RCAL NAB ADMINISTRATOR EXAM NEWEST 2025 ACTUAL EXAM QUESTIONS AND DETAILED CORRECT ANSWERS, Exams of Nursing

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RCAL NAB ADMINISTRATOR EXAM

NEWEST 2025 ACTUAL EXAM

QUESTIONS AND DETAILED CORRECT

ANSWERS (VERIFIED ANSWERS)| A+

GRADE

A RCAL community has yard service performed in May for $500. But does not pay the vendor until June. The $ expenses is an example of Correct Answer Accrual-based accounting Which insurance policy protects against claims alleging that negligence or inappropriate action resulted in bodily harm or property damage Correct Answer Property and Casualty Insurance A resident has the right to participate in social, religious and community activities provided these do not Correct Answer Conflict with the orders of the physician A resident with dementia at a healthcare organization likes to help fold clothes and set tables, asking this resident to help Correct Answer Is a way to engage the resident in something enjoyable and enhances person centered care The primary purpose of an initial care recipient assessment is to determine Correct Answer Overall Functional Status

The best way for the administrator to get feedback about dining services is Correct Answer Through the resident council If contracted laundry services for the residents personal clothing are provided off site Correct Answer The use of commercial laundry equipment by the contractor is required by the health department Mary J suffers from dementia. No matter how many times the staff explains something to her she doesn't seem able to accomplish the task. Which of the following is the best solution Correct Answer Task breakdown The best way to manage urinary incontinence is Correct Answer Regularly schedule toileting Criteria for move out from the RC/AL community should be disclosed at: Correct Answer Part of the move in A major consideration in creating a comprehensive activities program is that the activity director understands the Correct Answer Nature and extent of care recipient's disabilities For residents with dementia, optimal food consumption is best achieved by: Correct Answer Good screening, proper nutrition and hydration, and pleasant meal times

A prearranged contract with local agencies is part of an RCAL community's disasters plan because this will ensure Correct Answer That the community will have whatever is needed to keep residents safe and relatively comfortable during and emergency One of the fundamental elements of effective dementia care is: Correct Answer Creating a specialized, secure and quiet environment for patients with dementia Information should be added to an individual service plan: Correct Answer At a minimum when the resident has a significant change of condition A small fire has started in a resident bedroom. The life safety code (LSC) directs the staff to first: Correct Answer Remove the resident and any other persons from the room In Life safety Code (LSC), fire extinguishers are listed by which of the following classifications Correct Answer A, B and C An example of creating a dementia living environment that integrates residential features with clinical and social aspects is: Correct Answer Incorporating natural elements such as animals and plants An employee working overtime sees a supervisor and a coworker kissing in the unoccupied room an hour after their shift has ended. The next day, the supervisor tells the employee you do not need to mention what you saw

yesterday. We are all adults here, and what we do after hours is our own business. The employee feels threatened. Is an example of sexual harassment? No. because it did not happen to the witnessing employee No. because the incident happened after the supervisor coworkers shift had ended Yes. because it is morally reprehensible and ethically unacceptable Yes. because the conduct only need to be offensive to the witnessing employee Correct Answer Yes, because it is morally reprehensible and ethically unacceptable Two simple techniques for minimizing the spread of microorganisms along floors when wet mopping are: Correct Answer Utilizing a double bucket mopping technique and frequent changing mop water Whether or not the state sets a minimum number of staff or staffing hours, communities should staff based on the Correct Answer Resident care needs The occupational safety and health administration (OSHA) a. Provides rights and protection for participants in group health plans Correct Answer Requires employers to maintain a log of certain injuries and illnesses What are the top 4 additionally cited quality of care deficiencies in AL between 1996- 1997 Correct Answer Providing poor care insufficient and unqualified untrained staff Poor medication management

Not following admission and discharge policies For people who have not named an agent in advance, the courts can be asked to name a surrogate decision maker, this process is known as Correct Answer Guardianship, (conservatorship in california) If a person in need of guardianship does not have a relative or other person willing to act as guardian, states have public guardians whose job is to act as guardian in such cases Correct Answer True Why was the Guardianship law create? Correct Answer The Guardianship law was created and designed mainly to name surrogates for people who did not nominate a surrogate in advance of losing capacity A national study have estimated that 3 to 4 % of nursing home and ALF residents have lost capacity and have no formal or informal surrogate and have not executed any advance directive. Correct Answer True. These residents are sometimes called unrepresented residents Some ALF communities will not accept unrepresented residents because they need someone with legal authority to sign the admission agreement Correct Answer True. Providers cannot contract with unrepresented residents or residents who does not have capacity to sign admission agreement

