2028 | Licensing Study Guide | Verified Questions & Answers
Prepare for the Oklahoma (OK) Home Health Administrators Licensing Exam with this
comprehensive practice test featuring verified questions, answers, and detailed explanations.
This study guide covers key exam topics including home health agency operations, patient care
management, healthcare regulations, Medicare and Medicaid compliance, quality improvement,
risk management, ethics, leadership, and personnel administration. Designed to reinforce
essential concepts and improve exam readiness, the material reflects the subject areas commonly
tested on the Home Health Administrator licensing examination. Ideal for healthcare
administrators, agency managers, and professionals seeking a reliable resource to prepare for and
successfully pass the Oklahoma Home Health Administrators exam.
Question 1
Under Oklahoma law, how often must a licensed home health agency undergo a
regular survey or inspection by the Oklahoma State Department of Health
(OSDH)?
• A) Every 12 months
• B) At least once every 36 months
• C) Every 5 years
• D) Inspections are only conducted if a formal consumer complaint is filed
Correct Answer: B
Rationale: In alignment with state regulations and federal tracking loops, certified
home health agencies must undergo an unannounced comprehensive survey at
least once every 36 months.
Question 2
What is the statutory deadline for a home health administrator to report
suspected patient abuse, neglect, or exploitation to Adult Protective Services
(APS) or the OSDH?
• A) Within 24 hours of discovery
• B) Within 3 business days
• C) Within 5 calendar days
• D) Immediately upon suspicion or discovery
Correct Answer: D
Rationale: Oklahoma healthcare compliance mandates immediate reporting of
elder or vulnerable adult abuse, neglect, or exploitation to prevent ongoing
patient harm.
Question 3
According to Oklahoma licensure rules, who is legally permitted to authorize or
change a patient's home health medical plan of care?
, • A) The agency administrator or Director of Nursing (DON)
• B) A licensed physical therapist or clinical social worker
• C) A physician, physician assistant (PA), or advanced practice registered nurse
(APRN)
• D) The patient's primary family caregiver
Correct Answer: C
Rationale: Plans of care must be established and periodically reviewed by an
authorized practitioner (physician, PA, or APRN) acting within their clinical scope
of practice.
Question 4
What is the minimum number of hours of approved continuing education an
Oklahoma home health administrator must complete annually to maintain active
certification?
• A) 8 hours
• B) 12 hours
• C) 16 hours
• D) 24 hours
Correct Answer: B
Rationale: Oklahoma state administrative codes mandate that administrators
complete a minimum of 12 hours of approved continuing education per year to
ensure ongoing regulatory and operational competency.
Question 5
If an agency provides a verbal agreement to start services, when must the formal
written patient bill of rights be delivered to the client or their legal representative?
• A) Within 48 hours after the first physical nurse visit
• B) Before or during the initial clinical assessment and prior to the initiation of care
• C) At the conclusion of the first 30 days of active service
• D) Only if the patient explicitly requests a physical copy
Correct Answer: B
Rationale: Federal and state consumer protection mandates require that the
written patient bill of rights be distributed and explained before any hands-on
clinical care is delivered.
Question 6
Which of the following conditions represents a mandatory cause for an Oklahoma
home health agency to reject employment for a field clinician candidate?
• A) Lacking a personal vehicle for transit
• B) A disqualifying violent criminal history matching the Oklahoma State Bureau of
Investigation (OSBI) registry
• C) Having less than two years of acute hospital care experience
, • D) Lacking a degree from an Oklahoma-based educational institution
Correct Answer: B
Rationale: The Oklahoma Home Care Act requires mandatory background
screenings; individuals with specific disqualifying felonies or violent offenses are
barred from working inside vulnerable adult residential environments.
Question 7
When a patient is formally discharged from a home health agency, how many
years must the final clinical record be preserved under Oklahoma record
retention standards?
• A) 3 years
• B) 5 years
• C) 7 years
• D) 10 years
Correct Answer: B
Rationale: Oklahoma administrative codes require medical and clinical
documentation records for home care patients to be securely archived for at least
5 years post-discharge.
Question 8
Under Medicare Conditions of Participation, how often must a patient's
comprehensive clinical assessment (using the OASIS tool) be updated for an
active long-term home health case?
• A) Every 30 days
• B) Every 60 days (or during a specific recertification window)
• C) Every 90 days
• D) Only when a severe medication change occurs
Correct Answer: B
Rationale: Federal regulations dictate that the comprehensive assessment must
be updated, recertified, or revised at least once every 60 days to track patient
progression and justify ongoing clinical needs.
Question 9
What type of operational program is every Oklahoma home health agency legally
required to maintain to monitor internal data trends, track medication errors, and
resolve clinical performance gaps?
• A) An external marketing audit registry
• B) A Quality Assessment and Performance Improvement (QAPI) program
• C) A national union labor tracking board
• D) A quarterly real estate asset ledger
Correct Answer: B
, Rationale: Agencies must operate a data-driven, agency-wide QAPI program to
systematically monitor patient safety, clinical quality outcomes, and operational
compliance.
Question 10
If an Oklahoma home health agency changes its primary administrative office
location, within how many days must it formally notify the OSDH Protective
Health Services division?
• A) At least 30 days prior to the move
• B) Within 5 business days after the move occurs
• C) Within 10 calendar days
• D) During the annual license renewal cycle
Correct Answer: A
Rationale: State regulatory frameworks demand notification prior to structural
layout or geographic modifications; agencies must notify the department ahead
of time to update active license profiles.
Question 11
An Oklahoma home health agency appoints a temporary Acting Administrator
due to an unexpected medical leave of the primary leader. What is the maximum
duration this temporary assignment can last before the state requires a
permanent replacement?
• A) 30 calendar days
• B) 60 calendar days
• C) 90 calendar days
• D) 180 calendar days
Correct Answer: C
Rationale: Oklahoma administrative codes allow an agency to function under a
qualified acting administrator for a maximum grace window of 90 days to prevent
prolonged leadership deficits.
Question 12
When a patient is receiving skilled nursing care, how often must a registered
nurse (RN) perform a supervisory visit to a patient’s home to evaluate the
performance of an assigned home health aide?
• A) At least once every 14 days
• B) Every 30 calendar days
• C) Once every 60 days during recertification
• D) Only when a formal patient complaint is filed
Correct Answer: A