ALF CORE TRAINING EXAM VERSION 1
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) | LATEST EDITION (2025) | JUST
RELEASED!
Introduction
This 2025 ALF Core Training Exam simulation delivers the exact number of high-fidelity
items required for state-approved Assisted Living Facility caregiver certification.
Content domains mirror national consensus standards:
• Resident rights and dignity
• Safety and emergency procedures
• Infection control and prevention
• Medication assistance
• Regulatory compliance and reporting
• Communication and documentation
• Cognitive impairment and behavioral support
All items are original, scenario-based, and aligned with 2025 state-specific regulatory
expectations; no questions are reproduced from proprietary state examinations.
Question 1
Mrs. Green, an 82-year-old resident with moderate dementia, repeatedly refuses a
shower. Which action best upholds her rights?
A. Document refusal and offer alternatives such as a towel bath
B. Insist that the shower is scheduled and must be completed
C. Notify the physician for an antianxiety medication order
D. Complete the shower quickly while reassuring her
Answer: A. Document refusal and offer alternatives such as a towel bath
Solution: Resident right to participate in care decisions includes the right to refuse.
Offering alternatives respects autonomy and meets regulatory requirements for person-
centered care (42 CFR §483.10(a)(1)).
Question 2
An ALF policy requires hourly rounding at night. At 0200 you find a resident’s bedroom
pg. 1
, door locked from the inside. Which is the correct first action?
A. Use the master key to enter immediately
B. Knock, announce yourself, and wait for permission to enter
C. Document “refused rounding” and return in one hour
D. Assume the resident is safe and skip the round
Answer: B. Knock, announce yourself, and wait for permission to enter
Solution: Knocking preserves privacy and dignity. Staff may enter without permission
only in a verifiable emergency; otherwise, forced entry could constitute invasion of
privacy under resident-rights regulations.
Question 3
During dinner, a resident begins choking and cannot speak. You are alone in the dining
room. What is your immediate priority?
A. Call 911 and then begin abdominal thrusts
B. Begin abdominal thrusts immediately
C. Lay the resident flat and start chest compressions
D. Run to get the nurse, leaving the resident
Answer: B. Begin abdominal thrusts immediately
Solution: Complete airway obstruction is a time-critical emergency. Start Heimlich
maneuvers at once; call for help simultaneously if possible, but do not delay definitive
action.
Question 4
A small electrical fire starts in a resident room trash can. The fire alarm has activated.
Which action is correct?
A. Extinguish the fire first, then evacuate residents if necessary
B. Close the door, pull the nearest alarm, and evacuate all residents on the unit
C. Use any extinguisher, regardless of class, to put out the flames
D. Move residents horizontally to an adjoining smoke compartment
Answer: D. Move residents horizontally to an adjoining smoke compartment
Solution: ALF fire plans emphasize “defend-in-place” and horizontal evacuation into
smoke compartments. Closing doors limits smoke spread; extinguisher use (A) is
appropriate only if staff trained and fire is small (PASS technique, correct class).
Question 5
A resident’s son requests to install a grab bar in the bathroom at his own expense. The
facility policy allows resident-provided equipment. Which step is required?
A. Obtain written approval from the administrator and ensure professional installation
pg. 2
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) | LATEST EDITION (2025) | JUST
RELEASED!
Introduction
This 2025 ALF Core Training Exam simulation delivers the exact number of high-fidelity
items required for state-approved Assisted Living Facility caregiver certification.
Content domains mirror national consensus standards:
• Resident rights and dignity
• Safety and emergency procedures
• Infection control and prevention
• Medication assistance
• Regulatory compliance and reporting
• Communication and documentation
• Cognitive impairment and behavioral support
All items are original, scenario-based, and aligned with 2025 state-specific regulatory
expectations; no questions are reproduced from proprietary state examinations.
Question 1
Mrs. Green, an 82-year-old resident with moderate dementia, repeatedly refuses a
shower. Which action best upholds her rights?
A. Document refusal and offer alternatives such as a towel bath
B. Insist that the shower is scheduled and must be completed
C. Notify the physician for an antianxiety medication order
D. Complete the shower quickly while reassuring her
Answer: A. Document refusal and offer alternatives such as a towel bath
Solution: Resident right to participate in care decisions includes the right to refuse.
Offering alternatives respects autonomy and meets regulatory requirements for person-
centered care (42 CFR §483.10(a)(1)).
Question 2
An ALF policy requires hourly rounding at night. At 0200 you find a resident’s bedroom
pg. 1
, door locked from the inside. Which is the correct first action?
A. Use the master key to enter immediately
B. Knock, announce yourself, and wait for permission to enter
C. Document “refused rounding” and return in one hour
D. Assume the resident is safe and skip the round
Answer: B. Knock, announce yourself, and wait for permission to enter
Solution: Knocking preserves privacy and dignity. Staff may enter without permission
only in a verifiable emergency; otherwise, forced entry could constitute invasion of
privacy under resident-rights regulations.
Question 3
During dinner, a resident begins choking and cannot speak. You are alone in the dining
room. What is your immediate priority?
A. Call 911 and then begin abdominal thrusts
B. Begin abdominal thrusts immediately
C. Lay the resident flat and start chest compressions
D. Run to get the nurse, leaving the resident
Answer: B. Begin abdominal thrusts immediately
Solution: Complete airway obstruction is a time-critical emergency. Start Heimlich
maneuvers at once; call for help simultaneously if possible, but do not delay definitive
action.
Question 4
A small electrical fire starts in a resident room trash can. The fire alarm has activated.
Which action is correct?
A. Extinguish the fire first, then evacuate residents if necessary
B. Close the door, pull the nearest alarm, and evacuate all residents on the unit
C. Use any extinguisher, regardless of class, to put out the flames
D. Move residents horizontally to an adjoining smoke compartment
Answer: D. Move residents horizontally to an adjoining smoke compartment
Solution: ALF fire plans emphasize “defend-in-place” and horizontal evacuation into
smoke compartments. Closing doors limits smoke spread; extinguisher use (A) is
appropriate only if staff trained and fire is small (PASS technique, correct class).
Question 5
A resident’s son requests to install a grab bar in the bathroom at his own expense. The
facility policy allows resident-provided equipment. Which step is required?
A. Obtain written approval from the administrator and ensure professional installation
pg. 2
