RCAL - NAB ADMINISTRATOR EXAM
(FEDERAL) QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS NEWLY
UPDATED 2026 TOP RATED EXAM PREP
Facility Operations: Laundry
Q: If contracted laundry services are provided off-site, what is required? A:
✔✔ The use of commercial laundry services is required by the contractor
based on Department of Health (DOH) standards.
Explanation: Off-site contractors must adhere to stringent sanitary protocols,
including the separation of "clean" and "soiled" linens during transport and the use
of professional-grade chemicals and temperatures to ensure disinfection.
Dementia Care and Nutrition
Q: For residents with dementia, how are optimal food choices best achieved?
A: ✔✔ Good screening, proper nutrition and hydration, and pleasant meal
times.
Key Strategy: Mealtimes should be treated as a social activity. Reducing
distractions (turning off the TV) and offering "finger foods" can help maintain
independence and prevent weight loss, which is common as dementia progresses.
Q: What is a fundamental element of specialized Dementia Care? A: ✔✔
Creating a specialized, secure, and quiet location for patients with dementia.
Explanation: A "Memory Care" unit is designed to prevent wandering
(elopement) while providing a low-stimulus environment that reduces resident
agitation and confusion.
Resident Assessment and Care Planning
Q: When should information be added to an Individualized Care Plan (ICP)?
A: ✔✔ At a minimum, when the resident has a "significant change in
condition."
,Regulatory Note: Under CMS guidelines, an ICP must be reviewed and updated
at least quarterly and following any major change in a resident's physical or mental
status (e.g., a new stage 3 pressure ulcer or a significant weight loss).
Resident Rights
Q: A resident has the right to participate in social, religious, and community
activities, provided these do not: A: ✔✔ Conflict with orders of the physician.
Explanation: While residents have broad liberties, a physician may limit certain
activities for medical safety (e.g., a resident with severe dysphagia being restricted
from a community "potluck" due to choking risks).
Note: Activities also must not interfere with the rights of other residents in
the facility.
Mrs. J suffers from dementia. No matter how many times staff explain something
to her she doesn't seem to be able to accomplish the task. Which of the following is
the best solution? -ANSWER✔✔Task Breakdown
The best way for the administrator to get feedback regarding dining services is
through: -ANSWER✔✔Resident council
A major consideration in creating a comprehensive activities program is that the
activities director understands the -ANSWER✔✔Nature and extent of care
recipients' disabilities
Criteria for move out in an RC/AL community should be disclosed -
ANSWER✔✔As part of move-in
The primary function of an initial care recipient assessment is to determine -
ANSWER✔✔Overall functional status
,ECP -ANSWER✔✔exposure control plan
BBPs -ANSWER✔✔Bloodborne Pathogens Standard
OPIMs -ANSWER✔✔any body fluid visibly contaminated with blood, vaginal
secretions, semen... EXCLUDES TEARS AND SWEAT
BBPs are: -ANSWER✔✔Infectious microorganisms present in blood that can
cause disease in humans. (HBV, HCV, HIV)
HBV -ANSWER✔✔hepatitis B virus
HCV -ANSWER✔✔hepatitis C virus
HIV -ANSWER✔✔human immunodeficiency virus
Exposure Control Plan (ECP) -ANSWER✔✔A written game plan this is designed
to eliminate or minimize occupational exposure.
Universal Precautions (UP) or Standard Precautions (SP) -ANSWER✔✔A set of
guidelines published by OSHA that require the employer and the employee to
assume that all human blood and body fluids are infectious for bloodborne
pathogens.
, work practice controls -ANSWER✔✔controls that reduce or eliminate the
likelihood of exposure to potentially infectious material by altering the manner in
which a task is performed
Needle Stick Safety and Prevention Act -ANSWER✔✔identify and use effective
and safer medical devices, incorporate changes in annual update of exposure
control plan, solicit input from nonmanagerial employees who are responsible for
direct patient care, maintain a sharps injury log
Personal Protective Equipment -ANSWER✔✔Protective equipment that blocks
exposure to a pathogen or a hazardous material.
Hazard Communication Standard (HCS) -ANSWER✔✔An OSHA standard
intended to increase health care practitioners' awareness of risks, to improve work
practices and appropriate use of personal protective equipment, and to reduce
injuries and illnesses in the workplace. Labels and contaminated equipment bags
post exposure evaluation -ANSWER✔✔a set of procedures required by OSHA as
a follow-up to exposure incidents. At no cost to the employee.
Safe work practices -ANSWER✔✔Includes the maintenance of Sanitation and
decontamination standards and the application of safety precautions in the
workplace environment
You've just taking on a new role at your organization that includes occupational
health and safety and the management of BBPs and OPIMs. Your employer asks
you when your organization's ECP should be updated. Identify the most accurate
response. -ANSWER✔✔At least every 12 months or after a revision to positions
descriptions involving BBPs.
