REAL EXAM QUESTIONS AND ANSWERS WITH RATIONALES | EXPERT
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Question 1
What is the definition of "assistance with transfer"?
A) Providing the physical assistance of no more than two facility staff while the resident moves
between bed, chair, or wheelchair.
B) Using a mechanical lift to move a resident.
C) Reminding a resident to move from their bed to a chair.
D) Helping a resident with locomotion down a hallway.
E) Supervising a resident as they transfer independently.
Correct Answer: A) Providing the physical assistance of no more than two facility staff
while the resident moves between bed, chair, or wheelchair.
Rationale: This is the specific regulatory definition. It defines the upper limit of physical
assistance a resident can require and still be appropriate for certain levels of care.
Requiring more than two staff members for a transfer may indicate a need for a higher
level of care.
Question 2
What is the first step in negotiating a managed risk agreement with a resident?
A) Document the final agreement reached.
B) Provide the resident with information about the consequences of their choice.
C) Identify the specific behavior or choice that is the cause for concern.
D) Seek to negotiate a solution that minimizes risk.
E) Set a time frame for the agreement.
Correct Answer: C) Identify the specific behavior or choice that is the cause for concern.
Rationale: The managed risk process must begin with a clear and specific identification of
the problem. Before any discussion of consequences or solutions can occur, both the staff
and the resident must understand exactly what the risk-generating choice or action is.
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Question 3
Which of the following is NOT a required component of a Medication Administration Record
(MAR)?
A) The resident's diagnosis.
B) The date the medication was ordered.
C) The name of the pharmacy that dispensed the medication.
D) The resident's known allergies.
E) The frequency of administration.
Correct Answer: C) The name of the pharmacy that dispensed the medication.
Rationale: The MAR is a clinical and legal record of medication administration. While the
pharmacy name is on the prescription label, the required elements on the MAR itself are
focused on the "five rights" and resident identification: name, DOB, allergies, diagnosis,
physician, and the specifics of the medication order (name, strength, dose, route, frequency,
start/stop dates).
Question 4
What is the minimum number of hours required for the New Jersey CALA (Certified Assisted
Living Administrator) training course?
A) 20 hours
B) 30 hours
C) 40 hours
D) 56 hours
E) 60 hours
Correct Answer: D) 56 hours
Rationale: The state-mandated certification course consists of 56 hours of instruction. This
includes 40 hours of classroom/online training covering the core administrative topics and
a 16-hour practicum in a licensed facility.
Question 5
To renew a CALA certification, how many hours of continuing education must an administrator
complete, and over what time period?
A) 20 hours every 2 years
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B) 30 hours every 3 years
C) 40 hours every 2 years
D) 24 hours every year
E) 45 hours every 3 years
Correct Answer: B) 30 hours every 3 years
Rationale: The CALA certification cycle in New Jersey is three years. To be eligible for
renewal, the administrator must complete 30 hours of approved continuing education units
(CEUs) within that three-year period.
Question 6
What is the minimum clear width of passageways, aisles, and corridors in an Assisted Living
Residence (ALR)?
A) 36 inches
B) 40 inches
C) 44 inches
D) 48 inches
E) 60 inches
Correct Answer: C) 44 inches
Rationale: The physical plant regulations are specific to the license type. For an Assisted
Living Residence, the minimum width for corridors is 44 inches to ensure adequate space
for wheelchair passage and egress.
Question 7
What is the minimum clear usable floor area for a single-occupancy unit in an Assisted Living
Residence (ALR)?
A) 80 square feet
B) 100 square feet
C) 120 square feet
D) 150 square feet
E) 220 square feet
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Correct Answer: D) 150 square feet
Rationale: Regulations for ALRs mandate apartment-style units with specific minimum
sizes. A one-person unit must have at least 150 square feet of clear, usable floor area, not
including the kitchenette or bathroom.
Question 8
What is the minimum clear usable floor area for a single-occupancy room in a Comprehensive
Personal Care Home (CPCH)?
A) 50 square feet
B) 60 square feet
C) 70 square feet
D) 80 square feet
E) 100 square feet
Correct Answer: D) 80 square feet
Rationale: The space requirements for a CPCH, which may have more of a traditional
room-and-board style, are different from an ALR. The minimum space for a single-
occupancy room is 80 square feet.
Question 9
In an assisted living facility, what is the maximum travel distance from any point to a fire
extinguisher?
A) 25 feet
B) 50 feet
C) 75 feet
D) 100 feet
E) 150 feet
Correct Answer: B) 50 feet
Rationale: Fire safety and Life Safety Code standards require that portable fire
extinguishers be located so that the travel distance to an extinguisher is no more than 50
feet for Class A fires.