Medication Aide Test – Latest 2025/2026
Edition | Comprehensive Questions & Answers,
100% Verified
1. A medication aide is preparing to administer a prescribed oral antibiotic to a resident.
Which of the following is the most important initial step to ensure safety?
A. Check the medication label three times B. Verify the resident's identity using two identifiers
C. Review the resident's allergies in the chart D. Confirm the dosage with a calculator
Correct Answer: B
Rationale: Verifying the resident's identity using at least two identifiers (e.g., name and date of
birth) is the foundational step in the "five rights" of medication administration to prevent errors
like giving medication to the wrong person. Why A is wrong: Checking the label three times is
important but comes after identity verification. Why C is wrong: Allergy review is crucial but
follows identity confirmation. Why D is wrong: Dosage confirmation is part of the process but
not the initial safety step.
2. In a long-term care facility, a resident complains of nausea after taking a new pain
medication. What should the medication aide do first?
A. Administer an antiemetic if available B. Document the complaint and notify the nurse C.
Discontinue the medication immediately D. Offer the resident a glass of water
Correct Answer: B
Rationale: The medication aide must report adverse effects like nausea to the supervising nurse
for assessment, as they are not authorized to independently manage such symptoms under scope
of practice. Why A is wrong: Administering additional medication exceeds the aide's scope
without orders. Why C is wrong: Discontinuing medication is not within the aide's authority.
Why D is wrong: Offering water may help but does not address reporting requirements.
3. Calculate the correct dosage: A physician orders 500 mg of acetaminophen, and the
available tablets are 250 mg each. How many tablets should the medication aide
administer?
A. 1 tablet B. 2 tablets C. 3 tablets D. 4 tablets
Correct Answer: B
Rationale: Divide the ordered dose (500 mg) by the available strength (250 mg/tablet) to get 2
tablets, ensuring accurate calculation to prevent under- or overdosing. Why A is wrong: 1 tablet
provides only 250 mg, half the ordered amount. Why C is wrong: 3 tablets would be 750 mg,
exceeding the order. Why D is wrong: 4 tablets would be 1000 mg, double the order.
,Medication Aide Test – Latest 2025/2026
Edition | Comprehensive Questions & Answers,
100% Verified
4. Which medication classification is primarily used to treat hypertension by relaxing blood
vessels?
A. Beta-blockers B. ACE inhibitors C. Diuretics D. Calcium channel blockers
Correct Answer: D
Rationale: Calcium channel blockers work by preventing calcium from entering cells, leading to
vasodilation and reduced blood pressure, a key mechanism in hypertension management. Why A
is wrong: Beta-blockers reduce heart rate and force, not primarily vessel relaxation. Why B is
wrong: ACE inhibitors block angiotensin conversion, affecting fluid balance. Why C is wrong:
Diuretics promote fluid excretion to lower blood volume.
5. A medication aide notices a discrepancy between the MAR and the pharmacy label. What
is the ethical responsibility?
A. Administer as per the MAR B. Contact the pharmacy for clarification C. Notify the
supervising nurse immediately D. Document the discrepancy after administration
Correct Answer: C
Rationale: Ethical standards require immediate reporting of discrepancies to the nurse to resolve
potential errors and ensure patient safety, aligning with 2025 accountability guidelines. Why A is
wrong: Administering without clarification risks harm. Why B is wrong: Aides should not
contact pharmacy directly; this is supervisory. Why D is wrong: Documentation after
administration delays resolution.
6. Scenario: A resident with diabetes is prescribed insulin. The aide draws up 10 units but
the order is for 5 units. What error has occurred?
A. Wrong route B. Wrong dose C. Wrong time D. Wrong resident
Correct Answer: B
Rationale: This is a dosage error, violating the "right dose" principle, which can lead to
hypoglycemia in diabetic patients. Why A is wrong: Route (e.g., subcutaneous) is not the issue
here. Why C is wrong: Timing is unrelated to the amount drawn. Why D is wrong: Resident
identity is not questioned.
