Page 1 of 90
QMA — IVY TECH COMMUNITY COLLEGE QUESTIONS WITH
VERIFIED ANSWERS DETAILED RATIONALES GRADED A+
QMA — Ivy Tech Community College
SECTION 1: QMA ROLE, SCOPE OF PRACTICE &
LEGAL/ETHICAL ISSUES
Questions 1–35
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) Private physician's office
D) Independent clinic without supervision
Correct Answer: B
Rationale: In Indiana, QMAs may administer medications in long-term care facilities
under the supervision of a licensed nurse. The scope of practice was expanded in 2002
and became effective January 1, 2005.
2. Which of the following tasks is outside the scope of practice for a QMA?
A) Administering oral medications
B) Applying topical medications
C) Administering intravenous (IV) medications
D) Administering medications via G-tube
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Correct Answer: C
Rationale: QMAs are not permitted to administer intravenous (IV) medications. Their
scope includes oral, topical, ophthalmic, otic, nasal, and G-tube/J-tube medications.
3. The primary difference between a Certified Nurse Aide (CNA) and a Qualified
Medication Aide (QMA) is that:
A) CNAs can administer IV medications, QMAs cannot
B) QMAs may administer oral and topical medications under supervision
C) CNAs have more training than QMAs
D) QMAs are not required to have CNA certification
Correct Answer: B
Rationale: QMAs are CNAs who have completed additional training to administer
medications. CNAs are not authorized to administer medications.
4. Under Indiana law, the QMA scope of practice was expanded to include insulin
administration in:
A) 2002
B) 2005
C) 2019
D) 2020
Correct Answer: C
Rationale: Legislation passed by the Indiana General Assembly in April 2019 allowed
QMAs to administer insulin to specific patients at licensed health facilities.
5. A QMA may administer medication via which of the following routes?
A) Intravenous (IV) push
B) Intramuscular (IM) injection
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C) Gastrostomy tube (G-tube)
D) Subcutaneous injection (except insulin)
Correct Answer: C
Rationale: QMAs may administer medications via G-tube or J-tube. IV and IM injections
are outside the QMA scope of practice except for insulin administration with additional
certification.
6. Before accepting the medication cart keys to begin a shift, the QMA must:
A) Count all medications in the cart
B) Count/reconcile the controlled substance count with a licensed nurse
C) Review all MARs for the day
D) Check the expiration dates on all medications
Correct Answer: B
Rationale: The QMA must count and reconcile controlled substances with a licensed
nurse before accepting the keys.
7. The QMA is prohibited from performing which of the following tasks?
A) Assessing the resident's condition
B) Administering oral medications
C) Documenting in the MAR
D) Taking vital signs
Correct Answer: A
Rationale: Assessment of the resident's condition is outside the QMA scope of practice.
QMAs observe and report but do not perform independent assessments.
8. A QMA must be currently registered on which registry?
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A) Indiana Nurse Aide Registry
B) Indiana Medical Board Registry
C) National QMA Registry
D) State Pharmacy Board Registry
Correct Answer: A
Rationale: QMAs must be currently registered on the Indiana Nurse Aide Registry.
9. How many hours of in-service education must a QMA complete to maintain
certification?
A) 3 hours
B) 6 hours
C) 12 hours
D) 24 hours
Correct Answer: B
Rationale: A QMA must complete 6 hours of medication-related in-service education to
maintain certification. Certification is good for 2 years.
10. A newly hired QMA is asked by a nursing assistant to give a resident an
intramuscular injection of vitamin B12 because the nurse is busy. The QMA should:
A) Call the pharmacy and ask whether the QMA may give injections at this facility
B) Refuse and explain that intramuscular injections are outside the QMA scope of
practice and must be performed by a licensed nurse
C) Administer the injection and then document it under the nurse's name
D) Give the injection if the nursing assistant demonstrates the technique first
Correct Answer: B
Rationale: Intramuscular, intravenous, subcutaneous, and intradermal injections are
prohibited for QMAs under Indiana scope of practice.
