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RCFE DEMENTIA CARE CERTIFICATION EXAM
PRACTICE 2026 COMPLETE (105) CURRENT TESTING
QUESTIONS AND CORRECT ANSWERS WITH
DETAILED RATIONALES.
DEMENTIA
Prepare for the RCFE Dementia Care Certification Exam with this comprehensive
practice resource designed to reinforce essential dementia care principles, cognitive
support strategies, behavior management techniques, communication approaches,
resident safety, 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 Care
Certification exam preparation.
MULTIPLE CHOICE.
Question 1: Under Title 22, Section 87705, mild cognitive impairment (MCI) is
considered:
A. An early stage of dementia requiring special care planning
B. Not considered to be dementia
C. A condition requiring a dementia care plan
D. A prohibited condition for admission to an RCFE
Correct answer: B. Not considered to be dementia
Rationale: Title 22, Section 87705(a) explicitly states that mild cognitive
impairment, as defined in Section 87101, is not considered to be dementia.
This distinction is important for determining which residents require
dementia-specific care and training.
Question 2: According to Title 22, Section 87705(d), what safety measure
must be in place for residents at risk for elopement?
A. All exterior doors must be locked at all times
B. An auditory device or other staff alert feature to monitor exits on exterior
doors and perimeter fence gates
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C. A 24-hour security guard posted at all exits
D. All residents with dementia must wear GPS tracking devices
Correct answer: B. An auditory device or other staff alert feature to
monitor exits on exterior doors and perimeter fence gates
Rationale: Title 22, Section 87705(d) requires that the licensee shall ensure
that the facility has an auditory device or other staff alert feature to monitor
exits on exterior doors and perimeter fence gates accessible to those
residents who may be at risk for elopement.
Question 3: What is the minimum continuing education requirement for RCFE
administrators related to serving residents with Alzheimer's Disease and other
dementias?
A. 4 hours per two-year certification period
B. 6 hours per two-year certification period
C. 8 hours per two-year certification period
D. 12 hours per two-year certification period
Correct answer: C. 8 hours per two-year certification period
Rationale: Title 22, Section 87407(a)(1) requires that administrators who
renew their certification on or after January 1, 2003, complete at least eight (8)
hours in subjects related to serving residents with Alzheimer's Disease and
other dementias during each two-year certification period.
Question 4: Under Title 22, Section 87705(e)(3), how should staff respond
when a resident at risk for elopement attempts to leave the facility?
A. The staff should physically prevent the resident from leaving
B. Facility staff shall attempt to redirect the resident without violating
personal rights
C. The staff should immediately call law enforcement
D. The staff should allow the resident to leave and follow at a distance
Correct answer: B. Facility staff shall attempt to redirect the resident
without violating personal rights
Rationale: Title 22, Section 87705(e)(3) requires that facility staff shall
attempt to redirect a resident at risk for elopement who may be attempting to
leave the facility without violating the resident's personal rights as specified in
Section 87468.1.
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Question 5: Residents with a dementia diagnosis who are unable or unlikely
to respond, either physically or mentally, to oral instructions relating to exiting
during an emergency are considered:
A. Ambulatory
B. Non-ambulatory
C. Semi-ambulatory
D. Bedridden
Correct answer: B. Non-ambulatory
Rationale: RCFE practice exam materials confirm that residents with
dementia who are unable or unlikely to respond to oral instructions during an
emergency are considered non-ambulatory for emergency planning purposes.
Question 6: According to Title 22, Section 87407, what is the total number of
continuing education hours required for administrator recertification every
two years?
A. 20 hours
B. 30 hours
C. 40 hours
D. 50 hours
Correct answer: C. 40 hours
Rationale: Title 22, Section 87407(a) requires administrators to complete at
least forty (40) classroom hours of continuing education during each two-year
certification period, which includes the eight hours of dementia-specific
training.
