1|Page
NC Assisted Living Administrator Exam | Latest
Verified Questions and Detailed Answers
OVERVIEW DESCRIPTION:
This comprehensive set of multiple-choice questions is designed for the North Carolina
Assisted Living Administrator Exam by covering key regulatory, clinical, safety, and ethical
domains. Topics include NC-specific rules (e.g., Levels I and II, reporting timelines, resident
rights), medication administration, service planning, physical plant requirements, emergency
preparedness, abuse/neglect reporting, and administrator duties. Each question includes a
correct answer and a concise expert rationale to reinforce understanding of state statutes,
administrative codes, and best practices for operating a compliant adult care home in North
Carolina.
QUESTION 1
A resident who is capable of self-administration requests to keep their own prescribed
eye drops in their room. What is the administrator’s primary responsibility under NC
rules?
A) Deny the request because all medications must be centrally stored
B) Allow the request only if a nurse supervises each instillation
C) Permit self-administration after assessing the resident’s ability and documenting the
decision
D) Require a physician’s order for self-administration of any medication
CORRECT ANSWER: C
EXPERT RATIONALE: NC rules allow residents who are capable to self-administer
medications after an individualized assessment. Documentation of capability and the
decision is required.
,2|Page
QUESTION 2
Under NC assisted living regulations, how often must a resident’s service plan be
reviewed and updated?
A) Every 30 days
B) Every 90 days
C) Every 6 months
D) Annually
CORRECT ANSWER: C
EXPERT RATIONALE: Service plans must be reviewed and updated at least every six
months or more frequently if the resident’s condition changes significantly.
QUESTION 3
Which of the following is a reportable incident that must be filed with the NC Division of
Health Service Regulation (DHSR) within 24 hours?
A) A resident refusing breakfast
B) A minor medication error with no harm
C) An unexplained resident death
D) A resident losing a pair of glasses
CORRECT ANSWER: C
EXPERT RATIONALE: Unexplained or unexpected deaths must be reported within 24
hours. Other incidents like medication errors may require reporting but typically within
longer timeframes unless serious.
,3|Page
QUESTION 4
What is the minimum number of awake staff required overnight in a 60-bed NC assisted
living facility?
A) 1 staff person
B) 2 staff persons, one of whom must be a nurse
C) 2 staff persons, at least one awake and on premises
D) No specific requirement, but sufficient to meet resident needs
CORRECT ANSWER: D
EXPERT RATIONALE: NC rules do not prescribe a fixed overnight awake staff number;
the facility must ensure adequate staffing to meet resident needs based on acuity and
service plans.
QUESTION 5
Which entity issues the Adult Care Home Administrator license in North Carolina?
A) NC Department of Health and Human Services (DHHS)
B) NC Board of Examiners for Nursing Home Administrators (NCBENHA)
C) NC Division of Health Service Regulation (DHSR)
D) NC Department of Insurance
CORRECT ANSWER: B
EXPERT RATIONALE: The NC Board of Examiners for Nursing Home Administrators
licenses adult care home (assisted living) administrators, not DHHS or DHSR directly.
, 4|Page
QUESTION 6
A resident with a known history of wandering is admitted. What must the service plan
include?
A) A one-to-one sitter at all times
B) Restraints as needed for safety
C) Specific interventions to prevent elopement and locate the resident if missing
D) A request to the family to remove the resident
CORRECT ANSWER: C
EXPERT RATIONALE: The service plan must address wandering with proactive safety
measures and elopement protocols. Restraints are not allowed without strict medical
necessity.
QUESTION 7
How many hours of continuing education (CE) are required annually to renew an Adult
Care Home Administrator license in NC?
A) 10 hours
B) 20 hours
C) 30 hours
D) 40 hours
CORRECT ANSWER: B
NC Assisted Living Administrator Exam | Latest
Verified Questions and Detailed Answers
OVERVIEW DESCRIPTION:
This comprehensive set of multiple-choice questions is designed for the North Carolina
Assisted Living Administrator Exam by covering key regulatory, clinical, safety, and ethical
domains. Topics include NC-specific rules (e.g., Levels I and II, reporting timelines, resident
rights), medication administration, service planning, physical plant requirements, emergency
preparedness, abuse/neglect reporting, and administrator duties. Each question includes a
correct answer and a concise expert rationale to reinforce understanding of state statutes,
administrative codes, and best practices for operating a compliant adult care home in North
Carolina.
QUESTION 1
A resident who is capable of self-administration requests to keep their own prescribed
eye drops in their room. What is the administrator’s primary responsibility under NC
rules?
A) Deny the request because all medications must be centrally stored
B) Allow the request only if a nurse supervises each instillation
C) Permit self-administration after assessing the resident’s ability and documenting the
decision
D) Require a physician’s order for self-administration of any medication
CORRECT ANSWER: C
EXPERT RATIONALE: NC rules allow residents who are capable to self-administer
medications after an individualized assessment. Documentation of capability and the
decision is required.
,2|Page
QUESTION 2
Under NC assisted living regulations, how often must a resident’s service plan be
reviewed and updated?
A) Every 30 days
B) Every 90 days
C) Every 6 months
D) Annually
CORRECT ANSWER: C
EXPERT RATIONALE: Service plans must be reviewed and updated at least every six
months or more frequently if the resident’s condition changes significantly.
QUESTION 3
Which of the following is a reportable incident that must be filed with the NC Division of
Health Service Regulation (DHSR) within 24 hours?
A) A resident refusing breakfast
B) A minor medication error with no harm
C) An unexplained resident death
D) A resident losing a pair of glasses
CORRECT ANSWER: C
EXPERT RATIONALE: Unexplained or unexpected deaths must be reported within 24
hours. Other incidents like medication errors may require reporting but typically within
longer timeframes unless serious.
,3|Page
QUESTION 4
What is the minimum number of awake staff required overnight in a 60-bed NC assisted
living facility?
A) 1 staff person
B) 2 staff persons, one of whom must be a nurse
C) 2 staff persons, at least one awake and on premises
D) No specific requirement, but sufficient to meet resident needs
CORRECT ANSWER: D
EXPERT RATIONALE: NC rules do not prescribe a fixed overnight awake staff number;
the facility must ensure adequate staffing to meet resident needs based on acuity and
service plans.
QUESTION 5
Which entity issues the Adult Care Home Administrator license in North Carolina?
A) NC Department of Health and Human Services (DHHS)
B) NC Board of Examiners for Nursing Home Administrators (NCBENHA)
C) NC Division of Health Service Regulation (DHSR)
D) NC Department of Insurance
CORRECT ANSWER: B
EXPERT RATIONALE: The NC Board of Examiners for Nursing Home Administrators
licenses adult care home (assisted living) administrators, not DHHS or DHSR directly.
, 4|Page
QUESTION 6
A resident with a known history of wandering is admitted. What must the service plan
include?
A) A one-to-one sitter at all times
B) Restraints as needed for safety
C) Specific interventions to prevent elopement and locate the resident if missing
D) A request to the family to remove the resident
CORRECT ANSWER: C
EXPERT RATIONALE: The service plan must address wandering with proactive safety
measures and elopement protocols. Restraints are not allowed without strict medical
necessity.
QUESTION 7
How many hours of continuing education (CE) are required annually to renew an Adult
Care Home Administrator license in NC?
A) 10 hours
B) 20 hours
C) 30 hours
D) 40 hours
CORRECT ANSWER: B
