NURSING HOME ADMINISTRATOR (NHA)
EXAM | ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
GRADED A+ LATEST
Question 1
A nursing home administrator is reviewing staffing patterns after several resident
complaints related to delayed care. Which action best aligns with effective
workforce management?
A. Increase overtime hours for existing staff
B. Conduct a staffing needs assessment based on resident acuity
C. Hire additional staff immediately without analysis
D. Delegate staffing decisions solely to charge nurses
Correct Answer: B
Rationale: A staffing needs assessment based on resident acuity ensures
appropriate staff levels and skill mix, improving care quality and compliance with
regulations.
Question 2
During a state survey, a deficiency is cited for failure to prevent pressure injuries.
Which administrator action is most appropriate as an immediate response?
A. Terminate the director of nursing
B. Appeal the deficiency without corrective action
C. Initiate a root cause analysis and implement a plan of correction
D. Wait until the next survey cycle to address the issue
Correct Answer: C
Rationale: Regulatory compliance requires timely corrective actions supported by
root cause analysis to prevent recurrence.
,Question 3
A resident with decision-making capacity refuses a prescribed medication. What is
the administrator’s best course of action?
A. Direct staff to administer the medication anyway
B. Discharge the resident for noncompliance
C. Ensure the refusal is documented and resident rights are respected
D. Contact the family and override the resident’s choice
Correct Answer: C
Rationale: Residents with capacity have the right to refuse treatment; proper
documentation and respect for autonomy are required.
Question 4
Which financial indicator is most useful for evaluating the facility’s ability to meet
short-term obligations?
A. Operating margin
B. Current ratio
C. Net patient revenue
D. Depreciation expense
Correct Answer: B
Rationale: The current ratio measures liquidity and the ability to meet short-term
liabilities.
Question 5
An administrator is developing a quality assurance and performance improvement
(QAPI) program. Which element is essential?
A. Annual review only
B. Focus solely on clinical outcomes
C. Data-driven performance monitoring
D. Limited staff involvement
,Correct Answer: C
Rationale: QAPI programs rely on continuous, data-driven monitoring across all
operational areas.
Question 6
A long-term care facility experiences high staff turnover. Which strategy is most
effective in improving retention?
A. Increasing disciplinary actions
B. Reducing orientation time
C. Implementing mentorship and professional development programs
D. Limiting employee feedback
Correct Answer: C
Rationale: Mentorship and growth opportunities improve job satisfaction and
retention.
Question 7
Which resident right is violated if a facility shares medical information without
consent?
A. Right to dignity
B. Right to privacy and confidentiality
C. Right to visitation
D. Right to accommodation
Correct Answer: B
Rationale: Confidentiality of health information is a core resident right protected
by law.
, Question 8
An administrator is reviewing infection control practices. Which indicator most
strongly suggests a breakdown in the program?
A. Increased admissions
B. Rising healthcare-associated infection rates
C. Staff schedule changes
D. Increased supply costs
Correct Answer: B
Rationale: Rising infection rates directly indicate ineffective infection prevention
measures.
Question 9
A facility is cited for improper documentation. What is the administrator’s primary
responsibility?
A. Rewrite past records
B. Train staff on documentation standards and compliance
C. Delegate responsibility to medical records staff only
D. Ignore minor documentation issues
Correct Answer: B
Rationale: Administrators are responsible for ensuring staff competence and
compliance with documentation standards.
EXAM | ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES
GRADED A+ LATEST
Question 1
A nursing home administrator is reviewing staffing patterns after several resident
complaints related to delayed care. Which action best aligns with effective
workforce management?
A. Increase overtime hours for existing staff
B. Conduct a staffing needs assessment based on resident acuity
C. Hire additional staff immediately without analysis
D. Delegate staffing decisions solely to charge nurses
Correct Answer: B
Rationale: A staffing needs assessment based on resident acuity ensures
appropriate staff levels and skill mix, improving care quality and compliance with
regulations.
Question 2
During a state survey, a deficiency is cited for failure to prevent pressure injuries.
Which administrator action is most appropriate as an immediate response?
A. Terminate the director of nursing
B. Appeal the deficiency without corrective action
C. Initiate a root cause analysis and implement a plan of correction
D. Wait until the next survey cycle to address the issue
Correct Answer: C
Rationale: Regulatory compliance requires timely corrective actions supported by
root cause analysis to prevent recurrence.
,Question 3
A resident with decision-making capacity refuses a prescribed medication. What is
the administrator’s best course of action?
A. Direct staff to administer the medication anyway
B. Discharge the resident for noncompliance
C. Ensure the refusal is documented and resident rights are respected
D. Contact the family and override the resident’s choice
Correct Answer: C
Rationale: Residents with capacity have the right to refuse treatment; proper
documentation and respect for autonomy are required.
Question 4
Which financial indicator is most useful for evaluating the facility’s ability to meet
short-term obligations?
A. Operating margin
B. Current ratio
C. Net patient revenue
D. Depreciation expense
Correct Answer: B
Rationale: The current ratio measures liquidity and the ability to meet short-term
liabilities.
Question 5
An administrator is developing a quality assurance and performance improvement
(QAPI) program. Which element is essential?
A. Annual review only
B. Focus solely on clinical outcomes
C. Data-driven performance monitoring
D. Limited staff involvement
,Correct Answer: C
Rationale: QAPI programs rely on continuous, data-driven monitoring across all
operational areas.
Question 6
A long-term care facility experiences high staff turnover. Which strategy is most
effective in improving retention?
A. Increasing disciplinary actions
B. Reducing orientation time
C. Implementing mentorship and professional development programs
D. Limiting employee feedback
Correct Answer: C
Rationale: Mentorship and growth opportunities improve job satisfaction and
retention.
Question 7
Which resident right is violated if a facility shares medical information without
consent?
A. Right to dignity
B. Right to privacy and confidentiality
C. Right to visitation
D. Right to accommodation
Correct Answer: B
Rationale: Confidentiality of health information is a core resident right protected
by law.
, Question 8
An administrator is reviewing infection control practices. Which indicator most
strongly suggests a breakdown in the program?
A. Increased admissions
B. Rising healthcare-associated infection rates
C. Staff schedule changes
D. Increased supply costs
Correct Answer: B
Rationale: Rising infection rates directly indicate ineffective infection prevention
measures.
Question 9
A facility is cited for improper documentation. What is the administrator’s primary
responsibility?
A. Rewrite past records
B. Train staff on documentation standards and compliance
C. Delegate responsibility to medical records staff only
D. Ignore minor documentation issues
Correct Answer: B
Rationale: Administrators are responsible for ensuring staff competence and
compliance with documentation standards.
