MICHIGAN NURSING HOME ADMINISTRATOR
EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Exam Coverage Areas
1. Michigan licensing and regulation — LARA, Michigan statutes, administrative rules, licensure, inspections,
and compliance.
2. Nursing home administration — governance, leadership, policies, organizational structure, and
operational oversight.
3. Resident rights — dignity, privacy, choice, grievances, visitation, informed decisions, and freedom from
abuse.
4. Quality of care and QAPI — performance improvement, quality indicators, incident analysis, and
corrective action.
5. Human resources and staffing — recruitment, competency, supervision, training, retention, and
employee performance.
6. Financial management — budgeting, reimbursement, accounts payable, revenue cycle, internal controls,
and audits.
7. Clinical and resident-care management — assessment, care planning, medication management,
nutrition, falls, and pressure injuries.
8. Infection prevention and control — surveillance, standard precautions, outbreak response, isolation, and
antibiotic stewardship.
9. Safety and emergency preparedness — fire safety, disaster planning, emergency communications,
evacuation, and continuity of operations.
10. Ethics, compliance, and professional responsibilities — documentation, confidentiality, abuse
reporting, regulatory compliance, and ethical leadership.
1.
A Michigan nursing home administrator discovers that an important
facility policy conflicts with a current state administrative rule. What
should the administrator do FIRST to address this compliance concern?
A. Continue following the facility policy until the next annual review
B. Immediately evaluate the conflict and initiate appropriate policy
revision
C. Ask employees to decide which requirement they prefer
D. Remove the policy without documenting the reason
,Answer: B
Rationale: An administrator should identify regulatory conflicts
promptly, verify the applicable requirement, and revise facility
procedures so operations remain compliant.
2.
Which Michigan agency has primary responsibility for state licensing
and regulatory oversight of nursing homes and other long-term-care
health facilities?
A. Michigan Department of Treasury
B. Michigan Department of Transportation
C. Michigan Department of Licensing and Regulatory Affairs
D. Michigan Department of Agriculture and Rural Development
Answer: C
Rationale: Michigan LARA oversees state licensing activities involving
nursing homes, including inspections, complaint investigations,
licensing renewal, and compliance activities. ()
3.
A newly appointed administrator wants to establish an effective
compliance program. Which action provides the strongest foundation
for ongoing regulatory compliance?
A. Waiting for inspectors to identify deficiencies
B. Developing policies, monitoring performance, educating staff, and
,correcting identified problems
C. Delegating all compliance responsibilities exclusively to the director
of nursing
D. Reviewing regulations only after receiving a complaint
Answer: B
Rationale: Effective compliance requires proactive policies, staff
education, monitoring, auditing, corrective action, and leadership
accountability rather than waiting for inspections.
4.
During a regulatory inspection, the administrator should primarily
ensure that staff members respond to surveyors by doing which of the
following?
A. Guessing whenever they do not remember an answer
B. Providing truthful information and appropriate records while
maintaining resident confidentiality
C. Refusing all questions until the administrator approves every
response
D. Discussing unrelated resident information with other employees
Answer: B
Rationale: Staff should cooperate professionally, provide accurate
information, protect confidential information, and avoid speculation
when responding to surveyors.
5.
, A nursing home administrator receives a written complaint alleging
inadequate resident care. What is the most appropriate initial
management response?
A. Ignore it unless several residents make similar complaints
B. Immediately investigate the allegation according to applicable
requirements
C. Ask the accused employee to destroy related notes
D. Tell the resident that complaints damage the facility's reputation
Answer: B
Rationale: Complaints involving resident care require timely
investigation, appropriate documentation, protection from retaliation,
and corrective action when concerns are substantiated.
6.
Which leadership practice best supports a culture of safety within a
nursing home?
A. Punishing employees immediately after every adverse event
B. Encouraging reporting, investigating causes, and correcting system
weaknesses
C. Discouraging staff from reporting minor incidents
D. Focusing exclusively on reducing reported events
Answer: B
Rationale: A strong safety culture encourages reporting and uses event
information to identify system failures and prevent recurrence.
