NORTH CAROLINA ASSISTED LIVING
ADMINISTRATOR EXAM QUESTIONS AND CORRECT
ANSWERS VERIFIED ANSWERS PLUS RAIONALES
2025/2026
1. The main purpose of the North Carolina Division of Health Service Regulation (DHSR) is to:
A. Provide direct patient care in assisted living facilities
B. License, inspect, and regulate healthcare facilities
C. Offer free healthcare to residents
D. Enforce federal immigration laws
Correct answer: B. The DHSR oversees and regulates healthcare facilities to ensure compliance
with state and federal standards for quality and safety.
2. Which of the following is required before opening an assisted living facility in North Carolina?
A. Business license only
B. Certificate of Need
C. Facility license from DHSR
D. Administrator’s professional membership
Correct answer: C. A facility license from DHSR is mandatory to legally operate an assisted living
residence.
3. The administrator of an assisted living facility must:
A. Live in the facility
B. Be at least 21 years old and meet training requirements
C. Hold a nursing degree
D. Work part-time only
Correct answer: B. North Carolina requires administrators to be at least 21 and meet specific
training and certification requirements.
,4. The North Carolina assisted living licensure categories include:
A. Family Care Homes and Adult Care Homes
B. Hospitals and Clinics
C. Nursing Homes and Hospices
D. Mental Health Centers
Correct answer: A. North Carolina recognizes Family Care Homes and Adult Care Homes as
licensed assisted living settings.
5. Residents’ rights in an assisted living facility are derived from:
A. The U.S. Constitution only
B. The NC Adult Care Home Residents’ Bill of Rights
C. Facility policy manuals
D. Administrator discretion
Correct answer: B. North Carolina law mandates protection under the Adult Care Home
Residents’ Bill of Rights.
6. A resident’s care plan must be reviewed:
A. Every 6 months
B. Annually
C. Quarterly or as the resident’s condition changes
D. Only upon admission
Correct answer: C. Reviews are required quarterly or when significant changes in condition
occur.
7. The administrator is responsible for ensuring that:
A. Residents perform housekeeping
B. Staff are properly trained and competent
C. DHSR conducts monthly inspections
D. All residents have private rooms
Correct answer: B. Administrators must maintain qualified and competent staff.
8. When can an adult care home restrain a resident?
A. Whenever the resident is aggressive
B. Only when ordered by a licensed physician
, C. At staff discretion
D. For convenience during meals
Correct answer: B. Physical or chemical restraints require a physician’s order and
documentation.
9. Medication administration in assisted living facilities must be performed by:
A. Residents themselves
B. Unlicensed staff without supervision
C. Trained and approved medication aides
D. Family members
Correct answer: C. North Carolina requires trained medication aides to administer medications
under supervision.
10. Which document is essential for each resident’s admission?
A. Resident’s favorite food list
B. Signed admission agreement
C. Employee schedule
D. Volunteer policy
Correct answer: B. The admission agreement outlines rights, services, and financial terms.
11. A Family Care Home in North Carolina may house:
A. Up to 6 residents
B. Up to 10 residents
C. Up to 20 residents
D. Unlimited residents
Correct answer: A. Family Care Homes are licensed for 2–6 residents.
12. The purpose of infection control policies in assisted living is to:
A. Comply with staff preferences
B. Reduce staff workload
C. Prevent the spread of communicable diseases
D. Increase medication usage
Correct answer: C. Infection control minimizes disease transmission among residents and staff.
ADMINISTRATOR EXAM QUESTIONS AND CORRECT
ANSWERS VERIFIED ANSWERS PLUS RAIONALES
2025/2026
1. The main purpose of the North Carolina Division of Health Service Regulation (DHSR) is to:
A. Provide direct patient care in assisted living facilities
B. License, inspect, and regulate healthcare facilities
C. Offer free healthcare to residents
D. Enforce federal immigration laws
Correct answer: B. The DHSR oversees and regulates healthcare facilities to ensure compliance
with state and federal standards for quality and safety.
2. Which of the following is required before opening an assisted living facility in North Carolina?
A. Business license only
B. Certificate of Need
C. Facility license from DHSR
D. Administrator’s professional membership
Correct answer: C. A facility license from DHSR is mandatory to legally operate an assisted living
residence.
3. The administrator of an assisted living facility must:
A. Live in the facility
B. Be at least 21 years old and meet training requirements
C. Hold a nursing degree
D. Work part-time only
Correct answer: B. North Carolina requires administrators to be at least 21 and meet specific
training and certification requirements.
,4. The North Carolina assisted living licensure categories include:
A. Family Care Homes and Adult Care Homes
B. Hospitals and Clinics
C. Nursing Homes and Hospices
D. Mental Health Centers
Correct answer: A. North Carolina recognizes Family Care Homes and Adult Care Homes as
licensed assisted living settings.
5. Residents’ rights in an assisted living facility are derived from:
A. The U.S. Constitution only
B. The NC Adult Care Home Residents’ Bill of Rights
C. Facility policy manuals
D. Administrator discretion
Correct answer: B. North Carolina law mandates protection under the Adult Care Home
Residents’ Bill of Rights.
6. A resident’s care plan must be reviewed:
A. Every 6 months
B. Annually
C. Quarterly or as the resident’s condition changes
D. Only upon admission
Correct answer: C. Reviews are required quarterly or when significant changes in condition
occur.
7. The administrator is responsible for ensuring that:
A. Residents perform housekeeping
B. Staff are properly trained and competent
C. DHSR conducts monthly inspections
D. All residents have private rooms
Correct answer: B. Administrators must maintain qualified and competent staff.
8. When can an adult care home restrain a resident?
A. Whenever the resident is aggressive
B. Only when ordered by a licensed physician
, C. At staff discretion
D. For convenience during meals
Correct answer: B. Physical or chemical restraints require a physician’s order and
documentation.
9. Medication administration in assisted living facilities must be performed by:
A. Residents themselves
B. Unlicensed staff without supervision
C. Trained and approved medication aides
D. Family members
Correct answer: C. North Carolina requires trained medication aides to administer medications
under supervision.
10. Which document is essential for each resident’s admission?
A. Resident’s favorite food list
B. Signed admission agreement
C. Employee schedule
D. Volunteer policy
Correct answer: B. The admission agreement outlines rights, services, and financial terms.
11. A Family Care Home in North Carolina may house:
A. Up to 6 residents
B. Up to 10 residents
C. Up to 20 residents
D. Unlimited residents
Correct answer: A. Family Care Homes are licensed for 2–6 residents.
12. The purpose of infection control policies in assisted living is to:
A. Comply with staff preferences
B. Reduce staff workload
C. Prevent the spread of communicable diseases
D. Increase medication usage
Correct answer: C. Infection control minimizes disease transmission among residents and staff.
