NURSING HOME ADMINISTRATOR
EXAM PRACTICE EXAM 2024 -2025
QUESTIONS AND DETAILED CORRECT
ANSWERS| NHA JAMES ALLEN
1. The most likely single cause for the series of
bankruptcies among larger nursing home chains around
the year 2000 was ____.
1. Too small increases in government reimbursement
rates
2. Paying too much for acquisitions in 1998 and 1999
3. Not taking advantage of falling interest rates
4. Thinking too small Correct Answer 2
2. In a chance conversation with the owner of an eight-
facility chain, the newly hired administrator for the oldest
facility in the chain indicates that, because the mortgage is
fully retired, the administrator will concentrate more on
being effec- tive than efficient since the Quality Indicators
are all at or above the state's aver-age. The owner would
likely ____.
1. Be pleased
2. Be distressed
3. Be content
4. Praise the newly hired administrator Correct Answer 2
3.
Occupancy of Facility A has been a steady 70% since the
Prospective Payment System was introduced. Two weeks
,ago, a new 120-bed, equally equipped facil- ity opened
several blocks away. The Facility A administrator tells the
admissions counselor to continue the usual recruitment
approach. The chain owners ought to _____.
1. Rest comfortably
2. Seek a new administrator
3. Appoint a new admissions counselor
4. Take no action Correct Answer 2
4. Bankruptcies among larger nursing home chains prior to
2000 _____.
1. Were frequent
2. Were ubiquitous
3. Were highly unusual
4. Were routinely declared to avoid too much accumulated
debt Correct Answer 3
5. Under the Prospective Payment System, nursing
facilities' reimbursed costs _____.
1. Were about the same as previously
2. Were more bundled
3. Used an unbundled cost structure
4. Were reimbursement for actual costs Correct Answer 2
6. In recent years, Medicare has _____.
1. Allowed facilities to make a modest profit
2. Shifted more costs onto nursing facilities
3. Eased up on economic pressures previously placed on
facilities
4. Remained relatively unchanged in its reimbursement
structure Correct Answer 2
,7. The nurse newly promoted to director of nursing insists
on giving four RN hours of patient care each day on the
Alzheimer's wing in the 175-bed facility. The administrator
should _____.
1. Praise the new director of nursing for her resident
centeredness
2. Appoint an assistant director of nursing
3. Adapt the job description to fit her pattern
4. Seek a new director of nursing Correct Answer 4
8. The applicant for the administrator position in a facility
near a large teaching hospital insists that, as before in his
rural facility, if hied he would not let the Medicare
reimbursement policies affect his case mix. This applicant
_____.
1. Should be hired
2. Is likely to succeed if hired
3. Can likely succeed in his goal
4. Is out of touch Correct Answer 4
9. The newly hired assistant to the administrator insists
that the organizational chart dotted line between this
position and the Department of Nursing be a solid line.
The administrator should _____.
1. Agree in general
2. Agree to this special case
3. Ask the director of nursing for his or her opinion 4. Be
forewarned Correct Answer 4
, 10. The medical supplies provider tells the administrator of
a facility that has not paid bills for the past 3 months but is
now operating under a bankruptcy judge's approved plan
for restructuring, that no more deliveries will be made until
past bills are fully paid. The medical supplies provider
_____.
1. Is smart to cut losses at that point
2. Does not understand how bankruptcy works 3. Will now
likely get his past due bills paid
4. Is farsighted Correct Answer 2
11. An administrator who adopts the leadership-by-
walking-around (LBWA) approach by walking through the
facility weekly and intently observing has _____.
1. Become an effective leader
2. Chosen a good management style 3. Failed to
understand LBWA
4. Implemented a useful strategy Correct Answer 3
12. The nursing facility administrator who, using the
leadership-by-walking around (LBWA) technique,
succeeds in actually making appropriate corrections on
the spot during her rounds _____.
1. Is effectively implementing the concept
2. Gains additional power through the process 3. Exhibits
appropriate leadership
4. Does not understand LBWA Correct Answer 4
13. The rate of increase in the total number of nursing
facilities in the United States during the years 2008 to
2012 is _____.
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