PRACTICE QUESTIONS and DETAILED
RATIONALES GUARANTEED A+ STUDY
GUIDE
QMAP Unit Reviews Exam (2026) Practice Q&A:
Questions 1-50
What is the primary role of a Qualified Medication
Administration Person (QMAP)?
A. To diagnose medical conditions and prescribe medications.
B. To safely and accurately administer medications to residents
as delegated and supervised by a licensed nurse. Correct
Answer: B Rationale: A QMAP is trained and certified to
administer medications in specific settings under the delegation
and supervision of a licensed nurse (RN or LPN). They do not
diagnose, prescribe, or independently manage medical care.
C. To calculate medication dosages and change prescriptions.
D. To administer all types of injectable medications.
Which of the following is NOT one of the "Five Rights" of
medication administration?
A. Right resident
B. Right medication
C. Right diagnosis Correct Answer: C Rationale: The
Five Rights are: Right resident, Right medication, Right dose,
Right route, and Right time. "Right diagnosis" is the
responsibility of the prescribing provider, not the QMAP.
D. Right dose
,If a resident refuses to take their scheduled medication, what is
the QMAP’s first action?
A. Force the resident to take the medication for their own good.
B. Crush the medication and hide it in the resident’s food.
C. Document the refusal on the Medication Administration
Record (MAR) according to facility policy and notify the
supervising nurse. Correct Answer: C Rationale:
Residents have the right to refuse medication. The QMAP must
never force or disguise medication. The refusal must be
documented and reported to the supervising nurse
immediately.
D. Leave the medication on the resident's bedside table to take
later.
When preparing to administer medications, how should a
QMAP verify the resident's identity?
A. Ask the resident, "Are you Mr. Smith?"
B. Check the room number and assume it is the correct
resident.
C. Use at least two identifiers, such as the resident's full name
and date of birth, and compare them to the MAR. Correct
Answer: C Rationale: Using two unique identifiers
prevents medication errors. Asking a yes/no question or relying
solely on room number is unsafe and violates the "Right
resident" principle.
D. Rely on the resident's memory to state their own name.
A QMAP is administering a liquid medication. What is the
correct technique for measuring the dose?
A. Pour the medication while holding the cup above eye level.
,B. Pour the medication with the label facing the palm of the
hand, and read the dose at the bottom of the meniscus at eye
level. Correct Answer: B Rationale: Holding the bottle
with the label toward the palm prevents spills from ruining the
label. Reading the bottom of the meniscus at eye level ensures
an accurate measurement.
C. Estimate the dose using a regular kitchen spoon.
D. Pour the medication quickly to save time.
Which of the following actions is strictly prohibited for a
QMAP?
A. Applying topical creams.
B. Administering oral tablets.
C. Calculating or altering a medication dosage. Correct
Answer: C Rationale: QMAPs are not licensed to calculate,
alter, or interpret medication dosages. They must administer
the exact dose written on the MAR. Calculating doses is the
responsibility of a licensed nurse or pharmacist.
D. Assisting a resident with self-administration.
When should a QMAP perform hand hygiene during the
medication administration process?
A. Only before starting the medication pass.
B. Only after finishing the medication pass.
C. Before preparing medications, before administering to each
resident, and after administering to each resident. Correct
Answer: C Rationale: Hand hygiene is critical to prevent
the spread of infection. It must be performed before preparing
meds, before and after touching each resident, and after
handling medications or the MAR.
D. Only if hands are visibly soiled.
, A resident complains that their pill looks different than usual.
What should the QMAP do?
A. Tell the resident it is just a generic version and give it to
them.
B. Withhold the medication, check the prescription order, and
consult the supervising nurse or pharmacist. Correct
Answer: B Rationale: Any discrepancy in a medication's
appearance, smell, or resident's reaction should be treated as a
potential error. The QMAP must stop, verify the order, and
consult the nurse or pharmacist before proceeding.
C. Crush the pill so the resident does not notice the difference.
D. Document the complaint and administer the medication
anyway.
How should a QMAP document the administration of a
medication on the MAR?
A. Sign the MAR at the end of the shift for all medications
given.
B. Sign or initial the MAR immediately after the medication is
administered and swallowed. Correct Answer: B
Rationale: Documentation must be done immediately after
administration to ensure accuracy and prevent omitted or
duplicated doses. Signing at the end of the shift is unsafe and
violates documentation standards.
C. Have another QMAP sign the MAR for you.
D. Use a pencil so mistakes can be erased.
What is the appropriate action if a QMAP drops a pill on the
floor while preparing it?
A. Pick it up, blow it off, and give it to the resident.