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RCFE DEMENTIA AND ALZHEIMER’S CARE EXAM
PRACTICE 2026 COMPLETE (105) CURRENT TESTING
QUESTIONS AND CORRECT ANSWERS WITH DETAILED
RATIONALES.
DEMENTIA
Prepare for the RCFE Dementia and Alzheimer’s Care Exam with this comprehensive
practice resource designed to reinforce essential dementia and Alzheimer’s disease
care principles, memory support techniques, behavioral approaches, communication
strategies, resident safety practices, person-centered care, and Residential Care
Facility for the Elderly standards. This document helps you review key topics, assess
your understanding, and identify areas that may require additional study before the
certification exam. Use it to strengthen your caregiving knowledge and build
confidence through focused, organized preparation. An excellent companion for
successful RCFE Dementia and Alzheimer’s Care exam preparation.
MULTIPLE CHOICE.
Definitions & Regulatory Framework (Questions 1-20)
Question 1: According to Title 22, Section 87705, mild cognitive impairment is
considered to be dementia.
A. True
B. False
Correct answer: B. False
Rationale: Section 87705(a) explicitly states that mild cognitive
impairment is not considered to be dementia .
Question 2: The updated regulations effective January 1, 2025, regarding
dementia care in RCFEs were intended to support:
A. Increased use of physical restraints for safety
B. Person-centered care and aging in place in the least restrictive environment
C. A reduction in the number of residents with dementia in RCFEs
D. Mandatory placement of all dementia residents in secured units
Correct answer: B. Person-centered care and aging in place in the least
restrictive environment
, Page 2 of 33
Rationale: The CDSS stated that the updates were intended to support
person-centered care for residents and their ability to remain in RCFEs,
allowing them to age in place in the least restrictive environment .
Question 3: Section 87705 applies to licensees who accept or retain
residents diagnosed with dementia by:
A. A licensed clinical social worker
B. A physician
C. A registered nurse
D. The facility administrator
Correct answer: B. A physician
Rationale: Section 87705(a) applies to licensees who accept or retain
residents diagnosed by a physician to have dementia .
Question 4: A "primary diagnosis of a mental disorder unrelated to dementia"
means the licensee:
A. May accept the resident with additional staffing
B. Shall not accept or retain the resident
C. Must notify the Department within 30 days
D. May accept the resident with a physician's waiver
Correct answer: B. Shall not accept or retain the resident
Rationale: Section 87705(k)(9) and (l)(7) state that the licensee shall not
accept or retain residents determined by a physician to have a primary
diagnosis of a mental disorder unrelated to dementia .
Question 5: Delayed egress devices on exterior doors:
A. Can be installed without notifying the licensing agency
B. Require that staff attempt to redirect a resident at risk for elopement
C. Eliminate the need for trained staff supervision
D. Do not require fire clearance approval
Correct answer: B. Require that staff attempt to redirect a resident at risk
for elopement
Rationale: Section 87705(e)(3) requires facility staff to attempt to redirect
a resident at risk for elopement who may be attempting to leave the
facility without violating resident rights .
, Page 3 of 33
Question 6: According to Section 87705, delayed egress devices:
A. Substitute for trained staff in sufficient numbers
B. Are a replacement for staff supervision
C. Shall not substitute for trained staff in sufficient numbers
D. Are only allowed for residents with severe dementia
Correct answer: C. Shall not substitute for trained staff in sufficient
numbers
Rationale: Section 87705(e)(7) explicitly states that delayed egress
devices shall not substitute for trained staff in sufficient numbers to meet
the care and supervision needs of all residents .
Question 7: An elopement incident must be reported to the licensing agency:
A. Within 24 hours by written report only
B. No later than the next working day following the incident
C. Within 7 calendar days
D. Only if the resident is injured
Correct answer: B. No later than the next working day following the
incident
Rationale: Section 87705(e)(6)(B) requires reporting to the licensing
agency Officer of the Day by telephone, email, fax, or hand-delivery no
later than the next working day following the incident .
