IDAHO RESIDENTIAL ASSISTED LIVING ADMINISTRATOR
PRACTICE EXAM QUESTIONS AND CORRECT ANSWERS
1: Under Idaho regulations, what is the minimum age requirement for admission to a
residential assisted living facility?
A. 18 years
B. 21 years
C. 55 years
D. No minimum age specified
CORRECT ANSWER: A. 18 years
Rationale: IDAPA 16.03.22.100 defines a resident as an adult 18 years or older who receives
personal care services. Facilities may choose to serve specific age groups (e.g., 55+), but the
regulatory minimum is 18.
2: Which Idaho agency is responsible for licensing and inspecting residential assisted living
facilities?
A. Idaho Department of Insurance
B. Idaho Department of Health and Welfare - Bureau of Facility Standards
C. Idaho Real Estate Commission
D. Idaho Board of Nursing
CORRECT ANSWER: B. Idaho Department of Health and Welfare - Bureau of Facility Standards
Rationale: The Bureau of Facility Standards within IDHW administers the Residential
Care/Assisted Living Facilities Act, including licensing, rulemaking, inspections, and
enforcement.
3: What is the minimum square footage requirement for a single-occupancy resident room in
Idaho?
A. 80 square feet
B. 100 square feet
C. 120 square feet
D. 150 square feet
CORRECT ANSWER: B. 100 square feet
Rationale: IDAPA 16.03.22.120 requires single-occupancy rooms to have at least 100 square feet
of floor space, excluding closets and bathrooms, to ensure adequate living space.
,4: Which document must be completed for each resident within 14 days of admission?
A. Financial assessment
B. Service plan (care plan)
C. Staff evaluation
D. Facility budget
CORRECT ANSWER: B. Service plan (care plan)
Rationale: IDAPA 16.03.22.200 requires a written service plan developed with resident/family
input within 14 days of admission, outlining needed services, goals, and responsible parties.
5: Under Idaho law, which staff member is responsible for overall facility operation and
compliance?
A. Director of Nursing
B. Activities Coordinator
C. Administrator/Designated Manager
D. Maintenance Supervisor
CORRECT ANSWER: C. Administrator/Designated Manager
Rationale: The administrator or designated manager is legally responsible for day-to-day
operations, regulatory compliance, staff supervision, and ensuring quality of care per IDAPA
16.03.22.100.
6: What is the minimum requirement for staff training on resident rights?
A. No training required
B. Initial training and annual refresher
C. Training only for new hires
D. Training only for management staff
CORRECT ANSWER: B. Initial training and annual refresher
Rationale: IDAPA 16.03.22.150 requires all direct care staff to receive initial training on resident
rights and responsibilities, with annual refresher training to ensure ongoing compliance.
7: Which resident right includes the ability to make personal choices about daily activities?
A. Right to privacy
B. Right to self-determination
C. Right to confidentiality
D. Right to grievance
,CORRECT ANSWER: B. Right to self-determination
Rationale: Self-determination encompasses the resident's right to make choices about daily
routines, activities, clothing, and social interactions, promoting autonomy and dignity.
8: Under Idaho regulations, how often must fire drills be conducted in assisted living
facilities?
A. Monthly
B. Quarterly
C. Semi-annually
D. Annually
CORRECT ANSWER: B. Quarterly
Rationale: IDAPA 16.03.22.130 requires fire drills to be conducted at least quarterly on each
shift to ensure staff and residents are prepared for emergency evacuation.
9: Which medication management practice is REQUIRED in Idaho assisted living facilities?
A. Staff may administer any medication without training
B. Medication assistance must follow written policies and staff training
C. Residents must self-administer all medications
D. No documentation is required
CORRECT ANSWER: B. Medication assistance must follow written policies and staff training
Rationale: Facilities providing medication assistance must have written policies, trained staff,
and proper documentation to ensure safe, accurate medication administration per IDAPA
16.03.22.220.
