1
CALA NJ Exam Actual Exam 2026/2027 | Certified
Assisted Living Administrator Practice Test | Verified
Questions with Accurate Answers | Aligned with 2026
NJ Regulations | Pass Guaranteed - A+ Graded
SECTION I: RESIDENT CARE MANAGEMENT & ASSESSMENT
Q1: According to NJAC 8:36-4.1, which of the following is a mandatory component of the initial
resident assessment that must be completed within 30 days of admission?
A. Financial capacity evaluation and credit history review
B. A comprehensive assessment of the resident's physical, cognitive, functional, and
psychosocial status
C. Family genealogy and hereditary disease tracing
D. Previous employment history and professional references
Correct Answer: B
Rationale: NJAC 8:36-4.1 requires a comprehensive assessment covering physical, cognitive,
functional, and psychosocial domains within 30 days of admission. Option A is incorrect because
financial assessments, while important for billing, are not part of the clinical assessment
requirements. Option C exceeds regulatory requirements and is not mandated. Option D is
irrelevant to resident care needs assessment. The assessment forms the foundation for the
individualized service plan required under NJAC 8:36-4.2.
Q2: Under NJAC 8:36-4.3, a resident with Stage 2 pressure ulcers may be retained in an assisted
living residence (ALR) provided that:
A. The resident agrees to self-manage all wound care independently
B. The facility coordinates with an outside wound care specialist and the service plan addresses
the treatment needs
C. The family signs a waiver releasing the facility from all liability
D. The resident is transferred to a private room with restricted visitation
Correct Answer: B
Rationale: NJAC 8:36-4.3 establishes admission and retention criteria based on the facility's
ability to meet resident needs. Stage 2 pressure ulcers do not automatically require discharge if
, 2
the ALR can coordinate appropriate care. Option A is incorrect because residents cannot be
required to self-manage complex medical needs. Option C violates NJAC 8:36-9.2 regarding
resident rights—liability waivers for negligence are unenforceable. Option D constitutes
inappropriate isolation and potentially violates resident dignity rights under NJAC 8:36-9.1.
Q3: A 2026 regulatory update (NJAC 8:36-4.5) modified requirements regarding medication
management. Which statement reflects the current standard?
A. Certified Home Health Aides may now administer insulin injections with 8 hours of
additional training
B. Unlicensed staff may administer medications only after completing a NJ Board of Nursing-
approved medication aide certification program
C. Family members may administer all medications without facility oversight if they sign a
consent form
D. Self-administration is prohibited for all Schedule II controlled substances regardless of
resident capability
Correct Answer: B
Rationale: The 2026 update to NJAC 8:36-4.5 strengthens medication administration
requirements, mandating Board of Nursing-approved certification for unlicensed staff. Option A
is incorrect—insulin administration remains restricted to licensed nurses or specifically trained
personnel under nursing delegation. Option C violates medication safety protocols—facilities
must maintain oversight of all medications in the building. Option D is overly broad; capable
residents may self-administer with proper assessment and monitoring per individual service
plans.
Q4: Which cognitive level does the following scenario demonstrate?
An administrator reviews quarterly reassessment data showing a resident's increasing mobility
limitations and subsequently modifies the service plan to include twice-daily assistance with
transfers and fall prevention protocols.
A. Recall
B. Comprehension
C. Application
Correct Answer: C
Rationale: This demonstrates Application—the administrator is applying regulatory knowledge
(NJAC 8:36-4.2 service plan requirements) to analyze data and implement appropriate
interventions. Recall would simply involve stating the reassessment timeframe. Comprehension
CALA NJ Exam Actual Exam 2026/2027 | Certified
Assisted Living Administrator Practice Test | Verified
Questions with Accurate Answers | Aligned with 2026
NJ Regulations | Pass Guaranteed - A+ Graded
SECTION I: RESIDENT CARE MANAGEMENT & ASSESSMENT
Q1: According to NJAC 8:36-4.1, which of the following is a mandatory component of the initial
resident assessment that must be completed within 30 days of admission?
A. Financial capacity evaluation and credit history review
B. A comprehensive assessment of the resident's physical, cognitive, functional, and
psychosocial status
C. Family genealogy and hereditary disease tracing
D. Previous employment history and professional references
Correct Answer: B
Rationale: NJAC 8:36-4.1 requires a comprehensive assessment covering physical, cognitive,
functional, and psychosocial domains within 30 days of admission. Option A is incorrect because
financial assessments, while important for billing, are not part of the clinical assessment
requirements. Option C exceeds regulatory requirements and is not mandated. Option D is
irrelevant to resident care needs assessment. The assessment forms the foundation for the
individualized service plan required under NJAC 8:36-4.2.
Q2: Under NJAC 8:36-4.3, a resident with Stage 2 pressure ulcers may be retained in an assisted
living residence (ALR) provided that:
A. The resident agrees to self-manage all wound care independently
B. The facility coordinates with an outside wound care specialist and the service plan addresses
the treatment needs
C. The family signs a waiver releasing the facility from all liability
D. The resident is transferred to a private room with restricted visitation
Correct Answer: B
Rationale: NJAC 8:36-4.3 establishes admission and retention criteria based on the facility's
ability to meet resident needs. Stage 2 pressure ulcers do not automatically require discharge if
, 2
the ALR can coordinate appropriate care. Option A is incorrect because residents cannot be
required to self-manage complex medical needs. Option C violates NJAC 8:36-9.2 regarding
resident rights—liability waivers for negligence are unenforceable. Option D constitutes
inappropriate isolation and potentially violates resident dignity rights under NJAC 8:36-9.1.
Q3: A 2026 regulatory update (NJAC 8:36-4.5) modified requirements regarding medication
management. Which statement reflects the current standard?
A. Certified Home Health Aides may now administer insulin injections with 8 hours of
additional training
B. Unlicensed staff may administer medications only after completing a NJ Board of Nursing-
approved medication aide certification program
C. Family members may administer all medications without facility oversight if they sign a
consent form
D. Self-administration is prohibited for all Schedule II controlled substances regardless of
resident capability
Correct Answer: B
Rationale: The 2026 update to NJAC 8:36-4.5 strengthens medication administration
requirements, mandating Board of Nursing-approved certification for unlicensed staff. Option A
is incorrect—insulin administration remains restricted to licensed nurses or specifically trained
personnel under nursing delegation. Option C violates medication safety protocols—facilities
must maintain oversight of all medications in the building. Option D is overly broad; capable
residents may self-administer with proper assessment and monitoring per individual service
plans.
Q4: Which cognitive level does the following scenario demonstrate?
An administrator reviews quarterly reassessment data showing a resident's increasing mobility
limitations and subsequently modifies the service plan to include twice-daily assistance with
transfers and fall prevention protocols.
A. Recall
B. Comprehension
C. Application
Correct Answer: C
Rationale: This demonstrates Application—the administrator is applying regulatory knowledge
(NJAC 8:36-4.2 service plan requirements) to analyze data and implement appropriate
interventions. Recall would simply involve stating the reassessment timeframe. Comprehension