Question 7: When a resident with dementia elopes from an RCFE, the
licensee must report the incident to the resident's representative:
A. Within 24 hours
B. Within 48 hours
C. Immediately upon becoming aware of the incident
D. Within 7 days
Correct answer: C. Immediately upon becoming aware of the incident
Rationale: Title 22, Section 87705(f)(6)(A) requires that for each incident of
elopement, the licensee shall report the incident to the resident's
representative immediately upon becoming aware of the incident.
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Question 8: According to Title 22, Section 87705(d), facilities must have an
auditory or staff alert device to monitor exits for which residents?
A. All residents over age 65
B. All residents with any cognitive impairment
C. Residents who may be at risk for elopement
D. Residents who are bedridden
Correct answer: C. Residents who may be at risk for elopement
Rationale: Title 22, Section 87705(d) requires the facility to have an auditory
device or other staff alert feature to monitor exits on exterior doors and
perimeter fence gates accessible to those residents who may be at risk for
elopement.
Question 9: If a resident with dementia continues to indicate a desire to leave
the facility following redirection, what must staff do?
A. The resident shall be permitted to leave with staff supervision
B. The resident must be physically prevented from leaving
C. The resident shall be placed on 24-hour observation
D. The resident's family must be called to pick them up
Correct answer: A. The resident shall be permitted to leave with staff
supervision
Rationale: Title 22, Section 87705(e)(4) requires that residents who continue
to indicate a desire to leave the facility following redirection shall be permitted
to do so with staff supervision, without violating their personal rights.
Question 10: What is the definition of "elopement" in the context of RCFE
dementia care?
A. A resident leaving the facility without permission
B. A resident wandering away from the facility without staff supervision
C. A resident's unauthorized departure from the facility
D. A resident leaving the facility in a confused or disoriented state without
staff knowledge
Correct answer: D. A resident leaving the facility in a confused or
disoriented state without staff knowledge
Rationale: Elopement refers to a resident leaving the facility in a confused or
disoriented state without staff knowledge.
RCFE DEMENTIA CARE CERTIFICATION EXAM
PRACTICE 2026 COMPLETE (105) CURRENT TESTING
QUESTIONS AND CORRECT ANSWERS WITH
DETAILED RATIONALES.
DEMENTIA
Prepare for the RCFE Dementia Care Certification Exam with this comprehensive
practice resource designed to reinforce essential dementia care principles, cognitive
support strategies, behavior management techniques, communication approaches,
resident safety, 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 Care
Certification exam preparation.
MULTIPLE CHOICE.
Question 1: Under Title 22, Section 87705, mild cognitive impairment (MCI) is
considered:
A. An early stage of dementia requiring special care planning
B. Not considered to be dementia
C. A condition requiring a dementia care plan
D. A prohibited condition for admission to an RCFE
Correct answer: B. Not considered to be dementia
Rationale: Title 22, Section 87705(a) explicitly states that mild cognitive
impairment, as defined in Section 87101, is not considered to be dementia.
This distinction is important for determining which residents require
dementia-specific care and training.
Question 2: According to Title 22, Section 87705(d), what safety measure
must be in place for residents at risk for elopement?
A. All exterior doors must be locked at all times
B. An auditory device or other staff alert feature to monitor exits on exterior
doors and perimeter fence gates
, Page 2 of 32
C. A 24-hour security guard posted at all exits
D. All residents with dementia must wear GPS tracking devices
Correct answer: B. An auditory device or other staff alert feature to
monitor exits on exterior doors and perimeter fence gates
Rationale: Title 22, Section 87705(d) requires that the licensee shall ensure
that the facility has an auditory device or other staff alert feature to monitor
exits on exterior doors and perimeter fence gates accessible to those
residents who may be at risk for elopement.
Question 3: What is the minimum continuing education requirement for RCFE
administrators related to serving residents with Alzheimer's Disease and other
dementias?
