TEXAS NURSING HOME ADMINISTRATOR
(NHA) PRACTICE EXAM 300 ACTUAL
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALE LATEST UPDATE ALREADY
GRADED A+ ASSURED PASS
This Texas Nursing Home Administrator (NHA) Practice Exam is a
comprehensive 300-question study resource featuring unique multiple-choice
items, correct answers, and detailed rationales. It is organized into five sections:
Texas Regulations and Licensure; Care, Services, and Supports; Operations and
Financial Management; Environment and Quality; and Leadership and Strategy.
The questions reflect NAB domains and Texas HHSC regulatory content. This
unofficial tool helps candidates assess knowledge, identify weaknesses, and build
test-taking confidence. It is ideal for structured self-study and exam preparation,
but users should also consult official NAB and Texas HHSC materials for current
requirements. Always verify current details. Good luck.
Section 1: Texas Regulations & Licensure (Questions 1–60)
1. Which Texas state agency is responsible for licensing and regulating Nursing
Facility Administrators (NFAs)?
A. Texas Department of State Health Services (DSHS)
B. Texas Health and Human Services Commission (HHSC)
C. Texas Board of Nursing
D. Texas Department of Aging and Disability Services (DADS)
Correct Answer: B
Rationale: The Texas Health and Human Services Commission (HHSC) oversees
the licensing and regulation of nursing facility administrators in Texas.
2. According to the Texas Administrative Code, what is the minimum passing
score required on the state NFA examination?
A. 65%
,B. 70%
C. 75%
D. 80%
Correct Answer: B
Rationale: Applicants must pass the Texas NFA exam with a score of at least 70%
to obtain the initial license.
3. Under Texas regulations, how long is a facility license valid?
A. 1 year
B. 2 years
C. 3 years
D. 5 years
Correct Answer: B
Rationale: According to Texas regulations, a facility license is valid for two years.
4. Which of the following is a mandatory requirement for obtaining an initial
Nursing Facility Administrator (NFA) license in Texas?
A. Passing only the NAB Core of Knowledge exam
B. Passing both the NAB examinations and the Texas state examination
C. Completing a 500-hour internship
D. Having a master's degree in healthcare administration
Correct Answer: B
Rationale: Applicants seeking an NFA license from HHSC must pass both the state
examination on nursing facility requirements in Texas and the NAB examinations.
5. How many members compose the Nursing Facility Administrators Advisory
Committee in Texas?
A. 5 members
B. 7 members
C. 9 members
D. 11 members
Correct Answer: C
Rationale: The Nursing Facility Administrators Advisory Committee is composed
of 9 members.
6. A provisional license in Texas is issued for a maximum of how many days?
,A. 30 days
B. 60 days
C. 90 days
D. 180 days
Correct Answer: C
Rationale: A provisional license is issued for a maximum of 90 days.
7. Which of the following conducts disciplinary hearings for nursing home
administrators who violate licensure standards in Texas?
A. The Texas Board of Nursing
B. The Nursing Facility Administrators Advisory Committee
C. The Texas Medical Board
D. The State Office of Administrative Hearings (SOAH)
Correct Answer: D
Rationale: The State Office of Administrative Hearings (SOAH) conducts
disciplinary hearings for nursing home administrators who violate licensure
standards and requirements.
8. Under Texas Health and Safety Code, which chapter specifically governs the
licensure of convalescent and nursing homes?
A. Chapter 250
B. Chapter 242
C. Chapter 555
D. Chapter 142
Correct Answer: B
Rationale: Texas Health and Safety Code, Chapter 242, governs convalescent and
nursing homes and related institutions.
9. What is the application fee for an initial Nursing Facility Administrator license
in Texas?
A. $150
B. $200
C. $250
D. $300
Correct Answer: C
, Rationale: The initial license application fee for a Nursing Facility Administrator
in Texas is $250.
10. A nursing facility administrator's license in Texas must be renewed every:
A. Year
B. Two years
C. Three years
D. Five years
Correct Answer: B
Rationale: NFA licenses in Texas must be renewed every two years.
11. Which of the following is NOT a requirement for NFA licensure in Texas?
A. Completion of an approved administrator-in-training (AIT) program
B. Passing the NAB examination
C. Passing the Texas state examination
D. Membership in the Texas Health Care Association
Correct Answer: D
Rationale: Membership in a professional association is not a licensure requirement.
Licensure requires completion of an AIT program, passing the NAB examination,
and passing the Texas state examination.
12. An applicant for NFA licensure in Texas must submit fingerprints for a
criminal background check through:
A. The FBI only
B. The Texas Department of Public Safety (DPS)
C. The local police department
D. The Texas Rangers
Correct Answer: B
Rationale: Applicants must submit fingerprints for a Texas Department of Public
Safety criminal background check.
