NAB RCAL EXAM COMPLETE
QUESTIONS AND ANSWERS 2026/2027
DOMAIN I: RESIDENT CARE, SUPPORT
SERVICES & QUALITY OF LIFE
SUB-DOMAIN: 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) Respecting the resident's right to refuse and educating staff on resident
rights
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. The administrator should ensure staff understand that
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) A staff member yelling at a resident and using threatening language
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) Financial exploitation
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 as the legal expression of the resident's
wishes
,c) Seek ka kcourt korder kto kdetermine kwhat kto kdo
d) Ignore kboth kand kproceed kwith kroutine kcare
Answer: kb) kHonor kthe kresident's kadvance kdirective kas kthe klegal kexpression kof kthe
kresident's kwishes
Rationale: kAdvance kdirectives kare klegally kbinding kdocuments kthat kexpress ka
kresident's kwishes kregarding kmedical ktreatment. kWhen ka kresident kis kunable kto
kmake kdecisions, kthe kadvance kdirective kmust kbe khonored kas kthe klegal
kexpression kof kthe kresident's kautonomy.
Question k5:
A kresident kwith kdecision-making kcapacity kwants kto kleave kthe kfacility kagainst
kmedical kadvice. kThe kadministrator kshould:
a) Physically kprevent kthe kresident kfrom kleaving
b) Document kthe kresident's kdecision, kensure kthe kresident kunderstands krisks,
kand kallow kthe kresident kto kleave
c) Call kadult kprotective kservices kto kdetain kthe kresident
d) Call kthe kpolice kto karrest kthe kresident
Answer: kb) kDocument kthe kresident's kdecision, kensure kthe kresident kunderstands
krisks, kand kallow kthe kresident kto kleave
Rationale: kResidents kwith kdecision-making kcapacity khave kthe kright kto kleave
kthe kfacility, keven kif kstaff kdisagree kwith ktheir kdecision. kThe kadministrator
kshould kdocument kthe kdiscussion kof krisks, khave kthe kresident ksign ka kleaving
kagainst kmedical kadvice k(AMA) kform, kand kprovide kinformation kabout kresources.
kPhysical krestraint kis killegal.
Question k6:
Which kfederal klaw krequires kassisted kliving kfacilities kto kprovide kreasonable
kaccommodations kfor kresidents kwith kdisabilities?
a) The kAffordable kCare kAct
b) The kAmericans kwith kDisabilities kAct k(ADA) kand kFair kHousing kAct
, c) The kOlder kAmericans kAct
d) The kSocial kSecurity kAct
Answer: kb) kThe kAmericans kwith kDisabilities kAct k(ADA) kand kFair kHousing kAct
Rationale: kThe kADA kprohibits kdiscrimination kbased kon kdisability kin kplaces kof
kpublic kaccommodation. kThe kFair kHousing kAct kapplies kto khousing, kincluding
kassisted kliving. kBoth krequire kreasonable kaccommodations kunless kdoing kso
kwould kimpose kan kundue kburden kor kfundamentally kalter kthe knature kof kthe
kservices.
Question k7:
A kstaff kmember kposts ka kphoto kof ka kresident kon ksocial kmedia kwithout kthe kresident's
kconsent. kThis kviolates kthe kresident's kright kto:
a) Safety
b) Privacy kand kconfidentiality
c) Freedom kof kassociation
d) Religious kfreedom
Answer: kb) kPrivacy kand kconfidentiality
Rationale: kHIPAA kand kstate kprivacy klaws kprotect kresident khealth kinformation.
kPosting kidentifiable kphotos kwithout kconsent kis ka kprivacy kviolation. kStaff
kshould kreceive ktraining kon ksocial kmedia kpolicies kprohibiting ksuch kposts. kThe
kfacility kmay kbe kliable kfor kprivacy kbreaches.
