199+ Free Oklahoma CNA Practice Questions

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Question 1

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When assisting an Oklahoma nursing home resident with a complete bed bath, which area of the body should the CNA wash LAST?

The back and buttocks

The perineal area

The face and neck

The feet and toenails

to track

2026 Statistics

Key Facts: Oklahoma CNA Exam

Knowledge Exam Questions

Headmaster

75%

Passing Score Required

42/55 correct

90 min

Knowledge Exam Time

Headmaster

$125-160

Total Exam Fee

OSDH/Headmaster

75 hrs

Minimum Training

OSDH NATCEP

24 hrs

Abuse Report Deadline

Oklahoma law

Oklahoma uses Headmaster/D&S for CNA testing with a 55-question knowledge exam requiring 75% to pass (42/55 correct). The 90-minute written/oral exam covers personal care skills, basic nursing skills, infection control, safety/emergency, communication, role/responsibilities, and mental health/social needs. Training requires 75 hours minimum (OSDH-approved NATCEP). Candidates must pass both components. Registry renewal is biennial requiring verification of at least 8 hours of paid employment. Mandatory abuse/neglect/exploitation reporting to OSDH within 24 hours is required.

Sample Oklahoma CNA Practice Questions

Try these sample questions to test your Oklahoma CNA exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 199+ 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 competency exam is administered by Headmaster (D&S Diversified Technologies) on behalf of the Oklahoma State Department of Health (OSDH). The exam consists of a 55-question written/oral knowledge test with a 90-minute time limit and a clinical skills test (5 skills). Oklahoma requires completion of a state-approved 75-hour Nurse Aide Training and Competency Evaluation Program (NATCEP) and passing both exam components to be listed on the Oklahoma Nurse Aide Registry.

Questions

55 scored questions

Time Limit

90 min written + 30 min skills

Passing Score

75% written + 100% skills (critical steps)

Exam Fee

$125-160 (varies by test site) (Oklahoma OSDH / Headmaster (D&S Diversified Technologies))

Oklahoma CNA Exam Content Outline

25%

Personal Care Skills

Bathing, grooming, dressing, toileting, hygiene, nutrition/hydration, feeding techniques

35%

Basic Nursing Skills

Vital signs, positioning, transfers, ROM exercises, skin care, elimination care, restorative care

10%

Infection Control

Hand hygiene, standard/universal precautions, PPE use, isolation precautions, bloodborne pathogens

10%

Safety/Emergency

Fire safety, fall prevention, body mechanics, emergency response, disaster preparedness

10%

Communication

Therapeutic communication, cultural competence, reporting/documenting, healthcare team collaboration

10%

Role/Responsibilities

Scope of practice, resident rights, legal/ethical behavior, abuse reporting, professionalism

How to Pass the Oklahoma CNA Exam

What You Need to Know

Passing score: 75% written + 100% skills (critical steps)
Exam length: 55 questions
Time limit: 90 min written + 30 min skills
Exam fee: $125-160 (varies by test site)

Keys to Passing

Complete 500+ practice questions
Score 80%+ consistently before scheduling
Focus on highest-weighted sections
Use our AI tutor for tough concepts

Oklahoma CNA Study Tips from Top Performers

1Know the Headmaster testing format - 55 questions in 90 minutes with a 75% passing score (higher than many states)

2Focus on basic nursing skills (35% of exam): vital signs, positioning, transfers, ROM, skin care, elimination

3Master personal care skills (25% of exam): bathing, grooming, dressing, toileting, feeding techniques

4Study Oklahoma OSDH requirements: 75-hour training, mandatory abuse reporting within 24 hours

5Learn infection control: hand hygiene, standard precautions, PPE use, and transmission-based precautions

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 resident rights

8Study therapeutic communication for dementia, mental health, and end-of-life care

9Know scope of practice: what CNAs can and cannot do under Oklahoma law

10Practice body mechanics and safe transfer techniques to prevent resident and staff injury

Frequently Asked Questions

Who administers the Oklahoma CNA exam?

The Oklahoma CNA competency exam is administered by Headmaster (D&S Diversified Technologies) on behalf of the Oklahoma State Department of Health (OSDH). Headmaster provides both the 55-question knowledge exam and the clinical skills evaluation at approved testing sites throughout Oklahoma.

What is the passing score for the Oklahoma CNA exam?

The Oklahoma CNA written/oral exam requires a passing score of 75% (approximately 42 correct out of 55 questions). The clinical skills exam requires 100% completion of critical steps and an overall passing score. You have 90 minutes for the written exam and approximately 30 minutes for the skills evaluation.

What are the training requirements for Oklahoma CNAs?

Oklahoma requires completion of an OSDH-approved Nurse Aide Training and Competency Evaluation Program (NATCEP) with a minimum of 75 hours. Training includes classroom instruction and supervised clinical practice. Programs must meet Oklahoma Nursing Home Care Act requirements and be approved by the OSDH Nurse Aide Registry.

How much does the Oklahoma CNA exam cost?

The Oklahoma CNA exam costs approximately $125-160 total, which includes both the written/oral knowledge exam and the clinical skills evaluation. Fees may vary by test site. Additional fees apply for retesting individual components.

What happens if I fail the Oklahoma CNA exam?

Candidates who fail either component must retest. You must complete both the written and skills exam within 2 years from the date of training program completion. If your training eligibility expires, you must complete a new approved training program before retesting.

How do I renew my Oklahoma CNA certification?

Oklahoma CNAs must renew their certification every 24 months (biennial renewal). To renew, you must provide verification of at least 8 hours of paid nursing-related employment during the certification period. Renewal is processed through the Oklahoma OSDH Nurse Aide Registry.

How do I report suspected abuse or neglect in Oklahoma?

Oklahoma CNAs are mandatory reporters. Suspected abuse, neglect, or exploitation must be reported within 24 hours to the Oklahoma State Department of Health (OSDH) and your supervising nurse. Reports can be made to the OSDH Nurse Aide Registry at (405) 271-6868 or the Abuse/Neglect Hotline. In emergencies, call 911.

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

Yes, Oklahoma has reciprocity for CNAs from other states. If you are currently certified in another state with an active, unencumbered certification, you may apply for reciprocity to be placed on the Oklahoma Nurse Aide Registry. You must submit documentation of your current certification and may need to meet Oklahoma-specific requirements.