7. What is a common side effect of opioid analgesics that medication aides should monitor?
, Medication Aide Test – Latest 2025/2026
Edition | Comprehensive Questions & Answers,
100% Verified
A. Hypertension B. Constipation C. Hyperactivity D. Insomnia
Correct Answer: B
Rationale: Opioids slow gastrointestinal motility, leading to constipation, requiring proactive
monitoring and reporting per modern pain management protocols. Why A is wrong: Opioids
typically cause hypotension, not hypertension. Why C is wrong: They cause sedation, not
hyperactivity. Why D is wrong: They promote drowsiness, not insomnia.
8. When documenting medication administration, which element must always be included?
A. Resident's mood B. Time of administration C. Aide's signature only D. Weather conditions
Correct Answer: B
Rationale: Accurate timing is essential for tracking efficacy, preventing duplicates, and legal
compliance in electronic or paper records. Why A is wrong: Mood is subjective and not required
for med admin docs. Why C is wrong: Signature is needed but not the only element. Why D is
wrong: Irrelevant to medication documentation.
9. Under scope of practice, can a medication aide adjust a resident's oxygen flow rate?
A. Yes, if trained B. No, that's nursing only C. Yes, in emergencies D. No, unless ordered
Correct Answer: B
Rationale: Oxygen therapy adjustments are outside the medication aide's scope, reserved for
licensed nurses per 2025 state regulations to avoid risks like hypoxia. Why A is wrong: Training
does not expand legal scope. Why C is wrong: Emergencies still require nurse oversight. Why D
is wrong: Orders do not override scope limits.
10. A resident refuses their prescribed antihypertensive. What should the aide do?
A. Force administration B. Document refusal and notify nurse C. Skip and try later D. Call
family
Correct Answer: B
Rationale: Residents have the right to refuse; aides must document and report to maintain ethical
standards and continuity of care. Why A is wrong: Forcing violates autonomy and is illegal. Why
Edition | Comprehensive Questions & Answers,
100% Verified
1. A medication aide is preparing to administer a prescribed oral antibiotic to a resident.
Which of the following is the most important initial step to ensure safety?
A. Check the medication label three times B. Verify the resident's identity using two identifiers
C. Review the resident's allergies in the chart D. Confirm the dosage with a calculator
Correct Answer: B
Rationale: Verifying the resident's identity using at least two identifiers (e.g., name and date of
birth) is the foundational step in the "five rights" of medication administration to prevent errors
like giving medication to the wrong person. Why A is wrong: Checking the label three times is
important but comes after identity verification. Why C is wrong: Allergy review is crucial but
follows identity confirmation. Why D is wrong: Dosage confirmation is part of the process but
not the initial safety step.
2. In a long-term care facility, a resident complains of nausea after taking a new pain
medication. What should the medication aide do first?
A. Administer an antiemetic if available B. Document the complaint and notify the nurse C.
Discontinue the medication immediately D. Offer the resident a glass of water
Correct Answer: B
Rationale: The medication aide must report adverse effects like nausea to the supervising nurse
for assessment, as they are not authorized to independently manage such symptoms under scope
of practice. Why A is wrong: Administering additional medication exceeds the aide's scope
without orders. Why C is wrong: Discontinuing medication is not within the aide's authority.
Why D is wrong: Offering water may help but does not address reporting requirements.
3. Calculate the correct dosage: A physician orders 500 mg of acetaminophen, and the
available tablets are 250 mg each. How many tablets should the medication aide
administer?
A. 1 tablet B. 2 tablets C. 3 tablets D. 4 tablets
Correct Answer: B
Rationale: Divide the ordered dose (500 mg) by the available strength (250 mg/tablet) to get 2
tablets, ensuring accurate calculation to prevent under- or overdosing. Why A is wrong: 1 tablet
provides only 250 mg, half the ordered amount. Why C is wrong: 3 tablets would be 750 mg,
exceeding the order. Why D is wrong: 4 tablets would be 1000 mg, double the order.
