Page 1 of 122
Minnesota Assisted Living Director (ALD) Licensing Exam
ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE THIS YEAR
Summarized Exam Coverage – Minnesota ALD Exam
The ALD license is regulated by the Minnesota Board of Executives for Long Term Services and
Supports (BELTSS). To qualify, you must complete an approved training program (minimum 40
hours covering specified topics), pass the NAB core exam, and pass the Minnesota state exam (open
book, 35 questions, 1 hour 25 minutes) .
Key Content Areas (Minn. Rules 6400.7020) :
• Person-Centered Care Practices
• Vulnerable Adult Protection & Mandated Reporting (MN Stat. §626.557)
• Assisted Living Statutes & Rules (Chapter 144G), survey compliance
• Landlord-Tenant Law, fair housing, resident contracts
• Ombudsman Role & resident rights
• Practice Acts of health-related licensing boards (MN Stat. §214.01)
• Client/Family Relationships
• Health & Wellness: gerontology/geriatrics, common conditions, medication management,
nutrition/diet, preventing diversion
1. A newly hired Assisted Living Director in Minnesota has how many days from the date of hire to file a
licensure application with BELTSS?
A) 14 days
B) 30 days
C) 6 months (180 days)
D) 1 year
Answer: C – An applicant must file a completed licensure application within 6 months of hire .
2. A resident refuses to take their prescribed blood pressure medication despite the nurse's
recommendation. What is the director's legal obligation?
, Page 2 of 122
A) Force the resident to take the medication
B) Document the refusal and respect the resident's right to refuse care
C) Discharge the resident immediately
D) Call emergency medical services involuntarily
Answer: B – Residents have the legal right to refuse care; the facility must document the refusal and
continue to respect the resident's autonomy .
3. Which Minnesota statute chapter specifically regulates assisted living facilities in the state?
A) Chapter 144G
B) Chapter 245D
C) Chapter 256B
D) Chapter 626
Answer: A – Minnesota Statutes Chapter 144G is the primary law governing assisted living facilities .
4. A facility provides medication management services. Which professional must oversee this service
according to Minnesota law?
A) Licensed practical nurse (LPN)
B) Registered nurse (RN)
, Page 3 of 122
C) Certified nursing assistant (CNA)
D) Pharmacist
Answer: B – Only a registered nurse can oversee medication management services in an assisted living
facility .
5. The Minnesota Department of Health (MDH) conducts surveys of assisted living facilities at a
minimum frequency of:
A) Every year
B) At least every 2 years
C) Every 5 years
D) Only when a complaint is filed
Answer: B – MDH must inspect assisted living facilities at least once every two years .
6. A director is reviewing the facility's emergency preparedness plan. Which component is legally
required to be included?
A) Staff vacation schedules
B) Evacuation procedures and regular drills
C) Marketing strategies for new residents
, Page 4 of 122
D) Financial investment portfolio
Answer: B – Emergency preparedness plans must include evacuation procedures and drills to ensure
resident safety .
7. An Assisted Living Director applicant must be at least what age to qualify for licensure in Minnesota?
A) 18
B) 21
C) 25
D) 30
Answer: B – Applicants must be at least 21 years old to be licensed as an Assisted Living Director .
8. A resident's family member requests access to the resident's medical records without the resident's
consent. What is the director's correct response?
A) Provide the records; the family member has a right to know
B) Deny access unless the resident has given written authorization
C) Provide only medication records
D) Ask the family member to come back tomorrow
Minnesota Assisted Living Director (ALD) Licensing Exam
ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE THIS YEAR
Summarized Exam Coverage – Minnesota ALD Exam
The ALD license is regulated by the Minnesota Board of Executives for Long Term Services and
Supports (BELTSS). To qualify, you must complete an approved training program (minimum 40
hours covering specified topics), pass the NAB core exam, and pass the Minnesota state exam (open
book, 35 questions, 1 hour 25 minutes) .
Key Content Areas (Minn. Rules 6400.7020) :
• Person-Centered Care Practices
• Vulnerable Adult Protection & Mandated Reporting (MN Stat. §626.557)
• Assisted Living Statutes & Rules (Chapter 144G), survey compliance
• Landlord-Tenant Law, fair housing, resident contracts
• Ombudsman Role & resident rights
• Practice Acts of health-related licensing boards (MN Stat. §214.01)
• Client/Family Relationships
• Health & Wellness: gerontology/geriatrics, common conditions, medication management,
nutrition/diet, preventing diversion
1. A newly hired Assisted Living Director in Minnesota has how many days from the date of hire to file a
licensure application with BELTSS?
A) 14 days
B) 30 days
C) 6 months (180 days)
D) 1 year
Answer: C – An applicant must file a completed licensure application within 6 months of hire .
2. A resident refuses to take their prescribed blood pressure medication despite the nurse's
recommendation. What is the director's legal obligation?
, Page 2 of 122
A) Force the resident to take the medication
B) Document the refusal and respect the resident's right to refuse care
C) Discharge the resident immediately
D) Call emergency medical services involuntarily
Answer: B – Residents have the legal right to refuse care; the facility must document the refusal and
continue to respect the resident's autonomy .
3. Which Minnesota statute chapter specifically regulates assisted living facilities in the state?
A) Chapter 144G
B) Chapter 245D
C) Chapter 256B
D) Chapter 626
Answer: A – Minnesota Statutes Chapter 144G is the primary law governing assisted living facilities .
4. A facility provides medication management services. Which professional must oversee this service
according to Minnesota law?
A) Licensed practical nurse (LPN)
B) Registered nurse (RN)
, Page 3 of 122
C) Certified nursing assistant (CNA)
D) Pharmacist
Answer: B – Only a registered nurse can oversee medication management services in an assisted living
facility .
5. The Minnesota Department of Health (MDH) conducts surveys of assisted living facilities at a
minimum frequency of:
A) Every year
B) At least every 2 years
C) Every 5 years
D) Only when a complaint is filed
Answer: B – MDH must inspect assisted living facilities at least once every two years .
6. A director is reviewing the facility's emergency preparedness plan. Which component is legally
required to be included?
A) Staff vacation schedules
B) Evacuation procedures and regular drills
C) Marketing strategies for new residents
, Page 4 of 122
D) Financial investment portfolio
Answer: B – Emergency preparedness plans must include evacuation procedures and drills to ensure
resident safety .
7. An Assisted Living Director applicant must be at least what age to qualify for licensure in Minnesota?
A) 18
B) 21
C) 25
D) 30
Answer: B – Applicants must be at least 21 years old to be licensed as an Assisted Living Director .
8. A resident's family member requests access to the resident's medical records without the resident's
consent. What is the director's correct response?
A) Provide the records; the family member has a right to know
B) Deny access unless the resident has given written authorization
C) Provide only medication records
D) Ask the family member to come back tomorrow
