North Carolina Assisted Living Administrator
State Exam
Comprehensive Practice Test: 200 Questions with Detailed Rationales
Section 1: Licensing Regulations, Governance, & Administration
(Questions 1 – 40)
Question 1: According to North Carolina regulations, who holds
ultimate legal and operational responsibility for the management and
operation of a licensed adult care home?
A) The Director of County Department of Social Services (DSS)
B) The Resident Care Coordinator (RCC)
C) The Licensee / Licensee Designee
D) The Attending Physician
Answer: Correct Answer: C
Rationale: Rationale: Under 10A NCAC 13F / 13G, the licensee is
ultimately responsible for the overall operation of the facility,
compliance with all applicable statutes and rules, and the health,
safety, and welfare of the residents.
Question 2: Within how many days must an adult care home report any
change in the designated Administrator to the North Carolina
Department of Health and Human Services (DHHS) / Construction
Section / Adult Care Licensure Section?
A) Within 5 business days
B) Within 10 calendar days
, C) Within 30 calendar days
D) Immediately upon termination or hire
Answer: Correct Answer: B
Rationale: Rationale: NC rules require that the Licensure Section be
notified in writing within 10 calendar days of any change in the
administrator or director-in-charge.
Question 3: An adult care home licensed for 7 or more residents (10A
NCAC 13F) is required to have a licensed administrator who meets
specific education and training requirements. Which of the following is
a mandatory prerequisite for administrator qualification in NC?
A) A master's degree in healthcare administration
B) Completion of the Administrator-in-Training (AIT) program or
approved equivalent and passing the state examination
C) Minimum of 10 years experience as a registered nurse
D) Certification as a Certified Assisted Living Director (CALD) nationally
without state testing
Answer: Correct Answer: B
Rationale: Rationale: NC licensure rules require candidates to complete
the approved Administrator-in-Training (AIT) program, meet
educational/experience criteria, and pass the state administrator
examination.
Question 4: How often must the adult care home license be renewed,
and where must it be displayed?
A) Annually; displayed prominently in a public area near the entrance
, B) Biennially; kept in the administrator's private office file cabinet
C) Every 3 years; displayed in the resident dining room
D) Annually; kept in the main nursing station drawer
Answer: Correct Answer: A
Rationale: Rationale: Adult care home licenses are issued annually and
must be posted in a prominent location accessible to the public and
visitors near the main entrance.
Question 5: What is the minimum age requirement for a person serving
as an adult care home administrator in North Carolina?
A) 18 years of age
B) 21 years of age
C) 25 years of age
D) There is no statutory age minimum, only educational requirements
Answer: Correct Answer: B
Rationale: Rationale: Administrators in adult care homes must be at
least 21 years of age and possess the required moral character and
competence.
Question 6: When the administrator is temporarily absent from the
facility, what policy must the facility follow regarding coverage?
A) The facility may operate unmanaged for up to 14 consecutive days.
B) A designated supervisor or person-in-charge who is at least 21
years old and trained in facility operations must be on duty and
delegated authority.
C) The facility must close admissions until the administrator returns.
State Exam
Comprehensive Practice Test: 200 Questions with Detailed Rationales
Section 1: Licensing Regulations, Governance, & Administration
(Questions 1 – 40)
Question 1: According to North Carolina regulations, who holds
ultimate legal and operational responsibility for the management and
operation of a licensed adult care home?
A) The Director of County Department of Social Services (DSS)
B) The Resident Care Coordinator (RCC)
C) The Licensee / Licensee Designee
D) The Attending Physician
Answer: Correct Answer: C
Rationale: Rationale: Under 10A NCAC 13F / 13G, the licensee is
ultimately responsible for the overall operation of the facility,
compliance with all applicable statutes and rules, and the health,
safety, and welfare of the residents.
Question 2: Within how many days must an adult care home report any
change in the designated Administrator to the North Carolina
Department of Health and Human Services (DHHS) / Construction
Section / Adult Care Licensure Section?
A) Within 5 business days
B) Within 10 calendar days
, C) Within 30 calendar days
D) Immediately upon termination or hire
Answer: Correct Answer: B
Rationale: Rationale: NC rules require that the Licensure Section be
notified in writing within 10 calendar days of any change in the
administrator or director-in-charge.
Question 3: An adult care home licensed for 7 or more residents (10A
NCAC 13F) is required to have a licensed administrator who meets
specific education and training requirements. Which of the following is
a mandatory prerequisite for administrator qualification in NC?
A) A master's degree in healthcare administration
B) Completion of the Administrator-in-Training (AIT) program or
approved equivalent and passing the state examination
C) Minimum of 10 years experience as a registered nurse
D) Certification as a Certified Assisted Living Director (CALD) nationally
without state testing
Answer: Correct Answer: B
Rationale: Rationale: NC licensure rules require candidates to complete
the approved Administrator-in-Training (AIT) program, meet
educational/experience criteria, and pass the state administrator
examination.
Question 4: How often must the adult care home license be renewed,
and where must it be displayed?
A) Annually; displayed prominently in a public area near the entrance
, B) Biennially; kept in the administrator's private office file cabinet
C) Every 3 years; displayed in the resident dining room
D) Annually; kept in the main nursing station drawer
Answer: Correct Answer: A
Rationale: Rationale: Adult care home licenses are issued annually and
must be posted in a prominent location accessible to the public and
visitors near the main entrance.
Question 5: What is the minimum age requirement for a person serving
as an adult care home administrator in North Carolina?
A) 18 years of age
B) 21 years of age
C) 25 years of age
D) There is no statutory age minimum, only educational requirements
Answer: Correct Answer: B
Rationale: Rationale: Administrators in adult care homes must be at
least 21 years of age and possess the required moral character and
competence.
Question 6: When the administrator is temporarily absent from the
facility, what policy must the facility follow regarding coverage?
A) The facility may operate unmanaged for up to 14 consecutive days.
B) A designated supervisor or person-in-charge who is at least 21
years old and trained in facility operations must be on duty and
delegated authority.
C) The facility must close admissions until the administrator returns.
