OKLAHOMA HOME CARE ADMINISTRATOR CERTIFICATION:
200-QUESTION EXAM ALIGNED WITH OAC 310:664 AND OSDH
STANDARDS COMPLETE WITH 100% VERIFIED ANSWERS AND
DETAILED RATIONALE
1. The Oklahoma Home Care Administrator Registry is managed under
which division of the Oklahoma State Department of Health?
A. Health Resources Development Service
B. Nursing Board of Licensure
C. State Workforce Commission
D. Department of Rehabilitation Services
Correct Answer: A. Health Resources Development Service
Rationale: OSDH's Health Resources Development Service (HRDS)
administers the Home Care Administrator Registry and the OHCAPA
program.
2. According to OAC 310:664, how long after completing the OHCAPA
program must an applicant sit for the final exam?
A. 30 days
B. 60 days
C. 90 days
D. 120 days
Correct Answer: C. 90 days
Rationale: Candidates must complete the exam within 90 days after
course completion or reapply for eligibility.
,3. Which of the following is a primary responsibility of a Home Care
Administrator?
A. Performing clinical assessments
B. Supervising nursing aides directly in clients' homes
C. Ensuring compliance with state and federal regulations
D. Delivering in-home therapy services
Correct Answer: C. Ensuring compliance with state and federal
regulations
Rationale: Administrators ensure organizational compliance, quality of
care, and legal adherence—not clinical duties.
4. Under OAC 310:664, who must be designated when the
administrator is unavailable?
A. Director of nursing
B. Alternate administrator
C. Compliance officer
D. Lead nurse
Correct Answer: B. Alternate administrator
Rationale: Agencies must have a designated alternate administrator
responsible for operations in the administrator's absence.
5. A home health aide reports that a client's medication count is off.
What is the first action the administrator should take?
A. Call the client's family
B. Notify the supervising nurse immediately
C. Conduct an unannounced home visit
D. Contact law enforcement directly
Correct Answer: B. Notify the supervising nurse immediately
Rationale: The nurse must assess clinical and safety concerns before
escalation or formal investigation.
,6. Which of the following best defines a "plan of care"?
A. A billing document created for insurance
B. A nursing care schedule approved by the client's family
C. A physician-approved outline of care and services to be provided
D. A daily record kept by aides in the client's home
Correct Answer: C. A physician-approved outline of care and services
to be provided
Rationale: Federal and Oklahoma rules require physician-ordered plans
of care for home health clients.
7. According to OAC 310:664, how often must an administrator
complete continuing education to remain on the registry?
A. Every 2 years – 12 hours
B. Every year – 12 hours
C. Every year – 24 hours
D. Every 2 years – 24 hours
Correct Answer: B. Every year – 12 hours
Rationale: Administrators must complete 12 CE hours annually; only 6
may be home study.
8. Which is the most appropriate corrective action when an aide is
repeatedly late to client visits?
A. Document each incident and initiate progressive discipline
B. Immediately terminate employment
C. Reassign the aide to office duties
D. Ignore the issue unless a client complains
Correct Answer: A. Document each incident and initiate progressive
discipline
Rationale: Administrators must use progressive discipline to ensure
fairness and regulatory compliance.
, 9. HIPAA primarily protects which type of information?
A. Payroll records
B. Client medical and identifying data
C. Agency licensing documentation
D. Internal staff memos
Correct Answer: B. Client medical and identifying data
Rationale: HIPAA safeguards Protected Health Information (PHI) from
unauthorized access or disclosure.
10. The minimum frequency for conducting agency-wide quality
improvement evaluations is:
A. Monthly
B. Quarterly
C. Semi-annually
D. Annually
Correct Answer: B. Quarterly
Rationale: Quality improvement evaluations must be conducted
quarterly to ensure ongoing assessment of care quality and agency
performance.
11. Which Oklahoma statute established the minimum criteria for the
issuance, maintenance, and renewal of a home care administrator
certificate?
A. Title 63 O.S. Supp. 1996, § 1-1962
B. Title 56 O.S. § 101
C. Title 10 O.S. § 501
D. Title 21 O.S. § 701
Correct Answer: A. Title 63 O.S. Supp. 1996, § 1-1962
Rationale: This statute established the Home Care Administrator
Certification program under OSDH.
