North Carolina Assisted Living Administrator
Exam Question and correct answers (verified
answers 100%) Q&A 2026/2027 INSTANT
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1. What is the primary responsibility of an administrator of a North Carolina adult care home?
A. Managing only the facility's finances
B. Supervising only medication aides
C. Overseeing the total operation of the adult care home
D. Providing nursing care to every resident
Correct Answer: C. Overseeing the total operation of the adult care home
Rationale: The administrator is responsible for the total operation and management of the
facility and for ensuring resident health, safety, and welfare in accordance with applicable
regulations.
2. Which North Carolina regulatory subchapter primarily governs adult care homes with seven
or more beds?
A. 10A NCAC 13D
B. 10A NCAC 13F
C. 10A NCAC 13G
D. 21 NCAC 36
Correct Answer: B. 10A NCAC 13F
Rationale: 10A NCAC Subchapter 13F contains the licensing rules for adult care homes of seven
or more beds.
3. Who is ultimately responsible for the operation of an adult care home when a manager is
serving in the administrator's absence?
A. The manager
B. The charge nurse
,C. The administrator
D. The county DSS director
Correct Answer: C. The administrator
Rationale: A manager handles day-to-day operations in the administrator's absence, but the
administrator remains ultimately responsible for the adult care home.
4. What is the primary purpose of an administrator-in-charge?
A. To replace the governing body
B. To assume responsibility for required duties when the administrator is unavailable
C. To perform only housekeeping duties
D. To dispense controlled substances
Correct Answer: B. To assume responsibility for required duties when the administrator is
unavailable
Rationale: North Carolina rules require appropriate management coverage so that required
duties are carried out and residents are not left without responsible staff.
5. For a facility with 7–30 residents, an administrator or administrator-in-charge may be
within what distance of the home under one permitted management arrangement?
A. 100 feet
B. 250 feet
C. 500 feet
D. 1,000 feet
Correct Answer: C. 500 feet
Rationale: One permitted arrangement requires the administrator or administrator-in-charge to
be in the home or within 500 feet with two-way telecommunications.
6. What communication capability is required when an administrator is within the permitted
500-foot range?
A. Email only
B. Two-way telecommunication
,C. Written notes
D. Monthly telephone contact
Correct Answer: B. Two-way telecommunication
Rationale: The rule specifically requires a means of two-way telecommunication.
7. What is the minimum age for a relief-person-in-charge under the applicable rule for certain
non-routine administrator absences?
A. 18
B. 19
C. 20
D. 21
Correct Answer: D. 21
Rationale: A designated relief-person-in-charge for the specified non-routine absences must be
at least 21 years old.
8. A North Carolina adult care home administrator should primarily use regulations to guide
which area?
A. Resident health, safety, welfare, and facility operation
B. Only marketing activities
C. Only employee salaries
D. Only recreational programming
Correct Answer: A. Resident health, safety, welfare, and facility operation
Rationale: The administrator's responsibility encompasses operation of the home and
compliance with applicable regulations protecting residents.
9. Which statement best describes a manager under North Carolina adult care home rules?
A. The manager replaces the administrator permanently
B. The manager handles day-to-day operations in the administrator's absence
C. The manager is responsible only for payroll
D. The manager has no supervisory responsibility
, Correct Answer: B. The manager handles day-to-day operations in the administrator's absence
Rationale: The manager is responsible for day-to-day operations when the administrator is
absent and works under the administrator's direction and supervision.
10. A manager must generally be at least what age?
A. 18
B. 19
C. 20
D. 21
Correct Answer: D. 21
Rationale: The North Carolina qualification rule specifies that a manager must be 21 years or
older.
11. A manager generally must have which educational qualification?
A. Doctoral degree
B. High school diploma or GED, subject to applicable rule provisions
C. Bachelor's degree in nursing
D. Medical degree
Correct Answer: B. High school diploma or GED, subject to applicable rule provisions
Rationale: The rule identifies high school graduation or GED as a qualification, with a historical
alternative provision for certain individuals hired before September 1, 2024.
12. How many hours of continuing education per year are specified for a manager under 10A
NCAC 13F .0402?