ALF should adamentaly avoid acting as health care surrogates for unrepresented residents. If a resident does not have capacity or a surrogate, no consent can be legally given and any provider who does so may be guilty of batter, false imprisonment or crimes and torts. Correct Answer True. A local guardian should be engaged for unrepresented residents Review Tort laws, contracts, estate planning, advance planning surrogate decision making, Correct Answer Be mindful of elder laws that should be an ally of ALF rules and regulations are there to help navigate concerns for unrepresented elders Accounting is a discipline that is based on basic and evident concepts which should be understood by the financial manager. Correct Answer True The financial system should allow for basic cost accounting so that the senor management will be aware of all expenses and revenues relating to each department. this accounting system should also be able to collect data such as number of admissions, readmissions, resident transfers upgrades downgrades discharges in order for senior management to do what? Correct Answer Strategic Planning What are the two basic systems in accounting Correct Answer cash basis and accrual basis

Which of the following helps to control community risk by evaluating current incidents** Correct Answer A. shared risk agreement Safety committee programs Which department is responsible for oversight of resources activities Correct Answer Administration What does a good cultural fit refers to Correct Answer Values and beliefs of the facility which of the following are hiring requirements of caregivers (NAC 449.196)? Correct Answer ability to read and write English OBRA is known as Correct Answer Omnibus Budget Reconciliation Act of 87. Also known as the Federal Nursing Home Reform Act. This was enacted to protect the rights of patients in long-term care facilities such as nursing homes, skilled nursing facilities, and assisted living homes. (1987) it is a federal law that establishes regulations for nursing facilities and nurse aide training facilities. The Intent of OBRA: is to improve the quality of life for residents in nursing facilities. Restrictions of Admission Correct Answer A facility shall not admit or allow to remain in the facility any person that is bedfast, requires restraint, requires confinement in locked quarters, or require skill nursing or other medical Two competent residents are involved in a sexual relationship. The families of both residents are angry and

demand that the administrator force the residents to ends the relationship. What is the best course of action? Correct Answer And: Respect the residents' wishes and ensure their privacy

• refer the The situation to social services and adjust the service plan
• involved in woodsman in the situation
• Refer to the ethics committee for discussion The document best used to set realistic expectations between the RCAL community and the resident is the Correct Answer Service plan agreement One goal of assisted living is to help seniors remain as independent as possible by providing Correct Answer Daily structure and fixed schedules for meals and activities When a resident is not competent to make a medical decision the court may appoint a Correct Answer Legal Guardian An example of insurance that is generally required by federal state law is Correct Answer Workers compensation. All business are required by Federal/State law to cover any employees who may be injure while working on the job In regard to managing a residents personal funds, the healthcare organization Correct Answer Should have a written authorization to manage the residents personal funds

Tort Law is Correct Answer The law governing people's relationships with one another as general members of a civil society What are the key elements to a Tort Law Correct Answer

1. civil wrong against a person or property 2.prosecuted by the victim or their representative e.g, usually personal injury law What are statutes? Correct Answer written laws enacted by legislatures. statues comes from Federal, state and local governments and vary considerably Regulations/Rules Correct Answer 1. Operate with a large grant of power from Congress
2. Must first develop guidelines 3.Apply and enforce rules 4.Are passed by government agencies operating within the executive branch
3. statues usually prevails regulations Agency that addresses ALF is often called: Correct Answer Department of health and human services Common Law comes from: Correct Answer 1. Judges
4. To fill the void of Statutes and Regulations
5. Are developed as courts consideted cases and rendered decisions based on principles of general fairness
6. Common law is prominent in tort laws involving negligence

Law comes from Correct Answer constitutions (state and federal)- includes treaties made by the federal government statutory (state and federal)- found in books on line administrative agencies (state and federal)- case law and common law doctrines- judge made law, decisions of courts interpreting the above types of law. essentially all 3 branches of government. Statutes comes from the legislative branch. Regulations from the executive branch and common law from the judicial branch What are tort law remedies? Correct Answer 1.Monetary compensation-focus on making the victim whole

