Washington State Adult Family Home (AFH)
Administrator Practice Exam
(Based on WAC 388-76 and Administrator Competency Domains)
Section 1: WAC 388-76 Resident Rights
Question 1:
A resident in your AFH requests to review their care plan but has a visual impairment. What is
the most appropriate action?
A. Provide a printed copy and leave them to read it.
B. Ask a family member to read it to them.
C. Read the care plan aloud to the resident and offer a verbal summary.
D. Tell the resident they must wait for the next care plan meeting.
Correct Answer: C
Rationale:
Washington State regulations (WAC 388-76-10115) require AFHs to ensure residents can access
their care plans in a format they understand. Reading the plan aloud accommodates the resident’s
visual impairment and respects their rights.
Question 2:
A resident refuses to participate in a group activity. How should the Administrator respond?
A. Insist the resident participate for their social well-being.
B. Document the refusal and respect the resident’s choice.
C. Threaten to revoke privileges if the resident does not comply.
D. Ignore the refusal and proceed with the activity.
Correct Answer: B
Rationale:
Residents have the right to make choices about their daily activities. Documenting the refusal
and respecting their autonomy aligns with WAC 388-76-10115.
Question 3:
A resident’s family member requests access to the resident’s medical records. What should the
Administrator do?
A. Provide the records immediately.
B. Verify the family member’s legal authority and obtain the resident’s consent.
C. Refuse to share any information.
D. Share only non-medical information.
,Correct Answer: B
Rationale:
HIPAA and Washington State law require verification of legal authority and resident consent
before releasing medical records.
Question 4:
A resident complains that their privacy is not respected during personal care. What is the
Administrator’s first response?
A. Ignore the complaint unless staff confirm it.
B. Tell the resident that privacy cannot always be guaranteed.
C. Retrain staff after a week.
D. Investigate immediately and ensure staff follow resident rights policies.
Correct Answer: D
Rationale:
The Administrator must investigate immediately because Washington State regulations require
maintaining resident dignity and privacy at all times.
Question 5:
A resident with dementia asks to "go home" repeatedly. What is the best response?
A. Ignore the request.
B. Validate their feelings and redirect to a familiar activity.
C. Argue that they are already home.
D. Sedate the resident.
Correct Answer: B
Rationale:
Validation and redirection reduce anxiety and support emotional well-being for residents with
dementia.
Section 2: Medication Assistance & Administration Rules
Question 6:
A resident refuses their prescribed medication. What should the Administrator do?
A. Force the resident to take it.
B. Document the refusal and notify the prescriber.
C. Skip the dose and administer it later.
D. Ignore the refusal and continue as usual.
,Correct Answer: B
Rationale:
Residents have the right to refuse medication. Documenting the refusal and notifying the
prescriber ensures compliance with WAC 246-888-040.
Question 7:
A staff member forgets to document a medication dose. What is the best action?
A. Ignore the omission.
B. Document the dose retroactively and note the delay.
C. Blame the staff member publicly.
D. Skip documenting it entirely.
Correct Answer: B
Rationale:
Accurate documentation is critical for resident safety. Retroactive documentation with a note
ensures transparency.
Question 8:
A resident’s PRN pain medication is administered without documenting the pain level. What
should the Administrator do?
A. Ignore the omission.
B. Retrain the staff member on PRN documentation.
C. Terminate the staff member.
D. Blame the resident for not reporting pain.
Correct Answer: B
Rationale:
Documenting pain levels is required for PRN medication administration to ensure appropriate
use.
Question 9:
A resident’s medication is stored in an unlocked cabinet. What should the Administrator do?
A. Ignore the issue.
B. Lock the cabinet immediately and retrain staff on medication security.
C. Blame the resident for the oversight.
D. Move the medication to the Administrator’s office.
Correct Answer: B
Rationale:
Medications must be secured at all times to prevent misuse or errors.
, Question 10:
A staff member administers a controlled substance but fails to sign it out in the medication log.
What is the required action?
A. Ignore the error.
B. Retrain the staff member on controlled substance documentation.
C. Terminate the staff member.
D. Blame the resident for the error.
Correct Answer: B
Rationale:
Controlled substances require strict documentation to prevent diversion and ensure
accountability.
Section 3: Mandatory Reporting & Abuse Prevention
Question 11:
A staff member reports observing bruises on a resident’s arm. What is the Administrator’s first
action?
A. Confront the resident about the bruises.
B. Document the observation and report to DSHS within 24 hours.
C. Wait for more evidence before reporting.
D. Ask the staff member to handle it internally.
Correct Answer: B
Rationale:
Washington State law (RCW 74.34) mandates immediate reporting of suspected abuse or neglect
to DSHS.
Question 12:
A resident alleges verbal abuse by a staff member. What is the correct procedure?
A. Reassign the staff member and investigate.
B. Ignore the allegation unless witnessed.
C. Terminate the staff member immediately.
D. Document the allegation and report to DSHS.
Correct Answer: D
Rationale:
All allegations of abuse must be documented and reported to DSHS, regardless of evidence.
