Administrator Exam With Actual
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1. Which of the following is the primary responsibility of an assisted
living administrator?
A. Diagnosing resident medical conditions
B. Managing facility operations and staff
C. Providing direct nursing care
D. Prescribing medications
B. Managing facility operations and staff
Rationale: The administrator oversees daily operations, ensures
compliance with regulations, manages staff, and maintains resident
care standards. Direct medical care is provided by licensed
professionals.
2. Under Washington state regulations, how often must a facility
conduct fire drills?
A. Monthly
B. Quarterly
C. Semiannually
D. Annually
,A. Monthly
Rationale: Monthly fire drills are required to ensure staff and
residents are familiar with evacuation procedures.
3. What is the first step in developing a resident care plan?
A. Implement interventions
B. Conduct a comprehensive assessment
C. Review medications
D. Discharge planning
B. Conduct a comprehensive assessment
Rationale: A thorough assessment of the resident’s physical,
emotional, and social needs is necessary before creating an
individualized care plan.
4. Who is responsible for reporting suspected abuse or neglect in an
assisted living facility?
A. Only the administrator
B. All staff members
C. Only nursing staff
D. Only social workers
B. All staff members
Rationale: Washington law mandates that any staff member who
suspects abuse, neglect, or exploitation of a vulnerable adult must
report it immediately.
5. How often should medications be reviewed in an assisted living
facility?
A. Weekly
B. Monthly
C. At least quarterly
D. Only upon admission
,C. At least quarterly
Rationale: Regular medication reviews ensure residents’ prescriptions
are appropriate, safe, and effective.
6. Which document defines a resident’s rights in Washington
assisted living facilities?
A. Facility policy manual
B. Resident bill of rights
C. Care plan
D. Employee handbook
B. Resident bill of rights
Rationale: The resident bill of rights outlines protections for residents,
including privacy, autonomy, and the right to participate in care
decisions.
7. What is the purpose of an incident report?
A. To assign blame
B. To document an unusual event for review and prevention
C. To discipline staff
D. To notify family only
B. To document an unusual event for review and prevention
Rationale: Incident reports provide an official record of accidents or
unusual occurrences to identify risks and prevent recurrence.
8. What is the role of the Quality Assurance (QA) committee in a
facility?
A. Hiring new staff
B. Ensuring compliance and improving care quality
C. Preparing meals
D. Scheduling social activities
, B. Ensuring compliance and improving care quality
Rationale: The QA committee monitors facility practices, identifies
areas for improvement, and ensures adherence to regulations.
9. Which of the following is a requirement for staff training in
Washington assisted living facilities?
A. Only new hires require training
B. Ongoing training on dementia care, abuse prevention, and
emergency procedures
C. Training is optional
D. Only administrators need training
B. Ongoing training on dementia care, abuse prevention, and
emergency procedures
Rationale: Staff must receive initial and ongoing training to provide
safe, competent, and regulatory-compliant care.
10. How should an assisted living facility handle a resident’s
advance directives?
A. Store them in a locked cabinet with no access
B. Ignore them if family disagrees
C. Respect and incorporate them into the care plan
D. Only review them at discharge
C. Respect and incorporate them into the care plan
Rationale: Facilities must follow advance directives, including DNR
orders and treatment preferences, to honor resident autonomy.
11. Which of the following is considered neglect in assisted
living?
A. Forgetting to wish a resident happy birthday
B. Failing to provide meals, hygiene, or medications