Free Administrator Exam Practice Questions

Sample Practice Questions

Try these 10 sample questions from the Administrator Exam practice bank. Each includes the answer and explanation. Continue with the interactive practice above to review the full question set.

1. 1A resident needs help with eating, dressing, bathing, toileting, transfers, and ambulation. Which defined category covers these functions?

   1. A. Aide duty
   2. B. Activities of daily living
   3. C. Housekeeping duties
   4. D. Supervision

   Answer: B

   Explanation: Rule .0102 defines the category: "Activities of daily living" or "ADL's" means eating, dressing, bathing, toileting, bowel and bladder control, transfers, ambulation, and communication. The listed functions therefore are ADLs.

   Reference: 10 a Ncac 13 F Current — 10A NCAC 13F .0102(2)

2. 2A prospective operator seeks a North Carolina family care home license. What resident-capacity range defines this type of home?

   1. A. Two to six residents.
   2. B. Seven to twelve residents.
   3. C. Thirteen to twenty residents.
   4. D. Twenty-one to thirty residents.

   Answer: A

   Explanation: "family care homes shall have a capacity of two to six residents." The licensed family-home category is limited to two through six residents; the other ranges belong outside that category.

   Reference: 10A NCAC 13G — Licensing of Family Care Homes — 10A NCAC 13G .0206(a)

3. 3An operator compares facilities covered by the Assisted Living Administrator Act. Which proposed facility is expressly exempt from the Act's certification provisions?

   1. A. A seven-resident adult care home licensed under 13F.
   2. B. A twenty-resident adult care home licensed under 13F.
   3. C. A family care home licensed under 13G for four residents.
   4. D. An eighty-one-resident adult care home licensed under 13F.

   Answer: C

   Explanation: "The provisions of this Article shall not apply to: (1) Combination homes as defined in G.S. 131E‑101 and hospitals that contain adult care beds. (2) Family care homes as defined in G.S. 131D‑2.1(9)." The explicit family-care-home exemption covers the four-resident 13G home. The listed 13F adult care homes do not become family homes merely because their size varies.

   Reference: Assisted Living Administrator Act, G.S. Chapter 90, Article 20A — Article 20A, § 90‑288.12(b)(2)

4. 4A resident develops symptoms quickly that are outside the resident's baseline health status. Which defined term applies?

   1. A. Acute care needs
   2. B. Long-term care
   3. C. Supervision
   4. D. Discharge

   Answer: A

   Explanation: Rule .0102 states that "Acute care needs" means symptoms or a condition that develops quickly and is not a part of the resident's baseline health or mental health status. That definition fits the scenario.

   Reference: 10 a Ncac 13 F Current — 10A NCAC 13F .0102(3)

5. 5A resident's evacuation ability changes, and the home's licensed ambulatory capacity no longer matches its residents. Who must the family care home licensee or designee notify under the capacity rule?

   1. A. The county department of social services adult home specialist.
   2. B. The Division of Health Service Regulation Adult Care Licensure Section.
   3. C. The local fire department's emergency dispatch center.
   4. D. The Department's administrator certification program.

   Answer: B

   Explanation: "The licensee or the licensee's designee shall notify the Division of Health Service Regulation Adult Care Licensure Section if the evacuation capabilities of the residents changes and the facility no longer complies with the facility's licensed capacity as listed on the facility's license" The change triggers notice to the Division's Adult Care Licensure Section. The other listed bodies have different roles in adult-care oversight but are not the recipient specified here.

   Reference: 10A NCAC 13G — Licensing of Family Care Homes — 10A NCAC 13G .0206(e)

6. 6A candidate for administrator of a nonexempt assisted living residence has completed training and applied for certification, but has not been certified. The candidate does not hold a nursing home administrator license under Article 20. What may the candidate do under Article 20A?

   1. A. Begin performing administrator services while the application is pending.
   2. B. Offer administrator services if a certified preceptor is on call.
   3. C. Perform services only during the candidate's first 90 days of employment.
   4. D. Wait for certification before performing or offering administrator services.

   Answer: D

   Explanation: "No person shall perform or offer to perform services as an assisted living administrator unless the person has been certified under the provisions of this Article." The Act bars both performance and an offer before certification. Training, an application, or supervision does not satisfy the stated condition.

   Reference: Assisted Living Administrator Act, G.S. Chapter 90, Article 20A — Article 20A, § 90‑288.12(a)

7. 7Who is defined as responsible for day-to-day operation of an adult care home when the administrator is absent?

   1. A. Supervisor
   2. B. Responsible person
   3. C. Manager
   4. D. Medication aide

   Answer: C

   Explanation: Rule .0102 states: "Manager" means an individual responsible for the day-to-day operation of an adult care home in the absence of the administrator and under the direction and supervision of the administrator. The correct role is manager.

   Reference: 10 a Ncac 13 F Current — 10A NCAC 13F .0102(17)

8. 8An applicant seeks initial licensure for a family care home with five residents. In addition to the Residential Code, which building-code section applies to this capacity?

   1. A. The Building Code section for institutional health-care occupancies.
   2. B. The Fire Prevention Code section for adult care homes.
   3. C. The Building Code, Licensed Residential Care Facilities Section.
   4. D. The Building Code section for assembly and congregate uses.

   Answer: C

   Explanation: "facilities requesting licensure or relicensure for four to six residents shall meet the North Carolina State Building Code: Building Code, Licensed Residential Care Facilities Section" Five residents falls within the four-to-six condition; that specific Building Code section applies in addition to the Residential Code.

   Reference: 10A NCAC 13G — Licensing of Family Care Homes — 10A NCAC 13G .0302(a)

9. 9An Article 20A applicant relies on supervisory experience, rather than college coursework, for administrator certification. Assuming the management and facility conditions are met, what minimum duration does the statute require?

   1. A. 60 months of qualifying supervisory experience.
   2. B. 36 months of qualifying supervisory experience.
   3. C. 24 months of qualifying supervisory experience.
   4. D. 12 months of qualifying supervisory experience.

   Answer: A

   Explanation: "has a minimum of 60 months of supervisory experience" For the experience-only route, the statute requires at least 60 months plus its defined supervisory duties and recent licensed-facility setting. Shorter periods cannot meet that route on their own.

   Reference: Assisted Living Administrator Act, G.S. Chapter 90, Article 20A — Article 20A, § 90‑288.14(3)

10. 10An administrator is away from the facility but can be contacted by two-way telecommunication. What status does the rule define?

    1. A. On-duty
    2. B. On-call
    3. C. First shift
    4. D. Supervisor

    Answer: B

    Explanation: Rule .0102 provides the concise definition: "On-call" means able to be contacted by two-way telecommunication. The administrator is therefore on-call.

    Reference: 10 a Ncac 13 F Current — 10A NCAC 13F .0102(20)