EXAMINATION COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Exam Coverage Areas
1. Michigan licensing and regulation — LARA, Michigan statutes, administrative rules, licensure, inspections,
and compliance.
2. Nursing home administration — governance, leadership, policies, organizational structure, and
operational oversight.
3. Resident rights — dignity, privacy, choice, grievances, visitation, informed decisions, and freedom from
abuse.
4. Quality of care and QAPI — performance improvement, quality indicators, incident analysis, and
corrective action.
5. Human resources and staffing — recruitment, competency, supervision, training, retention, and
employee performance.
6. Financial management — budgeting, reimbursement, accounts payable, revenue cycle, internal controls,
and audits.
7. Clinical and resident-care management — assessment, care planning, medication management,
nutrition, falls, and pressure injuries.
8. Infection prevention and control — surveillance, standard precautions, outbreak response, isolation, and
antibiotic stewardship.
9. Safety and emergency preparedness — fire safety, disaster planning, emergency communications,
evacuation, and continuity of operations.
10. Ethics, compliance, and professional responsibilities — documentation, confidentiality, abuse
reporting, regulatory compliance, and ethical leadership.
1.
A Michigan nursing home administrator discovers that an important
facility policy conflicts with a current state administrative rule. What
should the administrator do FIRST to address this compliance concern?
A. Continue following the facility policy until the next annual review
B. Immediately evaluate the conflict and initiate appropriate policy
revision
C. Ask employees to decide which requirement they prefer
D. Remove the policy without documenting the reason
,Answer: B
Rationale: An administrator should identify regulatory conflicts
promptly, verify the applicable requirement, and revise facility
procedures so operations remain compliant.
2.
Which Michigan agency has primary responsibility for state licensing
and regulatory oversight of nursing homes and other long-term-care
health facilities?
A. Michigan Department of Treasury
B. Michigan Department of Transportation
C. Michigan Department of Licensing and Regulatory Affairs
D. Michigan Department of Agriculture and Rural Development
Answer: C
Rationale: Michigan LARA oversees state licensing activities involving
nursing homes, including inspections, complaint investigations,
licensing renewal, and compliance activities. ()
3.
A newly appointed administrator wants to establish an effective
compliance program. Which action provides the strongest foundation
for ongoing regulatory compliance?
A. Waiting for inspectors to identify deficiencies
B. Developing policies, monitoring performance, educating staff, and
,correcting identified problems
C. Delegating all compliance responsibilities exclusively to the director
of nursing
D. Reviewing regulations only after receiving a complaint
Answer: B
Rationale: Effective compliance requires proactive policies, staff
education, monitoring, auditing, corrective action, and leadership
accountability rather than waiting for inspections.
4.
During a regulatory inspection, the administrator should primarily
ensure that staff members respond to surveyors by doing which of the
following?
A. Guessing whenever they do not remember an answer
B. Providing truthful information and appropriate records while
maintaining resident confidentiality
C. Refusing all questions until the administrator approves every
response
D. Discussing unrelated resident information with other employees
Answer: B
Rationale: Staff should cooperate professionally, provide accurate
information, protect confidential information, and avoid speculation
when responding to surveyors.
5.
, A nursing home administrator receives a written complaint alleging
inadequate resident care. What is the most appropriate initial
management response?
A. Ignore it unless several residents make similar complaints
B. Immediately investigate the allegation according to applicable
requirements
C. Ask the accused employee to destroy related notes
D. Tell the resident that complaints damage the facility's reputation
Answer: B
Rationale: Complaints involving resident care require timely
investigation, appropriate documentation, protection from retaliation,
and corrective action when concerns are substantiated.
6.
Which leadership practice best supports a culture of safety within a
nursing home?
A. Punishing employees immediately after every adverse event
B. Encouraging reporting, investigating causes, and correcting system
weaknesses
C. Discouraging staff from reporting minor incidents
D. Focusing exclusively on reducing reported events
Answer: B
Rationale: A strong safety culture encourages reporting and uses event
information to identify system failures and prevent recurrence.
