INDIANA QMA STATE CERTIFICATION
EXAM 2026 MASTER EVALUATION
PACKAGE WITH DETAILED CORRECT
ANSWERS WITH RATIONALES CORRECT
VERIFIED ANSWERS GRADE A+
MATERIAL | 100% PASS GUARANTEE |
INSTANT DOWNLOAD
Domain 1: Legal Scope of Practice and Documentation
1. A resident explicitly refuses to take their prescribed
morning oral cardiovascular medication. What is the most
appropriate immediate action for the Qualified Medication
Aide to take? [1]
• A. Crush the pill secretly and mix it into the resident's
breakfast applesauce.
• Correct Answer: B. Notify the supervising
licensed nurse immediately and document the
refusal in the resident's chart.
• C. Hold the resident's hands firmly and force them to
swallow the tablet.
• D. Discard the medication down the sink drain and skip
tracking it on the sheet.
• Rationale: Residents retain the right to refuse treatments.
A QMA cannot force or hide medications, but must report
the refusal immediately to an RN or LPN for clinical
follow-up and record it accurately. [1, 2, 3]
,2. Prior to accepting the medication cart keys from the off-
going shift worker, what is the mandatory regulatory task
a QMA must perform?
• Correct Answer: A. Count and reconcile all
controlled substances with a licensed nurse or
outgoing certified staff member.
• B. Count the total number of paper cups left on top of the
workstation.
• C. Wipe down the plastic drawers with soap and water
before taking the ring.
• D. Check the vitals of every resident assigned to the unit
floor.
• Rationale: Under Indiana guidelines, controlled
substances must be counted, verified, and co-signed by
incoming and outgoing qualified personnel to prevent
diversion and track errors before keys change hands. [1]
3. Which of the following tasks falls completely outside the
legal scope of practice for a standard QMA in the state of
Indiana?
• A. Administering a commercially prepared enema solution
per routine order.
• B. Applying a medicated lotion to a minor skin tear under
nurse oversight.
• Correct Answer: C. Administering an
intravenous (IV) push pain medication or
calculating a new dosage window.
• D. Instilling prescribed artificial tears or ophthalmic drops
into the eye.
• Rationale: QMAs are prohibited from performing
complex, invasive tasks such as starting, maintaining, or
, administering medications via intravenous or parenteral
routes. [1, 2, 3]
4. When entering a medication administration entry on a
resident's chart, when must the documentation be
completed?
• A. At the end of the 8-hour shift before clocking out for the
night.
• B. During the scheduled lunch break in the facility
breakroom.
• Correct Answer: C. Accurately and immediately
after the medication is safely swallowed or
applied.
• D. One day in advance to ensure the schedule looks correct
to auditors.
• Rationale: Real-time charting prevents double-dosing
errors and maintains accurate, legally compliant medical
records within healthcare operations. [1, 2]
5. A physician writes a medication order using the
abbreviation "PRN." How should the QMA interpret this
instruction?
• A. Give the medication every single morning without
exception.
• B. Give the medication exactly thirty minutes before
meals.
• Correct Answer: C. Give the medication only as
needed based on the resident's specific symptoms.
• D. Give the medication immediately as a one-time
emergency dose.
• Rationale: The Latin abbreviation "pro re nata"
translates to "as needed," meaning the drug is
, administered under nurse guidance when specific criteria
are met. [1]
6. What is the fundamental legal relationship between a
Qualified Medication Aide and a licensed nurse (RN or
LPN) in a long-term care facility?
• A. The QMA operates completely independently without
reporting to anyone.
• Correct Answer: B. The QMA works under the
direct supervision and delegation of the licensed
nurse.
• C. The QMA acts as the supervisor over the facility's
licensed nurses.
• D. The QMA only interacts with the pharmacist, bypassing
unit staff.
• Rationale: An unlicensed QMA always functions under
the direct license and supervisory delegation of an RN or
LPN on duty. [1, 2]
7. If a QMA makes a medication error, what is the first duty
they must perform?
• Correct Answer: A. Report the error
immediately to the supervising nurse to ensure
resident safety.
• B. Alter the chart entry to hide the mistake from state
inspectors.
• C. Wait until the next family visit to mention the event.
• D. Resign from the facility to avoid an administrative
review.
• Rationale: Resident safety is the primary priority.
Immediate reporting allows the clinical team to assess for
adverse reactions and implement counter-measures.
EXAM 2026 MASTER EVALUATION
PACKAGE WITH DETAILED CORRECT
ANSWERS WITH RATIONALES CORRECT
VERIFIED ANSWERS GRADE A+
MATERIAL | 100% PASS GUARANTEE |
INSTANT DOWNLOAD
Domain 1: Legal Scope of Practice and Documentation
1. A resident explicitly refuses to take their prescribed
morning oral cardiovascular medication. What is the most
appropriate immediate action for the Qualified Medication
Aide to take? [1]
• A. Crush the pill secretly and mix it into the resident's
breakfast applesauce.
• Correct Answer: B. Notify the supervising
licensed nurse immediately and document the
refusal in the resident's chart.
• C. Hold the resident's hands firmly and force them to
swallow the tablet.
• D. Discard the medication down the sink drain and skip
tracking it on the sheet.
• Rationale: Residents retain the right to refuse treatments.
A QMA cannot force or hide medications, but must report
the refusal immediately to an RN or LPN for clinical
follow-up and record it accurately. [1, 2, 3]
,2. Prior to accepting the medication cart keys from the off-
going shift worker, what is the mandatory regulatory task
a QMA must perform?
• Correct Answer: A. Count and reconcile all
controlled substances with a licensed nurse or
outgoing certified staff member.
• B. Count the total number of paper cups left on top of the
workstation.
• C. Wipe down the plastic drawers with soap and water
before taking the ring.
• D. Check the vitals of every resident assigned to the unit
floor.
• Rationale: Under Indiana guidelines, controlled
substances must be counted, verified, and co-signed by
incoming and outgoing qualified personnel to prevent
diversion and track errors before keys change hands. [1]
3. Which of the following tasks falls completely outside the
legal scope of practice for a standard QMA in the state of
Indiana?
• A. Administering a commercially prepared enema solution
per routine order.
• B. Applying a medicated lotion to a minor skin tear under
nurse oversight.
• Correct Answer: C. Administering an
intravenous (IV) push pain medication or
calculating a new dosage window.
• D. Instilling prescribed artificial tears or ophthalmic drops
into the eye.
• Rationale: QMAs are prohibited from performing
complex, invasive tasks such as starting, maintaining, or
, administering medications via intravenous or parenteral
routes. [1, 2, 3]
4. When entering a medication administration entry on a
resident's chart, when must the documentation be
completed?
• A. At the end of the 8-hour shift before clocking out for the
night.
• B. During the scheduled lunch break in the facility
breakroom.
• Correct Answer: C. Accurately and immediately
after the medication is safely swallowed or
applied.
• D. One day in advance to ensure the schedule looks correct
to auditors.
• Rationale: Real-time charting prevents double-dosing
errors and maintains accurate, legally compliant medical
records within healthcare operations. [1, 2]
5. A physician writes a medication order using the
abbreviation "PRN." How should the QMA interpret this
instruction?
• A. Give the medication every single morning without
exception.
• B. Give the medication exactly thirty minutes before
meals.
• Correct Answer: C. Give the medication only as
needed based on the resident's specific symptoms.
• D. Give the medication immediately as a one-time
emergency dose.
• Rationale: The Latin abbreviation "pro re nata"
translates to "as needed," meaning the drug is
, administered under nurse guidance when specific criteria
are met. [1]
6. What is the fundamental legal relationship between a
Qualified Medication Aide and a licensed nurse (RN or
LPN) in a long-term care facility?
• A. The QMA operates completely independently without
reporting to anyone.
• Correct Answer: B. The QMA works under the
direct supervision and delegation of the licensed
nurse.
• C. The QMA acts as the supervisor over the facility's
licensed nurses.
• D. The QMA only interacts with the pharmacist, bypassing
unit staff.
• Rationale: An unlicensed QMA always functions under
the direct license and supervisory delegation of an RN or
LPN on duty. [1, 2]
7. If a QMA makes a medication error, what is the first duty
they must perform?
• Correct Answer: A. Report the error
immediately to the supervising nurse to ensure
resident safety.
• B. Alter the chart entry to hide the mistake from state
inspectors.
• C. Wait until the next family visit to mention the event.
• D. Resign from the facility to avoid an administrative
review.
• Rationale: Resident safety is the primary priority.
Immediate reporting allows the clinical team to assess for
adverse reactions and implement counter-measures.
