NC ASSISTED LIVING ADMINISTRATOR STATE EXAM
QUESTIONS AND CORRECT ANSWERS LATEST
1: Under NC regulations, what is the minimum staff-to-resident ratio during waking hours in
an assisted living residence?
A. 1:10
B. 1:15
C. 1:20
D. Varies based on resident acuity and services provided
CORRECT ANSWER: D. Varies based on resident acuity and services provided
Rationale: NC regulations (10A NCAC 13G) do not specify a fixed ratio but require sufficient
qualified staff to meet residents' scheduled and unscheduled needs based on individual
assessments and service plans.
2: Which document outlines the specific services a resident will receive in an assisted living
residence?
A. Admission agreement
B. Service plan (care plan)
C. Resident handbook
D. Staff schedule
CORRECT ANSWER: B. Service plan (care plan)
Rationale: The service plan (or individualized care plan) is developed with the resident/family
and details the specific services, supports, and interventions to meet the resident's assessed
needs.
3: Who is responsible for conducting the initial assessment of a prospective resident?
A. The administrator only
B. A qualified health care professional (RN, LPN, or physician)
C. The activity director
D. The dietary manager
CORRECT ANSWER: B. A qualified health care professional (RN, LPN, or physician)
Rationale: NC regulations require a health assessment by a qualified professional to determine
if the residence can meet the prospective resident's needs before admission.
, 4: Which medication management task may be delegated to unlicensed assistive personnel
in NC assisted living?
A. Assessment of medication effectiveness
B. Administration of medications after proper training and competency validation
C. Prescribing medications
D. Adjusting medication dosages
CORRECT ANSWER: B. Administration of medications after proper training and competency
validation
Rationale: NC allows trained, competent unlicensed personnel to administer medications in
assisted living under specific regulations, but assessment, prescribing, and dosage changes
require licensed professionals.
5: What is the maximum number of residents allowed in a single bedroom in a standard
assisted living residence?
A. 1
B. 2
C. 3
D. 4
CORRECT ANSWER: B. 2
Rationale: NC regulations generally limit bedrooms to two residents maximum, with specific
square footage and privacy requirements for shared rooms.
6: Which fire safety feature is required in all assisted living residences?
A. Sprinkler system in all areas
B. Fire alarm system and evacuation plan
C. Fire extinguishers only in kitchen
D. No specific requirements
CORRECT ANSWER: B. Fire alarm system and evacuation plan
Rationale: NC regulations require functioning fire alarm systems, regular drills, and written
evacuation plans tailored to resident capabilities.
7: How often must staff complete in-service training in NC assisted living?
A. Only at hire
B. Annually
,C. Every 2 years
D. No requirement
CORRECT ANSWER: B. Annually
Rationale: NC requires annual in-service training for staff on topics like resident rights, infection
control, emergency procedures, and dementia care.
8: Which resident right is protected under NC assisted living regulations?
A. Right to unrestricted visitation
B. Right to be free from unnecessary restraints
C. Right to choose staff assignments
D. Right to unlimited personal belongings
CORRECT ANSWER: B. Right to be free from unnecessary restraints
Rationale: Residents have the right to be free from physical or chemical restraints unless
clinically justified and ordered by a physician, with strict documentation requirements.
9: What is the administrator's responsibility regarding resident funds?
A. May commingle resident funds with operating funds
B. Must maintain separate accounting and provide regular statements
C. No specific requirements
D. May use resident funds for facility emergencies
CORRECT ANSWER: B. Must maintain separate accounting and provide regular statements
Rationale: NC regulations require strict fiduciary management of resident funds: separate
accounts, detailed records, and regular statements to residents/families.
10: Which condition would typically exclude admission to a standard assisted living
residence?
A. Need for assistance with bathing
B. Need for skilled nursing care 24/7
C. Mild cognitive impairment
D. Use of a wheelchair
CORRECT ANSWER: B. Need for skilled nursing care 24/7
Rationale: Assisted living is for residents who need personal care services but not continuous
skilled nursing; 24/7 skilled care requires a nursing facility level of care.
11: How often must the service plan be reviewed and updated?
, A. Only at admission
B. Annually or when resident's condition changes
C. Every 5 years
D. Only if family requests
CORRECT ANSWER: B. Annually or when resident's condition changes
Rationale: Service plans must be reviewed at least annually and revised whenever there is a
significant change in the resident's condition, needs, or preferences.
12: Which infection control practice is required in assisted living?
A. No specific requirements
B. Standard precautions and hand hygiene for all staff
C. Only during outbreaks
D. Only for dietary staff
CORRECT ANSWER: B. Standard precautions and hand hygiene for all staff
Rationale: NC regulations require all staff to follow standard precautions (hand hygiene, PPE as
needed) to prevent infection transmission.
13: What is the minimum requirement for food service in assisted living?
A. Three meals plus snacks daily, meeting nutritional needs
B. Only breakfast and dinner
C. Residents provide their own meals
D. No specific requirements
CORRECT ANSWER: A. Three meals plus snacks daily, meeting nutritional needs
Rationale: Facilities must provide nutritious meals meeting dietary needs, with accommodations
for therapeutic diets and resident preferences.
14: Which documentation must be maintained for each resident?
