1|Page
KANSAS ADULT CARE HOME OPERATOR (ACHO) EXAM (NEW UPDATED
VERSION) LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ UPDATED 2026
1. A resident refuses care. What is the operator’s first action?
A) Document the refusal
B) Force care to be provided
C) Respect the resident’s decision
D) Notify law enforcement
Answer: C) Respect the resident’s decision
2. A resident requests privacy during a personal care task. The best response is:
A) Refuse to provide care
B) Respect the request and ensure privacy
C) Ask another staff to assist
D) Explain why privacy isn’t required
Answer: B) Respect the request and ensure privacy
3. Which of the following is a fundamental resident right?
A) Free transportation
B) Confidentiality of personal and medical information
C) Guaranteed private room
D) Unlimited visitation
Answer: B) Confidentiality of personal and medical information
Safety & Emergency Procedures
4. A fire occurs in the facility. The first priority is:
A) Extinguish the fire
B) Evacuate residents in immediate danger
C) Call the news
D) Secure resident belongings
Answer: B) Evacuate residents in immediate danger
5. What should the operator do when there is a facility evacuation plan?
A) Memorize only the office exit
B) Train staff and conduct drills regularly
C) Leave it posted without review
D) Ignore it unless a fire happens
Answer: B) Train staff and conduct drills regularly
Infection Control
6. What is the minimum recommended time for handwashing?
A) 5 seconds
2026 2027 GRADED A+
,2|Page
B) 10 seconds
C) 20 seconds
D) 1 minute
Answer: C) 20 seconds
7. A staff member should wear gloves when:
A) Feeding residents
B) Cleaning up body fluids
C) Greeting visitors
D) None of the above
Answer: B) Cleaning up body fluids
Nutrition & Hydration
8. A resident drinks little fluid all day. The best course of action is:
A) Restrict fluids further
B) Encourage regular fluids and document intake
C) Tell family to bring drinks
D) Ignore it
Answer: B) Encourage regular fluids and document intake
9. A choking emergency occurs while eating. The first action:
A) Call 911 immediately
B) Perform Heimlich maneuver
C) Give water
D) Continue feeding
Answer: B) Perform Heimlich maneuver
Medication Basics & Supervision
10. A resident refuses an ordered medication. What should you do?
A) Force the resident
B) Document the refusal and notify the supervisor
C) Leave it on the table
D) Discard the medication
Answer: B) Document the refusal and notify the supervisor
11. Who can administer medications in a care home?
A) Certified staff only
B) Anyone with a key
C) Trained, qualified personnel per state rules
D) Family members
Answer: C) Trained, qualified personnel per state rules
2026 2027 GRADED A+
,3|Page
Documentation & Reporting
12. Accurate documentation is important because it:
A) Prevents all errors
B) Helps plan resident care and meets legal requirements
C) Is optional
D) Only supervisors review it
Answer: B) Helps plan resident care and meets legal requirements
13. Incident reports should be completed:
A) Weekly
B) Monthly
C) Immediately after the event
D) When convenient
Answer: C) Immediately after the event
Staff Training & Supervision
14. Staff orientation should include:
A) Fire safety procedures
B) Infection control
C) Resident rights
D) All of the above
Answer: D) All of the above
15. Ongoing staff training must be:
A) Optional
B) Regular and documented
C) One time only
D) Verbal without records
Answer: B) Regular and documented
Behavioral & Dementia Care
16. A resident with dementia is agitated. The best immediate action is:
A) Restrain the resident
B) Assess and try to calm the resident
C) Isolate them
D) Leave them alone
Answer: B) Assess and try to calm the resident
17. Validation therapy is best described as:
A) Correcting the resident
B) Ignoring feelings
C) Acknowledging the resident’s feelings and reality
2026 2027 GRADED A+
, 4|Page
D) Physical exercise
Answer: C) Acknowledging the resident’s feelings and reality
Regulations & Compliance
18. Policies and procedures must be:
A) Written and accessible
B) Memorized by staff only
C) Optional
D) Only at corporate offices
Answer: A) Written and accessible
19. Regular quality assurance reviews are required to:
A) Punish staff
B) Improve resident care
C) Decorate the home
D) Reduce paperwork
Answer: B) Improve resident care
Resident Care Practices
20. A resident falls with no injuries. The operator should:
A) Ignore it
B) Document the fall and notify supervisor
C) Send them home
D) Punish the resident
Answer: B) Document the fall and notify supervisor
21. Pressure ulcers are most commonly caused by:
A) Too much exercise
B) Poor repositioning and immobility
C) Eating too much
D) Bathing daily
Answer: B) Poor repositioning and immobility
More Practice Questions
22. The purpose of a care plan is to:
A) Document resident interests only
B) Guide individualized care
C) Replace medical orders
D) Schedule vacations
Answer: B) Guide individualized care
2026 2027 GRADED A+
