FL ALF CORE TRAINING FINAL EXAM – 2026/2027
With Rationales for Every Question ALREADY
GRADED A+
SECTION 1: ADMISSION & ASSESSMENT (Questions 1–6)
Question 1
A resident's AHCA Form 1823 (Health Assessment) must be completed no more than how many
days prior to admission?
A) 30 days
B) 60 days
C) 90 days
D) 120 days
Answer: B) 60 days
Rationale: Florida Administrative Code 58A-5.0182 requires that the health assessment be
completed within 60 days before admission OR within 30 days after admission. The "prior"
window is specifically 60 days to ensure the resident's medical status is current at time of move-
in.
Question 2
A new resident arrives with a Stage III pressure ulcer. The facility does not have a Limited
Nursing Services (LNS) license. What must happen?
A) Admit the resident and hope it heals quickly
B) Deny admission immediately
C) Admit but refer to a wound care clinic
D) Admit only if family signs a waiver
Answer: B) Deny admission immediately
Rationale: Under 58A-5.0182(3), ALFs without an LNS license cannot admit residents with Stage
III or IV pressure ulcers, nasogastric tubes, or ventilators. Even with LNS, Stage III ulcers must
show improvement within 30 days.
,Question 3
A resident who has lived in the facility for 2 years is given a 45-day involuntary discharge
notice due to behavioral issues. After 20 days, the behaviors resolve completely. Can the facility
rescind the notice?
A) Yes, if the resident again meets admission criteria
B) No, 45-day notices are irrevocable
C) Only with AHCA approval
D) Only if the family requests it in writing
Answer: A) Yes, if the resident again meets admission criteria
Rationale: Florida law allows a facility to rescind an involuntary discharge notice if the condition
that triggered the notice no longer exists AND the resident meets all retention criteria. The
notice is not automatically final.
Question 4
A resident's health assessment (Form 1823) expires. How long does the facility have to obtain
a new assessment?
A) 15 days
B) 30 days
C) 45 days
D) 60 days
Answer: B) 30 days
Rationale: Form 1823 is valid for 1 year. When it expires, the facility has 30 days to obtain an
updated assessment. Failure to do so is a Class II violation.
Question 5
Which of the following cannot be admitted to a standard ALF?
A) A 22-year-old with controlled diabetes
B) A 68-year-old using a walker
C) A 75-year-old requiring a ventilator
D) An 80-year-old with mild memory loss
, Answer: C) A 75-year-old requiring a ventilator
Rationale: Ventilator dependence is excluded from ALF admission even with an LNS license.
Only nursing homes may admit ventilator-dependent residents.
Question 6
A resident's family requests a copy of the admission agreement. The facility must provide it:
A) Only upon move-out
B) Within 7 days of request
C) Immediately upon request
D) Within 30 days of request
Answer: C) Immediately upon request
Rationale: The Resident Bill of Rights (429.28, F.S.) guarantees residents and their
representatives access to their admission agreement at any time without delay.
SECTION 2: MEDICATION MANAGEMENT (Questions 7–14)
Question 7
Mrs. Stamford has orders for two different eye drops at 9 AM. What is the correct procedure?
A) Give one drop then immediately the other
B) Wait 30 seconds between drops
C) Wait 5 minutes between drops
D) Wait 10 minutes between drops
Answer: D) Wait 10 minutes between drops
Rationale: Clinical guidelines require at least 5–10 minutes between different eye drops to
prevent the second drop from washing out the first. Florida training materials specify 10
minutes.
Question 8
Discontinued medications found in a resident's room must be:
With Rationales for Every Question ALREADY
GRADED A+
SECTION 1: ADMISSION & ASSESSMENT (Questions 1–6)
Question 1
A resident's AHCA Form 1823 (Health Assessment) must be completed no more than how many
days prior to admission?
A) 30 days
B) 60 days
C) 90 days
D) 120 days
Answer: B) 60 days
Rationale: Florida Administrative Code 58A-5.0182 requires that the health assessment be
completed within 60 days before admission OR within 30 days after admission. The "prior"
window is specifically 60 days to ensure the resident's medical status is current at time of move-
in.
Question 2
A new resident arrives with a Stage III pressure ulcer. The facility does not have a Limited
Nursing Services (LNS) license. What must happen?
A) Admit the resident and hope it heals quickly
B) Deny admission immediately
C) Admit but refer to a wound care clinic
D) Admit only if family signs a waiver
Answer: B) Deny admission immediately
Rationale: Under 58A-5.0182(3), ALFs without an LNS license cannot admit residents with Stage
III or IV pressure ulcers, nasogastric tubes, or ventilators. Even with LNS, Stage III ulcers must
show improvement within 30 days.
,Question 3
A resident who has lived in the facility for 2 years is given a 45-day involuntary discharge
notice due to behavioral issues. After 20 days, the behaviors resolve completely. Can the facility
rescind the notice?
A) Yes, if the resident again meets admission criteria
B) No, 45-day notices are irrevocable
C) Only with AHCA approval
D) Only if the family requests it in writing
Answer: A) Yes, if the resident again meets admission criteria
Rationale: Florida law allows a facility to rescind an involuntary discharge notice if the condition
that triggered the notice no longer exists AND the resident meets all retention criteria. The
notice is not automatically final.
Question 4
A resident's health assessment (Form 1823) expires. How long does the facility have to obtain
a new assessment?
A) 15 days
B) 30 days
C) 45 days
D) 60 days
Answer: B) 30 days
Rationale: Form 1823 is valid for 1 year. When it expires, the facility has 30 days to obtain an
updated assessment. Failure to do so is a Class II violation.
Question 5
Which of the following cannot be admitted to a standard ALF?
A) A 22-year-old with controlled diabetes
B) A 68-year-old using a walker
C) A 75-year-old requiring a ventilator
D) An 80-year-old with mild memory loss
, Answer: C) A 75-year-old requiring a ventilator
Rationale: Ventilator dependence is excluded from ALF admission even with an LNS license.
Only nursing homes may admit ventilator-dependent residents.
Question 6
A resident's family requests a copy of the admission agreement. The facility must provide it:
A) Only upon move-out
B) Within 7 days of request
C) Immediately upon request
D) Within 30 days of request
Answer: C) Immediately upon request
Rationale: The Resident Bill of Rights (429.28, F.S.) guarantees residents and their
representatives access to their admission agreement at any time without delay.
SECTION 2: MEDICATION MANAGEMENT (Questions 7–14)
Question 7
Mrs. Stamford has orders for two different eye drops at 9 AM. What is the correct procedure?
A) Give one drop then immediately the other
B) Wait 30 seconds between drops
C) Wait 5 minutes between drops
D) Wait 10 minutes between drops
Answer: D) Wait 10 minutes between drops
Rationale: Clinical guidelines require at least 5–10 minutes between different eye drops to
prevent the second drop from washing out the first. Florida training materials specify 10
minutes.
Question 8
Discontinued medications found in a resident's room must be:
