FEDERAL NURSING HOME ADMINISTRATOR EXAM SCRIPT
2025/2026 QUESTIONS WITH SOLUTIONS GRADED A+
✔✔The long term care sector receiving increased funding and attention from the federal
government is the ________________. - ✔✔Home health care sector
✔✔The concept that nursing homes should be reimbursed by states for their actual
costs was part of the _______ - ✔✔Hatch Amendment
✔✔The intense health care cost-shifting efforts among providers such as Medicare,
Medicaid and local governments is _____________ - ✔✔Likely to continue
✔✔Worried about the level of actual resident care being achieved in the facility, the
administrator directs the nurses to spend less time charting and more time focusing on
the effeciveness of care being given to residents. The likely result will be ________ -
✔✔Better resident care, possible increase in deficiency citations
✔✔The new social worker informs the head of nursing that admissions is all she has
time for and that nursing must monitor and document each resident's socipsychological
experience. - ✔✔Responding appropriately to priorities
✔✔Attempting to find the right person for each well-defined job is known as the
management function of __________ - ✔✔
✔✔The administrator who takes steps that insure the goals are accomplished and that
each job is done as planned is successfully ______________ - ✔✔Controlling quality
✔✔The administrators' job is to assure that the ________employees do the tasks of the
organization at an acceptable quality level. - ✔✔Appropriate
✔✔The administrator who conducts a national search for a director of nursing position
and interviews 20 candidates from 7 different surrounding states by phone is engaged
in the managerial function of ______ - ✔✔Staffing
✔✔Corporate sends a directiveto its flagship facility administrator, directing the
administrator's attention more towards outcome of resident care than cost of resudent
care during the coming 12 months. Corporate is more concerned with ______than with
_____. - ✔✔Effectiveness/efficiency
✔✔The long-term care receiving increased funding and attention from the federal
government is the _______. - ✔✔Home health care sector
,✔✔The concept that nursing homes should be reimbursed by states for their actual cost
was part of the _____. - ✔✔Hatch Amendment
✔✔The intense health care costshifting efforts among providers such as Medicare,
Medicaid, and local governments is ____. - ✔✔Likely to continue
✔✔Worried about the level of actual resident care achieved in the facility, the
administrator directs the nurse to spend less time charting and more time focusing on
the effectiveness of care being given to the residents. The likely result will be___ -
✔✔Better resident care, but increased deficiency citatons
✔✔The new social worker informs the head of nursing that the admissions is all she has
time for and that nursing must monitor and document each resident's socipsychological
experiences. The new social worker is _____ - ✔✔Responding appropriately to prorities
✔✔Attempting to find the right person for each well-defined job is known as the
managementfunction
______ - ✔✔Staffing
✔✔The administrator who takes steps that assures the goals are accomplished and that
each job as planned is successful __ - ✔✔Controlling quality
✔✔The administrator's job is to assure that the ____employees do the task of the
organization at an acceptable quality level. - ✔✔Appropriate
✔✔The administrator who conducts a national serch for a director of nursing position
and interviews 20 candidates from 7 different surrounding states by phone is engaged
inthe managerial function of ______ - ✔✔Staffing
✔✔In the end, it can be said that the administrator's responsiblity to meet resident care
needs and facility needs ae ______ - ✔✔Both are equal
✔✔Superior performance depends on taking exceptional care of residents via superior
service and _____ - ✔✔Constant innovations
✔✔Superior performance for a nursing facility comes through __ - ✔✔Innovation in
ways to serve residents
✔✔The supeb nursingb facility is supurb by virtue of its ____ - ✔✔Success in serving
the residents
✔✔Answering the phones and resident call bells with common courtesy and doing
things that work are examples of ______ - ✔✔A blind flash of the obvious
, ✔✔Giving every employee the space to innovate at least a little; listening to residents
and acting on their ideas; and wandering around with residents, staff, and suppliers are
examples of the different-to-achieve ________ - ✔✔Common sense, obvious
✔✔In a facility of 120 beds, the administrator ____personally performs each of the
management tasks. - ✔✔Need not
✔✔To assure that all the management tasks are successfully accomplished, the
administrator of a 120-bed facility will typically divide management into _____ -
✔✔Three layers
✔✔A licensed person responsible for formulating and enforcing policies that will be
applied to an entire facility is thought of as a/an ____ - ✔✔Upper-level manager
✔✔The staff member responsible for reporting to upper-level management and at the
same time interacting significantly with several lower-level managers is the ______ -
✔✔Director of Nursing
✔✔The staff person for whom both upward and downward communication skills are
most neccessary is the ____ - ✔✔Director of nursing
✔✔When the director of nursing makes an effective policy decision without consulting
the administrator, that impacts all nursing personnel, the administrator should ______ -
✔✔Be pleased
✔✔In the typical nursing facility, the decision-making process is _______ establishment
of lower, middle, and upper levels of management. - ✔✔Noticeably more complicated
than the simple
✔✔Among the following positions the _____has no authority to make decisions for the
facility. - ✔✔Assitant to the Administrator
✔✔Decisions made by persons on the staff to whom the administrator has deligated line
authority are, in the final analysis, regaurded as decisions by ______. - ✔✔The
administrator
✔✔When a nurse practitioner, who is more highly qualified than the director of nursing,
gives orders in the hallways, the director of nursing should feel _______ -
