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Federal Nursing Home Administrator Exam | Study Guide, Practice Questions & Exam Review 2026/2027

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Prepare for the Federal Nursing Home Administrator Exam with this comprehensive study resource covering federal nursing home regulations, long-term care administration, resident rights, CMS requirements, quality of care, health and safety standards, staffing, documentation, compliance, survey processes, and facility management. Ideal for nursing home administrator exam preparation, practice questions, study review, and reinforcing essential long-term care administration knowledge.

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Federal nursing home administrator
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FEDERAL NURSING HOME
ADMINISTRATOR EXAM | QUESTIONS &
100% CORRECT ANSWERS (VERIFIED) |
LATEST UPDATE | GRADE A+



1) OBRA asserts some separate committees can be folded into the quality

improvement/assurance committee. Safety, Pharmacy and which committee below can

be added into QA/QI committee?

Correct Answer: Infection Control



2) Nursing homes are responsible for obtaining and providing dental care for residents.

Who usually pays for dental services?

Correct Answer: The resident or a family member



3) A facility is not allowed to charge a resident who is Medicaid and Medicare eligible

except for:

Correct Answer: Co-pays



4) You calculate the average percent of occupancy by:

Correct Answer: Dividing the total census (occupied bed days) by the total number of

days, then multiply by 100




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5) Resident's rights should be explained to the resident and or family member:

Correct Answer: Prior to admission



6) In case of an emergency, when no attending or back up physician is available, the

decision as to who will attend to the resident is to be made by the:

Correct Answer: Administrator



7) Federal law states that facilities must retain menus of food actually served for at

least:

Correct Answer: 30 days



8) A resident with a living will and DPOA specified she wants to receive heroic

measures if necessary. Six months later the resident requires CPR, but is now

incompetent and the son request CPR be withheld. What is the right thing to do?

Correct Answer: Provide the CPR



9) A resident asks to see his chart. The doctor tells the nurse not to allow the resident

access to the chart. What do you do?

Correct Answer: Tell the doctor the law gives the resident the right to view the medical

records



10) Medical records belong to:




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Correct Answer: Facility



11) When a resident passes away, the personal funds deposited with the facility must

be given to the resident's estate with a final accounting of the funds within:

Correct Answer: 30 days



12) The suffix "algia" refers to:

Correct Answer: Pain



13) Physical restraints must be removed:

Correct Answer: Every two hours



14) Depression is one of many psychological changes related to the aging process.

Others include the following except for:

Correct Answer: Hearing loss



15) "Nosocomal" refers to

Correct Answer: Infection occurring inside the facility (institutionalized)



17) A capital budget is mostly about:

Correct Answer: Equipment and real estate



18) Current debts are debts that are:




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Correct Answer: Due within one year



19) A ledger is a complete listing of:

Correct Answer: Accounts payable and receivable



20) Which resource usually provides the least revenue for a nursing home?

Correct Answer: Insurance



20) Past due accounts should not exceed:

Correct Answer: 5%



21) All of the following are a cash expense except:

Correct Answer: Depreciation



22) A pro forma is primarily

Correct Answer: A financial statement or prediction



23) A function of management is controlling, which means:

Correct Answer: Measuring outcomes against benchmarks, then responding



24) OBRA requires every facility to have:

Correct Answer: A governing body - The Omnibus Reconciliation Act




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