Free State Law Examination for Adult Care Home Administration Practice Questions

Sample Practice Questions

Try these 10 sample questions from the State Law Examination for Adult Care Home Administration practice bank. Each includes the answer and explanation. Continue with the interactive practice above to review the full question set.

1. 1A governing body is assigning responsibility for a Kansas nursing facility. Which description identifies the individual who is the adult care home administrator under Kansas law?

   1. A. The individual directly responsible for planning, organizing, directing, and controlling the adult care home
   2. B. The individual responsible only for clinical nursing supervision
   3. C. The individual who owns the real estate but delegates all operations
   4. D. The individual who conducts the facility's annual fire inspection

   Answer: A

   Explanation: K.S.A. 65-3501(c) states, ""Administrator" means the individual directly responsible for planning, organizing, directing and controlling the operation of an adult care home." The first description matches that complete responsibility.

   Reference: 65-3501 — § 65-3501(c)

2. 2Under the Kansas administrator regulations, how much direct instruction constitutes a clock-hour?

   1. A. 40 minutes
   2. B. 45 minutes
   3. C. 50 minutes
   4. D. 60 minutes

   Answer: C

   Explanation: K.A.R. 26-38-1(c) defines a clock-hour as "at least 50 minutes of direct instruction, exclusive of registration, breaks, and meals."

   Reference: Kansas Adult Care Home Administrator Regulations — K.A.R. 26-38-1(c), page 1

3. 3May a Kansas adult care home license be transferred to different persons or assigned to different premises?

   1. A. No; the license names the persons and premises and is nontransferable
   2. B. Yes, if the licensed premises remain unchanged
   3. C. Yes, if the persons named in the application remain unchanged
   4. D. Yes, after the licensing agency receives 30 days' notice

   Answer: A

   Explanation: K.S.A. 39-928 states, "Each license shall be issued only for the premises and persons named in the application and shall not be transferable or assignable."

   Reference: STATUES AND REGULATIONS FOR THE LICENSURE AND OPERATION OF NURSING FACILITIES — § 39-928, page 5

4. 4A Kansas adult care home administrator has reasonable cause to believe a resident is being neglected. What must the administrator do?

   1. A. Report the information immediately to the appropriate agency.
   2. B. Wait for a completed internal investigation before reporting.
   3. C. Report only if the resident independently confirms neglect.
   4. D. Defer reporting until a physician diagnoses an injury.

   Answer: A

   Explanation: K.S.A. 39-1402(a) says "shall report immediately such information or cause a report of such information to be" made. Reasonable cause of neglect triggers that duty; an internal investigation, resident confirmation, or physician diagnosis is not a prerequisite.

   Reference: Kansas Adult Care Home Regulations and Statutes — K.S.A. 39-1402(a)

5. 5A prospective resident needs services an adult care home cannot provide within its available accommodations. What should the administrator decide about admission?

   1. A. Admit because the resident can obtain any missing service later.
   2. B. Admit if the resident signs a waiver for unmet service needs.
   3. C. Decline admission because the home cannot meet those needs.
   4. D. Admit for a trial period before assessing whether needs can be met.

   Answer: C

   Explanation: K.A.R. 26-39-102(a)(1) states "the admission of only those individuals whose physical, mental, and psychosocial needs can be met within the accommodations and services available in the adult care home." The admission criterion requires capacity to meet needs at admission; waiver, trial, and later arrangements do not replace it.

   Reference: Kansas Adult Care Home Regulations and Statutes — K.A.R. 26-39-102(a)(1)

6. 6A proposed nursing facility site lies in a mapped flood hazard area. Which flood-zone benchmark must the site be above under Kansas physical-environment rules?

   1. A. The 25-year flood zone.
   2. B. The 50-year flood zone.
   3. C. The 100-year flood zone.
   4. D. The 500-year flood zone.

   Answer: C

   Explanation: K.A.R. 26-40-301(b)(6) states "be located above the 100-year flood zone if the property is located in a flood hazard area;" The question asks for the specified benchmark; the regulation names the 100-year flood zone, not the alternative figures.

   Reference: Kansas Nursing Facility Regulations — K.A.R. 26-40-301(b)(6)

7. 7An assisted living resident's screening identifies a need that is included in the resident's negotiated service agreement. How must the operator direct the resident's care?

   1. A. Base care on the facility's admission contract and charges.
   2. B. Base care on the resident's screening and service agreement.
   3. C. Base care on the facility's staffing plan and assignments.
   4. D. Base care on the resident's discharge summary and history.

   Answer: B

   Explanation: K.A.R. 26-41-101(a) requires that "each resident receives care and services in accordance with each resident’s functional capacity screening and negotiated service agreement." This resident’s identified need and agreed service therefore direct care; the other documents do not replace that resident-specific requirement.

   Reference: Kansas Adult Care Home Regulations and Statutes — K.A.R. 26-41-101(a)

8. 8Under Kansas nursing-facility rules, which statement correctly describes a resident's choice to deposit personal funds?

   1. A. Deposit is required whenever the balance exceeds $50
   2. B. Deposit is optional and cannot be required by the facility
   3. C. Deposit is required whenever the facility provides quarterly reports
   4. D. Deposit is required whenever the facility maintains a surety bond

   Answer: B

   Explanation: K.A.R. 28-39-149(a) says the facility "shall not require any resident" to deposit personal funds with it.

   Reference: STATUES AND REGULATIONS FOR THE LICENSURE AND OPERATION OF NURSING FACILITIES — K.A.R. 28-39-149(a), page 50

9. 9An unlicensed adult care home employee will provide direct care to residents. Which preparation is required for nurse aide certification under Kansas rules?

   1. A. An approved 90-hour nurse aide course and the state test.
   2. B. A 75-hour medication aide course and the state test.
   3. C. An administrator practicum and the state law test.
   4. D. A continuing education course and a registry fee alone.

   Answer: A

   Explanation: K.A.R. 26-50-20(a) requires a person to "Successfully complete at least a 90-hour nurse aide course approved by the secretary;" and "pass the state test as specified in K.A.R. 26-50-24." Both steps govern an unlicensed direct-care employee, unlike medication-aide training or administrator licensure.

   Reference: Kansas Nursing Facility Regulations — K.A.R. 26-50-20(a)(1)-(2)

10. 10Which Kansas facility is expressly within the adult care home category governed by the administrator-licensure act?

    1. A. A hospice serving only Medicare hospice patients
    2. B. A nursing facility
    3. C. A physician's private office
    4. D. A hotel without licensed long-term-care services

    Answer: B

    Explanation: K.S.A. 65-3501(a) states that ""Adult care home" means nursing facility" along with the other listed facility types. A nursing facility is therefore within the credential's statutory scope.

    Reference: 65-3501 — § 65-3501(a)