Free District of Columbia Jurisprudence Examination for Nursing Home Administrators Practice Questions

Sample Practice Questions

Try these 10 sample questions from the District of Columbia Jurisprudence Examination for Nursing Home Administrators practice bank. Each includes the answer and explanation. Continue with the interactive practice above to review the full question set.

1. 1A District nursing home administrator knowingly uses falsified documents to obtain a professional license for another person. Which disciplinary ground most directly applies?

   1. A. Fraudulently or deceptively obtaining or attempting to obtain a license for another person
   2. B. Practicing under a name other than the licensed name
   3. C. Failing to maintain adequate client records
   4. D. Failing to pay an applicable licensing fee

   Answer: A

   Explanation: D.C. Code § 3-1205.14(a)(1) identifies as a ground a person who "Fraudulently or deceptively obtains or attempts to obtain a license, registration, or certification for himself, herself, or another person." The administrator's use of falsified documents to secure another person's license fits that ground.

   Source: § 3–1205.14. Revocation, suspension, or denial of license or privilege; civil penalty; reprimand. | D.C. Law Library — § 3-1205.14(a)(1)

2. 2A nonprofit proposes to open a nursing facility in the District. Its administrator holds an individual professional license, but the facility has no license. What must occur before the facility operates?

   1. A. The facility must obtain its own license from the Mayor before opening.
   2. B. The facility must obtain a basic business license without a health care facility endorsement.
   3. C. The facility must obtain private accreditation in place of District licensure.
   4. D. The facility must obtain federal program certification in place of District licensure.

   Answer: A

   Explanation: District law says "it shall be unlawful to operate a facility or agency in the District of Columbia, whether public or private, for profit or not for profit, without being licensed by the Mayor." The administrator's individual license cannot replace the facility license, and neither accreditation nor federal certification substitutes for this threshold duty.

   Source: D.C. Official Code Title 44 Chapter 5 — § 44–502(a)

3. 3An ombudsman representative arrives to speak with a resident in the resident's room. Whose permission must the representative obtain before entering that living area?

   1. A. The nursing home administrator's permission after identification
   2. B. The resident's permission after the representative identifies themself
   3. C. The attending physician's permission after a clinical assessment
   4. D. The charge nurse's permission after reviewing the resident's chart

   Answer: B

   Explanation: The access rule says the representative "shall not enter the living area of a resident without identifying him or herself to the resident and receiving the permission of the resident to enter." General facility access does not displace this resident-level permission.

   Source: D.C. Official Code Title 7 Chapter 7 — § 7–703.01(d)

4. 4An NHA licensure applicant receives notice that an application deficiency is minor. The notice specifies no different correction period. What deadline does the general rule give the applicant?

   1. A. Correct the deficiency within 10 days after the notice is received.
   2. B. Correct the deficiency within 30 days after the notice is received.
   3. C. Correct the deficiency within 60 days after the notice is received.
   4. D. Correct the deficiency within 90 days after the notice is received.

   Answer: B

   Explanation: The rule states: "Upon receipt of the notice, the applicant shall correct the deficiency within thirty (30) days or other period specified in the notice." Because this notice sets no different period, the deadline is 30 days; the other intervals govern other processes or are incorrect here.

   Source: 17 DCMR Chapter 40 Health Occupations: General Rules — 4001.4

5. 5A complaint alleges facts that, if proven, would justify discipline of a licensed nursing home administrator. Whom must the board ask to investigate under Chapter 41?

   1. A. The Director of the Department of Health
   2. B. An Administrative Law Judge assigned to the board
   3. C. The Attorney General for the District of Columbia
   4. D. Counsel to the health occupations board

   Answer: A

   Explanation: Chapter 41 says the board "shall request the Director to investigate a health professional if the facts alleged in the complaint, if proven, would constitute sufficient grounds for disciplinary action." An ALJ hears cases, the Attorney General may represent the District, and board counsel can participate in settlement; none is the named official for this investigation request.

   Source: 17 DCMR Chapter 41 Health Occupations: Administrative Procedures — 17 DCMR § 4101.1

6. 6A supervisor is documenting practical experience for an NHA applicant under the District rule. Which weekly supervision pattern meets the specified average and immediate-supervision component?

   1. A. At least 30 hours of supervised practice weekly, including 2 hours immediate supervision
   2. B. At least 35 hours of supervised practice weekly, including 1 hour immediate supervision
   3. C. At least 35 hours of supervised practice weekly, including 2 hours immediate supervision
   4. D. At least 40 hours of supervised practice weekly, including 1 hour immediate supervision

   Answer: C

   Explanation: The rule requires practice "under general supervision averaging at least thirty-five (35) hours per week, two (2) hours per week of which shall be under immediate supervision." Thirty hours of supervised practice is too little, and one hour of immediate supervision is too little even with 35 or 40 total hours. C satisfies both requirements.

   Source: 17 DCMR Chapter 62 Nursing Home Administration — 17 DCMR § 6202.4(b)

7. 7A District nursing facility schedules its administrator on-site for 32 hours each week during regular business hours. What minimum weekly presence does the rule require?

   1. A. 24 hours
   2. B. 35 hours
   3. C. 40 hours
   4. D. 48 hours

   Answer: C

   Explanation: 22 DCMR § 3201.1 states, "An Administrator shall be present forty (40) hours per week during regular business hours." A 32-hour schedule therefore falls short; the required minimum is 40 hours.

   Source: DISTRICT OF COLUMBIA MUNICIPAL REGULATIONS — 22 DCMR § 3201.1

8. 8An administrator presents another licensee's credential as though it were the administrator's own valid credential. How does the District statute characterize this conduct?

   1. A. Attempting to obtain a license deceptively
   2. B. Fraudulently or deceptively using a license
   3. C. Misrepresenting credentials as an expert witness
   4. D. Practicing beyond the authorized scope

   Answer: B

   Explanation: Section 3-1205.14(a)(2) lists the ground: "Fraudulently or deceptively uses a license, registration, or certification." Presenting another person's credential as one's own is deceptive use of a license.

   Source: § 3–1205.14. Revocation, suspension, or denial of license or privilege; civil penalty; reprimand. | D.C. Law Library — § 3-1205.14(a)(2)

9. 9A corporation that owns a District nursing facility plans a transfer of 12% of its stock. What is the minimum advance interval for written notice to the governmental licensing authority?

   1. A. At least 10 days before the ownership change
   2. B. At least 20 days before the ownership change
   3. C. At least 60 days before the ownership change
   4. D. At least 30 days before the ownership change

   Answer: D

   Explanation: For a transfer involving "legal or beneficial ownership of 10% or more" of the owner's stock, the law requires notice "at least 30 days prior to the change in ownership." The 12% transfer crosses the trigger, and 30 days is the required minimum interval; a longer notice is permissible but is not the minimum asked.

   Source: D.C. Official Code Title 44 Chapter 5 — 44-502(g)

10. 10An ombudsman program requests records from a nursing facility covered by the District's long-term care law. The facility cites HIPAA as a reason to withhold them. Which response follows the express District provision?

    1. A. Release the records to the program as an exempt health oversight agency.
    2. B. Require a court subpoena before releasing records to the program.
    3. C. Release records only after the resident gives a separate written waiver.
    4. D. Send the records only to the Mayor and refuse program access.

    Answer: A

    Explanation: The law states a facility subject to the HIPAA privacy regulation "shall release records to the program as an exempt health oversight agency." That express access rule defeats a blanket HIPAA refusal; the listed court, waiver, or Mayor-only conditions are not substitutes for it.

    Source: D.C. Official Code Title 7 Chapter 7 — § 7–703.02(e)