All Practice Exams

Free Practice Questions for Oklahoma CNA

Exam-style questions and explanations by OpenExamPrep.

✓ No registration✓ No credit card
607+ Questions
100% Free

Loading practice questions...

Same family resources

Explore More CNA

Continue into nearby exams from the same family. Each card keeps practice questions, study guides, flashcards, videos, and articles in one place.

Exam Review

Key Facts: Oklahoma CNA Exam

70

Written Exam Questions

CareerTech assessment 8607

70%

Written Passing Score

OAC 310:677-3-11(b)

2 hrs

Written Exam Time Limit

CareerTech assessment 8607

7 skills

Clinical Skills in 60 Minutes

CareerTech HCP

75 hrs

Minimum Training

OAC 310:677-11-4

24 hrs

Abuse Report Deadline

OAC 310:677-1-4(b)

Oklahoma tests nurse aides through the CareerTech Health Certification Project for OSDH, not a private national vendor. Assessment 8607 pairs a 70-question, 2-hour written exam at a 70% cut score with a 7-skill, 60-minute clinical exam that must be passed first. Every skills scenario includes ambulation with a transfer belt, a bed-to-wheelchair transfer, range of motion, and vital signs including blood pressure. Training requires 75 hours minimum, including 16 hours before any resident contact and 10 hours on Alzheimer's care. Testing fees are set by each test site. Registry renewal is biennial and requires a signed oath of at least 8 hours of paid nursing or health related services.

Sample Oklahoma CNA Practice Questions

Try these sample questions to review concepts for the Oklahoma CNA exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 607+ question experience with AI tutoring.

