Kentucky Nursing Home Administrator Exam
(NHA) Test Bank – 200 Complete Q&As with
Detailed Rationales (Latest Update)
Question 1
Under Kentucky Administrative Regulation 902 KAR 20:003, what is the maximum
allowable time frame for the governing body or licensee to report a change in the facility's
designated Nursing Home Administrator to the Cabinet for Health and Family Services?
A) 24 hours
B) 72 hours
C) 10 calendar days
D) 30 calendar days
,VERIFIED ANSWER: C) 10 calendar days
EXPLANATION: Kentucky licensure standards under 902 KAR 20:003 explicitly require
that any change in the administrative leadership, specifically the appointment or
replacement of the licensed Nursing Home Administrator, must be reported in writing to
the Cabinet within 10 calendar days to maintain valid operational licensure status.
Question 2
According to federal Centers for Medicare & Medicaid Services (CMS) Requirements of
Participation, the baseline care plan for a newly admitted resident must be developed within
how many hours of the resident’s admission?
A) 24 hours
B) 48 hours
C) 72 hours
D) 96 hours
VERIFIED ANSWER: B) 48 hours
EXPLANATION: Federal CMS mandates state that a facility must develop and implement
a baseline care plan for a resident within 48 hours of their admission. This plan must
include the minimum healthcare necessary to meet the resident's immediate needs,
covering instructions on medications, dietary needs, therapy services, and safeguarding
against decline.
Question 3
In the state of Kentucky, if a long-term care facility chooses to maintain a temporary holding
or storage area for deceased residents, the physical plant regulations mandate that this room
must be equipped with which of the following?
A) Independent mechanical ventilation exhausting directly to the outside
B) A minimum temperature control maintained at exactly 32 degrees Fahrenheit
C) An automated overhead chemical suppression system
D) Transparent view panels for immediate hallway inspection
VERIFIED ANSWER: A) Independent mechanical ventilation exhausting directly to the
outside
EXPLANATION: Kentucky state healthcare facility specifications require that holding
rooms or morgue areas within skilled nursing facilities maintain a negative air pressure
,environment with dedicated mechanical ventilation that exhausts directly to the exterior of
the building to prevent odor and pathogen migration into resident care corridors.
Question 4
Under the federal Resident Rights provisions of the Social Security Act, a nursing facility
must notify the resident and their designated representative at least 30 days prior to an
involuntary discharge. Which of the following conditions allows a facility to bypass the 30-
day notice and execute an immediate emergency transfer?
A) The resident has failed to pay their private room co-pay for two consecutive billing cycles.
B) The resident's behavior poses an immediate, documented danger to the health and safety
of themselves or other individuals in the facility.
C) The facility decides to convert the resident’s wing into a specialized memory care unit.
D) The resident’s primary care physician retires and can no longer conduct routine visits.
VERIFIED ANSWER: B) The resident's behavior poses an immediate, documented
danger to the health and safety of themselves or other individuals in the facility.
EXPLANATION: Exceptions to the 30-day advance notice rule for involuntary discharge
are strictly defined by CMS. They include situations where the safety or health of
individuals in the facility would be endangered, the resident's health has improved
sufficiently so they no longer need nursing home care, or an urgent acute medical
condition requires immediate clinical stabilization elsewhere.
Question 5
When reviewing the financial operations of a Kentucky skilled nursing facility, which
financial statement provides an administrative overview of the facility's revenues, expenses,
and net income over a specific, defined reporting period?
A) The Balance Sheet
B) The Statement of Cash Flows
C) The Income Statement (Profit and Loss)
D) The Capital Expenditures Ledger
VERIFIED ANSWER: C) The Income Statement (Profit and Loss)
EXPLANATION: The Income Statement tracks a facility’s operating performance over a
specified duration (e.g., monthly, quarterly, annually) by subtracting total operating
expenses and losses from total revenues to yield the net income or loss, serving as a
primary tool for operational expense control.
, Question 6
Under the National Fire Protection Association (NFPA) 101 Life Safety Code standards
adopted by CMS, what is the maximum allowable travel distance from any point in a resident
room corridor to an exit access door in a fully sprinklered, smoke-compartmentalized nursing
home zone?
A) 100 feet
B) 150 feet
C) 200 feet
D) 250 feet
VERIFIED ANSWER: C) 200 feet
EXPLANATION: NFPA 101 Life Safety Code regulations dictate that in a health care
occupancy protected throughout by an approved, supervised automatic sprinkler system,
the travel distance between any room door and an exit access shall not exceed 200 feet.
Question 7
A facility’s Quality Assurance and Performance Improvement (QAPI) committee identifies
an elevated rate of medication administration errors on the night shift. According to CMS
regulations, who are the minimum legally required participants who must attend and govern
the Quality Assessment and Assurance committee?
A) The Administrator, Director of Nursing, a Medical Director designated physician, and at
least three other facility staff members.
B) The Administrator, the Chief Financial Officer, and the Director of Environmental
Services.
C) The Director of Nursing, the Consultant Pharmacist, and a representative from the local
Ombudsman office.
D) The Medical Director, the Social Services Director, and the Activities Coordinator.
VERIFIED ANSWER: A) The Administrator, Director of Nursing, a Medical Director
designated physician, and at least three other facility staff members.
EXPLANATION: CMS mandates that the Quality Assessment and Assurance committee
must include the Director of Nursing, a physician designated by the facility (typically the
Medical Director), the Administrator, and at least three other members of the facility's
staff, ensuring an interdisciplinary approach to systemic risk management.
(NHA) Test Bank – 200 Complete Q&As with
Detailed Rationales (Latest Update)
Question 1
Under Kentucky Administrative Regulation 902 KAR 20:003, what is the maximum
allowable time frame for the governing body or licensee to report a change in the facility's
designated Nursing Home Administrator to the Cabinet for Health and Family Services?
A) 24 hours
B) 72 hours
C) 10 calendar days
D) 30 calendar days
,VERIFIED ANSWER: C) 10 calendar days
EXPLANATION: Kentucky licensure standards under 902 KAR 20:003 explicitly require
that any change in the administrative leadership, specifically the appointment or
replacement of the licensed Nursing Home Administrator, must be reported in writing to
the Cabinet within 10 calendar days to maintain valid operational licensure status.
Question 2
According to federal Centers for Medicare & Medicaid Services (CMS) Requirements of
Participation, the baseline care plan for a newly admitted resident must be developed within
how many hours of the resident’s admission?
A) 24 hours
B) 48 hours
C) 72 hours
D) 96 hours
VERIFIED ANSWER: B) 48 hours
EXPLANATION: Federal CMS mandates state that a facility must develop and implement
a baseline care plan for a resident within 48 hours of their admission. This plan must
include the minimum healthcare necessary to meet the resident's immediate needs,
covering instructions on medications, dietary needs, therapy services, and safeguarding
against decline.
Question 3
In the state of Kentucky, if a long-term care facility chooses to maintain a temporary holding
or storage area for deceased residents, the physical plant regulations mandate that this room
must be equipped with which of the following?
A) Independent mechanical ventilation exhausting directly to the outside
B) A minimum temperature control maintained at exactly 32 degrees Fahrenheit
C) An automated overhead chemical suppression system
D) Transparent view panels for immediate hallway inspection
VERIFIED ANSWER: A) Independent mechanical ventilation exhausting directly to the
outside
EXPLANATION: Kentucky state healthcare facility specifications require that holding
rooms or morgue areas within skilled nursing facilities maintain a negative air pressure
,environment with dedicated mechanical ventilation that exhausts directly to the exterior of
the building to prevent odor and pathogen migration into resident care corridors.
Question 4
Under the federal Resident Rights provisions of the Social Security Act, a nursing facility
must notify the resident and their designated representative at least 30 days prior to an
involuntary discharge. Which of the following conditions allows a facility to bypass the 30-
day notice and execute an immediate emergency transfer?
A) The resident has failed to pay their private room co-pay for two consecutive billing cycles.
B) The resident's behavior poses an immediate, documented danger to the health and safety
of themselves or other individuals in the facility.
C) The facility decides to convert the resident’s wing into a specialized memory care unit.
D) The resident’s primary care physician retires and can no longer conduct routine visits.
VERIFIED ANSWER: B) The resident's behavior poses an immediate, documented
danger to the health and safety of themselves or other individuals in the facility.
EXPLANATION: Exceptions to the 30-day advance notice rule for involuntary discharge
are strictly defined by CMS. They include situations where the safety or health of
individuals in the facility would be endangered, the resident's health has improved
sufficiently so they no longer need nursing home care, or an urgent acute medical
condition requires immediate clinical stabilization elsewhere.
Question 5
When reviewing the financial operations of a Kentucky skilled nursing facility, which
financial statement provides an administrative overview of the facility's revenues, expenses,
and net income over a specific, defined reporting period?
A) The Balance Sheet
B) The Statement of Cash Flows
C) The Income Statement (Profit and Loss)
D) The Capital Expenditures Ledger
VERIFIED ANSWER: C) The Income Statement (Profit and Loss)
EXPLANATION: The Income Statement tracks a facility’s operating performance over a
specified duration (e.g., monthly, quarterly, annually) by subtracting total operating
expenses and losses from total revenues to yield the net income or loss, serving as a
primary tool for operational expense control.
, Question 6
Under the National Fire Protection Association (NFPA) 101 Life Safety Code standards
adopted by CMS, what is the maximum allowable travel distance from any point in a resident
room corridor to an exit access door in a fully sprinklered, smoke-compartmentalized nursing
home zone?
A) 100 feet
B) 150 feet
C) 200 feet
D) 250 feet
VERIFIED ANSWER: C) 200 feet
EXPLANATION: NFPA 101 Life Safety Code regulations dictate that in a health care
occupancy protected throughout by an approved, supervised automatic sprinkler system,
the travel distance between any room door and an exit access shall not exceed 200 feet.
Question 7
A facility’s Quality Assurance and Performance Improvement (QAPI) committee identifies
an elevated rate of medication administration errors on the night shift. According to CMS
regulations, who are the minimum legally required participants who must attend and govern
the Quality Assessment and Assurance committee?
A) The Administrator, Director of Nursing, a Medical Director designated physician, and at
least three other facility staff members.
B) The Administrator, the Chief Financial Officer, and the Director of Environmental
Services.
C) The Director of Nursing, the Consultant Pharmacist, and a representative from the local
Ombudsman office.
D) The Medical Director, the Social Services Director, and the Activities Coordinator.
VERIFIED ANSWER: A) The Administrator, Director of Nursing, a Medical Director
designated physician, and at least three other facility staff members.
EXPLANATION: CMS mandates that the Quality Assessment and Assurance committee
must include the Director of Nursing, a physician designated by the facility (typically the
Medical Director), the Administrator, and at least three other members of the facility's
staff, ensuring an interdisciplinary approach to systemic risk management.