A. Only admission paperwork
B. Health assessment, service plan, medication records, and progress notes
C. Only financial records
D. Only emergency contact information
CORRECT ANSWER: B. Health assessment, service plan, medication records, and progress
notes
QUESTIONS AND CORRECT ANSWERS LATEST
1: Under NC regulations, what is the minimum staff-to-resident ratio during waking hours in
an assisted living residence?
A. 1:10
B. 1:15
C. 1:20
D. Varies based on resident acuity and services provided
CORRECT ANSWER: D. Varies based on resident acuity and services provided
Rationale: NC regulations (10A NCAC 13G) do not specify a fixed ratio but require sufficient
qualified staff to meet residents' scheduled and unscheduled needs based on individual
assessments and service plans.
2: Which document outlines the specific services a resident will receive in an assisted living
residence?
A. Admission agreement
B. Service plan (care plan)
C. Resident handbook
D. Staff schedule
CORRECT ANSWER: B. Service plan (care plan)
Rationale: The service plan (or individualized care plan) is developed with the resident/family
and details the specific services, supports, and interventions to meet the resident's assessed
needs.
3: Who is responsible for conducting the initial assessment of a prospective resident?
A. The administrator only
B. A qualified health care professional (RN, LPN, or physician)
C. The activity director
D. The dietary manager
CORRECT ANSWER: B. A qualified health care professional (RN, LPN, or physician)
Rationale: NC regulations require a health assessment by a qualified professional to determine
if the residence can meet the prospective resident's needs before admission.
, 4: Which medication management task may be delegated to unlicensed assistive personnel
in NC assisted living?
A. Assessment of medication effectiveness
B. Administration of medications after proper training and competency validation
C. Prescribing medications
D. Adjusting medication dosages
CORRECT ANSWER: B. Administration of medications after proper training and competency
validation
Rationale: NC allows trained, competent unlicensed personnel to administer medications in
assisted living under specific regulations, but assessment, prescribing, and dosage changes
require licensed professionals.
5: What is the maximum number of residents allowed in a single bedroom in a standard
assisted living residence?
A. 1
B. 2
C. 3
D. 4
CORRECT ANSWER: B. 2
Rationale: NC regulations generally limit bedrooms to two residents maximum, with specific
square footage and privacy requirements for shared rooms.
6: Which fire safety feature is required in all assisted living residences?
A. Sprinkler system in all areas
B. Fire alarm system and evacuation plan
C. Fire extinguishers only in kitchen
D. No specific requirements
CORRECT ANSWER: B. Fire alarm system and evacuation plan
Rationale: NC regulations require functioning fire alarm systems, regular drills, and written
evacuation plans tailored to resident capabilities.
7: How often must staff complete in-service training in NC assisted living?
A. Only at hire
B. Annually
,C. Every 2 years
D. No requirement
CORRECT ANSWER: B. Annually
Rationale: NC requires annual in-service training for staff on topics like resident rights, infection
control, emergency procedures, and dementia care.
8: Which resident right is protected under NC assisted living regulations?
A. Right to unrestricted visitation
B. Right to be free from unnecessary restraints
C. Right to choose staff assignments
D. Right to unlimited personal belongings
CORRECT ANSWER: B. Right to be free from unnecessary restraints
Rationale: Residents have the right to be free from physical or chemical restraints unless
clinically justified and ordered by a physician, with strict documentation requirements.
9: What is the administrator's responsibility regarding resident funds?
A. May commingle resident funds with operating funds
B. Must maintain separate accounting and provide regular statements
C. No specific requirements
D. May use resident funds for facility emergencies
CORRECT ANSWER: B. Must maintain separate accounting and provide regular statements
Rationale: NC regulations require strict fiduciary management of resident funds: separate
accounts, detailed records, and regular statements to residents/families.
10: Which condition would typically exclude admission to a standard assisted living
residence?
A. Need for assistance with bathing
B. Need for skilled nursing care 24/7
C. Mild cognitive impairment
D. Use of a wheelchair
CORRECT ANSWER: B. Need for skilled nursing care 24/7
Rationale: Assisted living is for residents who need personal care services but not continuous
skilled nursing; 24/7 skilled care requires a nursing facility level of care.
11: How often must the service plan be reviewed and updated?
, A. Only at admission
B. Annually or when resident's condition changes
C. Every 5 years
D. Only if family requests
CORRECT ANSWER: B. Annually or when resident's condition changes
Rationale: Service plans must be reviewed at least annually and revised whenever there is a
significant change in the resident's condition, needs, or preferences.
12: Which infection control practice is required in assisted living?
A. No specific requirements
B. Standard precautions and hand hygiene for all staff
C. Only during outbreaks
D. Only for dietary staff
CORRECT ANSWER: B. Standard precautions and hand hygiene for all staff
Rationale: NC regulations require all staff to follow standard precautions (hand hygiene, PPE as
needed) to prevent infection transmission.
13: What is the minimum requirement for food service in assisted living?
A. Three meals plus snacks daily, meeting nutritional needs
B. Only breakfast and dinner
C. Residents provide their own meals
D. No specific requirements
CORRECT ANSWER: A. Three meals plus snacks daily, meeting nutritional needs
Rationale: Facilities must provide nutritious meals meeting dietary needs, with accommodations
for therapeutic diets and resident preferences.
14: Which documentation must be maintained for each resident?
A. Only admission paperwork
B. Health assessment, service plan, medication records, and progress notes
C. Only financial records
D. Only emergency contact information
CORRECT ANSWER: B. Health assessment, service plan, medication records, and progress
notes
