FEDERAL NURSING HOME ADMINISTRATOR
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
100% GUARANTEED PASS!!
<LATEST VERSION>
1. A resident has repeatedly expressed dissatisfaction with the quality of
meals, citing texture issues and food preferences. What is the administrator’s
best initial course of action?
A. Suggest the resident eat outside the facility
B. Review the facility’s dietary services and address individual resident needs
C. Ignore complaints unless a formal grievance is filed
D. Replace the head cook immediately
Answer: B
Rationale: Administrators must ensure resident rights and satisfaction. Reviewing
dietary services and accommodating preferences aligns with CMS regulations and
supports person-centered care.
2. During a state survey, it is noted that medication administration
documentation is inconsistent. Which federal regulation is most directly
related?
A. OBRA 1987
B. HIPAA
,C. OSHA Bloodborne Pathogens Standard
D. Stark Law
Answer: A
Rationale: OBRA 1987 sets federal standards for nursing homes, including
medication management and documentation. HIPAA relates to privacy, OSHA to
workplace safety, and Stark Law to physician referrals.
3. The facility has a 95% occupancy rate. Which financial strategy is most
appropriate to sustain operations?
A. Decrease staffing to reduce labor costs
B. Increase the number of short-stay admissions to maximize revenue
C. Maintain quality care and monitor payor mix to optimize revenue
D. Eliminate therapy services to cut costs
Answer: C
Rationale: Balancing occupancy and quality care ensures sustainable operations.
Optimizing payor mix and monitoring revenue streams maintain financial health
without compromising care.
4. A CNA calls in sick during the morning shift, leaving the unit understaffed.
What is the best immediate action?
A. Cancel all resident activities for the day
B. Ask other CNAs to cover additional duties temporarily
C. Hire an agency nurse immediately for the remainder of the year
D. Reduce documentation requirements for the day
Answer: B
Rationale: Immediate staffing solutions should ensure resident safety. Asking
available staff to cover duties temporarily aligns with CMS requirements for
adequate staffing.
,5. A resident with advanced dementia wanders into another resident’s room,
causing minor injuries. What is the administrator’s primary responsibility?
A. Discipline the wandering resident
B. Investigate, implement corrective measures, and review care plans
C. Transfer the resident to a more restrictive facility
D. Ignore the incident if no serious injury occurred
Answer: B
Rationale: Administrators are responsible for safety and risk management.
Investigating the incident, adjusting care plans, and preventing recurrence meet
regulatory expectations.
6. Which committee is required by federal regulations to oversee quality
assurance and performance improvement (QAPI)?
A. Safety Committee
B. Infection Control Committee
C. QAPI Committee
D. Pharmacy and Therapeutics Committee
Answer: C
Rationale: CMS requires facilities to have a QAPI program to continuously
monitor and improve resident care and services. Other committees may be part of
QAPI but do not replace it.
7. A new regulation requires all staff to complete annual training in infection
control. Which step should the administrator take first?
A. Immediately fine employees who have not completed prior training
B. Develop a documented annual education plan and track completion
C. Assume staff already know procedures and take no action
D. Delegate entirely to nursing supervisors without follow-up
Answer: B
, Rationale: Administrators must ensure compliance by documenting training,
tracking completion, and providing education, as mandated by CMS infection
control standards.
8. A facility’s cash flow is low due to delayed reimbursements from Medicaid.
Which action is most appropriate?
A. Reduce resident services temporarily
B. Review billing practices and follow up on claims promptly
C. Delay payroll until cash flow improves
D. Increase resident co-pays immediately
Answer: B
Rationale: Financial management requires monitoring reimbursement cycles and
ensuring timely billing practices while maintaining resident care.
9. A resident refuses a prescribed treatment citing personal beliefs. What is
the administrator’s responsibility?
A. Force treatment to comply with care plan
B. Document refusal and ensure resident rights are upheld
C. Notify family to override the resident’s wishes
D. Remove the resident from the facility
Answer: B
Rationale: CMS regulations uphold resident autonomy and rights. Treatment
refusal must be documented, and care alternatives should be explored.
10. During an inspection, it is found that emergency exits are blocked. What is
the immediate priority?
