RCAL NAB ADMINISTRATOR EXAM 2026 FINAL
ASSESSMENT PAPER RESIDENT CARE
OPERATIONS COMPREHENSIVE QUESTIONS
AND ANSWERS VERIFIED A+
◉ When is a resident assessment update needed? Answer: Return
from hospital stay, weight loss, change in cognitive impairment, falls,
change in ambulation, breakdown of skin, erratic behaviors
◉ What are Pressure Ulcers/Pressure Injuries (PU/PI)? Answer:
Localized damage to the skin and/or underlying soft tissue usually
over a bony prominence or related to a medical condition or other
device.
A pressure ulcer will present as an open ulcer, the appearance of
which will vary depending on the stage and may be painful.
The injury occurs as a result of intense and/or prolonged pressure
or pressure combination with shear.
◉ How do you prevent PUs/PIs? Answer: Identify whether the
resident is at risk for developing or has PU/PI upon admission.
,Evaluate resident specific risk factors and changes in the residents
condition.
Implement, monitor, and modify intervention to attempt to stabilize,
reduce, or remove underlying risk factors.
Utilize Position Change Alarms sparingly.
◉ What is an unavoidable accident? Answer: An accident that
occurred despite sufficient and comprehensive facility systems.
◉ The facility must ensure that a resident who is continent of
bladder and bowel on admission receives services and assistance
to... Answer: maintain continence unless their clinical condition is or
becomes such that continence is not possible to maintain.
◉ A resident who enter the facility without an indwelling catheter...
Answer: is not catheterized unless the resident's clinical condition
demonstrates that catheterization was necessary
◉ A resident who enters the facility with an indwelling catheter or
subsequently receives one is assessed for the removal of the
catheter... Answer: as soon as possible unless the resident's clinical
condition demonstrates the catheterization is necessary
,◉ For a resident with fecal incontinence, based on the resident's
comprehensive assessment, the facility must ensure that... Answer: a
resident who is incontinent of bowel receives appropriate treatment
and services to restore as much normal bowel function as possible
◉ When is prompted-voiding used? Answer: When dependent or
more cognitively impaired residents need assistance with toileting
◉ A resident is given the appropriate treatment and services to
maintain or improve their ability to carry out activities of daily
living, which include: Answer: hygiene, mobility, elimination, dining,
speech, language, gesture, and behavior
◉ What must a facility ensure about a resident's pain management?
Answer: That it is provided to residents who require such services
consistent with professional standards of practice and that the
resident's goals and preferences are outlined in the comprehensive
person-centered care plan
◉ Why is it important to follow a systematic approach regarding
resident pain management? Answer: to ensure the right medication
and dosage is selected based on the resident's condition
◉ Physician's must make __________ contact with the resident and at
the ___________ __________. Answer: face-to face, same location
, ◉ Physician's must meet with resident every _______ days for the first
_______ days of admission, and once every _____ days thereafter.
Answer: 30, 90, 60
◉ Guidelines for determining if a resident is appropriate for
medication self-administration: Answer: The medication is
appropriate and safe for self-administration.
The resident's physical capacity to swallow without difficulty and to
open medication bottles.
The resident's cognitive status, including their ability to correctly
name their medications and know what conditions they are for.
The resident's capability to follow directions and tell time to know
when medications need to be taken.
The resident's comprehension of instructions for the medications
they are taking, including the dose, timing, and signs of side effects
and when to report to facility staff.
The resident's ability to understand what refusal of medication.
ASSESSMENT PAPER RESIDENT CARE
OPERATIONS COMPREHENSIVE QUESTIONS
AND ANSWERS VERIFIED A+
◉ When is a resident assessment update needed? Answer: Return
from hospital stay, weight loss, change in cognitive impairment, falls,
change in ambulation, breakdown of skin, erratic behaviors
◉ What are Pressure Ulcers/Pressure Injuries (PU/PI)? Answer:
Localized damage to the skin and/or underlying soft tissue usually
over a bony prominence or related to a medical condition or other
device.
A pressure ulcer will present as an open ulcer, the appearance of
which will vary depending on the stage and may be painful.
The injury occurs as a result of intense and/or prolonged pressure
or pressure combination with shear.
◉ How do you prevent PUs/PIs? Answer: Identify whether the
resident is at risk for developing or has PU/PI upon admission.
,Evaluate resident specific risk factors and changes in the residents
condition.
Implement, monitor, and modify intervention to attempt to stabilize,
reduce, or remove underlying risk factors.
Utilize Position Change Alarms sparingly.
◉ What is an unavoidable accident? Answer: An accident that
occurred despite sufficient and comprehensive facility systems.
◉ The facility must ensure that a resident who is continent of
bladder and bowel on admission receives services and assistance
to... Answer: maintain continence unless their clinical condition is or
becomes such that continence is not possible to maintain.
◉ A resident who enter the facility without an indwelling catheter...
Answer: is not catheterized unless the resident's clinical condition
demonstrates that catheterization was necessary
◉ A resident who enters the facility with an indwelling catheter or
subsequently receives one is assessed for the removal of the
catheter... Answer: as soon as possible unless the resident's clinical
condition demonstrates the catheterization is necessary
,◉ For a resident with fecal incontinence, based on the resident's
comprehensive assessment, the facility must ensure that... Answer: a
resident who is incontinent of bowel receives appropriate treatment
and services to restore as much normal bowel function as possible
◉ When is prompted-voiding used? Answer: When dependent or
more cognitively impaired residents need assistance with toileting
◉ A resident is given the appropriate treatment and services to
maintain or improve their ability to carry out activities of daily
living, which include: Answer: hygiene, mobility, elimination, dining,
speech, language, gesture, and behavior
◉ What must a facility ensure about a resident's pain management?
Answer: That it is provided to residents who require such services
consistent with professional standards of practice and that the
resident's goals and preferences are outlined in the comprehensive
person-centered care plan
◉ Why is it important to follow a systematic approach regarding
resident pain management? Answer: to ensure the right medication
and dosage is selected based on the resident's condition
◉ Physician's must make __________ contact with the resident and at
the ___________ __________. Answer: face-to face, same location
, ◉ Physician's must meet with resident every _______ days for the first
_______ days of admission, and once every _____ days thereafter.
Answer: 30, 90, 60
◉ Guidelines for determining if a resident is appropriate for
medication self-administration: Answer: The medication is
appropriate and safe for self-administration.
The resident's physical capacity to swallow without difficulty and to
open medication bottles.
The resident's cognitive status, including their ability to correctly
name their medications and know what conditions they are for.
The resident's capability to follow directions and tell time to know
when medications need to be taken.
The resident's comprehension of instructions for the medications
they are taking, including the dose, timing, and signs of side effects
and when to report to facility staff.
The resident's ability to understand what refusal of medication.
