RCFE Initial Certification Test: Questions and Answers, Exams of Nursing

A series of questions and answers related to the rcfe (residential care facilities for the elderly) initial certification test. It covers various aspects of rcfe regulations, including resident care, safety, and facility operations. The document can be a valuable resource for individuals preparing for the rcfe certification exam.

Typology: Exams

2024/2025

Available from 02/11/2025

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RCFE Initial Certification Test with verified answers
Residents |!|with |!|a |!|dementia |!|diagnosis |!|who |!|are |!|unable |!|or |!|unlikely |!|to |!|
respond, |!|either |!|physically |!|or |!|mentally, |!|to |!|oral |!|instructions |!|relating |!|to |!|
exiting |!|during |!|an |!|emergency |!|are |!|considered: |!|- |!|correct |!|answer |!|Non-
ambulatory
Casts |!|and |!|braces |!|are |!|not |!|good |!|examples |!|of |!|postural |!|supports |!|and |!|they |!|do |!|
not |!|require |!|a |!|doctor's |!|order |!|- |!|correct |!|answer |!|False
The |!|designated |!|substitute |!|must |!|be |!|at |!|least |!|18 |!|years |!|of |!|age |!|- |!|correct |!|
answer |!|True
A |!|staff |!|member |!|who |!|provides |!|direct |!|care |!|to |!|residents |!|must |!|be |!|a |!|first |!|aid |!|
and |!|CPR |!|card |!|holder |!|- |!|correct |!|answer |!|False
All |!|employees |!|are |!|subject |!|to |!|criminal |!|clearance |!|within |!|seven |!|days |!|after |!|
employment. |!|- |!|correct |!|answer |!|False
There |!|shall |!|be |!|one |!|locked |!|storage |!|area |!|for |!|guns, |!|ammunition, |!|and |!|poisons.
|!|- |!|correct |!|answer |!|False
A |!|waiver |!|is |!|a |!|variance |!|to |!|a |!|regulation |!|for |!|a |!|circumstance |!|at |!|the |!|property. |!|-
|!|correct |!|answer |!|True
At |!|least |!|____ |!|toilet |!|and |!|wash |!|basin |!|for |!|each |!|____ |!|persons, |!|which |!|includes |!|
residents, |!|family |!|and |!|personnel, |!|is |!|required. |!|- |!|correct |!|answer |!|1/6
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RCFE Initial Certification Test with verified answers

Residents |!|with |!|a |!|dementia |!|diagnosis |!|who |!|are |!|unable |!|or |!|unlikely |!|to |!| respond, |!|either |!|physically |!|or |!|mentally, |!|to |!|oral |!|instructions |!|relating |!|to |!| exiting |!|during |!|an |!|emergency |!|are |!|considered: |!|- |!|correct |!|answer |!| Non- ambulatory Casts |!|and |!|braces |!|are |!|not |!|good |!|examples |!|of |!|postural |!|supports |!|and |!|they |!|do |!| not |!|require |!|a |!|doctor's |!|order |!|- |!|correct |!|answer |!| False The |!|designated |!|substitute |!|must |!|be |!|at |!|least |!| 18 |!|years |!|of |!|age |!|- |!|correct |!| answer |!| True A |!|staff |!|member |!|who |!|provides |!|direct |!|care |!|to |!|residents |!|must |!|be |!|a |!|first |!|aid |!| and |!|CPR |!|card |!|holder |!|- |!|correct |!|answer |!| False All |!|employees |!|are |!|subject |!|to |!|criminal |!|clearance |!|within |!|seven |!|days |!|after |!| employment. |!|- |!|correct |!|answer |!| False There |!|shall |!|be |!|one |!|locked |!|storage |!|area |!|for |!|guns, |!|ammunition, |!|and |!|poisons. |!|- |!|correct |!|answer |!| False A |!|waiver |!|is |!|a |!|variance |!|to |!|a |!|regulation |!|for |!|a |!|circumstance |!|at |!|the |!|property. |!|- |!|correct |!|answer |!| True At |!|least |!|____ |!|toilet |!|and |!|wash |!|basin |!|for |!|each |!|____ |!|persons, |!|which |!|includes |!| residents, |!|family |!|and |!|personnel, |!|is |!|required. |!|- |!|correct |!|answer |!| 1/

