VIRGINIA ASSISTED LIVING FACILITY
ADMINISTRATOR LICENSING EXAM
(NAB) QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2025
1. Which of the following is the BEST indicator of quality of care in an
assisted living facility?
A. Occupancy rate
B. Number of beds
C. Resident satisfaction surveys
D. Profit margins
C
Resident satisfaction is a direct measure of the quality of services
provided and reflects whether residents’ needs are being met.
,2. An ALF administrator must ensure staff are trained in fire safety. How
often must fire drills be conducted in Virginia?
A. Monthly for all shifts
B. Quarterly for all shifts
C. Semi-annually for all shifts
D. Annually for all shifts
A
Virginia regulations require fire drills to be conducted monthly for each
shift to ensure staff know evacuation procedures.
3. Which document must be maintained in a resident’s record?
A. Staff work schedule
B. Menu for the week
C. Physician’s orders
D. Facility license
C
Resident records must contain all medical orders to ensure accurate
care planning and compliance.
4. The main purpose of an individualized service plan (ISP) is to:
A. Determine staffing ratios
B. Outline dietary requirements only
C. Provide detailed emergency procedures
D. Identify and plan for the resident’s needs
, D
The ISP addresses each resident’s unique care and service needs.
5. An ALF must ensure medication is administered by:
A. Any staff member
B. Certified Medication Aides (CMAs) or licensed staff
C. The resident’s family
D. Volunteers
B
Only CMAs or licensed nurses may administer medication in
accordance with Virginia law.
6. Which is the BEST practice when hiring a new direct care staff
member?
A. Accept verbal references only
B. Check criminal background and registry
C. Skip orientation if they have experience
D. Allow them to work unsupervised immediately
B
State law requires background checks to protect vulnerable residents.
7. Which type of insurance is MOST important to protect the facility from
liability claims?
A. Life insurance
B. Property insurance
C. Professional liability insurance
, D. Flood insurance
C
Professional liability insurance covers errors or negligence in resident
care.
8. A resident’s right to privacy includes:
A. Access to unrestricted Wi-Fi
B. Confidentiality of medical records
C. Free room and board
D. Shared bedrooms only
B
Resident privacy rights include confidentiality of health information.
9. If a resident wants to move out against medical advice, what should
the administrator do FIRST?
A. Call the police
B. Restrain the resident
C. Explain risks and document the decision
D. Ignore the request
C
Residents have the right to make their own choices, but informed
consent and documentation are required.
10. Infection control policies should be based on:
A. Personal preference
B. CDC guidelines
ADMINISTRATOR LICENSING EXAM
(NAB) QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2025
1. Which of the following is the BEST indicator of quality of care in an
assisted living facility?
A. Occupancy rate
B. Number of beds
C. Resident satisfaction surveys
D. Profit margins
C
Resident satisfaction is a direct measure of the quality of services
provided and reflects whether residents’ needs are being met.
,2. An ALF administrator must ensure staff are trained in fire safety. How
often must fire drills be conducted in Virginia?
A. Monthly for all shifts
B. Quarterly for all shifts
C. Semi-annually for all shifts
D. Annually for all shifts
A
Virginia regulations require fire drills to be conducted monthly for each
shift to ensure staff know evacuation procedures.
3. Which document must be maintained in a resident’s record?
A. Staff work schedule
B. Menu for the week
C. Physician’s orders
D. Facility license
C
Resident records must contain all medical orders to ensure accurate
care planning and compliance.
4. The main purpose of an individualized service plan (ISP) is to:
A. Determine staffing ratios
B. Outline dietary requirements only
C. Provide detailed emergency procedures
D. Identify and plan for the resident’s needs
, D
The ISP addresses each resident’s unique care and service needs.
5. An ALF must ensure medication is administered by:
A. Any staff member
B. Certified Medication Aides (CMAs) or licensed staff
C. The resident’s family
D. Volunteers
B
Only CMAs or licensed nurses may administer medication in
accordance with Virginia law.
6. Which is the BEST practice when hiring a new direct care staff
member?
A. Accept verbal references only
B. Check criminal background and registry
C. Skip orientation if they have experience
D. Allow them to work unsupervised immediately
B
State law requires background checks to protect vulnerable residents.
7. Which type of insurance is MOST important to protect the facility from
liability claims?
A. Life insurance
B. Property insurance
C. Professional liability insurance
, D. Flood insurance
C
Professional liability insurance covers errors or negligence in resident
care.
8. A resident’s right to privacy includes:
A. Access to unrestricted Wi-Fi
B. Confidentiality of medical records
C. Free room and board
D. Shared bedrooms only
B
Resident privacy rights include confidentiality of health information.
9. If a resident wants to move out against medical advice, what should
the administrator do FIRST?
A. Call the police
B. Restrain the resident
C. Explain risks and document the decision
D. Ignore the request
C
Residents have the right to make their own choices, but informed
consent and documentation are required.
10. Infection control policies should be based on:
A. Personal preference
B. CDC guidelines