200-QUESTION EXAM ALIGNED WITH OAC 310:664 AND OSDH
STANDARDS COMPLETE WITH 100% VERIFIED ANSWERS AND
DETAILED RATIONALE
1. The Oklahoma Home Care Administrator Registry is managed under
which division of the Oklahoma State Department of Health?
A. Health Resources Development Service
B. Nursing Board of Licensure
C. State Workforce Commission
D. Department of Rehabilitation Services
Correct Answer: A. Health Resources Development Service
Rationale: OSDH's Health Resources Development Service (HRDS)
administers the Home Care Administrator Registry and the OHCAPA
program.
2. According to OAC 310:664, how long after completing the OHCAPA
program must an applicant sit for the final exam?
A. 30 days
B. 60 days
C. 90 days
D. 120 days
Correct Answer: C. 90 days
Rationale: Candidates must complete the exam within 90 days after
course completion or reapply for eligibility.
,3. Which of the following is a primary responsibility of a Home Care
Administrator?
A. Performing clinical assessments
B. Supervising nursing aides directly in clients' homes
C. Ensuring compliance with state and federal regulations
D. Delivering in-home therapy services
Correct Answer: C. Ensuring compliance with state and federal
regulations
Rationale: Administrators ensure organizational compliance, quality of
care, and legal adherence—not clinical duties.
4. Under OAC 310:664, who must be designated when the
administrator is unavailable?
A. Director of nursing
B. Alternate administrator
C. Compliance officer
D. Lead nurse
Correct Answer: B. Alternate administrator
Rationale: Agencies must have a designated alternate administrator
responsible for operations in the administrator's absence.
5. A home health aide reports that a client's medication count is off.
What is the first action the administrator should take?
A. Call the client's family
B. Notify the supervising nurse immediately
C. Conduct an unannounced home visit
D. Contact law enforcement directly
Correct Answer: B. Notify the supervising nurse immediately
Rationale: The nurse must assess clinical and safety concerns before
escalation or formal investigation.
,6. Which of the following best defines a "plan of care"?
A. A billing document created for insurance
B. A nursing care schedule approved by the client's family
C. A physician-approved outline of care and services to be provided
D. A daily record kept by aides in the client's home
Correct Answer: C. A physician-approved outline of care and services
to be provided
Rationale: Federal and Oklahoma rules require physician-ordered plans
of care for home health clients.
7. According to OAC 310:664, how often must an administrator
complete continuing education to remain on the registry?
A. Every 2 years – 12 hours
B. Every year – 12 hours
C. Every year – 24 hours
D. Every 2 years – 24 hours
Correct Answer: B. Every year – 12 hours
Rationale: Administrators must complete 12 CE hours annually; only 6
may be home study.
8. Which is the most appropriate corrective action when an aide is
repeatedly late to client visits?
A. Document each incident and initiate progressive discipline
B. Immediately terminate employment
C. Reassign the aide to office duties
D. Ignore the issue unless a client complains
Correct Answer: A. Document each incident and initiate progressive
discipline
Rationale: Administrators must use progressive discipline to ensure
fairness and regulatory compliance.
, 9. HIPAA primarily protects which type of information?
A. Payroll records
B. Client medical and identifying data
C. Agency licensing documentation
D. Internal staff memos
Correct Answer: B. Client medical and identifying data
Rationale: HIPAA safeguards Protected Health Information (PHI) from
unauthorized access or disclosure.
10. The minimum frequency for conducting agency-wide quality
improvement evaluations is:
A. Monthly
B. Quarterly
C. Semi-annually
D. Annually
Correct Answer: B. Quarterly
Rationale: Quality improvement evaluations must be conducted
quarterly to ensure ongoing assessment of care quality and agency
performance.
11. Which Oklahoma statute established the minimum criteria for the
issuance, maintenance, and renewal of a home care administrator
certificate?
A. Title 63 O.S. Supp. 1996, § 1-1962
B. Title 56 O.S. § 101
C. Title 10 O.S. § 501
D. Title 21 O.S. § 701
Correct Answer: A. Title 63 O.S. Supp. 1996, § 1-1962
Rationale: This statute established the Home Care Administrator
Certification program under OSDH.