✔✔Undermined
2025/2026 QUESTIONS WITH SOLUTIONS GRADED A+
✔✔The long term care sector receiving increased funding and attention from the federal
government is the ________________. - ✔✔Home health care sector
✔✔The concept that nursing homes should be reimbursed by states for their actual
costs was part of the _______ - ✔✔Hatch Amendment
✔✔The intense health care cost-shifting efforts among providers such as Medicare,
Medicaid and local governments is _____________ - ✔✔Likely to continue
✔✔Worried about the level of actual resident care being achieved in the facility, the
administrator directs the nurses to spend less time charting and more time focusing on
the effeciveness of care being given to residents. The likely result will be ________ -
✔✔Better resident care, possible increase in deficiency citations
✔✔The new social worker informs the head of nursing that admissions is all she has
time for and that nursing must monitor and document each resident's socipsychological
experience. - ✔✔Responding appropriately to priorities
✔✔Attempting to find the right person for each well-defined job is known as the
management function of __________ - ✔✔
✔✔The administrator who takes steps that insure the goals are accomplished and that
each job is done as planned is successfully ______________ - ✔✔Controlling quality
✔✔The administrators' job is to assure that the ________employees do the tasks of the
organization at an acceptable quality level. - ✔✔Appropriate
✔✔The administrator who conducts a national search for a director of nursing position
and interviews 20 candidates from 7 different surrounding states by phone is engaged
in the managerial function of ______ - ✔✔Staffing
✔✔Corporate sends a directiveto its flagship facility administrator, directing the
administrator's attention more towards outcome of resident care than cost of resudent
care during the coming 12 months. Corporate is more concerned with ______than with
_____. - ✔✔Effectiveness/efficiency
✔✔The long-term care receiving increased funding and attention from the federal
government is the _______. - ✔✔Home health care sector
,✔✔The concept that nursing homes should be reimbursed by states for their actual cost
was part of the _____. - ✔✔Hatch Amendment
✔✔The intense health care costshifting efforts among providers such as Medicare,
Medicaid, and local governments is ____. - ✔✔Likely to continue
✔✔Worried about the level of actual resident care achieved in the facility, the
administrator directs the nurse to spend less time charting and more time focusing on
the effectiveness of care being given to the residents. The likely result will be___ -
✔✔Better resident care, but increased deficiency citatons
✔✔The new social worker informs the head of nursing that the admissions is all she has
time for and that nursing must monitor and document each resident's socipsychological
experiences. The new social worker is _____ - ✔✔Responding appropriately to prorities
✔✔Attempting to find the right person for each well-defined job is known as the
managementfunction
______ - ✔✔Staffing
✔✔The administrator who takes steps that assures the goals are accomplished and that
each job as planned is successful __ - ✔✔Controlling quality
✔✔The administrator's job is to assure that the ____employees do the task of the
organization at an acceptable quality level. - ✔✔Appropriate
✔✔The administrator who conducts a national serch for a director of nursing position
and interviews 20 candidates from 7 different surrounding states by phone is engaged
inthe managerial function of ______ - ✔✔Staffing
✔✔In the end, it can be said that the administrator's responsiblity to meet resident care
needs and facility needs ae ______ - ✔✔Both are equal
✔✔Superior performance depends on taking exceptional care of residents via superior
service and _____ - ✔✔Constant innovations
✔✔Superior performance for a nursing facility comes through __ - ✔✔Innovation in
ways to serve residents
✔✔The supeb nursingb facility is supurb by virtue of its ____ - ✔✔Success in serving
the residents
✔✔Answering the phones and resident call bells with common courtesy and doing
things that work are examples of ______ - ✔✔A blind flash of the obvious
, ✔✔Giving every employee the space to innovate at least a little; listening to residents
and acting on their ideas; and wandering around with residents, staff, and suppliers are
examples of the different-to-achieve ________ - ✔✔Common sense, obvious
✔✔In a facility of 120 beds, the administrator ____personally performs each of the
management tasks. - ✔✔Need not
✔✔To assure that all the management tasks are successfully accomplished, the
administrator of a 120-bed facility will typically divide management into _____ -
✔✔Three layers
✔✔A licensed person responsible for formulating and enforcing policies that will be
applied to an entire facility is thought of as a/an ____ - ✔✔Upper-level manager
✔✔The staff member responsible for reporting to upper-level management and at the
same time interacting significantly with several lower-level managers is the ______ -
✔✔Director of Nursing
✔✔The staff person for whom both upward and downward communication skills are
most neccessary is the ____ - ✔✔Director of nursing
✔✔When the director of nursing makes an effective policy decision without consulting
the administrator, that impacts all nursing personnel, the administrator should ______ -
✔✔Be pleased
✔✔In the typical nursing facility, the decision-making process is _______ establishment
of lower, middle, and upper levels of management. - ✔✔Noticeably more complicated
than the simple
✔✔Among the following positions the _____has no authority to make decisions for the
facility. - ✔✔Assitant to the Administrator
✔✔Decisions made by persons on the staff to whom the administrator has deligated line
authority are, in the final analysis, regaurded as decisions by ______. - ✔✔The
administrator
✔✔When a nurse practitioner, who is more highly qualified than the director of nursing,
gives orders in the hallways, the director of nursing should feel _______ -
✔✔Undermined
