Oklahoma Certified Medication Aide Practice Test

Unofficial Oklahoma CMA practice: 65 questions of our own in the six duties of the state's test outline.

See all 65 with answers
What temperature range does the nursing facility rule set for the medication storage area?

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Exam mode: 65 questions, 120 minutes, 46 right to pass (70%).

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Unofficial practice questions, not affiliated with the Oklahoma State Department of Health or Oklahoma CareerTech. Bank checked October 9, 2026.

The real exam, as Oklahoma publishes it

Questions
65
To pass
46 of 65 right (70%)
Time limit
120 minutes
Minimum age
18
Retakes
After at least three days. Three attempts after training, then the training is repeated.
Before the exam
A state-approved course of at least 40 hours, 16 of them supervised practice, and a current Oklahoma nurse aide certification with six months of experience.
Who gives it
Health Certification Project test sites of the Oklahoma Department of Career and Technology Education, for the State Department of Health.
Format
Online or paper and pencil. It is not given orally, and calculators are not allowed.
Skills
No clinical skills examination. A medication pass to 20 individuals with 100 percent accuracy is attested.
Fee
Set by each test site. Ask the site you choose.
Renewal
Every 12 months, with 8 hours of continuing education a year after the first year.

Checked October 9, 2026 against Oklahoma Department of Career and Technology Education, Certified Medication Aide Study Guide (revised 01/01/2017), and OAC 310:677-13. Rules change, so confirm with the agency itself before your test.

The state's medication aide testing page

Next step Certified medication aide practice testCNA exam practice test

All 65 questions with answers

Duty A: Administer medication 27

  • A cart holds a tube of skin ointment and a card of tablets for the same resident. How does the rule say external and internal medications are stored? Answer: Separately from each other. Source: Oklahoma Administrative Code 310:675-9-9.1, Medication services (public copy, Cornell Legal Information Institute). Duty A: Administer medication.
  • A controlled medication is discontinued in a nursing facility. Who destroys it, by the rule? Answer: A licensed pharmacist and the Director of Nursing. Source: Oklahoma Administrative Code 310:675-9-9.1, Medication services (public copy, Cornell Legal Information Institute). Duty A: Administer medication.
  • A dose is scheduled for 8:00 a.m. Under the nursing facility rule, the medication record shows it administered within what span of the scheduled time? Answer: One hour. Source: Oklahoma Administrative Code 310:675-9-9.1, Medication services (public copy, Cornell Legal Information Institute). Duty A: Administer medication.
  • A label has been soiled by a spill and part of it cannot be read. Who relabels the container? Answer: The issuing pharmacy or physician. Source: Oklahoma Administrative Code 310:675-9-9.1, Medication services (public copy, Cornell Legal Information Institute). Duty A: Administer medication.
Show all 65 questions (61 more)