All |!|persons |!|who |!|supervise |!|employees |!|must |!|be |!| 21 |!|years |!|old. |!|- |!|correct |!| answer |!| False You |!|must |!|notify |!|the |!|fire |!|department |!|when |!|oxygen |!|is |!|to |!|be |!|used |!|in |!|the |!| facility |!|within |!| 24 |!|hours |!|of |!|having |!|the |!|provided |!|service |!|in |!|the |!|building. |!|- |!| correct |!|answer |!| False If |!|a |!|licensee |!|hires |!|a |!|new |!|administrator, |!|the |!|department |!|must |!|be |!|notified |!| within: |!|- |!|correct |!|answer |!| 30 |!|Days Non-serious |!|physical |!|injury |!|must |!|be |!|reported |!|to |!|the |!|department |!|within |!|- |!| correct |!|answer |!| 48 |!|hours Planned |!|activities |!|must |!|be |!|posted |!|in |!|a |!|common |!|area |!|in |!|facilities |!|for |!|how |!| many |!|residents? |!|- |!|correct |!|answer |!| Seven |!|or |!|more |!|residents A |!|change |!|in |!|mailing |!|address |!|of |!|a |!|licensee |!|shall |!|be |!|filed |!|in |!|writing |!|to |!|the |!| department |!|within |!|____ |!|calendar |!|days |!|- |!|correct |!|answer |!| 7 Administrators |!|must |!|complete |!|____ |!|hours |!|of |!|continuing |!|education |!|every |!| year. |!|- |!|correct |!|answer |!| 20 A |!|telecommunication |!|Device |!|Notification |!|form |!|must |!|be |!|completed |!|for |!|all |!| residents |!|upon |!|admission. |!|- |!|correct |!|answer |!| False

Home-canned |!|tomatoes |!|and |!|powdered |!|milk |!|may |!|be |!|used |!|at |!|a |!|facility |!|in |!| the |!|emergency |!|supplies |!|kit. |!|- |!|correct |!|answer |!| False The |!|death |!|of |!|a |!|resident |!|requires |!|a |!|written |!|report |!|to |!|the |!|licensing |!|agency |!| and |!|the |!|responsible |!|party |!|within |!|___ |!|days |!|of |!|the |!|death, |!|and |!|evidence |!|of |!| the |!|death |!|must |!|be |!|provided |!|within |!|___ |!|days. |!|- |!|correct |!|answer |!| 7/ An |!|administrator |!|with |!|one |!|year |!|of |!|experience |!|as |!|an |!|administrator |!|in |!|the |!| past |!|eight |!|years |!|may |!|conduct |!|initial |!|training |!|for |!|staff. |!|- |!|correct |!|answer |!| False In |!|facilities |!|caring |!|for |!|residents |!|with |!|dementia, |!|emergency |!|drills |!|must |!|be |!| conducted: |!|- |!|correct |!|answer |!| Every |!|other |!|month |!|on |!|all |!|three |!|shifts Facility |!|staff, |!|except |!|those |!|authorized |!|as |!|an |!|ASP, |!|shall |!|not |!|administer |!| injections. |!|- |!|correct |!|answer |!| True Facilities |!|shall |!|be |!|cooled |!|to |!|which |!|of |!|the |!|following |!|temperature |!|ranges? |!|- |!| correct |!|answer |!| 78 |!|F |!|to |!| 85 |!|F, |!|or |!| 30 |!|F |!|less |!|than |!|the |!|outside |!|temperature |!| in |!|areas |!|of |!|extreme |!|heat Which |!|stages |!|of |!|dermal |!|ulcer |!|are |!|considered |!|an |!|allowable |!|restricted |!| condition? |!|- |!|correct |!|answer |!| Stages |!|two |!|and |!|four A |!|____ |!|- |!|day |!|supply |!|of |!|perishable |!|food |!|and |!|a |!|____ |!|- |!|day |!|supply |!|of |!| nonperishable |!|food |!|must |!|be |!|maintained |!|at |!|the |!|facility. |!|- |!|correct |!|answer |!| 2/

