OpenExamsFREE PRACTICE — ANY EXAM

Free Texas state examination on nursing facility requirements in Texas Practice Questions

150 free questions · Answer explanations · No signup required

View examination details, outline and sources

Loading selected examination banks…

Sample Practice Questions

Try these 10 sample questions from the Texas state examination on nursing facility requirements in Texas practice bank. Each includes the answer and explanation. Continue with the interactive practice above to review the full question set.

  1. 1A new resident asks the Texas nursing facility to manage her personal spending money. What must the administrator first recognize about this service?

    1. A. The resident must authorize the facility to manage the funds
    2. B. The attending physician must authorize fund management
    3. C. The ombudsman must appoint the fund custodian
    4. D. The Medicaid caseworker must open the account

    Answer: A

    Explanation: Under 26 TAC §554.404, a facility may not require a resident to deposit personal funds; management begins only at the resident's authorization. The administrator should document that choice before accepting funds.

    Reference: Close2 Rule554 404 — 26 TAC §554.404(a)

  2. 2A Texas nursing-facility resident receives a discharge notice and wants a fair hearing. What filing period should the notice explain?

    1. A. 10 days
    2. B. 30 days
    3. C. 60 days
    4. D. 90 days

    Answer: D

    Explanation: HHSC’s current handbook states that "the resident has the right to appeal the action ... by requesting a hearing within 90 days after the date of the notice." The notice must explain that 90-day filing period.

    Reference: Close2 Rule554 502 — Nursing Facility Discharge, 90-day appeal-right notice under 26 TAC §554.502(j)

  3. 3Staff suspect abuse that resulted in serious bodily injury. What is the outside reporting deadline?

    1. A. No later than 2 hours
    2. B. No later than 8 hours
    3. C. No later than 24 hours
    4. D. No later than 5 working days

    Answer: A

    Explanation: HHSC requires immediate reporting, no later than two hours, for abuse or an incident involving serious bodily injury.

    Reference: State Tags — Section 2.4; 26 TAC §554.602

  4. 4When planning daily operations, what overall quality-of-life objective must the administrator prioritize for each resident?

    1. A. Maintain consistent unit routines as the first priority
    2. B. Promote the resident's dignity, choice, and highest practicable well-being
    3. C. Maximize attendance at scheduled group activities
    4. D. Maximize operational efficiency across the unit

    Answer: B

    Explanation: 26 TAC §554.701 requires care and environment that promote each resident's quality of life rather than institutional convenience.

    Reference: State Tags — 26 TAC §554.701

  5. 5By when must the facility develop a baseline care plan after a resident's admission?

    1. A. Within 24 hours
    2. B. Within 48 hours
    3. C. Within 7 days
    4. D. Within 14 days

    Answer: B

    Explanation: HHSC defines an "NF baseline care plan" as a plan developed by an NF "within 48 hours of a resident’s admission." The deadline is therefore 48 hours.

    Reference: 1100, Definitions | Forms and Handbooks — Definition of NF baseline care plan

  6. 6Residents report that hot meals routinely arrive cold and unappealing. Which corrective focus is most directly required?

    1. A. Serve food at appetizing temperatures and in a palatable form
    2. B. Replace all meals with supplements
    3. C. Reduce the number of menu choices
    4. D. Move dining to resident rooms

    Answer: A

    Explanation: Texas dietary-service requirements address palatability and appropriate serving temperature as part of resident quality of life.

    Reference: State Tags — 26 TAC §554.1104

  7. 7How often must the consultant pharmacist generally review each resident's drug regimen?

    1. A. Weekly
    2. B. Monthly
    3. C. Quarterly
    4. D. Annually

    Answer: B

    Explanation: The pharmacy-services rule requires at least monthly drug-regimen review by a licensed pharmacist.

    Reference: State Tags — 26 TAC §554.1501

  8. 8What is the primary required purpose of the facility's infection prevention and control program?

    1. A. Prevent and control communicable diseases and infections
    2. B. Measure and improve facility-wide quality performance
    3. C. Maintain continuity during disasters and emergencies
    4. D. Review and resolve medication-regimen irregularities

    Answer: A

    Explanation: HHSC states, "The facility must establish and maintain an infection prevention control (IPC) program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections." Prevention and control is the program’s primary purpose.

    Reference: Close2 Rule554 1601 — IPC Program Requirements; 26 TAC §554.1601(b)

  9. 9A renovation removes the call device from one resident bedroom. Which Texas physical-environment requirement is violated?

    1. A. A nurse-call system serving each resident room
    2. B. A call system only at the nurses' station
    3. C. A call system only in dining rooms
    4. D. A portable telephone for staff only

    Answer: A

    Explanation: The Texas crosswalk identifies 26 TAC §554.1701(6)(A) as requiring nurse-call service in each resident room.

    Reference: Close2 Rule554 1701 — 26 TAC §554.1701(6)(A)

  10. 10How much annual dementia-care training does Texas require for specified nursing staff in the facility?

    1. A. 30 minutes
    2. B. 1 hour
    3. C. 2 hours
    4. D. 4 hours

    Answer: B

    Explanation: HHSC’s training matrix states, "One hour of training each year" for caring for people who have dementia. The annual minimum for the listed nursing staff is one hour.

    Reference: PL 2023-21 — Training Requirement table; 26 TAC §554.1929(2)

Topics in this practice bank

These topics describe the available practice for Texas state examination on nursing facility requirements in Texas. Review the examination outline and its sources for scope and allocation details.

  • Resident Rights, Notice, Privacy, and Grievances
    • Resident rights, notices, privacy, grievances, access, and decision-making
  • Admission, Transfer, Discharge, and Bed Hold
    • Admission policy, transfer and discharge safeguards, appeals, return, and bed hold
  • Abuse, Neglect, Exploitation, Restraints, and Reporting
    • Prevention, protection, reporting, investigation, restraint, and seclusion
  • Quality of Life, Activities, Social Services, and Councils
    • Quality of life, activities, social services, resident groups, family councils, and personal life
  • Assessment, Care Planning, and Quality of Care
    • Resident assessment, person-centered care planning, discharge planning, and quality of care
  • Nursing, Dietary, Physician, Rehabilitation, Dental, and Diagnostic Services
    • Required clinical and support services and professional oversight
  • Pharmacy Services and Medication Management
    • Pharmacist review, administration, records, storage, errors, and disposal
  • Infection Prevention, Control, and Vaccination
    • IPC program, infection preventionist, precautions, surveillance, reporting, sanitation, and vaccination
  • Physical Environment, Life Safety, and Emergency Preparedness
    • Resident environment, safety systems, emergency planning, evacuation, training, and continuity
  • Administration, Staffing, Records, Quality Assurance, Medicaid, and PASRR
    • Governance, administrator coverage, staffing controls, records, QAA, facility assessment, Medicaid, and PASRR

How to use these free practice questions

Choose an answer, check the explanation, and review your progress by chapter. Practice questions and explanations are free to access without signing up.

These are independent study questions, not actual examination items. For examination requirements and official information, view Texas state examination on nursing facility requirements in Texas details.