2. Equitable relief-a=injunctions e,g court orders and b=specific performance or court order requiring a party to complete its promises made in a contract Negligence Correct Answer careless neglect, often resulting in injury. Failure to live up to the applicable standard of care. does not require a failure to act; positive actions can constitute negligence What are the 4 elements of negligence claims Correct Answer 1.the negligent party must have a duty of exercising due care to the victim 1.Must have been a breach of the standard of care 3.the breach must have caused actual harm to the victim 4.the harm must be measurable in damages

What is the most important element of Negligence? Correct Answer The duty to care - based on state laws and professional standards What are the applicable standard of care expressed by state laws? Correct Answer 1. Required Services(shelter, food, supervision assistance with ADLS, assist with meals, dressing, grooming, transportation to Md apts essentially oversight and assistance with the residents personal needs

2. Resident care plan - must be updated whenever the residents needs change, reviewed by an MD annually
3. the care plan assessment must reflect the residents current condition and address a plan for any changing needs and continuous revision and should be viewed as active, fluid process involving both assessment and implementation 4.Staffing levels - minimum staffing levels to provide adequate care to residents - monitor staff levels and the care needs of the residents Medication Management Correct Answer Communicating with the physician about prescriptions, filling prescriptions at the pharmacy, interpreting medication instructions, taking medications on a routine basis, refilling prescriptions in a timely manner. Store/distribute medication to the hands of the resident never in the mouth. Medication Management Liabilities includes: Correct Answer medication error. overdose of residents. if

residents not able to continue taking their medication the facility must take the medication. staff training must be satisfied for Med MGMT. supervise outside nursing performance. Resident falls dilemma Correct Answer Resident autonomy, explore risks and benefits, how to walk/ambulate, explore residents safety, how to prevent residents from falling, can lead to severe injuries and permanent declines in functioning or death. Falls leads to personal injury law suits. Resident falls dilemma 2 Correct Answer The only way to prevent fall is to restrain residents, which is prohibited by law, but the state does not set any care standards or guidelines to prevent falls. Care plans should indicate if a resident is at risk for falls and how it is addressed. Implement appropriate measures to limit that risk of falls as much as possible. assistance to bathroom. walkers, wc cane. document residents acceptance or refusal of recommended fall prevention techniques. explore environmental issues, carpeting, grab bars, lighting, spill clean up. Detailed post fall procedures that at minimum assess the resident for a physician visit. documents the falls and triggers additional care plan revision. post fall procedures will be scrutinized by attorneys whenever a fall leads to significant injury or death resident and wandering Correct Answer Balance the rights for residents to be free however, supervision and safety is

utmost important as well balance the rights of both standard care. Accounting is Correct Answer The system which accumulates data of quantitative nature relating to the activities taking place in the facility Accounting collects data on: Correct Answer Admission, readmission, resident transfers, discharges, upgrades, downgrades and also helps to facilitate strategic planning what are the discipline and evidential concepts of accounting? Correct Answer 1.Buying and selling and carrying out business activities 2.continuity of activity, life of its own and devided into parts. Timed measurements to determine the amount of dollars earned and the expenditures in each piece 3.objectively documented. accounts payable invoice must be accompanied by proper documentation PO, vendor invoice, receiving report, paper check issued in payment of the bill 4.consistent year to year. standardization and uniformity is crucial 5.full disclosure relating to accounting procedures is essential 6.historical costs is the acting term for the evaluation of assets and the recording of most expenses. 7.Acquisistion of donated property does not include costs. failure to do so will result in underreporting of assets, revenues and expenses.

What is the best environment that allows you to pick up on a change in a resident condition Correct Answer a environment where providers are tuned into the residents Mr.L has been in LTC facility for amonth. he has a pressure ulcer that developed weeks ago and measurements are about the same as last week. the nurs shoud Correct Answer mention it at report, noting that it is unchanged, and when the nrs/doctor will next review the situation which of the following are part of gauging a resident's normal patterns:talking with the resident about things that are important to the resident assessment of consciousness and function reviewing the residents health record all the above Correct Answer talking with the resident about things that are important to the resident assessment of consciousness and function reviewing the residents health record all the above you notice that another nurses residents who is in the room near where you are to see your resident, is angrily demaning his lunch. you are surprised because he is usually quiet and patient. which of the following is the best next step? a. ask the licensed nurse if she has noticed any change in his mood or behavior, and if she has asked him how he was feeling b. you go to the resident and ask how he was feeling