10: What is the primary purpose of a resident assessment prior to admission?
A. To determine facility profitability
B. To evaluate if the facility can meet the resident's needs
C. To assign room preferences
D. To schedule staff shifts
CORRECT ANSWER: B. To evaluate if the facility can meet the resident's needs
Rationale: Pre-admission assessments determine if the facility has the resources, staffing, and
capabilities to safely meet the prospective resident's physical, cognitive, and psychosocial
needs.
, 11: Under Idaho law, which condition generally requires transfer or discharge from an
assisted living facility?
A. Diagnosis of mild cognitive impairment
B. Need for 24-hour skilled nursing care
C. Preference for private room
D. Occasional assistance with bathing
CORRECT ANSWER: B. Need for 24-hour skilled nursing care
Rationale: Assisted living facilities are not licensed to provide 24-hour skilled nursing care.
Residents whose needs exceed the facility's scope of services must be transferred to an
appropriate setting.
12: Which documentation is REQUIRED for each resident's medication assistance?
A. Verbal confirmation only
B. Written medication record with dose, time, and staff initials
C. Family signature only
D. No documentation required
CORRECT ANSWER: B. Written medication record with dose, time, and staff initials
Rationale: Accurate medication records documenting administration (or refusal) with staff
identification are required for safety, accountability, and regulatory compliance.
13: What is the minimum requirement for resident room window coverings in Idaho?
A. No requirement
B. Curtains or blinds that provide privacy
C. Tinted glass only
D. Metal shutters
CORRECT ANSWER: B. Curtains or blinds that provide privacy
Rationale: IDAPA 16.03.22.120 requires window coverings that can be adjusted to provide
privacy while allowing natural light, supporting resident dignity and comfort.
14: Which infection control practice is ESSENTIAL for preventing disease transmission?
A. Sharing personal care items between residents
B. Hand hygiene before and after resident contact
C. Using the same gloves for multiple residents
D. Cleaning surfaces only when visibly soiled
PRACTICE EXAM QUESTIONS AND CORRECT ANSWERS
1: Under Idaho regulations, what is the minimum age requirement for admission to a
residential assisted living facility?
A. 18 years
B. 21 years
C. 55 years
D. No minimum age specified
CORRECT ANSWER: A. 18 years
Rationale: IDAPA 16.03.22.100 defines a resident as an adult 18 years or older who receives
personal care services. Facilities may choose to serve specific age groups (e.g., 55+), but the
regulatory minimum is 18.
2: Which Idaho agency is responsible for licensing and inspecting residential assisted living
facilities?
A. Idaho Department of Insurance
B. Idaho Department of Health and Welfare - Bureau of Facility Standards
C. Idaho Real Estate Commission
D. Idaho Board of Nursing
CORRECT ANSWER: B. Idaho Department of Health and Welfare - Bureau of Facility Standards
Rationale: The Bureau of Facility Standards within IDHW administers the Residential
Care/Assisted Living Facilities Act, including licensing, rulemaking, inspections, and
enforcement.
3: What is the minimum square footage requirement for a single-occupancy resident room in
Idaho?
A. 80 square feet
B. 100 square feet
C. 120 square feet
D. 150 square feet
CORRECT ANSWER: B. 100 square feet
Rationale: IDAPA 16.03.22.120 requires single-occupancy rooms to have at least 100 square feet
of floor space, excluding closets and bathrooms, to ensure adequate living space.
,4: Which document must be completed for each resident within 14 days of admission?
A. Financial assessment
B. Service plan (care plan)
C. Staff evaluation
D. Facility budget
CORRECT ANSWER: B. Service plan (care plan)
Rationale: IDAPA 16.03.22.200 requires a written service plan developed with resident/family
input within 14 days of admission, outlining needed services, goals, and responsible parties.
5: Under Idaho law, which staff member is responsible for overall facility operation and
compliance?
