Missouri rcal exam questions & answers
2025/2026
Each resident shall be prepared food and served under safe sanitary conditions that is
consistent in accordance with what order. - ANSWERSAttending physicians order
Each resident shall receive three meals per day how many of these meals must be hot. -
ANSWERS2
What is the minimum and maximum times between the evening meal and breakfast -
ANSWERS14-16
How many days of food supply shall be maintained in the facility? - ANSWERS3
How does a resident with a modified diet stay within the facility? - ANSWERSA resident with a
modified diet may be excepted and remain in the facility with a physicians order.
A physician must monitor the residents condition on what periodic basis? - ANSWERSQuarterly
What takes precedence over residents rights regarding eating and dining preference? -
ANSWERSNothing
What does an individual service plan include? - ANSWERSResidence culture, lifelong routines,
habits, patterns and preferences
,In an assisted living if the residents eating and dining preferences have potential health risk staff
shall inform who? - ANSWERSThe resident or his or her legally authorized representative and
then should be documented in the individualized service plan.
Before admission to an Alzheimer's special care program or unit the next of kin or legal
represent she'll be given a copy of what form? - ANSWERSAlzheimer's special care services
disclosure form at the time of admission.
Before admission into an assisted living what form should be given to each resident or his or her
legally authorized representative Or kin. - ANSWERSMissouri's guide to home and community
based services
How often should all CPR forms be updated? - ANSWERSAnnually within a group or individually
If a resident refuses treatment what is your course of action? - ANSWERSThe refusal shall be
documented in the residence record and his or her legally authorized representative shall be
informed of possible consequences of not receiving treatment.
What is an area of refuge? - ANSWERSThis is an area of a building where persons unable to use
stairways can safely await instructions or assistance during an emergency evacuation. It can also
be used as a staging area.
What does evacuating the facility mean? - ANSWERSEvacuating the facility means moving to an
area of refuge or from one smoke session to another or exiting the facility.
What does Home like mean? - ANSWERSA self-contained long-term care setting that integrates
psychosocial, organizational and environmental qualities that are associated with being at
home. May include common areas kitchen areas laundry areas outdoor activities areas.
, What is an individual service plan? - ANSWERSThe planning document prepared by an assisted
living facility which outlined the residents needs and preferences and services that shall be
provided.
What actions are considered to be more than minimal assistance? - ANSWERSAssistance to
traverse down stairways, assistance to open doors and assistance to propel a wheelchair.
What is the definition of a significant change? - ANSWERSAny change in the residents physical,
emotional or psycho social condition or behavior that will not normally resolve without further
further intervention by staff.
Skilled Nursing Facility (SNF) - ANSWERSa facility that provides 24-hour room, board, and skilled
nursing care and treatment to at least three residents. Skilled nursing care and treatment
services are those performed by or under the supervision of a registered nurse for individuals
requiring 24-hour-a-day care by licensed nursing personnel and under the direction of a
licensed doctor.
Social model of care - ANSWERSProviding for all the needs of a client and providing a home-like
environment.
An administrator cannot be listed or function in more than how many facilities? - ANSWERSNo
more than one license of a facilty at a time unless he or she serves more than five facilities
within 30 miles that had no more than 100 residence in total. However the administrator may
serve as the administrator of more than one license facility if all facilities are on the same
premises.
What is the protocol if the administrator is absent? - ANSWERSIf the administrator is gone for
more than 30 consecutive days in which he or she is not accessible by phone the delegated
individual will have to be an administrator that is currently license by the board of nursing home
administrators. Such 30 day consecutive absences my only occur within a 12 month period.
2025/2026
Each resident shall be prepared food and served under safe sanitary conditions that is
consistent in accordance with what order. - ANSWERSAttending physicians order
Each resident shall receive three meals per day how many of these meals must be hot. -
ANSWERS2
What is the minimum and maximum times between the evening meal and breakfast -
ANSWERS14-16
How many days of food supply shall be maintained in the facility? - ANSWERS3
How does a resident with a modified diet stay within the facility? - ANSWERSA resident with a
modified diet may be excepted and remain in the facility with a physicians order.
A physician must monitor the residents condition on what periodic basis? - ANSWERSQuarterly
What takes precedence over residents rights regarding eating and dining preference? -
ANSWERSNothing
What does an individual service plan include? - ANSWERSResidence culture, lifelong routines,
habits, patterns and preferences
,In an assisted living if the residents eating and dining preferences have potential health risk staff
shall inform who? - ANSWERSThe resident or his or her legally authorized representative and
then should be documented in the individualized service plan.
Before admission to an Alzheimer's special care program or unit the next of kin or legal
represent she'll be given a copy of what form? - ANSWERSAlzheimer's special care services
disclosure form at the time of admission.
Before admission into an assisted living what form should be given to each resident or his or her
legally authorized representative Or kin. - ANSWERSMissouri's guide to home and community
based services
How often should all CPR forms be updated? - ANSWERSAnnually within a group or individually
If a resident refuses treatment what is your course of action? - ANSWERSThe refusal shall be
documented in the residence record and his or her legally authorized representative shall be
informed of possible consequences of not receiving treatment.
What is an area of refuge? - ANSWERSThis is an area of a building where persons unable to use
stairways can safely await instructions or assistance during an emergency evacuation. It can also
be used as a staging area.
What does evacuating the facility mean? - ANSWERSEvacuating the facility means moving to an
area of refuge or from one smoke session to another or exiting the facility.
What does Home like mean? - ANSWERSA self-contained long-term care setting that integrates
psychosocial, organizational and environmental qualities that are associated with being at
home. May include common areas kitchen areas laundry areas outdoor activities areas.
, What is an individual service plan? - ANSWERSThe planning document prepared by an assisted
living facility which outlined the residents needs and preferences and services that shall be
provided.
What actions are considered to be more than minimal assistance? - ANSWERSAssistance to
traverse down stairways, assistance to open doors and assistance to propel a wheelchair.
What is the definition of a significant change? - ANSWERSAny change in the residents physical,
emotional or psycho social condition or behavior that will not normally resolve without further
further intervention by staff.
Skilled Nursing Facility (SNF) - ANSWERSa facility that provides 24-hour room, board, and skilled
nursing care and treatment to at least three residents. Skilled nursing care and treatment
services are those performed by or under the supervision of a registered nurse for individuals
requiring 24-hour-a-day care by licensed nursing personnel and under the direction of a
licensed doctor.
Social model of care - ANSWERSProviding for all the needs of a client and providing a home-like
environment.
An administrator cannot be listed or function in more than how many facilities? - ANSWERSNo
more than one license of a facilty at a time unless he or she serves more than five facilities
within 30 miles that had no more than 100 residence in total. However the administrator may
serve as the administrator of more than one license facility if all facilities are on the same
premises.
What is the protocol if the administrator is absent? - ANSWERSIf the administrator is gone for
more than 30 consecutive days in which he or she is not accessible by phone the delegated
individual will have to be an administrator that is currently license by the board of nursing home
administrators. Such 30 day consecutive absences my only occur within a 12 month period.
