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North Carolina Assisted Living Administrator State Exam — 100 Practice Questions with
Answers & Rationales
Domain 1: Licensure, Regulations & NCAC (Questions 1–20)
Question 1: What is the primary purpose of assisted living licensure in North Carolina?
A) Increase profits
B) Ensure resident safety and quality care
C) Promote private business
D) Reduce staffing
Correct Answer: B
Rationale: Licensure ensures facilities meet safety and care standards. The fundamental
purpose of North Carolina's assisted living licensure system is consumer protection and
ensuring quality care for residents .
Question 2: Which agency licenses Assisted Living Facilities in North Carolina?
A) CDC
B) NC Division of Health Service Regulation (DHSR)
C) FDA
D) Local EMS
Correct Answer: B
Rationale: The NC Division of Health Service Regulation (DHSR) oversees licensing and
regulation of adult care homes .
Question 3: How often must an assisted living facility license be renewed in North Carolina?
A) Every year
B) Every two years
C) Every three years
D) Every five years
Correct Answer: A
Rationale: Assisted living facility licenses must be renewed annually .
Question 4: What is the minimum age required to serve as an administrator of a licensed
adult care home in North Carolina?
, 2
A) 18 years
B) 21 years
C) 25 years
D) 30 years
Correct Answer: B
Rationale: NC law (10A NCAC 13F .0401 and 13G .0401) requires administrators to be at
least 21 years old .
Question 5: What is the minimum passing score required on the North Carolina Assisted
Living Administrator Examination?
A) 70%
B) 75%
C) 80%
D) 85%
Correct Answer: B
Rationale: Applicants must complete with 75% accuracy a written examination administered
by the Department within 12 months of completing the AIT program .
Question 6: What is the maximum number of residents that may be served in a family care
home in North Carolina?
A) 2
B) 4
C) 6
D) 10
Correct Answer: C
Rationale: Family care homes are licensed for 2–6 residents. Adult care homes are licensed
for 7 or more residents .
Question 7: Which state regulations govern adult care homes (7+ beds) in North Carolina?
A) 10A NCAC 13F
B) 10A NCAC 13G
C) 10A NCAC 14A
D) 10A NCAC 15B
, 3
Correct Answer: A
Rationale: 10A NCAC 13F governs adult care homes (7+ beds), while 10A NCAC 13G governs
family care homes (6 beds or fewer) .
Question 8: The North Carolina assisted living licensure categories include:
A) Family Care Homes and Adult Care Homes
B) Hospitals and Clinics
C) Nursing Homes and Hospices
D) Mental Health Centers
Correct Answer: A
Rationale: North Carolina recognizes Family Care Homes (2-6 beds) and Adult Care Homes
(7+ beds) as licensed assisted living settings .
Question 9: Which document outlines resident rights and responsibilities?
A) Admission form
B) Resident Agreement
C) Incident report
D) Staff handbook
Correct Answer: B
Rationale: The resident agreement defines services, rights, and duties .
Question 10: A resident contract must be provided:
A) Within 5 days
B) Before admission
C) After the first month
D) Only if the resident requests it
Correct Answer: B
Rationale: NC requires written disclosure and contract before admission .
Question 11: The main purpose of the North Carolina Division of Health Service Regulation
(DHSR) is to:
North Carolina Assisted Living Administrator State Exam — 100 Practice Questions with
Answers & Rationales
Domain 1: Licensure, Regulations & NCAC (Questions 1–20)
Question 1: What is the primary purpose of assisted living licensure in North Carolina?
A) Increase profits
B) Ensure resident safety and quality care
C) Promote private business
D) Reduce staffing
Correct Answer: B
Rationale: Licensure ensures facilities meet safety and care standards. The fundamental
purpose of North Carolina's assisted living licensure system is consumer protection and
ensuring quality care for residents .
Question 2: Which agency licenses Assisted Living Facilities in North Carolina?
A) CDC
B) NC Division of Health Service Regulation (DHSR)
C) FDA
D) Local EMS
Correct Answer: B
Rationale: The NC Division of Health Service Regulation (DHSR) oversees licensing and
regulation of adult care homes .
Question 3: How often must an assisted living facility license be renewed in North Carolina?
A) Every year
B) Every two years
C) Every three years
D) Every five years
Correct Answer: A
Rationale: Assisted living facility licenses must be renewed annually .
Question 4: What is the minimum age required to serve as an administrator of a licensed
adult care home in North Carolina?
, 2
A) 18 years
B) 21 years
C) 25 years
D) 30 years
Correct Answer: B
Rationale: NC law (10A NCAC 13F .0401 and 13G .0401) requires administrators to be at
least 21 years old .
Question 5: What is the minimum passing score required on the North Carolina Assisted
Living Administrator Examination?
A) 70%
B) 75%
C) 80%
D) 85%
Correct Answer: B
Rationale: Applicants must complete with 75% accuracy a written examination administered
by the Department within 12 months of completing the AIT program .
Question 6: What is the maximum number of residents that may be served in a family care
home in North Carolina?
A) 2
B) 4
C) 6
D) 10
Correct Answer: C
Rationale: Family care homes are licensed for 2–6 residents. Adult care homes are licensed
for 7 or more residents .
Question 7: Which state regulations govern adult care homes (7+ beds) in North Carolina?
A) 10A NCAC 13F
B) 10A NCAC 13G
C) 10A NCAC 14A
D) 10A NCAC 15B
, 3
Correct Answer: A
Rationale: 10A NCAC 13F governs adult care homes (7+ beds), while 10A NCAC 13G governs
family care homes (6 beds or fewer) .
Question 8: The North Carolina assisted living licensure categories include:
A) Family Care Homes and Adult Care Homes
B) Hospitals and Clinics
C) Nursing Homes and Hospices
D) Mental Health Centers
Correct Answer: A
Rationale: North Carolina recognizes Family Care Homes (2-6 beds) and Adult Care Homes
(7+ beds) as licensed assisted living settings .
Question 9: Which document outlines resident rights and responsibilities?
A) Admission form
B) Resident Agreement
C) Incident report
D) Staff handbook
Correct Answer: B
Rationale: The resident agreement defines services, rights, and duties .
Question 10: A resident contract must be provided:
A) Within 5 days
B) Before admission
C) After the first month
D) Only if the resident requests it
Correct Answer: B
Rationale: NC requires written disclosure and contract before admission .
Question 11: The main purpose of the North Carolina Division of Health Service Regulation
(DHSR) is to:
