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FEDERAL NURSING HOME ADMINISTRATOR
EXAM 2026 UPDATED ACTUAL EXAM WITH
CORRECT SOLUTIONS.
1) OBRAasserts some separate committees can be folded into
| | | | | | | |
the quality improvement/assurance committee. Safety,
| | | | |
Pharmacy and which committee below can be added into QA/QI
| | | | | | | | | |
committee? - correct answer- Infection Control
| | | | | |
2) Nursing homes are responsible for obtaining and providing| | | | | | |
dental care for residents. Who usually pays for dental services?
| | | | | | | | | |
- correct answer- The resident or a family member
| | | | | | | |
3) A facility is not allowed to charge a resident who is Medicaid
| | | | | | | | | | |
and Medicare eligible except for: - correct answer- Co-pays
| | | | | | | | |
4) You calculate the average percent of occupancy by: - correct
| | | | | | | | |
answer- Dividing the total census (occupied bed days) by the
| | | | | | | | | |
total number of days, then multiply by 100
| | | | | | | |
5) Resident's rights should be explained to the resident and or | | | | | | | | |
family member: - correct answer- Prior to admission
| | | | | | | |
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6) In case of an emergency, when no attending or back up
| | | | | | | | | |
physician is available, the decision as to who will attend to the
| | | | | | | | | | | |
resident is to be made by the: - correct answer- Administrator
| | | | | | | | | | |
7) Federal law states that facilities must retain menus of food
| | | | | | | | |
actually served for at least: - correct answer- 30 days
| | | | | | | | | |
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
| | | | | | | | | |
request CPR be withheld. What is the right thing to do? - correct
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answer- Provide the CPR
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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? -
| | | | | | | | | | | | |
correct answer- Tell the doctor the law gives the resident the right
| | | | | | | | | | | |
to view the medical records
| | | | |
10) Medical records belong to: - correct answer- Facility | | | | | | |
11) When a resident passes away, the personal funds deposited
| | | | | | | |
with the facility must be given to the resident's estate
| | | | | | | | | |
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with a final accounting of the funds within: - correct answer- 30
| | | | | | | | | | |
days
|
12) The suffix "algia" refers to: - correct answer- Pain
| | | | | | | |
13) Physical restraints must be removed: - correct answer- | | | | | | |
Every two hours
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14) Depression is one of many psychological changes related | | | | | | |
to the aging process. Others include the following except for: -
| | | | | | | | | | |
correct answer- Hearing loss
| | | |
15) "Nosocomal" refers to - correct answer- Infection occurring | | | | | | |
inside the facility (institutionalized)
| | | |
17) A capital budget is mostly about: - correct answer-
| | | | | | | |
Equipment and real estate
| | | |
18) Current debts are debts that are: - correct answer- Due | | | | | | | | |
within one year
| | |
, 4 | Page
| | | | | |
19) A ledger is a complete listing of: - correct answer- Accounts
| | | | | | | | | |
payable and receivable
| | |
20) Which resource usually provides the least revenue for a
| | | | | | | |
nursing home? - correct answer- Insurance
| | | | | |
20) Past due accounts should not exceed: - correct answer- 5%
| | | | | | | | |
21) All of the following are a cash expense except: - correct
| | | | | | | | | |
answer- Depreciation
| |
22) A pro forma is primarily - correct answer- A financial
| | | | | | | | |
statement or prediction
| | |
23) A function of management is controlling, which means: -
| | | | | | | |
correct answer- Measuring outcomes against benchmarks, then
| | | | | | |
responding
|
24) OBRA requires every facility to have: - correct answer- A
| | | | | | | | |
governing body - The Omnibus Reconciliation Act
| | | | | | |
| | | | | |
FEDERAL NURSING HOME ADMINISTRATOR
EXAM 2026 UPDATED ACTUAL EXAM WITH
CORRECT SOLUTIONS.
1) OBRAasserts some separate committees can be folded into
| | | | | | | |
the quality improvement/assurance committee. Safety,
| | | | |
Pharmacy and which committee below can be added into QA/QI
| | | | | | | | | |
committee? - correct answer- Infection Control
| | | | | |
2) Nursing homes are responsible for obtaining and providing| | | | | | |
dental care for residents. Who usually pays for dental services?
| | | | | | | | | |
- correct answer- The resident or a family member
| | | | | | | |
3) A facility is not allowed to charge a resident who is Medicaid
| | | | | | | | | | |
and Medicare eligible except for: - correct answer- Co-pays
| | | | | | | | |
4) You calculate the average percent of occupancy by: - correct
| | | | | | | | |
answer- Dividing the total census (occupied bed days) by the
| | | | | | | | | |
total number of days, then multiply by 100
| | | | | | | |
5) Resident's rights should be explained to the resident and or | | | | | | | | |
family member: - correct answer- Prior to admission
| | | | | | | |
,2 | Page
| | | | | |
6) In case of an emergency, when no attending or back up
| | | | | | | | | |
physician is available, the decision as to who will attend to the
| | | | | | | | | | | |
resident is to be made by the: - correct answer- Administrator
| | | | | | | | | | |
7) Federal law states that facilities must retain menus of food
| | | | | | | | |
actually served for at least: - correct answer- 30 days
| | | | | | | | | |
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
| | | | | | | | | |
request CPR be withheld. What is the right thing to do? - correct
| | | | | | | | | | | | |
answer- Provide the CPR
| | | |
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? -
| | | | | | | | | | | | |
correct answer- Tell the doctor the law gives the resident the right
| | | | | | | | | | | |
to view the medical records
| | | | |
10) Medical records belong to: - correct answer- Facility | | | | | | |
11) When a resident passes away, the personal funds deposited
| | | | | | | |
with the facility must be given to the resident's estate
| | | | | | | | | |
,3 | Page
| | | | | |
with a final accounting of the funds within: - correct answer- 30
| | | | | | | | | | |
days
|
12) The suffix "algia" refers to: - correct answer- Pain
| | | | | | | |
13) Physical restraints must be removed: - correct answer- | | | | | | |
Every two hours
| | |
14) Depression is one of many psychological changes related | | | | | | |
to the aging process. Others include the following except for: -
| | | | | | | | | | |
correct answer- Hearing loss
| | | |
15) "Nosocomal" refers to - correct answer- Infection occurring | | | | | | |
inside the facility (institutionalized)
| | | |
17) A capital budget is mostly about: - correct answer-
| | | | | | | |
Equipment and real estate
| | | |
18) Current debts are debts that are: - correct answer- Due | | | | | | | | |
within one year
| | |
, 4 | Page
| | | | | |
19) A ledger is a complete listing of: - correct answer- Accounts
| | | | | | | | | |
payable and receivable
| | |
20) Which resource usually provides the least revenue for a
| | | | | | | |
nursing home? - correct answer- Insurance
| | | | | |
20) Past due accounts should not exceed: - correct answer- 5%
| | | | | | | | |
21) All of the following are a cash expense except: - correct
| | | | | | | | | |
answer- Depreciation
| |
22) A pro forma is primarily - correct answer- A financial
| | | | | | | | |
statement or prediction
| | |
23) A function of management is controlling, which means: -
| | | | | | | |
correct answer- Measuring outcomes against benchmarks, then
| | | | | | |
responding
|
24) OBRA requires every facility to have: - correct answer- A
| | | | | | | | |
governing body - The Omnibus Reconciliation Act
| | | | | | |