In |!|facilities |!|licensed |!|for |!|___ |!|or |!|more |!|residents, |!|menus |!|shall |!|be |!|written |!|at |!| least |!|one |!|week |!|in |!|advance. |!|- |!|correct |!|answer |!| 16 At |!|least |!|___ |!|bathtub(s) |!|or |!|shower(s) |!|is |!|required |!|for |!|each |!|____ |!|persons |!| living |!|at |!|the |!|facility. |!|- |!|correct |!|answer |!| 1/ In |!|facilities |!|licensed |!|for |!|___ |!|residents, |!|one |!|full-time |!|staff |!|member |!|shall |!| have |!|the |!|primary |!|responsibility |!|for |!|planned |!|activities. |!|- |!|correct |!|answer |!| 50 |!|or |!|more The |!|physician |!|has |!|prescribed |!|a |!|modified |!|diet |!|for |!|a |!|resident. |!|The |!|facility |!| must |!|provide |!|this |!|modified |!|diet |!|to |!|the |!|resident |!|as |!|part |!|of |!|the |!|basic |!|rate. |!|- |!|correct |!|answer |!| True All |!|direct-care |!|staff |!|shall |!|complete |!|at |!|least |!|____ |!|hours |!|of |!|initial |!|training |!| before |!|working |!|alone |!|with |!|residents. |!|- |!|correct |!|answer |!| 20 All |!|direct-care |!|staff |!|shall |!|complete |!|at |!|least |!|___ |!|hours |!|of |!|dementia |!|training |!| within |!|the |!|first |!|four |!|weeks |!|of |!|their |!|employment |!|and |!|____ |!|hours |!|of |!| dementia |!|training |!|annually. |!|- |!|correct |!|answer |!| 12/ In |!|facilities |!|licensed |!|for |!| 16 |!|to |!| 100 |!|residents, |!|at |!|least |!|___ |!|employee(s) |!|shall |!| be |!|on |!|duty, |!|on |!|the |!|premises, |!|and |!|wake, |!|and |!|one |!|employee |!|on |!|call |!|and |!| capable |!|of |!|responding |!|within |!|___ |!|minutes. |!|- |!|correct |!|answer |!| 1/ The |!|facility |!|shall |!|heat |!|rooms |!|that |!|residents |!|occupy |!|to |!|a |!|minimum |!|of |!|___ |!|F |!|- |!|correct |!|answer |!| 68

In |!|facilities |!|licensed |!|for |!| 7 |!|or |!|more |!|residents, |!|notices |!|of |!|planned |!|activities |!| shall |!|be |!|retained |!|for |!|at |!|least: |!|- |!|correct |!|answer |!| 6 |!|months Facilities |!|licensed |!|for |!|___ |!|or |!|more |!|residents |!|require |!|a |!|full-time |!|person |!| responsible |!|for |!|the |!|operation |!|of |!|food |!|services |!|- |!|correct |!|answer |!| 50 An |!|exception |!|and |!|a |!|waiver |!|are |!|both |!|a |!|variance |!|- |!|correct |!|answer |!| True When |!|re-certifying |!|every |!|two |!|years, |!|administrator |!|certificate |!|holders |!|must |!| pay |!|a |!|$___ |!|processing |!|fee |!|within |!|____ |!|days |!|of |!|the |!|expiration |!|date. |!|- |!| correct |!|answer |!| 100/ Personnel |!|physician |!|reports |!|are |!|valid |!|for |!|six |!|months |!|- |!|correct |!|answer |!| True A |!|resident |!|who |!|is |!|unable |!|to |!|leave |!|the |!|building |!|due |!|to |!|cognitive |!| impairment |!|is |!|considered |!|non-ambulatory. |!|- |!|correct |!|answer |!| True A |!|third-party |!|repair |!|person |!|who |!|is |!|hired |!|for |!|a |!|time-limited |!|job |!|and |!|is |!|not |!| left |!|alone |!|with |!|residents |!|does |!|not |!|have |!|to |!|be |!|criminally |!|cleared. |!|- |!|correct |!| answer |!| True Being |!|unable |!|to |!|reposition |!|independently |!|in |!|a |!|bed |!|define |!|a |!|person |!|as |!| bedridden. |!|- |!|correct |!|answer |!| True Hand |!|rails |!|and |!|non-skid |!|mats |!|or |!|strips |!|are |!|optional |!|in |!|bathtub |!|and |!|toilet |!| areas. |!|- |!|correct |!|answer |!| False

