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National Nursing Home Administrator Exam Questions and Answers, Exams of Nursing

Missouri CollegeNursing

A comprehensive set of questions and answers related to the national nursing home administrator exam. It covers a wide range of topics, including civil law, medicare regulations, infection control, fire safety, organizational structure, and human resource management. Designed to help aspiring nursing home administrators prepare for the exam and gain a deeper understanding of the key concepts and principles involved in managing a nursing home.

Typology: Exams

2024/2025

Available from 03/17/2025

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NATIONAL NURSING HOME ADMINISTRATOR
EXAM Questions and Answers Latest Versions
2025 TOP RATED A+
1.
The type of law that focuses on the rights and duties between people in areas
related to contracts and torts?
Correct Answer: Civil Law
2.
What is the difference between a:
-
Board of Directors
-
Board of Trustees
Correct Answer: Board of Directors govern FOR-PROFIT organizations
Board of Trustees govern NOT-FOR-PROFIT organizations
3.
What is "Part A" of the Medicare Health Insurance Program?
Correct Answer: Hospital insurance part of the program including hospital extended
care facility and home health
4.
What is the Expectancy Theory?
Correct Answer: A theory developed by Victor Voom that suggest employees are
motivated to perform based upon a perceived expected outcome and the value the
employee places on that outcome.
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Download National Nursing Home Administrator Exam Questions and Answers and more Exams Nursing in PDF only on Docsity!

NATIONAL NURSING HOME ADMINISTRATOR

EXAM Questions and Answers Latest Versions

2025 TOP RATED A+

  1. The type of law that focuses on the rights and duties between people in areas related to contracts and torts? Correct Answer: Civil Law
  2. What is the difference between a:
    • Board of Directors
    • Board of Trustees Correct Answer: Board of Directors govern FOR-PROFIT organizations Board of Trustees govern NOT-FOR-PROFIT organizations
  3. What is "Part A" of the Medicare Health Insurance Program? Correct Answer: Hospital insurance part of the program including hospital extended care facility and home health
  4. What is the Expectancy Theory? Correct Answer: A theory developed by Victor Voom that suggest employees are motivated to perform based upon a perceived expected outcome and the value the employee places on that outcome.
  1. What are 2 types of infections? Correct Answer: Localized - an infection found in only 1 part of the body and symptoms are seen only at that 1 part Systemic - an infection that affects an entire body part or whole body system and the person may have many different types of symptoms

Correct Answer: Fire Containment/Prevention Methods used due to difficult evacuating residents because of their various conditions. Examples: Corridor walls constructed properly, smoke and fire barriers installed, approved fire detection systems and suppression systems such as automatic sprinkler.

  1. The facility must maintain clinical records on each resident in accordance with accepted professional standards and practices that are: Correct Answer: 483.75 (Administration) - The facility must maintain clinical records on each resident in accordance with accepted professional standards and practices that are: Complete Accurately Documented Readily Accessible Systematically Organized
  2. Which Act protects all persons over the age of 40 against job discrimination? Correct Answer: The Age Discrimination in Employment Act of 1987
  3. What is a "Nosocomial Infection" in the LTC facility? Correct Answer: Nosocomial Infections - An infection that develops after admission to the LTCF

*HAIs/CAIs are infections that are incubating at the time of admission and develop within 48-72 hours after admission

  1. The Center for Health Systems Research and Analysis developed a method for evaluating Nursing Home Care, what is this called? Correct Answer: Nursing Home Quality Indicators (QIs)
  2. When is an "Extended Survey" conducted? Correct Answer: After substandard quality of care is determined during a standard survey
  3. What is a "Flat Organizational Structure"? Correct Answer: An organizational structure that has only a few levels of management and emphasizes decentralization
  4. 1st Family Nursing Home has a pharmacist named Tom who comes in monthly and reviews the resident's drug regimen. Tom is known as a/an: Correct Answer: Consultant Pharmacist
  5. What is the term for an on-site Federal survey to determine whether a provider meets the requirements to begin participating in the Medicare and/or Medicaid programs? Correct Answer: Initial Survey
  1. Information required by OSHA from vendors on any chemical that may be potentially hazardous. Correct Answer: MSDS (Material Safety Data Sheet)
  2. When a resident has legal right to be educated on potential risks, benefits, and alternative of the proposed treatment prior to treatment. This is called what? Correct Answer: Informed Consent
  3. One process for assessing a company's profitability is calculated by dividing the firm's annual net income by the total shareholders' equity. This is called ROE - which means? Correct Answer: Return on Equity
  4. What is Human Resource Planning (HRP) and why is it important? Correct Answer: HRP is the process an organization uses to ensure that it has the right amount and the right kinds of people to deliver a particular level of output or services in the future.
  5. Would a report of inappropriate use of restraints resulting in injury be considered "Immediate Jeopardy"?

