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PA State NHA Practice Exam 2026–2027 | Pennsylvania Nursing Home Administrator Questions & Correct Answers | Complete Exam Prep

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Prepare for the Pennsylvania State NHA (Nursing Home Administrator) Exam 2026–2027 with this comprehensive practice resource featuring exam-focused questions, correct answers, and targeted review material. This resource is designed to help candidates review important areas of nursing home administration, long-term care management, resident rights, healthcare regulations, quality assurance, human resources, financial management, facility operations, risk management, ethics, and regulatory compliance. Ideal for candidates preparing for the Pennsylvania Nursing Home Administrator licensing examination, this practice exam helps reinforce essential administrative concepts, improve test readiness, and build confidence before the state examination.

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PA State NHA Practice Exam
A long term care facility may order up to a _______ day 7
supply of medications from a contract pharmacy when a
selected pharmacy is not able to supply the ordered
meds.
5
7
4
6


the medical director of a long term care facility can be a medical director may be employed as either part time or full time
employed as which of the following
a medical director must be employed as full time
a medical director must be employed as part time
a medical director may be employed as either part time
or full time
medical directors are neither part time or full time but
designated as contract only


a nurse has taken a telephone order which must be 48 hours
countersigned with the original signature of the physician
within ______ days of receipt of the order
7 days
5 days
3 days
48 hours


physical restraints must be removed for at least ______ 10 minutes every 2 hours
minutes every ______ during normal waking hours
20 minutes every 2 hours
10 minutes every 1 hour
20 minutes every 2 hours
10 minutes every 2 hours


which of the following services cannot be located in the central supply
basement area without prior approval fro the division of
nursing care facilities ?
kitchen services
central supply
storage
laundry services


A facility shall assure that dentures are ______ by the retained
resident
cleaned
sanitized
retained
safeguarded


there must be at least 1 nursing staff on duty per ____ 20
resident
28
26
24
20


all electrical systems at your skilled facility have been NFPA 70
upgraded and must comply with which of the following
NFPA standards?
NFPA 70
NFPA 101
NFPA 2000
NFPA 48


according to the proper NFPA standards what is the 20 foot candles
minimum lighting level for toilets and bathing facilities ?
20 lumens
20 foot candles
30 lumens
30 foot candles

, PA State NHA Practice Exam
an exposed hot water pipe must be covered or protected 125F
to prevent injury or burns when it reaches temps above
_____ F
120 F
125F
130F
135F


each floor in a facility must have at least on centralized 3
bathtub with _____ feet of clearance on 3 sides
6
5
4
3


a resident has requested that she and her husband Yes a married couple can room together if both consent
share a room. Is this allowed?
Yes a married couple can upon request from one spouse
room together
No, a married couple cannot room together unless
ordered by the physician
Yes a married couple can room together if both consent
No a married couple may never room together under any
circumstances


Plans have been submitted to the DOH for approval of 24
an addition to the facility. The plans must be resubmitted
if the construction does not begin within ____ months
24
18
12
6


Reasonable notice to a resident about an impending 30
discharge is ____ days in advance.
45
30
21
14


A facility that violates a limitation or suspension of 500
admissions may be subject to a civil penalty not to
exceed $______ a day.
500
400
300
200


A facility must produce evidence of nondiscriminatory Every 3 years
practices at least ______.
every 6 months
Once a year
Every 2 years
Every 3 years


When must a facility notify DOH about a new health care At least 60 days prior
service, such as physical therapy?
At least 120 days prior
At least 90 days prior
At least 60 days prior
At least 30 days prior


A resident enjoys his new room and the window view. His direct natural light
bed may not be in _______?
direct view of public
direct natural light
direct path of the door
directly next to a wall

, PA State NHA Practice Exam
In the event of an emergency, the door to a toilet room be removed from the outside
which swings into the toilet area shall be equipped with
special hardware which will permit the door to _______.
be opened from the outside
be removed from the outside
to be locked from the inside for security reasons
to be opened from the outside and swing out


a facility is closing and has notified all residents 30 days The facility to remain open an additional 30 days
in advance. If a resident cannot be safely transferred to a
new facility by the time the 30 days are up, the
Department may require what?
The facility to remain open an additional 30 days
The facility to remain open an additional 14 days
The facility to remain open until a safe transfer can be
accomplished
No changes


storage for furniture, equipment, and resident 10 sq feet
possessions may not be less than ____ per bed.
6 sq feet
8 sq feet
10 sq feet
12 sq feet


Ventilation specifications for a resident room must have equal
pressure in relationship to adjacent areas that are which
of the following?
positive
equal
negative
not applicable


When using PA's and Nurse Practitioners there must be At each nursing station
a list maintained of the supervising physicians and whom
they supervise. Where must this list be posted?
In full view at the front of the building/facility
At each nursing station
In the office of the Director of Nursing Services
In the administrators office


Your facility is planning on doing renovations to the 45
dining hall. After submitting the plans of the proposed
renovations to the DOH, the Department shall respond
within ____ days issuing an approval or disapproval.
90
60
45
30


Except during sleeping hours, a resident that in in 2
restraints must have their position adjusted at least every
_____ hours.
2
3
4
5


Before allowing an individual to work as a Nurse Aide, The Registry
he/she must receive verification from who or what?
The State Investigative Services
The Registry
The Department of Health
CMS


The DOH must be notified at least 30 days in advance 5%
prior to a transfer involving _____% or more of the stock
or equity of the health care facility.
Any %
2%
5%
10%

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