NC ASSISTED LIVING ADMINISTRATOR
STATE EXAM PRACTICE TEST QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2025
1. What is the minimum age required to serve as an administrator of a
licensed adult care home in North Carolina?
A. 18
B. 21
C. 25
D. 30
Administrators must be at least 21 years old as per NC adult care
licensure rules.
2. How often must a resident's care plan be reviewed and updated in an
NC assisted living facility?
A. Every 90 days
B. Every 3 months and as needed
, C. Annually
D. Monthly
Care plans must be reviewed at least every 3 months and when the
resident’s condition changes.
3. According to North Carolina regulations, how long should resident
records be kept after discharge?
A. 3 years
B. 5 years
C. 1 year
D. Until the resident returns
Resident records must be retained for at least 1 year after discharge
per NC rules.
4. The resident agreement must be signed within how many hours of
admission?
A. 72 hours
B. 24 hours
C. 7 days
D. 5 business days
The agreement must be signed within 72 hours to ensure resident
rights and services are clearly defined.
5. Who is responsible for the development of the Resident Care Plan?
A. The physician
B. The facility staff and administrator
, C. The Department of Health
D. The dietitian
The facility administrator and staff collaboratively develop care plans
to meet residents’ needs.
6. What is the primary regulatory agency overseeing adult care homes in
North Carolina?
A. NC Division of Health Service Regulation
B. NC Department of Justice
C. NC Division of Social Services
D. CMS
The NC DHSR is responsible for licensing and oversight of assisted
living facilities.
7. A resident is exhibiting signs of abuse. What is the administrator
legally required to do?
A. Report it to Adult Protective Services immediately
B. Wait for more evidence
C. Notify only the family
D. Document it and observe further
Suspected abuse must be reported immediately to APS as required by
law.
8. How many hours of ongoing training must staff receive annually?
A. 4 hours
B. 6 hours
, C. 12 hours
D. 24 hours
NC regulations require at least 12 hours of annual training for staff.
9. What is the maximum number of residents an unlicensed adult care
home in NC may serve?
A. 2
B. 4
C. 6
D. 8
Adult care homes with more than 6 residents must be licensed.
10. A facility’s emergency preparedness plan must be:
A. Optional unless requested
B. Written, updated annually, and practiced regularly
C. Verbal and flexible
D. Developed by the residents
An emergency plan is required and must be practiced and updated
each year.
11. A medication aide may administer which of the following in NC
assisted living?
A. Intravenous medications
B. Oral medications under supervision
C. Controlled substances independently
D. Insulin injections
STATE EXAM PRACTICE TEST QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2025
1. What is the minimum age required to serve as an administrator of a
licensed adult care home in North Carolina?
A. 18
B. 21
C. 25
D. 30
Administrators must be at least 21 years old as per NC adult care
licensure rules.
2. How often must a resident's care plan be reviewed and updated in an
NC assisted living facility?
A. Every 90 days
B. Every 3 months and as needed
, C. Annually
D. Monthly
Care plans must be reviewed at least every 3 months and when the
resident’s condition changes.
3. According to North Carolina regulations, how long should resident
records be kept after discharge?
A. 3 years
B. 5 years
C. 1 year
D. Until the resident returns
Resident records must be retained for at least 1 year after discharge
per NC rules.
4. The resident agreement must be signed within how many hours of
admission?
A. 72 hours
B. 24 hours
C. 7 days
D. 5 business days
The agreement must be signed within 72 hours to ensure resident
rights and services are clearly defined.
5. Who is responsible for the development of the Resident Care Plan?
A. The physician
B. The facility staff and administrator
, C. The Department of Health
D. The dietitian
The facility administrator and staff collaboratively develop care plans
to meet residents’ needs.
6. What is the primary regulatory agency overseeing adult care homes in
North Carolina?
A. NC Division of Health Service Regulation
B. NC Department of Justice
C. NC Division of Social Services
D. CMS
The NC DHSR is responsible for licensing and oversight of assisted
living facilities.
7. A resident is exhibiting signs of abuse. What is the administrator
legally required to do?
A. Report it to Adult Protective Services immediately
B. Wait for more evidence
C. Notify only the family
D. Document it and observe further
Suspected abuse must be reported immediately to APS as required by
law.
8. How many hours of ongoing training must staff receive annually?
A. 4 hours
B. 6 hours
, C. 12 hours
D. 24 hours
NC regulations require at least 12 hours of annual training for staff.
9. What is the maximum number of residents an unlicensed adult care
home in NC may serve?
A. 2
B. 4
C. 6
D. 8
Adult care homes with more than 6 residents must be licensed.
10. A facility’s emergency preparedness plan must be:
A. Optional unless requested
B. Written, updated annually, and practiced regularly
C. Verbal and flexible
D. Developed by the residents
An emergency plan is required and must be practiced and updated
each year.
11. A medication aide may administer which of the following in NC
assisted living?
A. Intravenous medications
B. Oral medications under supervision
C. Controlled substances independently
D. Insulin injections
