| Quinine Swamp | rises in NW Bertie County and flows SE into Roanoke River. |
| Quinn Creek | rises in W Cherokee County and flows NW into Shoal Creek. |
| Quinn's Ferry | See Irvinsville. |
| Quioccosin Swamp | rises in N central Bertie County and flows NW into Stony Creek. |
| Quitsna | community in SW Bertie County. Name formerly spelled Quitonoi, a Tuscarora Indian word meaning "strong and mighty." |
| Quonutka Creek | See Quankey Creek. |
| Quoracks River | See Trent River. |
| Quotankney Creek | See Contentnea Creek. |
| Rabbit Creek | rises in E Macon County and flows SW into Lake Emory. |
| Rabbit Mountain | E Macon County between Cat Creek and Rabbit Creek. |