AANAC RAC-CT MDS Coordinator Certification Exam Actual
Exam 2026/2027 – Complete 200-Question Sample with
Answers and Detailed Rationales for High-Yield Domains
Including OBRA, PPS, CAAs, Five-Star, ICD-10, Discharge, and
Assessment Completion Standards
RAC-CT CERTIFICATION EXAM (2026/2027) – COMPLETE
SAMPLE
DOMAIN 1: MDS 3.0 FOUNDATIONS AND CODING PRINCIPLES
(Questions 1-20)
Q1. According to the RAI User's Manual, what is the first step
an MDS coordinator should take when encountering a coding
question?
• A) Ask a colleague for their opinion
• B) Check the most recent version of the RAI User's Manual
• C) Code based on previous experience
• D) Submit a request to CMS
☑VERIFIED ANSWER: B
Rationale: The RAI User's Manual is the authoritative source for
MDS coding guidance. The current version (1.20.1 as of October
2025) contains over 1,000 pages, with Chapter 3 alone
accounting for more than 535 pages of item-by-item guidance.
,Consulting the manual should always be the first step when
making coding decisions .
Q2. How often does CMS typically update the RAI User's
Manual?
• A) Monthly
• B) Annually each October 1, with additional off-schedule
updates as needed
• C) Every five years
• D) Only when major regulatory changes occur
☑VERIFIED ANSWER: B
Rationale: CMS makes revisions to the RAI User's Manual that
go into effect each October 1 in conjunction with the new fiscal
year. Off-schedule updates may also occur as needed.
Information learned from prior editions may no longer be
accurate .
Q3. What is the minimum passing score required for each
RAC-CT certification exam?
• A) 70%
• B) 75%
, • C) 80%
• D) 90%
☑VERIFIED ANSWER: C
Rationale: Candidates must achieve a score of 80% or higher to
pass each final certification exam. Candidates have three exam
attempts per course .
Q4. What is the frequency requirement for RAC-CT
recertification?
• A) Annually
• B) Every two years
• C) Every three years
• D) Every five years
☑VERIFIED ANSWER: B
Rationale: The RAC-CT credential requires recertification every
two years .
Q5. Which version of the RAI User's Manual was in effect as of
October 1, 2025?
• A) Version 1.18.0
, • B) Version 1.19.0
• C) Version 1.20.0
• D) Version 1.20.1
☑VERIFIED ANSWER: D
Rationale: The current version as of October 1, 2025, is version
1.20.1 of the RAI User's Manual .
Q6. Approximately how many pages are in Chapter 3 of the
RAI User's Manual?
• A) 150 pages
• B) 250 pages
• C) 350 pages
• D) Over 500 pages
☑VERIFIED ANSWER: D
Rationale: Chapter 3, "Overview to the Item-by-Item Guide to
the MDS 3.0," accounts for over half of the manual—535 pages
out of the total 1,001 pages in version 1.20.1 .
Q7. Which of the following is NOT one of the key areas
impacted by MDS accuracy?
Exam 2026/2027 – Complete 200-Question Sample with
Answers and Detailed Rationales for High-Yield Domains
Including OBRA, PPS, CAAs, Five-Star, ICD-10, Discharge, and
Assessment Completion Standards
RAC-CT CERTIFICATION EXAM (2026/2027) – COMPLETE
SAMPLE
DOMAIN 1: MDS 3.0 FOUNDATIONS AND CODING PRINCIPLES
(Questions 1-20)
Q1. According to the RAI User's Manual, what is the first step
an MDS coordinator should take when encountering a coding
question?
• A) Ask a colleague for their opinion
• B) Check the most recent version of the RAI User's Manual
• C) Code based on previous experience
• D) Submit a request to CMS
☑VERIFIED ANSWER: B
Rationale: The RAI User's Manual is the authoritative source for
MDS coding guidance. The current version (1.20.1 as of October
2025) contains over 1,000 pages, with Chapter 3 alone
accounting for more than 535 pages of item-by-item guidance.
,Consulting the manual should always be the first step when
making coding decisions .
Q2. How often does CMS typically update the RAI User's
Manual?
• A) Monthly
• B) Annually each October 1, with additional off-schedule
updates as needed
• C) Every five years
• D) Only when major regulatory changes occur
☑VERIFIED ANSWER: B
Rationale: CMS makes revisions to the RAI User's Manual that
go into effect each October 1 in conjunction with the new fiscal
year. Off-schedule updates may also occur as needed.
Information learned from prior editions may no longer be
accurate .
Q3. What is the minimum passing score required for each
RAC-CT certification exam?
• A) 70%
• B) 75%
, • C) 80%
• D) 90%
☑VERIFIED ANSWER: C
Rationale: Candidates must achieve a score of 80% or higher to
pass each final certification exam. Candidates have three exam
attempts per course .
Q4. What is the frequency requirement for RAC-CT
recertification?
• A) Annually
• B) Every two years
• C) Every three years
• D) Every five years
☑VERIFIED ANSWER: B
Rationale: The RAC-CT credential requires recertification every
two years .
Q5. Which version of the RAI User's Manual was in effect as of
October 1, 2025?
• A) Version 1.18.0
, • B) Version 1.19.0
• C) Version 1.20.0
• D) Version 1.20.1
☑VERIFIED ANSWER: D
Rationale: The current version as of October 1, 2025, is version
1.20.1 of the RAI User's Manual .
Q6. Approximately how many pages are in Chapter 3 of the
RAI User's Manual?
• A) 150 pages
• B) 250 pages
• C) 350 pages
• D) Over 500 pages
☑VERIFIED ANSWER: D
Rationale: Chapter 3, "Overview to the Item-by-Item Guide to
the MDS 3.0," accounts for over half of the manual—535 pages
out of the total 1,001 pages in version 1.20.1 .
Q7. Which of the following is NOT one of the key areas
impacted by MDS accuracy?
