QMA IVYTECH PRACTICE TEST 2026/2027 | Questions with
Complete Solutions | Qualified Medication Aide Certification |
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Part I: QMA Scope of Practice, Legal/Ethical & Resident Rights
13 Questions covering QMA Definition, Supervision Requirements, Can/Cannot Do, and
Resident Rights
Q1: A QMA is preparing to administer morning medications in a skilled nursing facility.
The supervising RN is currently off the unit attending a meeting on another floor but can
be reached by phone. What is the appropriate action for the QMA?
A. Proceed with medication administration since the nurse is available by phone if
needed
B. Wait until the RN returns to the unit before administering any medications [CORRECT]
C. Ask another QMA to supervise the medication pass
D. Administer only non-controlled substances until the RN returns
Correct Answer: B
Rationale: Indiana QMA regulations require that the supervising LPN/RN be on-site and
immediately available, not just reachable by phone. The nurse must be physically
present in the facility and readily accessible to provide direct supervision if needed.
Waiting ensures compliance with scope of practice requirements. Phone availability (A)
,is insufficient; another QMA (C) cannot supervise; giving non-controlled substances (D)
still requires supervision.
Q2: Which of the following tasks is WITHIN the scope of practice for a certified QMA in
Indiana?
A. Drawing up insulin from a vial using an insulin syringe
B. Administering a pre-filled insulin syringe that has been prepared and labeled by the
nurse [CORRECT]
C. Calculating the correct dosage of liquid medication using a dosage calculation
formula
D. Administering an intramuscular injection of vitamin B12
Correct Answer: B
Rationale: Indiana QMAs may administer insulin ONLY when it is pre-filled in a syringe
prepared and labeled by the supervising nurse. QMAs cannot draw up insulin (A),
perform dosage calculations (C), or administer any injectable medications including IM,
subcutaneous, or ID injections (D). These tasks remain within RN/LPN scope only.
Q3: A resident with dementia refuses to take their scheduled antipsychotic medication,
stating "I don't want that poison." The QMA should:
A. Crush the tablet and mix it into the resident's applesauce without their knowledge
B. Document the refusal, notify the supervising nurse, and attempt to re-educate the
resident later [CORRECT]
C. Insist the resident take the medication and gently guide it to their mouth
,D. Skip the dose without documentation since the resident has dementia and won't
remember
Correct Answer: B
Rationale: Residents have the absolute right to refuse medication, including those with
dementia. The QMA must document the refusal using the facility's designated code
(often "R"), immediately notify the supervising nurse, and attempt to re-educate and
reschedule later. Forcing medication (A, C) or failing to document (D) violates resident
rights and constitutes abuse.
Q4: A QMA discovers that the medication cart has been left unlocked in the hallway
while the previous shift's nurse stepped away to answer a call light. What is the priority
action?
A. Lock the cart immediately and report the security breach to the nurse [CORRECT]
B. Continue with medication administration since nothing appears missing
C. Search the cart to verify all medications are present before locking
D. Document the incident in the resident's medical chart
Correct Answer: A
Rationale: Medication cart security is critical for patient safety and regulatory
compliance. The QMA's immediate priority is to secure the cart by locking it, then report
the security breach to the supervising nurse for follow-up. Continuing without securing
the cart (B) or searching it (C) delays proper security measures. Documentation (D) is
secondary to immediate action.
, Q5: Which of the following is NOT a right that residents have regarding their
medications?
A. Right to know the name, purpose, and potential side effects of their medications
B. Right to refuse any medication for any reason
C. Right to have medications administered in private without other residents present
D. Right to demand PRN medications whenever they feel they need them [CORRECT]
Correct Answer: D
Rationale: Residents have the right to know about their medications (A), refuse
medications (B), and privacy during administration (C). However, PRN (as-needed)
medications require documented parameters and nurse assessment—residents cannot
demand them "whenever they feel they need them." PRN administration requires clinical
judgment and established criteria, not resident demand.
