NAB RCAL EXAM COMPLETE QUESTIONS AND
ANSWERS 2026-2027 DOMAIN I RESIDENT CARE,
SUPPORT SERVICES & QUALITY OF LIFE SUB-
DOMAIN RESIDENT RIGHTS & ABUSE
PREVENTION
1.
Which principle best describes a resident's right to dignity?
A. Staff may make all decisions for the resident
B. The resident should be treated with respect and as an individual
C. Residents must follow the facility's preferred routine
D. Staff may discuss resident information publicly
Answer: B
Rationale: Residents have the right to respectful, individualized treatment that preserves their
dignity and autonomy.
2.
Which action best supports resident autonomy?
A. Choosing the resident's clothing without asking
B. Allowing the resident to make informed choices whenever possible
C. Making all decisions based on staff convenience
D. Restricting choices to the facility's daily schedule
Answer: B
Rationale: Autonomy means supporting a resident's ability to make decisions about their own
life and care.
3.
A resident refuses assistance with bathing. What should staff do first?
,A. Force the resident to bathe
B. Respect the refusal and determine why the resident is refusing
C. Threaten to report the resident
D. Immediately discharge the resident
Answer: B
Rationale: Staff should respect the resident's rights while assessing the reason for refusal and
seeking an appropriate solution.
4.
Which situation is most clearly an invasion of resident privacy?
A. Closing the resident's door during personal care
B. Discussing a resident's medical condition in a public hallway
C. Knocking before entering a room
D. Providing care behind a privacy curtain
Answer: B
Rationale: Confidential information should not be discussed where unauthorized people can
hear it.
5.
What is person-centered care?
A. Providing identical care to every resident
B. Organizing care around the individual's preferences, needs, abilities, and goals
C. Allowing staff schedules to determine all care
D. Limiting resident choices
Answer: B
Rationale: Person-centered care recognizes each resident as an individual and incorporates
their preferences and needs.
6.
A resident wants to wear unusual clothing for breakfast. What is the best response?
,A. Require the resident to change
B. Allow the choice unless there is a legitimate safety concern
C. Tell other residents about the choice
D. Cancel the resident's breakfast
Answer: B
Rationale: Residents generally have the right to make personal choices and express
individuality.
7.
Which action best protects a resident's dignity during dressing?
A. Leaving the resident exposed while staff prepare supplies
B. Providing privacy and involving the resident in the process
C. Discussing the resident's body with other staff unnecessarily
D. Completing the task without explaining anything
Answer: B
Rationale: Privacy, communication, and participation help preserve dignity during personal
care.
8.
What should staff do when a resident makes a reasonable request?
A. Ignore it if inconvenient
B. Consider and respond to it according to the resident's rights and facility policies
C. Automatically deny it
D. Tell the resident that staff always know best
Answer: B
Rationale: Residents should have their requests taken seriously and addressed appropriately.
9.
Which right is associated with resident choice?
, A. The right to participate in decisions affecting the resident
B. The right of staff to make all decisions
C. The right of other residents to control activities
D. The right of visitors to make medical decisions
Answer: A
Rationale: Residents should participate in decisions concerning their care and daily lives to the
extent possible.
10.
A resident wants to participate in an activity that staff consider boring. What should staff do?
A. Force the resident to participate in a preferred activity
B. Respect the resident's choice
C. Remove all activities from the schedule
D. Tell the resident that participation is mandatory
Answer: B
Rationale: Residents should have meaningful choices about activities and social participation.
Abuse Prevention
11.
Which definition best describes physical abuse?
A. Intentional use of physical force that causes or may cause harm
B. Forgetting to document an activity
C. A resident refusing care
D. A disagreement between residents
Answer: A
Rationale: Physical abuse involves inappropriate physical force or actions that can cause injury
or harm.
12.
ANSWERS 2026-2027 DOMAIN I RESIDENT CARE,
SUPPORT SERVICES & QUALITY OF LIFE SUB-
DOMAIN RESIDENT RIGHTS & ABUSE
PREVENTION
1.
Which principle best describes a resident's right to dignity?
A. Staff may make all decisions for the resident
B. The resident should be treated with respect and as an individual
C. Residents must follow the facility's preferred routine
D. Staff may discuss resident information publicly
Answer: B
Rationale: Residents have the right to respectful, individualized treatment that preserves their
dignity and autonomy.
2.
Which action best supports resident autonomy?
A. Choosing the resident's clothing without asking
B. Allowing the resident to make informed choices whenever possible
C. Making all decisions based on staff convenience
D. Restricting choices to the facility's daily schedule
Answer: B
Rationale: Autonomy means supporting a resident's ability to make decisions about their own
life and care.
3.
A resident refuses assistance with bathing. What should staff do first?
,A. Force the resident to bathe
B. Respect the refusal and determine why the resident is refusing
C. Threaten to report the resident
D. Immediately discharge the resident
Answer: B
Rationale: Staff should respect the resident's rights while assessing the reason for refusal and
seeking an appropriate solution.
4.
Which situation is most clearly an invasion of resident privacy?
A. Closing the resident's door during personal care
B. Discussing a resident's medical condition in a public hallway
C. Knocking before entering a room
D. Providing care behind a privacy curtain
Answer: B
Rationale: Confidential information should not be discussed where unauthorized people can
hear it.
5.
What is person-centered care?
A. Providing identical care to every resident
B. Organizing care around the individual's preferences, needs, abilities, and goals
C. Allowing staff schedules to determine all care
D. Limiting resident choices
Answer: B
Rationale: Person-centered care recognizes each resident as an individual and incorporates
their preferences and needs.
6.
A resident wants to wear unusual clothing for breakfast. What is the best response?
,A. Require the resident to change
B. Allow the choice unless there is a legitimate safety concern
C. Tell other residents about the choice
D. Cancel the resident's breakfast
Answer: B
Rationale: Residents generally have the right to make personal choices and express
individuality.
7.
Which action best protects a resident's dignity during dressing?
A. Leaving the resident exposed while staff prepare supplies
B. Providing privacy and involving the resident in the process
C. Discussing the resident's body with other staff unnecessarily
D. Completing the task without explaining anything
Answer: B
Rationale: Privacy, communication, and participation help preserve dignity during personal
care.
8.
What should staff do when a resident makes a reasonable request?
A. Ignore it if inconvenient
B. Consider and respond to it according to the resident's rights and facility policies
C. Automatically deny it
D. Tell the resident that staff always know best
Answer: B
Rationale: Residents should have their requests taken seriously and addressed appropriately.
9.
Which right is associated with resident choice?
, A. The right to participate in decisions affecting the resident
B. The right of staff to make all decisions
C. The right of other residents to control activities
D. The right of visitors to make medical decisions
Answer: A
Rationale: Residents should participate in decisions concerning their care and daily lives to the
extent possible.
10.
A resident wants to participate in an activity that staff consider boring. What should staff do?
A. Force the resident to participate in a preferred activity
B. Respect the resident's choice
C. Remove all activities from the schedule
D. Tell the resident that participation is mandatory
Answer: B
Rationale: Residents should have meaningful choices about activities and social participation.
Abuse Prevention
11.
Which definition best describes physical abuse?
A. Intentional use of physical force that causes or may cause harm
B. Forgetting to document an activity
C. A resident refusing care
D. A disagreement between residents
Answer: A
Rationale: Physical abuse involves inappropriate physical force or actions that can cause injury
or harm.
12.
