NC Medication Aide (Med Tech) Exam
NC Medication Aide (Med Tech) Exam
NC Medication Aide (Med Tech) Exam
NC Medication Aide (Med Tech) Exam
NC Medication Aide (Med Tech) Exam
Mostly Tested Relevant Coverage Areas
1. Authorized Duties and Scope of Practice (permitted vs. prohibited routes; legal
limitations; registry requirements)
2. The Six Rights of Medication Administration (right client, medication, dose,
route, time, documentation)
3. Medication Administration by Approved Routes (oral, eye, ear, nasal, inhalant,
transdermal, topical, vaginal, rectal)
4. Special Circumstances in Medication Administration (crushing, cutting,
swallowing difficulties, allergies)
5. Medication Errors, Reporting, and Documentation (MAR use, error reporting
timing, refusal documentation)
, 6. Infection Control and Standard Precautions (hand hygiene, PPE, contaminated
applicator handling)
7. Client Rights and Safety (right to refuse, confidentiality, error prevention)
8. Controlled Substances and Inventory (counts, disposition, auditing)
9. Medication Concepts, Abbreviations, and Terminology (q8h, bid, po, sq, decimal
points)
10. Communication with Supervising Licensed Nurse (reporting effects, conflicts,
adverse reactions)
NC Medication Aide (Med Tech) Exam
250 Multiple-Choice Questions with Answers and Rationales
1. A resident has a new medication order written as “0.5 mg by mouth daily,” and
the medication aide must ensure the dose is prepared and documented correctly
without interpreting the decimal as five milligrams. What is the correct written
form of this dose?
⬜ A. 5.0 mg
✅ B. 0.5 mg
⬜ C. 0.05 mg
⬜ D. 50 mg
,Rationale: The order “.5 mg” must be written with a leading zero as “0.5 mg” to
prevent misinterpretation as 5 mg. Trailing zeros (5.0 mg) should be avoided, and
misreading a decimal can cause a tenfold overdose.
2. During a medication pass, a resident scheduled for a transdermal patch
already has an old patch in place, and the medication aide must decide the
safest sequence of actions before applying the new patch. What should the aide
do first?
⬜ A. Apply the new patch directly over the old patch to save time
✅ B. Remove the old patch, assess the skin site, and rotate to a clean dry intact
area
⬜ C. Leave the old patch on and apply the new one to the opposite arm without
removal
⬜ D. Apply heat to the old patch site before removal to loosen the adhesive
Rationale: Old transdermal patches continue to deliver medication and must be
removed before applying a new one. Site rotation and skin assessment prevent
irritation and avoid continued unintended dosing.
3. A medication aide is preparing to administer a scheduled dose when the
resident states they do not want to take the medication and requests to skip it.
What is the aide’s most appropriate action?
⬜ A. Crush the medication and mix it into pudding so the resident receives the
dose
, ✅ B. Respect the refusal, document it according to facility policy, and notify the
supervising nurse
⬜ C. Tell the resident that refusing will result in discharge from the facility
⬜ D. Ask another resident to convince the person to take the medication
Rationale: Residents have the right to refuse medications. The aide must honor
the refusal, document it accurately, and report it to the nurse rather than force or
conceal the medication.
4. A resident develops widespread hives and lip swelling shortly after receiving a
scheduled medication, and although breathing is normal the resident reports the
throat feels tight. What is the medication aide’s priority action?
⬜ A. Document the symptoms and reassess at the next scheduled medication
round
✅ B. Stay with the resident and immediately notify the nurse while following
emergency procedures
⬜ C. Offer water and encourage the resident to rest until the hives resolve
⬜ D. Administer the next scheduled medication only after the hives have faded
Rationale: Hives, lip swelling, and throat tightness suggest a possible allergic
reaction. The aide must remain with the resident and notify the nurse immediately
because airway compromise can worsen rapidly.