Question k8:
A kresident kgives kthe kadministrator ka k$100 kgift kcard kas ka kthank-you kgesture.
kThe kfacility's kpolicy kprohibits kaccepting kgifts kfrom kresidents. kThe
kadministrator kshould:
a) Accept kthe kgift kas kit kis ka kpersonal kthank-you
b) Politely kdecline kthe kgift kand kexplain kthe kfacility's kpolicy
c) Accept kthe kgift kand knot ktell kanyone
d) Accept kthe kgift kand kshare kit kwith kother kstaff
Answer: kb) kPolitely kdecline kthe kgift kand kexplain kthe kfacility's kpolicy
QUESTIONS AND ANSWERS 2026/2027
DOMAIN I: RESIDENT CARE, SUPPORT
SERVICES & QUALITY OF LIFE
SUB-DOMAIN: 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) Respecting the resident's right to refuse and educating staff on resident
rights
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. The administrator should ensure staff understand that
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) A staff member yelling at a resident and using threatening language
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) Financial exploitation
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 as the legal expression of the resident's
wishes
,c) Seek ka kcourt korder kto kdetermine kwhat kto kdo
d) Ignore kboth kand kproceed kwith kroutine kcare
Answer: kb) kHonor kthe kresident's kadvance kdirective kas kthe klegal kexpression kof kthe
kresident's kwishes
Rationale: kAdvance kdirectives kare klegally kbinding kdocuments kthat kexpress ka
kresident's kwishes kregarding kmedical ktreatment. kWhen ka kresident kis kunable kto
kmake kdecisions, kthe kadvance kdirective kmust kbe khonored kas kthe klegal
kexpression kof kthe kresident's kautonomy.
Question k5:
A kresident kwith kdecision-making kcapacity kwants kto kleave kthe kfacility kagainst
kmedical kadvice. kThe kadministrator kshould:
a) Physically kprevent kthe kresident kfrom kleaving
b) Document kthe kresident's kdecision, kensure kthe kresident kunderstands krisks,
kand kallow kthe kresident kto kleave
c) Call kadult kprotective kservices kto kdetain kthe kresident
d) Call kthe kpolice kto karrest kthe kresident
Answer: kb) kDocument kthe kresident's kdecision, kensure kthe kresident kunderstands
krisks, kand kallow kthe kresident kto kleave
Rationale: kResidents kwith kdecision-making kcapacity khave kthe kright kto kleave
kthe kfacility, keven kif kstaff kdisagree kwith ktheir kdecision. kThe kadministrator
kshould kdocument kthe kdiscussion kof krisks, khave kthe kresident ksign ka kleaving
kagainst kmedical kadvice k(AMA) kform, kand kprovide kinformation kabout kresources.
kPhysical krestraint kis killegal.
Question k6:
Which kfederal klaw krequires kassisted kliving kfacilities kto kprovide kreasonable
kaccommodations kfor kresidents kwith kdisabilities?
a) The kAffordable kCare kAct
b) The kAmericans kwith kDisabilities kAct k(ADA) kand kFair kHousing kAct
, c) The kOlder kAmericans kAct
d) The kSocial kSecurity kAct
Answer: kb) kThe kAmericans kwith kDisabilities kAct k(ADA) kand kFair kHousing kAct
Rationale: kThe kADA kprohibits kdiscrimination kbased kon kdisability kin kplaces kof
kpublic kaccommodation. kThe kFair kHousing kAct kapplies kto khousing, kincluding
kassisted kliving. kBoth krequire kreasonable kaccommodations kunless kdoing kso
kwould kimpose kan kundue kburden kor kfundamentally kalter kthe knature kof kthe
kservices.
Question k7:
A kstaff kmember kposts ka kphoto kof ka kresident kon ksocial kmedia kwithout kthe kresident's
kconsent. kThis kviolates kthe kresident's kright kto:
a) Safety
b) Privacy kand kconfidentiality
c) Freedom kof kassociation
d) Religious kfreedom
Answer: kb) kPrivacy kand kconfidentiality
Rationale: kHIPAA kand kstate kprivacy klaws kprotect kresident khealth kinformation.
kPosting kidentifiable kphotos kwithout kconsent kis ka kprivacy kviolation. kStaff
kshould kreceive ktraining kon ksocial kmedia kpolicies kprohibiting ksuch kposts. kThe
kfacility kmay kbe kliable kfor kprivacy kbreaches.
Question k8:
A kresident kgives kthe kadministrator ka k$100 kgift kcard kas ka kthank-you kgesture.
kThe kfacility's kpolicy kprohibits kaccepting kgifts kfrom kresidents. kThe
kadministrator kshould:
a) Accept kthe kgift kas kit kis ka kpersonal kthank-you
b) Politely kdecline kthe kgift kand kexplain kthe kfacility's kpolicy
c) Accept kthe kgift kand knot ktell kanyone
d) Accept kthe kgift kand kshare kit kwith kother kstaff
Answer: kb) kPolitely kdecline kthe kgift kand kexplain kthe kfacility's kpolicy
