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NC Assisted Living Administrator State Exam Practice
Test Questions and Correct Answers (Verified) Plus
Rationales | 2025
Instructions: Select the best answer for each question. This practice test is based on
North Carolina adult care home licensure rules and regulations for assisted living
administrators.
Question 1 of 100
What is the minimum age required to serve as an administrator of a licensed adult care
home in North Carolina?
• A. 18
• B. 21
• C. 25
• D. 30
Correct Answer: B
Rationale: According to NC adult care licensure rules (10A NCAC 13F .0401 and 13G
.0401), an administrator of an adult care home (assisted living facility) must be at least 21
years of age. Additionally, the administrator must meet education, experience, and
training requirements and pass the state exam.
Question 2 of 100
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How often must a resident's care plan be reviewed and updated in an NC assisted living
facility?
• A. Every 90 days
• B. Every 3 months and as needed with significant change
• C. Every 6 months
• D. Annually
Correct Answer: B
Rationale: According to 10A NCAC 13F .0303, each resident's care plan must be reviewed
and updated at least every 3 months (quarterly) and whenever there is a significant
change in the resident's condition. More frequent review may be required based on
individual needs.
Question 3 of 100
Which of the following is a requirement for admission to an adult care home (assisted
living facility) in North Carolina?
• A. The resident must be completely independent in all activities of daily
living
• B. The resident must have a diagnosis of dementia
• C. The resident must not require 24-hour skilled nursing care
• D. The resident must be under 65 years of age
Correct Answer: C
*Rationale: Assisted living facilities in NC are for individuals who cannot live
independently but do not require 24-hour skilled nursing care. Residents may need
assistance with activities of daily living (ADLs) and medication administration, but they
are not in need of continuous skilled nursing services.*
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Question 4 of 100
How many hours of continuing education (CE) are required annually for renewal of an
assisted living administrator's license in North Carolina?
• A. 6 hours
• B. 12 hours
• C. 18 hours
• D. 24 hours
Correct Answer: B
Rationale: NC administrators must complete 12 hours of continuing education annually.
Topics must include resident rights, medication management, dementia care, infection
control, or other relevant subjects. CE must be approved by the NC Division of Health
Service Regulation (DHSR).
Question 5 of 100
Within how many days must an assisted living facility administrator report a resident's
death to the resident's family and the appropriate state agency?
• A. 24 hours
• B. 48 hours
• C. 72 hours
• D. 7 days
Correct Answer: A
Rationale: The facility must notify the resident's family or legal representative and the
NC Assisted Living Administrator State Exam Practice
Test Questions and Correct Answers (Verified) Plus
Rationales | 2025
Instructions: Select the best answer for each question. This practice test is based on
North Carolina adult care home licensure rules and regulations for assisted living
administrators.
Question 1 of 100
What is the minimum age required to serve as an administrator of a licensed adult care
home in North Carolina?
• A. 18
• B. 21
• C. 25
• D. 30
Correct Answer: B
Rationale: According to NC adult care licensure rules (10A NCAC 13F .0401 and 13G
.0401), an administrator of an adult care home (assisted living facility) must be at least 21
years of age. Additionally, the administrator must meet education, experience, and
training requirements and pass the state exam.
Question 2 of 100
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How often must a resident's care plan be reviewed and updated in an NC assisted living
facility?
• A. Every 90 days
• B. Every 3 months and as needed with significant change
• C. Every 6 months
• D. Annually
Correct Answer: B
Rationale: According to 10A NCAC 13F .0303, each resident's care plan must be reviewed
and updated at least every 3 months (quarterly) and whenever there is a significant
change in the resident's condition. More frequent review may be required based on
individual needs.
Question 3 of 100
Which of the following is a requirement for admission to an adult care home (assisted
living facility) in North Carolina?
• A. The resident must be completely independent in all activities of daily
living
• B. The resident must have a diagnosis of dementia
• C. The resident must not require 24-hour skilled nursing care
• D. The resident must be under 65 years of age
Correct Answer: C
*Rationale: Assisted living facilities in NC are for individuals who cannot live
independently but do not require 24-hour skilled nursing care. Residents may need
assistance with activities of daily living (ADLs) and medication administration, but they
are not in need of continuous skilled nursing services.*
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Question 4 of 100
How many hours of continuing education (CE) are required annually for renewal of an
assisted living administrator's license in North Carolina?
• A. 6 hours
• B. 12 hours
• C. 18 hours
• D. 24 hours
Correct Answer: B
Rationale: NC administrators must complete 12 hours of continuing education annually.
Topics must include resident rights, medication management, dementia care, infection
control, or other relevant subjects. CE must be approved by the NC Division of Health
Service Regulation (DHSR).
Question 5 of 100
Within how many days must an assisted living facility administrator report a resident's
death to the resident's family and the appropriate state agency?
• A. 24 hours
• B. 48 hours
• C. 72 hours
• D. 7 days
Correct Answer: A
Rationale: The facility must notify the resident's family or legal representative and the
