RCAL - NAB Administrator (Federal) FINAL
EXAM STUDY GUIDE 2025/2026 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES || 100% GUARANTEED PASS
<RECENT VERSION>
1. If contracted laundry services are provided off site: - ANSWER ✓ The use
of commercial laundry services is required by the contractor based on
Department of Health.
2. For residents with dementia, optimal food choices are best achieved by: -
ANSWER ✓ Good screening, proper nutrition and hydration, and pleasant
meal times.
3. Information should be added to an ICP: - ANSWER ✓ At a minimum when
the resident has a significant change of condition.
4. A resident has the right to participate in social, religious, and community
activities provided these do not: - ANSWER ✓ Conflict with orders of the
physician
5. One of the fundamental element of demenia Care is: - ANSWER ✓ Creating
a specialized, secure, and quiet location for patients with dementia.
6. Mrs. J suffers from dementia. No matter how many times staff explain
something to her she doesn't seem to be able to accomplish the task. Which
of the following is the best solution? - ANSWER ✓ Task Breakdown
7. The best way for the administrator to get feedback regarding dining services
is through: - ANSWER ✓ Resident council
,8. A major consideration in creating a comprehensive activities program is that
the activities director understands the - ANSWER ✓ Nature and extent of
care recipients' disabilities
9. Criteria for move out in an RC/AL community should be disclosed -
ANSWER ✓ As part of move-in
10.The primary function of an initial care recipient assessment is to determine -
ANSWER ✓ Overall functional status
11.ECP - ANSWER ✓ exposure control plan
12.BBPs - ANSWER ✓ Bloodborne Pathogens Standard
13.OPIMs - ANSWER ✓ any body fluid visibly contaminated with blood,
vaginal secretions, semen... EXCLUDES TEARS AND SWEAT
14.BBPs are: - ANSWER ✓ Infectious microorganisms present in blood that
can cause disease in humans. (HBV, HCV, HIV)
15.HBV - ANSWER ✓ hepatitis B virus
16.HCV - ANSWER ✓ hepatitis C virus
17.HIV - ANSWER ✓ human immunodeficiency virus
18.An employee with 30 years' of experience at a HC organization was not
chosen to attend a training and asked the supervisor why. The supervisor
said, "You've been with the company for a long time, and I assumed you
would retire before then.". In doing so, the supervisor: - ANSWER ✓
discriminated against the employee because of the the employee's age.
19.The lockout/tagout program is designed to protect employees from hazards
related to : - ANSWER ✓ chemicals
20.A program that is designed to maintain equipment in order to keep it
working properly is known as: - ANSWER ✓ Preventive maintenance
program
,21.If a medical device malfunctions, the OSHA requires the administrator to
report the incident to the - ANSWER ✓ product manufacuter
22.Which of the following OSHA administrative violations is least likely to be
associated with a fine? - ANSWER ✓ Nonserious
23.Emergency exits must have which of the following components? -
ANSWER ✓ Exit access (lit corridor), exit (must be double doors), and exit
discharge (three feet of clear sidewalk.
24.In the event of fire drills and actual fire emergencies, the Life Safety Code
recommends that the that the administrator should teach staff to first: -
ANSWER ✓ rescue and remove anyone in immediate danger
25.A care recipient who uses a walker to get to the dining room is told by an
employee to leave the walker outside the room. With regard to the American
with Disabilities Act of 1990, the HC organization: - ANSWER ✓ must
provide a space in the dining room for wheelchairs and walker.
26.The LIF and FIFO methods of inventory costing both accounts for the
effects of which of the following factors or of inventory - ANSWER ✓
Depreciation value
27.A guest falls and is injured while visiting a HC organization office. Which
one of the following types of insurance would cover this injury? - ANSWER
✓ General Liability Insurance
28.A direct cost is: - ANSWER ✓ linked to a specific objective, responsibility,
or function
29.Which of the following best describes a primary difference between a not-
for-profit and a for-profit organization - ANSWER ✓ a for-profit
organization may discriminate profits to its shareholders.
30.Which of the following helps to control community risk by evaluating
current incidents** - ANSWER ✓ A. shared risk agreement Safety
committee programs
, 31.Which department is responsible for oversight of resources activities -
ANSWER ✓ Administration
32.What does a good cultural fit refers to - ANSWER ✓ Values and beliefs of
the facility
33.which of the following are hiring requirements of caregivers (NAC 449.196)
? - ANSWER ✓ ability to read and write English
34.OBRA is known as - ANSWER ✓ Omnibus Budget Reconciliation Act of
87. Also known as the Federal Nursing Home Reform Act. This was enacted
to protect the rights of patients in long-term care facilities such as nursing
homes, skilled nursing facilities, and assisted living homes. (1987) it is a
federal law that establishes regulations for nursing facilities and nurse aide
training facilities. The Intent of OBRA: is to improve the quality of life for
residents in nursing facilities.
35.Restrictions of Admission - ANSWER ✓ A facility shall not admit or allow
to remain in the facility any person that is bedfast, requires restraint, requires
confinement in locked quarters, or require skill nursing or other medical
36.Two competent residents are involved in a sexual relationship. The families
of both residents are angry and demand that the administrator force the
residents to ends the relationship. What is the best course of action? -
ANSWER ✓ And:
Respect the residents' wishes and ensure their privacy
-refer the The situation to social services and adjust the service plan
-involved in woodsman in the situation
-Refer to the ethics committee for discussion
37.The document best used to set realistic expectations between the RCAL
community and the resident is the - ANSWER ✓ Service plan agreement
38.One goal of assisted living is to help seniors remain as independent as
possible by providing - ANSWER ✓ Daily structure and fixed schedules for
meals and activities
EXAM STUDY GUIDE 2025/2026 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES || 100% GUARANTEED PASS
<RECENT VERSION>
1. If contracted laundry services are provided off site: - ANSWER ✓ The use
of commercial laundry services is required by the contractor based on
Department of Health.