1When assisting an Oklahoma nursing home resident with a complete bed bath, which area of the body should the CNA wash LAST?
A.The back and buttocks
B.The perineal area
C.The face and neck
D.The feet and toenails
Explanation: The perineal area should always be washed last during a complete bed bath, moving from the cleanest area (face) to the dirtiest (perineal). This sequence prevents cross-contamination and reduces the risk of urinary tract infections. This principle applies in all Oklahoma long-term care facilities regulated by the Oklahoma State Department of Health (OSDH).
2A resident at an Oklahoma long-term care facility has left-sided weakness following a stroke. When helping the resident get dressed, the CNA should:
A.Dress the right (stronger) arm first to prevent muscle fatigue
B.Dress the left (weaker) arm first to minimize discomfort and strain
C.Have the resident choose which arm to dress first
D.Call the nurse before assisting with dressing to get permission
Explanation: The correct technique is to dress the weak or affected side first and undress the strong side first. When dressing the left (weaker) arm first, the garment is positioned over the arm with limited mobility before threading the stronger arm through. This reduces pain and the risk of injury. The mnemonic is: "Dress the worst first, undress the best first."
3While providing oral care to an unconscious Oklahoma nursing home resident, the CNA should position the resident in which way?
A.Flat on the back (supine) to prevent neck strain
B.In a sitting position at 90 degrees
C.On the side (lateral position) with the head turned to allow drainage
D.Prone (face-down) to keep the airway clear
Explanation: An unconscious resident must be positioned on their side (lateral/Sims position) with the head turned during oral care to prevent aspiration of fluids into the lungs. The supine position is dangerous for unconscious patients because secretions and fluids can pool in the throat and be aspirated. This is a critical safety measure taught in all Oklahoma OSDH-approved CNA training programs.
4A resident in an Oklahoma nursing facility requests that the CNA leave the room during a bed bath. The CNA should:
A.Refuse and explain that the bath must be completed for the resident's health
B.Leave the room but check back every 5 minutes to ensure safety
C.Respect the resident's right to privacy and modify the approach to meet the resident's wishes
D.Notify the nurse immediately that the resident is being non-compliant
Explanation: Residents have the right to privacy and to refuse or modify care per OBRA (Omnibus Budget Reconciliation Act), which is enforced in all Oklahoma nursing facilities by the OSDH. The CNA should work with the resident to find an acceptable approach, such as having the resident wash certain areas independently. Resident rights are protected under Oklahoma's nursing home regulations and federal law.
5When performing nail care for a diabetic resident at an Oklahoma long-term care facility, the CNA should:
A.Clip toenails straight across and report any abnormalities to the nurse
B.Clip and file the toenails to keep them short and smooth
C.Refer all nail care for diabetic residents to the nurse or podiatrist
D.Soak the feet for 30 minutes before clipping to soften the nails
Explanation: CNAs should NOT clip the toenails of diabetic residents. Diabetics have reduced blood circulation and nerve sensation in the feet, making even minor cuts from nail clipping potentially serious. Toenail care for diabetic residents must be performed by a nurse or licensed podiatrist. The CNA can soak and clean the feet but must refer nail trimming to a licensed professional. This is a scope-of-practice limitation in Oklahoma.
6A resident at an Oklahoma nursing facility has dentures. When storing the resident's dentures overnight, the CNA should:
A.Store them dry in a labeled container to prevent bacterial growth
B.Rinse them with hot water and store in the resident's bedside drawer
C.Place them in a labeled container with cool water or a denture cleanser solution
D.Wrap them in a tissue and place them on the bedside table
Explanation: Dentures should be stored in a labeled container filled with cool water or a denture cleanser solution when not being worn. Hot water can warp dentures, causing them to not fit properly. Storing them dry can cause the plastic to crack or distort. Tissues and napkins are inappropriate because dentures can accidentally be thrown away. Each resident's denture container must be labeled with their name.
7While assisting a female resident with perineal care following urinary catheter use in an Oklahoma nursing facility, the CNA should clean:
A.In a circular motion around the catheter tubing
B.From the catheter insertion site outward, using a clean stroke each time
C.Back to front using gentle pressure
D.Starting from the outer areas and moving toward the catheter insertion site
Explanation: Catheter perineal care should be performed starting from the urethral meatus (catheter insertion site) and moving outward away from the body, using a clean stroke each time to avoid introducing bacteria toward the urethra. This technique, along with cleaning the catheter tubing for several inches, reduces the risk of catheter-associated urinary tract infections (CAUTIs), which are a major concern in Oklahoma long-term care facilities.
8When helping a resident use a bedpan in an Oklahoma nursing facility, the CNA should:
A.Place the bedpan under the resident and leave for 30 minutes
B.Warm the metal bedpan before use and provide privacy with the call light within reach
C.Position the resident flat on the back with a pillow under the head for comfort
D.Remove the bedpan immediately after use without covering
Explanation: When using a bedpan, warm a cold metal bedpan by running warm water over it (cold metal can cause discomfort or skin injury). Always ensure privacy for the resident, and leave the call light within reach so they can signal when finished. The resident should be raised to as close to a normal sitting position as possible (bed at 30-45 degrees) and should not be left for extended periods. Cover the bedpan when removing it to respect dignity.
9An Oklahoma CNA notices a resident's incontinence brief is soiled. The CNA should change it:
A.Only at scheduled times (morning, noon, and evening) to maintain routine
B.Immediately after discovering it is soiled to prevent skin breakdown
C.After informing the charge nurse and getting approval
D.Only if the resident complains of discomfort
Explanation: Soiled briefs must be changed immediately upon discovery to prevent skin breakdown, pressure injuries, and infections such as urinary tract infections. Prolonged contact with urine and feces causes skin maceration and irritation that can quickly progress to serious pressure injuries. Oklahoma nursing homes are cited and penalized by OSDH inspectors for failure to maintain skin integrity related to incontinence care.
10A resident with contractures in both hands is receiving a bed bath at an Oklahoma nursing facility. When cleaning between the fingers, the CNA should:
A.Force the fingers open to clean thoroughly between them
B.Gently open the hand and clean between the fingers without forcing the joints
C.Skip this area to avoid causing pain
D.Use a cotton swab to insert between the closed fingers
Explanation: Residents with contractures have permanently flexed joints that cannot be fully straightened. The CNA should gently work within the resident's range of motion, carefully and slowly opening the hand as much as is comfortable, then cleaning between the fingers without forcing the joints. Forcing contracted joints can cause severe pain, muscle tears, or fractures. Skipping hygiene in flexed areas leads to skin breakdown and infection.

