RCAL Part 2 Exam Questions With 100% Correct Answers 2024

RCAL Part 2 Exam Questions With 100% Correct Answers 2024 12, 20 - answerFor RCFI—Staff must be awake at all times, however, if a facility is licensed for ______ or fewer residents, this person may be asleep during night shift. If the facility is licensed for _____ or fewer residents and there is a sprinkler system, the staff may be asleep. 100 - answerin a facility more than ____ residents, the administrator cannot be counted when determining personnel requirements 5 minutes - answerAll residents shall be physically and mentally capable of negotiating a normal path to safety unassisted or with the use of assistive devices within _________ of being alerted of the need to evacuate the facility 45 - answerResidents suffering from short periods of incapacity due to illness, injury, or recuperation from surgery may be allowed to remain or be readmitted from a hospital if the period of incapacity does not exceed _____ days and written approval of a physician is obtained for the resident to remain in or be readmitted to the facility 16 - answerResidents under the age of ___ shall not be admitted 10 days - answerAn admission physical by a physician must be obtained prior to a move-in, but it needs to be on file not later than ______ after admission 24 hours - answerFor infection control, category 1 diseases or findings shall be reported to the local health authority or to the department within _____ of first knowledge or suspicion 3 days - answerFor infection control, category 2 diseases or findings shall be reported to the local health authority within ____ of first knowledge or suspicion 24 hours - answerFor infection control, category 3 diseases shall be reported within ______ of first knowledge or suspicion Meds MUST be viewed by a pharmacist, physician, or nurse to make sure they are ok. The person performing the identification shall document the review. - answerIf a resident brings in unsealed medication, what has to happen? behind at least one locked door or cabinet - answerAll medication shall be safely stored at proper temperature and shall be kept where? annually - answerWritten approval for self-control of prescription medication shall be rewritten as needed but at least _____ and after any period of hospitalization False--stored separately - answerTrue or False: Medication that is not in current use and is not destroyed can be stored with medication that is in current use. residents name - answerOver-the-counter medication for individual residents shall be labeled with at least what? cautionary instructions, expiration date, name of meds - answerPrescribed medication labels shall say at least what? LIMA or CMT - answerInjections shall be administered only by a physician or licensed nurse, except that insulin injections may be administered by who? Insulin - answerWhat type of injection is the ONLY injection that LIMAs and CMTs can administer? 18 - answerPersonnel must be how old to administer meds? 8 hours, 30 residents - answerThe facility shall employ a licensed nurse how many hours per week for every how many residents? True - answerTrue or False: for RCF, Physician's written and signed orders are not required for medication orders, but if it is the facility's or physician's policy to use the orders, they must include: name of the medication, dosage, frequency and route of administration, and orders shall be renewed at least every 3 months. at least every 3 months - answerIf a facility requires physician's written and signed orders, how often must the orders be renewed? The order has been reviewed via telephone, fax, or in person by a nurse or pharmacist. - answerIf a medication order is taken via telephone by a medication technician or LIMA, an initial dosage shall not be administered until when? 7 days - answerThe medication order review shall be documented by licensed nurse of pharmacist signature within when? 7 days - answerThe physician shall sign all telephone and other verbal orders within when? 2 years - answerRecords shall be maintained upon receipt and disposition of all controlled substances and shall be maintained separately from other records for how long every shift - answerInventories of controlled substances that are controlled substance schedule II shall be reconciled how often? at least weekly - answerInventories of controlled substances that are controlled substance schedule III-V shall be reconciled how often? 1. 2 medication personnel, one a nurse 2. 2 medication personnel, one the administrator when no nurse is available on staff 3. 2 medication personnel, either CMT or LIMAs when neither nurse nor admin is available - answerInventories of controlled substances shall be reconciled by who in RCF communities? date, time, resident name, med name, dose, and initials of the individual administering - answerWhat 6 things must be on the administration of meds record? reason for the waste and signature of another medication staff or administrator who witnessed the waste - answerdocumentation of the wasting of controlled substances at the time of administration shall include what? controlled substance shall be labelled and destroyed once someone is there to witness - answerWhen no medication staff member or administrator is available at the time of administration and controlled subastances need destroyed, what happens? controlled substance is immediately destroyed and the circumstance needs documented - answerWhen no medication staff member or the administrator is available and the controlled substance is contaminated by patient body fluids, what happens? 3 months, RN or pharmacist - answerAt least every ______ in a residential care facility, a ______ shall review the controlled substances record keeping the department's Section for Long Term Care (SLTC) - answerWho must the facility notify for any theft or significant loss of any controlled substance medication written as an individual prescription? 1. actual quantity lost 2. type of substance lost 3. whether the loss can be associated with specific individual 4. whether there is a pattern of losses 5. if the substance is a likely candidate for diversion 6. local trends - answerWhat 6 things must a facility consider to determine if the loss of controlled substance is significant or not? 120 days - answerdiscontinued meds may be retained up to ______ prior to other disposition if there is a reason to believe that the meds might be reordered