PA STATE NHA EXAM 2026/2027 |
200 VERIFIED QUESTIONS &
ANSWERS + RATIONALES |
NURSING HOME ADMINISTRATOR
LICENSING STUDY GUIDE | INSTANT
DOWNLOAD
1. Which agency is responsible for licensing nursing home administrators in
Pennsylvania?
A. Pennsylvania Department of Human Services
B. Pennsylvania State Board of Examiners of Nursing Home Administrators
C. Pennsylvania Department of Education
D. Pennsylvania Department of Labor and Industry
Correct Answer: B
Rationale: The Pennsylvania State Board of Examiners of Nursing Home Administrators
is specifically responsible for the licensing and professional conduct regulation of
nursing home administrators in the state.
2. To obtain an initial license, applicants must pass which exams?
A. Only the Pennsylvania state exam
B. Only the national exam
C. Both the national exam and the Pennsylvania state exam
D. Federal and county exams
Correct Answer: C
Rationale: Pennsylvania requires applicants to pass both the national exam (NAB
Core/NHA) and the Pennsylvania-specific state licensing exam.
,3. Which Pennsylvania Code Title primarily contains health and safety
regulations applicable to nursing homes?
A. Title 12
B. Title 28
C. Title 37
D. Title 49
Correct Answer: B
Rationale: Pennsylvania Department of Health regulations are located in Title 28
"Health and Safety," with relevant chapters covering long-term care facilities.
4. Which federal regulation contains the federal requirements for long-term
care facilities (Requirements for States and Long Term Care Facilities)?
A. 42 CFR Part 483
B. 29 CFR Part 1910
C. 45 CFR Part 46
D. 21 CFR Part 820
Correct Answer: A
Rationale: 42 CFR Part 483 contains federal requirements for long-term care facilities,
covering resident rights, quality of care, staffing, and other core areas.
5. According to Pennsylvania regulations, when a contracted pharmacy cannot
supply a prescribed medication, what is the maximum number of days' supply a
facility may order as an emergency from another source?
A. 5 days
B. 7 days
C. 10 days
D. 14 days
Correct Answer: B
Rationale: Pennsylvania practice materials indicate that facilities may order up to a 7-
day emergency supply when the contracted pharmacy is unable to provide the
medication.
,6. What is the minimum frequency for removing physical restraints during
awake hours?
A. 20 minutes every 2 hours
B. 10 minutes every 1 hour
C. 20 minutes every 2 hours
D. 10 minutes every 2 hours
Correct Answer: D
Rationale: Practice materials indicate that physical restraints must be released for at
least 10 minutes every 2 hours during awake hours.
7. According to federal regulations, what is the minimum nurse staffing ratio
requirement per resident?
A. 1 nurse per 15 residents
B. 1 nurse per 20 residents
C. 1 nurse per 25 residents
D. 1 nurse per 30 residents
Correct Answer: B
Rationale: Practice materials state that at least one nursing staff member must be on
duty per 20 residents.
8. What is the minimum storage space (square feet) per bed that a facility must
provide for resident personal belongings?
A. 6 square feet
B. 8 square feet
C. 10 square feet
D. 12 square feet
Correct Answer: C
Rationale: Practice materials indicate that storage space for furniture, equipment, and
resident personal belongings shall not be less than 10 square feet per bed.
, 9. When a nursing home administrator discovers a conflict between facility
policy and current regulatory requirements, what should be the first step?
A. Ignore the regulation
B. Maintain existing policy until the next annual review
C. Take corrective action and revise the policy as appropriate
D. Have residents vote on the policy
Correct Answer: C
Rationale: The administrator has an obligation to ensure facility compliance with
regulations and should immediately take corrective action and revise inconsistent
policies when a conflict is discovered.
10. Which of the following best reflects the core responsibilities of a nursing
home administrator?
A. Personally perform all nursing procedures
B. Direct and control the overall operation of the facility
C. Prescribe medications
D. Diagnose residents' illnesses
Correct Answer: B
Rationale: The administrator is responsible for the overall management and operation
of the nursing home, ensuring regulatory compliance and quality of resident care.
According to 49 Pa. Code § 39.91, the administrator's duties include developing
policies, evaluating care quality, establishing organizational structures, and managing
finances.
11. Which of the following actions best demonstrates effective administrator
leadership?
A. Personally make every departmental decision
B. Appropriately delegate while maintaining accountability
C. Avoid participating in quality improvement
D. Allow departments to operate without supervision
Correct Answer: B
Rationale: Effective administrators delegate tasks to qualified personnel while retaining
responsibility for organizational oversight and outcomes.