13. What is the minimum education requirement for NFA licensure in Texas?
A. High school diploma
B. Associate's degree
C. Baccalaureate degree
D. Master's degree
(NHA) PRACTICE EXAM 300 ACTUAL
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALE LATEST UPDATE ALREADY
GRADED A+ ASSURED PASS
This Texas Nursing Home Administrator (NHA) Practice Exam is a
comprehensive 300-question study resource featuring unique multiple-choice
items, correct answers, and detailed rationales. It is organized into five sections:
Texas Regulations and Licensure; Care, Services, and Supports; Operations and
Financial Management; Environment and Quality; and Leadership and Strategy.
The questions reflect NAB domains and Texas HHSC regulatory content. This
unofficial tool helps candidates assess knowledge, identify weaknesses, and build
test-taking confidence. It is ideal for structured self-study and exam preparation,
but users should also consult official NAB and Texas HHSC materials for current
requirements. Always verify current details. Good luck.
Section 1: Texas Regulations & Licensure (Questions 1–60)
1. Which Texas state agency is responsible for licensing and regulating Nursing
Facility Administrators (NFAs)?
A. Texas Department of State Health Services (DSHS)
B. Texas Health and Human Services Commission (HHSC)
C. Texas Board of Nursing
D. Texas Department of Aging and Disability Services (DADS)
Correct Answer: B
Rationale: The Texas Health and Human Services Commission (HHSC) oversees
the licensing and regulation of nursing facility administrators in Texas.
2. According to the Texas Administrative Code, what is the minimum passing
score required on the state NFA examination?
A. 65%
,B. 70%
C. 75%
D. 80%
Correct Answer: B
Rationale: Applicants must pass the Texas NFA exam with a score of at least 70%
to obtain the initial license.
3. Under Texas regulations, how long is a facility license valid?
A. 1 year
B. 2 years
C. 3 years
D. 5 years
Correct Answer: B
Rationale: According to Texas regulations, a facility license is valid for two years.
4. Which of the following is a mandatory requirement for obtaining an initial
Nursing Facility Administrator (NFA) license in Texas?
A. Passing only the NAB Core of Knowledge exam
B. Passing both the NAB examinations and the Texas state examination
C. Completing a 500-hour internship
D. Having a master's degree in healthcare administration
Correct Answer: B
Rationale: Applicants seeking an NFA license from HHSC must pass both the state
examination on nursing facility requirements in Texas and the NAB examinations.
5. How many members compose the Nursing Facility Administrators Advisory
Committee in Texas?
A. 5 members
B. 7 members
C. 9 members
D. 11 members
Correct Answer: C
Rationale: The Nursing Facility Administrators Advisory Committee is composed
of 9 members.
6. A provisional license in Texas is issued for a maximum of how many days?
,A. 30 days
B. 60 days
C. 90 days
D. 180 days
Correct Answer: C
Rationale: A provisional license is issued for a maximum of 90 days.
7. Which of the following conducts disciplinary hearings for nursing home
administrators who violate licensure standards in Texas?
A. The Texas Board of Nursing
B. The Nursing Facility Administrators Advisory Committee
C. The Texas Medical Board
D. The State Office of Administrative Hearings (SOAH)
Correct Answer: D
Rationale: The State Office of Administrative Hearings (SOAH) conducts
disciplinary hearings for nursing home administrators who violate licensure
standards and requirements.
8. Under Texas Health and Safety Code, which chapter specifically governs the
licensure of convalescent and nursing homes?
A. Chapter 250
B. Chapter 242
C. Chapter 555
D. Chapter 142
Correct Answer: B
Rationale: Texas Health and Safety Code, Chapter 242, governs convalescent and
nursing homes and related institutions.
9. What is the application fee for an initial Nursing Facility Administrator license
in Texas?
A. $150
B. $200
C. $250
D. $300
Correct Answer: C
, Rationale: The initial license application fee for a Nursing Facility Administrator
in Texas is $250.
10. A nursing facility administrator's license in Texas must be renewed every:
A. Year
B. Two years
C. Three years
D. Five years
Correct Answer: B
Rationale: NFA licenses in Texas must be renewed every two years.
11. Which of the following is NOT a requirement for NFA licensure in Texas?
A. Completion of an approved administrator-in-training (AIT) program
B. Passing the NAB examination
C. Passing the Texas state examination
D. Membership in the Texas Health Care Association
Correct Answer: D
Rationale: Membership in a professional association is not a licensure requirement.
Licensure requires completion of an AIT program, passing the NAB examination,
and passing the Texas state examination.
12. An applicant for NFA licensure in Texas must submit fingerprints for a
criminal background check through:
A. The FBI only
B. The Texas Department of Public Safety (DPS)
C. The local police department
D. The Texas Rangers
Correct Answer: B
Rationale: Applicants must submit fingerprints for a Texas Department of Public
Safety criminal background check.
13. What is the minimum education requirement for NFA licensure in Texas?
A. High school diploma
B. Associate's degree
C. Baccalaureate degree
D. Master's degree
