Free state examination (nha – mo) Practice Questions

Sample Practice Questions

Try these 10 sample questions from the state examination (nha – mo) practice bank. Each includes the answer and explanation. Continue with the interactive practice above to review the full question set.

1. 1How long must a Missouri residential care or assisted living facility retain a personnel record after the employee's termination?

   1. A. At least one year
   2. B. At least two years
   3. C. At least five years
   4. D. At least seven years

   Answer: B

   Explanation: Official text states "following termination of employment". Personnel records must be maintained for at least two years following termination.

   Reference: 19c30-86 — 19 CSR 30-86.047, personnel records

2. 2How must Missouri facilities store the three regulatory categories of poisonous or toxic materials in relation to one another?

   1. A. Together on one shelf
   2. B. Physically separate from each other
   3. C. Mixed by intended department
   4. D. In resident rooms for quick access

   Answer: B

   Explanation: Official text states "these three (3) categories set forth". Each of the three categories must be stored and physically located separately from the others.

   Reference: Division of Regulations and Licensure — 19 CSR 30-87.020(5)

3. 3When must a Missouri facility disclose its policy on medication packaging to a prospective resident?

   1. A. Before admission
   2. B. Within 30 days after admission
   3. C. At the first annual review
   4. D. Only if the resident complains

   Answer: A

   Explanation: Official text states "make such information available to the". The facility must disclose its medication-packaging policy before admission.

   Reference: Missouri Secretary of State: Code of State Regulations — 19 CSR 30-88.010(12)

4. 4What must occur before authorized electronic monitoring begins in a Missouri long-term care facility resident's room?

   1. A. The facility must receive the completed required form
   2. B. The resident council must vote unanimously
   3. C. The device vendor must obtain a state license
   4. D. The ombudsman must install the device

   Answer: A

   Explanation: Official text states "A facility shall offer the DHSS-DRL-107". The required electronic-monitoring form must be completed and returned to the facility before monitoring begins or a device is installed.

   Reference: Missouri Secretary of State: Code of State Regulations — 19 CSR 30-91.010, authorization procedure

5. 5In Missouri, for what maximum period may a long-term care facility license be issued unless it is sooner revoked?

   1. A. Up to one year
   2. B. Up to two years
   3. C. Up to three years
   4. D. Up to five years

   Answer: B

   Explanation: Official text states "up to two years". Missouri law provides that a license, unless sooner revoked, may be issued for up to two years.

   Reference: Missouri Revisor of Statutes - Revised Statutes of Missouri, RSMo Section 198.015 — RSMo 198.015.3

6. 6The revenue director has notified a nursing home administrator and licensing entity of unpaid state taxes. No remedy or payment arrangement is verified. Within what maximum time after notice must the professional license be suspended?

   1. A. Thirty days after the revenue director's notice.
   2. B. Sixty days after the revenue director's notice.
   3. C. Ninety days after the revenue director's notice.
   4. D. One hundred twenty days after the revenue director's notice.

   Answer: C

   Explanation: "the licensee's license shall be suspended within ninety days after notice of such delinquency or failure to file" Chapter 344 licenses fall within Chapter 324's stated range. The ninety-day deadline applies unless the revenue director verifies a remedy or arrangement; the other periods are not this suspension deadline.

   Reference: Missouri Revised Statutes, Chapter 324 — RSMo 324.010

7. 7A Missouri skilled nursing facility hires a manager to take general administrative charge. Which personal credential must the manager hold before serving?

   1. A. A Missouri residential care and assisted living administrator license issued by the same Board.
   2. B. A Missouri temporary emergency administrator license issued for a qualifying vacancy.
   3. C. A Missouri skilled nursing facility operating license issued by the health department.
   4. D. A Missouri nursing home administrator license issued by the Board of Nursing Home Administrators.

   Answer: D

   Explanation: "No person shall act or serve in the capacity of a nursing home administrator without first procuring a license from the Missouri board of nursing home administrators" Ordinary skilled nursing facility administration requires the personal NHA credential. An RCAL license has narrower scope, an emergency license requires a vacancy, and the facility operating license is not the manager's personal credential.

   Reference: Missouri Revised Statutes, Chapter 344 — RSMo 344.020

8. 8After the Missouri board evaluates and qualifies an applicant, within what period must the applicant take the required examinations?

   1. A. Six months
   2. B. Twelve months
   3. C. Eighteen months
   4. D. Twenty-four months

   Answer: B

   Explanation: Official text states "within twelve (12) months". The required examinations must be taken within twelve months after board evaluation and qualification.

   Reference: Missouri Secretary of State: Code of State Regulations — 19 CSR 73-2.070(2)

9. 9What is the maximum time one individual may be on duty with responsibility for resident oversight in a Missouri residential care or assisted living facility?

   1. A. 12 hours per day
   2. B. 16 hours per day
   3. C. 18 hours per day
   4. D. 24 hours per day

   Answer: C

   Explanation: Official text states "longer than eighteen (18) hours per day". No one individual may have oversight responsibility longer than eighteen hours per day.

   Reference: 19c30-86 — 19 CSR 30-86.047, staffing requirements

10. 10Which storage control applies to poisonous or toxic materials in a Missouri long-term care facility?

    1. A. They must be kept in locked cabinets or rooms inaccessible to residents
    2. B. They may be stored beneath resident sinks
    3. C. They must remain unlocked for emergency use
    4. D. They may be placed beside food if labeled

    Answer: A

    Explanation: Official text states "stored in locked cabinets". All poisonous or toxic materials must be locked and inaccessible to residents.

    Reference: Division of Regulations and Licensure — 19 CSR 30-87.020(5)