KANSAS ADULT CARE HOME OPERATOR (ACHO) EXAM (NEW UPDATED
VERSION) LATEST ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED
QUESTIONS AND ANSWERS) | GUARANTEED PASS A+ UPDATED 2026
1. A resident refuses care. What is the operator’s first action?
A) Document the refusal
B) Force care to be provided
C) Respect the resident’s decision
D) Notify law enforcement
Answer: C) Respect the resident’s decision
2. A resident requests privacy during a personal care task. The best response is:
A) Refuse to provide care
B) Respect the request and ensure privacy
C) Ask another staff to assist
D) Explain why privacy isn’t required
Answer: B) Respect the request and ensure privacy
3. Which of the following is a fundamental resident right?
A) Free transportation
B) Confidentiality of personal and medical information
C) Guaranteed private room
D) Unlimited visitation
Answer: B) Confidentiality of personal and medical information
Safety & Emergency Procedures
4. A fire occurs in the facility. The first priority is:
A) Extinguish the fire
B) Evacuate residents in immediate danger
C) Call the news
D) Secure resident belongings
Answer: B) Evacuate residents in immediate danger
5. What should the operator do when there is a facility evacuation plan?
A) Memorize only the office exit
B) Train staff and conduct drills regularly
C) Leave it posted without review
D) Ignore it unless a fire happens
Answer: B) Train staff and conduct drills regularly
Infection Control
6. What is the minimum recommended time for handwashing?
A) 5 seconds
2026 2027 GRADED A+
,2|Page
B) 10 seconds
C) 20 seconds
D) 1 minute
Answer: C) 20 seconds
7. A staff member should wear gloves when:
A) Feeding residents
B) Cleaning up body fluids
C) Greeting visitors
D) None of the above
Answer: B) Cleaning up body fluids
Nutrition & Hydration
8. A resident drinks little fluid all day. The best course of action is:
A) Restrict fluids further
B) Encourage regular fluids and document intake
C) Tell family to bring drinks
D) Ignore it
Answer: B) Encourage regular fluids and document intake
9. A choking emergency occurs while eating. The first action:
A) Call 911 immediately
B) Perform Heimlich maneuver
C) Give water
D) Continue feeding
Answer: B) Perform Heimlich maneuver
Medication Basics & Supervision
10. A resident refuses an ordered medication. What should you do?
A) Force the resident
B) Document the refusal and notify the supervisor
C) Leave it on the table
D) Discard the medication
Answer: B) Document the refusal and notify the supervisor
11. Who can administer medications in a care home?
A) Certified staff only
B) Anyone with a key
C) Trained, qualified personnel per state rules
D) Family members
Answer: C) Trained, qualified personnel per state rules
2026 2027 GRADED A+
,3|Page
Documentation & Reporting
12. Accurate documentation is important because it:
A) Prevents all errors
B) Helps plan resident care and meets legal requirements
C) Is optional
D) Only supervisors review it
Answer: B) Helps plan resident care and meets legal requirements
13. Incident reports should be completed:
A) Weekly
B) Monthly
C) Immediately after the event
D) When convenient
Answer: C) Immediately after the event
Staff Training & Supervision
14. Staff orientation should include:
A) Fire safety procedures
B) Infection control
C) Resident rights
D) All of the above
Answer: D) All of the above
15. Ongoing staff training must be:
A) Optional
B) Regular and documented
C) One time only
D) Verbal without records
Answer: B) Regular and documented
Behavioral & Dementia Care
16. A resident with dementia is agitated. The best immediate action is:
A) Restrain the resident
B) Assess and try to calm the resident
C) Isolate them
D) Leave them alone
Answer: B) Assess and try to calm the resident
17. Validation therapy is best described as:
A) Correcting the resident
B) Ignoring feelings
C) Acknowledging the resident’s feelings and reality
2026 2027 GRADED A+
, 4|Page
D) Physical exercise
Answer: C) Acknowledging the resident’s feelings and reality
Regulations & Compliance
18. Policies and procedures must be:
A) Written and accessible
B) Memorized by staff only
C) Optional
D) Only at corporate offices
Answer: A) Written and accessible
19. Regular quality assurance reviews are required to:
A) Punish staff
B) Improve resident care
C) Decorate the home
D) Reduce paperwork
Answer: B) Improve resident care
Resident Care Practices
20. A resident falls with no injuries. The operator should:
A) Ignore it
B) Document the fall and notify supervisor
C) Send them home
D) Punish the resident
Answer: B) Document the fall and notify supervisor
21. Pressure ulcers are most commonly caused by:
A) Too much exercise
B) Poor repositioning and immobility
C) Eating too much
D) Bathing daily
Answer: B) Poor repositioning and immobility
More Practice Questions
22. The purpose of a care plan is to:
A) Document resident interests only
B) Guide individualized care
C) Replace medical orders
D) Schedule vacations
Answer: B) Guide individualized care
2026 2027 GRADED A+