Question 8: A resident who continues to indicate a desire to leave the facility
following redirection:
A. Shall be prevented from leaving for their own safety
B. Shall be permitted to do so with staff supervision
C. Must be assessed by a physician before leaving
D. Must be reported to law enforcement
Correct answer: B. Shall be permitted to do so with staff supervision
Rationale: Section 87705(e)(4) states that residents who continue to
indicate a desire to leave the facility following redirection shall be
permitted to do so with staff supervision .
Question 9: A facility with fewer than 16 residents that accepts residents with
dementia must have at least one night staff person awake and on duty if:
A. The resident is over 85 years old
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B. A resident with dementia is determined through appraisal to require awake
night supervision
C. The facility has a dementia care waiver
D. The resident's family requests it
Correct answer: B. A resident with dementia is determined through
appraisal to require awake night supervision
Rationale: Section 87705(c)(4)(A) requires that a facility with fewer than 16
residents shall have at least one night staff person awake and on duty if
any resident with dementia is determined through a pre-admission
appraisal, reappraisal, or observation to require awake night supervision .
Question 10: The facility's activity program for residents with dementia shall:
A. Focus only on passive activities like watching television
B. Address the needs and limitations of residents with dementia and include
large motor activities and perceptual/sensory stimulation
C. Be the same as the activity program for all other residents
D. Be optional for residents with dementia
Correct answer: B. Address the needs and limitations of residents with
dementia and include large motor activities and perceptual/sensory
stimulation
Rationale: Section 87705(c)(7) requires that an activity program shall
address the needs and limitations of residents with dementia and include
large motor activities and perceptual and sensory stimulation .
Question 11: Egress alert and location tracking devices may be used for
residents with dementia:
A. Without any resident consent
B. With the prior written approval of the resident or conservator
C. Only with a court order
D. Only if the facility is locked
Correct answer: B. With the prior written approval of the resident or
conservator
Rationale: Section 87705(c) allows the licensee to use egress alert and
location tracking devices as needed to ensure resident safety, provided
they have prior written approval of the resident or conservator .
RCFE DEMENTIA AND ALZHEIMER’S CARE EXAM
PRACTICE 2026 COMPLETE (105) CURRENT TESTING
QUESTIONS AND CORRECT ANSWERS WITH DETAILED
RATIONALES.
DEMENTIA
Prepare for the RCFE Dementia and Alzheimer’s Care Exam with this comprehensive
practice resource designed to reinforce essential dementia and Alzheimer’s disease
care principles, memory support techniques, behavioral approaches, communication
strategies, resident safety practices, person-centered care, and Residential Care
Facility for the Elderly standards. This document helps you review key topics, assess
your understanding, and identify areas that may require additional study before the
certification exam. Use it to strengthen your caregiving knowledge and build
confidence through focused, organized preparation. An excellent companion for
successful RCFE Dementia and Alzheimer’s Care exam preparation.
MULTIPLE CHOICE.
Definitions & Regulatory Framework (Questions 1-20)
Question 1: According to Title 22, Section 87705, mild cognitive impairment is
considered to be dementia.
A. True
B. False
Correct answer: B. False
Rationale: Section 87705(a) explicitly states that mild cognitive
impairment is not considered to be dementia .
Question 2: The updated regulations effective January 1, 2025, regarding
dementia care in RCFEs were intended to support:
A. Increased use of physical restraints for safety
B. Person-centered care and aging in place in the least restrictive environment
C. A reduction in the number of residents with dementia in RCFEs
D. Mandatory placement of all dementia residents in secured units
Correct answer: B. Person-centered care and aging in place in the least
restrictive environment
, Page 2 of 33
Rationale: The CDSS stated that the updates were intended to support
person-centered care for residents and their ability to remain in RCFEs,
allowing them to age in place in the least restrictive environment .
Question 3: Section 87705 applies to licensees who accept or retain
residents diagnosed with dementia by:
A. A licensed clinical social worker
B. A physician
C. A registered nurse
D. The facility administrator
Correct answer: B. A physician
Rationale: Section 87705(a) applies to licensees who accept or retain
residents diagnosed by a physician to have dementia .
