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Mississippi State Board of Nursing Home Administrators
licensing exam Questions And Correct Answers (Verified
Answers) Plus Rationales 2025 Q&A | Instant Download
- The Mississippi statute that provides the official definition of a “nursing home administrator” is A. Mississippi Code § 41- 9 - 17 B. Mississippi Code § 43- 11 - 13 C. Mississippi Code § 73- 17 - 5 D. Mississippi Code § 75- 24 - 5 Answer: C. Mississippi Code § 73- 17 - 5 Rationale: Section 73- 17 - 5 is the enabling statute for the State Board of Nursing Home Administrators and contains all key definitions, including “nursing home administrator.” MSNHA
- The minimum age at which an individual may be licensed as a Mississippi nursing home administrator is A. 18 years B. 19 years C. 20 years D. 21 years Answer: D. 21 years Rationale: Mississippi Code § 73- 17 - 11 explicitly requires applicants to be
at least 21 years old, ensuring a baseline level of maturity and experience. Justia Law
- How many clock hours of continuing education (CE) must a Mississippi nursing home administrator complete during each biennial licensure period? A. 24 hours B. 30 hours C. 40 hours D. 50 hours Answer: C. 40 hours Rationale: The Board mandates 40 CE hours every two years; this aligns with national competency standards. MSNHA
- Of those 40 continuing-education hours, at least how many must be programs specifically approved by the Mississippi Board (as opposed to NAB alone)? A. 10 B. 15 C. 20 D. 30 Answer: C. 20 Rationale: The rule states that no more than 20 hours may be NAB-only; therefore, a minimum of 20 hours must carry Mississippi Board approval. MSNHA
Monday-through-Friday internship, mirroring typical facility leadership schedules. Mississippi Secretary of State
- During the AIT, at least how many hours each week must be under direct, on-site preceptor supervision? A. 4 B. 6 C. 8 D. 10 Answer: C. 8 Rationale: Rule 1.3 requires a minimum of eight supervised hours weekly to ensure consistent mentoring and competency validation. Mississippi Secretary of State
- For administrators licensed within the middle of a biennium, CE hours are prorated at roughly how many hours per month? A. 0. B. 1. C. 1. D. 2. Answer: C. 1. Rationale: Prorating CE keeps the expectation proportional; 1.5 hours per month totals 18 hours for a one-year period. Legal Information Institute 10.To obtain initial licensure, a candidate must pass A. Only the Mississippi State examination B. Only the NAB Core of Knowledge exam
C. Both the NAB exam and the Mississippi State exam D. Either the NAB or the State exam (candidate choice) Answer: C. Both the NAB exam and the Mississippi State exam Rationale: Rule 2703- 1 requires passing scores on both examinations, ensuring national competence plus state-specific knowledge. Legal Information Institute 11.When submitting proof of a NAB-approved CE course, the administrator must include A. A personal affidavit B. The NAB certificate with approval number C. A letter from the course instructor D. Nothing—credit posts automatically Answer: B. The NAB certificate with approval number Rationale: The Board’s CE instructions specify that a certificate bearing the NAB approval code is required for credit. MSNHA 12.Self-study or online courses may account for a maximum of how many CE hours in a two-year cycle? A. 10 B. 15 C. 20 D. 40 Answer: C. 20 Rationale: No more than half of the 40 required hours may be earned through NAB self-study or distance formats to preserve interactive learning. MSNHA
Answer: A. 30 Miss. Code R. 2701-1. Rationale: Section 2701-1.3 outlines the Board’s powers, including promulgating regulations to execute the Nursing Home Administrator Act. Legal Information Institute 16.If a CE sponsor falsifies attendance records, the Board may A. Issue a $25 fine only B. Revoke the sponsor’s approval status C. Require the sponsor to offer free courses D. Take no action against sponsors Answer: B. Revoke the sponsor’s approval status Rationale: Board rules warn that any sponsor “found certifying to an untruth will no longer be considered as providing acceptable programs,” effectively revoking approval. Legal Information Institute 17.Which of the following BEST describes the NAB examination? A. A Mississippi-only jurisprudence test B. A national exam covering core long-term-care knowledge domains C. A skills-based practicum administered on-site D. An oral examination before the Board Answer: B. A national exam covering core long-term-care knowledge domains Rationale: The NAB exam is the national standard for nursing-home-administrator competence across finance, environment, resident care, and leadership domains.
