estudyr
FEDERAL NURSING HOME ADMINISTRATOR EXAM 2025 NEWEST ACTUAL EXAM
COMPLETE 300+ QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) / WITH RATIONALES
1) OBRA asserts that some separate committees can be folded into the quality
improvement/assurance committee. Which of the following committees can be added into the QA/QI
committee?
A) Safety
B) Pharmacy
C) Infection Control
D) All of the above
Answer: D) All of the above
Rationale: OBRA allows facilities to combine committees like Safety, Pharmacy, and Infection Control
into the QA/QI committee to streamline operations and improve efficiency.
2) Nursing homes are responsible for obtaining and providing dental care for residents. Who usually
pays for dental services?
A) The facility
B) The resident or a family member
C) Medicaid
D) Medicare
Answer: B) The resident or a family member
Rationale: While nursing homes facilitate access to dental care, the cost is typically borne by the
resident or their family unless covered by a specific insurance plan.
3) A facility is not allowed to charge a resident who is Medicaid and Medicare eligible except for:
A) Co-pays
B) Room and board
C) Personal care items
D) Therapy services
Answer: A) Co-pays
Rationale: Medicaid and Medicare cover most expenses, but co-pays are the only allowable charges for
eligible residents.
,estudyr
4) How do you calculate the average percent of occupancy?
A) Divide the total census by the total number of beds, then multiply by 100
B) Divide the total census by the total number of days, then multiply by 100
C) Multiply the total census by the total number of beds, then divide by 100
D) Multiply the total census by the total number of days, then divide by 100
Answer: B) Divide the total census by the total number of days, then multiply by 100
Rationale: This formula calculates the average occupancy rate over a specific period.
5) Resident's rights should be explained to the resident and/or family member:
A) Prior to admission
B) During the first week of stay
C) After the first month of stay
D) Only upon request
Answer: A) Prior to admission
Rationale: Federal regulations require that residents and their families are informed of their rights
before admission to ensure transparency and understanding.
6) In case of an emergency, when no attending or backup physician is available, who makes the
decision about who will attend to the resident?
A) Charge nurse
B) Administrator
C) Family member
D) Medical director
Answer: B) Administrator
Rationale: The administrator is responsible for ensuring resident care, including making decisions in
emergencies when no physician is available.
7) Federal law states that facilities must retain menus of food actually served for at least:
A) 7 days
B) 14 days
C) 30 days
D) 60 days
,estudyr
Answer: C) 30 days
Rationale: This requirement ensures accountability and allows for review of nutritional services
provided to residents.
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 requests CPR be
withheld. What is the right thing to do?
A) Withhold CPR
B) Provide the CPR
C) Consult the ethics committee
D) Follow the son's request
Answer: B) Provide the CPR
Rationale: The resident's prior directive (living will) takes precedence over family requests unless legally
overridden by a court or updated legal document.
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?
A) Follow the doctor's orders
B) Tell the doctor the law gives the resident the right to view the medical records
C) Inform the administrator
D) Refuse the resident's request
Answer: B) Tell the doctor the law gives the resident the right to view the medical records
Rationale: Residents have a legal right to access their medical records under federal regulations.
10) Medical records belong to:
A) The resident
B) The facility
C) The attending physician
D) The government
Answer: B) The facility
Rationale: While residents have the right to access their records, the physical records are the property
of the facility.
, estudyr
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:
A) 14 days
B) 30 days
C) 60 days
D) 90 days
Answer: B) 30 days
Rationale: Federal regulations require timely return of personal funds to the estate to ensure proper
handling of the resident's assets.
12) The suffix "algia" refers to:
A) Swelling
B) Pain
C) Infection
D) Inflammation
Answer: B) Pain
Rationale: The suffix "algia" is derived from Greek and means pain (e.g., neuralgia, myalgia).
13) Physical restraints must be removed:
A) Every hour
B) Every two hours
C) Every four hours
D) Every shift
Answer: B) Every two hours
Rationale: Regulations require regular removal of restraints to prevent complications like pressure sores
and circulation issues.
