NORTH CAROLINA NURSING HOME ADMINISTRATOR STATE EXAM
COMPLETE EXAM MASTERY GUIDE WITH VERIFIED ANSWERS (2025–
2026)
Abuse definition - correct answer -the willful infliction of injury, unreasonable confinement,
intimidation or punishment with resulting physical harm, pain, or mental anguish
Accident definition - correct answer -an unplanned event resulting in the injury or wounding of
a patient or other individual
Addition definition - correct answer -an extension or increase in floor area or height of a
building
Alteration definition - correct answer -any construction or renovation to an existing structure
other than repair, maintenance, or addition
"Brain injury long term care" definition - correct answer -an interdisciplinary, intensive
maintenance program for patients who
have incurred brain damage caused by external physical trauma and who have completed a
primary course
of rehabilitative treatment and have reached a point of no gain or progress for more than three
consecutive
months. Provided through a medically supervised interdisciplinary process
and is directed toward maintaining the individual at the optimal level of physical, cognitive, and
behavioral
functions
Capacity definition - correct answer -the maximum number of patient or resident beds for
which the facility is licensed to maintain at any given time
,"Comprehensive, inpatient rehabilitation program" definition - correct answer -program for the
treatment of persons with
functional limitations or chronic disabling conditions who have the potential to achieve a
significant
improvement in activities of daily living, including bathing, dressing, grooming, transferring,
eating, and
using speech, language, or other communication systems. Utilizes a coordinated and integrated,
interdisciplinary approach, directed by a physician, to assess
patient needs and to provide treatment and evaluation of physical, psychosocial, and cognitive
deficits.
Discharge definition - correct answer -a physical relocation of a patient to another health care
setting; the discharge of a patient to his or her home; or the relocation of a patient from a
nursing bed to an adult care home bed, or from an adult care home bed to a nursing bed
Incident definition - correct answer -any accident, event, or occurrence that is unplanned, or
unusual, and has caused harm to a patient, or has the potential for harm
Interdisciplinary definition - correct answer -an integrated process involving representatives
from disciplines of the health care team
Licensee definition - correct answer -the person, firm, partnership, association, corporation, or
organization to whom a license to operate the facility has been issues. The licensee is the legal
entity that is responsible for the operation of the business.
"Medication error rate" definition and formula - correct answer -the measure of discrepancies
between medication that was ordered for a patient by the health care provider and medication
that is administered to the patient.
# of errors / # of opportunities for error x 100
,ex:
5 errors / 60 opportunities = 0.083 x 100 = 8.3%
"Misappropriation of property" definition - correct answer -the deliberate misplacement,
exploitation, or wrongful, temporary or permanent use of a patient's belongings or money
without the patient's consent
Neglect definition - correct answer -a failure to provide goods and services necessary to avoid
physical harm, mental anguish, or mental illness
"New facility" meaning - correct answer -a facility for which an initial license is sought, a
proposed addition to an existing facility, or a proposed remodeled portion of an existing facility
that will be built according to construction documents and specifications approved by the
Department of Health and Human Services for compliance which standards established in this
Subchapter [13D]
"Nurse aide" definition - correct answer -a person who is listed on the NC Nurse Aide Registry
and provides nursing or nursing-related services to patients in a nursing home. A nurse aide is
not a licensed health professional.
Patient definition - correct answer -any person admitted for nursing care
Resident definition - correct answer -any person admitted for care to an adult care home part
of a combination facility
"Respite care" definition - correct answer -services provided for a patient on a temporary basis,
not to exceed 30 days
, Surveyor definition - correct answer -a representative of the Department (of Health and Human
Services) who inspects nursing facilities and combination facilities to determine compliance
with rules, laws, and regulations as set forth in G.S. 131E-117; Subchapters 13D and 13F of this
Subchapter; and 42 CFR Part 483, Requirements for States and Long Term Care Facilities
Violation definition - correct answer -failure to comply with rules, laws, and regulations as set
forth in G.S. 131E-117 and 131D-21; Subchapters 13D and 13F of this Chapter; or 42 CFR Part
483, Requirements for States and Long Term Care Facilities, that relates to a patient's or
resident's health, safety, or welfare, or that creates a risk that death, or physical harm may
occur
New facility licensure application requirements - correct answer -A legal entity shall submit an
application for licensure for a new facility to the Nursing Home Licensure and Certification
Section of the DHSR at least 30 days prior to a license being issued or patients admitted.