18.When documenting CE activities for renewal, administrators should keep records for at least A. 6 months B. 1 year C. 2 years D. 5 years Answer: C. 2 years Rationale: Maintaining records through the entire biennial cycle ensures proof of compliance if audited during renewal. 19.AIT programs must be supervised by a preceptor who is A. A licensed practical nurse with five-year experience B. Any healthcare administrator with a master’s degree C. A Mississippi-licensed nursing home administrator certified as a preceptor D. A board-approved attorney Answer: C. A Mississippi-licensed nursing home administrator certified as a preceptor Rationale: Board guidelines require preceptors to hold an active MS NHA license and a separate preceptor certification to ensure qualified mentorship. bnha.state.ms.us 20.If an administrator earns 50 CE hours in one biennium, how many may be carried over to the next period? A. 0 B. 5 C. 10
A. Fully compliant B. Short by 10 hours C. Short by 20 hours D. Over the hour limit Answer: C. Short by 20 hours Rationale: Only 20 hours may be creditable through NAB self-study; at least 20 must be Board-approved, so the administrator lacks 20 qualifying hours. MSNHA 24.Which of the following is FALSE regarding Mississippi preceptor requirements? A. Preceptors must attend a Board-approved training course. B. Preceptors must hold an unrestricted MS NHA license. C. Preceptors must renew their designation every four years. D. Preceptors must supervise no more than one AIT at a time. Answer: C. Preceptors must renew their designation every four years. Rationale: Board rules require preceptor renewal every two (2) years, not four. 25.An applicant with an MBA and no long-term-care experience must A. Sit directly for the state exam B. Complete a shortened 1,000-hour AIT program C. Complete the full AIT program as prescribed D. Submit only proof of degree for licensure Answer: C. Complete the full AIT program as prescribed Rationale: Regardless of advanced degree, Mississippi requires practical
facility experience through the AIT to ensure competence in day-to-day nursing-home operations. 26.Which of the following is TRUE regarding the Mississippi State Exam for nursing home administrators? A. It is administered monthly via paper. B. It is available only to out-of-state applicants. C. It is based on Mississippi laws and regulations. D. It includes federal OSHA compliance content. Answer: C. It is based on Mississippi laws and regulations Rationale: The State Exam assesses familiarity with Mississippi-specific statutes and Board rules related to long-term care administration. 27.A Mississippi administrator’s license is suspended for nonpayment of child support. The Board will A. Revoke the license permanently. B. Require a new AIT program. C. Refer the case to the Attorney General. D. Reinstate the license upon proof of compliance. Answer: D. Reinstate the license upon proof of compliance Rationale: Per state law, licensure can be suspended for nonpayment, but reinstatement occurs once the issue is resolved and documentation is submitted. 28.A temporary nursing home administrator license in Mississippi is valid for A. 30 days
31.The Mississippi Board of Nursing Home Administrators is composed of A. 5 members appointed by the Governor B. 7 members selected by the Board of Health C. 9 members elected by licensees D. 3 members nominated by nursing homes Answer: A. 5 members appointed by the Governor Rationale: State statute establishes a five-member board appointed by the Governor to oversee licensure and enforcement. 32.NAB exam scores are valid in Mississippi for how long after successful completion? A. 6 months B. 1 year C. 2 years D. 5 years Answer: C. 2 years Rationale: After passing the NAB exam, a candidate has 2 years to complete Mississippi’s additional licensing steps. 33.Which of the following topics is most likely to appear on the Mississippi Jurisprudence Exam? A. Federal CMS survey protocols B. Mississippi licensure renewal procedures C. National insurance reimbursement policy D. OSHA workplace training guides Answer: B. Mississippi licensure renewal procedures
Rationale: The jurisprudence exam focuses on state-level laws, Board rules, CE requirements, and licensure processes. 34.An AIT program may be completed in as few as A. 3 months B. 6 months C. 12 months D. 18 months Answer: B. 6 months Rationale: The Mississippi AIT program may range from 6 to 12 months depending on the applicant’s qualifications and Board approval. 35.An individual licensed in another state with equivalent standards can seek a Mississippi license via A. State waiver B. Endorsement C. Grandfathering D. Residency conversion Answer: B. Endorsement Rationale: Mississippi allows for licensure by endorsement if the applicant holds a valid license in a state with equivalent requirements. 36.Which document is NOT required for initial licensure? A. College transcripts B. State exam score C. NAB score report D. Facility’s CMS Five-Star Report