About the Oklahoma CNA Exam

The Oklahoma CNA credential is the Long Term Care Nurse Aide certification (assessment 8607), issued by the Oklahoma State Department of Health and tested by the CareerTech Testing Center's Health Certification Project. Candidates must first pass a clinical skills examination of 7 skills in 60 minutes, then a 70-question written or oral knowledge test with a 2-hour limit and a 70% cut score. Oklahoma requires a state-approved 75-hour Nurse Aide Training and Competency Evaluation Program (NATCEP) and passing both components to be listed on the Oklahoma Nurse Aide Registry.

Exam sponsor: Oklahoma OSDH / CareerTech Health Certification Project (HCP). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Questions

70 questions

Time Limit

2 hours written + 60 min skills

Passing Score

70% written + all critical tasks correct and 80% skills accuracy

Exam / Certification Fees

Set by each HCP test site

Exam sponsor website

Reported exam pass rate: not-published. OSDH and CareerTech do not publish an Oklahoma nurse aide first-time pass rate Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

19%

Provide Assistance with Activities of Daily Living

Bathing, oral and denture care, perineal care, grooming, dressing, feeding, toileting, catheter care, bedmaking, and intake/output documentation (13 questions)

16%

Demonstrate Basic Nursing Skills

Medical terminology, vital signs, height and weight, pain, body alignment and positioning, transfers, ambulation, range of motion, and postmortem care (11 questions)

10%

Protect and Promote Resident Rights

Resident rights and the care, respect, and security of a resident's personal possessions (7 questions)

10%

Communicate Effectively with Residents, Families, and Coworkers

Communication techniques, sensory impairments, special populations, interdisciplinary team communication, and behavior management per the plan of care (7 questions)

10%

Understand and Use Infection Control Measures

Medical asepsis, hand hygiene, PPE, standard precautions, linen and waste handling, and isolation technique (7 questions)

10%

Provide for Resident Safety

Resident and staff identification, equipment checks, fall prevention, incident reporting, fire and disaster procedures, emergency care, body mechanics, and ordered restraints (7 questions)

9%

Demonstrate Legal and Ethical Behaviors

Laws affecting nurse aides, scope and limitations, certification maintenance, abuse recognition and reporting, confidentiality, and documentation policy (6 questions)

9%

Promote Resident Independence

Techniques that encourage independence and self-esteem, including offering choices and scheduling ADLs (6 questions)

4%

Provide Care for Residents with Alzheimer's and Dementia

Types and causes of cognitive impairment, stages of dementia, ADL support, communication, behavior management, and safety (3 questions)

2%

Demonstrate Psychosocial Care Skills

Emotional, mental health, spiritual, and cultural needs; the stages of dying; depression; and culturally diverse populations (2 questions)

1%

Demonstrate a Basic Understanding of the Healthcare Industry

Functions of healthcare facilities, roles of healthcare team members, sources of funding, and regulatory agencies (1 question)

Preparing for the Oklahoma CNA Exam

What You Need to Know

  • Passing score: 70% written + all critical tasks correct and 80% skills accuracy
  • Exam length: 70 questions
  • Time limit: 2 hours written + 60 min skills
  • Exam / certification fees: Set by each HCP test site Official sources