When |!|licensing |!|an |!|RCFE, |!|startup |!|funds |!|shall |!|be |!|sufficient |!|to |!|meet |!|a |!| minimum |!|of |!|____ |!|months |!|operating |!|costs. |!|- |!|correct |!|answer |!| 3 Facilities |!|licensed |!|for |!|less |!|than |!|____ |!|than |!|residents |!|shall |!|maintain |!|a |!|sample |!|menu |!|on |!|file. |!|- |!|correct |!|answer |!| 16 A |!|resident |!|who |!|depends |!|on |!|others |!|to |!|perform |!|all |!|activities |!|of |!|daily |!|living |!| would |!|not |!|be |!|acceptable |!|for |!|admission |!|or |!|retention |!|in |!|an |!|RCFE |!|- |!|correct |!| answer |!| True The |!|licensee |!|shall |!|not |!|accept |!|or |!|retain |!|residents |!|determined |!|by |!|a |!|physician |!|to |!|have |!|a |!|secondary |!|diagnosis |!|of |!|a |!|mental |!|disorder |!|unrelated |!|to |!|dementia |!|- |!|correct |!|answer |!| False The |!|state |!|agency |!|that |!|regulates |!|RCFE |!|facilities |!|is |!|known |!|as |!|the: |!|- |!|correct |!| answer |!| Department |!|of |!|Social |!|Services When |!|is |!|the |!|licensee |!|required |!|to |!|be |!|bonded? |!|- |!|correct |!|answer |!| All |!|RCFEs |!| must |!|carry |!|a |!|bond |!|at |!|all |!|times Staff |!|who |!|assist |!|residents |!|with |!|self-administration |!|of |!|medication |!|must |!| complete |!|____ |!|hours |!|of |!|ongoing |!|training |!|on |!|medications |!|during |!|each |!| succeeding |!|12-month |!|period |!|- |!|correct |!|answer |!| 8 A |!|skin |!|tear |!|is |!|not |!|a |!|healing |!|wound |!|- |!|correct |!|answer |!| True

