NAB RCAL Exam Questions With Correct
Answers 2025\2026 A+ Grade
T/F -- Anxiety is a common reaction to stress.
- accurate answers-True
When is a resident assessment update needed?
- accurate answers-Return from hospital stay, weight loss, change in cognitive
impairment, falls, change in ambulation, breakdown of skin, erratic behaviors
What are Pressure Ulcers/Pressure Injuries (PU/PI)?
- accurate answers-Localized damage to the skin and/or underlying soft tissue
usually over a bony prominence or related to a medical condition or other
device.
A pressure ulcer will present as an open ulcer, the appearance of which will
vary depending on the stage and may be painful.
The injury occurs as a result of intense and/or prolonged pressure or
pressure combination with shear.
How do you prevent PUs/PIs?
- accurate answers-Identify whether the resident is at risk for developing or
has PU/PI upon admission.
Evaluate resident specific risk factors and changes in the residents condition.
Implement, monitor, and modify intervention to attempt to stabilize, reduce,
or remove underlying risk factors.
Utilize Position Change Alarms sparingly.
What is an unavoidable accident?
- accurate answers-An accident that occurred despite sufficient and
comprehensive facility systems.
The facility must ensure that a resident who is continent of bladder and bowel
on admission receives services and assistance to...
,- accurate answers-maintain continence unless their clinical condition is or
becomes such that continence is not possible to maintain.
A resident who enter the facility without an indwelling catheter...
- accurate answers-is not catheterized unless the resident's clinical condition
demonstrates that catheterization was necessary
A resident who enters the facility with an indwelling catheter or subsequently
receives one is assessed for the removal of the catheter...
- accurate answers-as soon as possible unless the resident's clinical condition
demonstrates the catheterization is necessary
For a resident with fecal incontinence, based on the resident's comprehensive
assessment, the facility must ensure that...
- accurate answers-a resident who is incontinent of bowel receives
appropriate treatment and services to restore as much normal bowel function
as possible
When is prompted-voiding used?
- accurate answers-When dependent or more cognitively impaired residents
need assistance with toileting
A resident is given the appropriate treatment and services to maintain or
improve their ability to carry out activities of daily living, which include:
- accurate answers-hygiene, mobility, elimination, dining, speech, language,
gesture, and behavior
What must a facility ensure about a resident's pain management?
- accurate answers-That it is provided to residents who require such services
consistent with professional standards of practice and that the resident's
goals and preferences are outlined in the comprehensive person-centered
care plan
Why is it important to follow a systematic approach regarding resident pain
management?
- accurate answers-to ensure the right medication and dosage is selected
based on the resident's condition
, Physician's must make __________ contact with the resident and at the ___________
__________.
- accurate answers-face-to face, same location
Physician's must meet with resident every _______ days for the first _______ days
of admission, and once every _____ days thereafter.
- accurate answers-30, 90, 60
Guidelines for determining if a resident is appropriate for medication self-
administration:
- accurate answers-The medication is appropriate and safe for self-
administration.
The resident's physical capacity to swallow without difficulty and to open
medication bottles.
The resident's cognitive status, including their ability to correctly name their
medications and know what conditions they are for.
The resident's capability to follow directions and tell time to know when
medications need to be taken.
The resident's comprehension of instructions for the medications they are
taking, including the dose, timing, and signs of side effects and when to report
to facility staff.
The resident's ability to understand what refusal of medication.
The resident's ability to ensure that medication is stored safely and securely.
Medication error means...
- accurate answers-the observed or identified preparation or administration
of medications or biologicals.
Medication errors go against...
- accurate answers-the prescriber's orders, manufacturer's specifications,
accepted professional standers and principles
Answers 2025\2026 A+ Grade
T/F -- Anxiety is a common reaction to stress.
- accurate answers-True
When is a resident assessment update needed?
- accurate answers-Return from hospital stay, weight loss, change in cognitive
impairment, falls, change in ambulation, breakdown of skin, erratic behaviors
What are Pressure Ulcers/Pressure Injuries (PU/PI)?
- accurate answers-Localized damage to the skin and/or underlying soft tissue
usually over a bony prominence or related to a medical condition or other
device.
A pressure ulcer will present as an open ulcer, the appearance of which will
vary depending on the stage and may be painful.
The injury occurs as a result of intense and/or prolonged pressure or
pressure combination with shear.
How do you prevent PUs/PIs?
- accurate answers-Identify whether the resident is at risk for developing or
has PU/PI upon admission.
Evaluate resident specific risk factors and changes in the residents condition.
Implement, monitor, and modify intervention to attempt to stabilize, reduce,
or remove underlying risk factors.
Utilize Position Change Alarms sparingly.
What is an unavoidable accident?
- accurate answers-An accident that occurred despite sufficient and
comprehensive facility systems.
The facility must ensure that a resident who is continent of bladder and bowel
on admission receives services and assistance to...
,- accurate answers-maintain continence unless their clinical condition is or
becomes such that continence is not possible to maintain.
A resident who enter the facility without an indwelling catheter...
- accurate answers-is not catheterized unless the resident's clinical condition
demonstrates that catheterization was necessary
A resident who enters the facility with an indwelling catheter or subsequently
receives one is assessed for the removal of the catheter...
- accurate answers-as soon as possible unless the resident's clinical condition
demonstrates the catheterization is necessary
For a resident with fecal incontinence, based on the resident's comprehensive
assessment, the facility must ensure that...
- accurate answers-a resident who is incontinent of bowel receives
appropriate treatment and services to restore as much normal bowel function
as possible
When is prompted-voiding used?
- accurate answers-When dependent or more cognitively impaired residents
need assistance with toileting
A resident is given the appropriate treatment and services to maintain or
improve their ability to carry out activities of daily living, which include:
- accurate answers-hygiene, mobility, elimination, dining, speech, language,
gesture, and behavior
What must a facility ensure about a resident's pain management?
- accurate answers-That it is provided to residents who require such services
consistent with professional standards of practice and that the resident's
goals and preferences are outlined in the comprehensive person-centered
care plan
Why is it important to follow a systematic approach regarding resident pain
management?
- accurate answers-to ensure the right medication and dosage is selected
based on the resident's condition
, Physician's must make __________ contact with the resident and at the ___________
__________.
- accurate answers-face-to face, same location
Physician's must meet with resident every _______ days for the first _______ days
of admission, and once every _____ days thereafter.
- accurate answers-30, 90, 60
Guidelines for determining if a resident is appropriate for medication self-
administration:
- accurate answers-The medication is appropriate and safe for self-
administration.
The resident's physical capacity to swallow without difficulty and to open
medication bottles.
The resident's cognitive status, including their ability to correctly name their
medications and know what conditions they are for.
The resident's capability to follow directions and tell time to know when
medications need to be taken.
The resident's comprehension of instructions for the medications they are
taking, including the dose, timing, and signs of side effects and when to report
to facility staff.
The resident's ability to understand what refusal of medication.
The resident's ability to ensure that medication is stored safely and securely.
Medication error means...
- accurate answers-the observed or identified preparation or administration
of medications or biologicals.
Medication errors go against...
- accurate answers-the prescriber's orders, manufacturer's specifications,
accepted professional standers and principles
