RCAL NAB Administrator Exam Federal – Actual
Practice Questions & Answers for Assisted
Living Licensing | Instant Pdf Download
ANSWER KEY AT THE END
Domain 1: Resident Care & Quality of Life (Questions 1–25)
1. What is the primary focus of person-centered care in an assisted living setting?
o A) Following a rigid daily schedule for all residents
o B) Maximizing facility revenue
o C) Individualizing care based on resident preferences and autonomy
o D) Reducing staff training requirements
2. A resident with dementia repeatedly asks to "go home." What is the best initial
response?
o A) Tell them they are already home
o B) Use validation therapy and redirect to a preferred activity
o C) Call the family to pick them up
o D) Sedate the resident for safety
3. A resident refuses to take prescribed medication. What should the administrator
ensure staff do FIRST?
o A) Crush the medication in food
o B) Respect the refusal, document it, and notify the physician
o C) Call emergency services
o D) Force the resident to take it
4. What is the purpose of an initial resident assessment?
o A) Determine the resident's financial status
, o B) Determine overall functional status
o C) Assign a room number
o D) Complete insurance forms
5. A resident with dementia becomes agitated during bathing. What is the best
approach?
o A) Continue bathing as quickly as possible
o B) Use restraints for safety
o C) Stop, reassure, and try again later with a gentler approach
o D) Call 911
6. What percentage of unplanned weight loss over 30 days is considered a significant
change requiring reassessment?
o A) 1%
o B) 3%
o C) 5%
o D) 10%
7. A resident has a Living Will. What does this document specify?
o A) Who inherits their property
o B) Medical intervention preferences if they become incapacitated
o C) Who will be their guardian
o D) Their financial power of attorney
8. Under the Patient Self-Determination Act of 1990, facilities must:
o A) Provide free healthcare to all residents
o B) Inform residents of their right to make medical decisions and execute
advance directives
o C) Force all residents to have a Living Will
o D) Ignore resident preferences
, 9. A resident has a Durable Power of Attorney for healthcare. When does it become
effective?
o A) Immediately upon signing
o B) When the principal becomes incompetent to act for themselves
o C) Only after court approval
o D) Never in assisted living
10. What is the best approach for a resident who is wandering and entering other
residents' rooms?
o A) Lock the resident in their room
o B) Use physical restraints
o C) Increase supervision, provide wandering paths, and redirect
o D) Discharge the resident
11. A resident with advanced dementia is unable to make care decisions. Who is legally
authorized to make decisions?
o A) The facility administrator
o B) The attending nurse
o C) The resident's court-appointed guardian or healthcare proxy
o D) Any family member
12. What is the primary goal of the Culture Change Movement in long-term care?
o A) Increase facility profits
o B) Create a more homelike environment focusing on resident choice
o C) Reduce staffing levels
o D) Standardize all care routines
13. A resident falls and suffers a minor bruise. What is the administrator's responsibility?
o A) Do nothing if the resident is okay
o B) Complete an incident report, notify family/physician, and review prevention
strategies
Practice Questions & Answers for Assisted
Living Licensing | Instant Pdf Download
ANSWER KEY AT THE END
Domain 1: Resident Care & Quality of Life (Questions 1–25)
1. What is the primary focus of person-centered care in an assisted living setting?
o A) Following a rigid daily schedule for all residents
o B) Maximizing facility revenue
o C) Individualizing care based on resident preferences and autonomy
o D) Reducing staff training requirements
2. A resident with dementia repeatedly asks to "go home." What is the best initial
response?
o A) Tell them they are already home
o B) Use validation therapy and redirect to a preferred activity
o C) Call the family to pick them up
o D) Sedate the resident for safety
3. A resident refuses to take prescribed medication. What should the administrator
ensure staff do FIRST?
o A) Crush the medication in food
o B) Respect the refusal, document it, and notify the physician
o C) Call emergency services
o D) Force the resident to take it
4. What is the purpose of an initial resident assessment?
o A) Determine the resident's financial status
, o B) Determine overall functional status
o C) Assign a room number
o D) Complete insurance forms
5. A resident with dementia becomes agitated during bathing. What is the best
approach?
o A) Continue bathing as quickly as possible
o B) Use restraints for safety
o C) Stop, reassure, and try again later with a gentler approach
o D) Call 911
6. What percentage of unplanned weight loss over 30 days is considered a significant
change requiring reassessment?
o A) 1%
o B) 3%
o C) 5%
o D) 10%
7. A resident has a Living Will. What does this document specify?
o A) Who inherits their property
o B) Medical intervention preferences if they become incapacitated
o C) Who will be their guardian
o D) Their financial power of attorney
8. Under the Patient Self-Determination Act of 1990, facilities must:
o A) Provide free healthcare to all residents
o B) Inform residents of their right to make medical decisions and execute
advance directives
o C) Force all residents to have a Living Will
o D) Ignore resident preferences
, 9. A resident has a Durable Power of Attorney for healthcare. When does it become
effective?
o A) Immediately upon signing
o B) When the principal becomes incompetent to act for themselves
o C) Only after court approval
o D) Never in assisted living
10. What is the best approach for a resident who is wandering and entering other
residents' rooms?
o A) Lock the resident in their room
o B) Use physical restraints
o C) Increase supervision, provide wandering paths, and redirect
o D) Discharge the resident
11. A resident with advanced dementia is unable to make care decisions. Who is legally
authorized to make decisions?
o A) The facility administrator
o B) The attending nurse
o C) The resident's court-appointed guardian or healthcare proxy
o D) Any family member
12. What is the primary goal of the Culture Change Movement in long-term care?
o A) Increase facility profits
o B) Create a more homelike environment focusing on resident choice
o C) Reduce staffing levels
o D) Standardize all care routines
13. A resident falls and suffers a minor bruise. What is the administrator's responsibility?
o A) Do nothing if the resident is okay
o B) Complete an incident report, notify family/physician, and review prevention
strategies
