INDIANA QMA STATE EXAM 200 ACTUAL QUESTIONS AND
CORRECT ANSWERS WITH RATIONALE LATEST 2026
ALREADY GRADED A+ ASSURED PASS
The Indiana Qualified Medication Aide (QMA) State Exam is a certification
test for certified nursing assistants seeking to administer medications in
licensed long-term care facilities. Candidates must complete 60 hours of
classroom training and a 40-hour clinical practicum before eligibility. The
exam consists of multiple-choice questions covering medication
administration, the Six Rights, legal and ethical responsibilities, infection
control, medication classifications, dosage calculations, side effects, and
emergency procedures. A passing score of 80% is required. Successful
candidates must complete 6 annual inservice hours and renew certification
every two years to maintain their credential.
1. A Qualified Medication Aide (QMA) in Indiana is authorized to administer
medications in which setting?
A) Acute care hospital
B) Long-term care facility under the supervision of a licensed nurse
C) Independent physician’s office
D) Patient’s private home as a home health aide
Answer: B
Rationale: The Indiana State Department of Health permits QMAs to administer
medications only in licensed long-term care facilities (nursing homes) under the
delegation and supervision of a registered nurse (RN) or licensed practical nurse
(LPN) .
2. Which task is outside the scope of practice for a QMA in Indiana?
A) Administering oral medications from a medication cart
B) Applying transdermal patches
C) Administering intravenous (IV) push medications
D) Instilling eye drops as prescribed
Answer: C
Rationale: QMAs are not permitted to administer IV medications, IV piggybacks,
or IV push medications. These are nursing tasks that require additional training and
licensure beyond the QMA scope .
,3. A QMA observes a resident having difficulty swallowing a large tablet. What is
the most appropriate action?
A) Crush the tablet without checking
B) Notify the licensed nurse and follow facility policy
C) Have the resident chew the tablet
D) Skip the dose
Answer: B
Rationale: Crushing medications without authorization can alter the drug's release
mechanism or effectiveness. The QMA must notify the nurse, who can request an
alternate formulation or verify if crushing is permitted .
4. What is the minimum passing score required for the Indiana QMA state exam?
A) 70%
B) 75%
C) 80%
D) 85%
Answer: C
Rationale: Candidates must achieve a score of 80% or higher to pass the Indiana
QMA state exam and become certified .
5. How many classroom training hours are required before a candidate can take
the Indiana QMA exam?
A) 40 hours
B) 50 hours
C) 60 hours
D) 75 hours
Answer: C
Rationale: The state mandates 60 hours of classroom training as part of the QMA
curriculum before a candidate is eligible to sit for the certification exam .
6. How many times can a candidate retake the Indiana QMA exam within one
year?
A) 1 time
B) 2 times
C) 3 times
D) Unlimited
Answer: C
Rationale: If a candidate does not pass, they are permitted to retake the exam up to
three times within a one-year period .
,7. How often must a QMA certification be renewed in Indiana?
A) Every 1 year
B) Every 2 years
C) Every 3 years
D) Every 5 years
Answer: B
Rationale: Indiana law requires QMA certification to be renewed biennially (every
two years) .
8. How many annual inservice hours does a QMA need to maintain certification?
A) 3 hours
B) 6 hours
C) 12 hours
D) 24 hours
Answer: B
Rationale: QMAs are required to complete 6 hours of inservice education each
year to maintain their certification status .
9. Which three specific skills must be included in the annual inservice education
for a QMA?
A) Blood glucose testing, hemoccult testing, and G-tube/J-tube medication
administration
B) IV therapy, wound care, and catheter insertion
C) CPR, first aid, and oxygen administration
D) Phlebotomy, EKG, and specimen collection
Answer: A
Rationale: Indiana regulations require that annual inservice education for QMAs
include blood glucose testing, hemoccult testing, and G-tube/J-tube medication
administration .
10. What is required before a QMA may administer a PRN (as needed)
medication?
A) A physician's verbal orderB) Licensed nurse authorization
C) A family member's consent
D) The resident's written request
Answer: B
Rationale: A PRN medication cannot be administered without prior authorization
from a licensed nurse, who assesses the resident's need .
, 11. What must be included in the documentation of a PRN medication
administration?
A) Only the medication name and dose
B) The time of administration and the nurse's signature
C) The need for medication, time symptoms occurred, nurse authorization, and co-
signature
D) The resident's vital signs and diagnosis
Answer: C
Rationale: Proper PRN documentation requires the reason the medication was
needed, the time symptoms occurred, authorization from the nurse, and the nurse's
co-signature .
12. True or False: A QMA may assess a resident's condition to determine if a
medication is needed.
A) True
B) False
Answer: B
Rationale: QMAs are not permitted to independently assess residents' conditions.
Assessment is a nursing function that falls outside the QMA scope of practice .
13. True or False: A QMA can call a physician or take a written or verbal order.
A) True
B) False
Answer: B
Rationale: QMAs cannot call physicians or take orders. Taking and transcribing
orders is the responsibility of a licensed nurse .
14. True or False: A QMA may administer injectable medications (not including
insulin).
A) True
B) False
Answer: B
Rationale: QMAs are generally not permitted to administer injectable medications.
Only pre-measured, fixed-dose insulin can be administered in limited
circumstances .