Duty A: Administer medication, continued

  • A medication record reads "BID". How often is the dose given? Answer: Twice daily. Source: Oklahoma Department of Career and Technology Education, Certified Medication Aide Study Guide (revised 01/01/2017), Abbreviations, Symbols and Acronyms. Duty A: Administer medication.
  • A physician telephones the unit with a new medication order while the nurse is away. May the CMA take the order? Answer: No. A CMA does not take physician orders. Source: Oklahoma Administrative Code 310:677, Nurse Aide Training and Certification (State Department of Health copy, September 2023). Duty A: Administer medication.
  • A resident asks for her PRN pain tablet and no assessment is documented. What does a CMA need before giving it? Answer: Authorization from a licensed nurse. Source: Oklahoma Administrative Code 310:677, Nurse Aide Training and Certification (State Department of Health copy, September 2023). Duty A: Administer medication.
  • A resident has trouble swallowing her delayed-release omeprazole tablet. By MedlinePlus, may the tablet be crushed into applesauce? Answer: No. It is swallowed whole. Source: MedlinePlus (National Library of Medicine), Omeprazole. Duty A: Administer medication.
  • A resident says she will take her tablets after lunch and asks the CMA to leave them on the tray. What does the nursing facility rule require of the person giving an oral medication? Answer: To observe the swallowing of the medication. Source: Oklahoma Administrative Code 310:675-9-9.1, Medication services (public copy, Cornell Legal Information Institute). Duty A: Administer medication.
  • A resident takes acetaminophen for a headache. By MedlinePlus, what is this medication used for? Answer: To relieve pain and to reduce fever. Source: MedlinePlus (National Library of Medicine), Acetaminophen. Duty A: Administer medication.
  • A resident takes digoxin. By MedlinePlus, which measurement may the doctor ask to have checked? Answer: The pulse. Source: MedlinePlus (National Library of Medicine), Digoxin. Duty A: Administer medication.
  • A tablet is the right drug, dose and time, but it goes to the resident in the next bed. Which error in Oklahoma's list is this? Answer: Wrong patient. Source: Oklahoma Administrative Code 310:677, Nurse Aide Training and Certification (State Department of Health copy, September 2023). Duty A: Administer medication.
  • After hydrocortisone cream is applied to a rash, should the area be wrapped or bandaged, by MedlinePlus? Answer: Not unless the doctor says so. Source: MedlinePlus (National Library of Medicine), Hydrocortisone Topical. Duty A: Administer medication.
  • An eye drop order reads "OU". Where do the drops go? Answer: Both eyes. Source: Oklahoma Department of Career and Technology Education, Certified Medication Aide Study Guide (revised 01/01/2017), Abbreviations, Symbols and Acronyms. Duty A: Administer medication.
  • At the morning pass, a resident who is usually alert is drowsy and hard to wake. Which of the CMA's functions in Oklahoma's rule applies? Answer: Identify the change and report to the licensed nurse. Source: Oklahoma Administrative Code 310:677, Nurse Aide Training and Certification (State Department of Health copy, September 2023). Duty A: Administer medication.
  • By MedlinePlus, when is miconazole vaginal cream usually used? Answer: Once a day at bedtime. Source: MedlinePlus (National Library of Medicine), Miconazole Vaginal. Duty A: Administer medication.
  • By MedlinePlus, where does an eye drop go when it is instilled? Answer: Into the pocket of the pulled-down lower eyelid. Source: MedlinePlus (National Library of Medicine), Timolol Ophthalmic. Duty A: Administer medication.
  • Oklahoma's rule lists seven rights of medication administration: the right patient, drug, date, time, dosage, route and what else? Answer: Form. Source: Oklahoma Administrative Code 310:677, Nurse Aide Training and Certification (State Department of Health copy, September 2023). Duty A: Administer medication.
  • Resident A has run out of a blood pressure tablet. Resident B's card holds the same drug and strength. What does the rule say? Answer: One resident's medication may not go to another. Source: Oklahoma Administrative Code 310:675-9-9.1, Medication services (public copy, Cornell Legal Information Institute). Duty A: Administer medication.
  • To save time, a coworker moves a resident's evening tablets into a paper envelope. What does the rule say? Answer: They stay in the original containers; an envelope is not one. Source: Oklahoma Administrative Code 310:675-9-9.1, Medication services (public copy, Cornell Legal Information Institute). Duty A: Administer medication.
  • Under the nursing facility rule, which injectables may a certified medication aide give, and only when specifically trained? Answer: Insulin and vitamin B-12. Source: Oklahoma Administrative Code 310:675-9-9.1, Medication services (public copy, Cornell Legal Information Institute). Duty A: Administer medication.
  • What temperature range does the nursing facility rule set for the medication storage area? Answer: 60°F to 80°F. Source: Oklahoma Administrative Code 310:675-9-9.1, Medication services (public copy, Cornell Legal Information Institute). Duty A: Administer medication.
  • When is a PRN (as the condition may require) medication recorded, under the nursing facility rule? Answer: Immediately. Source: Oklahoma Administrative Code 310:675-9-9.1, Medication services (public copy, Cornell Legal Information Institute). Duty A: Administer medication.
  • Where does the nursing facility rule put scheduled (controlled) medications? Answer: In a locked box inside the locked area or cart. Source: Oklahoma Administrative Code 310:675-9-9.1, Medication services (public copy, Cornell Legal Information Institute). Duty A: Administer medication.
  • Where does today's nitroglycerin patch go in relation to yesterday's, by MedlinePlus? Answer: On a different area. Source: MedlinePlus (National Library of Medicine), Nitroglycerin Transdermal Patch. Duty A: Administer medication.
  • Which of these does the rule require on the label of a prescribed medication? Answer: The resident's full name. Source: Oklahoma Administrative Code 310:675-9-9.1, Medication services (public copy, Cornell Legal Information Institute). Duty A: Administer medication.
  • Who has the key to the medication storage areas, by the nursing facility rule? Answer: The person administering medications. Source: Oklahoma Administrative Code 310:675-9-9.1, Medication services (public copy, Cornell Legal Information Institute). Duty A: Administer medication.