QMA — IVY TECH COMMUNITY COLLEGE QUESTIONS WITH
VERIFIED ANSWERS DETAILED RATIONALES GRADED A+
QMA — Ivy Tech Community College
SECTION 1: QMA ROLE, SCOPE OF PRACTICE &
LEGAL/ETHICAL ISSUES
Questions 1–35
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) Private physician's office
D) Independent clinic without supervision
Correct Answer: B
Rationale: In Indiana, QMAs may administer medications in long-term care facilities
under the supervision of a licensed nurse. The scope of practice was expanded in 2002
and became effective January 1, 2005.
2. Which of the following tasks is outside the scope of practice for a QMA?
A) Administering oral medications
B) Applying topical medications
C) Administering intravenous (IV) medications
D) Administering medications via G-tube
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Correct Answer: C
Rationale: QMAs are not permitted to administer intravenous (IV) medications. Their
scope includes oral, topical, ophthalmic, otic, nasal, and G-tube/J-tube medications.
3. The primary difference between a Certified Nurse Aide (CNA) and a Qualified
Medication Aide (QMA) is that:
A) CNAs can administer IV medications, QMAs cannot
B) QMAs may administer oral and topical medications under supervision
C) CNAs have more training than QMAs
D) QMAs are not required to have CNA certification
Correct Answer: B
Rationale: QMAs are CNAs who have completed additional training to administer
medications. CNAs are not authorized to administer medications.
4. Under Indiana law, the QMA scope of practice was expanded to include insulin
administration in:
A) 2002
B) 2005
C) 2019
D) 2020
Correct Answer: C
Rationale: Legislation passed by the Indiana General Assembly in April 2019 allowed
QMAs to administer insulin to specific patients at licensed health facilities.
5. A QMA may administer medication via which of the following routes?
A) Intravenous (IV) push
B) Intramuscular (IM) injection
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C) Gastrostomy tube (G-tube)
D) Subcutaneous injection (except insulin)
Correct Answer: C
Rationale: QMAs may administer medications via G-tube or J-tube. IV and IM injections
are outside the QMA scope of practice except for insulin administration with additional
certification.
6. Before accepting the medication cart keys to begin a shift, the QMA must:
A) Count all medications in the cart
B) Count/reconcile the controlled substance count with a licensed nurse
C) Review all MARs for the day
D) Check the expiration dates on all medications
Correct Answer: B
Rationale: The QMA must count and reconcile controlled substances with a licensed
nurse before accepting the keys.
7. The QMA is prohibited from performing which of the following tasks?
A) Assessing the resident's condition
B) Administering oral medications
C) Documenting in the MAR
D) Taking vital signs
Correct Answer: A
Rationale: Assessment of the resident's condition is outside the QMA scope of practice.
QMAs observe and report but do not perform independent assessments.
8. A QMA must be currently registered on which registry?
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A) Indiana Nurse Aide Registry
B) Indiana Medical Board Registry
C) National QMA Registry
D) State Pharmacy Board Registry
Correct Answer: A
Rationale: QMAs must be currently registered on the Indiana Nurse Aide Registry.
9. How many hours of in-service education must a QMA complete to maintain
certification?
A) 3 hours
B) 6 hours
C) 12 hours
D) 24 hours
Correct Answer: B
Rationale: A QMA must complete 6 hours of medication-related in-service education to
maintain certification. Certification is good for 2 years.
10. A newly hired QMA is asked by a nursing assistant to give a resident an
intramuscular injection of vitamin B12 because the nurse is busy. The QMA should:
A) Call the pharmacy and ask whether the QMA may give injections at this facility
B) Refuse and explain that intramuscular injections are outside the QMA scope of
practice and must be performed by a licensed nurse
C) Administer the injection and then document it under the nurse's name
D) Give the injection if the nursing assistant demonstrates the technique first
Correct Answer: B
Rationale: Intramuscular, intravenous, subcutaneous, and intradermal injections are
prohibited for QMAs under Indiana scope of practice.
