Texas State Nursing Home Administrator
Test Exam 2026 Questions and Answers
Graded A+
Medicaid specific requirements apply to? - Correct answer-All residents, including,
but not limited to private-pay. Medicaid applicants and recipients, VA patients, and
Medicare recipients, who are admitted to and reside in a Medicaid certified facility
or a Medicaid-certified distinct part of a facility. These requirements do not apply
to SNFs licensed under the Health and Safety Code Chapter 241, participating only
in the Medicare program
Abuse - Correct answer-Negligent or willful infliction of injury, unreasonable
confinement, intimidation, or punishment with resulting physical or emotional
harm or pain to a resident; or sexual abuse, including involuntary or nonconsensual
sexual conduct that would constitute an offense under Penal Code §21.08 (indecent
exposure) or Penal Code Chapter 22 (assaultive offenses), sexual harassment,
sexual coercion, or sexual assault.
Act - Correct answer-Chapter 242 of the Texas Health and Safety Code.
,Admission MDS assessment - Correct answer-An MDS assessment that determines
a recipient's initial determination of eligibility for medical necessity for admission
into the Texas Medicaid Nursing Facility Program.
Advanced practice registered nurse - Correct answer-A person licensed by the
Texas Board of Nursing as an advanced practice registered nurse.
Agent - Correct answer-An adult to whom authority to make health care decisions
is delegated under a durable power of attorney for health care.
APA - Correct answer-The Administrative Procedure Act, Texas Government
Code, Chapter 2001.
Attending physician - Correct answer-A physician, currently licensed by the Texas
Medical Board, who is designated by the resident or responsible party as having
primary responsibility for the treatment and care of the resident.
Authorized electronic monitoring - Correct answer-The placement of an electronic
monitoring device in a resident's room and using the device to make tapes or
recordings after making a request to the facility to allow electronic monitoring.
Barrier precautions - Correct answer-Precautions including the use of gloves,
masks, gowns, resuscitation equipment, eye protectors, aprons, face shields, and
protective clothing for purposes of infection control.
,Care and treatment - Correct answer-Services required to maximize resident
independence, personal choice, participation, health, self-care, psychosocial
functioning and reasonable safety, all consistent with the preferences of the
resident.
Certification - Correct answer-The determination by HHSC that a nursing facility
meets all the requirements of the Medicaid or Medicare programs.
Change of ownership - Correct answer-An event that results in a change to the
federal taxpayer identification number of the license holder of a facility. The
substitution of a personal representative for a deceased license holder is not a
change of ownership.
CFR - Correct answer-Code of Federal Regulations.
Complaint - Correct answer-Any allegation received by HHSC other than an
incident reported by the facility. Such allegations include, but are not limited to,
abuse, neglect, exploitation, or violation of state or federal standards.
Completion date - Correct answer-The date an RN assessment coordinator signs an
MDS assessment as complete.
Comprehensive assessment - Correct answer-An interdisciplinary description of a
resident's needs and capabilities including daily life functions and significant
impairments of functional capacity.
, Comprehensive care plan - Correct answer-A plan of care prepared by an
interdisciplinary team that includes measurable short-term and long-term
objectives and timetables to meet the resident's needs developed for each resident
after admission. The plan addresses at least the following needs: medical, nursing,
rehabilitative, psychosocial, dietary, activity, and resident's rights. The plan
includes strategies developed by the team, consistent with the physician's
prescribed plan of care, to assist the resident in eliminating, managing, or
alleviating health or psychosocial problems identified through assessment.
Comprehensive Care Plan includes? - Correct answer-(A) goal setting;
(B) establishing priorities for management of care;
(C) making decisions about specific measures to be used to resolve the resident's
problems; and
(D) assisting in the development of appropriate coping mechanisms.
Covert electronic monitoring - Correct answer-The placement and use of an
electronic monitoring device that is not open and obvious, and the facility and
HHSC have not been informed about the device by the resident, by a person who
placed the device in the room, or by a person who uses the device.
DADS - Correct answer-The term referred to the Department of Aging and
Disability Services; it now refers to HHSC.
