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200 Practice Exam Questions with Correct Verified
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ALF Core Exam Florida 2026 (Brand New)
Question 1
According to Florida Statute 429.02, an "assisted living facility" (ALF) is defined as:
A) A nursing home that provides 24-hour skilled nursing care
B) A facility that provides shelter, meals, and one or more personal services to adults who are
not in need of continuous skilled nursing care
C) An independent living community with no services
D) A hospital-based rehabilitation unit
Correct Answer: B
Rationale: Florida Statute 429.02 defines an ALF as a facility that provides shelter, meals, and
one or more personal services to adults who are not in need of 24-hour skilled nursing care but
may require assistance with activities of daily living (ADLs).
Question 2
Which agency is responsible for licensing and regulating ALFs in Florida?
A) Department of Elder Affairs
B) Agency for Health Care Administration (AHCA)
C) Department of Children and Families
D) Florida Department of Health
Correct Answer: B
Rationale: The Florida Agency for Health Care Administration (AHCA) is the licensing and
regulatory authority for ALFs under Chapter 429, Florida Statutes, and Chapter 58A-5, Florida
Administrative Code.
Question 3
,How often must an ALF license be renewed in Florida?
A) Every year
B) Every 2 years
C) Every 3 years
D) Every 5 years
Correct Answer: A
Rationale: ALF licenses in Florida must be renewed annually. The renewal application is
submitted to AHCA along with the required fee.
Question 4
A resident has the right to all of the following EXCEPT:
A) Manage their own money
B) Have visitors at any time without restriction
C) Refuse medication
D) Smoke in their room regardless of oxygen use
Correct Answer: D
Rationale: Residents have the right to smoke, but only in designated smoking areas that comply
with fire safety codes. Smoking is prohibited in areas where oxygen is in use due to fire and
explosion risk.
Question 5
What is the maximum number of residents allowed in a standard ALF without an extended
congregate care (ECC) license?
A) Unlimited
B) 50
C) 100
D) 200
Correct Answer: A
Rationale: Florida law does not specify a maximum number of residents for a standard ALF; the
capacity is determined by the facility's license based on square footage, staffing, and other
criteria. However, facilities with more than 100 beds have additional requirements.
Question 6
Which of the following is a "personal service" as defined in ALF regulations?
A) Administration of IV antibiotics
,B) Assistance with bathing, dressing, grooming, or eating
C) 24-hour skilled nursing care
D) Complex wound care
Correct Answer: B
Rationale: Personal services include assistance with activities of daily living (ADLs) such as
bathing, dressing, grooming, toileting, ambulation, and eating. Skilled nursing care (IV
antibiotics, complex wound care) is not permitted in a standard ALF.
Question 7
A resident who is determined to be a danger to self or others may be:
A) Immediately evicted without notice
B) Transferred to a mental health facility under the Baker Act (Florida Statute 394)
C) Locked in their room
D) Given sedatives without consent
Correct Answer: B
Rationale: The Baker Act (Florida Statute 394) provides for involuntary assessment of
individuals who are a danger to self or others. ALF staff must follow legal procedures and
cannot lock residents in rooms or administer sedatives without consent.
Question 8
How many hours of initial core training are required for ALF administrators in Florida?
A) 10 hours
B) 20 hours
C) 26 hours (Core) plus additional hours based on facility type
D) 40 hours
Correct Answer: C
Rationale: ALF administrators must complete 26 hours of core training. Facilities with ECC or
limited mental health licenses require additional specialized training hours.
Question 9
Which of the following is a reportable incident that must be reported to AHCA within 24 hours?
A) A resident refuses breakfast
B) A resident falls with injury requiring medical attention
C) A resident changes their preferred activities
D) A resident moves to another room
, Correct Answer: B
Rationale: Any incident that results in injury requiring medical attention (including falls,
medication errors, elopement, or suspected abuse) must be reported to AHCA within 24 hours.
Question 10
A resident's personal funds held by the facility must be:
A) Kept in the facility's operating account
B) Held in a separate trust account with detailed records
C) Given to the resident's family
D) Used for facility expenses
Correct Answer: B
Rationale: Resident trust funds must be held in a separate account (not commingled with facility
operating funds). Detailed records of deposits, withdrawals, and balances must be maintained
and provided to the resident upon request.
Question 11
Which of the following statements about medication assistance in an ALF is correct?
A) ALF staff can administer any medication including IV medications
B) ALF staff may assist residents with self-administration of medications as defined in rule
C) Only licensed nurses can give any medication in an ALF
D) Residents cannot keep any medications in their rooms
Correct Answer: B
Rationale: ALF staff may assist residents with self-administration of oral, topical, ophthalmic,
otic, inhaled, and transdermal medications as outlined in Florida Administrative Code 58A-5. A
licensed nurse is required for administration of medications via injection, PRN meds without a
regimen, or when the resident cannot self-administer.
Question 12
How often must a facility conduct fire drills?
A) Monthly
B) Quarterly
C) Every 6 months
D) Annually
Correct Answer: B