RCFE ADMINISTRATOR EXAM
2026/2027 | 100 VERIFIED TITLE 22
QUESTIONS & ANSWERS +
RATIONALES | CALIFORNIA CDSS
CERTIFICATION PREP – INSTANT
DOWNLOAD
Domain 1: Resident Care & Services (Questions 1–25)
1. Before accepting a prospective resident whose care needs are complex, what
is the administrator's most appropriate first action?
A. Accept the resident and complete paperwork later.
B. Complete a preadmission appraisal to determine whether the facility can meet the
person's needs.
C. Ask the family to guarantee that no additional care will be needed.
D. Require the resident to waive all service expectations.
**Correct Answer: B. Rationale: A preadmission appraisal supports an informed
admission decision and identifies whether the facility can safely provide the needed
care and supervision. **
2. A resident's mobility declines after a hospitalization. What should occur first
at the facility?
A. Wait until the annual appraisal date.
B. Reduce the resident's services to match available staff.
C. Reappraise the resident and revise services as needs change.
D. Transfer the resident without assessing new needs.
**Correct Answer: C. Rationale: Title 22's appraisal framework requires reassessment
when a resident's condition or needs change so services remain appropriate. **
3. Which action best protects a resident's right to privacy during personal care?
A. Discuss the resident's condition in the dining room.
B. Knock, explain the task, and close the door or curtain before care.
C. Allow any visitor to observe care.
D. Leave care records open at the bedside.
,**Correct Answer: B. Rationale: Respectful notice, privacy, and confidential handling of
care are core resident-rights practices. **
4. A resident says a staff member is speaking harshly to her. What is the best
administrator response?
A. Tell the resident staff are under stress.
B. Document the concern, protect the resident, and promptly investigate under
facility policy.
C. Wait for a second complaint before acting.
D. Ask the resident not to discuss it with others.
**Correct Answer: B. Rationale: A complaint alleging mistreatment requires prompt
attention, resident protection, documentation, and a fair response. **
5. Which practice is appropriate when handling a resident's personal funds?
A. Mix funds with the facility operating account.
B. Maintain an individual, itemized accounting and make records available as
required.
C. Use funds for facility purchases and reimburse later.
D. Allow any employee to withdraw cash.
**Correct Answer: B. Rationale: Resident funds must be safeguarded through separate,
traceable accounting rather than used as facility money. **
6. A resident chooses to self-administer a prescribed medication. What should
the facility do?
A. Prohibit self-administration for every resident.
B. Assess the resident's ability and provide only permitted assistance consistent with
the care plan.
C. Let roommates decide whether it is safe.
D. Remove all medication labels.
**Correct Answer: B. Rationale: Self-administration may be supported when
appropriate, with assistance and documentation matched to the resident's assessed
capability. **
7. A medication order is changed by the prescriber. What is the safest response
before the next dose?
A. Continue the old dose until the family visits.
B. Clarify and document the authorized order, then update administration
information.
C. Change the dose from memory.
D. Ask another resident what the prescriber said.
**Correct Answer: B. Rationale: Medication administration must follow an authorized,
clear order; updating the record reduces dose and communication errors. **
, 8. A PRN pain medication is available. Which documentation is most important
after it is given?
A. Only the medication's purchase price.
B. The reason, amount, time, and resident response according to facility procedure.
C. A note that staff were busy.
D. The names of all residents in the building.
**Correct Answer: B. Rationale: PRN documentation must show why it was used and
the outcome, enabling safe follow-up and oversight. **
9. Where should centrally stored medications generally be kept?
A. On an open shelf in the activity room.
B. In a secure location inaccessible to residents and unauthorized persons.
C. In the refrigerator beside uncovered food.
D. In an employee's purse.
**Correct Answer: B. Rationale: Medication security protects residents from
unauthorized access, loss, and administration error. **
10. A resident develops fever and cough during a communicable-disease
outbreak. What is the priority action?
A. Ignore symptoms to avoid alarming residents.
B. Follow the infection-control plan, use appropriate precautions, and seek clinical
direction.
C. Move the resident to the kitchen.
D. Stop documenting symptoms.
**Correct Answer: B. Rationale: Prompt precautions, monitoring, and professional
clinical guidance limit transmission while supporting the resident. **
11. After a resident falls with no apparent injury, what is the best immediate
facility response?
A. Return the resident to bed without assessment.
B. Assess for urgent needs, obtain medical direction when indicated, document, and
address contributing risks.
C. Assume the fall was intentional.
D. Delete the event from the record.
**Correct Answer: B. Rationale: A fall warrants a timely safety assessment, appropriate
notification and documentation, plus prevention planning. **
12. A resident with dementia repeatedly attempts to leave. Which approach is
most person-centered?
A. Use a restraint to keep the resident seated.
B. Identify triggers, provide supervision and meaningful redirection, and implement
the assessed plan.