15. True or False: A QMA may administer medications via NG tube.
A) True
B) False
Answer: B
CORRECT ANSWERS WITH RATIONALE LATEST 2026
ALREADY GRADED A+ ASSURED PASS
The Indiana Qualified Medication Aide (QMA) State Exam is a certification
test for certified nursing assistants seeking to administer medications in
licensed long-term care facilities. Candidates must complete 60 hours of
classroom training and a 40-hour clinical practicum before eligibility. The
exam consists of multiple-choice questions covering medication
administration, the Six Rights, legal and ethical responsibilities, infection
control, medication classifications, dosage calculations, side effects, and
emergency procedures. A passing score of 80% is required. Successful
candidates must complete 6 annual inservice hours and renew certification
every two years to maintain their credential.
1. A Qualified Medication Aide (QMA) in Indiana is authorized to administer
medications in which setting?
A) Acute care hospital
B) Long-term care facility under the supervision of a licensed nurse
C) Independent physician’s office
D) Patient’s private home as a home health aide
Answer: B
Rationale: The Indiana State Department of Health permits QMAs to administer
medications only in licensed long-term care facilities (nursing homes) under the
delegation and supervision of a registered nurse (RN) or licensed practical nurse
(LPN) .
2. Which task is outside the scope of practice for a QMA in Indiana?
A) Administering oral medications from a medication cart
B) Applying transdermal patches
C) Administering intravenous (IV) push medications
D) Instilling eye drops as prescribed
Answer: C
Rationale: QMAs are not permitted to administer IV medications, IV piggybacks,
or IV push medications. These are nursing tasks that require additional training and
licensure beyond the QMA scope .
,3. A QMA observes a resident having difficulty swallowing a large tablet. What is
the most appropriate action?
A) Crush the tablet without checking
B) Notify the licensed nurse and follow facility policy
C) Have the resident chew the tablet
D) Skip the dose
Answer: B
Rationale: Crushing medications without authorization can alter the drug's release
mechanism or effectiveness. The QMA must notify the nurse, who can request an
alternate formulation or verify if crushing is permitted .
4. What is the minimum passing score required for the Indiana QMA state exam?
A) 70%
B) 75%
C) 80%
D) 85%
Answer: C
Rationale: Candidates must achieve a score of 80% or higher to pass the Indiana
QMA state exam and become certified .
5. How many classroom training hours are required before a candidate can take
the Indiana QMA exam?
A) 40 hours
B) 50 hours
C) 60 hours
D) 75 hours
Answer: C
Rationale: The state mandates 60 hours of classroom training as part of the QMA
curriculum before a candidate is eligible to sit for the certification exam .
6. How many times can a candidate retake the Indiana QMA exam within one
year?
A) 1 time
B) 2 times
C) 3 times
D) Unlimited
Answer: C
Rationale: If a candidate does not pass, they are permitted to retake the exam up to
three times within a one-year period .
,7. How often must a QMA certification be renewed in Indiana?
A) Every 1 year
B) Every 2 years
C) Every 3 years
D) Every 5 years
Answer: B
Rationale: Indiana law requires QMA certification to be renewed biennially (every
two years) .
8. How many annual inservice hours does a QMA need to maintain certification?
A) 3 hours
B) 6 hours
C) 12 hours
D) 24 hours
Answer: B
Rationale: QMAs are required to complete 6 hours of inservice education each
year to maintain their certification status .
9. Which three specific skills must be included in the annual inservice education
for a QMA?
A) Blood glucose testing, hemoccult testing, and G-tube/J-tube medication
administration
B) IV therapy, wound care, and catheter insertion
C) CPR, first aid, and oxygen administration
D) Phlebotomy, EKG, and specimen collection
Answer: A
Rationale: Indiana regulations require that annual inservice education for QMAs
include blood glucose testing, hemoccult testing, and G-tube/J-tube medication
administration .
10. What is required before a QMA may administer a PRN (as needed)
medication?
A) A physician's verbal orderB) Licensed nurse authorization
C) A family member's consent
D) The resident's written request
Answer: B
Rationale: A PRN medication cannot be administered without prior authorization
from a licensed nurse, who assesses the resident's need .
, 11. What must be included in the documentation of a PRN medication
administration?
A) Only the medication name and dose
B) The time of administration and the nurse's signature
C) The need for medication, time symptoms occurred, nurse authorization, and co-
signature
D) The resident's vital signs and diagnosis
Answer: C
Rationale: Proper PRN documentation requires the reason the medication was
needed, the time symptoms occurred, authorization from the nurse, and the nurse's
co-signature .
12. True or False: A QMA may assess a resident's condition to determine if a
medication is needed.
A) True
B) False
Answer: B
Rationale: QMAs are not permitted to independently assess residents' conditions.
Assessment is a nursing function that falls outside the QMA scope of practice .
13. True or False: A QMA can call a physician or take a written or verbal order.
A) True
B) False
Answer: B
Rationale: QMAs cannot call physicians or take orders. Taking and transcribing
orders is the responsibility of a licensed nurse .
14. True or False: A QMA may administer injectable medications (not including
insulin).
A) True
B) False
Answer: B
Rationale: QMAs are generally not permitted to administer injectable medications.
Only pre-measured, fixed-dose insulin can be administered in limited
circumstances .
15. True or False: A QMA may administer medications via NG tube.
A) True
B) False
Answer: B