Duty B: Observe, report and document 9

  • A resident breaks out in hives after a new medication. How fast must an adverse reaction reach the attending physician, by the nursing facility rule? Answer: At once. Source: Oklahoma Administrative Code 310:675-9-9.1, Medication services (public copy, Cornell Legal Information Institute). Duty B: Observe, report and document client status.
  • A resident starts diphenhydramine, an antihistamine. Which effect does MedlinePlus warn about? Answer: Drowsiness. Source: MedlinePlus (National Library of Medicine), Diphenhydramine. Duty B: Observe, report and document client status.
  • How is levothyroxine usually timed around food, by MedlinePlus? Answer: With the stomach empty, 30 to 60 minutes ahead of breakfast. Source: MedlinePlus (National Library of Medicine), Levothyroxine. Duty B: Observe, report and document client status.
  • Lorazepam is given to relieve anxiety. By the warning on MedlinePlus, what may it cause when used along with certain medications for cough or for pain? Answer: Serious breathing problems, drowsiness or coma. Source: MedlinePlus (National Library of Medicine), Lorazepam. Duty B: Observe, report and document client status.
  • Where should the upper arm be while a resident's blood pressure is measured, by MedlinePlus? Answer: Supported at heart level. Source: MedlinePlus (National Library of Medicine), Blood pressure measurement. Duty B: Observe, report and document client status.
  • Which blood pressure reading is inside MedlinePlus's normal resting range for a healthy adult? Answer: 110/70 mmHg. Source: MedlinePlus (National Library of Medicine), Vital signs. Duty B: Observe, report and document client status.
  • Which food does MedlinePlus name as one tetracycline should not be taken with? Answer: Dairy products such as milk. Source: MedlinePlus (National Library of Medicine), Tetracycline. Duty B: Observe, report and document client status.
  • Why may ibuprofen be given with food or milk, by MedlinePlus? Answer: To prevent stomach upset. Source: MedlinePlus (National Library of Medicine), Ibuprofen. Duty B: Observe, report and document client status.
  • Zolpidem is a hypnotic (sleep medication). By MedlinePlus, when is the tablet taken? Answer: Immediately before bedtime. Source: MedlinePlus (National Library of Medicine), Zolpidem. Duty B: Observe, report and document client status.

Duty D: Principles of safety 5

  • A CMA takes off her gloves after applying an ointment. What does the OSHA standard require next? Answer: Washing the hands immediately or as soon as feasible. Source: 29 CFR 1910.1030, Bloodborne pathogens. Duty D: Apply principles of safety.
  • After alendronate, how long does MedlinePlus say to stay sitting or standing upright? Answer: At least 30 minutes. Source: MedlinePlus (National Library of Medicine), Alendronate. Duty D: Apply principles of safety.
  • How is a resident positioned for a rectal suppository, by MedlinePlus? Answer: On the left side, right knee raised to the chest. Source: MedlinePlus (National Library of Medicine), Bisacodyl Rectal. Duty D: Apply principles of safety.
  • In the OSHA bloodborne pathogens standard, what does "universal precautions" mean? Answer: Treating all human blood and certain body fluids as infectious. Source: 29 CFR 1910.1030, Bloodborne pathogens. Duty D: Apply principles of safety.
  • Which container does the OSHA standard require for contaminated sharps such as used needles? Answer: Closable, puncture resistant and leakproof. Source: 29 CFR 1910.1030, Bloodborne pathogens. Duty D: Apply principles of safety.

Duty E: Measurement systems 5

  • A liquid order reads 15 mL. Which household measure is that? Answer: 1 tablespoon. Source: MedlinePlus (National Library of Medicine), Liquid medication administration. Duty E: Apply knowledge of measurement systems.
  • An oral syringe is marked in cc and the order is written for 3 mL. How many cc is that? Answer: 3 cc. Source: MedlinePlus (National Library of Medicine), Liquid medication administration. Duty E: Apply knowledge of measurement systems.
  • How many milliliters are in 1 teaspoon? Answer: 5 mL. Source: MedlinePlus (National Library of Medicine), Liquid medication administration. Duty E: Apply knowledge of measurement systems.
  • One half (1/2) teaspoon is how many milliliters, written as a decimal? Answer: 2.5 mL. Source: MedlinePlus (National Library of Medicine), Liquid medication administration. Duty E: Apply knowledge of measurement systems.
  • Why should a flatware spoon from the dining room not be used to measure liquid medicine, by MedlinePlus? Answer: Flatware spoons come in different sizes. Source: MedlinePlus (National Library of Medicine), Liquid medication administration. Duty E: Apply knowledge of measurement systems.

