FL NHA-Florida Nursing Home Administrator (Fl NHA) Exam
2026/2027 | Complete Questions And Answers (Verified
Answers) | Exam Prep | Comprehensive Exam Guide
2026&2027
1. A Florida nursing home administrator discovers that a facility's medication error
resulted in hospitalization of a resident. What should be the administrator's FIRST
priority?
A. Determine which employee made the error
B. Ensure the resident receives appropriate medical evaluation and treatment
C. Begin disciplinary action against the responsible nurse
D. Notify the facility's insurance carrier
Answer: B
The resident's immediate health and safety take priority. Administrative investigation,
reporting, and corrective action should follow the stabilization and appropriate treatment of
the resident.
2. Which management activity best demonstrates effective quality assurance in a nursing
facility?
A. Reviewing employee attendance monthly
B. Comparing the facility's supply expenses with its budget
C. Identifying recurring falls, analyzing causes, and implementing corrective interventions
D. Increasing staff meetings after every complaint
Answer: C
Quality assurance involves systematic identification of problems, analysis of contributing
factors, implementation of corrective actions, and monitoring whether those actions improve
outcomes.
3. A resident has difficulty swallowing and repeatedly coughs while eating. Which action
should the administrator expect the interdisciplinary team to prioritize?
A. Referral for appropriate swallowing assessment and dietary intervention
B. Immediate restriction of all oral intake indefinitely
C. Transfer to another nursing facility
D. Removal of the resident from communal dining
Answer: A
,Repeated coughing and swallowing difficulty can indicate aspiration risk. Appropriate clinical
assessment and coordinated dietary and therapy interventions are necessary to protect the
resident.
4. Which document primarily communicates a resident's preferences, needs, strengths, and
goals to the interdisciplinary care team?
A. Facility emergency plan
B. Employee handbook
C. Monthly financial statement
D. Comprehensive care plan
Answer: D
The comprehensive care plan translates assessment findings into individualized goals,
interventions, and approaches for meeting the resident's needs and preferences.
5. A nursing home administrator notices that overtime expenses have increased
substantially for three consecutive months. What should the administrator do FIRST?
A. Eliminate overtime immediately
B. Analyze staffing patterns and determine the underlying causes of overtime
C. Reduce the number of scheduled employees
D. Require employees to work additional unpaid hours
Answer: B
Effective cost management begins by identifying the cause. Overtime may result from
vacancies, absenteeism, scheduling inefficiencies, acuity, or other operational factors.
6. A resident's family complains that staff members discuss resident information in a public
hallway. What is the administrator's most appropriate response?
A. Tell the family that hallway conversations are unavoidable
B. Ask the family to submit the complaint in writing before taking action
C. Investigate the concern and reinforce confidentiality requirements with staff
D. Transfer the employees involved to another unit
Answer: C
Resident information must be handled confidentially. The administrator should investigate
the allegation, address any breach, and reinforce appropriate privacy practices.
7. Which leadership approach is most likely to encourage staff participation in solving an
operational problem?
,A. Participative leadership
B. Autocratic leadership
C. Passive leadership
D. Punitive leadership
Answer: A
Participative leadership involves employees in decision-making and can improve engagement,
ownership, communication, and problem-solving.
8. A facility's infection surveillance data show an unexpected increase in respiratory
infections. What is the most appropriate initial administrative response?
A. Stop admitting residents
B. Replace the entire nursing staff
C. Ignore the increase until the annual survey
D. Review surveillance data, investigate possible causes, and coordinate infection prevention
measures
Answer: D
A sudden increase in infections requires timely surveillance review, investigation, and
implementation of evidence-based infection prevention and control measures.
9. Which financial statement generally presents a facility's revenues and expenses over a
specified period?
A. Balance sheet
B. Income statement
C. Statement of cash flows
D. Accounts receivable aging report
Answer: B
An income statement summarizes revenues, expenses, and resulting profit or loss over a
defined accounting period.
10. A nursing home administrator receives a complaint alleging that a resident's personal
belongings are missing. What should the administrator do?
A. Assume the complaint is unfounded
B. Reimburse the family immediately without investigation
C. Investigate the allegation promptly and document the findings
D. Accuse the roommate of taking the belongings
Answer: C
, A complaint involving possible loss or misappropriation of resident property should be
investigated objectively, documented, and addressed according to applicable requirements
and facility policy.
11. Which resident-right principle is most directly involved when a competent resident
chooses to refuse a recommended treatment?
A. The resident's right to participate in decisions regarding care
B. The facility's right to require treatment
C. The physician's right to override every resident decision
D. The administrator's authority to impose treatment
Answer: A
Residents generally have rights concerning participation in care decisions, including the right
to make informed choices and refuse treatment subject to applicable law and clinical
requirements.
12. A facility is preparing for a regulatory survey. Which approach is most appropriate?
A. Temporarily conceal identified deficiencies
B. Coach residents to provide favorable answers
C. Remove records that may contain deficiencies
D. Maintain continuous compliance rather than preparing only immediately before the survey
Answer: D
Compliance should be an ongoing operational responsibility. Records and practices should
accurately reflect the facility's normal performance.
13. Which activity is an example of preventive risk management?
A. Investigating a lawsuit after it occurs
B. Installing fall-prevention interventions after identifying residents at elevated risk
C. Paying a liability claim
D. Disciplining an employee after an accident
Answer: B
Preventive risk management identifies foreseeable hazards and implements measures before
an adverse event occurs.
14. A resident's care plan has not been updated despite significant changes in functional
status. What is the primary concern?
