MINNESOTA ASSISTED LIVING DIRECTOR (ALD) LICENSING
EXAM 2026/2027: THE COMPLETE EXAM QUESTIONS WITH
EXPERT-VERIFIED ANSWERS AND IN-DEPTH RATIONALES,
STRUCTURED TO COVER ALL TESTED TOPICS INCLUDING 144G
REGULATIONS, SERVICE PLANS, NURSING ASSESSMENTS,
EMERGENCY PREPAREDNESS, AND QAPI.
1. Which Minnesota statute chapter primarily governs assisted living
facilities in the state?
A) Chapter 245D
B) Chapter 144G
C) Chapter 256B
D) Chapter 626
Correct Answer: B) Chapter 144G
Rationale: Minnesota Statutes Chapter 144G is the primary law
governing assisted living facilities in Minnesota.
2. What is the minimum age requirement to obtain an Assisted Living
Director license in Minnesota?
A) 18
B) 25
C) 21
D) 30
Correct Answer: C) 21
Rationale: Applicants must be at least 21 years of age to qualify for
licensure as an Assisted Living Director in Minnesota.
,3. Which board has exclusive authority to determine the qualifications
of an Assisted Living Director in Minnesota?
A) Minnesota Department of Health (MDH)
B) Minnesota Board of Nursing
C) Minnesota Board of Medical Practice
D) Board of Executives for Long Term Services and Supports (BELTSS)
Correct Answer: D) Board of Executives for Long Term Services and
Supports (BELTSS)
Rationale: Under Minnesota Statutes, BELTSS has exclusive authority to
determine qualifications for assisted living directors.
4. What is the minimum number of hours required for the approved
course of study for ALD licensure?
A) 20 hours
B) 80 hours
C) 40 hours
D) 60 hours
Correct Answer: C) 40 hours
Rationale: Applicants must complete a board-approved course of study
with a minimum of 40 hours in subjects necessary to perform the duties
of an assisted living director.
5. How often must an assisted living facility in Minnesota be
surveyed/inspected by the Department of Health?
A) Every 5 years
B) At least once every 2 years
C) Every year
D) Every 3 years
Correct Answer: B) At least once every 2 years
,Rationale: MDH is required to survey licensed assisted living providers
at least once every two years.
6. Which professional must oversee medication management services
in an assisted living facility according to Minnesota law?
A) Licensed Practical Nurse (LPN)
B) Pharmacist
C) Registered Nurse (RN)
D) Medical Director
Correct Answer: C) Registered Nurse (RN)
Rationale: Minnesota law requires that medication management
services be overseen by a registered nurse.
7. A resident refuses to take their prescribed medication. What is the
director's legal obligation?
A) Force the resident to take the medication
B) Document the refusal and respect the resident's right to refuse care
C) Discharge the resident immediately
D) Call emergency medical services involuntarily
Correct Answer: B) Document the refusal and respect the resident's
right to refuse care
Rationale: Residents have the legal right to refuse care; the facility must
document the refusal and continue to respect the resident's autonomy.
8. What type of exam is the Minnesota state ALD exam?
A) Closed book with 50 questions
B) Open book with 35 questions
C) Closed book with 100 questions
D) Open book with 75 questions
Correct Answer: B) Open book with 35 questions
, Rationale: The Minnesota state exam is an open-book exam consisting
of 35 questions.
9. How much time is allotted to complete the State ALD Exam?
A) 1 hour
B) 2 hours
C) 1 hour 25 minutes
D) 2 hours 30 minutes
Correct Answer: C) 1 hour 25 minutes
Rationale: Candidates are given 1 hour and 25 minutes to complete the
State ALD exam.
10. A newly hired Assisted Living Director in Minnesota has how many
days from the date of hire to file a licensure application with BELTSS?
A) 14 days
B) 30 days
C) 6 months (180 days)
D) 1 year
Correct Answer: C) 6 months (180 days)
Rationale: An applicant must file a completed licensure application
within 6 months of hire.
11. Which of the following is a core responsibility of the assisted living
director?
