NC Nursing Home Administrator
North Carolina practice questions
and answers 2025/2026
✓ To qualify for "Brain Injury Long Term Care", a person must not show
progress for how long to standard rehab? Three months.
✓ A Life Care Center is licensed for 120 beds. They need to increase their
bed capacity by 11 beds. Can they do this? No.
✓ A life care center, having an agreement to care for all residents regardless
of level of care needs, may temporarily increase bed capacity by 10
percent or 10 beds, whichever is less, over the licensed bed capacity for a
period up to 30 days following notification of and approval by the
Department.
✓ When reporting an allegation of abuse, mistreatment, or misappropriation
of resident property, the administrator shall ensure that the report of
investigation is ______ and postmarked to the Health Care Personnel
Registry Section of the Division of Health Service Regulation within _____
working days of the allegation. Printed or typed; five.
✓ The administrator shall ensure that the report of investigation is printed
or typed and postmarked to the Health Care Personnel Registry Section of
the Division of Health Service Regulation within five working days of the
allegation.
✓ How long can a North Carolina nursing home provide "respite" care?
30 days.
✓ "Respite care" means services provided for persons admitted to a nursing
facility on a temporary basis, not to exceed 30 days.
✓ To ensure that drug therapy is rational, safe and effective, a
pharmaceutical care assessment shall be conducted in the facility at least
every ______ days for each patient 31.
,✓ To ensure that drug therapy is rational, safe and effective, a
pharmaceutical care assessment shall be conducted in the facility at least
every 31 days for each patient.
✓ The drug storage area shall be clean, secure, well-lighted, well ventilated
and with temperatures between _______ degrees F. and ________ degrees
F. 59 degrees F and 86 degrees F.
✓ The pharmacist and director of nursing shall ensure that drug storage
areas are clean, secure, well lighted and well ventilated; that room
temperature is maintained between 59 degrees F. and 86 degrees F.
✓ An Activity Director would like to adopt a facility dog. What rules does
she have to comply with? A facility policy that mirrors the local
health ordinances regarding pet health and control plus not permit the
pet into areas where food is being prepared.
✓ When facility policies permit pets in the facility, the following conditions
shall be met:(1) The facility policy shall not be in violation of any local
health ordinances regarding pet health and control.(2) Pets shall not be
permitted to enter areas where food is being prepared.
✓ As defined by the North Carolina code: "Convalescent Care" means care
given for the purpose of: Assisting the patient or resident to regain
health or strength.
✓ "Convalescent care" means care given for the purpose of assisting the
patient or resident to regain health or strength.
✓ The facility shall ensure that menus are followed which meet the
nutritional needs of patients in accordance with the recommended dietary
allowances of the: Food and Nutrition Board of the National Research
Council, National Academy
✓ Temperatures in the facility shall be at _______ degrees F. minimum in the
heating season and a maximum of _______ degrees F. during the non-
heating season. 71 degrees F, 81 degrees F.
✓ Environmental temperature control systems shall be capable of
maintaining temperatures in the facility at 71 degrees F. minimum in the
, heating season and a maximum of 81 degrees F. during the non-heating
season.
✓ What special allowances must an isolation room contain? Rooms
designated for isolation shall have negative or positive pressure with
relationship to adjacent areas depending upon the type of patient to be
isolated. Exhaust for isolation rooms shall be ducted to the outdoors with
exhaust fans located at the discharge end of the duct.
✓ The emergency electrical system shall be so controlled that after
interruption of the normal electric power supply, the generator is brought
to full voltage and frequency and connected within ______ seconds. 10
seconds.
✓ The emergency electrical system shall be so controlled that after
interruption of the normal electric power supply, the generator is brought
to full voltage and frequency and connected with 10 seconds through one
or more primary automatic transfer switches to all emergency lighting,
alarms, nurses' call, and equipment necessary for maintaining telephone
service.
✓ All staff is to use good hand washing technique as indicated in:
"Guidelines for Hand Washing in Hospital Environmental Control,"
as published by the U.S. Department of Health and Human Services,
Public Health Service.
✓ The facility shall require all staff to use good hand washing technique as
indicated in the Centers for Disease Control and Prevention "Guidelines
for Hand Washing in Hospital Environmental Control," as published by the
U.S. Department of Health and Human Services, Public Health Service.
✓ Sufficient fuel shall be stored for the operation of the emergency
generator for a period not less than ______ hours, on a 24-hour per day
operational basis. 72.
✓ Sufficient fuel shall be stored for the operation of the emergency
generator for a period not less than 72 hours, on a 24-hour per day
operational basis.
