NAB RCAL STUDY 2026 EXAM GUIDE QUESTIONS
AND ANSWERS SURE A+
✔✔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
Records of personnel access, usage, and disposition of all controlled medications,
including destruction, wastage, return, or disposal
Periodic reconciliation of records of receipt, disposition, usage, and inventory
Disposal methods must involve a secure and safe method
✔✔What are the causes of malnutrition and dehydration? - ✔✔Inadequate attention
from staff
Lack of individualized care
Loss of appetite due to lack of exercise, no fresh air, or no sensory or mental stimulation
Improper assistance with eating and drinking
, Reliance on liquid supplements
Bland special diets or poor tasting food
Cultural differences
Improper environment
No water or beverages
Improper oral health
✔✔Weight loss, dry/cracked lips, difficulty speaking, dark yellow and infrequent
urination, slow wound healing, weakness, and loose/dry skin are caused by... -
✔✔malnutrition and dehydration
✔✔Foods should be prepared by methods that... - ✔✔conserve nutritive value, flavor,
appearance, and accommodate individual needs
✔✔What are therapeutic diets? - ✔✔A diet ordered by a physician or delegated
registered or license dietician as part of treatment for a disease or clinical condition, or
to eliminate or decrease specific nutrients in the diet, or to increase nutrients, or to
provide eatable food
✔✔What are mechanically altered diets? - ✔✔one in which the texture of the diet is
altered
✔✔No more than ______ hours between dinner and breakfast, except when a
________ _______ is provided - ✔✔14, nourishing snack
✔✔Safe food handling practices must be followed according to the _______ and
_______ guidelines - ✔✔FDA, CDC
✔✔If specialized rehabilitative services (PT, OT, SLP) are required in the resident's
comprehensive plan of care, the facility must provide the services or... - ✔✔obtain the
required services from an outside resource
✔✔Restorative services refers to... - ✔✔nursing interventions that promote the
resident's ability to adapt and adjust to living as independently and safely as possible
✔✔What does the Resident Assessment Instrument (RAI) include? - ✔✔Identification
and demographic information
Customary routine
AND ANSWERS SURE A+
✔✔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
Records of personnel access, usage, and disposition of all controlled medications,
including destruction, wastage, return, or disposal
Periodic reconciliation of records of receipt, disposition, usage, and inventory
Disposal methods must involve a secure and safe method
✔✔What are the causes of malnutrition and dehydration? - ✔✔Inadequate attention
from staff
Lack of individualized care
Loss of appetite due to lack of exercise, no fresh air, or no sensory or mental stimulation
Improper assistance with eating and drinking
, Reliance on liquid supplements
Bland special diets or poor tasting food
Cultural differences
Improper environment
No water or beverages
Improper oral health
✔✔Weight loss, dry/cracked lips, difficulty speaking, dark yellow and infrequent
urination, slow wound healing, weakness, and loose/dry skin are caused by... -
✔✔malnutrition and dehydration
✔✔Foods should be prepared by methods that... - ✔✔conserve nutritive value, flavor,
appearance, and accommodate individual needs
✔✔What are therapeutic diets? - ✔✔A diet ordered by a physician or delegated
registered or license dietician as part of treatment for a disease or clinical condition, or
to eliminate or decrease specific nutrients in the diet, or to increase nutrients, or to
provide eatable food
✔✔What are mechanically altered diets? - ✔✔one in which the texture of the diet is
altered
✔✔No more than ______ hours between dinner and breakfast, except when a
________ _______ is provided - ✔✔14, nourishing snack
✔✔Safe food handling practices must be followed according to the _______ and
_______ guidelines - ✔✔FDA, CDC
✔✔If specialized rehabilitative services (PT, OT, SLP) are required in the resident's
comprehensive plan of care, the facility must provide the services or... - ✔✔obtain the
required services from an outside resource
✔✔Restorative services refers to... - ✔✔nursing interventions that promote the
resident's ability to adapt and adjust to living as independently and safely as possible
✔✔What does the Resident Assessment Instrument (RAI) include? - ✔✔Identification
and demographic information
Customary routine
