North Carolina Nursing Home Administrator State Exam
Study Guide: Real Exam Q&As & Rationales (2026/2027) NC
NHA Jurisprudence State Board Practice Test Bank |
Verified Questions & Explanations) LATEST UPDATE THIS
YEAR.pdf
Overview & Coverage
Pass your North Carolina Nursing Home Administrator (NHA) State Jurisprudence Exam on your
very first attempt!
The North Carolina NHA state exam is highly specific, testing your absolute mastery of the unique rules
outlined in 10A NCAC Subchapter 13D (LTC Licensure Rules) and enforced by the North Carolina
Division of Health Service Regulation (DHSR). This premium test bank contains 100 realistic practice
questions mapped directly to the active state exam blueprint.
Stop wasting hours highlighting dense, confusing state administrative codes. This guide trains your brain to
quickly spot North Carolina-specific mandates, statutory timelines, and physical plant minimums that differ
drastically from generic federal NAB exams.
Comprehensive North Carolina-Specific Coverage
This 100-question review leaves zero gaps in your state prep, testing you thoroughly on:
Nursing Service Minimums: The strict North Carolina mandate requiring a minimum of 2.1 nursing
hours per patient day (NHPPD) [], 24-hour RN coverage rules, and how the Director of Nursing (DON)
hours can be counted towards direct patient care staffing [].
State Licensure & Renewals: Biennial NHA license expiration timelines (September 30th deadlines)[],
continuing education (CE) audit parameters [], and temporary administrator permit limitations [].
Incident Reporting & Abuse Mandates: Strict state timelines requiring verbal and written notification to
the DHSR Health Care Personnel Registry within 24 hours of any allegation of abuse, neglect, or
misappropriation [].
Medical Record Retention: North Carolina requirements for maintaining adult medical records (minimum
5 years from discharge) [].
Environmental & Physical Plant Rules: Emergency electrical generator testing rules [], mandatory water
temperature limits at patient fixtures (100°F to 116°F to prevent scalding) [], and square footage
parameters for single (100 sq ft) [] vs. multi-resident (80 sq ft per bed) rooms [].
Admissions & Resident Rights: Involuntary discharge notification timelines [], state-specific contract
disclosures [], and handling resident trust funds under NC law (the $200 interest-bearing account threshold)
[].
, Pharmacy & Controlled Substances: Emergency drug kit ownership parameters [], mandatory monthly
pharmacist drug regimen reviews [], double-lock Schedule II storage setups [], and shift-change physical
count requirements
Part 1: State Licensure, Administration, and Governance
1. A Nursing Home Administrator (NHA) license in North Carolina must be renewed
biennially by which deadline?
o A) June 30 of even-numbered years
o B) December 31 of odd-numbered years
o C) September 30 of the renewal year
o D) The anniversary date of initial licensure
o Rationale: Under North Carolina rules, NHA licenses operate on a two-year
renewal cycle that expires systematically on September 30.
2. What is the minimum required number of hours of Continuing Education (CE) that a
licensed NC NHA must complete during each two-year renewal block?
o A) 24 hours
o B) 30 hours
o C) 40 hours
o D) 50 hours
o Rationale: The NC State Board of Examiners for NHAs mandates a minimum
of 40 clock hours of approved continuing education every two years.
,3. If an emergency occurs and a nursing facility is suddenly left without a licensed
administrator, DHHS may issue a temporary license to an un-certified individual for a
maximum duration of:
o A) 30 days
o B) 60 days
o C) 90 days
o D) 180 days
o Rationale: 10A NCAC 13D permits a temporary operating license for up to 90
days to allow the facility time to secure a permanent, licensed NHA.
4. When a licensed Nursing Home Administrator changes their personal home address
or legal name, they must notify the NC licensing board within how many days?
o A) 10 days
o B) 30 days
o C) 45 days
o D) 60 days
o Rationale: Board regulations require all licensees to provide written updates
regarding name or address changes within 30 days.
5. Can a licensed North Carolina Nursing Home Administrator manage more than one
nursing facility simultaneously?
o A) Yes, up to three facilities if they are in the same county
o B) Yes, without restriction if the total bed count is under 150
, o C) No, unless a specific dual-administrator waiver is granted by the
Department
o D) Never under any circumstances
o Rationale: NC rules state an administrator must be full-time and dedicated to
a single facility, requiring a formal state waiver for dual administration.
6. What is the minimum age requirement to sit for the Nursing Home Administrator
licensing exam in North Carolina?
o A) 18 years old
o B) 21 years old
o C) 25 years old
o D) There is no age limit if a college degree is held
o Rationale: Statutory qualifications establish that an applicant for an NHA
license in North Carolina must be at least 21 years of age.
7. An administrator-in-training (AIT) program in North Carolina must be served under
the direct, on-site supervision of a preceptor who has been actively licensed as an
NHA for at least:
o A) 1 year
o B) 2 years
o C) 3 years
o D) 5 years
o Rationale: Preceptors must possess a clean licensing record and a minimum
of 2 years of continuous operational experience as a licensed NHA.
