NC ASSISTED LIVING ADMINISTRATOR
STATE EXAM PRACTICE TEST QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES
Core Domains
Licensure, Regulations and NCAC
Administrator Qualifications and Responsibilities
Resident Rights and Person-Centered Care
Admissions, Assessments and Care Planning
Medication Management and Health Services
Staffing, Training and Supervision
Abuse, Neglect, Exploitation and Incident Reporting
Emergency Preparedness and Life Safety
Records, Privacy and Documentation
Quality Assurance and Regulatory Compliance
Introduction
,This comprehensive examination assesses the knowledge and
competency required for certification as an Assisted Living
Administrator in North Carolina. The examination evaluates
understanding of state statutes, administrative rules, and best
practices for operating licensed adult care homes and family care
homes. Candidates must demonstrate mastery of regulatory
compliance, resident rights, care planning, medication
management, staffing requirements, and quality assurance.
Questions are structured in multiple-choice and scenario-based
formats requiring analysis of real-world situations and application
of North Carolina General Statutes and Administrative Code
provisions. The examination emphasizes practical decision-making
and the administrator's responsibility for ensuring resident health,
safety, and welfare.
SECTION ONE: QUESTIONS 1–100
1. Which North Carolina agency is responsible for licensing and
regulating assisted living facilities through the Adult Care
Licensure Section?
A. North Carolina Department of Labor
B. North Carolina Department of Health and Human Services
(NCDHHS), Division of Health Service Regulation (DHSR)
C. North Carolina Board of Nursing
D. North Carolina Department of Insurance
,🟢 B. North Carolina Department of Health and Human Services
(NCDHHS), Division of Health Service Regulation (DHSR)
🔴 RATIONALE: The North Carolina Department of Health and
Human Services (NCDHHS), through the Division of Health Service
Regulation (DHSR), Adult Care Licensure Section (ACLS), regulates
adult care homes and family care homes .
2. What is the minimum age required to serve as an
administrator of a licensed adult care home in North Carolina?
A. 18 years
B. 21 years
C. 25 years
D. 30 years
🟢 B. 21 years
🔴 RATIONALE: North Carolina law (G.S. 90-288.14 and 10A NCAC
13F .0401) requires assisted living administrators to be at least 21
years old .
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
🟢 A. Every year
🔴 RATIONALE: Assisted living facility licenses must be renewed
annually in North Carolina .
4. What is the minimum passing score required on the North
Carolina Assisted Living Administrator Examination?
A. 70%
B. 75%
C. 80%
D. 85%
🟢 B. 75%
🔴 RATIONALE: Applicants must complete the written
examination with 75 percent accuracy within 12 months of
completing the AIT program .
5. Which state regulations govern adult care homes with seven
or more beds in North Carolina?
A. 10A NCAC 13F
B. 10A NCAC 13G
STATE EXAM PRACTICE TEST QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES
Core Domains
Licensure, Regulations and NCAC
Administrator Qualifications and Responsibilities
Resident Rights and Person-Centered Care
Admissions, Assessments and Care Planning
Medication Management and Health Services
Staffing, Training and Supervision
Abuse, Neglect, Exploitation and Incident Reporting
Emergency Preparedness and Life Safety
Records, Privacy and Documentation
Quality Assurance and Regulatory Compliance
Introduction
,This comprehensive examination assesses the knowledge and
competency required for certification as an Assisted Living
Administrator in North Carolina. The examination evaluates
understanding of state statutes, administrative rules, and best
practices for operating licensed adult care homes and family care
homes. Candidates must demonstrate mastery of regulatory
compliance, resident rights, care planning, medication
management, staffing requirements, and quality assurance.
Questions are structured in multiple-choice and scenario-based
formats requiring analysis of real-world situations and application
of North Carolina General Statutes and Administrative Code
provisions. The examination emphasizes practical decision-making
and the administrator's responsibility for ensuring resident health,
safety, and welfare.
SECTION ONE: QUESTIONS 1–100
1. Which North Carolina agency is responsible for licensing and
regulating assisted living facilities through the Adult Care
Licensure Section?
A. North Carolina Department of Labor
B. North Carolina Department of Health and Human Services
(NCDHHS), Division of Health Service Regulation (DHSR)
C. North Carolina Board of Nursing
D. North Carolina Department of Insurance
,🟢 B. North Carolina Department of Health and Human Services
(NCDHHS), Division of Health Service Regulation (DHSR)
🔴 RATIONALE: The North Carolina Department of Health and
Human Services (NCDHHS), through the Division of Health Service
Regulation (DHSR), Adult Care Licensure Section (ACLS), regulates
adult care homes and family care homes .
2. What is the minimum age required to serve as an
administrator of a licensed adult care home in North Carolina?
A. 18 years
B. 21 years
C. 25 years
D. 30 years
🟢 B. 21 years
🔴 RATIONALE: North Carolina law (G.S. 90-288.14 and 10A NCAC
13F .0401) requires assisted living administrators to be at least 21
years old .
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
🟢 A. Every year
🔴 RATIONALE: Assisted living facility licenses must be renewed
annually in North Carolina .
4. What is the minimum passing score required on the North
Carolina Assisted Living Administrator Examination?
A. 70%
B. 75%
C. 80%
D. 85%
🟢 B. 75%
🔴 RATIONALE: Applicants must complete the written
examination with 75 percent accuracy within 12 months of
completing the AIT program .
5. Which state regulations govern adult care homes with seven
or more beds in North Carolina?
A. 10A NCAC 13F
B. 10A NCAC 13G
