NAB RCAL EXAM PRACTICE QUESTIONS
2026/2027 ACADEMIC YEAR – 250
MULTIPLECHOICE QUESTIONS WITH ANSWERS
& RATIONALES
DOMAIN 1: RESIDENT CARE, SERVICES, SUPPORTS & QUALITY OF LIFE
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
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. 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
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
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
C) Seek a court order
D) Convene an ethics committee
Answer: B
Rationale: Advance directives must be honored according to the resident's
documented wishes. The facility should educate the family on the resident's
right to selfdetermination and the legal requirements to follow the advance
directive.
Question 5
What is the primary purpose of a negotiated risk agreement in assisted living?
A) Eliminate all resident choices for safety reasons
, B) Balance resident autonomy with safety by documenting the resident's
informed choice to accept certain risks
C) Transfer all legal liability to the resident's family members
D) Limit the facility's responsibility for any adverse outcome regardless of
circumstances
Answer: B
Rationale: Negotiated risk agreements respect resident autonomy while
documenting that the resident (or representative) understands and
voluntarily accepts potential risks associated with their choices. It
demonstrates shared decisionmaking and good faith effort to balance
autonomy and safety.
Question 6
Which of the following best describes "personcentered care" in an assisted
living setting?
A) Following standardized care protocols for all residents
B) Individualizing care by respecting the resident's preferences, values, and
needs
C) Prioritizing staff convenience in care delivery
D) Focusing exclusively on clinical outcomes
Answer: B
Rationale: Personcentered care individualizes care by respecting the
resident's preferences, values, and needs, engaging them in decisionmaking
2026/2027 ACADEMIC YEAR – 250
MULTIPLECHOICE QUESTIONS WITH ANSWERS
& RATIONALES
DOMAIN 1: RESIDENT CARE, SERVICES, SUPPORTS & QUALITY OF LIFE
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
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. 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
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
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
C) Seek a court order
D) Convene an ethics committee
Answer: B
Rationale: Advance directives must be honored according to the resident's
documented wishes. The facility should educate the family on the resident's
right to selfdetermination and the legal requirements to follow the advance
directive.
Question 5
What is the primary purpose of a negotiated risk agreement in assisted living?
A) Eliminate all resident choices for safety reasons
, B) Balance resident autonomy with safety by documenting the resident's
informed choice to accept certain risks
C) Transfer all legal liability to the resident's family members
D) Limit the facility's responsibility for any adverse outcome regardless of
circumstances
Answer: B
Rationale: Negotiated risk agreements respect resident autonomy while
documenting that the resident (or representative) understands and
voluntarily accepts potential risks associated with their choices. It
demonstrates shared decisionmaking and good faith effort to balance
autonomy and safety.
Question 6
Which of the following best describes "personcentered care" in an assisted
living setting?
A) Following standardized care protocols for all residents
B) Individualizing care by respecting the resident's preferences, values, and
needs
C) Prioritizing staff convenience in care delivery
D) Focusing exclusively on clinical outcomes
Answer: B
Rationale: Personcentered care individualizes care by respecting the
resident's preferences, values, and needs, engaging them in decisionmaking
