NC ASSISTED LIVING ADMINISTRATOR (ALA)
PRACTICE QUESTIONS EXAM STUDY QUESTIONS
WITH CORRECT (VERIFIED ANSWERS) PLUS
RATIONALES Q&A 2025/2026|INSTANT
DOWNLOAD PDF
1. What is the primary purpose of an assisted living facility in North Carolina?
A. Provide medical treatment equal to a hospital
B. Offer housing with personal care services
C. Offer psychiatric inpatient care
D. Replace all family support
Correct Answer: B — Assisted living facilities provide housing plus personal care
and supervision, not hospital-level care.
2. Which agency licenses Assisted Living Facilities in NC?
A. CDC
B. NC Division of Health Service Regulation (DHSR)
C. FDA
D. Local EMS
Correct Answer: B — DHSR oversees licensing and regulation of adult care
homes.
3. The Administrator must ensure staff complete mandatory orientation within:
A. 10 days
B. 30 days
C. 60 days
D. 90 days
Correct Answer: C — NC rules require new staff orientation and training within
60 days.
,4. Medication administration in NC adult care homes may be performed by:
A. Any resident
B. Untrained staff
C. Medication Aides
D. Visitors
Correct Answer: C — Only trained and certified medication aides may administer
medications.
5. The maximum number of residents per bedroom in NC adult care homes is:
A. 1
B. 2
C. 3
D. 4
Correct Answer: B — NC rules allow no more than two residents per bedroom.
6. An Assisted Living Administrator must be at least:
A. 18
B. 19
C. 21
D. 25
Correct Answer: C — The minimum age is 21 for administrative responsibility.
7. A resident contract must be provided:
A. Within 5 days
B. Before admission
C. After the first month
D. Only if the resident requests it
Correct Answer: B — NC requires written disclosure and contract before
admission.
8. Falling under “Activities of Daily Living” (ADLs) is:
A. Paying bills
B. Bathing
, C. Writing letters
D. Playing games
Correct Answer: B — ADLs include bathing, dressing, eating, toileting, etc.
9. Which form is used for resident assessment in NC Adult Care Homes?
A. FL-2
B. CPR Form
C. I-9
D. W-4
Correct Answer: A — The FL-2 determines care needs and level of service.
10. DSS stands for:
A. Department of Social Services
B. Department of Staffing Solutions
C. Direct Safety Service
D. Division of Senior Support
Correct Answer: A — County DSS offices oversee resident rights and placement
issues.
11. A resident's service plan must be completed within:
A. 24 hours of admission
B. 72 hours of admission
C. 5 days of admission
D. 30 days of admission
Correct Answer: C — NC requires a service plan within 5 days of admission to
ensure timely, individualized care.
12. A staff-to-resident ratio must ensure:
A. Each resident has a dedicated staff member
B. Sufficient coverage for supervision and care
C. Federal minimum staffing levels
D. Only one shift needs full staffing
PRACTICE QUESTIONS EXAM STUDY QUESTIONS
WITH CORRECT (VERIFIED ANSWERS) PLUS
RATIONALES Q&A 2025/2026|INSTANT
DOWNLOAD PDF
1. What is the primary purpose of an assisted living facility in North Carolina?
A. Provide medical treatment equal to a hospital
B. Offer housing with personal care services
C. Offer psychiatric inpatient care
D. Replace all family support
Correct Answer: B — Assisted living facilities provide housing plus personal care
and supervision, not hospital-level care.
2. Which agency licenses Assisted Living Facilities in NC?
A. CDC
B. NC Division of Health Service Regulation (DHSR)
C. FDA
D. Local EMS
Correct Answer: B — DHSR oversees licensing and regulation of adult care
homes.
3. The Administrator must ensure staff complete mandatory orientation within:
A. 10 days
B. 30 days
C. 60 days
D. 90 days
Correct Answer: C — NC rules require new staff orientation and training within
60 days.
,4. Medication administration in NC adult care homes may be performed by:
A. Any resident
B. Untrained staff
C. Medication Aides
D. Visitors
Correct Answer: C — Only trained and certified medication aides may administer
medications.
5. The maximum number of residents per bedroom in NC adult care homes is:
A. 1
B. 2
C. 3
D. 4
Correct Answer: B — NC rules allow no more than two residents per bedroom.
6. An Assisted Living Administrator must be at least:
A. 18
B. 19
C. 21
D. 25
Correct Answer: C — The minimum age is 21 for administrative responsibility.
7. A resident contract must be provided:
A. Within 5 days
B. Before admission
C. After the first month
D. Only if the resident requests it
Correct Answer: B — NC requires written disclosure and contract before
admission.
8. Falling under “Activities of Daily Living” (ADLs) is:
A. Paying bills
B. Bathing
, C. Writing letters
D. Playing games
Correct Answer: B — ADLs include bathing, dressing, eating, toileting, etc.
9. Which form is used for resident assessment in NC Adult Care Homes?
A. FL-2
B. CPR Form
C. I-9
D. W-4
Correct Answer: A — The FL-2 determines care needs and level of service.
10. DSS stands for:
A. Department of Social Services
B. Department of Staffing Solutions
C. Direct Safety Service
D. Division of Senior Support
Correct Answer: A — County DSS offices oversee resident rights and placement
issues.
11. A resident's service plan must be completed within:
A. 24 hours of admission
B. 72 hours of admission
C. 5 days of admission
D. 30 days of admission
Correct Answer: C — NC requires a service plan within 5 days of admission to
ensure timely, individualized care.
12. A staff-to-resident ratio must ensure:
A. Each resident has a dedicated staff member
B. Sufficient coverage for supervision and care
C. Federal minimum staffing levels
D. Only one shift needs full staffing