Q6: A QMA is asked by a family member to explain why their loved one is receiving a
new medication. The QMA should:
A. Provide detailed information about the medication's mechanism of action and
expected outcomes
B. Refer the family member to the supervising nurse or physician for medication
information [CORRECT]
C. Share what they overheard the nurse saying about the medication
D. Show the family member the medication label and MAR entry
Correct Answer: B
Complete Solutions | Qualified Medication Aide Certification |
Pass Guaranteed - A+ Graded
Part I: QMA Scope of Practice, Legal/Ethical & Resident Rights
13 Questions covering QMA Definition, Supervision Requirements, Can/Cannot Do, and
Resident Rights
Q1: A QMA is preparing to administer morning medications in a skilled nursing facility.
The supervising RN is currently off the unit attending a meeting on another floor but can
be reached by phone. What is the appropriate action for the QMA?
A. Proceed with medication administration since the nurse is available by phone if
needed
B. Wait until the RN returns to the unit before administering any medications [CORRECT]
C. Ask another QMA to supervise the medication pass
D. Administer only non-controlled substances until the RN returns
Correct Answer: B
Rationale: Indiana QMA regulations require that the supervising LPN/RN be on-site and
immediately available, not just reachable by phone. The nurse must be physically
present in the facility and readily accessible to provide direct supervision if needed.
Waiting ensures compliance with scope of practice requirements. Phone availability (A)
,is insufficient; another QMA (C) cannot supervise; giving non-controlled substances (D)
still requires supervision.
Q2: Which of the following tasks is WITHIN the scope of practice for a certified QMA in
Indiana?
A. Drawing up insulin from a vial using an insulin syringe
B. Administering a pre-filled insulin syringe that has been prepared and labeled by the
nurse [CORRECT]
C. Calculating the correct dosage of liquid medication using a dosage calculation
formula
D. Administering an intramuscular injection of vitamin B12
Correct Answer: B
Rationale: Indiana QMAs may administer insulin ONLY when it is pre-filled in a syringe
prepared and labeled by the supervising nurse. QMAs cannot draw up insulin (A),
perform dosage calculations (C), or administer any injectable medications including IM,
subcutaneous, or ID injections (D). These tasks remain within RN/LPN scope only.
Q3: A resident with dementia refuses to take their scheduled antipsychotic medication,
stating "I don't want that poison." The QMA should:
A. Crush the tablet and mix it into the resident's applesauce without their knowledge
B. Document the refusal, notify the supervising nurse, and attempt to re-educate the
resident later [CORRECT]
C. Insist the resident take the medication and gently guide it to their mouth
,D. Skip the dose without documentation since the resident has dementia and won't
remember
Correct Answer: B
Rationale: Residents have the absolute right to refuse medication, including those with
dementia. The QMA must document the refusal using the facility's designated code
(often "R"), immediately notify the supervising nurse, and attempt to re-educate and
reschedule later. Forcing medication (A, C) or failing to document (D) violates resident
rights and constitutes abuse.
Q4: A QMA discovers that the medication cart has been left unlocked in the hallway
while the previous shift's nurse stepped away to answer a call light. What is the priority
action?
A. Lock the cart immediately and report the security breach to the nurse [CORRECT]
B. Continue with medication administration since nothing appears missing
C. Search the cart to verify all medications are present before locking
D. Document the incident in the resident's medical chart
Correct Answer: A
Rationale: Medication cart security is critical for patient safety and regulatory
compliance. The QMA's immediate priority is to secure the cart by locking it, then report
the security breach to the supervising nurse for follow-up. Continuing without securing
the cart (B) or searching it (C) delays proper security measures. Documentation (D) is
secondary to immediate action.
, Q5: Which of the following is NOT a right that residents have regarding their
medications?
A. Right to know the name, purpose, and potential side effects of their medications
B. Right to refuse any medication for any reason
C. Right to have medications administered in private without other residents present
D. Right to demand PRN medications whenever they feel they need them [CORRECT]
Correct Answer: D
Rationale: Residents have the right to know about their medications (A), refuse
medications (B), and privacy during administration (C). However, PRN (as-needed)
medications require documented parameters and nurse assessment—residents cannot
demand them "whenever they feel they need them." PRN administration requires clinical
judgment and established criteria, not resident demand.
Q6: A QMA is asked by a family member to explain why their loved one is receiving a
new medication. The QMA should:
A. Provide detailed information about the medication's mechanism of action and
expected outcomes
B. Refer the family member to the supervising nurse or physician for medication
information [CORRECT]
C. Share what they overheard the nurse saying about the medication
D. Show the family member the medication label and MAR entry
Correct Answer: B
