Free Hawaii State Examination Practice Questions

Sample Practice Questions

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

1. 1In Hawaii, which person may practice nursing home administration?

   1. A. A person holding a current nursing home administrator license
   2. B. A facility owner listed on the facility license
   3. C. A registered nurse appointed by the medical director
   4. D. A department-approved management consultant

   Answer: A

   Explanation: HRS §457B-3 states: "It shall be unlawful for any person not licensed under this chapter to practice or offer to practice nursing home administration." Facility ownership or another professional credential does not substitute for that license.

   Reference: Hrs 457 B 3 — HRS §457B-3

2. 2How far before a scheduled Hawaii nursing home administrator examination must an applicant file the examination application under HAR chapter 16-90?

   1. A. Thirty days
   2. B. Two months
   3. C. Ninety days
   4. D. One hundred twenty days

   Answer: B

   Explanation: HAR §16-90-8 directs the applicant to "Apply at least two months prior to the examination." Therefore two months is the required lead time.

   Reference: Hawaii Administrative Rules Chapter 90-C Nursing Home Administrators — HAR §16-90-8(1)-(2)

3. 3When must a Hawaii nursing facility notify the Department of Health of a planned change in administration, ownership, location, name, or operational beds?

   1. A. Ten days before the change
   2. B. Fifteen days before the change
   3. C. Thirty days before the change
   4. D. Ninety days before the change

   Answer: B

   Explanation: HAR §11-94.2-6 requires notice 15 days before any listed operational change.

   Reference: Har 11 94.2 (2022) — HAR §11-94.2-6(i)

4. 4When does HRS §457B-3.2 allow a Hawaii administrator to alter a physician's order without that alteration being a disciplinary ground?

   1. A. When the governing body approves the alteration in advance
   2. B. When the order is clearly hazardous and the physician is immediately notified
   3. C. When the resident's family requests the alteration in writing
   4. D. When the consultant pharmacist records the alteration at the monthly review

   Answer: B

   Explanation: HRS §457B-3.2 lists altering an order as a ground unless "the orders are clearly hazardous to the patient or resident, in which case the physician shall be immediately notified." Option B states both controlling conditions.

   Reference: Hrs 457 B 3.2 — HRS §457B-3.2(1)

5. 5What must a Hawaii nursing home administrator candidate pass under HAR §16-90-18?

   1. A. The CORE examination only
   2. B. The NHA line-of-service examination only
   3. C. A national examination and the Hawaii state examination
   4. D. The Hawaii state examination and an oral interview

   Answer: C

   Explanation: HAR §16-90-18 requires a "two-part examination consisting of the national examination for a nursing home administrator's license and the Hawaii state examination." Thus both listed parts are required.

   Reference: Hawaii Administrative Rules Chapter 90-C Nursing Home Administrators — HAR §16-90-18(b)

6. 6By when must the Hawaii Department of Health ordinarily decide a completed nursing-facility license application?

   1. A. Sixty days
   2. B. Ninety days
   3. C. One hundred twenty days
   4. D. One year

   Answer: B

   Explanation: HAR §11-94.2-8 sets a 90-day decision period for a completed application, subject to the rule's emergency exceptions.

   Reference: Har 11 94.2 (2022) — HAR §11-94.2-8

7. 7Which HRS §457B-3.2 disciplinary ground specifically concerns a document filed with the licensing authority?

   1. A. Filing a required document containing a material false statement
   2. B. Altering a physician's order outside the hazardous-order exception
   3. C. Defrauding an agency, business, or individual in facility operations
   4. D. Using false, fraudulent, or deceptive advertising

   Answer: A

   Explanation: HRS §457B-3.2 separately lists all four grounds, including "Submitting or filing with the board any notice, statement, or other document required under this chapter which is false or which contains any material misstatement of fact." Option A is the filing-specific ground.

   Reference: Hrs 457 B 3.2 — HRS §457B-3.2(1)-(4)

8. 8A licensed Hawaii nursing home administrator is unexpectedly removed. What is the ordinary maximum duration of the temporary permit that may be granted to a qualified designee?

   1. A. Thirty days
   2. B. Sixty days
   3. C. Ninety days
   4. D. One hundred twenty days

   Answer: D

   Explanation: HAR §16-90-9 states: "The temporary permit shall not exceed one hundred twenty days" except when the examination is held beyond that limit.

   Reference: Hawaii Administrative Rules Chapter 90-C Nursing Home Administrators — HAR §16-90-9

9. 9How soon after receiving a statement of deficiencies must a Hawaii nursing facility submit its plan of correction?

   1. A. Five days
   2. B. Ten days
   3. C. Fifteen days
   4. D. Thirty days

   Answer: B

   Explanation: HAR §11-94.2-10 requires submission of the plan of correction within 10 days after receipt of the statement.

   Reference: Har 11 94.2 (2022) — HAR §11-94.2-10

10. 10Which activity falls within Hawaii's regulatory definition of the practice of nursing home administration?

    1. A. Prescribing a resident's medication regimen
    2. B. Planning and controlling the operation of a nursing home
    3. C. Issuing a facility's health-care license
    4. D. Adjudicating a resident's Medicaid eligibility

    Answer: B

    Explanation: HAR §16-90-2 includes making operational decisions and specifically refers to "controlling of the operation of a nursing home." Planning and controlling facility operations therefore matches the definition.

    Reference: Hawaii Administrative Rules Chapter 90-C Nursing Home Administrators — HAR §16-90-2