Correct Answer: NO - A report of inappropriate use of restraints resulting in injury would not be triaged as immediate jeopardy if it is clear that the inappropriate use of restraints is not present and ongoing

  1. What is the definition of an "Infection"? Correct Answer: Infection: A disease or a condition of the body that occurs when germs get into the body and grow in numbers
  2. What is Bureaucratic Organizational Structure? Correct Answer: A pyramid-shaped organizational structure that consists of hierarchies with many levels of management
  3. When is a "Partial Extended Survey" conducted? Correct Answer: After substandard quality of care is found during an abbreviated standard survey or during a revisit, when substandard quality of care was not previously identified.
  4. Under OBRA, is it necessary to inform a resident when there is a roommate change? Correct Answer: Yes 483.15 Quality of Life Accommodation of needs. A resident has the right to receive notice before the resident's room or roommate in the facility is changed.

thinks highly of an employee and rather than rate independently for each item, the manager inflates the ratings

  1. What is COBRA insurance? Correct Answer: Gives Workers and Families who lose their health benefits the right to choose to cont. group insurance provided by their group health plan for limited periods of time under certain circumstances such as voluntary or involuntary job loss, reduction in hours, transition between jobs, death, divorce, and other life events. Qualified individuals may be required to pay the entire premium for coverage up to 102% of the cost of the plan.
  2. What is the definition of an "Assault"? Correct Answer: An intentional threat or action that causes fear to another individual with reasonable alarm for harm
  3. Staff has invited the local union into the facility. When the labor reps contact the Administrator that they plan to organize the facility, what is the first thing the Administrator needs to do? Correct Answer: Confer with an expensive labor relations specialist and develop an appropriate plan of action
  4. What is the RAI (Resident Assessment Instrument)?

Correct Answer: A tool to help facilities identify residents' needs and strengths and develop an appropriate care plan. The Federal RAI system includes: the MDS, RAPs, and Utilization Guidelines

  1. What is State-Federal Unemployment Insurance and who can receive it? Correct Answer: Federal-State Unemployment Insurance Program provides unemployment benefits to eligible workers who are unemployed through no fault of their own, and meet other eligibility requirements of State law. Each State administers a separate unemployment insurance program within guidelines established by Federal law. Eligibility for unemployment insurance, benefit amounts and the length of time benefits are available are determined by the State law under which unemployment insurance claims.
  2. What is considered a significant change in condition? Correct Answer: A substantial modification in a residents physical, mental, emotional, cognitive, or functional status that requires a new assessment using the MDS instrument, and also generally requires notification of the residents attending physician, family, and guardian
  3. What is the maximum amount of allowable time between meals? Correct Answer: 16 - hours my elapse between evening meal and breakfast if a nourishing snack is provided and it is approved by resident council, otherwise 14 - hours.
  1. What is the Fair Labor Standards Act (FLSA) and what does it require employers to do? Correct Answer: The FLSA prescribes standards for wages and overtime pay, which affect most private and public employment. The act is administered by the Wage and Hour Division. It requires employers to pay covered employees who are not otherwise exempt at least the federal minimum wage and overtime pay of one-and-one-half-times the regular rate of pay.
  2. The term for the general area of the Federal Nursing Home regulations that addresses resident (patient) life issues such as dignity, participation in activities, social services, accommodation of needs, and the facility's environment such as lighting, sound, temperature, and homelike environment. Correct Answer: Quality of Life
  3. What is a "Chemical Restraint"? Correct Answer: A psychoactive drug used by a facility for discipline or convenience and not for medical treatment.
  4. What type of Fire Extinguisher should be used on a grease fire? Correct Answer: Class B are used on fires involving flammable liquids, such as grease, gasoline, oil, and oil-based paints.
  1. What is the Family Medical Leave Act (FMLA) and how long is it good for? Correct Answer: 12 weeks unpaid leave Available for any employee that worked 1250 - hours during past 12 months and includes any part-time employee that worked as much as 60%. Employee must be reinstated to return to work.
  2. What is Person Centered Care (PCC)? Correct Answer: PCC is defined as a comprehensive and ongoing process of transforming an entity's culture and operation into a nurturing, empowering one that promotes purpose and meaning and supports well-being for individuals in a relationship- based, home environment.
  3. Which office in the U.S. Department of Health and Human Services that is charged with identifying and eliminating fraud, abuse and waste in the Medicare, Medicaid, and other DHHS programs? Correct Answer: OIG - Office of Inspector General
  4. What are 2 factors that make Health Services different than other services? Correct Answer: 1. Many providers are organized as not-for-profit corporations as opposed to investor owned.
  5. Payment for services typically is made by 3rd parties rather than by patients, who receive the services.
  1. What does ANSI stand for? Correct Answer: American National Standards Institute
  2. Services that are Person-Centered typically integrate what 4 items? Correct Answer: Services that are person-centered integrates personal preferences, values, lifestyle choices and needs.
  3. How are performance appraisals used for administrative and/or developmental purposes? Correct Answer: Performance appraisals are used administratively whenever they are the basis for a decision about the employee's work conditions, including promotions, terminations, and rewards. Developmental uses of appraisal, which are geared toward improving employees' performance and strengthening their job skills, include providing feedback, counseling employees on effective work behaviors, and offering them training and other learning opportunities.
  4. What is the name for the type of lease, that charges a fixed amount for each procedure performed instead of a fixed annual or monthly payment? Correct Answer: A per procedure lease
  5. What is Substandard Care?