(FEDERAL) QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS NEWLY
UPDATED 2026 TOP RATED EXAM PREP
Facility Operations: Laundry
Q: If contracted laundry services are provided off-site, what is required? A:
✔✔ The use of commercial laundry services is required by the contractor
based on Department of Health (DOH) standards.
Explanation: Off-site contractors must adhere to stringent sanitary protocols,
including the separation of "clean" and "soiled" linens during transport and the use
of professional-grade chemicals and temperatures to ensure disinfection.
Dementia Care and Nutrition
Q: For residents with dementia, how are optimal food choices best achieved?
A: ✔✔ Good screening, proper nutrition and hydration, and pleasant meal
times.
Key Strategy: Mealtimes should be treated as a social activity. Reducing
distractions (turning off the TV) and offering "finger foods" can help maintain
independence and prevent weight loss, which is common as dementia progresses.
Q: What is a fundamental element of specialized Dementia Care? A: ✔✔
Creating a specialized, secure, and quiet location for patients with dementia.
Explanation: A "Memory Care" unit is designed to prevent wandering
(elopement) while providing a low-stimulus environment that reduces resident
agitation and confusion.
Resident Assessment and Care Planning
Q: When should information be added to an Individualized Care Plan (ICP)?
A: ✔✔ At a minimum, when the resident has a "significant change in
condition."
,Regulatory Note: Under CMS guidelines, an ICP must be reviewed and updated
at least quarterly and following any major change in a resident's physical or mental
status (e.g., a new stage 3 pressure ulcer or a significant weight loss).
Resident Rights
Q: A resident has the right to participate in social, religious, and community
activities, provided these do not: A: ✔✔ Conflict with orders of the physician.
Explanation: While residents have broad liberties, a physician may limit certain
activities for medical safety (e.g., a resident with severe dysphagia being restricted
from a community "potluck" due to choking risks).
Note: Activities also must not interfere with the rights of other residents in
the facility.
Mrs. J suffers from dementia. No matter how many times staff explain something
to her she doesn't seem to be able to accomplish the task. Which of the following is
the best solution? -ANSWER✔✔Task Breakdown
The best way for the administrator to get feedback regarding dining services is
through: -ANSWER✔✔Resident council
A major consideration in creating a comprehensive activities program is that the
activities director understands the -ANSWER✔✔Nature and extent of care
recipients' disabilities
Criteria for move out in an RC/AL community should be disclosed -
ANSWER✔✔As part of move-in
The primary function of an initial care recipient assessment is to determine -
ANSWER✔✔Overall functional status
,ECP -ANSWER✔✔exposure control plan
BBPs -ANSWER✔✔Bloodborne Pathogens Standard
OPIMs -ANSWER✔✔any body fluid visibly contaminated with blood, vaginal
secretions, semen... EXCLUDES TEARS AND SWEAT
BBPs are: -ANSWER✔✔Infectious microorganisms present in blood that can
cause disease in humans. (HBV, HCV, HIV)
HBV -ANSWER✔✔hepatitis B virus
HCV -ANSWER✔✔hepatitis C virus
HIV -ANSWER✔✔human immunodeficiency virus
Exposure Control Plan (ECP) -ANSWER✔✔A written game plan this is designed
to eliminate or minimize occupational exposure.
Universal Precautions (UP) or Standard Precautions (SP) -ANSWER✔✔A set of
guidelines published by OSHA that require the employer and the employee to
assume that all human blood and body fluids are infectious for bloodborne
pathogens.
, work practice controls -ANSWER✔✔controls that reduce or eliminate the
likelihood of exposure to potentially infectious material by altering the manner in
which a task is performed
Needle Stick Safety and Prevention Act -ANSWER✔✔identify and use effective
and safer medical devices, incorporate changes in annual update of exposure
control plan, solicit input from nonmanagerial employees who are responsible for
direct patient care, maintain a sharps injury log
Personal Protective Equipment -ANSWER✔✔Protective equipment that blocks
exposure to a pathogen or a hazardous material.
Hazard Communication Standard (HCS) -ANSWER✔✔An OSHA standard
intended to increase health care practitioners' awareness of risks, to improve work
practices and appropriate use of personal protective equipment, and to reduce
injuries and illnesses in the workplace. Labels and contaminated equipment bags
post exposure evaluation -ANSWER✔✔a set of procedures required by OSHA as
a follow-up to exposure incidents. At no cost to the employee.
Safe work practices -ANSWER✔✔Includes the maintenance of Sanitation and
decontamination standards and the application of safety precautions in the
workplace environment
You've just taking on a new role at your organization that includes occupational
health and safety and the management of BBPs and OPIMs. Your employer asks
you when your organization's ECP should be updated. Identify the most accurate
response. -ANSWER✔✔At least every 12 months or after a revision to positions
descriptions involving BBPs.