A. 6 hours
B. 8 hours
C. 12 hours
D. 20 hours
Correct Answer: C. 12 hours
Exam Question and correct answers (verified
answers 100%) Q&A 2026/2027 INSTANT
DOWNLOAD PDF
1. What is the primary responsibility of an administrator of a North Carolina adult care home?
A. Managing only the facility's finances
B. Supervising only medication aides
C. Overseeing the total operation of the adult care home
D. Providing nursing care to every resident
Correct Answer: C. Overseeing the total operation of the adult care home
Rationale: The administrator is responsible for the total operation and management of the
facility and for ensuring resident health, safety, and welfare in accordance with applicable
regulations.
2. Which North Carolina regulatory subchapter primarily governs adult care homes with seven
or more beds?
A. 10A NCAC 13D
B. 10A NCAC 13F
C. 10A NCAC 13G
D. 21 NCAC 36
Correct Answer: B. 10A NCAC 13F
Rationale: 10A NCAC Subchapter 13F contains the licensing rules for adult care homes of seven
or more beds.
3. Who is ultimately responsible for the operation of an adult care home when a manager is
serving in the administrator's absence?
A. The manager
B. The charge nurse
,C. The administrator
D. The county DSS director
Correct Answer: C. The administrator
Rationale: A manager handles day-to-day operations in the administrator's absence, but the
administrator remains ultimately responsible for the adult care home.
4. What is the primary purpose of an administrator-in-charge?
A. To replace the governing body
B. To assume responsibility for required duties when the administrator is unavailable
C. To perform only housekeeping duties
D. To dispense controlled substances
Correct Answer: B. To assume responsibility for required duties when the administrator is
unavailable
Rationale: North Carolina rules require appropriate management coverage so that required
duties are carried out and residents are not left without responsible staff.
5. For a facility with 7–30 residents, an administrator or administrator-in-charge may be
within what distance of the home under one permitted management arrangement?
A. 100 feet
B. 250 feet
C. 500 feet
D. 1,000 feet
Correct Answer: C. 500 feet
Rationale: One permitted arrangement requires the administrator or administrator-in-charge to
be in the home or within 500 feet with two-way telecommunications.
6. What communication capability is required when an administrator is within the permitted
500-foot range?
A. Email only
B. Two-way telecommunication
,C. Written notes
D. Monthly telephone contact
Correct Answer: B. Two-way telecommunication
Rationale: The rule specifically requires a means of two-way telecommunication.
7. What is the minimum age for a relief-person-in-charge under the applicable rule for certain
non-routine administrator absences?
A. 18
B. 19
C. 20
D. 21
Correct Answer: D. 21
Rationale: A designated relief-person-in-charge for the specified non-routine absences must be
at least 21 years old.
8. A North Carolina adult care home administrator should primarily use regulations to guide
which area?
A. Resident health, safety, welfare, and facility operation
B. Only marketing activities
C. Only employee salaries
D. Only recreational programming
Correct Answer: A. Resident health, safety, welfare, and facility operation
Rationale: The administrator's responsibility encompasses operation of the home and
compliance with applicable regulations protecting residents.
9. Which statement best describes a manager under North Carolina adult care home rules?
A. The manager replaces the administrator permanently
B. The manager handles day-to-day operations in the administrator's absence
C. The manager is responsible only for payroll
D. The manager has no supervisory responsibility
, Correct Answer: B. The manager handles day-to-day operations in the administrator's absence
Rationale: The manager is responsible for day-to-day operations when the administrator is
absent and works under the administrator's direction and supervision.
10. A manager must generally be at least what age?
A. 18
B. 19
C. 20
D. 21
Correct Answer: D. 21
Rationale: The North Carolina qualification rule specifies that a manager must be 21 years or
older.
11. A manager generally must have which educational qualification?
A. Doctoral degree
B. High school diploma or GED, subject to applicable rule provisions
C. Bachelor's degree in nursing
D. Medical degree
Correct Answer: B. High school diploma or GED, subject to applicable rule provisions
Rationale: The rule identifies high school graduation or GED as a qualification, with a historical
alternative provision for certain individuals hired before September 1, 2024.
12. How many hours of continuing education per year are specified for a manager under 10A
NCAC 13F .0402?
A. 6 hours
B. 8 hours
C. 12 hours
D. 20 hours
Correct Answer: C. 12 hours
