Free Nursing Home Administrator Practice Questions

Sample Practice Questions

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

1. 1A 20-year-old applicant meets Oklahoma's Tier 1 education, training, and examination requirements. What minimum age must the applicant reach before a long-term care administrator license can be issued?

   1. A. Twenty-five years of age
   2. B. Eighteen years of age
   3. C. Twenty-one years of age
   4. D. Twenty-three years of age

   Answer: C

   Explanation: Title 63 §1-1949.3(B)(1)(a) requires an applicant to be "not less than twenty-one (21) years of age, and" to satisfy the licensure entry condition. The applicant must reach 21; meeting other Tier 1 requirements does not replace the age requirement.

   Reference: Oklahoma Statutes, Title 63: Public Health and Safety — 63 O.S. §1-1949.3(B)(1)(a)

2. 2An Oklahoma Tier 1 applicant does not hold a bachelor's degree but has an associate degree in a health-related field. What additional experience satisfies the alternative education route?

   1. A. At least five years in upper-level management of a long-term care facility
   2. B. At least two years as a direct-care employee in any health facility
   3. C. At least three years managing a residential care home
   4. D. At least one year as a nursing-facility department head

   Answer: A

   Explanation: OAC 310:679-10-3(b)(2) requires an associate degree in a relevant field and "not less than five (5) years of experience in upper-level management of a long-term care facility." The applicant therefore needs five years of the specified management experience.

   Reference: 310-679 Long-Term Care Administrators 08-2025.pdf — OAC 310:679-10-3(b)(2)

3. 3A nursing facility has eligible unused prescriptions for Oklahoma's indigent distribution program. A county-operated pharmacy exists and participates. Which destination does §367.3 identify before the fallback destinations apply?

   1. A. A pharmacy operated by a city-county health department
   2. B. A county-operated pharmacy participating in the program
   3. C. A pharmacy operated by the Department of Mental Health
   4. D. A charitable clinic serving medically indigent residents

   Answer: B

   Explanation: Title 59 §367.3(A) names "a county. If no county pharmacy exists, or if a county pharmacy" declines to participate, the alternate sites become available. Because this county pharmacy participates, it is the route identified first; the other listed recipients are fallback destinations.

   Reference: Oklahoma Statutes, Title 59: Professions and Occupations — 59 O.S. §367.3(A)

4. 4What must an Oklahoma nursing facility tell residents about authorized electronic monitoring of a resident's room?

   1. A. It is mandatory in every special-care room
   2. B. It is permitted only in common areas
   3. C. It is not compulsory and requires written consent
   4. D. It is available only after a court order

   Answer: C

   Explanation: 63 O.S. § 1-1956.2(A) requires notice that monitoring "is not compulsory and shall only be conducted with the written consent of the resident or the representative of the resident."

   Reference: Ltca Licensing Act — 63 O.S. § 1-1956.2(A)

5. 5A nursing facility has filed an application to sponsor a nurse aide training and competency examination program. When may it begin enrolling trainees in that program?

   1. A. After it submits the program curriculum to the Department
   2. B. After the State Department of Health approves the program
   3. C. After it identifies the program's training instructors
   4. D. After it completes its first trainee orientation

   Answer: B

   Explanation: OAC 310:677-3-3(b) says no trainee may be "solicited or enrolled, until the Department has approved the program." Filing an application, preparing a curriculum, naming instructors, or conducting orientation does not replace approval.

   Reference: Oklahoma Administrative Code, Chapter 677: Nurse Aide Training and Certification — OAC 310:677-3-2 to 310:677-3-3(b)

6. 6Which Oklahoma provider is a 'special care provider' subject to the Alzheimer's disclosure rules?

   1. A. A provider that advertises or promotes care for Alzheimer's disease in a special unit or program
   2. B. Every nursing facility that admits any resident over age sixty-five
   3. C. Only a hospital with a geriatric psychiatric unit
   4. D. Any home-health agency that offers memory screening

   Answer: A

   Explanation: OAC 310:673-1-2 defines a special care provider as one that "advertises, markets or otherwise promotes itself as providing care or treatment" for Alzheimer's disease in a special unit or program.

   Reference: Oac 310 673 — OAC 310:673-1-2, definition of Special care provider

7. 7An administrator is in charge of an ordinary Oklahoma nursing facility, not an ICF/IID-16. What minimum portion of the administrator's working time must be devoted to on-the-job supervision of that facility?

   1. A. One-quarter of working time
   2. B. One-third of working time
   3. C. One-half of working time
   4. D. Two-thirds of working time

   Answer: B

   Explanation: Title 63 §1-1902(3) requires at least "one-third (1/3) of such person's working time" for on-the-job supervision, subject to a special ICF/IID-16 exception. The stated nursing facility is outside that exception, so one-third is the minimum.

   Reference: Oklahoma Statutes, Title 63: Public Health and Safety — 63 O.S. §1-1902(3)

8. 8How far in advance must the initial license application for a new Oklahoma nursing facility be filed before operations begin?

   1. A. At least thirty days
   2. B. At least ten working days
   3. C. At least sixty days
   4. D. At least ninety days

   Answer: A

   Explanation: OAC 310:675-3-2.1(1) requires the application to be filed "at least thirty days before beginning operations."

   Reference: Oac 310 675 — OAC 310:675-3-2.1(1)

9. 9Unless a waiver applies, within what period after submitting the initial Oklahoma Tier 1 application must the required training, internship, and examinations be completed?

   1. A. Twelve months
   2. B. Twenty-four months
   3. C. Thirty-six months
   4. D. Sixty months

   Answer: B

   Explanation: OAC 310:679-10-3(c) says applicants must complete the listed requirements "within twenty-four (24) months of submitting an application for initial licensure."

   Reference: 310-679 Long-Term Care Administrators 08-2025.pdf — OAC 310:679-10-3(c)

10. 10A nursing facility screens unused prescriptions for transfer under Oklahoma's unused-medication program. Which category is excluded even if the package is intact and the drug has not expired?

    1. A. An unused injectable medication
    2. B. A sealed unit-dose prescription
    3. C. A cancer drug in an unopened single-unit dose
    4. D. A controlled dangerous substance

    Answer: D

    Explanation: Title 59 §367.3(A) covers prescription drugs "other than prescription drugs defined as" "controlled dangerous substances"; §367.4 separately permits qualifying unit-dose drugs and unused injectables, including certain cancer drugs. Intact packaging cannot overcome the controlled-substance exclusion.

    Reference: Oklahoma Statutes, Title 59: Professions and Occupations — 59 O.S. §367.3(A)