NAB RCAL (RESIDENTIAL CARE/ASSISTED LIVING) EXAM PREP GUIDE:
350 MUST-KNOW QUESTIONS WITH VERIFIED CORRECT ANSWERS
COVERING RESIDENT ASSESSMENT, CARE PLANNING, PRESSURE
INJURIES, INFECTION CONTROL, MEDICATION MANAGEMENT,
RESIDENT RIGHTS, EMERGENCY PREPAREDNESS, AND FEDERAL/STATE
REGULATORY COMPLIANCE
1. When is a resident assessment update needed? – Return from
hospital stay, weight loss, change in cognitive impairment, falls,
change in ambulation, breakdown of skin, erratic behaviors
2. What are Pressure Ulcers/Pressure Injuries (PU/PI)? – Localized
damage to the skin and/or underlying soft tissue usually over a bony
prominence or related to a medical condition or other device
3. How does a pressure ulcer typically present? – As an open ulcer, the
appearance varying depending on the stage, and may be painful
4. What causes a pressure injury? – Intense and/or prolonged pressure
or pressure combined with shear
5. What is the first step in preventing pressure ulcers? – Identify
whether the resident is at risk for developing or has PU/PI upon
admission
,6. What should be evaluated to prevent pressure injuries? – Resident
specific risk factors and changes in the resident’s condition
7. What must be implemented, monitored, and modified to prevent
PUs/PIs? – Interventions to attempt to stabilize, reduce, or remove
underlying risk factors
8. How should Position Change Alarms be utilized in pressure ulcer
prevention? – Sparingly
9. What is an unavoidable accident? – An accident that occurred
despite sufficient and comprehensive facility systems
10. What must the facility ensure for a resident continent of bladder
and bowel on admission? – They receive services and assistance to
maintain continence unless their clinical condition makes continence
not possible to maintain
11. When may a resident who enters without an indwelling catheter be
catheterized? – Only when the resident’s clinical condition
demonstrates that catheterization was necessary
12. What is required for a resident who enters with an indwelling
catheter or subsequently receives one? – Assessment for removal of
the catheter as soon as possible unless the clinical condition
demonstrates catheterization is necessary
13. What must the facility ensure for a resident with fecal incontinence?
– That the resident receives appropriate treatment and services to
, restore as much normal bowel function as possible
14. When is prompted-voiding used? – When dependent or more
cognitively impaired residents need assistance with toileting
15. What activities of daily living must the facility help maintain or
improve? – Hygiene, mobility, elimination, dining, speech, language,
gesture, and behavior
16. What must a facility ensure about pain management? – 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
17. Why is it important to follow a systematic approach to resident pain
management? – To ensure the right medication and dosage is selected
based on the resident’s condition
18. What kind of contact must physicians make with the resident and at
what location? – Face-to-face, same location
19. How often must physicians meet with the resident during the first
90 days of admission? – Every 30 days for the first 90 days
20. How often must physicians meet with the resident after the first 90
days? – Once every 60 days thereafter
21. What is the first guideline for determining if a resident is
appropriate for medication self-administration? – The medication is
350 MUST-KNOW QUESTIONS WITH VERIFIED CORRECT ANSWERS
COVERING RESIDENT ASSESSMENT, CARE PLANNING, PRESSURE
INJURIES, INFECTION CONTROL, MEDICATION MANAGEMENT,
RESIDENT RIGHTS, EMERGENCY PREPAREDNESS, AND FEDERAL/STATE
REGULATORY COMPLIANCE
1. When is a resident assessment update needed? – Return from
hospital stay, weight loss, change in cognitive impairment, falls,
change in ambulation, breakdown of skin, erratic behaviors
2. What are Pressure Ulcers/Pressure Injuries (PU/PI)? – Localized
damage to the skin and/or underlying soft tissue usually over a bony
prominence or related to a medical condition or other device
3. How does a pressure ulcer typically present? – As an open ulcer, the
appearance varying depending on the stage, and may be painful
4. What causes a pressure injury? – Intense and/or prolonged pressure
or pressure combined with shear
5. What is the first step in preventing pressure ulcers? – Identify
whether the resident is at risk for developing or has PU/PI upon
admission
,6. What should be evaluated to prevent pressure injuries? – Resident
specific risk factors and changes in the resident’s condition
7. What must be implemented, monitored, and modified to prevent
PUs/PIs? – Interventions to attempt to stabilize, reduce, or remove
underlying risk factors
8. How should Position Change Alarms be utilized in pressure ulcer
prevention? – Sparingly
9. What is an unavoidable accident? – An accident that occurred
despite sufficient and comprehensive facility systems
10. What must the facility ensure for a resident continent of bladder
and bowel on admission? – They receive services and assistance to
maintain continence unless their clinical condition makes continence
not possible to maintain
11. When may a resident who enters without an indwelling catheter be
catheterized? – Only when the resident’s clinical condition
demonstrates that catheterization was necessary
12. What is required for a resident who enters with an indwelling
catheter or subsequently receives one? – Assessment for removal of
the catheter as soon as possible unless the clinical condition
demonstrates catheterization is necessary
13. What must the facility ensure for a resident with fecal incontinence?
– That the resident receives appropriate treatment and services to
, restore as much normal bowel function as possible
14. When is prompted-voiding used? – When dependent or more
cognitively impaired residents need assistance with toileting
15. What activities of daily living must the facility help maintain or
improve? – Hygiene, mobility, elimination, dining, speech, language,
gesture, and behavior
16. What must a facility ensure about pain management? – 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
17. Why is it important to follow a systematic approach to resident pain
management? – To ensure the right medication and dosage is selected
based on the resident’s condition
18. What kind of contact must physicians make with the resident and at
what location? – Face-to-face, same location
19. How often must physicians meet with the resident during the first
90 days of admission? – Every 30 days for the first 90 days
20. How often must physicians meet with the resident after the first 90
days? – Once every 60 days thereafter
21. What is the first guideline for determining if a resident is
appropriate for medication self-administration? – The medication is
