NAB RCAL EXAM NEWEST QUESTIONS
AND ANSWERS. VERIFIED 2025/2026.
T/F -- Anxiety is a common reaction to stress. - ANS True
When is a resident assessment update needed? - ANS 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)? - ANS 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? - ANS 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.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,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? - ANS 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... - ANS 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... - ANS 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... - ANS 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... - ANS 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? - ANS 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: - ANS hygiene, mobility, elimination,
dining, speech, language, gesture, and behavior
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, What must a facility ensure about a resident's pain management? - ANS 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? -
ANS 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 ___________
__________. - ANS face-to face, same location
Physician's must meet with resident every _______ days for the first _______ days of admission,
and once every _____ days thereafter. - ANS 30, 90, 60
Guidelines for determining if a resident is appropriate for medication self-administration: -
ANS 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.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
AND ANSWERS. VERIFIED 2025/2026.
T/F -- Anxiety is a common reaction to stress. - ANS True
When is a resident assessment update needed? - ANS 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)? - ANS 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? - ANS 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.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,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? - ANS 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... - ANS 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... - ANS 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... - ANS 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... - ANS 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? - ANS 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: - ANS hygiene, mobility, elimination,
dining, speech, language, gesture, and behavior
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, What must a facility ensure about a resident's pain management? - ANS 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? -
ANS 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 ___________
__________. - ANS face-to face, same location
Physician's must meet with resident every _______ days for the first _______ days of admission,
and once every _____ days thereafter. - ANS 30, 90, 60
Guidelines for determining if a resident is appropriate for medication self-administration: -
ANS 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.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
