NAB RCAL EXAM PRACTICE QUESTIONS AND VERIFIED ANSWERS | RESIDENT ASSESSMENT, PERSON-CENTERED CARE, DEMENTIA CARE, MEDICATION MANAGEMENT, RESIDENT RIGHTS & LONG-TERM CARE | NATIONAL ASSOCIATION OF LONGTERM CARE ADMINISTRATOR BOARDS (NAB)

NAB RCAL EXAM PRACTICE QUESTIONS AND VERIFIED ANSWERS | RESIDENT ASSESSMENT, PERSON-CENTERED CARE, DEMENTIA CARE, MEDICATION MANAGEMENT, RESIDENT RIGHTS & LONG-TERM CARE | NATIONAL ASSOCIATION OF LONGTERM CARE ADMINISTRATOR BOARDS (NAB) 1. What is the primary focus of person-centered care in an RCAL setting? A) Minimizing staff workload through standardized care routines B) Individualizing care by respecting the resident's preferences, values, and needs C) Ensuring all residents follow the same daily schedule for efficiency D) Prioritizing facility policies over resident choices Correct Answer: B Rationale: Person-centered care places the resident at the center of all decisions, respecting their individual preferences, values, and needs. It involves engaging residents in decision-making about their daily life and care, fostering autonomy and dignity within a homelike environment. ________________________________________ 2. A resident with dementia repeatedly asks to "go home." What is the most appropriate response? A) Remind the resident that this facility is their home now B) Validate the feeling and redirect to a meaningful activity C) Ignore the request to avoid agitation D) Administer a PRN anxiolytic medication Correct Answer: B Rationale: Validation and redirection are person-centered approaches that acknowledge the resident's emotions without increasing confusion. Reminding the resident may cause distress, and medications should not be the first-line response for this behavior. ________________________________________ 3. When is a resident assessment update needed? A) Only during the annual comprehensive review B) Upon return from hospital stay, weight loss, change in cognitive impairment, falls, change in ambulation, breakdown of skin, or erratic behaviors C) Every 6 months regardless of condition D) Only when the family requests a change Correct Answer: B Rationale: A resident assessment update is required whenever there is a significant change in condition, including return from hospital stay, weight loss, change in cognitive impairment, falls, change in ambulation, breakdown of skin, or erratic behaviors. ________________________________________ 4. What is the purpose of an Individualized Service Plan (ISP)? A) To provide a generic template for all residents B) To translate assessment data into an actionable, personalized care plan C) To satisfy state documentation requirements only D) To replace the need for ongoing resident assessments Correct Answer: B Rationale: The ISP translates assessment data into an actionable, personalized care plan. Its purpose is to outline specific, measurable goals for the resident and detail the staff interventions required to meet their physical, psychosocial, and functional needs. ________________________________________ 5. A resident falls and sustains a hip fracture. What is the administrator's priority action? A) Complete an incident report immediately B) Notify the resident's family C) Ensure immediate medical assessment and transfer to a hospital D) Review staff training records to determine fault Correct Answer: C Rationale: Resident safety is paramount. Immediate medical care takes precedence over documentation or notification. The fall investigation occurs after stabilizing the resident. ________________________________________ 6. Which federal law governs residents' rights in assisted living facilities? A) HIPAA B) OSHA C) Nursing Home Reform Act (part of OBRA 1987) D) Americans with Disabilities Act (ADA) Correct Answer: C Rationale: The Nursing Home Reform Act, part of OBRA 1987, sets resident rights standards that apply even in residential care settings. ________________________________________ 7. A resident refuses medication. The administrator should: A) Force the medication to ensure compliance B) Document the refusal and inform the healthcare provider C) Punish the resident for non-compliance D) Ignore the refusal and proceed with administration Correct Answer: B Rationale: Respecting resident autonomy while documenting refusals is compliant with professional and legal standards. Staff should document the refusal, notify the prescriber, and attempt to understand the reason for refusal. ________________________________________ 8. What are Pressure Ulcers/Pressure Injuries (PU/PI)? A) A rash caused by allergic reactions to laundry detergent B) Localized damage to the skin and/or underlying soft tissue usually over a bony prominence C) A contagious skin infection requiring isolation D) Bruising from accidental falls Correct Answer: B Rationale: Pressure ulcers are localized damage to the skin and/or underlying soft tissue, usually over a bony prominence or related to a medical condition or other device. The injury occurs as a result of intense and/or prolonged pressure or pressure combined with shear. ________________________________________ 9. What is the minimum number of days for which a facility must keep an accident/incident report? A) 1 year B) 3 years C) 5 years D) 10 years Correct Answer: C Rationale: Facilities are required to maintain accident/incident reports for a minimum of 5 years to ensure proper record-keeping and availability for regulatory review. ________________________________________ 10. What is the primary goal of an activities program in an RCAL community? A) To keep residents occupied and out of staff's way B) To enhance residents' quality of life by providing meaningful and engaging opportunities C) To fulfill state-mandated activity hour requirements D) To provide entertainment for visiting families Correct Answer: B Rationale: The activities program should enhance residents' quality of life by providing meaningful and engaging opportunities that promote physical, cognitive, social, and spiritual well-being, based on individual resident preferences and abilities. ________________________________________ 11. A resident who enters the facility without an indwelling catheter: A) Should be catheterized immediately for staff convenience B) Is not catheterized unless the resident's clinical condition demonstrates that catheterization is necessary