NORTH CAROLINA ASSISTED LIVING
ADMINISTRATOR STATE PRACTICE EXAM
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF:
1. What is the primary purpose of an assisted living facility?
A. Provide acute medical care
B. Provide personal care and supportive services to individuals who
need assistance with daily activities
C. Serve as a long-term hospital
D. Offer outpatient therapy only
Rationale: Assisted living facilities focus on helping residents with daily
living activities while promoting independence, not acute medical care.
2. Which of the following is considered a core service in assisted
living?
A. Surgery
B. Medication management
C. Laboratory testing
D. Emergency room services
Rationale: Core services in assisted living include medication
management, personal care, and assistance with activities of daily
living.
,3. A resident requests to leave the facility for a week to visit family.
The administrator should:
A. Deny the request
B. Ensure the resident’s plan of care supports temporary absence and
document accordingly
C. Call law enforcement
D. Require the resident to sign a contract waiver
Rationale: Residents have the right to leave voluntarily; staff must
document and adjust care plans as needed.
4. How often must an assisted living facility review each resident’s
plan of care?
A. Every 12 months
B. At least every 6 months
C. Every 3 years
D. Only upon admission
Rationale: NC regulations require a semi-annual review to ensure the
care plan meets changing needs.
5. Which staff member is primarily responsible for overseeing
medication administration?
A. Dietary aide
B. Licensed nurse
C. Housekeeping staff
D. Activity coordinator
Rationale: Only licensed nurses or certified medication aides under
supervision may administer medications.
,6. A resident develops a skin breakdown. What is the administrator’s
responsibility?
A. Ignore if minor
B. Ensure nursing staff assess, document, and implement a care plan
C. Treat without documentation
D. Transfer immediately
Rationale: Administrators must ensure proper care and documentation
for resident health concerns.
7. What is required before discharging a resident involuntarily?
A. Resident consent
B. Written notice specifying reasons and effective date
C. Staff vote
D. Immediate removal
Rationale: NC law mandates proper notice and documentation for
involuntary discharges.
8. Which of the following is part of residents’ rights under NC law?
A. Free meals only
B. Privacy and confidentiality of personal information
C. Unlimited medical procedures
D. Choice of staff
Rationale: Residents have legal rights including privacy, dignity, and
participation in their care.
, 9. The facility must have a disaster plan that includes:
A. Evacuation procedures and staff roles
B. Only food storage
C. Only medication lists
D. None of the above
Rationale: NC regulations require a comprehensive emergency/disaster
plan to ensure safety.
10. What is the correct way to handle a resident’s complaint?
A. Ignore it
B. Investigate promptly, document findings, and take corrective action
C. Tell the resident to wait
D. Report only if staff notice
Rationale: Resident complaints must be addressed systematically to
comply with regulatory standards.
11. How often must fire drills occur in an assisted living facility?
A. Once a year
B. Every 6 months
C. Monthly
D. Only when new staff are hired
Rationale: Monthly fire drills are required to ensure staff and residents
know evacuation procedures.
12. The administrator notices a pattern of falls in one resident. What
is the first step?
A. Ignore it
ADMINISTRATOR STATE PRACTICE EXAM
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF:
1. What is the primary purpose of an assisted living facility?
A. Provide acute medical care
B. Provide personal care and supportive services to individuals who
need assistance with daily activities
C. Serve as a long-term hospital
D. Offer outpatient therapy only
Rationale: Assisted living facilities focus on helping residents with daily
living activities while promoting independence, not acute medical care.
2. Which of the following is considered a core service in assisted
living?
A. Surgery
B. Medication management
C. Laboratory testing
D. Emergency room services
Rationale: Core services in assisted living include medication
management, personal care, and assistance with activities of daily
living.
,3. A resident requests to leave the facility for a week to visit family.
The administrator should:
A. Deny the request
B. Ensure the resident’s plan of care supports temporary absence and
document accordingly
C. Call law enforcement
D. Require the resident to sign a contract waiver
Rationale: Residents have the right to leave voluntarily; staff must
document and adjust care plans as needed.
4. How often must an assisted living facility review each resident’s
plan of care?
A. Every 12 months
B. At least every 6 months
C. Every 3 years
D. Only upon admission
Rationale: NC regulations require a semi-annual review to ensure the
care plan meets changing needs.
5. Which staff member is primarily responsible for overseeing
medication administration?
A. Dietary aide
B. Licensed nurse
C. Housekeeping staff
D. Activity coordinator
Rationale: Only licensed nurses or certified medication aides under
supervision may administer medications.
,6. A resident develops a skin breakdown. What is the administrator’s
responsibility?
A. Ignore if minor
B. Ensure nursing staff assess, document, and implement a care plan
C. Treat without documentation
D. Transfer immediately
Rationale: Administrators must ensure proper care and documentation
for resident health concerns.
7. What is required before discharging a resident involuntarily?
A. Resident consent
B. Written notice specifying reasons and effective date
C. Staff vote
D. Immediate removal
Rationale: NC law mandates proper notice and documentation for
involuntary discharges.
8. Which of the following is part of residents’ rights under NC law?
A. Free meals only
B. Privacy and confidentiality of personal information
C. Unlimited medical procedures
D. Choice of staff
Rationale: Residents have legal rights including privacy, dignity, and
participation in their care.
, 9. The facility must have a disaster plan that includes:
A. Evacuation procedures and staff roles
B. Only food storage
C. Only medication lists
D. None of the above
Rationale: NC regulations require a comprehensive emergency/disaster
plan to ensure safety.
10. What is the correct way to handle a resident’s complaint?
A. Ignore it
B. Investigate promptly, document findings, and take corrective action
C. Tell the resident to wait
D. Report only if staff notice
Rationale: Resident complaints must be addressed systematically to
comply with regulatory standards.
11. How often must fire drills occur in an assisted living facility?
A. Once a year
B. Every 6 months
C. Monthly
D. Only when new staff are hired
Rationale: Monthly fire drills are required to ensure staff and residents
know evacuation procedures.
12. The administrator notices a pattern of falls in one resident. What
is the first step?
A. Ignore it