Using Our Practice Resources

  • Work through all 607 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

Oklahoma CNA: Suggested Study Strategy

1Know the Oklahoma format: assessment 8607 is 70 questions in 2 hours with a 70% cut score, and the clinical skills exam must be passed before you may sit the written test
2Practice the four skills every Oklahoma long-term care scenario includes: ambulation with a transfer belt, bed-to-wheelchair transfer, range of motion, and vital signs including blood pressure
3Activities of daily living is the largest duty at 19% (13 questions): bathing, oral care, perineal and catheter care, dressing, feeding, toileting, and bedmaking
4Basic nursing skills is second at 16% (11 questions) and opens with medical terminology, abbreviations, and symbols - learn TID, QID, HS, NPO, and I&O cold
5Study Oklahoma requirements under OAC 310:677: 75-hour training, 16 hours before any resident contact, 10 hours of Alzheimer's care, and 24-hour abuse reporting
6Know fire safety protocols: RACE (Rescue, Alarm, Confine, Extinguish/Evacuate) and PASS (Pull, Aim, Squeeze, Sweep)
7Understand the Nursing Home Care Act (Title 63 O.S. Section 1-1901 et seq.) and the federal residents' bill of rights
8Learn communication techniques for sensory impairment, dementia, and end-of-life care - communication is a full 10% duty
9Know your scope: what an Oklahoma nurse aide may and may not do, and that all reporting flows to the licensed charge nurse first
10Rehearse resident identification and equipment safety checks; they open Duty G and every skills scenario

Frequently Asked Questions

Who administers the Oklahoma CNA exam?

The Oklahoma State Department of Health (OSDH) is the credentialing agency, and the competency evaluation is developed and delivered by the CareerTech Testing Center's Health Certification Project (HCP) at approved test sites across Oklahoma. The credential is the Long Term Care Nurse Aide certification, assessment 8607.

How many questions are on the Oklahoma CNA written exam and what is the passing score?

The Oklahoma Long Term Care Nurse Aide written exam (assessment 8607) has 70 multiple-choice questions with a 2-hour time limit, and OAC 310:677-3-11 requires a score of at least 70% to pass. Candidates may request an oral version of the same exam at registration.

What is on the Oklahoma CNA clinical skills exam?

Long-term care candidates perform seven skills within 60 minutes before an approved Clinical Skills Observer. Every scenario includes ambulation with a transfer belt, transferring between bed and wheelchair, range of motion, and measuring vital signs including blood pressure; the remaining three come from the published Nurse Aide Skills List. Candidates must perform all critical tasks correctly and complete the rest with at least 80% accuracy.

Do I take the written test or the skills test first in Oklahoma?

The clinical skills examination comes first. Oklahoma candidates become eligible to take the written or oral knowledge examination only after they have passed the clinical skills examination, which differs from many other states.

What are the training requirements for Oklahoma CNAs?

Oklahoma requires an OSDH-approved Nurse Aide Training and Competency Evaluation Program of at least 75 clock hours under OAC 310:677-11-4. That must include at least 16 hours of instruction before any direct resident contact, at least 16 hours of supervised practical training, and a minimum of 10 hours on the care of Alzheimer's patients under 63 O.S. Section 1-1951.

How much does the Oklahoma CNA exam cost?

Oklahoma does not publish a statewide nurse aide exam fee. Testing fees are established by each Health Certification Project test site according to its cost of administration, so candidates should contact their chosen test site for its current price.

What happens if I fail the Oklahoma CNA exam?

A candidate must wait at least three days before retesting. Under OAC 310:677-3-12 an individual may retake an examination two times without further training, for three attempts per part. After a third failure the candidate must retrain before testing again, and failing one part does not void the part already passed.

How do I renew my Oklahoma CNA certification?

Under OAC 310:677-5-2, a long term care aide renews every two years by filing a Renewal Application for Long Term Care Aide with a signed oath affirming at least 8 hours of nursing or health related services performed for compensation during the preceding 24 months. Oklahoma requires no continuing education hours for this renewal, and the $10 processing fee in that rule does not apply to long term care aides.

How do I report suspected abuse or neglect in Oklahoma?

Report immediately to your supervising nurse. Under OAC 310:677-1-4, an employer must report any allegation of resident abuse, neglect, mistreatment, or misappropriation of property against a nurse aide to the Oklahoma State Department of Health by telephone within 24 hours of receiving the allegation. Call 911 for an emergency.

Does Oklahoma offer reciprocity for out-of-state CNAs?

Yes. Under OAC 310:677-11-1(b), OSDH may approve an application for listing by reciprocity if the individual is listed in another state's registry as a certified long term care aide and has no notation of abuse, neglect, mistreatment, or misappropriation of property. No Oklahoma retesting is required, but the aide may not work in Oklahoma until actually listed on the Oklahoma registry.