EXAM 2026: COMPLETE TEST
BANK - PRACTICE QUESTIONS
LATEST MOCK PRACTICE SET
180 Questions with Answers and Detailed Rationales
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IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
FLORIDA ALF CORE TRAINING EXAM 2026: COMPLETE TEST BANK - PRACTICE QUESTIONS WITH
VERIFIED ANSWERS & RATIONALES (BRAND NEW FOR 2026). It contains 180 carefully selected questions
that reflect the most current exam content and testing strategies. Each question is accompanied by a correct
answer and a detailed rationale that explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 180 Questions
Foundations - Application - Florida ALF CORE Training 2026 Complete BANK WITH & Rationales Brand
NEW FOR 2026 Florida ALF CORE Training 2026 Complete BANK WITH & Rationales Brand NEW FOR
2026 University
All answers with rationales
,Table of Contents
Section A - Resident Rights AND Section B - Safety AND Emergency
Advocacy Procedures
Questions 1 to 45 Questions 46 to 90
Section C - Infection Control AND Section D - Medication Management
Prevention AND Administration
Questions 91 to 135 Questions 136 to 180
,Section A - Resident Rights AND Advocacy
Q1.
An ALF resident with a history of falls and dementia is found on the floor with no obvious
injury. The resident is alert but confused. According to Florida regulations, which of the
following is the most appropriate immediate action?
A. Document the incident and monitor the B. Notify the resident's primary care provider
resident hourly for 24 hours. within 24 hours and complete an incident
report.
C. Immediately transfer the resident to an D. Administer a sedative to prevent agitation
emergency department for evaluation. and reorient the resident.
Correct: B - Notify the resident's primary care provider within 24 hours and complete an
incident report.
Rationale:Florida regulations require that any fall in an ALF be reported to the resident's
primary care provider within 24 hours and documented in an incident report. Immediate
transfer to an emergency department is not mandatory unless there are signs of serious
injury. Monitoring alone is insufficient as the fall could have underlying causes requiring
medical assessment. Administering a sedative is inappropriate without a provider order and
could mask symptoms.
Q2.
A resident with type 2 diabetes has a blood glucose level of 350 mg/dL. The ALF has a
standing protocol for administering insulin based on a sliding scale. The nurse delegates
insulin administration to a certified nursing assistant (CNA). Which of the following
actions is most appropriate?
A. The CNA may administer insulin if the B. The nurse must administer the insulin
resident's condition is stable and the CNA because delegation of insulin administration
has completed a diabetes management to a CNA is not permitted under Florida law.
training program.
C. The CNA may administer insulin only if D. The nurse may delegate insulin
the resident's primary care provider has administration to a CNA if the CNA is
given a verbal order authorizing the CNA to currently certified in medication
do so. administration by the Florida Board of
Nursing.
Correct: B - The nurse must administer the insulin because delegation of insulin
administration to a CNA is not permitted under Florida law.
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, Section A - Resident Rights AND Advocacy
Rationale: Under Florida law, only licensed nurses (RN or LPN) may administer insulin.
Delegation of insulin administration to a CNA is not permitted, regardless of training or
certification. The nurse must personally administer the insulin or delegate to another licensed
nurse. Verbal orders from a provider cannot override this legal restriction. CNAs are not
authorized to give any medications via injection.
Q3.
An ALF resident with a history of chronic obstructive pulmonary disease (COPD) is
receiving oxygen at 2 L/min via nasal cannula. The resident's oxygen saturation is 92% on
the current flow rate. The resident complains of shortness of breath. What is the most
appropriate nursing action?
A. Increase oxygen flow to 4 L/min and B. Encourage the resident to use pursed-lip
reassess in 15 minutes. breathing and reassess.
C. Administer a bronchodilator via nebulizer D. Notify the respiratory therapist to adjust
as ordered. the oxygen delivery device.
Correct: B - Encourage the resident to use pursed-lip breathing and reassess.
Rationale:For a COPD resident with an oxygen saturation of 92%, increasing oxygen flow is
not indicated and could suppress the hypoxic drive. Pursed-lip breathing is a
non-pharmacologic intervention that can improve ventilation and reduce dyspnea.
Administering a bronchodilator without a provider order is not appropriate unless standing
orders exist. Notifying a respiratory therapist is not the first step; the nurse can implement
non-pharmacologic measures and reassess.
Q4.
An ALF resident is receiving enteral feeding via a nasogastric tube. The nurse notes that
the feeding bag is empty and the next feeding is due in 2 hours. The resident has a history
of aspiration pneumonia. Which of the following actions is most appropriate?
A. Flush the tube with 30 mL of water and B. Verify tube placement by auscultating air
clamp until the next feeding. insufflation and administer the next feeding
early.
C. Discontinue the feeding and notify the D. Administer the next feeding immediately
provider for a change to intermittent to prevent a drop in blood glucose.
feedings.
Correct: A - Flush the tube with 30 mL of water and clamp until the next feeding.
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