PRACTICE EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |
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1. The primary goal of home health care is to:
A. Provide long-term custodial care
B. Promote patient independence and recovery in a home setting
C. Replace hospital services permanently
D. Focus solely on palliative treatment
Rationale: Home health care aims to help patients regain
independence and return to their highest level of functioning at home.
2. Which agency oversees licensing of Home Health Administrators in
Oklahoma?
A. Department of Labor
B. Centers for Medicare & Medicaid Services (CMS)
C. Oklahoma State Department of Health (OSDH)
D. Oklahoma Board of Nursing
Rationale: OSDH regulates and licenses home health agencies and
administrators in Oklahoma.
3. The governing body of a home health agency must:
A. Only approve budgets annually
B. Ensure compliance with state and federal regulations
C. Serve only in an advisory capacity
,D. Delegate oversight entirely to the administrator
Rationale: The governing body holds ultimate responsibility for
regulatory compliance and operational oversight.
4. A patient’s plan of care must be reviewed by the physician:
A. Every 90 days
B. Every 120 days
C. At least every 60 days
D. Once per year
Rationale: Federal CMS Conditions of Participation require physician
review of the plan of care every 60 days.
5. The administrator’s primary responsibility is to:
A. Handle all patient care directly
B. Direct the day-to-day operations and ensure policy compliance
C. Approve all nursing care plans personally
D. Perform patient assessments
Rationale: Administrators are responsible for management and
compliance, not direct patient care.
6. Home health aides must be supervised by a:
A. Physician
B. Licensed Practical Nurse
C. Registered Nurse (RN)
D. Case Manager
Rationale: RNs are responsible for supervising aides to ensure quality
and compliance with care plans.
,7. A home health agency must maintain patient records for at least:
A. 2 years
B. 5 years
C. 7 years
D. 10 years
Rationale: OSDH and CMS regulations generally require retention of
records for at least five years.
8. When a patient is discharged from home health care,
documentation must include:
A. Date of last home visit only
B. Reason for admission
C. Reason for discharge and patient outcome
D. Physician signature only
Rationale: Complete discharge documentation ensures continuity of
care and compliance.
9. The Quality Assurance (QA) program must evaluate:
A. Billing accuracy
B. All aspects of patient care and services provided
C. Only administrative processes
D. Only patient satisfaction surveys
Rationale: QA must assess the quality, safety, and effectiveness of care
across all disciplines.
10. Infection control policies in home health must be based on:
, A. State law only
B. CDC and OSHA guidelines
C. Physician preferences
D. Local health department requests
Rationale: Infection control must align with national standards set by
CDC and OSHA.
11. The agency’s administrator must designate a qualified alternate to
act in their absence.
A. Optional under state law
B. Required only for large agencies
C. Mandatory for all agencies
D. Only required during inspections
Rationale: Regulations require continuity of administrative authority
through a designated alternate.
12. Home health agencies are reimbursed primarily through:
A. Medicaid only
B. Medicare, Medicaid, and private insurance
C. Charitable donations
D. State funds exclusively
Rationale: Agencies often bill multiple payers including Medicare,
Medicaid, and private insurers.
13. A valid physician order is required for:
A. Housekeeping services
B. All skilled nursing and therapy services