Texas Nursing Home Administrator Practice Exam (150
Questions) Most Recent exam COMPLETE (2025) EXAM
Questions and Answers (Verified Answers) (Latest Update 2025)
UPDATE!!
1. Which of the following best demonstrates person-centered care?
A. Scheduling activities without resident input
B. Allowing residents to choose daily routines and meals
C. Requiring residents to attend mandatory sessions
D. Serving meals at fixed times for all residents
2. A resident refuses a prescribed medication. The administrator should:
A. Force the resident to take it
B. Document the refusal and notify the physician
C. Ignore the refusal
D. Discharge the resident immediately
3. Which approach is most effective for managing residents with
dementia who wander?
A. Using restraints to prevent wandering
B. Using supervision, therapeutic activities, and safe wandering
paths
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,C. Ignoring wandering behaviors
D. Discharging wandering residents
4. A resident complains about the quality of meals. The administrator
should:
A. Ignore the complaint
B. Document and work with dietary staff to address concerns
C. Tell the resident to adjust expectations
D. Reduce meal portions to save costs
5. Which is the most effective method to reduce falls among residents?
A. Limiting physical activity
B. Providing nonslip flooring, proper lighting, and mobility aids
C. Encouraging unassisted walking
D. Reducing staff monitoring
6. Resident satisfaction is measured primarily by:
A. Facility occupancy rates
B. Resident feedback and quality-of-life indicators
C. Staff turnover rates
D. Payroll expenses
7. When creating a care plan, the first step is:
A. Assessing the resident’s needs and preferences
B. Assigning staff duties
C. Ordering medications
D. Scheduling activities
8. Which of the following demonstrates proper end-of-life care?
A. Ignoring resident wishes
B. Providing comfort measures and respecting advance directives
C. Forcing aggressive treatments
D. Limiting family visits
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, 9. A resident has signs of pressure ulcers. Immediate action should be:
A. Notify nursing staff and initiate prevention/treatment protocols
B. Wait for the next routine check
C. Ignore if the resident does not complain
D. Document only
10. Proper documentation in resident records is important because:
A. It is optional
B. It prevents staff from working overtime
C. It ensures continuity of care and regulatory compliance
D. It improves facility revenue
11. Which method best encourages resident autonomy?
A. Staff makes all decisions
B. Residents participate in care planning and activity choices
C. Restricting choice to reduce errors
D. Ignoring resident preferences
12. Which is most appropriate for monitoring residents on new
medications?
A. Administer and ignore side effects
B. Track side effects, document, and notify physician
C. Only check if residents complain
D. Wait for the next survey
13. A resident expresses emotional distress. Administrator response
should be:
A. Ignore feelings
B. Provide support, counseling, and referrals as needed
C. Tell them to cope independently
D. Punish staff
14. Which factor most affects resident nutrition?
A. Staff shift changes
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B. Facility profits
Page
EXAMPREPMASTER
Questions) Most Recent exam COMPLETE (2025) EXAM
Questions and Answers (Verified Answers) (Latest Update 2025)
UPDATE!!
1. Which of the following best demonstrates person-centered care?
A. Scheduling activities without resident input
B. Allowing residents to choose daily routines and meals
C. Requiring residents to attend mandatory sessions
D. Serving meals at fixed times for all residents
2. A resident refuses a prescribed medication. The administrator should:
A. Force the resident to take it
B. Document the refusal and notify the physician
C. Ignore the refusal
D. Discharge the resident immediately
3. Which approach is most effective for managing residents with
dementia who wander?
A. Using restraints to prevent wandering
B. Using supervision, therapeutic activities, and safe wandering
paths
1
Page
EXAMPREPMASTER
,C. Ignoring wandering behaviors
D. Discharging wandering residents
4. A resident complains about the quality of meals. The administrator
should:
A. Ignore the complaint
B. Document and work with dietary staff to address concerns
C. Tell the resident to adjust expectations
D. Reduce meal portions to save costs
5. Which is the most effective method to reduce falls among residents?
A. Limiting physical activity
B. Providing nonslip flooring, proper lighting, and mobility aids
C. Encouraging unassisted walking
D. Reducing staff monitoring
6. Resident satisfaction is measured primarily by:
A. Facility occupancy rates
B. Resident feedback and quality-of-life indicators
C. Staff turnover rates
D. Payroll expenses
7. When creating a care plan, the first step is:
A. Assessing the resident’s needs and preferences
B. Assigning staff duties
C. Ordering medications
D. Scheduling activities
8. Which of the following demonstrates proper end-of-life care?
A. Ignoring resident wishes
B. Providing comfort measures and respecting advance directives
C. Forcing aggressive treatments
D. Limiting family visits
2
Page
EXAMPREPMASTER
, 9. A resident has signs of pressure ulcers. Immediate action should be:
A. Notify nursing staff and initiate prevention/treatment protocols
B. Wait for the next routine check
C. Ignore if the resident does not complain
D. Document only
10. Proper documentation in resident records is important because:
A. It is optional
B. It prevents staff from working overtime
C. It ensures continuity of care and regulatory compliance
D. It improves facility revenue
11. Which method best encourages resident autonomy?
A. Staff makes all decisions
B. Residents participate in care planning and activity choices
C. Restricting choice to reduce errors
D. Ignoring resident preferences
12. Which is most appropriate for monitoring residents on new
medications?
A. Administer and ignore side effects
B. Track side effects, document, and notify physician
C. Only check if residents complain
D. Wait for the next survey
13. A resident expresses emotional distress. Administrator response
should be:
A. Ignore feelings
B. Provide support, counseling, and referrals as needed
C. Tell them to cope independently
D. Punish staff
14. Which factor most affects resident nutrition?
A. Staff shift changes
3
B. Facility profits
Page
EXAMPREPMASTER
