ADMINISTRATOR ACTUAL EXAM 2026 || MOST
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A personal care home administrator observes that a resident has
become increasingly withdrawn and refuses to participate in usual
activities. What should the administrator do first?
A. Assume the resident is simply adjusting to the facility
B. Require the resident to participate in activities
C. Assess the resident and investigate possible causes of the behavioral
change
D. Discharge the resident for nonparticipation
Answer: C. Assess the resident and investigate possible causes of the
behavioral change
Rationale: A significant change in behavior can indicate illness, pain,
depression, medication effects, abuse, or another unmet need. The
administrator should ensure that the resident is appropriately assessed
and that concerns are communicated to qualified healthcare
professionals when indicated. Punishment or assumptions are
inappropriate.
,Which action best demonstrates protection of a personal care home
resident's rights?
A. Making all decisions for residents to save time
B. Allowing residents to participate in decisions affecting their care
C. Restricting visitors without a documented reason
D. preventing residents from expressing complaints
Answer: B. Allowing residents to participate in decisions affecting their
care
Rationale: Resident-centered care requires respect for autonomy,
dignity, privacy, and participation in decisions. Residents should be
informed of their rights and given opportunities to express preferences
and concerns unless a lawful limitation applies.
A medication administration record (MAR) is primarily used to:
A. Document staff attendance
B. Record resident meal preferences
C. Document medications administered to residents
D. Track facility maintenance expenses
Answer: C. Document medications administered to residents
Rationale: The MAR provides an organized record of prescribed
medications, administration times, doses, and relevant documentation.
Accurate medication records are essential for continuity of care and
medication safety.
,A staff member discovers that a resident has received the wrong
medication. What is the administrator's priority?
A. Hide the error to protect the facility's reputation
B. Immediately assess the resident and follow the facility's medication-
error and reporting procedures
C. Wait until the next scheduled physician visit
D. Alter the MAR so the error is not visible
Answer: B. immediately assess the resident and follow the facility's
medication-error and reporting procedures
Rationale: Medication errors can cause serious harm. The resident's
safety comes first. The facility should promptly assess the resident,
notify appropriate healthcare personnel as required, document the
event accurately, and complete required reporting and corrective
actions.
Which practice is most effective for preventing the spread of infection
in a personal care home?
A. Wearing gloves at all times
B. Performing appropriate hand hygiene consistently
C. Keeping residents isolated from one another
D. Using antibiotics whenever a resident develops a fever
Answer: B. Performing appropriate hand hygiene consistently
Rationale: Hand hygiene is one of the most important measures for
preventing transmission of infectious organisms. Gloves do not replace
, hand hygiene, and unnecessary antibiotics can contribute to adverse
effects and antimicrobial resistance.
A resident complains that a staff member spoke disrespectfully to
them. What should the administrator do?
A. Ignore the complaint unless another resident confirms it
B. Tell the resident to avoid that employee
C. Take the complaint seriously, investigate it, and protect the resident
from retaliation
D. immediately terminate the employee without investigation
Answer: C. Take the complaint seriously, investigate it, and protect the
resident from retaliation
Rationale: Residents have the right to dignity and respectful treatment.
Complaints should be investigated objectively and promptly. The
administrator must also ensure that residents are protected from
retaliation for reporting concerns.
What is the primary purpose of an individualized service plan?
A. To establish the facility's annual budget
B. To identify and organize services based on an individual resident's
needs
C. To determine employee vacation schedules
D. To replace all medical documentation