Free Illinois Nursing Home Administrator Supplemental Examination Practice Questions

Sample Practice Questions

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

1. 1An Illinois skilled nursing facility plans to admit one resident above the bed count on its license for a weekend. What must the administrator decide?

   1. A. The admission is allowed for up to 72 hours
   2. B. The admission is prohibited because the licensed resident limit controls
   3. C. The admission is allowed if the medical director agrees
   4. D. The admission is allowed after notice to the ombudsman

   Answer: B

   Explanation: Section 300.110(d) states, "A facility shall admit only that number of residents for which it is licensed." The temporary nature of the proposed overcapacity does not create an exception.

   Reference: ADMINISTRATIVE CODE — 77 Ill. Adm. Code 300.110(d)

2. 2How often must the Resident Care Policy Committee review the facility's written resident-care policies?

   1. A. Once per quarter or more often
   2. B. Twice per year or more often
   3. C. Once per year or more often
   4. D. Once every two years

   Answer: C

   Explanation: Section 300.610(a) requires the policies to be "reviewed at least annually" with signed and dated minutes.

   Reference: ADMINISTRATIVE CODE — 77 Ill. Adm. Code 300.610(a)

3. 3How many physicians must serve on the medical advisory committee of an Illinois skilled nursing facility?

   1. A. At least one
   2. B. At least two
   3. C. At least three
   4. D. At least four

   Answer: B

   Explanation: Section 300.1010(a)(2) requires a committee "composed of two (2) or more physicians."

   Reference: ADMINISTRATIVE CODE — 77 Ill. Adm. Code 300.1010(a)(2)

4. 4A facility has 80 residents. What is the minimum total activity-staff time that must be provided each week?

   1. A. 40 hours
   2. B. 50 hours
   3. C. 60 hours
   4. D. 80 hours

   Answer: C

   Explanation: Section 300.1410(b) says weekly activity staff time "shall total not less than 45 minutes multiplied by the number of residents in the facility"; 80 multiplied by 45 minutes is 60 hours.

   Reference: ADMINISTRATIVE CODE — 77 Ill. Adm. Code 300.1410(b)

5. 5What is the maximum Illinois business-offense fine for willfully operating a covered nursing facility without a license under Section 300.110?

   1. A. $5,000
   2. B. $7,500
   3. C. $10,000
   4. D. $25,000

   Answer: C

   Explanation: Section 300.110(f) makes the violation punishable by "a fine not to exceed $10,000."

   Reference: ADMINISTRATIVE CODE — 77 Ill. Adm. Code 300.110(e)-(f)

6. 6Which group must include the administrator, an advisory physician or medical advisory committee, and representatives of nursing and other services?

   1. A. Residents' Advisory Council
   2. B. Resident Care Policy Committee
   3. C. Pharmaceutical Advisory Committee
   4. D. Quality Assurance Committee

   Answer: B

   Explanation: Section 300.610(a) assigns that membership to the "Resident Care Policy Committee."

   Reference: ADMINISTRATIVE CODE — 77 Ill. Adm. Code 300.610(a)

7. 7What timing satisfies Illinois's physical-examination requirement for a newly admitted resident?

   1. A. Within 10 days before or 24 hours after admission
   2. B. Within 5 days before or 72 hours after admission
   3. C. Within 14 days before or 48 hours after admission
   4. D. Within 30 days before or 7 days after admission

   Answer: B

   Explanation: Section 300.1010(g) requires an examination "within five days prior to admission or within 72 hours after admission."

   Reference: ADMINISTRATIVE CODE — 77 Ill. Adm. Code 300.1010(g)

8. 8How much in-service education must activity personnel receive annually?

   1. A. 4 hours
   2. B. 6 hours
   3. C. 8 hours
   4. D. 10 hours

   Answer: D

   Explanation: Section 300.1410(b)(2) requires "a minimum of 10 hours of in-service training per calendar or employment year"; 10 hours is therefore the minimum.

   Reference: ADMINISTRATIVE CODE — 77 Ill. Adm. Code 300.1410(b)(2)

9. 9A facility will voluntarily close a wing, requiring discharge or transfer of 15% of its residents. How much advance notice is ordinarily required?

   1. A. 30 days
   2. B. 45 days
   3. C. 60 days
   4. D. 90 days

   Answer: C

   Explanation: Section 300.110(i) requires the administrator to "give 60 days' notice" when closing a part will require transfer or discharge of more than 10% of residents.

   Reference: ADMINISTRATIVE CODE — 77 Ill. Adm. Code 300.110(i)

10. 10When may IDPH waive the requirement for a written agreement with a hospital for diagnostic, emergency, and acute services?

    1. A. When the facility has fewer than 50 beds
    2. B. When a physician is on site around the clock
    3. C. When remote location or hospital refusal makes an agreement unavailable
    4. D. When residents sign individual waivers

    Answer: C

    Explanation: Section 300.610(e) permits waiver when the facility documents inability caused by "its remote location or refusal of local hospitals to enter an agreement."

    Reference: ADMINISTRATIVE CODE — 77 Ill. Adm. Code 300.610(e)