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NC ASSISTED LIVING ADMINISTRATOR
EXAM QUESTIONS & CORRECT ANSWERS |
ALREADY GRADED A+
1. According to 10A NCAC 13F, an Adult Care Home must ensure that a licensed
health professional performs a clinical assessment of a resident within how many
days prior to or following admission?
A) Within 48 hours
B) Within 30 days
C) Within 14 days
D) Within 60 days
Explanation: NC licensure rules mandate that a physical examination and health
assessment of the resident must be completed by a licensed physician, physician assistant,
or nurse practitioner within 30 days prior to or 30 days after admission.
2. What is the minimum age requirement established by North Carolina law to be
eligible for licensure as an Adult Care Home Administrator?
,A) 18 years old
B) 21 years old
C) 21 years old and a high school graduate or equivalent
D) 25 years old
Explanation: Under NC General Statute § 131D-4.3, an applicant must be at least 21 years
of age and possess at least a high school diploma or GED equivalent to be certified as an
administrator. [1]
3. In North Carolina, how often must an assisted living facility conduct mandatory,
documented fire drills for each shift of staff?
A) Once every six months
B) Once a year
C) At least once per quarter per shift
D) Monthly on the first Monday
Explanation: NC rule 10A NCAC 13F .0309 requires fire drills to be executed at least
quarterly for each shift of facility personnel to ensure emergency response competence.
4. Which North Carolina entity is directly responsible for conducting routine,
unannounced monitoring visits and initial investigations of resident complaints
inside Adult Care Homes?
,A) The Federal Department of Health and Human Services (HHS)
B) The County Department of Social Services (DSS) Adult Home Specialist
C) The State Bureau of Investigation (SBI)
D) The local municipal housing authority
Explanation: While the state DHSR issues the actual license, the local County DSS utilizes
specialized Adult Home Specialists to monitor facilities and investigate initial complaints
within their respective counties.
5. Under NC rules, a medication error rate inside an Adult Care Home must be
maintained below what specific threshold to remain in compliance?
A) Below 10%
B) Below 5%
C) Exactly 0% with no exceptions
D) Below 1%
Explanation: During state pharmacy or nursing audits, an adult care home must display a
medication administration error rate of less than 5%.
6. According to 10A NCAC 13F .0401, a facility with a licensed capacity of 31 to 80
residents must employ a supervisor on duty for how many hours per day?
A) 8 hours per day, day shift only
B) 12 hours per day
, C) 24 hours per day
D) 4 hours per day during peak meal times
Explanation: Facilities with 31 or more beds must have a qualified supervisor on duty in the
facility 24 hours a day, 7 days a week.
7. If a resident exhibits behavior that poses an immediate, serious physical danger to
themselves or others, what is the facility's legal obligation regarding the use of
physical restraints?
A) The administrator can apply a mechanical restraint immediately and obtain an order 48
hours later.
B) Physical restraints may never be used for discipline or convenience, and require a
signed order from a physician specifying the target behavior and duration limits.
C) Restraints are completely prohibited under all circumstances, even in acute medical
emergencies.
D) The facility may use restraints if the resident's family signs a general liability waiver at
admission.
Explanation: NC rules strictly regulate restraints. They can only be used on a temporary
basis under a specific physician's order to ensure safety, and never as a systematic means
of behavior control or punishment.
NC ASSISTED LIVING ADMINISTRATOR
EXAM QUESTIONS & CORRECT ANSWERS |
ALREADY GRADED A+
1. According to 10A NCAC 13F, an Adult Care Home must ensure that a licensed
health professional performs a clinical assessment of a resident within how many
days prior to or following admission?
A) Within 48 hours
B) Within 30 days
C) Within 14 days
D) Within 60 days
Explanation: NC licensure rules mandate that a physical examination and health
assessment of the resident must be completed by a licensed physician, physician assistant,
or nurse practitioner within 30 days prior to or 30 days after admission.
2. What is the minimum age requirement established by North Carolina law to be
eligible for licensure as an Adult Care Home Administrator?
,A) 18 years old
B) 21 years old
C) 21 years old and a high school graduate or equivalent
D) 25 years old
Explanation: Under NC General Statute § 131D-4.3, an applicant must be at least 21 years
of age and possess at least a high school diploma or GED equivalent to be certified as an
administrator. [1]
3. In North Carolina, how often must an assisted living facility conduct mandatory,
documented fire drills for each shift of staff?
A) Once every six months
B) Once a year
C) At least once per quarter per shift
D) Monthly on the first Monday
Explanation: NC rule 10A NCAC 13F .0309 requires fire drills to be executed at least
quarterly for each shift of facility personnel to ensure emergency response competence.
4. Which North Carolina entity is directly responsible for conducting routine,
unannounced monitoring visits and initial investigations of resident complaints
inside Adult Care Homes?
,A) The Federal Department of Health and Human Services (HHS)
B) The County Department of Social Services (DSS) Adult Home Specialist
C) The State Bureau of Investigation (SBI)
D) The local municipal housing authority
Explanation: While the state DHSR issues the actual license, the local County DSS utilizes
specialized Adult Home Specialists to monitor facilities and investigate initial complaints
within their respective counties.
5. Under NC rules, a medication error rate inside an Adult Care Home must be
maintained below what specific threshold to remain in compliance?
A) Below 10%
B) Below 5%
C) Exactly 0% with no exceptions
D) Below 1%
Explanation: During state pharmacy or nursing audits, an adult care home must display a
medication administration error rate of less than 5%.
6. According to 10A NCAC 13F .0401, a facility with a licensed capacity of 31 to 80
residents must employ a supervisor on duty for how many hours per day?
A) 8 hours per day, day shift only
B) 12 hours per day
, C) 24 hours per day
D) 4 hours per day during peak meal times
Explanation: Facilities with 31 or more beds must have a qualified supervisor on duty in the
facility 24 hours a day, 7 days a week.
7. If a resident exhibits behavior that poses an immediate, serious physical danger to
themselves or others, what is the facility's legal obligation regarding the use of
physical restraints?
A) The administrator can apply a mechanical restraint immediately and obtain an order 48
hours later.
B) Physical restraints may never be used for discipline or convenience, and require a
signed order from a physician specifying the target behavior and duration limits.
C) Restraints are completely prohibited under all circumstances, even in acute medical
emergencies.
D) The facility may use restraints if the resident's family signs a general liability waiver at
admission.
Explanation: NC rules strictly regulate restraints. They can only be used on a temporary
basis under a specific physician's order to ensure safety, and never as a systematic means
of behavior control or punishment.