200 VERIFIED QUESTIONS &
ANSWERS + RATIONALES |
NURSING HOME ADMINISTRATOR
LICENSING STUDY GUIDE | INSTANT
DOWNLOAD
1. Which agency is responsible for licensing nursing home administrators in
Pennsylvania?
A. Pennsylvania Department of Human Services
B. Pennsylvania State Board of Examiners of Nursing Home Administrators
C. Pennsylvania Department of Education
D. Pennsylvania Department of Labor and Industry
Correct Answer: B
Rationale: The Pennsylvania State Board of Examiners of Nursing Home Administrators
is specifically responsible for the licensing and professional conduct regulation of
nursing home administrators in the state.
2. To obtain an initial license, applicants must pass which exams?
A. Only the Pennsylvania state exam
B. Only the national exam
C. Both the national exam and the Pennsylvania state exam
D. Federal and county exams
Correct Answer: C
Rationale: Pennsylvania requires applicants to pass both the national exam (NAB
Core/NHA) and the Pennsylvania-specific state licensing exam.
,3. Which Pennsylvania Code Title primarily contains health and safety
regulations applicable to nursing homes?
A. Title 12
B. Title 28
C. Title 37
D. Title 49
Correct Answer: B
Rationale: Pennsylvania Department of Health regulations are located in Title 28
"Health and Safety," with relevant chapters covering long-term care facilities.
4. Which federal regulation contains the federal requirements for long-term
care facilities (Requirements for States and Long Term Care Facilities)?
A. 42 CFR Part 483
B. 29 CFR Part 1910
C. 45 CFR Part 46
D. 21 CFR Part 820
Correct Answer: A
Rationale: 42 CFR Part 483 contains federal requirements for long-term care facilities,
covering resident rights, quality of care, staffing, and other core areas.
5. According to Pennsylvania regulations, when a contracted pharmacy cannot
supply a prescribed medication, what is the maximum number of days' supply a
facility may order as an emergency from another source?
A. 5 days
B. 7 days
C. 10 days
D. 14 days
Correct Answer: B
Rationale: Pennsylvania practice materials indicate that facilities may order up to a 7-
day emergency supply when the contracted pharmacy is unable to provide the
medication.
,6. What is the minimum frequency for removing physical restraints during
awake hours?
A. 20 minutes every 2 hours
B. 10 minutes every 1 hour
C. 20 minutes every 2 hours
D. 10 minutes every 2 hours
Correct Answer: D
Rationale: Practice materials indicate that physical restraints must be released for at
least 10 minutes every 2 hours during awake hours.
7. According to federal regulations, what is the minimum nurse staffing ratio
requirement per resident?
A. 1 nurse per 15 residents
B. 1 nurse per 20 residents
C. 1 nurse per 25 residents
D. 1 nurse per 30 residents
Correct Answer: B
Rationale: Practice materials state that at least one nursing staff member must be on
duty per 20 residents.
8. What is the minimum storage space (square feet) per bed that a facility must
provide for resident personal belongings?
A. 6 square feet
B. 8 square feet
C. 10 square feet
D. 12 square feet
Correct Answer: C
Rationale: Practice materials indicate that storage space for furniture, equipment, and
resident personal belongings shall not be less than 10 square feet per bed.
, 9. When a nursing home administrator discovers a conflict between facility
policy and current regulatory requirements, what should be the first step?
A. Ignore the regulation
B. Maintain existing policy until the next annual review
C. Take corrective action and revise the policy as appropriate
D. Have residents vote on the policy
Correct Answer: C
Rationale: The administrator has an obligation to ensure facility compliance with
regulations and should immediately take corrective action and revise inconsistent
policies when a conflict is discovered.
10. Which of the following best reflects the core responsibilities of a nursing
home administrator?
A. Personally perform all nursing procedures
B. Direct and control the overall operation of the facility
C. Prescribe medications
D. Diagnose residents' illnesses
Correct Answer: B
Rationale: The administrator is responsible for the overall management and operation
of the nursing home, ensuring regulatory compliance and quality of resident care.
According to 49 Pa. Code § 39.91, the administrator's duties include developing
policies, evaluating care quality, establishing organizational structures, and managing
finances.
11. Which of the following actions best demonstrates effective administrator
leadership?
A. Personally make every departmental decision
B. Appropriately delegate while maintaining accountability
C. Avoid participating in quality improvement
D. Allow departments to operate without supervision
Correct Answer: B
Rationale: Effective administrators delegate tasks to qualified personnel while retaining
responsibility for organizational oversight and outcomes.
