NAB RCAL EXAM STUDY GUIDE | (COMPLETE
SOLUTIONS) EXAM| ASSURED SUCCESS
|GRADE A+!! |QUESTIONS & ANSWERS 100%
VERIFIED 2026 LATEST UPDATE
DOMAIN I: RESIDENT CARE, SUPPORT SERVICES &
QUALITY OF LIFE
Sub-Domain: Resident Rights & Abuse Prevention
Question 1:
A resident in an assisted living facility has the legal right to refuse a routine blood pressure
check. The nurse aide insists that the resident "must cooperate." The administrator should
intervene by:
• a) Supporting the nurse aide's insistence because routine checks are required by policy
• b) Respecting the resident's right to refuse and educating staff on resident rights
• c) Calling the resident's family to force compliance
• d) Documenting the refusal and performing the check anyway
Answer: b) Respecting the resident's right to refuse and educating staff on resident rights
Rationale: Residents in assisted living retain all civil and legal rights, including the right to refuse
treatment or services. The facility must honor these rights and educate staff accordingly. The
administrator should ensure staff understand that informed refusal is a protected resident right.
Question 2:
Which of the following is a reportable incident of abuse under most state assisted living
regulations?
• a) A resident refusing to take a shower
, • b) A staff member yelling at a resident and using threatening language
• c) A resident accidentally dropping a plate
• d) A family member visiting after hours
Answer: b) A staff member yelling at a resident and using threatening language
Rationale: Verbal abuse, threats, and intimidation are forms of psychological abuse that must be
reported to state regulatory agencies. Physical abuse, sexual abuse, neglect, financial
exploitation, and verbal/psychological abuse are all mandatory reporting categories.
Question 3:
The administrator receives a report that a staff member has been taking cash from a resident's
wallet without permission. This is an example of:
• a) Neglect
• b) Financial exploitation
• c) Physical abuse
• d) Resident right to gift
Answer: b) Financial exploitation
Rationale: Financial exploitation is the unauthorized use of a resident's funds, property, or
assets. This includes theft, forgery, coercion into changing wills or beneficiaries, or misusing
power of attorney. This must be reported immediately to adult protective services and the state
licensing agency.
Question 4:
A resident has a signed advance directive stating "no artificial hydration or nutrition." The
resident becomes unable to make decisions. The family requests tube feeding. The
administrator should:
• a) Follow the family's request
• b) Honor the resident's advance directive as the legal expression of the resident's
wishes
• c) Seek a court order to determine what to do
, • d) Ignore both and proceed with routine care
Answer: b) Honor the resident's advance directive as the legal expression of the resident's
wishes
Rationale: Advance directives are legally binding documents that must be followed. When a
resident has capacity at the time of signing, their documented wishes take precedence over
family preferences. The facility should have policies for honoring advance directives and
educating families about their purpose.
Question 5:
A resident gives the administrator a $100 gift card as a thank-you gesture. The facility's policy
prohibits accepting gifts from residents. The administrator should:
• a) Accept the gift as it is a personal thank-you
• b) Politely decline the gift and explain the facility's policy
• c) Accept the gift and not tell anyone
• d) Accept the gift and share it with other staff
Answer: b) Politely decline the gift and explain the facility's policy
Rationale: Most facilities have policies prohibiting staff from accepting gifts or money from
residents to prevent exploitation, undue influence, and boundary violations. The administrator
should model ethical behavior and decline graciously.
Question 6:
A staff member witnesses another staff member physically striking a resident. The witnessing
staff member does not report it because they "don't want to get involved." This is:
• a) Acceptable if the resident was not seriously injured
• b) A failure to report abuse, which is a legal violation in all states
• c) Only reportable if the witness is a nurse
• d) Not a concern if the staff member apologizes later
Answer: b) A failure to report abuse, which is a legal violation in all states
SOLUTIONS) EXAM| ASSURED SUCCESS
|GRADE A+!! |QUESTIONS & ANSWERS 100%
VERIFIED 2026 LATEST UPDATE
DOMAIN I: RESIDENT CARE, SUPPORT SERVICES &
QUALITY OF LIFE
Sub-Domain: Resident Rights & Abuse Prevention
Question 1:
A resident in an assisted living facility has the legal right to refuse a routine blood pressure
check. The nurse aide insists that the resident "must cooperate." The administrator should
intervene by:
• a) Supporting the nurse aide's insistence because routine checks are required by policy
• b) Respecting the resident's right to refuse and educating staff on resident rights
• c) Calling the resident's family to force compliance
• d) Documenting the refusal and performing the check anyway
Answer: b) Respecting the resident's right to refuse and educating staff on resident rights
Rationale: Residents in assisted living retain all civil and legal rights, including the right to refuse
treatment or services. The facility must honor these rights and educate staff accordingly. The
administrator should ensure staff understand that informed refusal is a protected resident right.
Question 2:
Which of the following is a reportable incident of abuse under most state assisted living
regulations?
• a) A resident refusing to take a shower
, • b) A staff member yelling at a resident and using threatening language
• c) A resident accidentally dropping a plate
• d) A family member visiting after hours
Answer: b) A staff member yelling at a resident and using threatening language
Rationale: Verbal abuse, threats, and intimidation are forms of psychological abuse that must be
reported to state regulatory agencies. Physical abuse, sexual abuse, neglect, financial
exploitation, and verbal/psychological abuse are all mandatory reporting categories.
Question 3:
The administrator receives a report that a staff member has been taking cash from a resident's
wallet without permission. This is an example of:
• a) Neglect
• b) Financial exploitation
• c) Physical abuse
• d) Resident right to gift
Answer: b) Financial exploitation
Rationale: Financial exploitation is the unauthorized use of a resident's funds, property, or
assets. This includes theft, forgery, coercion into changing wills or beneficiaries, or misusing
power of attorney. This must be reported immediately to adult protective services and the state
licensing agency.
Question 4:
A resident has a signed advance directive stating "no artificial hydration or nutrition." The
resident becomes unable to make decisions. The family requests tube feeding. The
administrator should:
• a) Follow the family's request
• b) Honor the resident's advance directive as the legal expression of the resident's
wishes
• c) Seek a court order to determine what to do
, • d) Ignore both and proceed with routine care
Answer: b) Honor the resident's advance directive as the legal expression of the resident's
wishes
Rationale: Advance directives are legally binding documents that must be followed. When a
resident has capacity at the time of signing, their documented wishes take precedence over
family preferences. The facility should have policies for honoring advance directives and
educating families about their purpose.
Question 5:
A resident gives the administrator a $100 gift card as a thank-you gesture. The facility's policy
prohibits accepting gifts from residents. The administrator should:
• a) Accept the gift as it is a personal thank-you
• b) Politely decline the gift and explain the facility's policy
• c) Accept the gift and not tell anyone
• d) Accept the gift and share it with other staff
Answer: b) Politely decline the gift and explain the facility's policy
Rationale: Most facilities have policies prohibiting staff from accepting gifts or money from
residents to prevent exploitation, undue influence, and boundary violations. The administrator
should model ethical behavior and decline graciously.
Question 6:
A staff member witnesses another staff member physically striking a resident. The witnessing
staff member does not report it because they "don't want to get involved." This is:
• a) Acceptable if the resident was not seriously injured
• b) A failure to report abuse, which is a legal violation in all states
• c) Only reportable if the witness is a nurse
• d) Not a concern if the staff member apologizes later
Answer: b) A failure to report abuse, which is a legal violation in all states
