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NJ CALA Certification EXAM LATEST VERSION
WITH 300 QUESTIONS AND CORRECT DETAILED
SOLUTIONS JUST RELEASED THIS YEAR
NJ CALA Certification Exam – 300 Randomized MCQs
Question 1: A resident who is cognitively intact refuses to take their prescribed blood pressure
medication despite education about the risks. What is the administrator’s most appropriate
initial action?
A) Administer the medication via an alternate route without consent
B) Contact the resident’s family to obtain permission
C) Document the refusal and continue to offer the medication at the next scheduled time
D) Place the resident on a 72-hour hold for medical evaluation
Answer: C
Competent residents have the right to refuse treatment; the facility must respect this bounded
choice, document the refusal, and continue to offer it later while educating the resident about
potential consequences.
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Question 2: An assisted living residence receives a notice of an upcoming state survey. Which
document must be readily available for the surveyors to review regarding staffing?
A) The facility’s marketing brochure
B) The current staffing schedule and orientation records for all direct care staff
C) The minutes from the last resident council meeting
D) The facility’s landscaping maintenance contract
Answer: B
Surveyors must verify that the facility meets staffing requirements, including appropriate
certifications (CNA, CHHA, CMA) and that all staff have completed required orientation and
continuing education per N.J.A.C. 8:36.
Question 3: Under New Jersey regulations, which core principle is foundational to the assisted
living philosophy of care?
A) Uniformity of care plans for all residents
B) Institutional efficiency and staff convenience
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C) Promoting maximum independence, dignity, and resident choice
D) Restricting resident mobility to prevent falls
Answer: C
The assisted living philosophy emphasizes independence, individuality, privacy, dignity, and
shared responsibility between the resident and the provider, allowing residents to age in place
with maximum autonomy.
Question 4: A Certified Medication Aide (CMA) administered a scheduled insulin dose to the
wrong resident. What is the administrator’s priority action immediately following this event?
A) Wait to see if the resident experiences any adverse effects before taking action
B) Complete an incident report, notify the RN supervisor, and assess the resident
C) Retrain the CMA only if the resident suffers harm
D) Inform the resident’s family only if the error is discovered by the physician
Answer: B
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Any medication error requires immediate resident assessment by a licensed nurse, notification of
the RN supervisor, and completion of an incident report as part of the facility’s risk management
and reporting obligations.
Question 5: According to N.J.A.C. 8:36, what is the primary responsibility of the facility
regarding the resident’s personal needs allowance?
A) The facility may use the allowance for operational costs without resident consent
B) The facility must manage the allowance and provide a written accounting upon request
C) The allowance is managed solely by the state, not the facility
D) The facility is not required to track or report how the allowance is spent
Answer: B
Assisted living facilities must manage residents’ personal needs allowances, provide written
accounting upon request, and ensure these funds are used for the resident’s personal expenses,
not facility operations.
4
SUCCESS!
NJ CALA Certification EXAM LATEST VERSION
WITH 300 QUESTIONS AND CORRECT DETAILED
SOLUTIONS JUST RELEASED THIS YEAR
NJ CALA Certification Exam – 300 Randomized MCQs
Question 1: A resident who is cognitively intact refuses to take their prescribed blood pressure
medication despite education about the risks. What is the administrator’s most appropriate
initial action?
A) Administer the medication via an alternate route without consent
B) Contact the resident’s family to obtain permission
C) Document the refusal and continue to offer the medication at the next scheduled time
D) Place the resident on a 72-hour hold for medical evaluation
Answer: C
Competent residents have the right to refuse treatment; the facility must respect this bounded
choice, document the refusal, and continue to offer it later while educating the resident about
potential consequences.
1
SUCCESS!
,Page 2 of 208
Question 2: An assisted living residence receives a notice of an upcoming state survey. Which
document must be readily available for the surveyors to review regarding staffing?
A) The facility’s marketing brochure
B) The current staffing schedule and orientation records for all direct care staff
C) The minutes from the last resident council meeting
D) The facility’s landscaping maintenance contract
Answer: B
Surveyors must verify that the facility meets staffing requirements, including appropriate
certifications (CNA, CHHA, CMA) and that all staff have completed required orientation and
continuing education per N.J.A.C. 8:36.
Question 3: Under New Jersey regulations, which core principle is foundational to the assisted
living philosophy of care?
A) Uniformity of care plans for all residents
B) Institutional efficiency and staff convenience
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C) Promoting maximum independence, dignity, and resident choice
D) Restricting resident mobility to prevent falls
Answer: C
The assisted living philosophy emphasizes independence, individuality, privacy, dignity, and
shared responsibility between the resident and the provider, allowing residents to age in place
with maximum autonomy.
Question 4: A Certified Medication Aide (CMA) administered a scheduled insulin dose to the
wrong resident. What is the administrator’s priority action immediately following this event?
A) Wait to see if the resident experiences any adverse effects before taking action
B) Complete an incident report, notify the RN supervisor, and assess the resident
C) Retrain the CMA only if the resident suffers harm
D) Inform the resident’s family only if the error is discovered by the physician
Answer: B
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SUCCESS!
, Page 4 of 208
Any medication error requires immediate resident assessment by a licensed nurse, notification of
the RN supervisor, and completion of an incident report as part of the facility’s risk management
and reporting obligations.
Question 5: According to N.J.A.C. 8:36, what is the primary responsibility of the facility
regarding the resident’s personal needs allowance?
A) The facility may use the allowance for operational costs without resident consent
B) The facility must manage the allowance and provide a written accounting upon request
C) The allowance is managed solely by the state, not the facility
D) The facility is not required to track or report how the allowance is spent
Answer: B
Assisted living facilities must manage residents’ personal needs allowances, provide written
accounting upon request, and ensure these funds are used for the resident’s personal expenses,
not facility operations.
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SUCCESS!
