Nursing Home Administrator Licensure
Exam Review UPDATED ACTUAL Exam
Questions and CORRECT Answers
National Exam - CORRECT ANSWER - This is a timed exam. You have exactly 3 hours to
complete the exam.
OBRA 1987 - CORRECT ANSWER - Per OBRA 1987, the comprehensive assessment was
completed late, timely, within the grace period, or in accordance with OBRA 1987.
Legal Responsibility - CORRECT ANSWER - The nursing home administrator has ultimate
legal responsibility for the operation of a nursing facility.
Air Temperature Measurement - CORRECT ANSWER - Per OBRA 1987, air temperature is
measured at ceiling level, at level with the thermostat control box, just above the floor, or 18
inches below the ceiling.
Family Medical Leave Act - CORRECT ANSWER - The Family Medical Leave Act requires
employers to give workers time off for illness or to care for a sick family member.
Governing Body - CORRECT ANSWER - The governing body hires, supervises and can fire
the administrator.
Director of Nursing Certification - CORRECT ANSWER - The administrator discovers the
Director of Nursing has been giving nursing aides 6 months to complete their state certification
requirements.
Incompetent Individual Rights - CORRECT ANSWER - The rights of an individual
determined by a court to be incompetent would be exercised by an attorney in fact, a person
appointed by a court or court guardian, durable power of attorney, or ombudsman.
,Family Leave Request - CORRECT ANSWER - The maintenance director submitted a
request for family leave to care for his ailing mother. He has worked 1,350 hours in the nine
months he has worked for the facility.
FMLA Eligibility - CORRECT ANSWER - The administrator should inform the maintenance
director he must have worked 12 months to be eligible for FMLA.
Resident Record Review - CORRECT ANSWER - Per OBRA 1987, a resident has the right to
review all their records within 24 hours of an oral or written request (excluding weekends and
holidays).
Comprehensive Assessment Completion - CORRECT ANSWER - The comprehensive
assessment was completed on June 1.
FMLA - CORRECT ANSWER - Taking care of an ill parent is not covered under the FMLA.
OBRA 1987 Resident Rights - CORRECT ANSWER - A resident has the right to review all
their records within 24 hours of an oral or written request (excluding weekends and holidays).
Care Plan Completion - CORRECT ANSWER - The care plan was completed on June 6th.
Care Plan Timeliness - CORRECT ANSWER - The care plan was completed timely.
Care Plan Compliance - CORRECT ANSWER - The care plan was completed out of
compliance with OBRA 1987.
Grace Period - CORRECT ANSWER - The care plan was completed within the grace period.
Comprehensive Assessment Signature - CORRECT ANSWER - The comprehensive
assessment must be signed by the MDS Coordinator.
,Legal Responsibility of Skilled Nursing Home - CORRECT ANSWER - The governing body
has legal responsibility for the day-to-day operation of a skilled nursing home.
Nursing Program Management - CORRECT ANSWER - The Director of Nursing is
responsible for the day-to-day management of the facility's nursing program.
CMS - CORRECT ANSWER - CMS stands for Centers for Medicaid and Medicare Services.
HHS - CORRECT ANSWER - HHS stands for Health and Human Services.
Quality Assurance Committee Meeting Dates - CORRECT ANSWER - The committee met
the second Tuesday on January 7, 2007, June 21, 2007, and November 15, 2007.
Resident Rights Violations - CORRECT ANSWER - A resident was only given lunch that day,
was given the wrong medication in the morning, had her room changed without notification and
was not given a bath as requested. Per OBRA 1987, 4 resident rights were violated.
Physician Visits Compliance - CORRECT ANSWER - The facility was out of compliance and
would be cited for physician visits.
Facility Policy Responsibility - CORRECT ANSWER - The governing body has legal
responsibility to adopt and implement facility policies.
Physician Visit Documentation - CORRECT ANSWER - The attending physician charted a
visit and physical examination of the resident on June 27, July 29, Sept 4, and November 17,
2007.
Physician Visit Compliance - CORRECT ANSWER - Per OBRA 1987, the facility complied
with required physician visits.
, State Surveyor Compliance Check - CORRECT ANSWER - The facility was out of
compliance and would be cited for not providing a written list of physicians in the admission
packet.
Housekeeper Protocol - CORRECT ANSWER - The housekeeper should be cautious and
respect the resident's privacy before entering the room.
Total Quality Management (TQM) - CORRECT ANSWER - The most comprehensive and
effective improvement model.
Health Care Financing Authority (HCFA) - CORRECT ANSWER - An organization that
oversees health care financing.
Nursing Department - CORRECT ANSWER - Responsible for preparing and serving
nutritious meals under sanitary conditions.
Dietary Department - CORRECT ANSWER - Responsible for preparing and serving
nutritious meals under sanitary conditions.
Administration Department - CORRECT ANSWER - Responsible for preparing and serving
nutritious meals under sanitary conditions.
Elevated furniture requirement - CORRECT ANSWER - All furniture, equipment, boxes and
supplies must be elevated 6 inches above the floor to allow the floor directly underneath to be
cleaned.
Minimum length of telephone cords - CORRECT ANSWER - Telephone cords must be a
minimum length of 12 inches.
Quality of life focus - CORRECT ANSWER - The resident's quality of life and physical
condition is the focus of: Structure, Process, Outcomes, All of the above.
