Free California Nursing Home Administrator State Examination Practice Questions

Sample Practice Questions

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

1. 1What minimum score must a California applicant earn to pass either part of the nursing home administrator licensing examination?

   1. A. 70 percent
   2. B. 75 percent
   3. C. 80 percent
   4. D. 85 percent

   Answer: B

   Explanation: California Health and Safety Code § 1416.34(a)(1) states, "an examinee shall earn a score of at least 75 percent." Therefore 75 percent is required.

   Reference: Codes Display Text — § 1416.34(a)(1)

2. 2When a skilled nursing facility licensee delegates authority, what happens to the licensee's regulatory responsibility?

   1. A. It transfers to the administrator
   2. B. It is divided with the governing body
   3. C. It is not diminished
   4. D. It ends during the delegation

   Answer: C

   Explanation: 22 CCR § 72501(a) states, "The delegation of any authority by a licensee shall not diminish the responsibilities of such licensee."

   Reference: Ccr22 72501 — 22 CCR § 72501(a)

3. 3What is the admission-screening purpose assigned to the administrator or designee?

   1. A. Admit only patients for whom adequate care can be provided
   2. B. Admit only patients with private insurance
   3. C. Reserve beds for hospital referrals
   4. D. Exclude patients needing physician services

   Answer: A

   Explanation: Section 72513(f) requires screening "to ensure that the facility admits only those patients for whom it can provide adequate care."

   Reference: State SNF Relicensing Survey Workbook 2016 — 22 CCR § 72513(f)

4. 4Who selects the physician under whose care an admitted skilled nursing resident will be placed?

   1. A. The facility administrator alone
   2. B. The patient or authorized representative
   3. C. The local health officer
   4. D. The pharmacy consultant

   Answer: B

   Explanation: Section 72303(a) requires care by "a physician selected by the patient or patient's authorized representative."

   Reference: Afl 14 11 Attachment 01 — 22 CCR § 72303(a)

5. 5Under California's medication-administration rule, what authority must exist before a medication is given?

   1. A. An order from a person lawfully authorized to give it
   2. B. A request from the business office
   3. C. Approval from the resident council
   4. D. A standing request from dietary staff

   Answer: A

   Explanation: Section 72313(a)(1) states, "No medication or treatment shall be administered except on the order of a person lawfully authorized to give such order."

   Reference: State SNF Relicensing Survey Workbook 2016 — 22 CCR § 72313(a)(1)

6. 6What must the facility arrange regarding prescribed drugs and biologicals?

   1. A. Pharmaceutical services must be available
   2. B. Residents must use one designated pharmacy
   3. C. The administrator must dispense all doses
   4. D. Only emergency drugs may be stocked

   Answer: A

   Explanation: Section 72353(a) says, "Arrangements shall be made to assure that pharmaceutical services are available to provide patients with prescribed drugs and biologicals."

   Reference: Ccr22 72353 — 22 CCR § 72353(a)

7. 7How far in advance must regular and therapeutic menus be written and posted in the kitchen?

   1. A. Three days
   2. B. Five days
   3. C. One week
   4. D. Two weeks

   Answer: C

   Explanation: Section 72341(a) requires menus to be written and posted "at least one week in advance."

   Reference: State SNF Relicensing Survey Workbook 2016 — 22 CCR § 72341(a)

8. 8Which document establishes the activity program's planned offerings?

   1. A. A written schedule of purposeful individual or group activities
   2. B. An individual activity-plan progress record
   3. C. A current resident-participation record
   4. D. A current list of residents unable to participate

   Answer: A

   Explanation: Section 72381(a) states, "An activity program shall have a written, planned schedule of social and other purposeful independent or group activities."

   Reference: Ccr22 72381 — 22 CCR § 72381(a)

9. 9Within what period must the administrator inform the Department by telephone of a specified unusual occurrence?

   1. A. 8 hours
   2. B. 12 hours
   3. C. 24 hours
   4. D. 72 hours

   Answer: C

   Explanation: Section 72513(e) requires informing the Department "via telephone within 24 hours."

   Reference: State SNF Relicensing Survey Workbook 2016 — 22 CCR § 72513(e)

10. 10A facility labels a patient room 2B. Does this meet California's identification rule?

    1. A. Yes, because a number-letter combination is permitted
    2. B. No, because only a room number is permitted
    3. C. No, because only a room letter is permitted
    4. D. No, because an identification must use a color code

    Answer: A

    Explanation: Section 72609(a) states, "Each patient room shall be labeled with a number, letter or combination of the two for identification." The 2B label uses an expressly permitted combination.

    Reference: State SNF Relicensing Survey Workbook 2016 — 22 CCR § 72609(a)