D. Occurs only on state holidays Answer: B. Is approved by the preceptor and Board Rationale: Time off during the AIT must be reported and pre-approved to ensure completion of required hours. 40.Board meeting minutes and public records are available A. Only through FOIA lawsuits B. Only to licensees in good standing C. Upon written request under the Public Records Act D. After 5 years of archiving Answer: C. Upon written request under the Public Records Act Rationale: Mississippi public boards must provide access to meeting minutes and decisions under the Public Records Act. 41.An applicant who fails the state exam may reapply A. After a 2-week waiting period B. Immediately with new fees C. Only once per year D. After Board intervention Answer: B. Immediately with new fees Rationale: There is no mandatory wait period; retesting may occur upon resubmission of the exam application and fee. 42.The Mississippi Board has the authority to A. Fire facility staff B. Enforce Medicare reimbursements C. Investigate and discipline licensed administrators
D. Overturn resident discharge decisions Answer: C. Investigate and discipline licensed administrators Rationale: The Board's jurisdiction includes disciplinary review of licensees for violations of law or ethics. 43.CE hours earned during a license suspension A. Are still valid B. Cannot be counted toward reinstatement C. Must be doubled for reinstatement D. Are carried forward indefinitely Answer: B. Cannot be counted toward reinstatement Rationale: CE earned while suspended is typically disallowed, as the license is not in active status. 44.A facility without a licensed administrator for more than 30 days must A. Report to the Board and request temporary permit B. Cease operations C. Appoint a DON as interim D. Notify CMS only Answer: A. Report to the Board and request temporary permit Rationale: Facilities must notify the Board and obtain temporary licensure authority for continuity and compliance. 45.An NHA license will lapse automatically if renewal is not completed by A. January 1 of the renewal year B. April 30 of the renewal year C. June 30 of the renewal year
D. Overpayment of Medicaid services Answer: C. Gross negligence in facility oversight Rationale: Revocation occurs for serious offenses such as abuse, fraud, or gross neglect of duties. 49.A licensee who moves to a new address must notify the Board within A. 3 days B. 5 days C. 10 days D. 30 days Answer: C. 10 days Rationale: Board rules require updated contact information within 10 days of address change to ensure communication. 50.Which entity accredits CE courses for national recognition in Mississippi? A. American College of Healthcare Executives B. Department of Health and Human Services C. NAB (National Association of Long Term Care Administrator Boards) D. Joint Commission Answer: C. NAB (National Association of Long Term Care Administrator Boards) Rationale: NAB is the national accrediting body for CE courses used in administrator licensure across the U.S., including Mississippi. 51.Which of the following would most likely require immediate notification to the Mississippi Board of Nursing Home Administrators?
A. A facility's budget overage B. Preceptor taking medical leave during AIT supervision C. A resident falling in the dining hall D. A change in the CMS Five-Star rating Answer: B. Preceptor taking medical leave during AIT supervision Rationale: The AIT program must have uninterrupted, qualified preceptor oversight; any disruption requires Board notification and approval of alternatives. 52.If a Mississippi nursing home administrator is convicted of a DUI, the Board may A. Automatically revoke the license B. Suspend the license for one year C. Investigate and impose disciplinary action based on circumstances D. Transfer the case to the Department of Health Answer: C. Investigate and impose disciplinary action based on circumstances Rationale: A DUI does not result in automatic revocation but may prompt investigation to determine if it affects professional fitness. 53.Which of the following is an allowable method of earning CE credit in Mississippi? A. Supervising a resident council meeting B. Writing a facility newsletter C. Attending a Board-approved leadership seminar D. Serving as a juror Answer: C. Attending a Board-approved leadership seminar