A) Providing direct nursing care
B) Writing prescriptions
C) Overseeing day-to-day operations
D) Delivering meals to residents
Correct Answer: C) Overseeing day-to-day operations
EXAM 2026/2027: THE COMPLETE EXAM QUESTIONS WITH
EXPERT-VERIFIED ANSWERS AND IN-DEPTH RATIONALES,
STRUCTURED TO COVER ALL TESTED TOPICS INCLUDING 144G
REGULATIONS, SERVICE PLANS, NURSING ASSESSMENTS,
EMERGENCY PREPAREDNESS, AND QAPI.
1. Which Minnesota statute chapter primarily governs assisted living
facilities in the state?
A) Chapter 245D
B) Chapter 144G
C) Chapter 256B
D) Chapter 626
Correct Answer: B) Chapter 144G
Rationale: Minnesota Statutes Chapter 144G is the primary law
governing assisted living facilities in Minnesota.
2. What is the minimum age requirement to obtain an Assisted Living
Director license in Minnesota?
A) 18
B) 25
C) 21
D) 30
Correct Answer: C) 21
Rationale: Applicants must be at least 21 years of age to qualify for
licensure as an Assisted Living Director in Minnesota.
,3. Which board has exclusive authority to determine the qualifications
of an Assisted Living Director in Minnesota?
A) Minnesota Department of Health (MDH)
B) Minnesota Board of Nursing
C) Minnesota Board of Medical Practice
D) Board of Executives for Long Term Services and Supports (BELTSS)
Correct Answer: D) Board of Executives for Long Term Services and
Supports (BELTSS)
Rationale: Under Minnesota Statutes, BELTSS has exclusive authority to
determine qualifications for assisted living directors.
4. What is the minimum number of hours required for the approved
course of study for ALD licensure?
A) 20 hours
B) 80 hours
C) 40 hours
D) 60 hours
Correct Answer: C) 40 hours
Rationale: Applicants must complete a board-approved course of study
with a minimum of 40 hours in subjects necessary to perform the duties
of an assisted living director.
5. How often must an assisted living facility in Minnesota be
surveyed/inspected by the Department of Health?
A) Every 5 years
B) At least once every 2 years
C) Every year
D) Every 3 years
Correct Answer: B) At least once every 2 years
,Rationale: MDH is required to survey licensed assisted living providers
at least once every two years.
6. Which professional must oversee medication management services
in an assisted living facility according to Minnesota law?
A) Licensed Practical Nurse (LPN)
B) Pharmacist
C) Registered Nurse (RN)
D) Medical Director
Correct Answer: C) Registered Nurse (RN)
Rationale: Minnesota law requires that medication management
services be overseen by a registered nurse.
7. A resident refuses to take their prescribed medication. What is the
director's legal obligation?
A) Force the resident to take the medication
B) Document the refusal and respect the resident's right to refuse care
C) Discharge the resident immediately
D) Call emergency medical services involuntarily
Correct Answer: B) Document the refusal and respect the resident's
right to refuse care
Rationale: Residents have the legal right to refuse care; the facility must
document the refusal and continue to respect the resident's autonomy.
8. What type of exam is the Minnesota state ALD exam?
A) Closed book with 50 questions
B) Open book with 35 questions
C) Closed book with 100 questions
D) Open book with 75 questions
Correct Answer: B) Open book with 35 questions
, Rationale: The Minnesota state exam is an open-book exam consisting
of 35 questions.
9. How much time is allotted to complete the State ALD Exam?
A) 1 hour
B) 2 hours
C) 1 hour 25 minutes
D) 2 hours 30 minutes
Correct Answer: C) 1 hour 25 minutes
Rationale: Candidates are given 1 hour and 25 minutes to complete the
State ALD exam.
10. A newly hired Assisted Living Director in Minnesota has how many
days from the date of hire to file a licensure application with BELTSS?
A) 14 days
B) 30 days
C) 6 months (180 days)
D) 1 year
Correct Answer: C) 6 months (180 days)
Rationale: An applicant must file a completed licensure application
within 6 months of hire.
11. Which of the following is a core responsibility of the assisted living
director?
A) Providing direct nursing care
B) Writing prescriptions
C) Overseeing day-to-day operations
D) Delivering meals to residents
Correct Answer: C) Overseeing day-to-day operations