Correct Answer: Any deficiency that constitutes immediate jeopardy to resident health or safety; or a pattern of or widespread actual harm that is not immediate jeopardy; or a widespread potential for more than minimal harm that is not immediate jeopardy, with no actual harm in the following categories Resident Behavior and Facility Practice (42 CFR 483.13) Quality of Life (42 CFR 483.15) Quality of Care (42 CFR 483.25)

  1. MDS stands for? Correct Answer: Minimum Data Set
  2. After a resident has been admitted, how often can they expect to be seen by a physician? Correct Answer: Every 30 days for the first 90 days and every 60 days following the 1st 90 days
  3. What is an LLP (Limited Liability Partnership)? Correct Answer: A partnership in which the general partners have joint liability for all actions of the partnership, including personal injury and debt load. All partners of the entity incur limited liability related to professional malpractice because the partners are liable for personal malpractice acts (not those of the partners). However, the partners are jointly liable for the partnership debts.
  1. How often should a residents drug regimen be reviewed? Correct Answer: at least monthly by a licensed pharmacist
  2. A procedure can be described as: Correct Answer: A detailed statement to accomplish a task
  3. When a regulation is found to be in conflict, always use the: Correct Answer: Most stringent one
  4. What is the Internal Rate of Return? Correct Answer: Mathematically, the IRR is defines as the discount rate that equates the present value of the project's expected cash inflows to the present value of the project's expected cash outflows.
  5. The fundamental elements identified for effective PCC dementia care include: Correct Answer: 1. People with dementia are able to experience joy, comfort, meaning and growth in their lives.
  6. For people with dementia, quality of life depends on the quality of the relationships they have with the direct care staff.
  7. Optimal care occurs within an environment that supports the development of healthy relationships between staff, family and residents.
  1. Every business needs a business statement. A mission statement is basically what? Correct Answer: Explains the purpose of the business and why it is doing what it does
  2. Which State in the U.S. has the most chartered companies due to it's favorable government and legal environment for businesses? Correct Answer: Delaware
  3. Mr. Smith is being admitted to the Long Road Nursing Home by his primary care doctor, Dr. Jones. Dr. Jones' policy is to not follow his patients while they are residents at the nursing home. Who should choose a doctor for Mr. Smith? Correct Answer: Mr. Smith or his designee
  4. An asset that can be quickly converted to cash without appreciable loss is said to be: Correct Answer: A Liquid Asset
  5. What is Total Compensation? Correct Answer: Total Compensation is the package of quantifiable rewards an employee receives for his or her labors.
  6. Base Compensation
  7. Pay Incentives
  8. Indirect Compensation/Benefits