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Nursing Home Administrator 2026 | NHA Exam Study Guide, Practice Questions, Answers & Comprehensive Review

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Prepare for the Nursing Home Administrator (NHA) Exam with this comprehensive 2026 study and exam review resource covering essential principles of long-term care administration and healthcare management. Topics include nursing home operations, resident rights, regulatory compliance, healthcare law and ethics, human resources, leadership, financial management, quality assurance, risk management, infection control, emergency preparedness, documentation, staff management, and resident-centered care. The resource includes practice questions, answers, detailed rationales, case-based scenarios, and key review concepts designed to strengthen administrative knowledge and exam readiness. Ideal for Nursing Home Administrator certification preparation, long-term care administration courses, practice exams, state and federal regulatory review, and comprehensive NHA exam preparation.

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Nursing Home
Administrator 2026 | NHA
Exam Study Guide,
Practice Questions,
Answers & Comprehensive
Review | Complete Ethics
Study Guide




Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included

,The _____________ has ultimate legal responsibility for Governing body has ultimate responsiblity
the operation of a nursing facility.
1 Medical Director
2 Nursing home Administrator
3 Long term care ombudsman
4 Governing body


3 Per OBRA 1987, air temperature is measured Air temperature is measured just off the floor
_____________.
1 At ceiling level
2 At level with the thermostat control box
3 Just above the floor
4 18 inches below the ceiling


The rights of an individual determined by a court to be Ombudsman
incompetent would be exercised by a(n)
____________________.
1 Attorney in Fact
2 A person appointed by a court or court guardian
3 Durable power of attorney
4. Ombudsman


A resident was only given lunch that day, was given the 3 (bath is not a right)
wrong medication in the morning, had her room changed
without notification and was not given a bath as requested.
Per OBRA 1987, how many resident rights were violated?


The _______has legal responsibility to adopt and Governing body
implement facility policies.
1. Medical Director
2. Director of Nursing
3. Governing body
4. Administrator


A resident was admitted on June 1. The attending Would be cited for a late visit in November
physician charted a visit and physical examination of the
resident on June 27, July 29, Sept 4 and November 17,
2007. Per OBRA 1987 with respect to required physician
visits, the facility ___________.
Complied with required physician visits
Would be cited for a late visit in November
Is not responsible for late physician visits and would not be
cited
The facility would only be cited if there was actual harm to
a resident


A state surveyor learns in interviews with residents that Was out of compliance and would be cited
when residents are admitted, they were provided a written
list of names of physicians who cared for residents in the
facility in their admission packet. The facility assigned an
attending physician to each resident prior to admission
from a rotating list of physicians. Per OBRA 1987, the
facility _______.
Was out of compliance and would be cited
Fully complied with all requirements
Must transfer these residents to another facility
Must immediately transfer these residents to the care of
the medical director


______ is the most comprehensive and effective Total Quality Management
improvement model.
Total Quality Management
Quality Assurance
Continuous Improvement
Performance Improvement

, HCFA stands for ________________. Health Care Financing Administration
Health Care Financing Authority
Health Costs Financing Administration
Health Care Financing Administration
Health Care Financing Agency


Telephone cords must be a minimum length of ______ . 29 inches
12 inches
15 inches
24 inches
29 inches


Adding baking soda to food will primarily affect its Nutritive value
________.
Nutritive value
Palatability
Attractiveness
Temperature


The resident's quality of life and physical condition is the Outcomes
focus of:________.
Structure
Process
Outcomes
All of the above


Electrical switches must be located at a minimum of ___ 12
inches above the floor.
1. 6
2. 12
3. 15
4. 24


Nursing homes must have hearing aid compatible phones 12, 18
with volume control that canadjust the volume between a
minimum of ____ and a maximum of ____ decibels above
normal.
6,11
12, 18
15, 20
20, 29


The emergency generator must be visually inspected and WEEKLY
checked ________.
1. Daily
2. weekly
3. Monthly
4. Quarterly


Federal resident care standards are now ___ and ___ and State of art, maximal
are no longer considered minimal standards.
State of art, maximal
Outdated, irrelevant
Disputed, questioned
Voluntary, mammal


The average short term stay for a Medicare resident is 30 days
______.
15 days
30 days
45 days
90 days

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August 20, 2026
Number of pages
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