NHA LINE OF SERVICE ACTUAL EXAM 2026
QUESTIONS WITH ANSWERS GRADED A+
◉2. If a facility must notify a resident's physician about a significant
change in the resident's status but the resident's attending physician
cannot be reached, which of these steps should the facility take first
A. Call the Medical Director.
B. Transfer the resident to a hospital.
C. Assign another physician to the case.
D. Call the physician designated by the attending physician to cover for
him or her in his or her absence. Answer: D. Call the physician
designated by the attending physician to cover for him or her in his or
her absence.
◉3. A certified nursing facility must complete a performance evaluation
of every nurse aide at least once every
A. month
B. quarter
C. 12 months
D. two years Answer: C. 12 months
,◉4. One necessary occasion for a comprehensive reassessment is when
a resident undergoes an unplanned weight loss that exceeds
A. 5 percent in one month.
B. 5 percent in one month, or 10 percent in 6 months.
C. 5 percent in 3 months, or 10 percent in 6 months.
D. 10 percent in one month. Answer: B. 5 percent in one month, or 10
percent in 6 months.
◉5. Medicare-certified facilities must use which one of the following?
A. accrual basis of accounting
B. perpetual inventory
C. centralized meal service
D. paid feeding assistants Answer: A. accrual basis of accounting
◉6. To meet Life Safety Code requirements, the facility emergency
power source must be capable of providing illumination for all the
means of egress how soon after loss of regular electric power?
A. immediately
B. within five seconds
, C. within 10 seconds
D. within 30 seconds Answer: C. within 10 seconds
◉7. A Stage III pressure ulcer is characterized by
A. dark red skin areas with blue discoloration in the center
B. damage to muscle and bone
C. break in skin down to and including underlying fatty tissues D.
blisters Answer: C. break in skin down to and including underlying
fatty tissues
◉8. The administrator's role in the survey process includes all except
which one of the following?
A. Responding promptly to surveyors' requests for records and
information.
B. Providing input into, and Insuring timely completion of, plans of
correction.
C. Year-round training and directing of staff in compliance with
regulatory requirements.
QUESTIONS WITH ANSWERS GRADED A+
◉2. If a facility must notify a resident's physician about a significant
change in the resident's status but the resident's attending physician
cannot be reached, which of these steps should the facility take first
A. Call the Medical Director.
B. Transfer the resident to a hospital.
C. Assign another physician to the case.
D. Call the physician designated by the attending physician to cover for
him or her in his or her absence. Answer: D. Call the physician
designated by the attending physician to cover for him or her in his or
her absence.
◉3. A certified nursing facility must complete a performance evaluation
of every nurse aide at least once every
A. month
B. quarter
C. 12 months
D. two years Answer: C. 12 months
,◉4. One necessary occasion for a comprehensive reassessment is when
a resident undergoes an unplanned weight loss that exceeds
A. 5 percent in one month.
B. 5 percent in one month, or 10 percent in 6 months.
C. 5 percent in 3 months, or 10 percent in 6 months.
D. 10 percent in one month. Answer: B. 5 percent in one month, or 10
percent in 6 months.
◉5. Medicare-certified facilities must use which one of the following?
A. accrual basis of accounting
B. perpetual inventory
C. centralized meal service
D. paid feeding assistants Answer: A. accrual basis of accounting
◉6. To meet Life Safety Code requirements, the facility emergency
power source must be capable of providing illumination for all the
means of egress how soon after loss of regular electric power?
A. immediately
B. within five seconds
, C. within 10 seconds
D. within 30 seconds Answer: C. within 10 seconds
◉7. A Stage III pressure ulcer is characterized by
A. dark red skin areas with blue discoloration in the center
B. damage to muscle and bone
C. break in skin down to and including underlying fatty tissues D.
blisters Answer: C. break in skin down to and including underlying
fatty tissues
◉8. The administrator's role in the survey process includes all except
which one of the following?
A. Responding promptly to surveyors' requests for records and
information.
B. Providing input into, and Insuring timely completion of, plans of
correction.
C. Year-round training and directing of staff in compliance with
regulatory requirements.