** c. you ask the resident what is wrong? telling him you will check on his lunch, and then notify the licensed nurse responsible for the resident about the possible change in condition d. you do nothing, as this is the first time it has occur Correct Answer c. you ask the resident what is wrong? telling him you will check on his lunch, and then notify the licensed nurse responsible for the resident about the possible change in condition The early warning tool reminds you to do the following except Correct Answer notice whether the resident seems different than usual check whether the resident ate less than usual **assess the residents capacity to make a decision notice whether the resident seems more agitated or nervous than unsusal What protocol doe s the SBAr tool ask you to follow Correct Answer situation-Blame-Argue-Resolve **situation-Background-Assessment-Recommendation situation-Background-alleviate-Resolve solve-No blame-Assessment-Resolve management by objectives Correct Answer a four-step process in which managers and employees discuss and select goals, develop tactical plans, and meet regularly to review progress toward goal accomplishment if you notice a sudden change in a resident's condition what should the nursing assistant do?

a.notify the supervisor b.document it in the resident record c.check with a coworker about any previous history of similar events d.all the above. Correct Answer d.all the above. Management Defined Correct Answer Management is getting work done with the through other people Management is Correct Answer designing and maintaining an environment withing an enterprise in which individuals, working together in groups, can accomplish selected missions and objectives Role of the Manager Correct Answer Manager is responsible for taking actions that enable their employees to make their best contribution to the group objectives Management is also defined as Correct Answer a process of achieving desired results through utilization of human and material resources Management Hierarchy Correct Answer Governing body & 3 levels of management Top Management Middle Management Line management top management team Correct Answer A group composed of the CEO, the president, and the heads of the most

important departments, Administrator - also referred to as executive staff middle management Correct Answer managers who supervise lower-level managers and report to a higher- level manager - also referred to as the division department heads. e.g DON line management Correct Answer - have formal authority and responsibility for management of the organization

• help to formulate strategy by providing information
• are responsible for executing the plans of top management
• have line workers under their supervision
• are at the bottom of the administrative hierarchy Supervisors/Managers are Correct Answer Paid to take the lead and take action the produces results Leadership Correct Answer the use of power and influence to direct the activities of followers toward goal achievement The administrator as a leader Correct Answer - faces federal and state regulations challenges
• The success of the organization starts with leadership and the Admin is the Leader!
• And admin must see the whole picture Characteristics of a Leader Correct Answer 1 - Starts with visibility - be out and about in the community, get to know

people and let people get to know you. Can better monitor and evaluate the outcomes of facility programs polices procedures and rules that help ensure care is being provided according to standards

• promote and protect residents rights, financial viability of the institution and the ability to integrate the facility into the LTC continuum - ghost cannot lead 2 - Decisiveness if the leader does not make a decision someone else will. Must have the authority to make certain decision. they will be held accountable for making mistakes. It is better to make errors of commission than omission 3 - Be a good listener - value your employees opinions empower the individual not only as an employee but also as a human being. Whether in counseling session or brainstorming meeting. You have to build loyalty. People are more apt to follow someone who values them 4 - Communicate with your employees and all other interested parties, communications from administrators must be in a language that the person understands 5 - Leadership involves "rolling up your sleeves" and helping when the situation dictates - helping make beds on a day the community is short sends a message to the team. 6 - Leaders understand your employees and accept their emotions. Leaders do not judge the employee when they loose their emotional equilibrium, but rather they accept these emotions as natural 7 - Means being goal oriented, setting a goal is fruitless if one does not educate the staff as to what that goal is

8 - Must possess competitiveness - who wants to be known as the second best community in town? not me! How can we become the flasgship community for mission? we should always be the employer of choice. deficiency free surveys, five star rating, A rating facility, the best reputation for our co Which of the following Organizational Department is responsible for Recruiting, Employee Benefits, employee training and Terminations? A-Sales and Marketing Dept B-Maintenance Dept C-Human Resources Mgmt D-Wellness Depart Correct Answer C-Human Resources Which of the following Federal Agency ensures safe and healthful working conditions for employees by setting and enforcing standards and by providing training, outreach, education and assistance in the workplace? A-EEOC B-OSHA C-IRS D-SSA Correct Answer B-OSHA (Occupational Safety and Health Administration) The first step in the HR management process is to develop A-Policies B-Procedures C-Rules

