ILLINOIS EXAM FOR NURSING HOME ADMINISTRATORS
Practice Exam #1 — 190 Questions & Answers Based on
John Cirn Study Materials | Latest Update | Exam Prep
TABLE OF CONTENTS
| |Regulatory Framework & Licensing | 1–25 |
| | Illinois Nursing Home Care Act | |
| | IDFPR Licensing Requirements | |
| | OBRA & Federal Regulations | |
| | Survey and Certification Process | |
|| Resident Rights & Quality of Life | 26–55 |
| | Resident Bill of Rights | |
| | Informed Consent & Treatment Refusal | |
| | Privacy & Confidentiality (HIPAA) | |
| | Abuse Prevention & Reporting | |
|| Clinical Care & Patient Services | 56–85 |
| | Quality of Care Standards | |
| | Therapeutic Diets & Nutrition | |
| | Medication Management | |
| | Infection Prevention & Control | |
| | Dementia & Behavioral Care | |
,| |Human Resources & Staffing** | 86–110 |
| | Staff Qualifications & Certification | |
| | Staffing Ratios & Requirements | |
| | Training & In-Service Education | |
| | Personnel Management | |
| | Financial Management & Reimbursement** | 111–135 |
| | Medicare & Medicaid | |
| | Budgeting & Financial Operations | |
| | Bed Hold & Reimbursement Policies | |
| | Facility Operations & Environment| 136–160 |
| | Physical Plant Requirements | |
| | Safety & Emergency Preparedness | |
| | Equipment & Furnishings | |
| | Recordkeeping & Documentation | |
|| Leadership, Ethics & Governance*| 161–185 |
| | QAPI Programs | |
| | Ethical Decision-Making | |
| | Governance & Board Relations | |
| | Risk Management | |
| | Comprehensive Review Questions*| 186–190 |
| | Mixed-Domain Application | |
,ACTUAL PRACTICE EXAM 2026 -2027
SECTION I: REGULATORY FRAMEWORK & LICENSING
1. Who licenses nursing home administrators in Illinois?
- A) CMS (Centers for Medicare & Medicaid Services)
- B) OSHA (Occupational Safety and Health Administration)
- C) IDFPR (Illinois Department of Financial and Professional Regulation)
- D) CDC (Centers for Disease Control and Prevention)
Answer: C — IDFPR
Rationale: In Illinois, nursing home administrators are licensed by the
Illinois Department of Financial and Professional Regulation (IDFPR). CMS
oversees federal certification, OSHA handles workplace safety, and CDC
focuses on public health, but licensure of individual administrators falls
under IDFPR.
, 2. OBRA stands for:
- A) Occupational Budget Reform Act
- B) Omnibus Budget Reconciliation Act
- C) Older Benefits Reform Act
- D) Organized Budget Recovery Act
Answer: B — Omnibus Budget Reconciliation Act**
Rationale: OBRA (Omnibus Budget Reconciliation Act) of 1987 established
comprehensive federal nursing home reform regulations, including
requirements for resident assessments, quality of care, and staff training. It
is a foundational piece of federal nursing home regulation.
3. A nursing home administrator must report any change in administrator
to the Illinois Department of Public Health within how many days?
- A) 3 days
- B) 5 days
- C) 10 days
- D) 30 days
Answer: B — 5 days
Practice Exam #1 — 190 Questions & Answers Based on
John Cirn Study Materials | Latest Update | Exam Prep
TABLE OF CONTENTS
| |Regulatory Framework & Licensing | 1–25 |
| | Illinois Nursing Home Care Act | |
| | IDFPR Licensing Requirements | |
| | OBRA & Federal Regulations | |
| | Survey and Certification Process | |
|| Resident Rights & Quality of Life | 26–55 |
| | Resident Bill of Rights | |
| | Informed Consent & Treatment Refusal | |
| | Privacy & Confidentiality (HIPAA) | |
| | Abuse Prevention & Reporting | |
|| Clinical Care & Patient Services | 56–85 |
| | Quality of Care Standards | |
| | Therapeutic Diets & Nutrition | |
| | Medication Management | |
| | Infection Prevention & Control | |
| | Dementia & Behavioral Care | |
,| |Human Resources & Staffing** | 86–110 |
| | Staff Qualifications & Certification | |
| | Staffing Ratios & Requirements | |
| | Training & In-Service Education | |
| | Personnel Management | |
| | Financial Management & Reimbursement** | 111–135 |
| | Medicare & Medicaid | |
| | Budgeting & Financial Operations | |
| | Bed Hold & Reimbursement Policies | |
| | Facility Operations & Environment| 136–160 |
| | Physical Plant Requirements | |
| | Safety & Emergency Preparedness | |
| | Equipment & Furnishings | |
| | Recordkeeping & Documentation | |
|| Leadership, Ethics & Governance*| 161–185 |
| | QAPI Programs | |
| | Ethical Decision-Making | |
| | Governance & Board Relations | |
| | Risk Management | |
| | Comprehensive Review Questions*| 186–190 |
| | Mixed-Domain Application | |
,ACTUAL PRACTICE EXAM 2026 -2027
SECTION I: REGULATORY FRAMEWORK & LICENSING
1. Who licenses nursing home administrators in Illinois?
- A) CMS (Centers for Medicare & Medicaid Services)
- B) OSHA (Occupational Safety and Health Administration)
- C) IDFPR (Illinois Department of Financial and Professional Regulation)
- D) CDC (Centers for Disease Control and Prevention)
Answer: C — IDFPR
Rationale: In Illinois, nursing home administrators are licensed by the
Illinois Department of Financial and Professional Regulation (IDFPR). CMS
oversees federal certification, OSHA handles workplace safety, and CDC
focuses on public health, but licensure of individual administrators falls
under IDFPR.
, 2. OBRA stands for:
- A) Occupational Budget Reform Act
- B) Omnibus Budget Reconciliation Act
- C) Older Benefits Reform Act
- D) Organized Budget Recovery Act
Answer: B — Omnibus Budget Reconciliation Act**
Rationale: OBRA (Omnibus Budget Reconciliation Act) of 1987 established
comprehensive federal nursing home reform regulations, including
requirements for resident assessments, quality of care, and staff training. It
is a foundational piece of federal nursing home regulation.
3. A nursing home administrator must report any change in administrator
to the Illinois Department of Public Health within how many days?
- A) 3 days
- B) 5 days
- C) 10 days
- D) 30 days
Answer: B — 5 days