The |!|licensee |!|must |!|notify |!|CCL |!|of |!|a |!|change |!|of |!|ownership |!|within |!|___ |!|days |!|- |!| correct |!|answer |!| 90 The |!|licensee |!|must |!|give |!|a |!|resident |!|___ |!|days' |!|notice |!|to |!|increase |!|the |!|fee |!|for |!| service |!|and |!|___ |!|days' |!|written |!|notice |!|to |!|change |!|rates. |!|- |!|correct |!|answer |!| 5/ More |!|than |!|one |!|resident |!|may |!|sleep |!|in |!|a |!|bedroom |!|together, |!|with |!|each |!| resident |!|in |!|his |!|or |!|her |!|own |!|bed, |!|as |!|long |!|as |!|the |!|residents |!|are |!|in |!|a |!|non- ambulatory |!|room. |!|- |!|correct |!|answer |!| False A |!|dining |!|room |!|can |!|also |!|be |!|used |!|as |!|an |!|activity |!|room |!|when |!|residents |!|are |!| not |!|eating. |!|- |!|correct |!|answer |!| True In |!|facilities |!|licensed |!|for |!| 15 |!|residents |!|or |!|less, |!|awake |!|night |!|staff |!|is |!|always |!| required. |!|- |!|correct |!|answer |!| False Staffing |!|must |!|be |!|required |!| 24 |!|hours |!|a |!|day |!|for |!|all |!|RCFE |!|facilities. |!|If |!|only |!|one |!|person |!|is |!|on |!|duty, |!|that |!|person |!|must |!|be |!| 18 |!|years |!|old. |!|- |!|correct |!|answer |!| False The |!|egress |!|control |!|device |!|must |!|be |!|deactivated |!|whenever |!|a |!|manual |!|force |!|of |!|not |!|more |!|than |!|____ |!|pounds |!|is |!|applied |!|for |!|two |!|seconds, |!|but |!|not |!|more |!| than |!|____ |!|seconds |!|to |!|the |!|panic |!|bar |!|or |!|other |!|door-latching |!|hardware. |!|- |!| correct |!|answer |!| 15/ It |!|is |!|permitted |!|to |!|accept |!|a |!|resident |!|on |!|hospice |!|as |!|long |!|as |!|you |!|apply |!|the |!| waiver |!|within |!|five |!|days. |!|- |!|correct |!|answer |!| False

The |!|licensee |!|of |!|a |!|RCFE |!|must |!|publish |!|a |!|document |!|annually |!|that |!|discloses |!| the |!|average |!|monthly |!|rate |!|increases |!|for |!|the |!|previous |!|____ |!|year(s) |!|- |!|correct |!| answer |!| 3 The |!|department |!|may |!|order |!|suspension |!|of |!|new |!|admissions. |!|- |!|correct |!|answer |!| True Every |!|resident's |!|written |!|record |!|shall |!|address |!|a |!|missing |!|resident |!|absentee |!| notification |!|plan |!|in |!|the |!|record |!|of |!|care. |!|- |!|correct |!|answer |!| True The |!|department |!|is |!|not |!|required |!|to |!|monitor |!|compliance |!|with |!|the |!|disaster |!| and |!|mass |!|casualty |!|plan |!|as |!|part |!|of |!|its |!|regulatory |!|and |!|monitoring |!|functions. |!|- |!|correct |!|answer |!| False When |!|the |!|licensee |!|dies, |!|a |!|related |!|or |!|non-related |!|adult |!|who |!|has |!|control |!|of |!| the |!|property |!|must |!|notify |!|CCL |!|of |!|the |!|death |!|within |!|____ |!|hours |!|and |!| surrender |!|the |!|death |!|certificate |!|within |!|____ |!|- |!|correct |!|answer |!| 24/ Residents |!|are |!|required |!|to |!|purchase |!|services |!|and |!|medical |!|products |!|from |!|the |!|pharmacy |!|that |!|contracts |!|with |!|the |!|facility. |!|- |!|correct |!|answer |!| False All |!|facilities |!|licensed |!|for |!| 15 |!|or |!|fewer |!|residents |!|that |!|have |!|separate |!|floors |!| are |!|exempt |!|from |!|needing |!|a |!|signal |!|system. |!|- |!|correct |!|answer |!| False Portable |!|or |!|permanent |!|closets |!|and |!|drawer |!|space |!|need |!|to |!|occupy |!|a |!| minimum |!|of |!|what |!|amount |!|of |!|space? |!|- |!|correct |!|answer |!| 8 |!|square |!|feet

A |!|facility |!|with |!|fewer |!|than |!| 16 |!|residents |!|shall |!|have |!|at |!|least |!|one |!|night |!|staff |!| person |!|awake |!|and |!|on |!|duty |!|- |!|correct |!|answer |!| False Upon |!|receipt |!|of |!|a |!|complaint, |!|the |!|LPA |!|will |!|conduct |!|an |!|inspection |!|of |!|the |!| facility |!|within |!|___ |!|days |!|- |!|correct |!|answer |!| 10