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North Carolina Nursing Home Administrator Exam 2026 | Verified Questions & Answers | Nursing Home Study Guide

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Prepare for the North Carolina Nursing Home Administrator Exam 2026 with this complete, fully verified study set featuring actual exam questions, correct answers, and detailed rationales. This guide is tailored for aspiring administrators seeking licensure and compliance knowledge in long-term care facilities. Key topics include: Regulations for brain injury long-term care admissions Bed capacity rules and temporary increases Reporting abuse, mistreatment, and misappropriation within nursing homes Respite care regulations and time limits Pharmaceutical care assessments and medication safety Proper drug storage conditions and room temperature requirements Policies for facility pets and therapy animals Definitions and requirements for convalescent care Nutrition compliance per the Food and Nutrition Board, National Research Council Responsibilities of the administrator for regulatory compliance, staff management, and patient care standards This guide ensures you are fully prepared for all regulatory, clinical, and operational questions likely to appear on the exam. Perfect for North Carolina licensure candidates, nursing home administrators, and long-term care professionals. Instant download available for exam-ready preparation.

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North Carolina Nursing Home
Administrator Study Set Exam Questions
& Answers | 100% Verified solutions
|Questions with Correct Answers||
LATEST UPDATE 2026
To qualify for "Brain Injury Long Term Care", a person must not show progress for how

long to standard rehab? -CORRECTANSWER Three months.



A Life Care Center is licensed for 120 beds. They need to increase their bed capacity by

11 beds. Can they do this? -CORRECTANSWER No.

A life care center, having an agreement to care for all residents regardless of level of

care needs, may temporarily increase bed capacity by 10 percent or 10 beds, whichever

is less, over the licensed bed capacity for a period up to 30 days following notification of

and approval by the Department.



When reporting an allegation of abuse, mistreatment, or misappropriation of resident

property, the administrator shall ensure that the report of investigation is ______ and

postmarked to the Health Care Personnel Registry Section of the Division of Health

Service Regulation within _____ working days of the allegation. -CORRECTANSWER

Printed or typed; five.

,The administrator shall ensure that the report of investigation is printed or typed and

postmarked to the Health Care Personnel Registry Section of the Division of Health

Service Regulation within five working days of the allegation.



How long can a North Carolina nursing home provide "respite" care? -

CORRECTANSWER 30 days.

"Respite care" means services provided for persons admitted to a nursing facility on a

temporary basis, not to exceed 30 days.



To ensure that drug therapy is rational, safe and effective, a pharmaceutical care

assessment shall be conducted in the facility at least every ______ days for each

patient -CORRECTANSWER 31.



To ensure that drug therapy is rational, safe and effective, a pharmaceutical care

assessment shall be conducted in the facility at least every 31 days for each patient.



The drug storage area shall be clean, secure, well-lighted, well ventilated and with

temperatures between _______ degrees F. and ________ degrees F. -

CORRECTANSWER 59 degrees F and 86 degrees F.



The pharmacist and director of nursing shall ensure that drug storage areas are clean,

secure, well lighted and well ventilated; that room temperature is maintained between

59 degrees F. and 86 degrees F.

,An Activity Director would like to adopt a facility dog. What rules does she have to

comply with? -CORRECTANSWER A facility policy that mirrors the local health

ordinances regarding pet health and control plus not permit the pet into areas where

food is being prepared.



When facility policies permit pets in the facility, the following conditions shall be met:(1)

The facility policy shall not be in violation of any local health ordinances regarding pet

health and control.(2) Pets shall not be permitted to enter areas where food is being

prepared.



As defined by the North Carolina code: "Convalescent Care" means care given for the

purpose of: -CORRECTANSWER Assisting the patient or resident to regain health or

strength.



"Convalescent care" means care given for the purpose of assisting the patient or

resident to regain health or strength.



The facility shall ensure that menus are followed which meet the nutritional needs of

patients in accordance with the recommended dietary allowances of the: -

CORRECTANSWER Food and Nutrition Board of the National Research Council,

National Academy

, Temperatures in the facility shall be at _______ degrees F. minimum in the heating

season and a maximum of _______ degrees F. during the non-heating season. -

CORRECTANSWER 71 degrees F, 81 degrees F.



Environmental temperature control systems shall be capable of maintaining

temperatures in the facility at 71 degrees F. minimum in the heating season and a

maximum of 81 degrees F. during the non-heating season.



What special allowances must an isolation room contain? -CORRECTANSWER Rooms

designated for isolation shall have negative or positive pressure with relationship to

adjacent areas depending upon the type of patient to be isolated. Exhaust for isolation

rooms shall be ducted to the outdoors with exhaust fans located at the discharge end of

the duct.



The emergency electrical system shall be so controlled that after interruption of the

normal electric power supply, the generator is brought to full voltage and frequency and

connected within ______ seconds. -CORRECTANSWER 10 seconds.



The emergency electrical system shall be so controlled that after interruption of the

normal electric power supply, the generator is brought to full voltage and frequency and

connected with 10 seconds through one or more primary automatic transfer switches to

all emergency lighting, alarms, nurses' call, and equipment necessary for maintaining

telephone service.

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