2. For residents with dementia, optimal food choices are best achieved by: -
ANSWER ✓ Good screening, proper nutrition and hydration, and pleasant
meal times.
3. Information should be added to an ICP: - ANSWER ✓ At a minimum when
the resident has a significant change of condition.
4. A resident has the right to participate in social, religious, and community
activities provided these do not: - ANSWER ✓ Conflict with orders of the
physician
5. One of the fundamental element of demenia Care is: - ANSWER ✓ Creating
a specialized, secure, and quiet location for patients with dementia.
6. Mrs. J suffers from dementia. No matter how many times staff explain
something to her she doesn't seem to be able to accomplish the task. Which
of the following is the best solution? - ANSWER ✓ Task Breakdown
7. The best way for the administrator to get feedback regarding dining services
is through: - ANSWER ✓ Resident council
,8. A major consideration in creating a comprehensive activities program is that
the activities director understands the - ANSWER ✓ Nature and extent of
care recipients' disabilities
9. Criteria for move out in an RC/AL community should be disclosed -
ANSWER ✓ As part of move-in
10.The primary function of an initial care recipient assessment is to determine -
ANSWER ✓ Overall functional status
11.ECP - ANSWER ✓ exposure control plan
12.BBPs - ANSWER ✓ Bloodborne Pathogens Standard
13.OPIMs - ANSWER ✓ any body fluid visibly contaminated with blood,
vaginal secretions, semen... EXCLUDES TEARS AND SWEAT
14.BBPs are: - ANSWER ✓ Infectious microorganisms present in blood that
can cause disease in humans. (HBV, HCV, HIV)
15.HBV - ANSWER ✓ hepatitis B virus
16.HCV - ANSWER ✓ hepatitis C virus
17.HIV - ANSWER ✓ human immunodeficiency virus
18.An employee with 30 years' of experience at a HC organization was not
chosen to attend a training and asked the supervisor why. The supervisor
said, "You've been with the company for a long time, and I assumed you
would retire before then.". In doing so, the supervisor: - ANSWER ✓
discriminated against the employee because of the the employee's age.
19.The lockout/tagout program is designed to protect employees from hazards
related to : - ANSWER ✓ chemicals
20.A program that is designed to maintain equipment in order to keep it
working properly is known as: - ANSWER ✓ Preventive maintenance
program
,21.If a medical device malfunctions, the OSHA requires the administrator to
report the incident to the - ANSWER ✓ product manufacuter
22.Which of the following OSHA administrative violations is least likely to be
associated with a fine? - ANSWER ✓ Nonserious
23.Emergency exits must have which of the following components? -
ANSWER ✓ Exit access (lit corridor), exit (must be double doors), and exit
discharge (three feet of clear sidewalk.
24.In the event of fire drills and actual fire emergencies, the Life Safety Code
recommends that the that the administrator should teach staff to first: -
ANSWER ✓ rescue and remove anyone in immediate danger
25.A care recipient who uses a walker to get to the dining room is told by an
employee to leave the walker outside the room. With regard to the American
with Disabilities Act of 1990, the HC organization: - ANSWER ✓ must
provide a space in the dining room for wheelchairs and walker.
26.The LIF and FIFO methods of inventory costing both accounts for the
effects of which of the following factors or of inventory - ANSWER ✓
Depreciation value
27.A guest falls and is injured while visiting a HC organization office. Which
one of the following types of insurance would cover this injury? - ANSWER
✓ General Liability Insurance
28.A direct cost is: - ANSWER ✓ linked to a specific objective, responsibility,
or function
29.Which of the following best describes a primary difference between a not-
for-profit and a for-profit organization - ANSWER ✓ a for-profit
organization may discriminate profits to its shareholders.
30.Which of the following helps to control community risk by evaluating
current incidents** - ANSWER ✓ A. shared risk agreement Safety
committee programs
, 31.Which department is responsible for oversight of resources activities -
ANSWER ✓ Administration
32.What does a good cultural fit refers to - ANSWER ✓ Values and beliefs of
the facility
33.which of the following are hiring requirements of caregivers (NAC 449.196)
? - ANSWER ✓ ability to read and write English
34.OBRA is known as - ANSWER ✓ Omnibus Budget Reconciliation Act of
87. Also known as the Federal Nursing Home Reform Act. This was enacted
to protect the rights of patients in long-term care facilities such as nursing
homes, skilled nursing facilities, and assisted living homes. (1987) it is a
federal law that establishes regulations for nursing facilities and nurse aide
training facilities. The Intent of OBRA: is to improve the quality of life for
residents in nursing facilities.
35.Restrictions of Admission - ANSWER ✓ A facility shall not admit or allow
to remain in the facility any person that is bedfast, requires restraint, requires
confinement in locked quarters, or require skill nursing or other medical
36.Two competent residents are involved in a sexual relationship. The families
of both residents are angry and demand that the administrator force the
residents to ends the relationship. What is the best course of action? -
ANSWER ✓ And:
Respect the residents' wishes and ensure their privacy
-refer the The situation to social services and adjust the service plan
-involved in woodsman in the situation
-Refer to the ethics committee for discussion
37.The document best used to set realistic expectations between the RCAL
community and the resident is the - ANSWER ✓ Service plan agreement
38.One goal of assisted living is to help seniors remain as independent as
possible by providing - ANSWER ✓ Daily structure and fixed schedules for
meals and activities
