students should supplement these questions with authoritative references such as the current Centers for Medicare & Medicaid Services State Operations Manual and federal long-term-care requirements in 42 CFR Part 483, particularly for resident rights, surveys, quality of care, staffing, assessments, and facility administration. The NFPA 101 Life Safety Code, current OSHA requirements, and applicable ADA accessibility standards are appropriate primary references for the document's safety and physical-environment material. A current nursing home administration text can provide additional context for finance, HR, leadership, quality improvement, and long-term-care operations. Because this document contains numerous regulatory dates, thresholds, dollar amounts, staffing figures, and historical rules that can change, candidates should verify them against current federal and state requirements rather than assuming every answer remains current for 2026/2027. Relevant Students: Nursing Home Administrator exam candidates, NHA Core exam candidates, nursing home administrator licensure candidates, long-term care administrator students, healthcare administration students, health services administration students, assisted living administrators, nursing facility administrators, long-term care management students, healthcare management students, administrator-in-training students, AIT candidates, nursing home management professionals, gerontology students, long-term care certification candidates Keywords: NHA Core Exam , Nursing Home Administrator exam, NHA exam questions and answers, nursing home administrator practice test, NHA Core practice exam, nursing home administrator study guide, NHA licensure exam, long term care administrator exam, nursing home administration questions, OBRA 1987, CMS nursing home regulations, resident rights, nursing home survey process, MDS assessment, Care Area Assessment, Payroll Based Journal, Medicare nursing home, Medicaid nursing home, Life Safety Code, NFPA nursing home, OSHA nursing home, ADA accessibility standards, nursing home finance, healthcare accounting, balance sheet, profit and loss statement, current ratio, acid test ratio, nursing home budgeting, human resources healthcare, employment law, EEOC, FLSA, nursing home staffing, quality improvement, Total Quality Management, risk management, governing body responsibilities, medical director responsibilities, nursing home administrator responsibilities, resident care planning, long term care management, nursing home compliance, AIT exam preparation

Content preview

NHA and Core Exam 2026/2027
Exam Questions and Answers |
Already Graded A+



The ___ has the ultimate legal responsibility for the OPERATION of a

nursing facility. - ANSWER ✔✔Governing Body


Per OBRA 1987, air temp is measured where in a building..? -

ANSWER ✔✔Just above the floor


Per OBRA 1987, a resident has the right to review all their records within

___ of an oral or written request. - ANSWER ✔✔24 hours


HHS stands for - ANSWER ✔✔Health and Human Services

,The ___ has the legal responsibility to adopt and implement facility

policies. - ANSWER ✔✔Governing Body


Centralizing decision making to improve customer service is NOT an

element of _____. - ANSWER ✔✔Total Quality Management TQM


Everything must be elevated ___ inches above the floor - ANSWER

✔✔6 inches


___ is the most comprehensive and effective improvement model -

ANSWER ✔✔Total Quality Mangement


Adding baking soda to food will primarily affect its - ANSWER

✔✔Nutritional value


The resident's quality of life and physical condition is the focus of

a. Structure

b. Process

c. Outcomes


d. All of the above - ANSWER ✔✔Outcomes


The emergency generator must be VISUALLY inspected and checked

how often.. - ANSWER ✔✔weekly

,Administrators consult ___ to compare outcomes to expectations -

ANSWER ✔✔Policies and plans of action


A ___ violation is where the severity of negative outcomes that

compromises a resident's ability to maintain the highest physical, mental

and psychosocial well-being. - ANSWER ✔✔Level 3


Parking spaces must be at least ___" wide with an accessible handicap

aisle at least ___" wide - ANSWER ✔✔96; 60


NFPA stands for - ANSWER ✔✔National Fire Protection Association


The emergency generator must be run under full load for ___ every ___

- ANSWER ✔✔30 minutes every month


The fire alarm can be silenced during a fire drill conducted between the

hours of ____ and _____ - ANSWER ✔✔10pm and 6am


The Americans with Disabilities Act construction standards were

developed by - ANSWER ✔✔ANSI


A mechanism to monitor consumer satisfaction and address other

concerns is called - ANSWER ✔✔Grievance procedure


The nursing home survey inspection process focuses on - ANSWER

✔✔Outcomes
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED

, The finding of substandard care requires the survey team to have

evidence of ___ - ANSWER ✔✔immediate jeopardy to resident care

that has or likely will cause serious injury or death


A ___ tag would indicate substandard care was found. - ANSWER

✔✔F377 J


____ has the least impact on influencing a resident or their family

member in choosing a facility. - ANSWER ✔✔Media ads


The key consideration in determining the minimum level of staffing in a

nursing facility is ___ - ANSWER ✔✔Patient acuity levels


A parking lot with 100 parking spaces would require how many handicap

accessible parking spots - ANSWER ✔✔4


A violation with no more than minimal physical, mental or psychological

discomfort is a ___ deficiency - ANSWER ✔✔Level 2


The nosing of a stair must project no more than... - ANSWER ✔✔1 &

1/2 "

Smoke detectors must be located no further than ___ feet apart and no

more than ___ feet from any wall - ANSWER ✔✔30; 15

Document information

Uploaded on
August 12, 2026
Number of pages
49
Written in
2026/2027
Type
Exam (elaborations)
Contains
Questions & answers
$18.99

Wrong document? Swap it for free Within 14 days of purchase and before downloading, you can choose a different document. You can simply spend the amount again.
Written by students who passed
Immediately available after payment
Read online or as PDF

Seller avatar
Reputation scores are based on the amount of documents a seller has sold for a fee and the reviews they have received for those documents. There are three levels: Bronze, Silver and Gold. The better the reputation, the more your can rely on the quality of the sellers work.
JOSHCLAY
3.5
(82)
Sold
382
Followers
16
Items
20301
Last sold
1 day ago


Why students choose Stuvia

Created by fellow students, verified by reviews

Quality you can trust: written by students who passed their tests and reviewed by others who've used these notes.

Didn't get what you expected? Choose another document

No worries! You can instantly pick a different document that better fits what you're looking for.

Pay as you like, start learning right away

No subscription, no commitments. Pay the way you're used to via credit card and download your PDF document instantly.

Student with book image

“Bought, downloaded, and aced it. It really can be that simple.”

Alisha Student

Working on your references?

Create accurate citations in APA, MLA and Harvard with our free citation generator.

Working on your references?

Frequently asked questions