Exam Review UPDATED ACTUAL Exam
Questions and CORRECT Answers
National Exam - CORRECT ANSWER - This is a timed exam. You have exactly 3 hours to
complete the exam.
OBRA 1987 - CORRECT ANSWER - Per OBRA 1987, the comprehensive assessment was
completed late, timely, within the grace period, or in accordance with OBRA 1987.
Legal Responsibility - CORRECT ANSWER - The nursing home administrator has ultimate
legal responsibility for the operation of a nursing facility.
Air Temperature Measurement - CORRECT ANSWER - Per OBRA 1987, air temperature is
measured at ceiling level, at level with the thermostat control box, just above the floor, or 18
inches below the ceiling.
Family Medical Leave Act - CORRECT ANSWER - The Family Medical Leave Act requires
employers to give workers time off for illness or to care for a sick family member.
Governing Body - CORRECT ANSWER - The governing body hires, supervises and can fire
the administrator.
Director of Nursing Certification - CORRECT ANSWER - The administrator discovers the
Director of Nursing has been giving nursing aides 6 months to complete their state certification
requirements.
Incompetent Individual Rights - CORRECT ANSWER - The rights of an individual
determined by a court to be incompetent would be exercised by an attorney in fact, a person
appointed by a court or court guardian, durable power of attorney, or ombudsman.
,Family Leave Request - CORRECT ANSWER - The maintenance director submitted a
request for family leave to care for his ailing mother. He has worked 1,350 hours in the nine
months he has worked for the facility.
FMLA Eligibility - CORRECT ANSWER - The administrator should inform the maintenance
director he must have worked 12 months to be eligible for FMLA.
Resident Record Review - CORRECT ANSWER - Per OBRA 1987, a resident has the right to
review all their records within 24 hours of an oral or written request (excluding weekends and
holidays).
Comprehensive Assessment Completion - CORRECT ANSWER - The comprehensive
assessment was completed on June 1.
FMLA - CORRECT ANSWER - Taking care of an ill parent is not covered under the FMLA.
OBRA 1987 Resident Rights - CORRECT ANSWER - A resident has the right to review all
their records within 24 hours of an oral or written request (excluding weekends and holidays).
Care Plan Completion - CORRECT ANSWER - The care plan was completed on June 6th.
Care Plan Timeliness - CORRECT ANSWER - The care plan was completed timely.
Care Plan Compliance - CORRECT ANSWER - The care plan was completed out of
compliance with OBRA 1987.
Grace Period - CORRECT ANSWER - The care plan was completed within the grace period.
Comprehensive Assessment Signature - CORRECT ANSWER - The comprehensive
assessment must be signed by the MDS Coordinator.
,Legal Responsibility of Skilled Nursing Home - CORRECT ANSWER - The governing body
has legal responsibility for the day-to-day operation of a skilled nursing home.
Nursing Program Management - CORRECT ANSWER - The Director of Nursing is
responsible for the day-to-day management of the facility's nursing program.
CMS - CORRECT ANSWER - CMS stands for Centers for Medicaid and Medicare Services.
HHS - CORRECT ANSWER - HHS stands for Health and Human Services.
Quality Assurance Committee Meeting Dates - CORRECT ANSWER - The committee met
the second Tuesday on January 7, 2007, June 21, 2007, and November 15, 2007.
Resident Rights Violations - CORRECT ANSWER - A resident was only given lunch that day,
was given the wrong medication in the morning, had her room changed without notification and
was not given a bath as requested. Per OBRA 1987, 4 resident rights were violated.
Physician Visits Compliance - CORRECT ANSWER - The facility was out of compliance and
would be cited for physician visits.
Facility Policy Responsibility - CORRECT ANSWER - The governing body has legal
responsibility to adopt and implement facility policies.
Physician Visit Documentation - CORRECT ANSWER - The attending physician charted a
visit and physical examination of the resident on June 27, July 29, Sept 4, and November 17,
2007.
Physician Visit Compliance - CORRECT ANSWER - Per OBRA 1987, the facility complied
with required physician visits.
, State Surveyor Compliance Check - CORRECT ANSWER - The facility was out of
compliance and would be cited for not providing a written list of physicians in the admission
packet.
Housekeeper Protocol - CORRECT ANSWER - The housekeeper should be cautious and
respect the resident's privacy before entering the room.
Total Quality Management (TQM) - CORRECT ANSWER - The most comprehensive and
effective improvement model.
Health Care Financing Authority (HCFA) - CORRECT ANSWER - An organization that
oversees health care financing.
Nursing Department - CORRECT ANSWER - Responsible for preparing and serving
nutritious meals under sanitary conditions.
Dietary Department - CORRECT ANSWER - Responsible for preparing and serving
nutritious meals under sanitary conditions.
Administration Department - CORRECT ANSWER - Responsible for preparing and serving
nutritious meals under sanitary conditions.
Elevated furniture requirement - CORRECT ANSWER - All furniture, equipment, boxes and
supplies must be elevated 6 inches above the floor to allow the floor directly underneath to be
cleaned.
Minimum length of telephone cords - CORRECT ANSWER - Telephone cords must be a
minimum length of 12 inches.
Quality of life focus - CORRECT ANSWER - The resident's quality of life and physical
condition is the focus of: Structure, Process, Outcomes, All of the above.