Duty F: Body systems and common diseases 7

  • A resident takes phenytoin to control seizures. By MedlinePlus, what may happen if it is stopped suddenly? Answer: The seizures may worsen. Source: MedlinePlus (National Library of Medicine), Phenytoin. Duty F: Apply knowledge of body systems and common diseases.
  • Albuterol is a bronchodilator used for breathing problems. By MedlinePlus, how does it work? Answer: By relaxing the air passages to the lungs and opening them. Source: MedlinePlus (National Library of Medicine), Albuterol Oral Inhalation. Duty F: Apply knowledge of body systems and common diseases.
  • By the FDA, why can a medication act differently in an older resident? Answer: The liver and kidneys may work more slowly. Source: U.S. Food and Drug Administration, As You Age: You and Your Medicines. Duty F: Apply knowledge of body systems and common diseases.
  • Furosemide is a diuretic ("water pill"). By MedlinePlus, how does it work? Answer: It makes the kidneys remove unneeded water and salt. Source: MedlinePlus (National Library of Medicine), Furosemide. Duty F: Apply knowledge of body systems and common diseases.
  • Omeprazole is a proton-pump inhibitor. What does it do in the digestive system, by MedlinePlus? Answer: It decreases the acid made in the stomach. Source: MedlinePlus (National Library of Medicine), Omeprazole. Duty F: Apply knowledge of body systems and common diseases.
  • Rectal bisacodyl is a stimulant laxative. How does it work, by MedlinePlus? Answer: By making the intestines more active. Source: MedlinePlus (National Library of Medicine), Bisacodyl Rectal. Duty F: Apply knowledge of body systems and common diseases.
  • Which organ makes insulin, the hormone that controls blood sugar? Answer: The pancreas. Source: MedlinePlus (National Library of Medicine), Diabetes. Duty F: Apply knowledge of body systems and common diseases.

How this list was compiled: Our own questions, written to the test outline the Oklahoma Department of Career and Technology Education publishes for the State Department of Health: Certified Medication Aide Study Guide, revised 01/01/2017, Standard and Test Content, 6A Medication Aide (8606), linked from the testing page (https://oklahoma.gov/careertech/testing-center/health-professional-certifications/medication-aide.html) and read at https://oklahoma.gov/content/dam/ok/en/careertech/testing-centers/testing/study-guides/certified-medication-aide-sg.pdf on 2026-10-09. The outline gives 65 questions in 2 hours: Duty A, administer medication, 41% (27 questions); Duty B, observe, report and document client status, 14% (9); Duty C, legal and ethical guidelines, 18% (12); Duty D, principles of safety, 8% (5); Duty E, measurement systems, 8% (5); Duty F, body systems and common diseases, 11% (7). The bank holds the same count in each duty. Every fact was read on 2026-10-09 in the source the question names: Oklahoma Administrative Code 310:677 in the State Department of Health's copy of September 2023 (13 questions); OAC 310:675-9-9.1, Medication services, in the public copy of the Cornell Legal Information Institute (14); 42 CFR 483.10 and 483.12 (4) and 29 CFR 1910.1030 (3) on ecfr.gov; the abbreviation list of the study guide (2); MedlinePlus pages of the National Library of Medicine (28); and one page of the U.S. Food and Drug Administration (1). Licence: Questions, choices and explanations are original work of this site.

How it works

This Oklahoma certified medication aide practice test is free, with no account. It is unofficial and not affiliated with the Oklahoma State Department of Health or the Oklahoma Department of Career and Technology Education, which gives the test.

Read the full guide

What the Oklahoma test covers

The state's study guide sets six duties: administering medication (27 questions), observing and reporting (9), legal and ethical guidelines (12), safety (5), measurement (5) and body systems (7). This bank has the same count in each.

Where the answers come from

Oklahoma's rules, OAC 310:677 and 310:675-9-9.1, answer 27 questions. Federal nursing home and workplace rules answer 7, the study guide's abbreviation list 2, and MedlinePlus and the FDA the 29 on drugs and the body.

Where Oklahoma differs

A CMA does not take physician orders, and gives a PRN dose without a documented assessment only when a licensed nurse authorizes it. Insulin, tube medications and inhalers each need advanced training.

  • Oklahoma counts seven rights: patient, drug, date, time, dosage, route and form.
  • No calculator is allowed on the real test, so work the conversions by hand.

Questions and answers

How many questions are on the Oklahoma CMA test?

65 questions in 2 hours, by the state's Certified Medication Aide Study Guide, revised January 1, 2017 and still the guide on the testing page. Confirm the count with your test site.

What score do you need to pass the Oklahoma medication aide test?

70 percent or higher. OAC 310:677-13-5 sets the same minimum. The advanced test for insulin administration needs 80 percent.

Is this certified medication aide practice test for Oklahoma the real exam?

No. The state examination is closed. These are our own questions, written from the public outline, the rules and the sources named. None is taken or reworded from the exam or from the study guide's sample questions.

Who can take the Oklahoma CMA exam?

A nurse aide certified in Oklahoma with no abuse notations, at least 18, with a high school diploma or equivalent and six months of experience, who has finished a state-approved 40-hour medication aide course.

How many times can you retake the Oklahoma medication aide test?

Three attempts after training, with at least three days between tries, by the study guide. After three failures the training is repeated before another test.

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