Free Arkansas Nursing Home Administrator State Licensure Exam Practice Questions

Sample Practice Questions

Try these 10 sample questions from the Arkansas Nursing Home Administrator State Licensure Exam practice bank. Each includes the answer and explanation. Continue with the interactive practice above to review the full question set.

1. 1Two separately located Arkansas nursing homes are operated by the same management company. How must the operator handle facility licensure?

   1. A. Use one license covering both institutions
   2. B. Obtain a separate license for each institution
   3. C. Use one license if both homes share an administrator
   4. D. Obtain a separate license only when ownership differs

   Answer: B

   Explanation: 20 CAR § 400-201 states, "Separate institutions operated by the same management require separate licenses." Shared management therefore does not combine the two sites under one license.

   Reference: 20CARpt.400 - 1.1.2025 — 20 CAR § 400-201(a)(2)

2. 2An Arkansas nursing-home-administrator candidate asks for the minimum age at which an individual may qualify for licensure. What age does the rule set?

   1. A. 18 years
   2. B. 20 years
   3. C. 21 years
   4. D. 25 years

   Answer: C

   Explanation: "An applicant for licensure as a nursing home administrator shall be at least twentyone (21) years of age." The rule sets 21 as the minimum, so the lower figures fall short and 25 is above, not the minimum.

   Reference: 20 CAR Part 402: Rules for Licensing of Nursing Home Administrators in Arkansas — 20 CAR § 402-202

3. 3An Arkansas nursing-home sale is scheduled to close in 45 days. By when must both buyer and seller notify the Office of Long-Term Care?

   1. A. At least 10 days before the sale
   2. B. At least 20 days before the sale
   3. C. At least 30 days before the sale
   4. D. Within 30 days after the sale

   Answer: C

   Explanation: The rule requires both parties to notify OLTC "at least thirty (30) days prior to the completed sale." Notice 30 or more days before closing satisfies the rule.

   Reference: 20CARpt.400 - 1.1.2025 — 20 CAR § 400-201(b)

4. 4A candidate holds a bachelor's degree in health care administration but had no nursing-home internship in that degree program. What is the minimum additional nursing-home internship or experience required for testing eligibility?

   1. A. No additional months
   2. B. Three months
   3. C. Six months
   4. D. Twelve months

   Answer: B

   Explanation: "in HCA or LTCA without internship: three (3) months internship or experience in a nursing home is required;" The no-internship bachelor's pathway requires three months. Zero applies to a different pathway with an internship; longer durations belong to other education paths.

   Reference: 20 CAR Part 402: Rules for Licensing of Nursing Home Administrators in Arkansas — 20 CAR § 402-204(a)(2)

5. 5A nongovernmental applicant seeks an Arkansas nursing-home license for 60 patient beds. Which annual license fee rule applies?

   1. A. Ten cents per bed or $10, whichever is greater
   2. B. Ten cents per bed with no minimum
   3. C. One dollar per bed or $25, whichever is greater
   4. D. A flat $60 regardless of bed count

   Answer: A

   Explanation: 20 CAR § 400-202 requires "an annual license fee of ten cents (10¢) per patient bed or ten dollars ($10.00), whichever is greater." For 60 beds, the $10 minimum controls.

   Reference: 20CARpt.400 - 1.1.2025 — 20 CAR § 400-202(a)(1)(B)

6. 6An Arkansas applicant uses a bachelor's degree in nursing to qualify for administrator testing and must document the rule's basic core subjects. What minimum total of equivalent semester hours must those core subjects satisfy?

   1. A. Six semester hours
   2. B. Twelve semester hours
   3. C. Fifteen semester hours
   4. D. Twenty semester hours

   Answer: C

   Explanation: "A minimum of fifteen (15) equivalent semester hours must be satisfied in these basic core requirement areas (three (3) hours per topic):" The nursing-degree route invokes the basic core requirement, which totals fifteen equivalent semester hours across five topics; the other totals do not meet that specified minimum.

   Reference: 20 CAR Part 402: Rules for Licensing of Nursing Home Administrators in Arkansas — 20 CAR § 402-204(a)(3), (b)(1)

7. 7A corporation applies to license an Arkansas nursing home. Who must sign the facility-license application for the corporation?

   1. A. One corporate officer
   2. B. Two officers of the board
   3. C. The licensed administrator alone
   4. D. Every corporate director

   Answer: B

   Explanation: For a facility operated under a corporation, church, or nonprofit association, the application must be signed by "Two (2) officers of the board."

   Reference: 20CARpt.400 - 1.1.2025 — 20 CAR § 400-202(a)(5)(C)

8. 8An applicant does not meet the education and nursing-home-experience qualifications in § 402-204. Which route does Arkansas require the applicant to complete?

   1. A. The three-month nursing-home internship pathway
   2. B. The six-month nursing-home internship pathway
   3. C. The one-year nursing-home internship pathway
   4. D. The DHS Administrator-in-Training Program

   Answer: D

   Explanation: "Applicants who do not meet the educational and experience requirements noted in 20 CAR § 402-204 must meet the qualifications for and complete the requirements of the Administrator-in-Training Program as administered by the Department of Human Services." The AIT program is the specified route when § 402-204 qualifications are not met; the stated internship periods apply to particular degree pathways under that section.

   Reference: 20 CAR Part 402: Rules for Licensing of Nursing Home Administrators in Arkansas — 20 CAR § 402-205

9. 9Which ownership interest must an Arkansas nursing home disclose to DHS on its license application?

   1. A. Each direct or indirect interest of 1% or more
   2. B. Each direct or indirect interest of 3% or more
   3. C. Each direct or indirect interest of 5% or more
   4. D. Each direct or indirect interest of 10% or more

   Answer: C

   Explanation: The facility must disclose "each person directly or indirectly having an ownership interest of five percent (5%) or more."

   Reference: 20CARpt.400 - 1.1.2025 — 20 CAR § 400-202(c)(1)

10. 10An Arkansas administrator whose individual license is inactive is offered general administrative charge of a nursing home. Which licensing status must the person have to take that role?

    1. A. An inactive nursing-home-administrator license
    2. B. An active nursing-home-administrator license
    3. C. Approval to sit for the administrator examination
    4. D. Enrollment in the administrator-in-training program

    Answer: B

    Explanation: "No person shall administer, manage, supervise, or be in general administrative charge of a nursing home unless they are a licensed nursing home administrator in active status." An inactive license, testing approval, or trainee enrollment does not supply the active individual license required for the role.

    Reference: 20 CAR Part 402: Rules for Licensing of Nursing Home Administrators in Arkansas — 20 CAR § 402-301(a)