RCFE ADMINISTRATOR EXAM/ RCFE ADMINISTRATOR
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS A
NEW UPDATED VERSION LATEST 2026-2027 (VERIFIED
ANSWERS WITH RATIONALES) ALREADY GRADED A+
QUESTION 1
A resident in an RCFE begins wandering outside at night and appears confused. What is the
administrator’s first action?
A. Discharge the resident immediately
B. Apply physical restraints
C. Assess for change in condition and notify physician/responsible party
D. Lock the resident in their room
Rationale: A sudden behavioral change may indicate infection, medication issue, or cognitive
decline. The administrator must ensure assessment and proper notification before considering
higher level of care. Restraints and isolation are prohibited.
QUESTION 2
Which of the following requires a written physician’s order in an RCFE?
A. Encouraging hydration
B. Assisting with prescribed medication
C. Offering snacks
D. Social activities
Rationale: Assistance with medications must follow a physician’s order. Staff cannot
independently administer or change medication regimens without proper authorization.
QUESTION 3
An administrator must report suspected elder abuse to:
,A. The resident’s family only
B. Law enforcement within 7 days
C. Adult Protective Services immediately or as soon as practically possible
D. The facility staff meeting
Rationale: Suspected abuse must be reported immediately to Adult Protective Services (APS)
or appropriate authority. Failure to report can result in penalties and criminal liability.
QUESTION 4
A resident refuses medication. The correct action is to:
A. Crush medication secretly in food
B. Force the medication
C. Respect the refusal and document it
D. Discharge the resident
Rationale: Residents have the right to refuse medication. The refusal must be documented and
the physician/responsible party notified if necessary.
QUESTION 5
Which document must be completed before admission?
A. Incident report
B. Hospice waiver
C. Pre-admission appraisal and needs assessment
D. Staff schedule
Rationale: A pre-admission appraisal ensures the facility can meet the resident’s needs and
determines appropriate placement.
QUESTION 6
Fire drills in an RCFE must be conducted:
A. Annually
B. At least quarterly
C. Every 2 years
D. Only when requested
, Rationale: Fire drills must occur at least quarterly on each shift to ensure staff readiness and
compliance with safety regulations.
QUESTION 7
Which resident condition requires transfer to a higher level of care?
A. Mild forgetfulness
B. Controlled hypertension
C. Stage III or IV pressure injury requiring complex treatment
D. Independent ambulation
Rationale: Advanced pressure injuries requiring skilled nursing care exceed RCFE scope and
require transfer.
QUESTION 8
An administrator must maintain resident records for at least:
A. 1 year
B. 2 years
C. 3 years after termination of services
D. 10 years
Rationale: Regulations require retention of records for a minimum of three years after
discharge.
QUESTION 9
Which is considered a resident right?
A. Staff choosing roommate
B. Private communication and unopened mail
C. Forced participation in activities
D. Restricted visitation without cause
Rationale: Residents have the right to privacy, including private communication and mail.
QUESTION 10
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS A
NEW UPDATED VERSION LATEST 2026-2027 (VERIFIED
ANSWERS WITH RATIONALES) ALREADY GRADED A+
QUESTION 1
A resident in an RCFE begins wandering outside at night and appears confused. What is the
administrator’s first action?
A. Discharge the resident immediately
B. Apply physical restraints
C. Assess for change in condition and notify physician/responsible party
D. Lock the resident in their room
Rationale: A sudden behavioral change may indicate infection, medication issue, or cognitive
decline. The administrator must ensure assessment and proper notification before considering
higher level of care. Restraints and isolation are prohibited.
QUESTION 2
Which of the following requires a written physician’s order in an RCFE?
A. Encouraging hydration
B. Assisting with prescribed medication
C. Offering snacks
D. Social activities
Rationale: Assistance with medications must follow a physician’s order. Staff cannot
independently administer or change medication regimens without proper authorization.
QUESTION 3
An administrator must report suspected elder abuse to:
,A. The resident’s family only
B. Law enforcement within 7 days
C. Adult Protective Services immediately or as soon as practically possible
D. The facility staff meeting
Rationale: Suspected abuse must be reported immediately to Adult Protective Services (APS)
or appropriate authority. Failure to report can result in penalties and criminal liability.
QUESTION 4
A resident refuses medication. The correct action is to:
A. Crush medication secretly in food
B. Force the medication
C. Respect the refusal and document it
D. Discharge the resident
Rationale: Residents have the right to refuse medication. The refusal must be documented and
the physician/responsible party notified if necessary.
QUESTION 5
Which document must be completed before admission?
A. Incident report
B. Hospice waiver
C. Pre-admission appraisal and needs assessment
D. Staff schedule
Rationale: A pre-admission appraisal ensures the facility can meet the resident’s needs and
determines appropriate placement.
QUESTION 6
Fire drills in an RCFE must be conducted:
A. Annually
B. At least quarterly
C. Every 2 years
D. Only when requested
, Rationale: Fire drills must occur at least quarterly on each shift to ensure staff readiness and
compliance with safety regulations.
QUESTION 7
Which resident condition requires transfer to a higher level of care?
A. Mild forgetfulness
B. Controlled hypertension
C. Stage III or IV pressure injury requiring complex treatment
D. Independent ambulation
Rationale: Advanced pressure injuries requiring skilled nursing care exceed RCFE scope and
require transfer.
QUESTION 8
An administrator must maintain resident records for at least:
A. 1 year
B. 2 years
C. 3 years after termination of services
D. 10 years
Rationale: Regulations require retention of records for a minimum of three years after
discharge.
QUESTION 9
Which is considered a resident right?
A. Staff choosing roommate
B. Private communication and unopened mail
C. Forced participation in activities
D. Restricted visitation without cause
Rationale: Residents have the right to privacy, including private communication and mail.
QUESTION 10
