North Carolina Assisted Living Administrator Exam Questions And
Correct Answers | 2025/2026 | Newly Updated | Instant Download!
1. The primary regulatory body overseeing Adult Care Homes in North Carolina is:
A. CMS
B. NC Division of Health Service Regulation (DHSR)
C. Local Law Enforcement
D. NC Department of Motor Vehicles
Answer: B (Correct Answer)
Rationale: DHSR licenses and monitors assisted living facilities in NC.
2. A resident’s right to be free from abuse and neglect is protected under:
A. Medicare Conditions of Participation
B. NC Residents’ Bill of Rights
C. Federal Nursing Home Reform Act
D. HIPAA
Answer: B (Correct Answer)
Rationale: The NC Bill of Rights outlines resident protections and reporting.
3. Required timeframe to report suspected abuse, neglect, or exploitation:
A. Immediately or within 24 hours
B. Within 7 days
C. Within 72 hours
D. Monthly
Answer: A (Correct Answer)
Rationale: NC mandates prompt reporting to DSS/DHSR.
4. Who is legally responsible for ensuring accurate and compliant medication administration?
A. Pharmacy
B. Administrator & Medication Aide
C. Resident’s family
D. Dietary staff
Answer: B (Correct Answer)
Rationale: Administrator ensures compliance; trained aides administer meds.
,5. Fire and evacuation drills must be conducted at least:
A. Once per year
B. Quarterly
C. Monthly
D. Twice a year
Answer: C (Correct Answer)
Rationale: Monthly drills required with varied shift participation.
6. A facility’s Disaster Preparedness Plan must be reviewed:
A. Every 6 months
B. Annually
C. Every 5 years
D. Only during inspection
Answer: B (Correct Answer)
Rationale: Annual review ensures updated readiness for emergencies.
7. Staff providing direct resident care must complete initial orientation within:
A. 24 hours of hire
B. 30 days of hire
C. 60 days of hire
D. 90 days of hire
Answer: A (Correct Answer)
Rationale: Safety and resident-care basics must be covered immediately.
8. A facility with 16+ beds must have a staff member awake and on duty:
A. Only weekdays
B. All shifts, 24/7
C. During daytime only
D. During meals only
Answer: B (Correct Answer)
Rationale: Around-the-clock staffing is required for safety.
9. Written grievance procedures must be provided:
A. Only if a resident complains
B. At admission and upon request
C. Only during annual review
D. To family only
, Answer: B (Correct Answer)
Rationale: Residents must be informed of rights and grievance processes.
10. The minimum age for medication aides:
A. 16
B. 17
C. 18
D. 21
Answer: C (Correct Answer)
Rationale: NC requires medication aides to be legal adults.
🏁 Continuing…
I’m splitting into clean batches so it's easy to copy-paste.
Here are Questions 11–40 👇
11. A facility must notify DHSR of a change in administrator within:
A. 24 hours
B. 72 hours
C. 7 days
D. 30 days
Answer: D (Correct Answer)
Rationale: State requires written notice within 30 days of administrative change.
12. Resident care plans must be reviewed at least:
A. Weekly
B. Monthly
C. Annually
D. Every 90 days or upon change of condition
Answer: D (Correct Answer)
Rationale: Review ensures care remains appropriate to resident needs.
13. The maximum time a PRN medication order is valid without reassessment:
A. 7 days
B. 14 days
Correct Answers | 2025/2026 | Newly Updated | Instant Download!
1. The primary regulatory body overseeing Adult Care Homes in North Carolina is:
A. CMS
B. NC Division of Health Service Regulation (DHSR)
C. Local Law Enforcement
D. NC Department of Motor Vehicles
Answer: B (Correct Answer)
Rationale: DHSR licenses and monitors assisted living facilities in NC.
2. A resident’s right to be free from abuse and neglect is protected under:
A. Medicare Conditions of Participation
B. NC Residents’ Bill of Rights
C. Federal Nursing Home Reform Act
D. HIPAA
Answer: B (Correct Answer)
Rationale: The NC Bill of Rights outlines resident protections and reporting.
3. Required timeframe to report suspected abuse, neglect, or exploitation:
A. Immediately or within 24 hours
B. Within 7 days
C. Within 72 hours
D. Monthly
Answer: A (Correct Answer)
Rationale: NC mandates prompt reporting to DSS/DHSR.
4. Who is legally responsible for ensuring accurate and compliant medication administration?
A. Pharmacy
B. Administrator & Medication Aide
C. Resident’s family
D. Dietary staff
Answer: B (Correct Answer)
Rationale: Administrator ensures compliance; trained aides administer meds.
,5. Fire and evacuation drills must be conducted at least:
A. Once per year
B. Quarterly
C. Monthly
D. Twice a year
Answer: C (Correct Answer)
Rationale: Monthly drills required with varied shift participation.
6. A facility’s Disaster Preparedness Plan must be reviewed:
A. Every 6 months
B. Annually
C. Every 5 years
D. Only during inspection
Answer: B (Correct Answer)
Rationale: Annual review ensures updated readiness for emergencies.
7. Staff providing direct resident care must complete initial orientation within:
A. 24 hours of hire
B. 30 days of hire
C. 60 days of hire
D. 90 days of hire
Answer: A (Correct Answer)
Rationale: Safety and resident-care basics must be covered immediately.
8. A facility with 16+ beds must have a staff member awake and on duty:
A. Only weekdays
B. All shifts, 24/7
C. During daytime only
D. During meals only
Answer: B (Correct Answer)
Rationale: Around-the-clock staffing is required for safety.
9. Written grievance procedures must be provided:
A. Only if a resident complains
B. At admission and upon request
C. Only during annual review
D. To family only
, Answer: B (Correct Answer)
Rationale: Residents must be informed of rights and grievance processes.
10. The minimum age for medication aides:
A. 16
B. 17
C. 18
D. 21
Answer: C (Correct Answer)
Rationale: NC requires medication aides to be legal adults.
🏁 Continuing…
I’m splitting into clean batches so it's easy to copy-paste.
Here are Questions 11–40 👇
11. A facility must notify DHSR of a change in administrator within:
A. 24 hours
B. 72 hours
C. 7 days
D. 30 days
Answer: D (Correct Answer)
Rationale: State requires written notice within 30 days of administrative change.
12. Resident care plans must be reviewed at least:
A. Weekly
B. Monthly
C. Annually
D. Every 90 days or upon change of condition
Answer: D (Correct Answer)
Rationale: Review ensures care remains appropriate to resident needs.
13. The maximum time a PRN medication order is valid without reassessment:
A. 7 days
B. 14 days