Test Exam 2026 Questions and Answers
Graded A+
Medicaid specific requirements apply to? - Correct answer-All residents, including,
but not limited to private-pay. Medicaid applicants and recipients, VA patients, and
Medicare recipients, who are admitted to and reside in a Medicaid certified facility
or a Medicaid-certified distinct part of a facility. These requirements do not apply
to SNFs licensed under the Health and Safety Code Chapter 241, participating only
in the Medicare program
Abuse - Correct answer-Negligent or willful infliction of injury, unreasonable
confinement, intimidation, or punishment with resulting physical or emotional
harm or pain to a resident; or sexual abuse, including involuntary or nonconsensual
sexual conduct that would constitute an offense under Penal Code §21.08 (indecent
exposure) or Penal Code Chapter 22 (assaultive offenses), sexual harassment,
sexual coercion, or sexual assault.
Act - Correct answer-Chapter 242 of the Texas Health and Safety Code.
,Admission MDS assessment - Correct answer-An MDS assessment that determines
a recipient's initial determination of eligibility for medical necessity for admission
into the Texas Medicaid Nursing Facility Program.
Advanced practice registered nurse - Correct answer-A person licensed by the
Texas Board of Nursing as an advanced practice registered nurse.
Agent - Correct answer-An adult to whom authority to make health care decisions
is delegated under a durable power of attorney for health care.
APA - Correct answer-The Administrative Procedure Act, Texas Government
Code, Chapter 2001.
Attending physician - Correct answer-A physician, currently licensed by the Texas
Medical Board, who is designated by the resident or responsible party as having
primary responsibility for the treatment and care of the resident.
Authorized electronic monitoring - Correct answer-The placement of an electronic
monitoring device in a resident's room and using the device to make tapes or
recordings after making a request to the facility to allow electronic monitoring.
Barrier precautions - Correct answer-Precautions including the use of gloves,
masks, gowns, resuscitation equipment, eye protectors, aprons, face shields, and
protective clothing for purposes of infection control.
,Care and treatment - Correct answer-Services required to maximize resident
independence, personal choice, participation, health, self-care, psychosocial
functioning and reasonable safety, all consistent with the preferences of the
resident.
Certification - Correct answer-The determination by HHSC that a nursing facility
meets all the requirements of the Medicaid or Medicare programs.
Change of ownership - Correct answer-An event that results in a change to the
federal taxpayer identification number of the license holder of a facility. The
substitution of a personal representative for a deceased license holder is not a
change of ownership.
CFR - Correct answer-Code of Federal Regulations.
Complaint - Correct answer-Any allegation received by HHSC other than an
incident reported by the facility. Such allegations include, but are not limited to,
abuse, neglect, exploitation, or violation of state or federal standards.
Completion date - Correct answer-The date an RN assessment coordinator signs an
MDS assessment as complete.
Comprehensive assessment - Correct answer-An interdisciplinary description of a
resident's needs and capabilities including daily life functions and significant
impairments of functional capacity.
, Comprehensive care plan - Correct answer-A plan of care prepared by an
interdisciplinary team that includes measurable short-term and long-term
objectives and timetables to meet the resident's needs developed for each resident
after admission. The plan addresses at least the following needs: medical, nursing,
rehabilitative, psychosocial, dietary, activity, and resident's rights. The plan
includes strategies developed by the team, consistent with the physician's
prescribed plan of care, to assist the resident in eliminating, managing, or
alleviating health or psychosocial problems identified through assessment.
Comprehensive Care Plan includes? - Correct answer-(A) goal setting;
(B) establishing priorities for management of care;
(C) making decisions about specific measures to be used to resolve the resident's
problems; and
(D) assisting in the development of appropriate coping mechanisms.
Covert electronic monitoring - Correct answer-The placement and use of an
electronic monitoring device that is not open and obvious, and the facility and
HHSC have not been informed about the device by the resident, by a person who
placed the device in the room, or by a person who uses the device.
DADS - Correct answer-The term referred to the Department of Aging and
Disability Services; it now refers to HHSC.