,Medication Aide Test – Latest 2025/2026
Edition | Comprehensive Questions & Answers,
100% Verified
4. Which medication classification is primarily used to treat hypertension by relaxing blood
vessels?
A. Beta-blockers B. ACE inhibitors C. Diuretics D. Calcium channel blockers
Correct Answer: D
Rationale: Calcium channel blockers work by preventing calcium from entering cells, leading to
vasodilation and reduced blood pressure, a key mechanism in hypertension management. Why A
is wrong: Beta-blockers reduce heart rate and force, not primarily vessel relaxation. Why B is
wrong: ACE inhibitors block angiotensin conversion, affecting fluid balance. Why C is wrong:
Diuretics promote fluid excretion to lower blood volume.
5. A medication aide notices a discrepancy between the MAR and the pharmacy label. What
is the ethical responsibility?
A. Administer as per the MAR B. Contact the pharmacy for clarification C. Notify the
supervising nurse immediately D. Document the discrepancy after administration
Correct Answer: C
Rationale: Ethical standards require immediate reporting of discrepancies to the nurse to resolve
potential errors and ensure patient safety, aligning with 2025 accountability guidelines. Why A is
wrong: Administering without clarification risks harm. Why B is wrong: Aides should not
contact pharmacy directly; this is supervisory. Why D is wrong: Documentation after
administration delays resolution.
6. Scenario: A resident with diabetes is prescribed insulin. The aide draws up 10 units but
the order is for 5 units. What error has occurred?
A. Wrong route B. Wrong dose C. Wrong time D. Wrong resident
Correct Answer: B
Rationale: This is a dosage error, violating the "right dose" principle, which can lead to
hypoglycemia in diabetic patients. Why A is wrong: Route (e.g., subcutaneous) is not the issue
here. Why C is wrong: Timing is unrelated to the amount drawn. Why D is wrong: Resident
identity is not questioned.
7. What is a common side effect of opioid analgesics that medication aides should monitor?
, Medication Aide Test – Latest 2025/2026
Edition | Comprehensive Questions & Answers,
100% Verified
A. Hypertension B. Constipation C. Hyperactivity D. Insomnia
Correct Answer: B
Rationale: Opioids slow gastrointestinal motility, leading to constipation, requiring proactive
monitoring and reporting per modern pain management protocols. Why A is wrong: Opioids
typically cause hypotension, not hypertension. Why C is wrong: They cause sedation, not
hyperactivity. Why D is wrong: They promote drowsiness, not insomnia.
8. When documenting medication administration, which element must always be included?
A. Resident's mood B. Time of administration C. Aide's signature only D. Weather conditions
Correct Answer: B
Rationale: Accurate timing is essential for tracking efficacy, preventing duplicates, and legal
compliance in electronic or paper records. Why A is wrong: Mood is subjective and not required
for med admin docs. Why C is wrong: Signature is needed but not the only element. Why D is
wrong: Irrelevant to medication documentation.
9. Under scope of practice, can a medication aide adjust a resident's oxygen flow rate?
A. Yes, if trained B. No, that's nursing only C. Yes, in emergencies D. No, unless ordered
Correct Answer: B
Rationale: Oxygen therapy adjustments are outside the medication aide's scope, reserved for
licensed nurses per 2025 state regulations to avoid risks like hypoxia. Why A is wrong: Training
does not expand legal scope. Why C is wrong: Emergencies still require nurse oversight. Why D
is wrong: Orders do not override scope limits.
10. A resident refuses their prescribed antihypertensive. What should the aide do?
A. Force administration B. Document refusal and notify nurse C. Skip and try later D. Call
family
Correct Answer: B
Rationale: Residents have the right to refuse; aides must document and report to maintain ethical
standards and continuity of care. Why A is wrong: Forcing violates autonomy and is illegal. Why