D-All 3 Correct Answer D-All 3 their purpose is to serves as guidelines proving information on what employees can expect from management and what management expects in regard to work performance and behavior A POLICY authorizes the administrator to: A-make decisions or guide the decision making of the staff, especially as it relates to employee and the agreement that they will follow organizations rules B-guide the Actins necessary to accomplish an individual task C-specify certain actions to be taken or not taken D-create the HR manual Correct Answer A-A POLICY help make decisions or guide the decision making of the staff, especially as it relates to employee and the agreement that they will follow organizations rules What does PROCEDURES guides in Human Resources Management? A-Procedures guides the Actions necessary to accomplish an individual task B-guides the decision making of the staff, especially as it relates to employee and the agreement that they will follow organizations rules C-guides or specify certain actions to be taken or not taken D-guides the create the HR manual Correct Answer A- Procedures guides the Actions necessary to accomplish an individual task

The Rules of an organization distributed through Human Resources Management specify: A-Procedures that guides the Actions necessary to accomplish an individual task B-guides the creation of the HR manual C-guides the decision making of the staff, especially as it relates to employee and the agreement that they will follow organizations rules D-guides or specify certain actions to be taken or not taken Correct Answer D-Organizational RULES guides or specify certain actions to be taken or not taken The HR Manual considered: A-A Company's Smoking Guide B-Staff Guide C-A document detailing an Organizations policies regarding employees management and the relationship between managers and employees D-Working hours of the employee Correct Answer C-A document detailing an Organizations policies regarding employees management and the relationship between managers and employees An Employee Handbook is pertinent and must be: A-Be Given to every employee upon hire and during the onboarding process B-Be saved in the employee file C-Be copied and given to every family member D-Be given the the employee bank Correct Answer A-Be Given to every employee upon hire during the onboarding process

Expands the task set that you perform and the skills that you can develop. Makes for more stimulating and interesting work: A-Job Enrichment B-Job Specialization C-Job Analaysis D-Job Description Correct Answer A-Job Enrichment - gives you more freedom, independence and responsibility The process of Gathering and analyzing information about the context and the human requirements of jobs as well as context in which job is performed is: A-Job Enrichment B-Job Specialization C-Job Anlaysis D-Job Description Correct Answer C-Job Analysis as opposed to job description, which lists the information about the job, the job specification lists qualities they the employee should or sometimes must have in order to qualify for the job A-Job Enrichment B-Job Specification C-Job Analaysis D-Job Description E-Job Design Correct Answer B-Job Specification - specific education/training in a specific job

an informative document of the scope, duties, tasks responsibilities and working conditions related to the job listing in the organization process of job analysis. A-Job Enrichment B-Job Specification C-Job Analaysis D-Job Description E-Job Design Correct Answer D-Job Description Is the creation, optimization, enlargement, enrichment and customization of jobs to meet the objectives of an organization and improve the employee experience A-Job Enrichment B-Job Specification C-Job Analaysis D-Job Description E-Job Design Correct Answer E-Job Design one must decide what must be done, how and when it will be done and who will do it. This function involves decision making and more: A-planning B-organizing C-staffing D-directing or leading E-controlling Correct Answer A-planning What are the MANAGERIAL FUNCTIONS of Human Resources Management? Correct Answer A-planning B-organizing C-staffing

D-directing or leading E-controlling It is the grouping of people and activities the assigning of roles and activities, the asigning of roles, and delegating authority for their supervision in a way that prevents friction and other unsought consequences. A-planning B-organizing C-staffing D-directing or leading E-controlling Correct Answer B-organizing-its purpose is to carry out plans, accomplish goals, make possible effective working relationships and efficient operations this function includes all the things a nursing facility does in recruiting, interviewing, selecting, orienting, training, promoting, demoting terminating and retiring employees A-planning B-organizing C-staffing D-directing or leading E-controlling Correct Answer C-staffing Is the process of influencing employees so they will strive willingly and enthusiastically toward achieving organizational goals A-planning B-organizing C-staffing D-directing or leading

E-controlling Correct Answer D-directing or leading Measures work performance against original plans to determine if they are being properly carried out and to correct any errors in performance: A-planning B-organizing C-staffing D-directing or leading E-controlling Correct Answer E-controlling A leader's style largely depends on how he reacts to and handles hostility. in all organizations hostility develops naturally and flow upward toward the administrator. Leaders are concerned with two things what are they? Correct Answer A-Human relations feelings and attitiudes of employees B-Tasks - completing the work according to standards This style of leadership is a loose, accepting, easygoing, supportive style in which the leader tells his staff what he wants accomplished and leaves them alone. A-Democratic B-Laissez-Fraire C-Paternal D-Dictatoral Correct Answer B-Laissez-Fraire allows for considerable employee input and is true participative management style. As best possible team decides how best the tasks can be accomplished A-Democratic