RCAL NAB Administrator Exam Questions
and Answers (2026) | Latest Test Bank
with Verified Solutions | Grade A+
• When is a resident assessment update needed? -✓✓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)? -✓✓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? -✓✓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? -✓✓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... -✓✓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... -✓✓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... -✓✓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... -✓✓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? -✓✓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: -✓✓hygiene,
mobility, elimination, dining, speech, language, gesture, and behavior
• What must a facility ensure about a resident's pain management? -✓✓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? -✓✓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
___________ __________. -✓✓face-to face, same location
• Physician's must meet with resident every _______ days for the first _______
days of admission, and once every _____ days thereafter. -✓✓30, 90, 60
• Guidelines for determining if a resident is appropriate for medication self-
administration: -✓✓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.
The resident's ability to ensure that medication is stored safely and securely.
• Medication error means... -✓✓the observed or identified preparation or
administration of medications or biologicals.
• Medication errors go against... -✓✓the prescriber's orders, manufacturer's
specifications, accepted professional standers and principles
• What does a significant medication error means? -✓✓AN error which causes the
resident's discomfort or jeopardizes their safety and health
• What does the pharmacy do? -✓✓Collaborates with facility and Medical Director
on aspects of pharmaceutical services
• The drug regimen of each resident must be... -✓✓reviewed at least once a month
by a pharmacist
• Pharmacist must report any irregularities to... -✓✓the attending physician,
Medical Director, and Director of Nursing
• Guidelines for Controlled Medications: -✓✓Records of receipt of all controlled
medications
and Answers (2026) | Latest Test Bank
with Verified Solutions | Grade A+
• When is a resident assessment update needed? -✓✓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)? -✓✓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? -✓✓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? -✓✓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... -✓✓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... -✓✓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... -✓✓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... -✓✓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? -✓✓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: -✓✓hygiene,
mobility, elimination, dining, speech, language, gesture, and behavior
• What must a facility ensure about a resident's pain management? -✓✓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? -✓✓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
___________ __________. -✓✓face-to face, same location
• Physician's must meet with resident every _______ days for the first _______
days of admission, and once every _____ days thereafter. -✓✓30, 90, 60
• Guidelines for determining if a resident is appropriate for medication self-
administration: -✓✓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.
The resident's ability to ensure that medication is stored safely and securely.
• Medication error means... -✓✓the observed or identified preparation or
administration of medications or biologicals.
• Medication errors go against... -✓✓the prescriber's orders, manufacturer's
specifications, accepted professional standers and principles
• What does a significant medication error means? -✓✓AN error which causes the
resident's discomfort or jeopardizes their safety and health
• What does the pharmacy do? -✓✓Collaborates with facility and Medical Director
on aspects of pharmaceutical services
• The drug regimen of each resident must be... -✓✓reviewed at least once a month
by a pharmacist
• Pharmacist must report any irregularities to... -✓✓the attending physician,
Medical Director, and Director of Nursing
• Guidelines for Controlled Medications: -✓✓Records of receipt of all controlled
medications