North Carolina practice questions
and answers 2025/2026
✓ To qualify for "Brain Injury Long Term Care", a person must not show
progress for how long to standard rehab? Three months.
✓ A Life Care Center is licensed for 120 beds. They need to increase their
bed capacity by 11 beds. Can they do this? No.
✓ A life care center, having an agreement to care for all residents regardless
of level of care needs, may temporarily increase bed capacity by 10
percent or 10 beds, whichever is less, over the licensed bed capacity for a
period up to 30 days following notification of and approval by the
Department.
✓ When reporting an allegation of abuse, mistreatment, or misappropriation
of resident property, the administrator shall ensure that the report of
investigation is ______ and postmarked to the Health Care Personnel
Registry Section of the Division of Health Service Regulation within _____
working days of the allegation. Printed or typed; five.
✓ The administrator shall ensure that the report of investigation is printed
or typed and postmarked to the Health Care Personnel Registry Section of
the Division of Health Service Regulation within five working days of the
allegation.
✓ How long can a North Carolina nursing home provide "respite" care?
30 days.
✓ "Respite care" means services provided for persons admitted to a nursing
facility on a temporary basis, not to exceed 30 days.
✓ To ensure that drug therapy is rational, safe and effective, a
pharmaceutical care assessment shall be conducted in the facility at least
every ______ days for each patient 31.
,✓ To ensure that drug therapy is rational, safe and effective, a
pharmaceutical care assessment shall be conducted in the facility at least
every 31 days for each patient.
✓ The drug storage area shall be clean, secure, well-lighted, well ventilated
and with temperatures between _______ degrees F. and ________ degrees
F. 59 degrees F and 86 degrees F.
✓ The pharmacist and director of nursing shall ensure that drug storage
areas are clean, secure, well lighted and well ventilated; that room
temperature is maintained between 59 degrees F. and 86 degrees F.
✓ An Activity Director would like to adopt a facility dog. What rules does
she have to comply with? A facility policy that mirrors the local
health ordinances regarding pet health and control plus not permit the
pet into areas where food is being prepared.
✓ When facility policies permit pets in the facility, the following conditions
shall be met:(1) The facility policy shall not be in violation of any local
health ordinances regarding pet health and control.(2) Pets shall not be
permitted to enter areas where food is being prepared.
✓ As defined by the North Carolina code: "Convalescent Care" means care
given for the purpose of: Assisting the patient or resident to regain
health or strength.
✓ "Convalescent care" means care given for the purpose of assisting the
patient or resident to regain health or strength.
✓ The facility shall ensure that menus are followed which meet the
nutritional needs of patients in accordance with the recommended dietary
allowances of the: Food and Nutrition Board of the National Research
Council, National Academy
✓ Temperatures in the facility shall be at _______ degrees F. minimum in the
heating season and a maximum of _______ degrees F. during the non-
heating season. 71 degrees F, 81 degrees F.
✓ Environmental temperature control systems shall be capable of
maintaining temperatures in the facility at 71 degrees F. minimum in the
, heating season and a maximum of 81 degrees F. during the non-heating
season.
✓ What special allowances must an isolation room contain? Rooms
designated for isolation shall have negative or positive pressure with
relationship to adjacent areas depending upon the type of patient to be
isolated. Exhaust for isolation rooms shall be ducted to the outdoors with
exhaust fans located at the discharge end of the duct.
✓ The emergency electrical system shall be so controlled that after
interruption of the normal electric power supply, the generator is brought
to full voltage and frequency and connected within ______ seconds. 10
seconds.
✓ The emergency electrical system shall be so controlled that after
interruption of the normal electric power supply, the generator is brought
to full voltage and frequency and connected with 10 seconds through one
or more primary automatic transfer switches to all emergency lighting,
alarms, nurses' call, and equipment necessary for maintaining telephone
service.
✓ All staff is to use good hand washing technique as indicated in:
"Guidelines for Hand Washing in Hospital Environmental Control,"
as published by the U.S. Department of Health and Human Services,
Public Health Service.
✓ The facility shall require all staff to use good hand washing technique as
indicated in the Centers for Disease Control and Prevention "Guidelines
for Hand Washing in Hospital Environmental Control," as published by the
U.S. Department of Health and Human Services, Public Health Service.
✓ Sufficient fuel shall be stored for the operation of the emergency
generator for a period not less than ______ hours, on a 24-hour per day
operational basis. 72.
✓ Sufficient fuel shall be stored for the operation of the emergency
generator for a period not less than 72 hours, on a 24-hour per day
operational basis.
