NC ASSISTED LIVING ADMINISTRATOR
STATE EXAM PRACTICE TEST QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2025/2026
Assisted Living Center: any home or establishment offering, coordinating or providing
services to 2 or more persons who: - 1. Are domiciled therein
2. Unrelated to the operator
3. By choice or functional impairments, need assistance with personal care or nursing
supervision
4. May need medication assistance
5. May need intermittent or unscheduled nursing care
6. May need assistance with transfer and/or ambulation
Board - The State Board of Health
Continuum of Care Facility: Means a home, establishment or institution providing
nursing facility services as defined and one or both of the following: - 1. Assisted Living
center services as defined in the Continuum of Care and Assisted Living Act, and
2. Adult day care center services as defined in Section 1-872 of this Title (Title 63)
The Continuum of Care and Assisted Living Act Shall Not apply to - 1. Resident Care
Homes
2. Adult Companion Homes
3. Domiciliary Care Units operated by VA
4. Private residences of persons with developmental disabilities receiving services
5. Hotels
6. Motels
7. Boarding House
8. Rooming houses
9. Other places that furnish board or room to residents
10. Facilities not charging or receiving periodic compensation for services rendered and
not receiving County , State or Federal Assistance.
What Care Services can AL residents receive? - Home Health Care and Hospice
For these outside care services, the AL shall: - 1. Monitor and assure the delivery of
those services.
2. Nursing services shall be in accordance with the written orders of the physician of the
resident.
, Age in Place - Least restrictive environment and with privacy and dignity. Reasonable
and necessary accommodations and additional services may be required.
Who agrees patient can stay (Age in Place)? - Physician, AL, Resident or
Representative
All accommodations or additional services shall be described in what? - a written plan
of accommodation
Who signs the plan of accommodation? - Physician, AL or resident/resident's
representative
How often is the Plan of Accommodation reviewed? - At Least Quarterly by a licensed
health care professional
Who supervises a nurse aide in training? - By no less than a consulting nurse licensed
to practice in Oklahoma
Can Nurse Aide Trainees do hands on care? - No
Abuse - willful infliction of injury, unreasonable confinement, intimidation or punishment
with resulting physical harm, pain, or mental anguish
Direct Care Staff - Qualified nurse, activity, social and therapy staff employed by or
under the direct supervisory control of the AL
Neglect - Failure to provide the person with the goods or services necessary to avoid
physical harm, mental anguish or mental illness
Significant change - A major change in the resident's status that is not self limiting;
affects more than one area of the resident's health status and requires interdisciplinary
review and/or revision of the care plan
Is smoking allowed? - Yes, if further than 15 feet of each entrance and any air intakes
Rules of Indoor smoking room? - 1. Completely enclosed
2. Exhausted directly outside and maintained under negative pressure
3. Allows for visual observation of the resident from outside the smoking room.
Plans are approved by the Department
Is the admission criteria included in the AL's application for license? - Yes
Admission Criteria: Shall describe the population to be admitted based on services
provided to meet: - 1. Assistance with personal care
2. Nursing supervision
STATE EXAM PRACTICE TEST QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2025/2026
Assisted Living Center: any home or establishment offering, coordinating or providing
services to 2 or more persons who: - 1. Are domiciled therein
2. Unrelated to the operator
3. By choice or functional impairments, need assistance with personal care or nursing
supervision
4. May need medication assistance
5. May need intermittent or unscheduled nursing care
6. May need assistance with transfer and/or ambulation
Board - The State Board of Health
Continuum of Care Facility: Means a home, establishment or institution providing
nursing facility services as defined and one or both of the following: - 1. Assisted Living
center services as defined in the Continuum of Care and Assisted Living Act, and
2. Adult day care center services as defined in Section 1-872 of this Title (Title 63)
The Continuum of Care and Assisted Living Act Shall Not apply to - 1. Resident Care
Homes
2. Adult Companion Homes
3. Domiciliary Care Units operated by VA
4. Private residences of persons with developmental disabilities receiving services
5. Hotels
6. Motels
7. Boarding House
8. Rooming houses
9. Other places that furnish board or room to residents
10. Facilities not charging or receiving periodic compensation for services rendered and
not receiving County , State or Federal Assistance.
What Care Services can AL residents receive? - Home Health Care and Hospice
For these outside care services, the AL shall: - 1. Monitor and assure the delivery of
those services.
2. Nursing services shall be in accordance with the written orders of the physician of the
resident.
, Age in Place - Least restrictive environment and with privacy and dignity. Reasonable
and necessary accommodations and additional services may be required.
Who agrees patient can stay (Age in Place)? - Physician, AL, Resident or
Representative
All accommodations or additional services shall be described in what? - a written plan
of accommodation
Who signs the plan of accommodation? - Physician, AL or resident/resident's
representative
How often is the Plan of Accommodation reviewed? - At Least Quarterly by a licensed
health care professional
Who supervises a nurse aide in training? - By no less than a consulting nurse licensed
to practice in Oklahoma
Can Nurse Aide Trainees do hands on care? - No
Abuse - willful infliction of injury, unreasonable confinement, intimidation or punishment
with resulting physical harm, pain, or mental anguish
Direct Care Staff - Qualified nurse, activity, social and therapy staff employed by or
under the direct supervisory control of the AL
Neglect - Failure to provide the person with the goods or services necessary to avoid
physical harm, mental anguish or mental illness
Significant change - A major change in the resident's status that is not self limiting;
affects more than one area of the resident's health status and requires interdisciplinary
review and/or revision of the care plan
Is smoking allowed? - Yes, if further than 15 feet of each entrance and any air intakes
Rules of Indoor smoking room? - 1. Completely enclosed
2. Exhausted directly outside and maintained under negative pressure
3. Allows for visual observation of the resident from outside the smoking room.
Plans are approved by the Department
Is the admission criteria included in the AL's application for license? - Yes
Admission Criteria: Shall describe the population to be admitted based on services
provided to meet: - 1. Assistance with personal care
2. Nursing supervision