5. A medication aide is about to pour a liquid medication and notices the bottle
label is at risk of becoming stained by drips during measurement. How should
NC Medication Aide (Med Tech) Exam
NC Medication Aide (Med Tech) Exam
NC Medication Aide (Med Tech) Exam
NC Medication Aide (Med Tech) Exam
Mostly Tested Relevant Coverage Areas
1. Authorized Duties and Scope of Practice (permitted vs. prohibited routes; legal
limitations; registry requirements)
2. The Six Rights of Medication Administration (right client, medication, dose,
route, time, documentation)
3. Medication Administration by Approved Routes (oral, eye, ear, nasal, inhalant,
transdermal, topical, vaginal, rectal)
4. Special Circumstances in Medication Administration (crushing, cutting,
swallowing difficulties, allergies)
5. Medication Errors, Reporting, and Documentation (MAR use, error reporting
timing, refusal documentation)
, 6. Infection Control and Standard Precautions (hand hygiene, PPE, contaminated
applicator handling)
7. Client Rights and Safety (right to refuse, confidentiality, error prevention)
8. Controlled Substances and Inventory (counts, disposition, auditing)
9. Medication Concepts, Abbreviations, and Terminology (q8h, bid, po, sq, decimal
points)
10. Communication with Supervising Licensed Nurse (reporting effects, conflicts,
adverse reactions)
NC Medication Aide (Med Tech) Exam
250 Multiple-Choice Questions with Answers and Rationales
1. A resident has a new medication order written as “0.5 mg by mouth daily,” and
the medication aide must ensure the dose is prepared and documented correctly
without interpreting the decimal as five milligrams. What is the correct written
form of this dose?
⬜ A. 5.0 mg
✅ B. 0.5 mg
⬜ C. 0.05 mg
⬜ D. 50 mg
,Rationale: The order “.5 mg” must be written with a leading zero as “0.5 mg” to
prevent misinterpretation as 5 mg. Trailing zeros (5.0 mg) should be avoided, and
misreading a decimal can cause a tenfold overdose.
2. During a medication pass, a resident scheduled for a transdermal patch
already has an old patch in place, and the medication aide must decide the
safest sequence of actions before applying the new patch. What should the aide
do first?
⬜ A. Apply the new patch directly over the old patch to save time
✅ B. Remove the old patch, assess the skin site, and rotate to a clean dry intact
area
⬜ C. Leave the old patch on and apply the new one to the opposite arm without
removal
⬜ D. Apply heat to the old patch site before removal to loosen the adhesive
Rationale: Old transdermal patches continue to deliver medication and must be
removed before applying a new one. Site rotation and skin assessment prevent
irritation and avoid continued unintended dosing.
3. A medication aide is preparing to administer a scheduled dose when the
resident states they do not want to take the medication and requests to skip it.
What is the aide’s most appropriate action?
⬜ A. Crush the medication and mix it into pudding so the resident receives the
dose
, ✅ B. Respect the refusal, document it according to facility policy, and notify the
supervising nurse
⬜ C. Tell the resident that refusing will result in discharge from the facility
⬜ D. Ask another resident to convince the person to take the medication
Rationale: Residents have the right to refuse medications. The aide must honor
the refusal, document it accurately, and report it to the nurse rather than force or
conceal the medication.
4. A resident develops widespread hives and lip swelling shortly after receiving a
scheduled medication, and although breathing is normal the resident reports the
throat feels tight. What is the medication aide’s priority action?
⬜ A. Document the symptoms and reassess at the next scheduled medication
round
✅ B. Stay with the resident and immediately notify the nurse while following
emergency procedures
⬜ C. Offer water and encourage the resident to rest until the hives resolve
⬜ D. Administer the next scheduled medication only after the hives have faded
Rationale: Hives, lip swelling, and throat tightness suggest a possible allergic
reaction. The aide must remain with the resident and notify the nurse immediately
because airway compromise can worsen rapidly.
5. A medication aide is about to pour a liquid medication and notices the bottle
label is at risk of becoming stained by drips during measurement. How should
