OKLAHOMA NURSING HOME ADMINISTRATOR STATE TEST
| ACCURATE AND EXPERT VERIFIED QUESTIONS AND ANSWER PLUS
RATIONALES FOR GUARANTEED PASS | LATEST UPDATE
Question 1
Under ordinary circumstances, who has the final authority within the facility to deny a resident a
specific visitor?
A) The Director of Nursing (DON)
B) The resident's legal guardian
C) The resident
D) The Administrator
E) The facility's Social Worker
Correct Answer: D) The Administrator
Rationale: While residents have the right to visitors, the Administrator is ultimately
responsible for the safety, welfare, and orderly operation of the facility. They have the
authority to restrict visitors if the visitor's presence is disruptive, poses a threat to health or
safety, or is medically contraindicated for the resident, provided this is done in accordance
with regulations.
Question 2
If a facility manages a resident's personal trust funds, how often must it provide the resident with
an accounting of their finances?
A) At least monthly
B) At least quarterly
C) At least semi-annually
D) At least annually
E) Only upon the resident's request
Correct Answer: B) At least quarterly
Rationale: Federal and state regulations require that facilities managing resident funds
provide a clear, itemized statement of all income, expenditures, and the current balance to
the resident or their legal representative at least every three months (quarterly).
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Question 3
A family member of a prospective resident asks to see the facility's most recent state survey
results. What is the facility's obligation?
A) The facility must make the survey results readily accessible to the public.
B) The facility only has to provide a summary, not the full report.
C) The facility can refuse, as survey results are confidential.
D) The facility only has to show the results to current residents.
E) The facility can charge a fee for a copy of the survey.
Correct Answer: A) The facility must make the survey results readily accessible to the
public.
Rationale: Both federal and state law require nursing facilities to post and/or make their
most recent survey inspection reports available for review by residents, their families, and
the general public. This information must be accessible in a convenient location within the
facility.
Question 4
A resident's family has a question about the resident's rights. The Administrator should ensure
that:
A) The family is referred to the State Department of Health.
B) The rights are explained verbally by a nurse.
C) A copy of the resident's rights is posted in a conspicuous place and available to the public.
D) The rights are only available in the resident's admission packet.
E) The family schedules a formal meeting to discuss the rights.
Correct Answer: C) A copy of the resident's rights is posted in a conspicuous place and
available to the public.
Rationale: Facilities are required to promote and protect residents' rights. This includes
making a written statement of these rights available to residents, families, and the public,
often by posting them in a prominent location within the facility.
Question 5
When a resident's medication has expired or is discontinued, who is authorized to destroy it?
A) Only the Administrator and the Director of Nursing.
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B) A licensed nurse in the presence of a witness.
C) The resident's family member.
D) A pharmacist, or the DON, or the DON and another licensed nurse.
E) Any certified medication aide.
Correct Answer: D) A pharmacist, or the DON, or the DON and another licensed nurse.
Rationale: The destruction of controlled and non-controlled drugs is a regulated process to
prevent diversion. Oklahoma regulations specify that a pharmacist, the Director of
Nursing, or the DON in the presence of another licensed nurse (RN or LPN) are the
authorized individuals to perform this task.
Question 6
An Oklahoma-licensed administrator is looking for continuing education units (CEUs). If a
course is approved for credit by the National Association of Long Term Care Administrator
Boards (NAB), can the administrator assume it will be approved by OSBELTCA?
A) No, only courses pre-approved by OSBELTCA are valid.
B) No, NAB approval is for federal purposes only.
C) Yes, OSBELTCA rules generally grant approval to NAB-approved courses.
D) Yes, but only if the course is taken out of state.
E) Only if the course is related to financial management.
Correct Answer: C) Yes, OSBELTCA rules generally grant approval to NAB-approved
courses.
Rationale: The Oklahoma State Board of Examiners for Long-Term Care Administrators
(OSBELTCA) has reciprocity with the national organization. Their rules typically state
that courses and programs approved by NAB are accepted for continuing education credit
in Oklahoma.
Question 7
An administrator changes their personal home address. According to OSBELTCA rules, they
have how many days to notify the board of this change?
A) 10 calendar days
B) 15 business days
C) 30 calendar days
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D) 45 business days
E) At the next license renewal.
Correct Answer: B) 15 business days
Rationale: OSBELTCA requires licensees to maintain current contact information. The
rule specifies that any change in personal or business mailing address must be reported to
the Board within 15 business days.
Question 8
According to Oklahoma State Department of Health (OSDH) standards, how frequently must a
nursing facility provide in-service training for staff on fire safety and first aid?
A) Monthly
B) Quarterly
C) Semi-Annually
D) Annually
E) Only upon hire.
Correct Answer: C) Semi-Annually
Rationale: OSDH regulations mandate that facilities conduct regular training on
emergency procedures. In-service training on fire safety and first aid must be held at least
twice a year (semi-annually) for all staff members.
Question 9
What is the maximum time frame for reporting an allegation of resident abuse, neglect, or
exploitation to the Oklahoma State Department of Health or the Department of Human Services?
A) Immediately, but no later than 2 hours.
B) Within 8 hours.
C) Within 24 hours.
D) Within 3 business days.
E) Within 5 business days.
Correct Answer: C) Within 24 hours.