2026/2027 | Complete Questions And Answers (Verified
Answers) | Exam Prep | Comprehensive Exam Guide
2026&2027
1. A Florida nursing home administrator discovers that a facility's medication error
resulted in hospitalization of a resident. What should be the administrator's FIRST
priority?
A. Determine which employee made the error
B. Ensure the resident receives appropriate medical evaluation and treatment
C. Begin disciplinary action against the responsible nurse
D. Notify the facility's insurance carrier
Answer: B
The resident's immediate health and safety take priority. Administrative investigation,
reporting, and corrective action should follow the stabilization and appropriate treatment of
the resident.
2. Which management activity best demonstrates effective quality assurance in a nursing
facility?
A. Reviewing employee attendance monthly
B. Comparing the facility's supply expenses with its budget
C. Identifying recurring falls, analyzing causes, and implementing corrective interventions
D. Increasing staff meetings after every complaint
Answer: C
Quality assurance involves systematic identification of problems, analysis of contributing
factors, implementation of corrective actions, and monitoring whether those actions improve
outcomes.
3. A resident has difficulty swallowing and repeatedly coughs while eating. Which action
should the administrator expect the interdisciplinary team to prioritize?
A. Referral for appropriate swallowing assessment and dietary intervention
B. Immediate restriction of all oral intake indefinitely
C. Transfer to another nursing facility
D. Removal of the resident from communal dining
Answer: A
,Repeated coughing and swallowing difficulty can indicate aspiration risk. Appropriate clinical
assessment and coordinated dietary and therapy interventions are necessary to protect the
resident.
4. Which document primarily communicates a resident's preferences, needs, strengths, and
goals to the interdisciplinary care team?
A. Facility emergency plan
B. Employee handbook
C. Monthly financial statement
D. Comprehensive care plan
Answer: D
The comprehensive care plan translates assessment findings into individualized goals,
interventions, and approaches for meeting the resident's needs and preferences.
5. A nursing home administrator notices that overtime expenses have increased
substantially for three consecutive months. What should the administrator do FIRST?
A. Eliminate overtime immediately
B. Analyze staffing patterns and determine the underlying causes of overtime
C. Reduce the number of scheduled employees
D. Require employees to work additional unpaid hours
Answer: B
Effective cost management begins by identifying the cause. Overtime may result from
vacancies, absenteeism, scheduling inefficiencies, acuity, or other operational factors.
6. A resident's family complains that staff members discuss resident information in a public
hallway. What is the administrator's most appropriate response?
A. Tell the family that hallway conversations are unavoidable
B. Ask the family to submit the complaint in writing before taking action
C. Investigate the concern and reinforce confidentiality requirements with staff
D. Transfer the employees involved to another unit
Answer: C
Resident information must be handled confidentially. The administrator should investigate
the allegation, address any breach, and reinforce appropriate privacy practices.
7. Which leadership approach is most likely to encourage staff participation in solving an
operational problem?
,A. Participative leadership
B. Autocratic leadership
C. Passive leadership
D. Punitive leadership
Answer: A
Participative leadership involves employees in decision-making and can improve engagement,
ownership, communication, and problem-solving.
8. A facility's infection surveillance data show an unexpected increase in respiratory
infections. What is the most appropriate initial administrative response?
A. Stop admitting residents
B. Replace the entire nursing staff
C. Ignore the increase until the annual survey
D. Review surveillance data, investigate possible causes, and coordinate infection prevention
measures
Answer: D
A sudden increase in infections requires timely surveillance review, investigation, and
implementation of evidence-based infection prevention and control measures.
9. Which financial statement generally presents a facility's revenues and expenses over a
specified period?
A. Balance sheet
B. Income statement
C. Statement of cash flows
D. Accounts receivable aging report
Answer: B
An income statement summarizes revenues, expenses, and resulting profit or loss over a
defined accounting period.
10. A nursing home administrator receives a complaint alleging that a resident's personal
belongings are missing. What should the administrator do?
A. Assume the complaint is unfounded
B. Reimburse the family immediately without investigation
C. Investigate the allegation promptly and document the findings
D. Accuse the roommate of taking the belongings
Answer: C
, A complaint involving possible loss or misappropriation of resident property should be
investigated objectively, documented, and addressed according to applicable requirements
and facility policy.
11. Which resident-right principle is most directly involved when a competent resident
chooses to refuse a recommended treatment?
A. The resident's right to participate in decisions regarding care
B. The facility's right to require treatment
C. The physician's right to override every resident decision
D. The administrator's authority to impose treatment
Answer: A
Residents generally have rights concerning participation in care decisions, including the right
to make informed choices and refuse treatment subject to applicable law and clinical
requirements.
12. A facility is preparing for a regulatory survey. Which approach is most appropriate?
A. Temporarily conceal identified deficiencies
B. Coach residents to provide favorable answers
C. Remove records that may contain deficiencies
D. Maintain continuous compliance rather than preparing only immediately before the survey
Answer: D
Compliance should be an ongoing operational responsibility. Records and practices should
accurately reflect the facility's normal performance.
13. Which activity is an example of preventive risk management?
A. Investigating a lawsuit after it occurs
B. Installing fall-prevention interventions after identifying residents at elevated risk
C. Paying a liability claim
D. Disciplining an employee after an accident
Answer: B
Preventive risk management identifies foreseeable hazards and implements measures before
an adverse event occurs.
14. A resident's care plan has not been updated despite significant changes in functional
status. What is the primary concern?
