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1. You have a standard license and your resident needs to be fed. What do you
do?
A. Let the staff feed the resident
B. Give the resident a 45-day notice to relocate
C. Tell the family they need to hire a person to feed the resident
D. Apply for an ECC license
Rationale: Feeding assistance is a basic personal care service permitted under a
standard ALF license, not requiring an upgraded license or resident relocation.
2. You hired a maintenance worker on January 5, 2018. It is now May 31, 2018,
and he has already taken the Alzheimer's Level One class. What class does he
need to take now?
A. Alzheimer's Level 2 class
B. No class unless he has been working a year
C. No other Alzheimer's class is needed
D. He needs to retake the Alzheimer's 1 class
Rationale: Maintenance staff with no direct resident contact typically only require
the basic Level 1 training; further dementia-specific training is reserved for staff
with direct resident care responsibilities.
3. You have hired an LPN. What training does she need to take?
,A. CPR
B. CPR and first aid
C. Infection control
D. B and C
Rationale: As a licensed nurse, an LPN's professional licensure already covers core
clinical competencies; CPR certification remains a required facility-level credential.
4. Mrs. Alverez wants to self-administer her own medications. What do you tell
her?
A. She needs to get an order from her physician
B. She needs to get permission from her daughter
C. The staff nurse needs to evaluate her first
D. All of the above
Rationale: Self-administration of medication in an ALF setting requires physician
authorization confirming the resident is capable of doing so safely.
5. "Assisted living facility" means:
A. Any building or buildings, section or distinct part of a building
B. A private home and one or more personal services for a period exceeding 12
hours
C. Three or more adults who are not relatives of the owner or administrator
D. All of the above
Rationale: The regulatory definition of an ALF is broad and inclusive, covering
various physical structures and care arrangements meeting these criteria.
6. You just hired a CNA. What training does she need within 30 days?
,A. Three hours on resident behavior and needs
B. Three hours of providing assistance with ADLs
C. One hour on reporting adverse incidents
D. All of the above
Rationale: This specific one-hour training on adverse incident reporting is a
distinct, required component within the initial 30-day training window for new
CNAs.
7. What should be included in the admission package?
A. A list of activities offered
B. Special diets
C. Policy on DNRs
D. All of the above
Rationale: Admission packages must comprehensively inform residents/families of
facility services, dietary accommodations, and end-of-life care policies.
8. Menus must be dated and planned how far in advance?
A. Two weeks
B. One week
C. One month
D. Five days
Rationale: Weekly menu planning ensures appropriate dietary variety and
nutritional planning while remaining practically manageable for facility staff.
9. Mrs. Howard is having problems with constipation. What should you do first?
A. Offer her some prune juice
B. Ask her daughter to bring in a laxative
, C. Tell her to exercise more
D. Call her physician
Rationale: A simple, non-medical dietary intervention is the appropriate first-line
response before escalating to medication or physician involvement.
10. What staff need to have the six-hour LMH (Limited Mental Health) training
when working in an LMH facility?
A. All staff
B. Administrator only
C. Administrator and nurse only
D. Administrator, managers, and staff who have direct contact with residents
Rationale: This training requirement targets those with meaningful resident
interaction and oversight responsibilities, rather than applying universally to all
employees regardless of role.
11. What class violation would a personal hygiene issue be considered?
A. Class 1
B. Class 3
C. Class 2
D. Not a violation
Rationale: Personal hygiene issues are typically classified at this lower severity tier,
reflecting a less immediate/serious risk compared to higher class violations.
12. A service plan is required for each resident admitted under what license?
A. Standard
B. ECC (Extended Congregate Care)