NORTH CAROLINA NURSING HOME
ADMINISTRATOR FINAL EXAM SCRIPT 2026
COMPLETE QUESTIONS AND SOLUTIONS
◍ Accident definition - an unplanned event resulting in the injury or
wounding of a patient or other individual
◍ Addition definition - an extension or increase in floor area or height of
a building
◍ Alteration definition - any construction or renovation to an existing
structure other than repair, maintenance, or addition
◍ "Brain injury long term care" definition - an interdisciplinary,
intensive maintenance program for patients who
have incurred brain damage caused by external physical trauma and who
have completed a primary course
of rehabilitative treatment and have reached a point of no gain or
progress for more than three consecutive
months. Provided through a medically supervised interdisciplinary
process
,and is directed toward maintaining the individual at the optimal level of
physical, cognitive, and behavioral
functions
◍ Capacity definition - the maximum number of patient or resident beds
for which the facility is licensed to maintain at any given time
◍ "Comprehensive, inpatient rehabilitation program" definition -
program for the treatment of persons with
functional limitations or chronic disabling conditions who have the
potential to achieve a significant
improvement in activities of daily living, including bathing, dressing,
grooming, transferring, eating, and
using speech, language, or other communication systems. Utilizes a
coordinated and integrated, interdisciplinary approach, directed by a
physician, to assess
patient needs and to provide treatment and evaluation of physical,
psychosocial, and cognitive deficits.
◍ Discharge definition - a physical relocation of a patient to another
health care setting; the discharge of a patient to his or her home; or the
relocation of a patient from a nursing bed to an adult care home bed, or
from an adult care home bed to a nursing bed
,◍ Incident definition - any accident, event, or occurrence that is
unplanned, or unusual, and has caused harm to a patient, or has the
potential for harm
◍ Interdisciplinary definition - an integrated process involving
representatives from disciplines of the health care team
◍ Licensee definition - the person, firm, partnership, association,
corporation, or organization to whom a license to operate the facility has
been issues. The licensee is the legal entity that is responsible for the
operation of the business.
◍ "Medication error rate" definition and formula - the measure of
discrepancies between medication that was ordered for a patient by the
health care provider and medication that is administered to the patient.
# of errors / # of opportunities for error x 100
ex:
5 errors / 60 opportunities = 0.083 x 100 = 8.3%
◍ "Misappropriation of property" definition - the deliberate
misplacement, exploitation, or wrongful, temporary or permanent use of
a patient's belongings or money without the patient's consent
, ◍ Neglect definition - a failure to provide goods and services necessary
to avoid physical harm, mental anguish, or mental illness
◍ "New facility" meaning - a facility for which an initial license is
sought, a proposed addition to an existing facility, or a proposed
remodeled portion of an existing facility that will be built according to
construction documents and specifications approved by the Department
of Health and Human Services for compliance which standards
established in this Subchapter [13D]
◍ "Nurse aide" definition - a person who is listed on the NC Nurse Aide
Registry and provides nursing or nursing-related services to patients in a
nursing home. A nurse aide is not a licensed health professional.
◍ Patient definition - any person admitted for nursing care
◍ Resident definition - any person admitted for care to an adult care
home part of a combination facility
◍ "Respite care" definition - services provided for a patient on a
temporary basis, not to exceed 30 days
◍ Surveyor definition - a representative of the Department (of Health
and Human Services) who inspects nursing facilities and combination
facilities to determine compliance with rules, laws, and regulations as set
ADMINISTRATOR FINAL EXAM SCRIPT 2026
COMPLETE QUESTIONS AND SOLUTIONS
◍ Accident definition - an unplanned event resulting in the injury or
wounding of a patient or other individual
◍ Addition definition - an extension or increase in floor area or height of
a building
◍ Alteration definition - any construction or renovation to an existing
structure other than repair, maintenance, or addition
◍ "Brain injury long term care" definition - an interdisciplinary,
intensive maintenance program for patients who
have incurred brain damage caused by external physical trauma and who
have completed a primary course
of rehabilitative treatment and have reached a point of no gain or
progress for more than three consecutive
months. Provided through a medically supervised interdisciplinary
process
,and is directed toward maintaining the individual at the optimal level of
physical, cognitive, and behavioral
functions
◍ Capacity definition - the maximum number of patient or resident beds
for which the facility is licensed to maintain at any given time
◍ "Comprehensive, inpatient rehabilitation program" definition -
program for the treatment of persons with
functional limitations or chronic disabling conditions who have the
potential to achieve a significant
improvement in activities of daily living, including bathing, dressing,
grooming, transferring, eating, and
using speech, language, or other communication systems. Utilizes a
coordinated and integrated, interdisciplinary approach, directed by a
physician, to assess
patient needs and to provide treatment and evaluation of physical,
psychosocial, and cognitive deficits.
◍ Discharge definition - a physical relocation of a patient to another
health care setting; the discharge of a patient to his or her home; or the
relocation of a patient from a nursing bed to an adult care home bed, or
from an adult care home bed to a nursing bed
,◍ Incident definition - any accident, event, or occurrence that is
unplanned, or unusual, and has caused harm to a patient, or has the
potential for harm
◍ Interdisciplinary definition - an integrated process involving
representatives from disciplines of the health care team
◍ Licensee definition - the person, firm, partnership, association,
corporation, or organization to whom a license to operate the facility has
been issues. The licensee is the legal entity that is responsible for the
operation of the business.
◍ "Medication error rate" definition and formula - the measure of
discrepancies between medication that was ordered for a patient by the
health care provider and medication that is administered to the patient.
# of errors / # of opportunities for error x 100
ex:
5 errors / 60 opportunities = 0.083 x 100 = 8.3%
◍ "Misappropriation of property" definition - the deliberate
misplacement, exploitation, or wrongful, temporary or permanent use of
a patient's belongings or money without the patient's consent
, ◍ Neglect definition - a failure to provide goods and services necessary
to avoid physical harm, mental anguish, or mental illness
◍ "New facility" meaning - a facility for which an initial license is
sought, a proposed addition to an existing facility, or a proposed
remodeled portion of an existing facility that will be built according to
construction documents and specifications approved by the Department
of Health and Human Services for compliance which standards
established in this Subchapter [13D]
◍ "Nurse aide" definition - a person who is listed on the NC Nurse Aide
Registry and provides nursing or nursing-related services to patients in a
nursing home. A nurse aide is not a licensed health professional.
◍ Patient definition - any person admitted for nursing care
◍ Resident definition - any person admitted for care to an adult care
home part of a combination facility
◍ "Respite care" definition - services provided for a patient on a
temporary basis, not to exceed 30 days
◍ Surveyor definition - a representative of the Department (of Health
and Human Services) who inspects nursing facilities and combination
facilities to determine compliance with rules, laws, and regulations as set
