NAB RCAL Exam UPDATED ACTUAL
Exam Questions and CORRECT Answers
T/F -- Anxiety is a common reaction to stress. - CORRECT ANSWER - True
When is a resident assessment update needed? - CORRECT ANSWER - Return from hospital
stay, weight loss, change in cognitive impairment, falls, change in ambulation, breakdown of
skin, erratic behaviors
What are Pressure Ulcers/Pressure Injuries (PU/PI)? - CORRECT ANSWER - Localized
damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a
medical condition or other device.
A pressure ulcer will present as an open ulcer, the appearance of which will vary depending on
the stage and may be painful.
The injury occurs as a result of intense and/or prolonged pressure or pressure combination with
shear.
How do you prevent PUs/PIs? - CORRECT ANSWER - Identify whether the resident is at
risk for developing or has PU/PI upon admission.
Evaluate resident specific risk factors and changes in the residents condition.
Implement, monitor, and modify intervention to attempt to stabilize, reduce, or remove
underlying risk factors.
Utilize Position Change Alarms sparingly.
What is an unavoidable accident? - CORRECT ANSWER - An accident that occurred despite
sufficient and comprehensive facility systems.
,The facility must ensure that a resident who is continent of bladder and bowel on admission
receives services and assistance to... - CORRECT ANSWER - maintain continence unless
their clinical condition is or becomes such that continence is not possible to maintain.
A resident who enter the facility without an indwelling catheter... - CORRECT ANSWER - is
not catheterized unless the resident's clinical condition demonstrates that catheterization was
necessary
A resident who enters the facility with an indwelling catheter or subsequently receives one is
assessed for the removal of the catheter... - CORRECT ANSWER - as soon as possible unless
the resident's clinical condition demonstrates the catheterization is necessary
For a resident with fecal incontinence, based on the resident's comprehensive assessment, the
facility must ensure that... - CORRECT ANSWER - a resident who is incontinent of bowel
receives appropriate treatment and services to restore as much normal bowel function as possible
When is prompted-voiding used? - CORRECT ANSWER - When dependent or more
cognitively impaired residents need assistance with toileting
A resident is given the appropriate treatment and services to maintain or improve their ability to
carry out activities of daily living, which include: - CORRECT ANSWER - hygiene, mobility,
elimination, dining, speech, language, gesture, and behavior
What must a facility ensure about a resident's pain management? - CORRECT ANSWER -
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
Why is it important to follow a systematic approach regarding resident pain management? -
CORRECT ANSWER - to ensure the right medication and dosage is selected based on the
resident's condition
, Physician's must make __________ contact with the resident and at the ___________
__________. - CORRECT ANSWER - face-to face, same location
Physician's must meet with resident every _______ days for the first _______ days of admission,
and once every _____ days thereafter. - CORRECT ANSWER - 30, 90, 60
Guidelines for determining if a resident is appropriate for medication self-administration: -
CORRECT ANSWER - The medication is appropriate and safe for self-administration.
The resident's physical capacity to swallow without difficulty and to open medication bottles.
The resident's cognitive status, including their ability to correctly name their medications and
know what conditions they are for.
The resident's capability to follow directions and tell time to know when medications need to be
taken.
The resident's comprehension of instructions for the medications they are taking, including the
dose, timing, and signs of side effects and when to report to facility staff.
The resident's ability to understand what refusal of medication.
The resident's ability to ensure that medication is stored safely and securely.
Medication error means... - CORRECT ANSWER - the observed or identified preparation or
administration of medications or biologicals.
Medication errors go against... - CORRECT ANSWER - the prescriber's orders,
manufacturer's specifications, accepted professional standers and principles
Exam Questions and CORRECT Answers
T/F -- Anxiety is a common reaction to stress. - CORRECT ANSWER - True
When is a resident assessment update needed? - CORRECT ANSWER - Return from hospital
stay, weight loss, change in cognitive impairment, falls, change in ambulation, breakdown of
skin, erratic behaviors
What are Pressure Ulcers/Pressure Injuries (PU/PI)? - CORRECT ANSWER - Localized
damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a
medical condition or other device.
A pressure ulcer will present as an open ulcer, the appearance of which will vary depending on
the stage and may be painful.
The injury occurs as a result of intense and/or prolonged pressure or pressure combination with
shear.
How do you prevent PUs/PIs? - CORRECT ANSWER - Identify whether the resident is at
risk for developing or has PU/PI upon admission.
Evaluate resident specific risk factors and changes in the residents condition.
Implement, monitor, and modify intervention to attempt to stabilize, reduce, or remove
underlying risk factors.
Utilize Position Change Alarms sparingly.
What is an unavoidable accident? - CORRECT ANSWER - An accident that occurred despite
sufficient and comprehensive facility systems.
,The facility must ensure that a resident who is continent of bladder and bowel on admission
receives services and assistance to... - CORRECT ANSWER - maintain continence unless
their clinical condition is or becomes such that continence is not possible to maintain.
A resident who enter the facility without an indwelling catheter... - CORRECT ANSWER - is
not catheterized unless the resident's clinical condition demonstrates that catheterization was
necessary
A resident who enters the facility with an indwelling catheter or subsequently receives one is
assessed for the removal of the catheter... - CORRECT ANSWER - as soon as possible unless
the resident's clinical condition demonstrates the catheterization is necessary
For a resident with fecal incontinence, based on the resident's comprehensive assessment, the
facility must ensure that... - CORRECT ANSWER - a resident who is incontinent of bowel
receives appropriate treatment and services to restore as much normal bowel function as possible
When is prompted-voiding used? - CORRECT ANSWER - When dependent or more
cognitively impaired residents need assistance with toileting
A resident is given the appropriate treatment and services to maintain or improve their ability to
carry out activities of daily living, which include: - CORRECT ANSWER - hygiene, mobility,
elimination, dining, speech, language, gesture, and behavior
What must a facility ensure about a resident's pain management? - CORRECT ANSWER -
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
Why is it important to follow a systematic approach regarding resident pain management? -
CORRECT ANSWER - to ensure the right medication and dosage is selected based on the
resident's condition
, Physician's must make __________ contact with the resident and at the ___________
__________. - CORRECT ANSWER - face-to face, same location
Physician's must meet with resident every _______ days for the first _______ days of admission,
and once every _____ days thereafter. - CORRECT ANSWER - 30, 90, 60
Guidelines for determining if a resident is appropriate for medication self-administration: -
CORRECT ANSWER - The medication is appropriate and safe for self-administration.
The resident's physical capacity to swallow without difficulty and to open medication bottles.
The resident's cognitive status, including their ability to correctly name their medications and
know what conditions they are for.
The resident's capability to follow directions and tell time to know when medications need to be
taken.
The resident's comprehension of instructions for the medications they are taking, including the
dose, timing, and signs of side effects and when to report to facility staff.
The resident's ability to understand what refusal of medication.
The resident's ability to ensure that medication is stored safely and securely.
Medication error means... - CORRECT ANSWER - the observed or identified preparation or
administration of medications or biologicals.
Medication errors go against... - CORRECT ANSWER - the prescriber's orders,
manufacturer's specifications, accepted professional standers and principles