A. 4 hours per two-year certification period
B. 6 hours per two-year certification period
C. 8 hours per two-year certification period
D. 12 hours per two-year certification period
Correct answer: C. 8 hours per two-year certification period
Rationale: Title 22, Section 87407(a)(1) requires that administrators who
renew their certification on or after January 1, 2003, complete at least eight (8)
hours in subjects related to serving residents with Alzheimer's Disease and
other dementias during each two-year certification period.
Question 4: Under Title 22, Section 87705(e)(3), how should staff respond
when a resident at risk for elopement attempts to leave the facility?
A. The staff should physically prevent the resident from leaving
B. Facility staff shall attempt to redirect the resident without violating
personal rights
C. The staff should immediately call law enforcement
D. The staff should allow the resident to leave and follow at a distance
Correct answer: B. Facility staff shall attempt to redirect the resident
without violating personal rights
Rationale: Title 22, Section 87705(e)(3) requires that facility staff shall
attempt to redirect a resident at risk for elopement who may be attempting to
leave the facility without violating the resident's personal rights as specified in
Section 87468.1.
, Page 3 of 32
Question 5: Residents with a dementia diagnosis who are unable or unlikely
to respond, either physically or mentally, to oral instructions relating to exiting
during an emergency are considered:
A. Ambulatory
B. Non-ambulatory
C. Semi-ambulatory
D. Bedridden
Correct answer: B. Non-ambulatory
Rationale: RCFE practice exam materials confirm that residents with
dementia who are unable or unlikely to respond to oral instructions during an
emergency are considered non-ambulatory for emergency planning purposes.
Question 6: According to Title 22, Section 87407, what is the total number of
continuing education hours required for administrator recertification every
two years?
A. 20 hours
B. 30 hours
C. 40 hours
D. 50 hours
Correct answer: C. 40 hours
Rationale: Title 22, Section 87407(a) requires administrators to complete at
least forty (40) classroom hours of continuing education during each two-year
certification period, which includes the eight hours of dementia-specific
training.
Question 7: When a resident with dementia elopes from an RCFE, the
licensee must report the incident to the resident's representative:
A. Within 24 hours
B. Within 48 hours
C. Immediately upon becoming aware of the incident
D. Within 7 days
Correct answer: C. Immediately upon becoming aware of the incident
Rationale: Title 22, Section 87705(f)(6)(A) requires that for each incident of
elopement, the licensee shall report the incident to the resident's
representative immediately upon becoming aware of the incident.
, Page 4 of 32
Question 8: According to Title 22, Section 87705(d), facilities must have an
auditory or staff alert device to monitor exits for which residents?
A. All residents over age 65
B. All residents with any cognitive impairment
C. Residents who may be at risk for elopement
D. Residents who are bedridden
Correct answer: C. Residents who may be at risk for elopement
Rationale: Title 22, Section 87705(d) requires the facility to have an auditory
device or other staff alert feature to monitor exits on exterior doors and
perimeter fence gates accessible to those residents who may be at risk for
elopement.
Question 9: If a resident with dementia continues to indicate a desire to leave
the facility following redirection, what must staff do?
A. The resident shall be permitted to leave with staff supervision
B. The resident must be physically prevented from leaving
C. The resident shall be placed on 24-hour observation
D. The resident's family must be called to pick them up
Correct answer: A. The resident shall be permitted to leave with staff
supervision
Rationale: Title 22, Section 87705(e)(4) requires that residents who continue
to indicate a desire to leave the facility following redirection shall be permitted
to do so with staff supervision, without violating their personal rights.
Question 10: What is the definition of "elopement" in the context of RCFE
dementia care?
A. A resident leaving the facility without permission
B. A resident wandering away from the facility without staff supervision
C. A resident's unauthorized departure from the facility
D. A resident leaving the facility in a confused or disoriented state without
staff knowledge
Correct answer: D. A resident leaving the facility in a confused or
disoriented state without staff knowledge
Rationale: Elopement refers to a resident leaving the facility in a confused or
disoriented state without staff knowledge.
