NURSING HOME ADMINISTRATOR EXAM OVERVIEW QUESTIONS AND ANSWERS

NURSING HOME ADMINISTRATOR
EXAM OVERVIEW QUESTIONS AND
ANSWERS

Domains - ans- sw sw



There are 4 domains in the administrator exam: Care, Operations, Environment, and L
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eadership

Domain 1 - ans- sw sw sw



Focuses on Care, Services, and Support, accounting for 39% of the CORE and 45% of
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LNHA exams
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Domain 2 - ans- sw sw sw



Centers on Operations, representing 37% of the CORE and 28% of LNHA exams
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Domain 3 - ans- sw sw sw



Concerns Environment and Quality, making up 13% of the CORE and 27% of LNHA ex
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ams

Domain 4 - ans- sw sw sw



Emphasizes Leadership and Strategy, comprising 11% of the CORE exam and 0% of L
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NHA

Pilot Questions - ans-
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There are 25 'pilot' questions on each test, not included in the scored result
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Knowledge Questions - ans- sw sw sw



Require remembering and understanding material, may involve demonstrating interrelat
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ionships

Interpretation Questions - ans- sw sw sw



Demand understanding and application of presented information, not simple recall
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Problem Solving Questions - ans-
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Necessitate organizing facts, interpreting data, and selecting the best course of action
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Score Calculation - ans-
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Based on correct answers with no penalty for guessing; candidates should answer all q
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uestions

Preliminary Score Report - ans-Candidates receive a preliminary pass/
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fail report after the exam
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, Passing Score - ans-A scaled score of 113 is required to pass the exam
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Test Taking Tips - ans-
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Includes advice to relax, cycle through questions, answer confidently, and manage time
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effectively
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Quality of Care - ans-sw sw sw sw



Involves medical practices, medication management, disease management, nutrition, a
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nd more sw




Administrator Role - ans- sw sw sw



Involves overseeing care policies, staff, treatment understanding, and resident needs
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Care Policies - ans-Include pressure ulcers, accidents, bowel/
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bladder programs, pain management, and more
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Emergency Management Policy - ans- sw sw sw sw



Includes CPR protocols and emergency response procedures
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Health Information Technology - ans-
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Enables gathering health records data for effective care management
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Governing Body - ans- sw sw sw



Establishes and implements facility policies, managing organizational resources
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Physician - ans- sw sw



Individual responsible for personally approving admissions, providing orders, overseein
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g medical care, and ensuring coverage when unavailable.
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Physician Review Frequency - ans- sw sw sw sw



Physician must see the patient every 30 days if skilled, for the first 90 days, then every
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60 days; considered timely if within 10 days.
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Physician Availability - ans-Physician must be available 24 hours a day, 7 days a week.
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Medical Director - ans- sw sw sw



Individual responsible for overseeing medical services and care within a facility.
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Cardiologist - ans-Specialist who focuses on heart-related medical conditions.
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Dermatologist - ans-Specialist who focuses on skin-related medical conditions.
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Endocrinologist - ans- sw sw



Specialist who focuses on diabetes and endocrine system disorders.
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