RCAL EVALUATION EXAM QUESTIONS AND SOLUTIONS
2025/2026 GRADED A+
✔✔Pharmacist must report any irregularities to... - ✔✔the attending physician, Medical
Director, and Director of Nursing
✔✔Guidelines for Controlled Medications: - ✔✔Records of receipt of all controlled
medications
Records of personnel access, usage, and disposition of all controlled medications,
including destruction, wastage, return, or disposal
Periodic reconciliation of records of receipt, disposition, usage, and inventory
Disposal methods must involve a secure and safe method
✔✔What are the causes of malnutrition and dehydration? - ✔✔Inadequate attention
from staff
Lack of individualized care
Loss of appetite due to lack of exercise, no fresh air, or no sensory or mental stimulation
Improper assistance with eating and drinking
Reliance on liquid supplements
Bland special diets or poor tasting food
Cultural differences
Improper environment
No water or beverages
Improper oral health
✔✔Weight loss, dry/cracked lips, difficulty speaking, dark yellow and infrequent
urination, slow wound healing, weakness, and loose/dry skin are caused by... -
✔✔malnutrition and dehydration
✔✔Foods should be prepared by methods that... - ✔✔conserve nutritive value, flavor,
appearance, and accommodate individual needs
,✔✔What are therapeutic diets? - ✔✔A diet ordered by a physician or delegated
registered or license dietician as part of treatment for a disease or clinical condition, or
to eliminate or decrease specific nutrients in the diet, or to increase nutrients, or to
provide eatable food
✔✔What are mechanically altered diets? - ✔✔one in which the texture of the diet is
altered
✔✔No more than ______ hours between dinner and breakfast, except when a
________ _______ is provided - ✔✔14, nourishing snack
✔✔Safe food handling practices must be followed according to the _______ and
_______ guidelines - ✔✔FDA, CDC
✔✔If specialized rehabilitative services (PT, OT, SLP) are required in the resident's
comprehensive plan of care, the facility must provide the services or... - ✔✔obtain the
required services from an outside resource
✔✔Restorative services refers to... - ✔✔nursing interventions that promote the
resident's ability to adapt and adjust to living as independently and safely as possible
✔✔What does the Resident Assessment Instrument (RAI) include? - ✔✔Identification
and demographic information
Customary routine
Cognitive patterns
Communication
Vision
Mood and behavior patterns
Psychological well-being
Physical functioning and structural problems
Continence
Disease diagnosis and health conditions
Skin conditions
Activity pursuit
, Medications
Special treatment and procedures
Discharge planning
MDS documentation
Documentation of participation
✔✔The facility must conduct an assessment within _______ calendar days after
admission - ✔✔14
✔✔The facility must conduct an assessment when a __________ __________ occurs
and not less than every ________ months - ✔✔significant change, 12
✔✔What is a significant change? - ✔✔A major decline or improvement in the resident's
status that will not normally resolve itself without further intervention by staff or by
implementing standard disease-related clinical interventions, that has an impaction
more than one areas of the resident's health status, and requires IDT review ore
revision of the care plan
✔✔How often should a facility assess a resident? - ✔✔Not less frequently than once
every 3 months
✔✔Who conducts asessments? - ✔✔A registered nurse
✔✔The baseline care plan must: - ✔✔Be developed within 48 hours of admission
Include:
Initial goals based on admission orders
physician orders
dietary orders
therapy services
social services
✔✔The facility must provide the _________ and ___________ with a summary of the
baseline care plan - ✔✔resident, representative
✔✔What does the summary of the baseline care plan include? - ✔✔Initial goals of the
resident
Summary of the resident's medications and dietary instructions
Any services and treatments to be administered by the facility
2025/2026 GRADED A+
✔✔Pharmacist must report any irregularities to... - ✔✔the attending physician, Medical
Director, and Director of Nursing
✔✔Guidelines for Controlled Medications: - ✔✔Records of receipt of all controlled
medications
Records of personnel access, usage, and disposition of all controlled medications,
including destruction, wastage, return, or disposal
Periodic reconciliation of records of receipt, disposition, usage, and inventory
Disposal methods must involve a secure and safe method
✔✔What are the causes of malnutrition and dehydration? - ✔✔Inadequate attention
from staff
Lack of individualized care
Loss of appetite due to lack of exercise, no fresh air, or no sensory or mental stimulation
Improper assistance with eating and drinking
Reliance on liquid supplements
Bland special diets or poor tasting food
Cultural differences
Improper environment
No water or beverages
Improper oral health
✔✔Weight loss, dry/cracked lips, difficulty speaking, dark yellow and infrequent
urination, slow wound healing, weakness, and loose/dry skin are caused by... -
✔✔malnutrition and dehydration
✔✔Foods should be prepared by methods that... - ✔✔conserve nutritive value, flavor,
appearance, and accommodate individual needs
,✔✔What are therapeutic diets? - ✔✔A diet ordered by a physician or delegated
registered or license dietician as part of treatment for a disease or clinical condition, or
to eliminate or decrease specific nutrients in the diet, or to increase nutrients, or to
provide eatable food
✔✔What are mechanically altered diets? - ✔✔one in which the texture of the diet is
altered
✔✔No more than ______ hours between dinner and breakfast, except when a
________ _______ is provided - ✔✔14, nourishing snack
✔✔Safe food handling practices must be followed according to the _______ and
_______ guidelines - ✔✔FDA, CDC
✔✔If specialized rehabilitative services (PT, OT, SLP) are required in the resident's
comprehensive plan of care, the facility must provide the services or... - ✔✔obtain the
required services from an outside resource
✔✔Restorative services refers to... - ✔✔nursing interventions that promote the
resident's ability to adapt and adjust to living as independently and safely as possible
✔✔What does the Resident Assessment Instrument (RAI) include? - ✔✔Identification
and demographic information
Customary routine
Cognitive patterns
Communication
Vision
Mood and behavior patterns
Psychological well-being
Physical functioning and structural problems
Continence
Disease diagnosis and health conditions
Skin conditions
Activity pursuit
, Medications
Special treatment and procedures
Discharge planning
MDS documentation
Documentation of participation
✔✔The facility must conduct an assessment within _______ calendar days after
admission - ✔✔14
✔✔The facility must conduct an assessment when a __________ __________ occurs
and not less than every ________ months - ✔✔significant change, 12
✔✔What is a significant change? - ✔✔A major decline or improvement in the resident's
status that will not normally resolve itself without further intervention by staff or by
implementing standard disease-related clinical interventions, that has an impaction
more than one areas of the resident's health status, and requires IDT review ore
revision of the care plan
✔✔How often should a facility assess a resident? - ✔✔Not less frequently than once
every 3 months
✔✔Who conducts asessments? - ✔✔A registered nurse
✔✔The baseline care plan must: - ✔✔Be developed within 48 hours of admission
Include:
Initial goals based on admission orders
physician orders
dietary orders
therapy services
social services
✔✔The facility must provide the _________ and ___________ with a summary of the
baseline care plan - ✔✔resident, representative
✔✔What does the summary of the baseline care plan include? - ✔✔Initial goals of the
resident
Summary of the resident's medications and dietary instructions
Any services and treatments to be administered by the facility
