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QMA State test NEWEST 2025 ACTUAL EXAM TEST- COMPLETE REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ (MOST RECENT!!)
1
Before administering any medication, what is the first step a QMA should take?
Answer:
Wash hands or use hand sanitizer.
Rationale:
Proper hand hygiene prevents the spread of infection and protects both the resident and staff.
2
Which of the following is NOT part of the “five rights” of medication administration?
Answer:
Right temperature.
Rationale:
The five rights are right resident, right drug, right dose, right route, and right time.
3
A resident refuses their morning medication. What should the QMA do?
Answer:
Document the refusal and notify the nurse.
Rationale:
Residents have the right to refuse medications; documentation ensures proper follow-up and
legal compliance.
4
Before giving an oral medication, what should the QMA assess?
2026 2027 GRADED A+
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Answer:
The resident’s ability to swallow safely.
Rationale:
Prevents choking or aspiration and ensures proper medication administration.
5
A resident reports an allergy to penicillin. What is the QMA’s next step?
Answer:
Notify the nurse before giving any antibiotics.
Rationale:
Preventing allergic reactions is critical; the nurse will determine safe alternatives.
6
Which is an example of a PRN medication?
Answer:
A pain reliever given as needed.
Rationale:
PRN medications are administered based on resident symptoms or need, not on a schedule.
7
When should the QMA document medication administration?
Answer:
Immediately after giving the medication.
Rationale:
Timely documentation ensures accuracy, proper record-keeping, and legal compliance.
8
How should a liquid medication be measured?
2026 2027 GRADED A+
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Answer:
At eye level using a calibrated medicine cup.
Rationale:
Ensures an accurate dose and prevents errors.
9
A resident vomits immediately after taking oral medication. What should the QMA do?
Answer:
Report to the nurse before re-administering.
Rationale:
Medication may not have been absorbed; the nurse decides the next steps.
10
What is the most common cause of medication errors?
Answer:
Failure to follow the five rights.
Rationale:
Following the five rights reduces errors and promotes resident safety.
11
The QMA notices a tablet is broken. What should they do?
Answer:
Do not administer and notify the nurse.
Rationale:
Broken tablets may alter dosage or effectiveness and require nurse verification.
12
A resident questions why they are taking a new medication.
2026 2027 GRADED A+
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Answer:
Refer the question to the nurse or prescriber.
Rationale:
Only licensed personnel can explain medication indications and effects.
13
When administering eye drops, what should the QMA do?
Answer:
Instill in the lower conjunctival sac without touching the eye.
Rationale:
Prevents contamination and protects the eye from injury.
14
Which route bypasses the digestive system?
Answer:
Sublingual (under the tongue).
Rationale:
Sublingual medications are absorbed directly into the bloodstream.
15
Before applying a topical cream, what should the QMA do?
Answer:
Wash hands and clean/dry the area.
Rationale:
Ensures proper absorption and prevents infection.
16
Controlled substances must be stored:
2026 2027 GRADED A+
QMA State test NEWEST 2025 ACTUAL EXAM TEST- COMPLETE REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ (MOST RECENT!!)
1
Before administering any medication, what is the first step a QMA should take?
Answer:
Wash hands or use hand sanitizer.
Rationale:
Proper hand hygiene prevents the spread of infection and protects both the resident and staff.
2
Which of the following is NOT part of the “five rights” of medication administration?
Answer:
Right temperature.
Rationale:
The five rights are right resident, right drug, right dose, right route, and right time.
3
A resident refuses their morning medication. What should the QMA do?
Answer:
Document the refusal and notify the nurse.
Rationale:
Residents have the right to refuse medications; documentation ensures proper follow-up and
legal compliance.
4
Before giving an oral medication, what should the QMA assess?
2026 2027 GRADED A+
,2|Page
Answer:
The resident’s ability to swallow safely.
Rationale:
Prevents choking or aspiration and ensures proper medication administration.
5
A resident reports an allergy to penicillin. What is the QMA’s next step?
Answer:
Notify the nurse before giving any antibiotics.
Rationale:
Preventing allergic reactions is critical; the nurse will determine safe alternatives.
6
Which is an example of a PRN medication?
Answer:
A pain reliever given as needed.
Rationale:
PRN medications are administered based on resident symptoms or need, not on a schedule.
7
When should the QMA document medication administration?
Answer:
Immediately after giving the medication.
Rationale:
Timely documentation ensures accuracy, proper record-keeping, and legal compliance.
8
How should a liquid medication be measured?
2026 2027 GRADED A+
,3|Page
Answer:
At eye level using a calibrated medicine cup.
Rationale:
Ensures an accurate dose and prevents errors.
9
A resident vomits immediately after taking oral medication. What should the QMA do?
Answer:
Report to the nurse before re-administering.
Rationale:
Medication may not have been absorbed; the nurse decides the next steps.
10
What is the most common cause of medication errors?
Answer:
Failure to follow the five rights.
Rationale:
Following the five rights reduces errors and promotes resident safety.
11
The QMA notices a tablet is broken. What should they do?
Answer:
Do not administer and notify the nurse.
Rationale:
Broken tablets may alter dosage or effectiveness and require nurse verification.
12
A resident questions why they are taking a new medication.
2026 2027 GRADED A+
, 4|Page
Answer:
Refer the question to the nurse or prescriber.
Rationale:
Only licensed personnel can explain medication indications and effects.
13
When administering eye drops, what should the QMA do?
Answer:
Instill in the lower conjunctival sac without touching the eye.
Rationale:
Prevents contamination and protects the eye from injury.
14
Which route bypasses the digestive system?
Answer:
Sublingual (under the tongue).
Rationale:
Sublingual medications are absorbed directly into the bloodstream.
15
Before applying a topical cream, what should the QMA do?
Answer:
Wash hands and clean/dry the area.
Rationale:
Ensures proper absorption and prevents infection.
16
Controlled substances must be stored:
2026 2027 GRADED A+