A. Notify residents of a potential hazard
B. Remove the blockage immediately to ensure safety
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
100% GUARANTEED PASS!!
<LATEST VERSION>
1. A resident has repeatedly expressed dissatisfaction with the quality of
meals, citing texture issues and food preferences. What is the administrator’s
best initial course of action?
A. Suggest the resident eat outside the facility
B. Review the facility’s dietary services and address individual resident needs
C. Ignore complaints unless a formal grievance is filed
D. Replace the head cook immediately
Answer: B
Rationale: Administrators must ensure resident rights and satisfaction. Reviewing
dietary services and accommodating preferences aligns with CMS regulations and
supports person-centered care.
2. During a state survey, it is noted that medication administration
documentation is inconsistent. Which federal regulation is most directly
related?
A. OBRA 1987
B. HIPAA
,C. OSHA Bloodborne Pathogens Standard
D. Stark Law
Answer: A
Rationale: OBRA 1987 sets federal standards for nursing homes, including
medication management and documentation. HIPAA relates to privacy, OSHA to
workplace safety, and Stark Law to physician referrals.
3. The facility has a 95% occupancy rate. Which financial strategy is most
appropriate to sustain operations?
A. Decrease staffing to reduce labor costs
B. Increase the number of short-stay admissions to maximize revenue
C. Maintain quality care and monitor payor mix to optimize revenue
D. Eliminate therapy services to cut costs
Answer: C
Rationale: Balancing occupancy and quality care ensures sustainable operations.
Optimizing payor mix and monitoring revenue streams maintain financial health
without compromising care.
4. A CNA calls in sick during the morning shift, leaving the unit understaffed.
What is the best immediate action?
A. Cancel all resident activities for the day
B. Ask other CNAs to cover additional duties temporarily
C. Hire an agency nurse immediately for the remainder of the year
D. Reduce documentation requirements for the day
Answer: B
Rationale: Immediate staffing solutions should ensure resident safety. Asking
available staff to cover duties temporarily aligns with CMS requirements for
adequate staffing.
,5. A resident with advanced dementia wanders into another resident’s room,
causing minor injuries. What is the administrator’s primary responsibility?
A. Discipline the wandering resident
B. Investigate, implement corrective measures, and review care plans
C. Transfer the resident to a more restrictive facility
D. Ignore the incident if no serious injury occurred
Answer: B
Rationale: Administrators are responsible for safety and risk management.
Investigating the incident, adjusting care plans, and preventing recurrence meet
regulatory expectations.
6. Which committee is required by federal regulations to oversee quality
assurance and performance improvement (QAPI)?
A. Safety Committee
B. Infection Control Committee
C. QAPI Committee
D. Pharmacy and Therapeutics Committee
Answer: C
Rationale: CMS requires facilities to have a QAPI program to continuously
monitor and improve resident care and services. Other committees may be part of
QAPI but do not replace it.
7. A new regulation requires all staff to complete annual training in infection
control. Which step should the administrator take first?
A. Immediately fine employees who have not completed prior training
B. Develop a documented annual education plan and track completion
C. Assume staff already know procedures and take no action
D. Delegate entirely to nursing supervisors without follow-up
Answer: B
, Rationale: Administrators must ensure compliance by documenting training,
tracking completion, and providing education, as mandated by CMS infection
control standards.
8. A facility’s cash flow is low due to delayed reimbursements from Medicaid.
Which action is most appropriate?
A. Reduce resident services temporarily
B. Review billing practices and follow up on claims promptly
C. Delay payroll until cash flow improves
D. Increase resident co-pays immediately
Answer: B
Rationale: Financial management requires monitoring reimbursement cycles and
ensuring timely billing practices while maintaining resident care.
9. A resident refuses a prescribed treatment citing personal beliefs. What is
the administrator’s responsibility?
A. Force treatment to comply with care plan
B. Document refusal and ensure resident rights are upheld
C. Notify family to override the resident’s wishes
D. Remove the resident from the facility
Answer: B
Rationale: CMS regulations uphold resident autonomy and rights. Treatment
refusal must be documented, and care alternatives should be explored.
10. During an inspection, it is found that emergency exits are blocked. What is
the immediate priority?
A. Notify residents of a potential hazard
B. Remove the blockage immediately to ensure safety