Application must include:
- legal identity of applicant (licensee) and mailing address
- name(s) under which the facility is presented to the public
- location and mailing address of the facility
- ownership disclosure
- bed complement
- magnitude and scope of services offered
- name and current license number of the administrator
- name and current license number of the DON
- name and current license number of the medical director
(T/F) Only one license shall be issued to each facility. - correct answer -True
(T/F) Licenses are transferable - correct answer -False - licenses are not transferable
COMPLETE EXAM MASTERY GUIDE WITH VERIFIED ANSWERS (2025–
2026)
Abuse definition - correct answer -the willful infliction of injury, unreasonable confinement,
intimidation or punishment with resulting physical harm, pain, or mental anguish
Accident definition - correct answer -an unplanned event resulting in the injury or wounding of
a patient or other individual
Addition definition - correct answer -an extension or increase in floor area or height of a
building
Alteration definition - correct answer -any construction or renovation to an existing structure
other than repair, maintenance, or addition
"Brain injury long term care" definition - correct answer -an interdisciplinary, intensive
maintenance program for patients who
have incurred brain damage caused by external physical trauma and who have completed a
primary course
of rehabilitative treatment and have reached a point of no gain or progress for more than three
consecutive
months. Provided through a medically supervised interdisciplinary process
and is directed toward maintaining the individual at the optimal level of physical, cognitive, and
behavioral
functions
Capacity definition - correct answer -the maximum number of patient or resident beds for
which the facility is licensed to maintain at any given time
,"Comprehensive, inpatient rehabilitation program" definition - correct answer -program for the
treatment of persons with
functional limitations or chronic disabling conditions who have the potential to achieve a
significant
improvement in activities of daily living, including bathing, dressing, grooming, transferring,
eating, and
using speech, language, or other communication systems. Utilizes a coordinated and integrated,
interdisciplinary approach, directed by a physician, to assess
patient needs and to provide treatment and evaluation of physical, psychosocial, and cognitive
deficits.
Discharge definition - correct answer -a physical relocation of a patient to another health care
setting; the discharge of a patient to his or her home; or the relocation of a patient from a
nursing bed to an adult care home bed, or from an adult care home bed to a nursing bed
Incident definition - correct answer -any accident, event, or occurrence that is unplanned, or
unusual, and has caused harm to a patient, or has the potential for harm
Interdisciplinary definition - correct answer -an integrated process involving representatives
from disciplines of the health care team
Licensee definition - correct answer -the person, firm, partnership, association, corporation, or
organization to whom a license to operate the facility has been issues. The licensee is the legal
entity that is responsible for the operation of the business.
"Medication error rate" definition and formula - correct answer -the measure of discrepancies
between medication that was ordered for a patient by the health care provider and medication
that is administered to the patient.
# of errors / # of opportunities for error x 100
,ex:
5 errors / 60 opportunities = 0.083 x 100 = 8.3%
"Misappropriation of property" definition - correct answer -the deliberate misplacement,
exploitation, or wrongful, temporary or permanent use of a patient's belongings or money
without the patient's consent
Neglect definition - correct answer -a failure to provide goods and services necessary to avoid
physical harm, mental anguish, or mental illness
"New facility" meaning - correct answer -a facility for which an initial license is sought, a
proposed addition to an existing facility, or a proposed remodeled portion of an existing facility
that will be built according to construction documents and specifications approved by the
Department of Health and Human Services for compliance which standards established in this
Subchapter [13D]
"Nurse aide" definition - correct answer -a person who is listed on the NC Nurse Aide Registry
and provides nursing or nursing-related services to patients in a nursing home. A nurse aide is
not a licensed health professional.
Patient definition - correct answer -any person admitted for nursing care
Resident definition - correct answer -any person admitted for care to an adult care home part
of a combination facility
"Respite care" definition - correct answer -services provided for a patient on a temporary basis,
not to exceed 30 days
, Surveyor definition - correct answer -a representative of the Department (of Health and Human
Services) who inspects nursing facilities and combination facilities to determine compliance
with rules, laws, and regulations as set forth in G.S. 131E-117; Subchapters 13D and 13F of this
Subchapter; and 42 CFR Part 483, Requirements for States and Long Term Care Facilities
Violation definition - correct answer -failure to comply with rules, laws, and regulations as set
forth in G.S. 131E-117 and 131D-21; Subchapters 13D and 13F of this Chapter; or 42 CFR Part
483, Requirements for States and Long Term Care Facilities, that relates to a patient's or
resident's health, safety, or welfare, or that creates a risk that death, or physical harm may
occur
New facility licensure application requirements - correct answer -A legal entity shall submit an
application for licensure for a new facility to the Nursing Home Licensure and Certification
Section of the DHSR at least 30 days prior to a license being issued or patients admitted.
Application must include:
- legal identity of applicant (licensee) and mailing address
- name(s) under which the facility is presented to the public
- location and mailing address of the facility
- ownership disclosure
- bed complement
- magnitude and scope of services offered
- name and current license number of the administrator
- name and current license number of the DON
- name and current license number of the medical director
(T/F) Only one license shall be issued to each facility. - correct answer -True
(T/F) Licenses are transferable - correct answer -False - licenses are not transferable
