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The OK-CMA exam has 65 questions and runs 2 hours.
These 10 free OK-CMA questions are organized by exam domain, so you can see how each part of the Oklahoma Certified Medication Aide (CMA) Basic Written Examination blueprint is tested. Reveal the answer and explanation under each question.
The pharmacy label directs one-half of a scored metoprolol succinate extended-release tablet for a resident's morning dose. The manufacturer permits splitting but prohibits crushing or chewing. The resident can swallow a half-tablet safely. Which preparation preserves the prescribed release?
Correct answer: C - Split the tablet on the score and give the half intact.
A resident requests an ordered PRN laxative. The RN assesses the resident, documents the findings, and gives written direction to administer the ordered dose now. The required interval has elapsed, the resident agrees, and swallowing is safe. Under Oklahoma basic-CMA rules, the aide may:
Correct answer: B - Give the ordered dose, document administration, and follow the response-monitoring plan.
At shift change, the oncoming and offgoing CMAs find that a controlled-drug package contains one fewer tablet than the inventory record indicates. Neither can identify a documented dose or waste that explains the difference. Before signing that the count is correct, the oncoming CMA should:
Correct answer: C - Recount together, check the records, and notify the charge nurse of an unresolved discrepancy.
During ordered orthostatic measurements, a resident's blood pressure is 144/82 mm Hg after lying quietly for 5 minutes, 118/76 after standing for 1 minute, and 116/74 after standing for 3 minutes. The resident denies dizziness. How should these readings be characterized in the report to the nurse?
Correct answer: B - An abnormal postural fall based on the systolic change, despite the absence of dizziness.
A resident taking warfarin says, "I heard spinach interferes with my medicine, so I am going to stop eating green vegetables." The care plan calls for a consistent vitamin K intake, and the resident has been eating the same portions each week. Which reply reinforces that plan?
Correct answer: A - "Keep your usual intake consistent; let the nurse know before making major dietary changes."
Thirty-five minutes after swallowing a conventional alendronate tablet with a full glass of plain water, a resident asks to lie down. Breakfast has been delayed, and the resident has not eaten. There is no pain, dizziness, or swallowing difficulty. Which response follows the medication's positioning precautions?
Correct answer: D - Keep the resident upright until after the first food of the day.
A resident who received prescribed oxycodone and lorazepam is now very difficult to awaken. Breaths are shallow and occur 8 times during a full minute. There is no response to the CMA's request to open the eyes. Which action takes priority over further routine medication-pass tasks?
Correct answer: D - Activate emergency help and stay to assist within emergency training.
A resident is prescribed levetiracetam oral solution 750 mg twice daily. The bottle contains 100 mg/mL. For the morning dose, the CMA has a 10-mL oral syringe marked every 0.5 mL, a 1-mL oral syringe marked every 0.01 mL, and a medicine cup marked every 5 mL. Select the correct volume and a device that can measure it without estimation.
Correct answer: D - 7.5 mL in the 10-mL oral syringe.
At an adult day-care center, a resident with type 2 diabetes becomes sweaty, shaky, and unusually irritable while seated. The resident received glipizide before breakfast but then ate only a few bites. A nurse is coming to assess the change. Which explanation should the CMA bring to the nurse's attention?
Correct answer: A - Hypoglycemia associated with glipizide and inadequate food intake.
An assisted-living resident with COPD has an individualized oxygen-saturation target of 88%-92%. Written nursing instructions call for notification if saturation falls below 88% or breathing or alertness changes. During delegated monitoring, the CMA obtains a reliable reading of 90%. The resident is alert, comfortable, and breathing as usual on the prescribed oxygen flow. What is the appropriate response?
Correct answer: A - Record the reading and continue the prescribed care and monitoring.
The OK-CMA exam also covers these domains. Drill them in the full free practice test:
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