CALIFORNIA NURSING HOME ADMINISTRATOR LICENSE EXAM – PRACTICE
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF.
*CORE DOMAINS*
*Resident Care and Quality of Life*
*Human Resources Management*
*Finance and Business Management*
*Physical Environment and Safety*
*Leadership and Governance*
*California Title 22 State Regulations*
*Federal OBRA and CMS Compliance*
*Legal and Ethical Standards*
*INTRODUCTION*
*This comprehensive practice assessment is designed to prepare candidates for
rigorous California Nursing Home Administrator License Exam. The purpose of th
evaluation is to ensure that prospective administrators possess the specialize
knowledge required to manage long-term care facilities effectively and safely.
The exam assesses critical skills in regulatory compliance, financial oversigh
and clinical leadership. Utilizing a mix of multiple-choice and scenario-based
questions, the assessment emphasizes real-world application and ethical
decision-making. Candidates must demonstrate the ability to navigate complex
administrative challenges while prioritizing resident dignity, safety, and
high-quality clinical outcomes in accordance with state and federal laws.*
SECTION ONE: QUESTIONS 1–100
1. Under California Title 22, what is the minimum number of hours of nursing care
that must be provided per patient day in a skilled nursing facility?
,A. 2.8 hours
B. 3.2 hours
C. 3.5 hours
D. 4.1 hours
🟢 C. 3.5 hours
🔴 RATIONALE: California health and safety codes and Title 22 regulations specifically
mandate a minimum of 3.5 nursing hours per patient day (nhppd) to ensure adequate
resident care.
2. Which of the following documents must be provided to a resident at the time of
admission regarding their financial rights?
A. A copy of the facility's most recent tax return
B. An itemized list of all services not covered by the daily rate
C. A list of all employees' home addresses
D. The administrator’s personal cell phone number
🟢 B. An itemized list of all services not covered by the daily rate
🔴 RATIONALE: Residents must be fully informed of all potential charges and financial
obligations prior to or at the time of admission to prevent unexpected billing.
3. A resident is observed with a Stage II pressure ulcer. According to federal
regulations, the facility must demonstrate that the ulcer:
A. Was unavoidable despite clinical assessment and interventions
B. Was caused by the resident's refusal to eat
,C. Is a normal part of the aging process
D. Was treated only with over-the-counter ointments
🟢 A. Was unavoidable despite clinical assessment and interventions
🔴 RATIONALE: CMS regulations require facilities to show that they performed proper
assessment and implemented necessary interventions to prevent ulcers, labeling them
"unavoidable" only if all standards of care were met.
4. When a facility receives a "Class AA" citation from the California Department of
Public Health (CDPH), it means:
A. A minor paperwork error was found
B. A violation led to the death of a resident
C. The facility is being awarded for excellence
D. A staff member was late for a shift
🟢 B. A violation led to the death of a resident
🔴 RATIONALE: Class AA citations are the most severe penalties in California, issued
when a violation of state regulations is determined to be a direct proximate cause of a
resident's death.
5. Which financial statement reports the assets, liabilities, and equity of a facility at
a specific point in time?
A. Income Statement
B. Cash Flow Statement
C. Balance Sheet
D. Profit and Loss Statement
, 🟢 C. Balance Sheet
🔴 RATIONALE: The Balance Sheet provides a "snapshot" of the facility’s financial
position, showing the relationship between what is owned (assets) and what is owed
(liabilities).
6. According to the Life Safety Code, how often must a facility conduct fire drills for
each shift?
A. Monthly
B. Quarterly
C. Semi-annually
D. Annually
🟢 B. Quarterly
🔴 RATIONALE: Federal and state fire safety regulations require fire drills to be
conducted quarterly for each shift to ensure all staff members are prepared for
emergencies.
7. A resident wishes to review their medical records. According to resident rights,
the facility must provide access to these records within:
A. 24 hours
B. 48 hours
C. 72 hours
D. 7 days
🟢 A. 24 hours
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF.
