Free State Examination (RCAL – MO) Practice Questions

Sample Practice Questions

Try these 10 sample questions from the State Examination (RCAL – MO) practice bank. Each includes the answer and explanation. Continue with the interactive practice above to review the full question set.

1. 1A Missouri assisted living facility plans a major remodeling project. To whom must it submit a copy of the proposed plans?

   1. A. The Section for Long Term Care of the Department of Health and Senior Services
   2. B. The Missouri Board of Nursing Home Administrators
   3. C. The State Fire Marshal's Division of Fire Safety
   4. D. The local Area Agency on Aging

   Answer: A

   Explanation: The rule begins, "A facility shall submit a copy of plans of proposed new" construction or major remodeling, and identifies the Section for Long Term Care as recipient. Therefore A is correct.

   Reference: 19c30-86 — 19 CSR 30-86.012(2)

2. 2For an air-gap backflow safeguard, what minimum distance must separate the water-supply inlet from the fixture's flood-level rim?

   1. A. Twice the diameter of the water-supply inlet
   2. B. One-half the inlet diameter
   3. C. The same as the inlet diameter
   4. D. Three times the inlet diameter

   Answer: A

   Explanation: The cited provision protects against "backflow and back siphonage" and requires an air gap twice the inlet diameter. Therefore A is correct.

   Reference: Division of Regulations and Licensure — 19 CSR 30-87.030, backflow prevention

3. 3How often must the facility review resident rights with each resident?

   1. A. At each license renewal
   2. B. Every two years
   3. C. At least annually
   4. D. Only upon admission

   Answer: C

   Explanation: The rule says resident rights "shall be reviewed annually" with each resident. Therefore C is correct.

   Reference: Missouri Secretary of State: Code of State Regulations — 19 CSR 30-88.010(1)

4. 4Before a resident installs an authorized electronic monitoring device in the resident's room, what facility document must be completed?

   1. A. Resident Personal Possessions Inventory
   2. B. Electronic Monitoring Device Acknowledgment and Request Form
   3. C. Individualized Service Plan
   4. D. Thirty-Day Transfer or Discharge Notice

   Answer: B

   Explanation: The rule begins, "AEM shall not begin" until the Electronic Monitoring Device Acknowledgment and Request Form is completed and returned. Therefore B is correct.

   Reference: Missouri Secretary of State: Code of State Regulations — 19 CSR 30-91.010(4)

5. 5Within what period after written notice of board qualification must an applicant take the required examination or examinations?

   1. A. Six months
   2. B. Nine months
   3. C. Twelve months
   4. D. Eighteen months

   Answer: C

   Explanation: The examination must be taken "within twelve (12) months" of written qualification notice. Therefore C is correct.

   Reference: Missouri Secretary of State: Code of State Regulations — 19 CSR 73-2.070(2)

6. 6Before operating a Missouri residential care or assisted living facility, what authorization must the operator obtain?

   1. A. A facility license from the Department of Health and Senior Services
   2. B. A certificate from the Board of Nursing Home Administrators
   3. C. A charter from the local Area Agency on Aging
   4. D. An accreditation certificate from the state ombudsman

   Answer: A

   Explanation: The statute says, "No person shall establish, conduct or maintain a residential care facility, assisted living facility, intermediate care facility, or skilled nursing facility in this state without a valid license issued by the department." Therefore A is correct.

   Reference: Missouri Revisor of Statutes - Revised Statutes of Missouri, RSMo Section 198.015 — RSMo 198.015.1

7. 7Plans for a new Missouri assisted living facility licensed for more than nine residents must be prepared by which professional?

   1. A. A licensed nursing home administrator
   2. B. A registered architect or registered professional engineer
   3. C. A certified fire investigator
   4. D. A licensed clinical social worker

   Answer: B

   Explanation: The source names "a registered architect or registered professional engineer" as the professionals who shall prepare the plans and specifications. Therefore B is correct.

   Reference: 19c30-86 — 19 CSR 30-86.012(2)

8. 8What minimum mesh must screens on required exterior openings provide?

   1. A. 12 mesh per inch
   2. B. 16 mesh per inch
   3. C. 18 mesh per inch
   4. D. 20 mesh per inch

   Answer: B

   Explanation: The source sets "sixteen (16) mesh to the inch" as the minimum. Therefore B is correct; the other choices are alternative measurements on the same screen-density dimension.

   Reference: Division of Regulations and Licensure — 19 CSR 30-87.030(40)

9. 9Absent an emergency or another authorized exception, how much advance written notice must precede a facility-initiated transfer or discharge?

   1. A. 10 days
   2. B. 15 days
   3. C. 45 days
   4. D. 30 days

   Answer: D

   Explanation: The rule requires notice at least "thirty (30) days in advance" except for an emergency discharge. Therefore D is correct.

   Reference: Missouri Secretary of State: Code of State Regulations — 19 CSR 30-88.010(19)

10. 10A new roommate moves into a room where authorized electronic monitoring is operating. What must occur for monitoring to continue?

    1. A. The administrator must renew the approval
    2. B. The resident council must ratify the request
    3. C. The new roommate must consent; otherwise monitoring must cease
    4. D. The new roommate must be offered a private room first

    Answer: C

    Explanation: The rule says "AEM shall cease until" the new resident has consented through the required form. Therefore C is correct.

    Reference: Missouri Secretary of State: Code of State Regulations — 19 CSR 30-91.010(6)