Rationale: State and federal laws require the prompt reporting of any allegation of abuse,
| ACCURATE AND EXPERT VERIFIED QUESTIONS AND ANSWER PLUS
RATIONALES FOR GUARANTEED PASS | LATEST UPDATE
Question 1
Under ordinary circumstances, who has the final authority within the facility to deny a resident a
specific visitor?
A) The Director of Nursing (DON)
B) The resident's legal guardian
C) The resident
D) The Administrator
E) The facility's Social Worker
Correct Answer: D) The Administrator
Rationale: While residents have the right to visitors, the Administrator is ultimately
responsible for the safety, welfare, and orderly operation of the facility. They have the
authority to restrict visitors if the visitor's presence is disruptive, poses a threat to health or
safety, or is medically contraindicated for the resident, provided this is done in accordance
with regulations.
Question 2
If a facility manages a resident's personal trust funds, how often must it provide the resident with
an accounting of their finances?
A) At least monthly
B) At least quarterly
C) At least semi-annually
D) At least annually
E) Only upon the resident's request
Correct Answer: B) At least quarterly
Rationale: Federal and state regulations require that facilities managing resident funds
provide a clear, itemized statement of all income, expenditures, and the current balance to
the resident or their legal representative at least every three months (quarterly).
,[Type here]
Question 3
A family member of a prospective resident asks to see the facility's most recent state survey
results. What is the facility's obligation?
A) The facility must make the survey results readily accessible to the public.
B) The facility only has to provide a summary, not the full report.
C) The facility can refuse, as survey results are confidential.
D) The facility only has to show the results to current residents.
E) The facility can charge a fee for a copy of the survey.
Correct Answer: A) The facility must make the survey results readily accessible to the
public.
Rationale: Both federal and state law require nursing facilities to post and/or make their
most recent survey inspection reports available for review by residents, their families, and
the general public. This information must be accessible in a convenient location within the
facility.
Question 4
A resident's family has a question about the resident's rights. The Administrator should ensure
that:
A) The family is referred to the State Department of Health.
B) The rights are explained verbally by a nurse.
C) A copy of the resident's rights is posted in a conspicuous place and available to the public.
D) The rights are only available in the resident's admission packet.
E) The family schedules a formal meeting to discuss the rights.
Correct Answer: C) A copy of the resident's rights is posted in a conspicuous place and
available to the public.
Rationale: Facilities are required to promote and protect residents' rights. This includes
making a written statement of these rights available to residents, families, and the public,
often by posting them in a prominent location within the facility.
Question 5
When a resident's medication has expired or is discontinued, who is authorized to destroy it?
A) Only the Administrator and the Director of Nursing.
,[Type here]
B) A licensed nurse in the presence of a witness.
C) The resident's family member.
D) A pharmacist, or the DON, or the DON and another licensed nurse.
E) Any certified medication aide.
Correct Answer: D) A pharmacist, or the DON, or the DON and another licensed nurse.
Rationale: The destruction of controlled and non-controlled drugs is a regulated process to
prevent diversion. Oklahoma regulations specify that a pharmacist, the Director of
Nursing, or the DON in the presence of another licensed nurse (RN or LPN) are the
authorized individuals to perform this task.
Question 6
An Oklahoma-licensed administrator is looking for continuing education units (CEUs). If a
course is approved for credit by the National Association of Long Term Care Administrator
Boards (NAB), can the administrator assume it will be approved by OSBELTCA?
A) No, only courses pre-approved by OSBELTCA are valid.
B) No, NAB approval is for federal purposes only.
C) Yes, OSBELTCA rules generally grant approval to NAB-approved courses.
D) Yes, but only if the course is taken out of state.
E) Only if the course is related to financial management.
Correct Answer: C) Yes, OSBELTCA rules generally grant approval to NAB-approved
courses.
Rationale: The Oklahoma State Board of Examiners for Long-Term Care Administrators
(OSBELTCA) has reciprocity with the national organization. Their rules typically state
that courses and programs approved by NAB are accepted for continuing education credit
in Oklahoma.
Question 7
An administrator changes their personal home address. According to OSBELTCA rules, they
have how many days to notify the board of this change?
A) 10 calendar days
B) 15 business days
C) 30 calendar days
, [Type here]
D) 45 business days
E) At the next license renewal.
Correct Answer: B) 15 business days
Rationale: OSBELTCA requires licensees to maintain current contact information. The
rule specifies that any change in personal or business mailing address must be reported to
the Board within 15 business days.
Question 8
According to Oklahoma State Department of Health (OSDH) standards, how frequently must a
nursing facility provide in-service training for staff on fire safety and first aid?
A) Monthly
B) Quarterly
C) Semi-Annually
D) Annually
E) Only upon hire.
Correct Answer: C) Semi-Annually
Rationale: OSDH regulations mandate that facilities conduct regular training on
emergency procedures. In-service training on fire safety and first aid must be held at least
twice a year (semi-annually) for all staff members.
Question 9
What is the maximum time frame for reporting an allegation of resident abuse, neglect, or
exploitation to the Oklahoma State Department of Health or the Department of Human Services?
A) Immediately, but no later than 2 hours.
B) Within 8 hours.
C) Within 24 hours.
D) Within 3 business days.
E) Within 5 business days.
Correct Answer: C) Within 24 hours.
Rationale: State and federal laws require the prompt reporting of any allegation of abuse,