Administrator Practice Exam
(Based on WAC 388-76 and Administrator Competency Domains)
Section 1: WAC 388-76 Resident Rights
Question 1:
A resident in your AFH requests to review their care plan but has a visual impairment. What is
the most appropriate action?
A. Provide a printed copy and leave them to read it.
B. Ask a family member to read it to them.
C. Read the care plan aloud to the resident and offer a verbal summary.
D. Tell the resident they must wait for the next care plan meeting.
Correct Answer: C
Rationale:
Washington State regulations (WAC 388-76-10115) require AFHs to ensure residents can access
their care plans in a format they understand. Reading the plan aloud accommodates the resident’s
visual impairment and respects their rights.
Question 2:
A resident refuses to participate in a group activity. How should the Administrator respond?
A. Insist the resident participate for their social well-being.
B. Document the refusal and respect the resident’s choice.
C. Threaten to revoke privileges if the resident does not comply.
D. Ignore the refusal and proceed with the activity.
Correct Answer: B
Rationale:
Residents have the right to make choices about their daily activities. Documenting the refusal
and respecting their autonomy aligns with WAC 388-76-10115.
Question 3:
A resident’s family member requests access to the resident’s medical records. What should the
Administrator do?
A. Provide the records immediately.
B. Verify the family member’s legal authority and obtain the resident’s consent.
C. Refuse to share any information.
D. Share only non-medical information.
,Correct Answer: B
Rationale:
HIPAA and Washington State law require verification of legal authority and resident consent
before releasing medical records.
Question 4:
A resident complains that their privacy is not respected during personal care. What is the
Administrator’s first response?
A. Ignore the complaint unless staff confirm it.
B. Tell the resident that privacy cannot always be guaranteed.
C. Retrain staff after a week.
D. Investigate immediately and ensure staff follow resident rights policies.
Correct Answer: D
Rationale:
The Administrator must investigate immediately because Washington State regulations require
maintaining resident dignity and privacy at all times.
Question 5:
A resident with dementia asks to "go home" repeatedly. What is the best response?
A. Ignore the request.
B. Validate their feelings and redirect to a familiar activity.
C. Argue that they are already home.
D. Sedate the resident.
Correct Answer: B
Rationale:
Validation and redirection reduce anxiety and support emotional well-being for residents with
dementia.
Section 2: Medication Assistance & Administration Rules
Question 6:
A resident refuses their prescribed medication. What should the Administrator do?
A. Force the resident to take it.
B. Document the refusal and notify the prescriber.
C. Skip the dose and administer it later.
D. Ignore the refusal and continue as usual.
,Correct Answer: B
Rationale:
Residents have the right to refuse medication. Documenting the refusal and notifying the
prescriber ensures compliance with WAC 246-888-040.
Question 7:
A staff member forgets to document a medication dose. What is the best action?
A. Ignore the omission.
B. Document the dose retroactively and note the delay.
C. Blame the staff member publicly.
D. Skip documenting it entirely.
Correct Answer: B
Rationale:
Accurate documentation is critical for resident safety. Retroactive documentation with a note
ensures transparency.
Question 8:
A resident’s PRN pain medication is administered without documenting the pain level. What
should the Administrator do?
A. Ignore the omission.
B. Retrain the staff member on PRN documentation.
C. Terminate the staff member.
D. Blame the resident for not reporting pain.
Correct Answer: B
Rationale:
Documenting pain levels is required for PRN medication administration to ensure appropriate
use.
Question 9:
A resident’s medication is stored in an unlocked cabinet. What should the Administrator do?
A. Ignore the issue.
B. Lock the cabinet immediately and retrain staff on medication security.
C. Blame the resident for the oversight.
D. Move the medication to the Administrator’s office.
Correct Answer: B
Rationale:
Medications must be secured at all times to prevent misuse or errors.
, Question 10:
A staff member administers a controlled substance but fails to sign it out in the medication log.
What is the required action?
A. Ignore the error.
B. Retrain the staff member on controlled substance documentation.
C. Terminate the staff member.
D. Blame the resident for the error.
Correct Answer: B
Rationale:
Controlled substances require strict documentation to prevent diversion and ensure
accountability.
Section 3: Mandatory Reporting & Abuse Prevention
Question 11:
A staff member reports observing bruises on a resident’s arm. What is the Administrator’s first
action?
A. Confront the resident about the bruises.
B. Document the observation and report to DSHS within 24 hours.
C. Wait for more evidence before reporting.
D. Ask the staff member to handle it internally.
Correct Answer: B
Rationale:
Washington State law (RCW 74.34) mandates immediate reporting of suspected abuse or neglect
to DSHS.
Question 12:
A resident alleges verbal abuse by a staff member. What is the correct procedure?
A. Reassign the staff member and investigate.
B. Ignore the allegation unless witnessed.
C. Terminate the staff member immediately.
D. Document the allegation and report to DSHS.
Correct Answer: D
Rationale:
All allegations of abuse must be documented and reported to DSHS, regardless of evidence.
