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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