Texas Licensed Child Care Administrator (LCCA) Exam
Prep Test Bank Latest 2026-2027 – a Review of 400
Frequently Tested Questions with Correct Answers/ TX
Licensed Child Placing Agency Administrator (LCPAA)
1. What records must caregivers maintain for each child receiving medication?
A) A daily log of medication refusal
B) A cumulative medication record of all prescription and nonprescription
medications dispensed
C) A monthly summary of medication costs
D) A verbal report to the agency administrator
-ANSWER- B
2. Where must a child's medication records be maintained?
A) At the child-placing agency's main office only
B) At the foster home for the current month, with copies submitted monthly to the
agency
C) At the biological parent's residence
D) At the local pharmacy
-ANSWER- B
3. If a caregiver finds a medication error regarding a prescribed medication, what
must the caregiver do immediately?
A) Discard the medication and document the error
B) Wait 24 hours to see if side effects occur
C) Contact a health-care professional immediately
D) Notify the licensing board within 48 hours
-ANSWER- C
4. What must a caregiver do if a medication label error is discovered?
A) Ignore the error if the medication appears correct
B) Report the error to the pharmacist and have the label corrected by the next
business day
C) Write a correction on the label with a marker
D) Notify the police
-ANSWER- B
1
,5. What must caregivers do if a child has an adverse reaction to a medication?
A) Wait 24 hours to see if the reaction worsens
B) Immediately report the reaction to a health-care professional and the child's
parent, and document it
C) Administer more medication to counteract the reaction
D) Only document the reaction in the child's file
-ANSWER- B
6. If a child experiences side effects from any medication, what must the caregiver
do within 72 hours?
A) Report side effects to the prescribing health-care professional
B) Discontinue all medications
C) Notify the media
D) Wait for the next scheduled doctor visit
-ANSWER- A
7. When a physician orders administration of a psychotropic medication in an
emergency without prior consent, within what timeframe must you notify the
parent?
A) 24 hours
B) 48 hours
C) 72 hours
D) 7 days
-ANSWER- C
8. If a health-care professional prescribes psychotropic medication and does not
substantiate its effectiveness within 90 days, what is required?
A) Immediate discontinuation of the medication
B) A written rationale for continuing the medication for an additional 90 days
(total 180 days)
C) Automatic approval for one year
D) A second opinion from a nurse
-ANSWER- B
9. What is a protective device?
A) A device that restricts all mobility and is used for punishment
B) A device that protects from self-injurious behavior or permits wound healing
without prohibiting mobility
C) A mechanical restraint used for all children
2
,D) Any device that locks a child in a room
-ANSWER- B
10. May you use protective devices, and under what condition?
A) Yes, with a licensed physician's order for a specific child
B) Yes, at the caregiver's discretion
C) No, protective devices are never allowed
D) Yes, but only for children under age 5
-ANSWER- A
11. Can a physician provide PRN (as needed) orders for protective devices?
A) No, PRN orders are prohibited for protective devices
B) Yes, but must be reviewed every 90 days
C) Yes, with no review required
D) Only for children over age 12
-ANSWER- B
12. What is a supportive device?
A) A device used to restrict movement for behavioral control
B) A device used to support posture, assist mobility, or improve independent
functioning without restricting movement
C) A device that replaces nursing care
D) A device that ties a child's hands or feet
-ANSWER- B
13. May you use supportive devices?
A) Yes, with a licensed physician's order for a specific child
B) Yes, at the caregiver's discretion for any child
C) No, supportive devices are never allowed
D) Only for children with physical disabilities
-ANSWER- A
14. Who may use PRN orders for supportive devices, and what is the review
requirement?
A) Any caregiver; review every 30 days
B) A licensed physician; review every 90 days
C) The agency administrator; review annually
D) The foster parent; no review required
-ANSWER- B
3
, 15. When is a sleeping infant considered supervised?
A) Only when the caregiver is in the same room
B) If the caregiver is within eyesight or hearing range and can intervene, or uses a
monitoring device and is close enough
C) Never; infants must always be held
D) Only if a video camera is recording
-ANSWER- B
16. What furnishings and equipment must an infant care area have?
A) Shared cribs and few toys
B) An individual crib for each infant and sufficient toys to keep each child engaged
C) Stackable cribs and no toys
D) Only playpens
-ANSWER- B
17. Can a foster home have stackable cribs?
A) Yes, if space is limited
B) No
C) Only with special permission from Licensing
D) Yes, but only for twins
-ANSWER- B
18. What is the maximum allowable distance between crib slats or poles?
A) 3 inches
B) 2 3/8 inches
C) 4 inches
D) 1 inch
-ANSWER- B
19. Are mesh cribs or port-a-cribs allowed in foster homes?
A) No, never
B) Yes, if manufacturer's instructions are followed, mesh is securely attached, and