*CORE DOMAINS*
*Resident Care and Quality of Life*
*Human Resources Management*
*Finance and Business Management*
*Physical Environment and Safety*
*Leadership and Governance*
*California Title 22 State Regulations*
*Federal OBRA and CMS Compliance*
*Legal and Ethical Standards*
*INTRODUCTION*
*This comprehensive practice assessment is designed to prepare candidates for
rigorous California Nursing Home Administrator License Exam. The purpose of th
evaluation is to ensure that prospective administrators possess the specialize
knowledge required to manage long-term care facilities effectively and safely.
The exam assesses critical skills in regulatory compliance, financial oversigh
and clinical leadership. Utilizing a mix of multiple-choice and scenario-based
questions, the assessment emphasizes real-world application and ethical
decision-making. Candidates must demonstrate the ability to navigate complex
administrative challenges while prioritizing resident dignity, safety, and
high-quality clinical outcomes in accordance with state and federal laws.*
SECTION ONE: QUESTIONS 1–100
1. Under California Title 22, what is the minimum number of hours of nursing care
that must be provided per patient day in a skilled nursing facility?
,A. 2.8 hours
B. 3.2 hours
C. 3.5 hours
D. 4.1 hours
🟢 C. 3.5 hours
🔴 RATIONALE: California health and safety codes and Title 22 regulations specifically
mandate a minimum of 3.5 nursing hours per patient day (nhppd) to ensure adequate
resident care.
2. Which of the following documents must be provided to a resident at the time of
admission regarding their financial rights?
A. A copy of the facility's most recent tax return
B. An itemized list of all services not covered by the daily rate
C. A list of all employees' home addresses
D. The administrator’s personal cell phone number
🟢 B. An itemized list of all services not covered by the daily rate
🔴 RATIONALE: Residents must be fully informed of all potential charges and financial
obligations prior to or at the time of admission to prevent unexpected billing.
3. A resident is observed with a Stage II pressure ulcer. According to federal
regulations, the facility must demonstrate that the ulcer:
A. Was unavoidable despite clinical assessment and interventions
B. Was caused by the resident's refusal to eat
,C. Is a normal part of the aging process
D. Was treated only with over-the-counter ointments
🟢 A. Was unavoidable despite clinical assessment and interventions
🔴 RATIONALE: CMS regulations require facilities to show that they performed proper
assessment and implemented necessary interventions to prevent ulcers, labeling them
"unavoidable" only if all standards of care were met.
4. When a facility receives a "Class AA" citation from the California Department of
Public Health (CDPH), it means:
A. A minor paperwork error was found
B. A violation led to the death of a resident
C. The facility is being awarded for excellence
D. A staff member was late for a shift
🟢 B. A violation led to the death of a resident
🔴 RATIONALE: Class AA citations are the most severe penalties in California, issued
when a violation of state regulations is determined to be a direct proximate cause of a
resident's death.
5. Which financial statement reports the assets, liabilities, and equity of a facility at
a specific point in time?
A. Income Statement
B. Cash Flow Statement
C. Balance Sheet
D. Profit and Loss Statement
, 🟢 C. Balance Sheet
🔴 RATIONALE: The Balance Sheet provides a "snapshot" of the facility’s financial
position, showing the relationship between what is owned (assets) and what is owed
(liabilities).
6. According to the Life Safety Code, how often must a facility conduct fire drills for
each shift?
A. Monthly
B. Quarterly
C. Semi-annually
D. Annually
🟢 B. Quarterly
🔴 RATIONALE: Federal and state fire safety regulations require fire drills to be
conducted quarterly for each shift to ensure all staff members are prepared for
emergencies.
7. A resident wishes to review their medical records. According to resident rights,
the facility must provide access to these records within:
A. 24 hours
B. 48 hours
C. 72 hours
D. 7 days
🟢 A. 24 hours