C. Lock the resident alone in a room.
D. Scold the resident after each attempt.
2026/2027 | 100 VERIFIED TITLE 22
QUESTIONS & ANSWERS +
RATIONALES | CALIFORNIA CDSS
CERTIFICATION PREP – INSTANT
DOWNLOAD
Domain 1: Resident Care & Services (Questions 1–25)
1. Before accepting a prospective resident whose care needs are complex, what
is the administrator's most appropriate first action?
A. Accept the resident and complete paperwork later.
B. Complete a preadmission appraisal to determine whether the facility can meet the
person's needs.
C. Ask the family to guarantee that no additional care will be needed.
D. Require the resident to waive all service expectations.
**Correct Answer: B. Rationale: A preadmission appraisal supports an informed
admission decision and identifies whether the facility can safely provide the needed
care and supervision. **
2. A resident's mobility declines after a hospitalization. What should occur first
at the facility?
A. Wait until the annual appraisal date.
B. Reduce the resident's services to match available staff.
C. Reappraise the resident and revise services as needs change.
D. Transfer the resident without assessing new needs.
**Correct Answer: C. Rationale: Title 22's appraisal framework requires reassessment
when a resident's condition or needs change so services remain appropriate. **
3. Which action best protects a resident's right to privacy during personal care?
A. Discuss the resident's condition in the dining room.
B. Knock, explain the task, and close the door or curtain before care.
C. Allow any visitor to observe care.
D. Leave care records open at the bedside.
,**Correct Answer: B. Rationale: Respectful notice, privacy, and confidential handling of
care are core resident-rights practices. **
4. A resident says a staff member is speaking harshly to her. What is the best
administrator response?
A. Tell the resident staff are under stress.
B. Document the concern, protect the resident, and promptly investigate under
facility policy.
C. Wait for a second complaint before acting.
D. Ask the resident not to discuss it with others.
**Correct Answer: B. Rationale: A complaint alleging mistreatment requires prompt
attention, resident protection, documentation, and a fair response. **
5. Which practice is appropriate when handling a resident's personal funds?
A. Mix funds with the facility operating account.
B. Maintain an individual, itemized accounting and make records available as
required.
C. Use funds for facility purchases and reimburse later.
D. Allow any employee to withdraw cash.
**Correct Answer: B. Rationale: Resident funds must be safeguarded through separate,
traceable accounting rather than used as facility money. **
6. A resident chooses to self-administer a prescribed medication. What should
the facility do?
A. Prohibit self-administration for every resident.
B. Assess the resident's ability and provide only permitted assistance consistent with
the care plan.
C. Let roommates decide whether it is safe.
D. Remove all medication labels.
**Correct Answer: B. Rationale: Self-administration may be supported when
appropriate, with assistance and documentation matched to the resident's assessed
capability. **
7. A medication order is changed by the prescriber. What is the safest response
before the next dose?
A. Continue the old dose until the family visits.
B. Clarify and document the authorized order, then update administration
information.
C. Change the dose from memory.
D. Ask another resident what the prescriber said.
**Correct Answer: B. Rationale: Medication administration must follow an authorized,
clear order; updating the record reduces dose and communication errors. **
, 8. A PRN pain medication is available. Which documentation is most important
after it is given?
A. Only the medication's purchase price.
B. The reason, amount, time, and resident response according to facility procedure.
C. A note that staff were busy.
D. The names of all residents in the building.
**Correct Answer: B. Rationale: PRN documentation must show why it was used and
the outcome, enabling safe follow-up and oversight. **
9. Where should centrally stored medications generally be kept?
A. On an open shelf in the activity room.
B. In a secure location inaccessible to residents and unauthorized persons.
C. In the refrigerator beside uncovered food.
D. In an employee's purse.
**Correct Answer: B. Rationale: Medication security protects residents from
unauthorized access, loss, and administration error. **
10. A resident develops fever and cough during a communicable-disease
outbreak. What is the priority action?
A. Ignore symptoms to avoid alarming residents.
B. Follow the infection-control plan, use appropriate precautions, and seek clinical
direction.
C. Move the resident to the kitchen.
D. Stop documenting symptoms.
**Correct Answer: B. Rationale: Prompt precautions, monitoring, and professional
clinical guidance limit transmission while supporting the resident. **
11. After a resident falls with no apparent injury, what is the best immediate
facility response?
A. Return the resident to bed without assessment.
B. Assess for urgent needs, obtain medical direction when indicated, document, and
address contributing risks.
C. Assume the fall was intentional.
D. Delete the event from the record.
**Correct Answer: B. Rationale: A fall warrants a timely safety assessment, appropriate
notification and documentation, plus prevention planning. **
12. A resident with dementia repeatedly attempts to leave. Which approach is
most person-centered?
A. Use a restraint to keep the resident seated.
B. Identify triggers, provide supervision and meaningful redirection, and implement
the assessed plan.
C. Lock the resident alone in a room.
D. Scold the resident after each attempt.
