Texas Nursing Home Administrator Licensing
Exam Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A |
Instant Download Pdf
1. Which federal legislation primarily governs nursing home operations in the
United States?
A. Social Security Act
B. Medicare Modernization Act
C. Omnibus Budget Reconciliation Act (OBRA) of 1987
D. Health Insurance Portability and Accountability Act (HIPAA)
Rationale: OBRA 1987 established nursing home reform, requiring standards of
care, residents' rights, and quality measures for Medicare/Medicaid-certified
facilities.
2. In Texas, a Nursing Home Administrator license is issued by which authority?
A. Texas Board of Nursing
B. Texas Health and Human Services Commission (HHSC)
C. Texas Medical Board
D. Department of Public Safety
Rationale: The Texas Health and Human Services Commission oversees licensing
and regulation of Nursing Home Administrators through its Regulatory Services
Division.
,3. A resident’s right to be free from chemical restraints is guaranteed under:
A. HIPAA
B. OSHA
C. OBRA Residents’ Rights provisions
D. Civil Rights Act
Rationale: OBRA requires that residents not be given chemical restraints unless
necessary to treat a medical symptom, with physician authorization.
4. The minimum number of hours of continuing education (CE) required annually
for a Texas Nursing Home Administrator is:
A. 8 hours
B. 12 hours
C. 18 hours
D. 24 hours
Rationale: Texas requires administrators to complete 18 hours of CE each year to
maintain licensure.
5. Which financial document shows the revenues and expenses of a nursing
facility during a period?
A. Balance Sheet
B. Income Statement
C. Cash Flow Statement
D. Trial Balance
Rationale: The income statement (profit and loss statement) summarizes
revenues, expenses, and profit/loss over a set time frame.
6. A facility survey conducted by the state is primarily intended to:
,A. Increase occupancy rates
B. Ensure compliance with federal and state regulations
C. Review financial statements
D. Train staff in safety protocols
Rationale: State surveyors check compliance with OBRA, CMS, and state
regulations to ensure resident safety and quality of care.
7. Which department in a nursing facility is primarily responsible for infection
control policies?
A. Administration
B. Environmental Services
C. Nursing Department
D. Activities
Rationale: Nursing leadership and infection preventionists ensure infection
control policies are implemented and monitored.
8. Under OSHA regulations, which of the following is required in nursing homes?
A. Minimum staffing ratios
B. Monthly financial audits
C. Bloodborne pathogen training
D. Mandatory volunteer programs
Rationale: OSHA mandates training on bloodborne pathogens and safe practices
to protect employees from workplace hazards.
9. Which of the following is a key responsibility of a Nursing Home
Administrator?
A. Performing direct patient care
B. Prescribing medication
, C. Overseeing overall facility operations and compliance
D. Conducting medical research
Rationale: Administrators focus on leadership, regulatory compliance, staffing,
budgeting, and resident care oversight rather than clinical duties.
10. Which law ensures confidentiality of residents’ health information?
A. OBRA
B. ADA
C. HIPAA
D. Stark Law
Rationale: HIPAA sets standards for privacy and security of resident health
information.
11. What is the primary purpose of the Minimum Data Set (MDS)?
A. Track facility revenues
B. Document staff training hours
C. Assess residents’ functional capabilities and care needs
D. Report facility occupancy rates
Rationale: The MDS is a standardized assessment tool required by CMS to
measure residents’ health status and determine care planning and
reimbursement.
12. Which staffing position must every nursing facility have by law?
A. Respiratory Therapist
B. Director of Nursing (DON)
C. Recreational Therapist
D. Occupational Therapist
Exam Questions And Correct Answers (Verified
Answers) Plus Rationales 2025/2026 Q&A |
Instant Download Pdf
1. Which federal legislation primarily governs nursing home operations in the
United States?
A. Social Security Act
B. Medicare Modernization Act
C. Omnibus Budget Reconciliation Act (OBRA) of 1987
D. Health Insurance Portability and Accountability Act (HIPAA)
Rationale: OBRA 1987 established nursing home reform, requiring standards of
care, residents' rights, and quality measures for Medicare/Medicaid-certified
facilities.
2. In Texas, a Nursing Home Administrator license is issued by which authority?
A. Texas Board of Nursing
B. Texas Health and Human Services Commission (HHSC)
C. Texas Medical Board
D. Department of Public Safety
Rationale: The Texas Health and Human Services Commission oversees licensing
and regulation of Nursing Home Administrators through its Regulatory Services
Division.
,3. A resident’s right to be free from chemical restraints is guaranteed under:
A. HIPAA
B. OSHA
C. OBRA Residents’ Rights provisions
D. Civil Rights Act
Rationale: OBRA requires that residents not be given chemical restraints unless
necessary to treat a medical symptom, with physician authorization.
4. The minimum number of hours of continuing education (CE) required annually
for a Texas Nursing Home Administrator is:
A. 8 hours
B. 12 hours
C. 18 hours
D. 24 hours
Rationale: Texas requires administrators to complete 18 hours of CE each year to
maintain licensure.
5. Which financial document shows the revenues and expenses of a nursing
facility during a period?
A. Balance Sheet
B. Income Statement
C. Cash Flow Statement
D. Trial Balance
Rationale: The income statement (profit and loss statement) summarizes
revenues, expenses, and profit/loss over a set time frame.
6. A facility survey conducted by the state is primarily intended to:
,A. Increase occupancy rates
B. Ensure compliance with federal and state regulations
C. Review financial statements
D. Train staff in safety protocols
Rationale: State surveyors check compliance with OBRA, CMS, and state
regulations to ensure resident safety and quality of care.
7. Which department in a nursing facility is primarily responsible for infection
control policies?
A. Administration
B. Environmental Services
C. Nursing Department
D. Activities
Rationale: Nursing leadership and infection preventionists ensure infection
control policies are implemented and monitored.
8. Under OSHA regulations, which of the following is required in nursing homes?
A. Minimum staffing ratios
B. Monthly financial audits
C. Bloodborne pathogen training
D. Mandatory volunteer programs
Rationale: OSHA mandates training on bloodborne pathogens and safe practices
to protect employees from workplace hazards.
9. Which of the following is a key responsibility of a Nursing Home
Administrator?
A. Performing direct patient care
B. Prescribing medication
, C. Overseeing overall facility operations and compliance
D. Conducting medical research
Rationale: Administrators focus on leadership, regulatory compliance, staffing,
budgeting, and resident care oversight rather than clinical duties.
10. Which law ensures confidentiality of residents’ health information?
A. OBRA
B. ADA
C. HIPAA
D. Stark Law
Rationale: HIPAA sets standards for privacy and security of resident health
information.
11. What is the primary purpose of the Minimum Data Set (MDS)?
A. Track facility revenues
B. Document staff training hours
C. Assess residents’ functional capabilities and care needs
D. Report facility occupancy rates
Rationale: The MDS is a standardized assessment tool required by CMS to
measure residents’ health status and determine care planning and
reimbursement.
12. Which staffing position must every nursing facility have by law?
A. Respiratory Therapist
B. Director of Nursing (DON)
C. Recreational Therapist
D. Occupational Therapist
