NAB RCAL EXAM EVALUATION-NATIONAL
ASSOCIATION OF LONGTERM CARE
ADMINISTRATION BOARD QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) Q&A
2026-2027|INSTANT DOWNLOAD PDF
1. The primary responsibility of an RCAL administrator is to:
A. Provide all direct nursing care
B. Manage facility operations while ensuring resident safety
and quality care
C. Prescribe medications for residents
D. Replace physicians during emergencies
Correct Answer: B. Manage facility operations while ensuring
resident safety and quality care
Rationale: The RCAL administrator oversees operations,
regulatory compliance, staffing, finances, and resident-
centered care to maintain a safe living environment.
2. Person-centered care means that services should be:
A. Based only on facility schedules
B. Designed around residents’ individual preferences and needs
C. Identical for every resident
D. Focused only on medical conditions
,Correct Answer: B. Designed around residents’ individual
preferences and needs
Rationale: Person-centered care respects each resident’s
choices, dignity, history, culture, and personal preferences.
3. The main purpose of an assisted living facility is to:
A. Provide hospital-level intensive care
B. Support residents who need assistance with daily living while
promoting independence
C. Replace all family involvement
D. Provide only recreational activities
Correct Answer: B. Support residents who need assistance
with daily living while promoting independence
Rationale: Assisted living provides supportive services while
encouraging residents to maintain autonomy.
4. Activities of Daily Living (ADLs) include:
A. Accounting and budgeting
B. Bathing, dressing, eating, and toileting
C. Facility maintenance tasks
D. Staff scheduling
Correct Answer: B. Bathing, dressing, eating, and toileting
,Rationale: ADLs are basic self-care activities required for daily
functioning.
5. The administrator should respond to a resident complaint
by first:
A. Ignoring the complaint
B. Investigating and listening to the resident’s concerns
C. Blaming staff members
D. Immediately discharging the resident
Correct Answer: B. Investigating and listening to the resident’s
concerns
Rationale: Effective complaint management requires
communication, investigation, documentation, and corrective
action.
6. HIPAA regulations primarily protect:
A. Facility finances
B. Employee schedules
C. Residents’ health information privacy
D. Building safety codes
Correct Answer: C. Residents’ health information privacy
Rationale: HIPAA establishes standards for protecting
confidential health information.
, 7. A resident’s care plan should be:
A. Developed without resident input
B. Updated according to changes in resident needs
C. Used only during inspections
D. Written once and never changed
Correct Answer: B. Updated according to changes in resident
needs
Rationale: Care plans must reflect current conditions,
preferences, risks, and goals.
8. The best method for preventing medication errors is to:
A. Allow residents to manage all medications without
assessment
B. Follow medication management policies and verification
procedures
C. Skip documentation
D. Store medications in resident rooms without guidelines
Correct Answer: B. Follow medication management policies
and verification procedures
Rationale: Medication safety requires proper storage,
administration, monitoring, and documentation.
ASSOCIATION OF LONGTERM CARE
ADMINISTRATION BOARD QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) Q&A
2026-2027|INSTANT DOWNLOAD PDF
1. The primary responsibility of an RCAL administrator is to:
A. Provide all direct nursing care
B. Manage facility operations while ensuring resident safety
and quality care
C. Prescribe medications for residents
D. Replace physicians during emergencies
Correct Answer: B. Manage facility operations while ensuring
resident safety and quality care
Rationale: The RCAL administrator oversees operations,
regulatory compliance, staffing, finances, and resident-
centered care to maintain a safe living environment.
2. Person-centered care means that services should be:
A. Based only on facility schedules
B. Designed around residents’ individual preferences and needs
C. Identical for every resident
D. Focused only on medical conditions
,Correct Answer: B. Designed around residents’ individual
preferences and needs
Rationale: Person-centered care respects each resident’s
choices, dignity, history, culture, and personal preferences.
3. The main purpose of an assisted living facility is to:
A. Provide hospital-level intensive care
B. Support residents who need assistance with daily living while
promoting independence
C. Replace all family involvement
D. Provide only recreational activities
Correct Answer: B. Support residents who need assistance
with daily living while promoting independence
Rationale: Assisted living provides supportive services while
encouraging residents to maintain autonomy.
4. Activities of Daily Living (ADLs) include:
A. Accounting and budgeting
B. Bathing, dressing, eating, and toileting
C. Facility maintenance tasks
D. Staff scheduling
Correct Answer: B. Bathing, dressing, eating, and toileting
,Rationale: ADLs are basic self-care activities required for daily
functioning.
5. The administrator should respond to a resident complaint
by first:
A. Ignoring the complaint
B. Investigating and listening to the resident’s concerns
C. Blaming staff members
D. Immediately discharging the resident
Correct Answer: B. Investigating and listening to the resident’s
concerns
Rationale: Effective complaint management requires
communication, investigation, documentation, and corrective
action.
6. HIPAA regulations primarily protect:
A. Facility finances
B. Employee schedules
C. Residents’ health information privacy
D. Building safety codes
Correct Answer: C. Residents’ health information privacy
Rationale: HIPAA establishes standards for protecting
confidential health information.
, 7. A resident’s care plan should be:
A. Developed without resident input
B. Updated according to changes in resident needs
C. Used only during inspections
D. Written once and never changed
Correct Answer: B. Updated according to changes in resident
needs
Rationale: Care plans must reflect current conditions,
preferences, risks, and goals.
8. The best method for preventing medication errors is to:
A. Allow residents to manage all medications without
assessment
B. Follow medication management policies and verification
procedures
C. Skip documentation
D. Store medications in resident rooms without guidelines
Correct Answer: B. Follow medication management policies
and verification procedures
Rationale: Medication safety requires proper storage,
administration, monitoring, and documentation.