Question 4: A "primary diagnosis of a mental disorder unrelated to dementia"
means the licensee:
A. May accept the resident with additional staffing
B. Shall not accept or retain the resident
C. Must notify the Department within 30 days
D. May accept the resident with a physician's waiver
Correct answer: B. Shall not accept or retain the resident
Rationale: Section 87705(k)(9) and (l)(7) state that the licensee shall not
accept or retain residents determined by a physician to have a primary
diagnosis of a mental disorder unrelated to dementia .
Question 5: Delayed egress devices on exterior doors:
A. Can be installed without notifying the licensing agency
B. Require that staff attempt to redirect a resident at risk for elopement
C. Eliminate the need for trained staff supervision
D. Do not require fire clearance approval
Correct answer: B. Require that staff attempt to redirect a resident at risk
for elopement
Rationale: Section 87705(e)(3) requires facility staff to attempt to redirect
a resident at risk for elopement who may be attempting to leave the
facility without violating resident rights .
, Page 3 of 33
Question 6: According to Section 87705, delayed egress devices:
A. Substitute for trained staff in sufficient numbers
B. Are a replacement for staff supervision
C. Shall not substitute for trained staff in sufficient numbers
D. Are only allowed for residents with severe dementia
Correct answer: C. Shall not substitute for trained staff in sufficient
numbers
Rationale: Section 87705(e)(7) explicitly states that delayed egress
devices shall not substitute for trained staff in sufficient numbers to meet
the care and supervision needs of all residents .
Question 7: An elopement incident must be reported to the licensing agency:
A. Within 24 hours by written report only
B. No later than the next working day following the incident
C. Within 7 calendar days
D. Only if the resident is injured
Correct answer: B. No later than the next working day following the
incident
Rationale: Section 87705(e)(6)(B) requires reporting to the licensing
agency Officer of the Day by telephone, email, fax, or hand-delivery no
later than the next working day following the incident .
Question 8: A resident who continues to indicate a desire to leave the facility
following redirection:
A. Shall be prevented from leaving for their own safety
B. Shall be permitted to do so with staff supervision
C. Must be assessed by a physician before leaving
D. Must be reported to law enforcement
Correct answer: B. Shall be permitted to do so with staff supervision
Rationale: Section 87705(e)(4) states that residents who continue to
indicate a desire to leave the facility following redirection shall be
permitted to do so with staff supervision .
Question 9: A facility with fewer than 16 residents that accepts residents with
dementia must have at least one night staff person awake and on duty if:
A. The resident is over 85 years old
, Page 4 of 33
B. A resident with dementia is determined through appraisal to require awake
night supervision
C. The facility has a dementia care waiver
D. The resident's family requests it
Correct answer: B. A resident with dementia is determined through
appraisal to require awake night supervision
Rationale: Section 87705(c)(4)(A) requires that a facility with fewer than 16
residents shall have at least one night staff person awake and on duty if
any resident with dementia is determined through a pre-admission
appraisal, reappraisal, or observation to require awake night supervision .
Question 10: The facility's activity program for residents with dementia shall:
A. Focus only on passive activities like watching television
B. Address the needs and limitations of residents with dementia and include
large motor activities and perceptual/sensory stimulation
C. Be the same as the activity program for all other residents
D. Be optional for residents with dementia
Correct answer: B. Address the needs and limitations of residents with
dementia and include large motor activities and perceptual/sensory
stimulation
Rationale: Section 87705(c)(7) requires that an activity program shall
address the needs and limitations of residents with dementia and include
large motor activities and perceptual and sensory stimulation .
Question 11: Egress alert and location tracking devices may be used for
residents with dementia:
A. Without any resident consent
B. With the prior written approval of the resident or conservator
C. Only with a court order
D. Only if the facility is locked
Correct answer: B. With the prior written approval of the resident or
conservator
Rationale: Section 87705(c) allows the licensee to use egress alert and
location tracking devices as needed to ensure resident safety, provided
they have prior written approval of the resident or conservator .
