©THESTAR 2025 ALL RIGHTS RESERVED
MISSOURI RCAL EXAM QUESTIONS
AND ANSWERS 100% PASS
Each resident shall be prepared food and served under safe sanitary conditions that is
consistent in accordance with what order. - ANS Attending physicians order
Each resident shall receive three meals per day how many of these meals must be hot. -
ANS 2
What is the minimum and maximum times between the evening meal and breakfast -
ANS 14-16
How many days of food supply shall be maintained in the facility? - ANS 3
How does a resident with a modified diet stay within the facility? - ANS A resident with a
modified diet may be excepted and remain in the facility with a physicians order.
A physician must monitor the residents condition on what periodic basis? - ANS Quarterly
What takes precedence over residents rights regarding eating and dining preference? -
ANS Nothing
What does an individual service plan include? - ANS Residence culture, lifelong routines,
habits, patterns and preferences
, ©THESTAR 2025 ALL RIGHTS RESERVED
In an assisted living if the residents eating and dining preferences have potential health risk
staff shall inform who? - ANS The resident or his or her legally authorized representative and
then should be documented in the individualized service plan.
Before admission to an Alzheimer's special care program or unit the next of kin or legal
represent she'll be given a copy of what form? - ANS Alzheimer's special care services
disclosure form at the time of admission.
Before admission into an assisted living what form should be given to each resident or his or
her legally authorized representative Or kin. - ANS Missouri's guide to home and community
based services
How often should all CPR forms be updated? - ANS Annually within a group or individually
If a resident refuses treatment what is your course of action? - ANS The refusal shall be
documented in the residence record and his or her legally authorized representative shall be
informed of possible consequences of not receiving treatment.
What is an area of refuge? - ANS This is an area of a building where persons unable to use
stairways can safely await instructions or assistance during an emergency evacuation. It can
also be used as a staging area.
What does evacuating the facility mean? - ANS Evacuating the facility means moving to an
area of refuge or from one smoke session to another or exiting the facility.
What does Home like mean? - ANS A self-contained long-term care setting that integrates
psychosocial, organizational and environmental qualities that are associated with being at
home. May include common areas kitchen areas laundry areas outdoor activities areas.
, ©THESTAR 2025 ALL RIGHTS RESERVED
What is an individual service plan? - ANS The planning document prepared by an assisted
living facility which outlined the residents needs and preferences and services that shall be
provided.
What actions are considered to be more than minimal assistance? - ANS Assistance to
traverse down stairways, assistance to open doors and assistance to propel a wheelchair.
What is the definition of a significant change? - ANS Any change in the residents physical,
emotional or psycho social condition or behavior that will not normally resolve without further
further intervention by staff.
Skilled Nursing Facility (SNF) - ANS a facility that provides 24-hour room, board, and skilled
nursing care and treatment to at least three residents. Skilled nursing care and treatment
services are those performed by or under the supervision of a registered nurse for individuals
requiring 24-hour-a-day care by licensed nursing personnel and under the direction of a
licensed doctor.
Social model of care - ANS Providing for all the needs of a client and providing a home-like
environment.
An administrator cannot be listed or function in more than how many facilities? - ANS No
more than one license of a facilty at a time unless he or she serves more than five facilities
within 30 miles that had no more than 100 residence in total. However the administrator may
serve as the administrator of more than one license facility if all facilities are on the same
premises.
What is the protocol if the administrator is absent? - ANS If the administrator is gone for
more than 30 consecutive days in which he or she is not accessible by phone the delegated
individual will have to be an administrator that is currently license by the board of nursing
home administrators. Such 30 day consecutive absences my only occur within a 12 month
period.
MISSOURI RCAL EXAM QUESTIONS
AND ANSWERS 100% PASS
Each resident shall be prepared food and served under safe sanitary conditions that is
consistent in accordance with what order. - ANS Attending physicians order
Each resident shall receive three meals per day how many of these meals must be hot. -
ANS 2
What is the minimum and maximum times between the evening meal and breakfast -
ANS 14-16
How many days of food supply shall be maintained in the facility? - ANS 3
How does a resident with a modified diet stay within the facility? - ANS A resident with a
modified diet may be excepted and remain in the facility with a physicians order.
A physician must monitor the residents condition on what periodic basis? - ANS Quarterly
What takes precedence over residents rights regarding eating and dining preference? -
ANS Nothing
What does an individual service plan include? - ANS Residence culture, lifelong routines,
habits, patterns and preferences
, ©THESTAR 2025 ALL RIGHTS RESERVED
In an assisted living if the residents eating and dining preferences have potential health risk
staff shall inform who? - ANS The resident or his or her legally authorized representative and
then should be documented in the individualized service plan.
Before admission to an Alzheimer's special care program or unit the next of kin or legal
represent she'll be given a copy of what form? - ANS Alzheimer's special care services
disclosure form at the time of admission.
Before admission into an assisted living what form should be given to each resident or his or
her legally authorized representative Or kin. - ANS Missouri's guide to home and community
based services
How often should all CPR forms be updated? - ANS Annually within a group or individually
If a resident refuses treatment what is your course of action? - ANS The refusal shall be
documented in the residence record and his or her legally authorized representative shall be
informed of possible consequences of not receiving treatment.
What is an area of refuge? - ANS This is an area of a building where persons unable to use
stairways can safely await instructions or assistance during an emergency evacuation. It can
also be used as a staging area.
What does evacuating the facility mean? - ANS Evacuating the facility means moving to an
area of refuge or from one smoke session to another or exiting the facility.
What does Home like mean? - ANS A self-contained long-term care setting that integrates
psychosocial, organizational and environmental qualities that are associated with being at
home. May include common areas kitchen areas laundry areas outdoor activities areas.
, ©THESTAR 2025 ALL RIGHTS RESERVED
What is an individual service plan? - ANS The planning document prepared by an assisted
living facility which outlined the residents needs and preferences and services that shall be
provided.
What actions are considered to be more than minimal assistance? - ANS Assistance to
traverse down stairways, assistance to open doors and assistance to propel a wheelchair.
What is the definition of a significant change? - ANS Any change in the residents physical,
emotional or psycho social condition or behavior that will not normally resolve without further
further intervention by staff.
Skilled Nursing Facility (SNF) - ANS a facility that provides 24-hour room, board, and skilled
nursing care and treatment to at least three residents. Skilled nursing care and treatment
services are those performed by or under the supervision of a registered nurse for individuals
requiring 24-hour-a-day care by licensed nursing personnel and under the direction of a
licensed doctor.
Social model of care - ANS Providing for all the needs of a client and providing a home-like
environment.
An administrator cannot be listed or function in more than how many facilities? - ANS No
more than one license of a facilty at a time unless he or she serves more than five facilities
within 30 miles that had no more than 100 residence in total. However the administrator may
serve as the administrator of more than one license facility if all facilities are on the same
premises.
What is the protocol if the administrator is absent? - ANS If the administrator is gone for
more than 30 consecutive days in which he or she is not accessible by phone the delegated
individual will have to be an administrator that is currently license by the board of nursing
home administrators. Such 30 day consecutive absences my only occur within a 12 month
period.
