North Carolina Assisted Living
Administrator Certification exam Questions
and Answers Plus Rationales
1. The primary responsibility of an assisted living administrator is to:
A) Diagnose residents’ medical conditions
B) Oversee the daily operations of the facility
C) Provide legal advice to residents
D) Perform all building maintenance tasks
Answer: B
Rationale: The administrator manages operations, staffing,
compliance and resident care; diagnosing or legal advising are
outside their role.
2. A facility’s emergency preparedness plan must be:
A) Optional unless requested by residents
B) Written, updated annually and practiced regularly
C) Verbal and flexible only
D) Only developed by the residents themselves
Answer: B
Rationale: State rules require a written emergency plan that is
reviewed/updated annually and drilled regularly to ensure
preparedness.
3. The minimum age requirement for certification as an assisted
living administrator in North Carolina is:
A) 18 years
, B) 21 years
C) 25 years
D) 30 years
Answer: B
Rationale: NC rules state the applicant must be at least 21 years of
age to apply for certification. NCDHHS Info+1
4. The staff member responsible for administering medications in an
assisted living facility is generally the:
A) Administrator
B) Medication aide or licensed nurse
C) Housekeeping staff
D) Activity coordinator
Answer: B
Rationale: Medication administration must be done by
trained/authorized personnel (e.g., licensed nurse or certified
medication aide) under supervision. Docsity
5. The main purpose of infection-control policies in an assisted living
facility is to:
A) Prevent staff from taking sick leave
B) Ensure compliance with food-service regulations
C) Prevent and control the spread of infections among residents
and staff
D) Reduce paperwork
Answer: C
Rationale: Protecting vulnerable residents and reducing
transmission is central to infection control efforts.
,6. A resident refuses a prescribed medication. The immediate
appropriate action is to:
A) Hide the medication in food so the resident will take it
B) Document the refusal, notify the nurse/administrator and
respect resident’s choice
C) Call the police to enforce compliance
D) Ignore until the next inspection
Answer: B
Rationale: Residents have the right to refuse; the refusal must be
documented and appropriate staff must be notified. Docsity
7. Which federal law protects residents’ health information in an
assisted living setting?
A) ADA
B) HIPAA
C) FMLA
D) OSHA
Answer: B
Rationale: The Health Insurance Portability and Accountability Act
(HIPAA) ensures the confidentiality of individual health
information.
8. A resident’s individualized service plan (ISP) must be:
A) A generic document applied to all residents
B) Tailored to the resident’s needs, preferences and functional
status
C) Only the staff training checklist
D) Only concerned with building maintenance issues
Answer: B
, Rationale: ISPs must reflect each resident’s unique services needed
and goals for care.
9. Which of the following must be included in the ISP for each
resident?
A) The resident’s favourite TV shows only
B) Functional status and needed services
C) The administrator’s personal notes only
D) The resident’s financial status only
Answer: B
Rationale: The service plan focuses on care needs, resident
abilities, and the services required to meet those needs. Docsity
10. Which statement is true about staff training oversight in an
assisted living facility?
A) Residents verify that staff meet training requirements
B) The administrator ensures staff compliance with training
requirements
C) Local health department has no role
D) There are no training requirements for staff
Answer: B
Rationale: The administrator is responsible for ensuring staff meet
required training. Docsity
11. A fire safety inspection in a licensed adult care home must
be completed:
A) Every 5 years
B) Annually
C) Every month
D) Only when the building is changed
Administrator Certification exam Questions
and Answers Plus Rationales
1. The primary responsibility of an assisted living administrator is to:
A) Diagnose residents’ medical conditions
B) Oversee the daily operations of the facility
C) Provide legal advice to residents
D) Perform all building maintenance tasks
Answer: B
Rationale: The administrator manages operations, staffing,
compliance and resident care; diagnosing or legal advising are
outside their role.
2. A facility’s emergency preparedness plan must be:
A) Optional unless requested by residents
B) Written, updated annually and practiced regularly
C) Verbal and flexible only
D) Only developed by the residents themselves
Answer: B
Rationale: State rules require a written emergency plan that is
reviewed/updated annually and drilled regularly to ensure
preparedness.
3. The minimum age requirement for certification as an assisted
living administrator in North Carolina is:
A) 18 years
, B) 21 years
C) 25 years
D) 30 years
Answer: B
Rationale: NC rules state the applicant must be at least 21 years of
age to apply for certification. NCDHHS Info+1
4. The staff member responsible for administering medications in an
assisted living facility is generally the:
A) Administrator
B) Medication aide or licensed nurse
C) Housekeeping staff
D) Activity coordinator
Answer: B
Rationale: Medication administration must be done by
trained/authorized personnel (e.g., licensed nurse or certified
medication aide) under supervision. Docsity
5. The main purpose of infection-control policies in an assisted living
facility is to:
A) Prevent staff from taking sick leave
B) Ensure compliance with food-service regulations
C) Prevent and control the spread of infections among residents
and staff
D) Reduce paperwork
Answer: C
Rationale: Protecting vulnerable residents and reducing
transmission is central to infection control efforts.
,6. A resident refuses a prescribed medication. The immediate
appropriate action is to:
A) Hide the medication in food so the resident will take it
B) Document the refusal, notify the nurse/administrator and
respect resident’s choice
C) Call the police to enforce compliance
D) Ignore until the next inspection
Answer: B
Rationale: Residents have the right to refuse; the refusal must be
documented and appropriate staff must be notified. Docsity
7. Which federal law protects residents’ health information in an
assisted living setting?
A) ADA
B) HIPAA
C) FMLA
D) OSHA
Answer: B
Rationale: The Health Insurance Portability and Accountability Act
(HIPAA) ensures the confidentiality of individual health
information.
8. A resident’s individualized service plan (ISP) must be:
A) A generic document applied to all residents
B) Tailored to the resident’s needs, preferences and functional
status
C) Only the staff training checklist
D) Only concerned with building maintenance issues
Answer: B
, Rationale: ISPs must reflect each resident’s unique services needed
and goals for care.
9. Which of the following must be included in the ISP for each
resident?
A) The resident’s favourite TV shows only
B) Functional status and needed services
C) The administrator’s personal notes only
D) The resident’s financial status only
Answer: B
Rationale: The service plan focuses on care needs, resident
abilities, and the services required to meet those needs. Docsity
10. Which statement is true about staff training oversight in an
assisted living facility?
A) Residents verify that staff meet training requirements
B) The administrator ensures staff compliance with training
requirements
C) Local health department has no role
D) There are no training requirements for staff
Answer: B
Rationale: The administrator is responsible for ensuring staff meet
required training. Docsity
11. A fire safety inspection in a licensed adult care home must
be completed:
A) Every 5 years
B) Annually
C) Every month
D) Only when the building is changed
