Free NC State Board of Examiners for Nursing Home Administrators State Examination Practice Questions

Sample Practice Questions

Try these 10 sample questions from the NC State Board of Examiners for Nursing Home Administrators State Examination practice bank. Each includes the answer and explanation. Continue with the interactive practice above to review the full question set.

1. 1Under North Carolina law, which body is meant by the term Board in the Nursing Home Administrator Act?

   1. A. North Carolina Medical Care Commission
   2. B. North Carolina State Board of Examiners for Nursing Home Administrators
   3. C. Division of Health Service Regulation
   4. D. North Carolina Board of Nursing

   Answer: B

   Explanation: G.S. 90-276 defines the Board as the “North Carolina State Board of Examiners for Nursing Home Administrators,” so B is correct.

   Reference: Chapter 90 - Article 20 — G.S. 90-276(2)

2. 2For North Carolina facility-rule purposes, what chiefly distinguishes the Administrator of Record?

   1. A. The administrator owns at least half of the facility
   2. B. The administrator is physically present enough to assure substantial compliance
   3. C. The administrator serves as the medical director
   4. D. The administrator is present only during surveys

   Answer: B

   Explanation: 21 NCAC 37B .0201 defines the role by presence “sufficient to assure the facility's substantial compliance with applicable state and federal laws and rules,” so B is correct.

   Reference: Chapter 37 Rules — § 21 NCAC 37B .0201

3. 3Which North Carolina facility is a nursing home for Chapter 131E licensing purposes?

   1. A. Any private residence providing meals to one adult
   2. B. A facility providing nursing or convalescent care for three or more persons unrelated to the operator
   3. C. Every hospital emergency department
   4. D. A child day-care center

   Answer: B

   Explanation: G.S. 131E-101(6) defines a nursing home as a facility providing “nursing or convalescent care for three or more persons unrelated to the licensee,” so B is correct.

   Reference: Chapter 131 E — G.S. 131E-101(6)

4. 4Under the North Carolina licensing rule, may two separately operated facilities share one nursing-home license merely because they have common ownership?

   1. A. Yes, if they share an administrator
   2. B. Yes, if they are in the same county
   3. C. No, a separate license is required for each facility
   4. D. No, unless both have the same bed capacity

   Answer: C

   Explanation: 10A NCAC 13D .2102 provides, “Only one license shall be issued to each facility,” so common ownership does not combine separately operated facilities under one license.

   Reference: Subchapter 13 D Rules — § 10A NCAC 13D .2102 ISSUANCE OF LICENSE

5. 5A person shares general administrative duties with another manager at a North Carolina nursing home. Does that sharing keep the person outside the statutory definition of a nursing home administrator?

   1. A. Yes, whenever duties are divided equally
   2. B. Yes, unless the person owns the facility
   3. C. No, the definition applies whether duties are shared with one or more individuals
   4. D. No, but only if the person is a licensed nurse

   Answer: C

   Explanation: The definition applies “whether his functions and duties are shared with one or more individuals.”

   Reference: Chapter 90 - Article 20 — G.S. 90-276(4)

6. 6What must the Board do when evaluating a disclosed felony or misdemeanor on an initial application?

   1. A. Automatically deny every applicant with any conviction
   2. B. Apply the criminal-conviction standards required by North Carolina law
   3. C. Refer every application to the Medical Care Commission
   4. D. Ignore convictions older than one year

   Answer: B

   Explanation: 21 NCAC 37D .0204 allows a felony applicant only if “his rights of citizenship have been restored” and a misdemeanor applicant only after complying with all terms of judgment; therefore B, applying the specified standards, is correct.

   Reference: Chapter 37 Rules — § 21 NCAC 37D .0204

7. 7What does North Carolina call a facility that provides both nursing-home care and adult-care-home services?

   1. A. Combination home
   2. B. Hospice residence
   3. C. Ambulatory center
   4. D. Family care home

   Answer: A

   Explanation: G.S. 131E-101 defines a “Combination home” as one offering both nursing home and adult care home services.

   Reference: Chapter 131 E — G.S. 131E-101(1a)

8. 8Can a North Carolina nursing-home license be transferred to a buyer without Department approval?

   1. A. Yes, after a 1-working-day notice
   2. B. Yes, after a 30-day notice
   3. C. Yes, when the administrator remains
   4. D. No; the license is nontransferable

   Answer: D

   Explanation: 10A NCAC 13D .2102 provides, “Licenses are not transferable,” so D is correct.

   Reference: Subchapter 13 D Rules — § 10A NCAC 13D .2102 ISSUANCE OF LICENSE

9. 9How many voting members constitute the North Carolina State Board of Examiners for Nursing Home Administrators?

   1. A. Five
   2. B. Six
   3. C. Seven
   4. D. Nine

   Answer: C

   Explanation: G.S. 90-277 provides: “The Board shall consist of seven members.”

   Reference: Chapter 90 - Article 20 — G.S. 90-277

10. 10Which event must occur before North Carolina issues a full administrator license by examination?

    1. A. Completion of only the national examination
    2. B. Completion of only the State examination
    3. C. Successful completion of the required training, course, and both examinations
    4. D. Two years of service under a temporary license

    Answer: C

    Explanation: 21 NCAC 37D .0101 requires an applicant to “pass the national exam” and “pass the state exam” in addition to the AIT program and course, making C correct.

    Reference: Chapter 37 Rules — § 21 NCAC 37D .0101