ALF Study Guide 2026

Everything you need to pass the ALF exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

📋 ALF Exam Format at a Glance

100
Questions
120 min
Time Limit
75%
Passing Score

📚 ALF Topics to Study (21)

✍️ Sample ALF Questions & Answers

1. Which of the following is the CORRECT order for donning (putting on) PPE before entering an isolation room?
Gown → Mask → Eye protection → Gloves

The CDC recommended donning sequence is gown first, then mask/respirator, then eye protection, then gloves to prevent self-contamination.

2. In an ALF, sharps containers must be replaced when they reach what fill level to prevent needlestick injuries?
Three-quarters (75%) full

OSHA and best practice guidelines require replacing sharps containers when they reach three-quarters full to prevent overfilling and inadvertent needlestick injuries.

3. A resident with dementia repeatedly tries to leave the ALF, believing they need to pick up their children from school. This behavior is BEST described as:
Exit-seeking or elopement behavior rooted in past role memory

Exit-seeking in dementia is often driven by deeply ingrained memories and past roles, requiring a person-centered, validating response.

4. What does 'person-centered care' mean in the context of memory care in an ALF?
Tailoring care to each resident's individual history, preferences, and strengths

Person-centered care in memory care honors each resident's life history, preferences, and remaining abilities to promote dignity and quality of life.

5. When developing a care plan for a new memory care resident, the administrator should ensure the plan includes:
The resident's life history, preferences, daily routine, and individualized approaches to care

Incorporating life history and personal preferences into care plans allows staff to provide individualized, meaningful care that supports resident identity and dignity.

6. An ALF receives a complaint from a resident's family about inconsistent care. The administrator's first step should be to:
Document the complaint and conduct a thorough investigation

Documenting and investigating complaints is essential for identifying care gaps and demonstrating accountability to residents and families.

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📖 ALF Guides & Articles

Your ALF Study Path
1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation