Nc Assisted Living Administrator Exam – Questions And Answers | Verified And Well Detailed Answers | Plus Rationales | Guaranteed Pass | Latest Exam Update

NC ASSISTED LIVING ADMINISTRATOR
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1. According to NC law, an adult care home resident’s “personal needs allowance” must be
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at least:
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A) $30 per month
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B) $46 per month
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C) $60 per month
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D) $90 per month
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Correct Answer: B jh jh




2. Within how many days must a newly admitted resident’s negotiated risk agreement be si
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gned?
A) 3 days
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B) 7 days
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C) 14 days
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D) 30 days
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Correct Answer: C jh jh




3. Which of the following is NOT a required component of a pre-
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admission screening for an assisted living facility in NC?
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A) Tuberculosis screening
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B) Determination of need for skilled nursing care
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C) Criminal background check of the applicant
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D) Assessment of ability to self-administer medications
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Correct Answer: C jh jh




4. An assisted living resident’s family member requests to see the facility’s most recent surv
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ey report. The administrator must:
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A) Provide a copy within 24 hours
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B) Allow viewing but no copying
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C) Provide it only to the resident, not family
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D) Deny request due to confidentiality
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Correct Answer: A jh jh

,NC ASSISTED LIVING ADMINISTRATOR
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5. What is the maximum number of residents allowed in a single adult care home bedroom
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in NC (for facilities licensed after 1985)?
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A) 1 jh




B) 2 jh




C) 3 jh




D) 4 jh




Correct Answer: B jh jh




6. A resident with a stage 2 pressure sore is currently in your facility. Which action is requir
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ed?
A) Immediate discharge to a skilled nursing facility
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B) Document care plan and notify physician
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C) Apply wet-to-dry dressings twice daily
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D) Ignore unless it progresses to stage 3
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Correct Answer: B jh jh




7. How often must a licensed assisted living administrator complete continuing education t
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o renew their license in NC?
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A) 6 hours annually
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B) 12 hours every 2 years
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C) 20 hours every 2 years
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D) No CE required
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Correct Answer: C jh jh




8. Under NC law, which medication can a non-
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licensed staff member administer if delegated by an RN?
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A) Insulin injections
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B) Oral over-the-counter acetaminophen
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C) PRN narcotics
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D) Intravenous antibiotics
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Correct Answer: B jh jh




9. The maximum capacity for an Adult Care Home (Level I) in NC is:
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A) 6 residents
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,NC ASSISTED LIVING ADMINISTRATOR
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B) 12 residents
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C) No maximum
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D) 20 residents
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*Correct Answer: A (Level I = 2–6 residents; Level II = 7+)
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10. A resident is found wandering outside the building unsupervised. This would be report
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ed as: jh




A) Accident
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B) Missing person
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C) Neglect/unsafe environment
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D) No report needed if resident returns safely
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Correct Answer: C jh jh




11. Within what timeframe must the administrator report a resident’s death that results fro
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m an accident or suspicious circumstances to the NC Department of Health and Human Ser
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vices?
A) Immediately by phone, written within 24 hours
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B) Within 7 days
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C) Within 30 days
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D) No requirement
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Correct Answer: A jh jh




12. Which is true about restraints in NC assisted living facilities?
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A) Lap buddies are never allowed
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B) Physical restraints require a physician’s order and informed consent
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C) Side rails are prohibited for all residents
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D) Any restraint use is automatically neglect
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Correct Answer: B jh jh




13. A resident has a valid do-not-
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resuscitate (DNR) order. Staff find them unresponsive and not breathing. The administrato
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r should:
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A) Perform CPR immediately
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B) Call 911 and begin CPR
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, NC ASSISTED LIVING ADMINISTRATOR
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C) Honor the DNR and provide comfort care
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D) Wait for family to confirm DNR
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Correct Answer: C jh jh




14. The Resident’s Bill of Rights in NC includes all EXCEPT:
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A) Manage personal finances
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B) Vote in elections
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C) Refuse chemical restraints
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D) Have a private room at no extra cost
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Correct Answer: D jh jh




15. What is the minimum required staff-to-resident ratio during waking hours for a 20-
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bed assisted living facility?
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A) 1:10
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B) 1:15
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C) 1:20
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D) No specific ratio in state rule, but sufficient to meet needs
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*Correct Answer: D (NC rules require “sufficient staffing” but no fixed ratio, though 1:20 is
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common for supervision) jh jh




16. A resident repeatedly refuses to bathe. The administrator may:
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A) Force bathing for hygiene
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B) Discharge the resident immediately
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C) Document refusal and continue offering assistance
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D) Restrict meal times until they bathe
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Correct Answer: C jh jh




17. A medication error that results in a resident’s hospitalization must be reported to the st
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ate within:
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A) 24 hours
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B) 48 hours
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C) 72 hours
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D) 7 days
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Correct Answer: A jh jh