A. Director of Nursing
B. Activities Coordinator
C. Administrator/Designated Manager
D. Maintenance Supervisor
CORRECT ANSWER: C. Administrator/Designated Manager
Rationale: The administrator or designated manager is legally responsible for day-to-day
operations, regulatory compliance, staff supervision, and ensuring quality of care per IDAPA
16.03.22.100.
6: What is the minimum requirement for staff training on resident rights?
A. No training required
B. Initial training and annual refresher
C. Training only for new hires
D. Training only for management staff
CORRECT ANSWER: B. Initial training and annual refresher
Rationale: IDAPA 16.03.22.150 requires all direct care staff to receive initial training on resident
rights and responsibilities, with annual refresher training to ensure ongoing compliance.
7: Which resident right includes the ability to make personal choices about daily activities?
A. Right to privacy
B. Right to self-determination
C. Right to confidentiality
D. Right to grievance
,CORRECT ANSWER: B. Right to self-determination
Rationale: Self-determination encompasses the resident's right to make choices about daily
routines, activities, clothing, and social interactions, promoting autonomy and dignity.
8: Under Idaho regulations, how often must fire drills be conducted in assisted living
facilities?
A. Monthly
B. Quarterly
C. Semi-annually
D. Annually
CORRECT ANSWER: B. Quarterly
Rationale: IDAPA 16.03.22.130 requires fire drills to be conducted at least quarterly on each
shift to ensure staff and residents are prepared for emergency evacuation.
9: Which medication management practice is REQUIRED in Idaho assisted living facilities?
A. Staff may administer any medication without training
B. Medication assistance must follow written policies and staff training
C. Residents must self-administer all medications
D. No documentation is required
CORRECT ANSWER: B. Medication assistance must follow written policies and staff training
Rationale: Facilities providing medication assistance must have written policies, trained staff,
and proper documentation to ensure safe, accurate medication administration per IDAPA
16.03.22.220.
10: What is the primary purpose of a resident assessment prior to admission?
A. To determine facility profitability
B. To evaluate if the facility can meet the resident's needs
C. To assign room preferences
D. To schedule staff shifts
CORRECT ANSWER: B. To evaluate if the facility can meet the resident's needs
Rationale: Pre-admission assessments determine if the facility has the resources, staffing, and
capabilities to safely meet the prospective resident's physical, cognitive, and psychosocial
needs.
, 11: Under Idaho law, which condition generally requires transfer or discharge from an
assisted living facility?
A. Diagnosis of mild cognitive impairment
B. Need for 24-hour skilled nursing care
C. Preference for private room
D. Occasional assistance with bathing
CORRECT ANSWER: B. Need for 24-hour skilled nursing care
Rationale: Assisted living facilities are not licensed to provide 24-hour skilled nursing care.
Residents whose needs exceed the facility's scope of services must be transferred to an
appropriate setting.
12: Which documentation is REQUIRED for each resident's medication assistance?
A. Verbal confirmation only
B. Written medication record with dose, time, and staff initials
C. Family signature only
D. No documentation required
CORRECT ANSWER: B. Written medication record with dose, time, and staff initials
Rationale: Accurate medication records documenting administration (or refusal) with staff
identification are required for safety, accountability, and regulatory compliance.
13: What is the minimum requirement for resident room window coverings in Idaho?
A. No requirement
B. Curtains or blinds that provide privacy
C. Tinted glass only
D. Metal shutters
CORRECT ANSWER: B. Curtains or blinds that provide privacy
Rationale: IDAPA 16.03.22.120 requires window coverings that can be adjusted to provide
privacy while allowing natural light, supporting resident dignity and comfort.
14: Which infection control practice is ESSENTIAL for preventing disease transmission?
A. Sharing personal care items between residents
B. Hand hygiene before and after resident contact
C. Using the same gloves for multiple residents
D. Cleaning surfaces only when visibly soiled