folded sides latch properly
C) Only for infants under 3 months
D) Only if no other cribs are available
-ANSWER- B
20. What equipment must have safety straps before use with an infant?
A) Only high chairs
B) Only swings
4
Prep Test Bank Latest 2026-2027 – a Review of 400
Frequently Tested Questions with Correct Answers/ TX
Licensed Child Placing Agency Administrator (LCPAA)
1. What records must caregivers maintain for each child receiving medication?
A) A daily log of medication refusal
B) A cumulative medication record of all prescription and nonprescription
medications dispensed
C) A monthly summary of medication costs
D) A verbal report to the agency administrator
-ANSWER- B
2. Where must a child's medication records be maintained?
A) At the child-placing agency's main office only
B) At the foster home for the current month, with copies submitted monthly to the
agency
C) At the biological parent's residence
D) At the local pharmacy
-ANSWER- B
3. If a caregiver finds a medication error regarding a prescribed medication, what
must the caregiver do immediately?
A) Discard the medication and document the error
B) Wait 24 hours to see if side effects occur
C) Contact a health-care professional immediately
D) Notify the licensing board within 48 hours
-ANSWER- C
4. What must a caregiver do if a medication label error is discovered?
A) Ignore the error if the medication appears correct
B) Report the error to the pharmacist and have the label corrected by the next
business day
C) Write a correction on the label with a marker
D) Notify the police
-ANSWER- B
1
,5. What must caregivers do if a child has an adverse reaction to a medication?
A) Wait 24 hours to see if the reaction worsens
B) Immediately report the reaction to a health-care professional and the child's
parent, and document it
C) Administer more medication to counteract the reaction
D) Only document the reaction in the child's file
-ANSWER- B
6. If a child experiences side effects from any medication, what must the caregiver
do within 72 hours?
A) Report side effects to the prescribing health-care professional
B) Discontinue all medications
C) Notify the media
D) Wait for the next scheduled doctor visit
-ANSWER- A
7. When a physician orders administration of a psychotropic medication in an
emergency without prior consent, within what timeframe must you notify the
parent?
A) 24 hours
B) 48 hours
C) 72 hours
D) 7 days
-ANSWER- C
8. If a health-care professional prescribes psychotropic medication and does not
substantiate its effectiveness within 90 days, what is required?
A) Immediate discontinuation of the medication
B) A written rationale for continuing the medication for an additional 90 days
(total 180 days)
C) Automatic approval for one year
D) A second opinion from a nurse
-ANSWER- B
9. What is a protective device?
A) A device that restricts all mobility and is used for punishment
B) A device that protects from self-injurious behavior or permits wound healing
without prohibiting mobility
C) A mechanical restraint used for all children
2
,D) Any device that locks a child in a room
-ANSWER- B
10. May you use protective devices, and under what condition?
A) Yes, with a licensed physician's order for a specific child
B) Yes, at the caregiver's discretion
C) No, protective devices are never allowed
D) Yes, but only for children under age 5
-ANSWER- A
11. Can a physician provide PRN (as needed) orders for protective devices?
A) No, PRN orders are prohibited for protective devices
B) Yes, but must be reviewed every 90 days
C) Yes, with no review required
D) Only for children over age 12
-ANSWER- B
12. What is a supportive device?
A) A device used to restrict movement for behavioral control
B) A device used to support posture, assist mobility, or improve independent
functioning without restricting movement
C) A device that replaces nursing care
D) A device that ties a child's hands or feet
-ANSWER- B
13. May you use supportive devices?
A) Yes, with a licensed physician's order for a specific child
B) Yes, at the caregiver's discretion for any child
C) No, supportive devices are never allowed
D) Only for children with physical disabilities
-ANSWER- A
14. Who may use PRN orders for supportive devices, and what is the review
requirement?
A) Any caregiver; review every 30 days
B) A licensed physician; review every 90 days
C) The agency administrator; review annually
D) The foster parent; no review required
-ANSWER- B
3
, 15. When is a sleeping infant considered supervised?
A) Only when the caregiver is in the same room
B) If the caregiver is within eyesight or hearing range and can intervene, or uses a
monitoring device and is close enough
C) Never; infants must always be held
D) Only if a video camera is recording
-ANSWER- B
16. What furnishings and equipment must an infant care area have?
A) Shared cribs and few toys
B) An individual crib for each infant and sufficient toys to keep each child engaged
C) Stackable cribs and no toys
D) Only playpens
-ANSWER- B
17. Can a foster home have stackable cribs?
A) Yes, if space is limited
B) No
C) Only with special permission from Licensing
D) Yes, but only for twins
-ANSWER- B
18. What is the maximum allowable distance between crib slats or poles?
A) 3 inches
B) 2 3/8 inches
C) 4 inches
D) 1 inch
-ANSWER- B
19. Are mesh cribs or port-a-cribs allowed in foster homes?
A) No, never
B) Yes, if manufacturer's instructions are followed, mesh is securely attached, and
folded sides latch properly
C) Only for infants under 3 months
D) Only if no other cribs are available
-ANSWER- B
20. What equipment must have safety straps before use with an infant?
A) Only high chairs
B) Only swings
4