Study Guide: Real Exam Q&As & Rationales (2026/2027) NC
NHA Jurisprudence State Board Practice Test Bank |
Verified Questions & Explanations) LATEST UPDATE THIS
YEAR.pdf
Overview & Coverage
Pass your North Carolina Nursing Home Administrator (NHA) State Jurisprudence Exam on your
very first attempt!
The North Carolina NHA state exam is highly specific, testing your absolute mastery of the unique rules
outlined in 10A NCAC Subchapter 13D (LTC Licensure Rules) and enforced by the North Carolina
Division of Health Service Regulation (DHSR). This premium test bank contains 100 realistic practice
questions mapped directly to the active state exam blueprint.
Stop wasting hours highlighting dense, confusing state administrative codes. This guide trains your brain to
quickly spot North Carolina-specific mandates, statutory timelines, and physical plant minimums that differ
drastically from generic federal NAB exams.
Comprehensive North Carolina-Specific Coverage
This 100-question review leaves zero gaps in your state prep, testing you thoroughly on:
Nursing Service Minimums: The strict North Carolina mandate requiring a minimum of 2.1 nursing
hours per patient day (NHPPD) [], 24-hour RN coverage rules, and how the Director of Nursing (DON)
hours can be counted towards direct patient care staffing [].
State Licensure & Renewals: Biennial NHA license expiration timelines (September 30th deadlines)[],
continuing education (CE) audit parameters [], and temporary administrator permit limitations [].
Incident Reporting & Abuse Mandates: Strict state timelines requiring verbal and written notification to
the DHSR Health Care Personnel Registry within 24 hours of any allegation of abuse, neglect, or
misappropriation [].
Medical Record Retention: North Carolina requirements for maintaining adult medical records (minimum
5 years from discharge) [].
Environmental & Physical Plant Rules: Emergency electrical generator testing rules [], mandatory water
temperature limits at patient fixtures (100°F to 116°F to prevent scalding) [], and square footage
parameters for single (100 sq ft) [] vs. multi-resident (80 sq ft per bed) rooms [].
Admissions & Resident Rights: Involuntary discharge notification timelines [], state-specific contract
disclosures [], and handling resident trust funds under NC law (the $200 interest-bearing account threshold)
[].
, Pharmacy & Controlled Substances: Emergency drug kit ownership parameters [], mandatory monthly
pharmacist drug regimen reviews [], double-lock Schedule II storage setups [], and shift-change physical
count requirements
Part 1: State Licensure, Administration, and Governance
1. A Nursing Home Administrator (NHA) license in North Carolina must be renewed
biennially by which deadline?
o A) June 30 of even-numbered years
o B) December 31 of odd-numbered years
o C) September 30 of the renewal year
o D) The anniversary date of initial licensure
o Rationale: Under North Carolina rules, NHA licenses operate on a two-year
renewal cycle that expires systematically on September 30.
2. What is the minimum required number of hours of Continuing Education (CE) that a
licensed NC NHA must complete during each two-year renewal block?
o A) 24 hours
o B) 30 hours
o C) 40 hours
o D) 50 hours
o Rationale: The NC State Board of Examiners for NHAs mandates a minimum
of 40 clock hours of approved continuing education every two years.
,3. If an emergency occurs and a nursing facility is suddenly left without a licensed
administrator, DHHS may issue a temporary license to an un-certified individual for a
maximum duration of:
o A) 30 days
o B) 60 days
o C) 90 days
o D) 180 days
o Rationale: 10A NCAC 13D permits a temporary operating license for up to 90
days to allow the facility time to secure a permanent, licensed NHA.
4. When a licensed Nursing Home Administrator changes their personal home address
or legal name, they must notify the NC licensing board within how many days?
o A) 10 days
o B) 30 days
o C) 45 days
o D) 60 days
o Rationale: Board regulations require all licensees to provide written updates
regarding name or address changes within 30 days.
5. Can a licensed North Carolina Nursing Home Administrator manage more than one
nursing facility simultaneously?
o A) Yes, up to three facilities if they are in the same county
o B) Yes, without restriction if the total bed count is under 150
, o C) No, unless a specific dual-administrator waiver is granted by the
Department
o D) Never under any circumstances
o Rationale: NC rules state an administrator must be full-time and dedicated to
a single facility, requiring a formal state waiver for dual administration.
6. What is the minimum age requirement to sit for the Nursing Home Administrator
licensing exam in North Carolina?
o A) 18 years old
o B) 21 years old
o C) 25 years old
o D) There is no age limit if a college degree is held
o Rationale: Statutory qualifications establish that an applicant for an NHA
license in North Carolina must be at least 21 years of age.
7. An administrator-in-training (AIT) program in North Carolina must be served under
the direct, on-site supervision of a preceptor who has been actively licensed as an
NHA for at least:
o A) 1 year
o B) 2 years
o C) 3 years
o D) 5 years
o Rationale: Preceptors must possess a clean licensing record and a minimum
of 2 years of continuous operational experience as a licensed NHA.
