NAB RCAL Exam
NAB RCAL Exam Study Guide and Practice Questions & Answers [2026]
Study online at https://quizlet.com/_gqo6z5
1. T/F -- Anxiety is True
a common reaction
to stress.
2. When is a resident Return from hospital stay, weight loss, change in cognitive impairment, falls,
assessment update change in ambulation, breakdown of skin, erratic behaviors
needed?
3. What are Pressure Localized damage to the skin and/or underlying soft tissue usually over a bony
Ulcers/Pressure In- prominence or related to a medical condition or other device.
juries (PU/PI)?
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.
4. How do you pre- Identify whether the resident is at risk for developing or has PU/PI upon
vent PUs/PIs? 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.
5. What is an unavoid- An accident that occurred despite sufficient and comprehensive facility sys-
able accident? tems.
6. The facility must maintain continence unless their clinical condition is or becomes such that
ensure that a resi- continence is not possible to maintain.
dent who is conti-
nent of bladder and
1
, NAB RCAL Exam
NAB RCAL Exam Study Guide and Practice Questions & Answers [2026]
Study online at https://quizlet.com/_gqo6z5
bowel on admis-
sion receives ser-
vices and assis-
tance to...
7. A resident who en- is not catheterized unless the resident's clinical condition demonstrates that
ter the facility with- catheterization was necessary
out an indwelling
catheter...
8. A resident who as soon as possible unless the resident's clinical condition demonstrates the
enters the facility catheterization is necessary
with an indwelling
catheter or sub-
sequently receives
one is assessed for
the removal of the
catheter...
9. For a resident with a resident who is incontinent of bowel receives appropriate treatment and
fecal incontinence, services to restore as much normal bowel function as possible
based on the resi-
dent's comprehen-
sive assessment,
the facility must en-
sure that...
10. When is prompt- When dependent or more cognitively impaired residents need assistance with
ed-voiding used? toileting
11. A resident is giv- hygiene, mobility, elimination, dining, speech, language, gesture, and behav-
en the appropriate ior
treatment and ser-
2
, NAB RCAL Exam
NAB RCAL Exam Study Guide and Practice Questions & Answers [2026]
Study online at https://quizlet.com/_gqo6z5
vices to maintain or
improve their abili-
ty to carry out activ-
ities of daily living,
which include:
12. What must a facility That it is provided to residents who require such services consistent with pro-
ensure about a res- fessional standards of practice and that the resident's goals and preferences
ident's pain man- are outlined in the comprehensive person-centered care plan
agement?
13. Why is it impor- to ensure the right medication and dosage is selected based on the resident's
tant to follow a sys- condition
tematic approach
regarding resident
pain management?
14. Physician's must face-to face, same location
make __________
contact with the
resident and at
the ___________
__________.
15. Physician's must 30, 90, 60
meet with resident
every _______ days
for the first _______
days of admission,
and once every
_____ days there-
after.
3
, NAB RCAL Exam
NAB RCAL Exam Study Guide and Practice Questions & Answers [2026]
Study online at https://quizlet.com/_gqo6z5
16. Guidelines for de- The medication is appropriate and safe for self-administration.
termining if a res-
ident is appropri- The resident's physical capacity to swallow without difficulty and to open
ate for medica- medication bottles.
tion self-adminis-
The resident's cognitive status, including their ability to correctly name their
tration:
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.
17. Medication error the observed or identified preparation or administration of medications or
means... biologicals.
18. Medication errors the prescriber's orders, manufacturer's specifications, accepted professional
go against... standers and principles
19. What does a signifi- AN error which causes the resident's discomfort or jeopardizes their safety and
cant medication er- health
ror means?
20. What does the Collaborates with facility and Medical Director on aspects of pharmaceutical
pharmacy do? services
21. reviewed at least once a month by a pharmacist
4
NAB RCAL Exam Study Guide and Practice Questions & Answers [2026]
Study online at https://quizlet.com/_gqo6z5
1. T/F -- Anxiety is True
a common reaction
to stress.
2. When is a resident Return from hospital stay, weight loss, change in cognitive impairment, falls,
assessment update change in ambulation, breakdown of skin, erratic behaviors
needed?
3. What are Pressure Localized damage to the skin and/or underlying soft tissue usually over a bony
Ulcers/Pressure In- prominence or related to a medical condition or other device.
juries (PU/PI)?
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.
4. How do you pre- Identify whether the resident is at risk for developing or has PU/PI upon
vent PUs/PIs? 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.
5. What is an unavoid- An accident that occurred despite sufficient and comprehensive facility sys-
able accident? tems.
6. The facility must maintain continence unless their clinical condition is or becomes such that
ensure that a resi- continence is not possible to maintain.
dent who is conti-
nent of bladder and
1
, NAB RCAL Exam
NAB RCAL Exam Study Guide and Practice Questions & Answers [2026]
Study online at https://quizlet.com/_gqo6z5
bowel on admis-
sion receives ser-
vices and assis-
tance to...
7. A resident who en- is not catheterized unless the resident's clinical condition demonstrates that
ter the facility with- catheterization was necessary
out an indwelling
catheter...
8. A resident who as soon as possible unless the resident's clinical condition demonstrates the
enters the facility catheterization is necessary
with an indwelling
catheter or sub-
sequently receives
one is assessed for
the removal of the
catheter...
9. For a resident with a resident who is incontinent of bowel receives appropriate treatment and
fecal incontinence, services to restore as much normal bowel function as possible
based on the resi-
dent's comprehen-
sive assessment,
the facility must en-
sure that...
10. When is prompt- When dependent or more cognitively impaired residents need assistance with
ed-voiding used? toileting
11. A resident is giv- hygiene, mobility, elimination, dining, speech, language, gesture, and behav-
en the appropriate ior
treatment and ser-
2
, NAB RCAL Exam
NAB RCAL Exam Study Guide and Practice Questions & Answers [2026]
Study online at https://quizlet.com/_gqo6z5
vices to maintain or
improve their abili-
ty to carry out activ-
ities of daily living,
which include:
12. What must a facility That it is provided to residents who require such services consistent with pro-
ensure about a res- fessional standards of practice and that the resident's goals and preferences
ident's pain man- are outlined in the comprehensive person-centered care plan
agement?
13. Why is it impor- to ensure the right medication and dosage is selected based on the resident's
tant to follow a sys- condition
tematic approach
regarding resident
pain management?
14. Physician's must face-to face, same location
make __________
contact with the
resident and at
the ___________
__________.
15. Physician's must 30, 90, 60
meet with resident
every _______ days
for the first _______
days of admission,
and once every
_____ days there-
after.
3
, NAB RCAL Exam
NAB RCAL Exam Study Guide and Practice Questions & Answers [2026]
Study online at https://quizlet.com/_gqo6z5
16. Guidelines for de- The medication is appropriate and safe for self-administration.
termining if a res-
ident is appropri- The resident's physical capacity to swallow without difficulty and to open
ate for medica- medication bottles.
tion self-adminis-
The resident's cognitive status, including their ability to correctly name their
tration:
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.
17. Medication error the observed or identified preparation or administration of medications or
means... biologicals.
18. Medication errors the prescriber's orders, manufacturer's specifications, accepted professional
go against... standers and principles
19. What does a signifi- AN error which causes the resident's discomfort or jeopardizes their safety and
cant medication er- health
ror means?
20. What does the Collaborates with facility and Medical Director on aspects of pharmaceutical
pharmacy do? services
21. reviewed at least once a month by a pharmacist
4