14) Depression is one of many psychological changes related to the aging process. Others include the
following except for:
A) Memory loss
B) Hearing loss
C) Increased anxiety
D) Social withdrawal
FEDERAL NURSING HOME ADMINISTRATOR EXAM 2025 NEWEST ACTUAL EXAM
COMPLETE 300+ QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) / WITH RATIONALES
1) OBRA asserts that some separate committees can be folded into the quality
improvement/assurance committee. Which of the following committees can be added into the QA/QI
committee?
A) Safety
B) Pharmacy
C) Infection Control
D) All of the above
Answer: D) All of the above
Rationale: OBRA allows facilities to combine committees like Safety, Pharmacy, and Infection Control
into the QA/QI committee to streamline operations and improve efficiency.
2) Nursing homes are responsible for obtaining and providing dental care for residents. Who usually
pays for dental services?
A) The facility
B) The resident or a family member
C) Medicaid
D) Medicare
Answer: B) The resident or a family member
Rationale: While nursing homes facilitate access to dental care, the cost is typically borne by the
resident or their family unless covered by a specific insurance plan.
3) A facility is not allowed to charge a resident who is Medicaid and Medicare eligible except for:
A) Co-pays
B) Room and board
C) Personal care items
D) Therapy services
Answer: A) Co-pays
Rationale: Medicaid and Medicare cover most expenses, but co-pays are the only allowable charges for
eligible residents.
,estudyr
4) How do you calculate the average percent of occupancy?
A) Divide the total census by the total number of beds, then multiply by 100
B) Divide the total census by the total number of days, then multiply by 100
C) Multiply the total census by the total number of beds, then divide by 100
D) Multiply the total census by the total number of days, then divide by 100
Answer: B) Divide the total census by the total number of days, then multiply by 100
Rationale: This formula calculates the average occupancy rate over a specific period.
5) Resident's rights should be explained to the resident and/or family member:
A) Prior to admission
B) During the first week of stay
C) After the first month of stay
D) Only upon request
Answer: A) Prior to admission
Rationale: Federal regulations require that residents and their families are informed of their rights
before admission to ensure transparency and understanding.
6) In case of an emergency, when no attending or backup physician is available, who makes the
decision about who will attend to the resident?
A) Charge nurse
B) Administrator
C) Family member
D) Medical director
Answer: B) Administrator
Rationale: The administrator is responsible for ensuring resident care, including making decisions in
emergencies when no physician is available.
7) Federal law states that facilities must retain menus of food actually served for at least:
A) 7 days
B) 14 days
C) 30 days
D) 60 days
,estudyr
Answer: C) 30 days
Rationale: This requirement ensures accountability and allows for review of nutritional services
provided to residents.
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 requests CPR be
withheld. What is the right thing to do?
A) Withhold CPR
B) Provide the CPR
C) Consult the ethics committee
D) Follow the son's request
Answer: B) Provide the CPR
Rationale: The resident's prior directive (living will) takes precedence over family requests unless legally
overridden by a court or updated legal document.
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?
A) Follow the doctor's orders
B) Tell the doctor the law gives the resident the right to view the medical records
C) Inform the administrator
D) Refuse the resident's request
Answer: B) Tell the doctor the law gives the resident the right to view the medical records
Rationale: Residents have a legal right to access their medical records under federal regulations.
10) Medical records belong to:
A) The resident
B) The facility
C) The attending physician
D) The government
Answer: B) The facility
Rationale: While residents have the right to access their records, the physical records are the property
of the facility.
, estudyr
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:
A) 14 days
B) 30 days
C) 60 days
D) 90 days
Answer: B) 30 days
Rationale: Federal regulations require timely return of personal funds to the estate to ensure proper
handling of the resident's assets.
12) The suffix "algia" refers to:
A) Swelling
B) Pain
C) Infection
D) Inflammation
Answer: B) Pain
Rationale: The suffix "algia" is derived from Greek and means pain (e.g., neuralgia, myalgia).
13) Physical restraints must be removed:
A) Every hour
B) Every two hours
C) Every four hours
D) Every shift
Answer: B) Every two hours
Rationale: Regulations require regular removal of restraints to prevent complications like pressure sores
and circulation issues.
14) Depression is one of many psychological changes related to the aging process. Others include the
following except for:
A) Memory loss
B) Hearing loss
C) Increased anxiety
D) Social withdrawal
