QMA State Test 2025 Study Guide | Practice Questions & Key Concepts

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QMA State Test Practice Questions Q&A with Rationales NEWEST 2026 ACTUAL
EXAM TEST- COMPLETE REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+ (MOST RECENT!!)




1

A QMA is preparing to administer a resident’s morning medications. The resident says, “I’m not
feeling well today, I don’t want my pills.”
Answer: Ask the resident what specifically is bothering them and report refusal per facility
policy.
Rationale: Respecting resident autonomy and documenting refusal is required; you should
assess concerns and follow protocol for medication refusal.



2

Before administering medications, the QMA should check the “five rights.” Which is NOT one
of them?
Answer: Right temperature
Rationale: The five rights are right resident, right drug, right dose, right route, and right time.



3

The QMA notices a medication error after giving a pill. What is the next step?
Answer: Report immediately to the nurse and document per policy.
Rationale: Medication errors must be reported promptly to ensure resident safety and proper
follow-up.




2026 2027 GRADED A+

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4

A resident complains that a pill is too large to swallow. What should the QMA do?
Answer: Notify the nurse for alternative form or guidance.
Rationale: Changing form of medication (crushing, splitting) must be approved by the nurse or
prescriber.



5

A resident needs eye drops. The QMA should administer:
Answer: Into the lower conjunctival sac without touching the eye.
Rationale: Avoiding contact with the eye prevents injury and contamination.



6

Which route has the fastest absorption?
Answer: Sublingual
Rationale: Sublingual medications absorb quickly under the tongue into the bloodstream.



7

When documenting medication administration, the QMA should record:
Answer: Time, dose, route, resident response, and initials.
Rationale: Accurate documentation supports continuity of care and legal records.



8

Before giving a PRN (as needed) pain medication, the QMA should:
Answer: Ask the resident about their current pain level.
Rationale: PRN pain meds require assessment of symptoms prior to administration.



9

A resident has a known allergy to penicillin. The QMA should:
Answer: Notify the nurse before administering antibiotics.
Rationale: Allergies must be verified and alternatives considered to prevent reactions.




2026 2027 GRADED A+

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10

If a resident vomits immediately after taking an oral medication, the QMA should:
Answer: Report to the nurse for possible re-dose.
Rationale: Vomiting may prevent medication absorption; the nurse will decide next steps.



11

What is the QMA’s role with controlled substances?
Answer: Count and document per facility protocol and report discrepancies.
Rationale: Controlled drugs require strict accountability to prevent misuse.



12

When administering insulin, the QMA must check:
Answer: Blood glucose per nurse direction before giving.
Rationale: Insulin dosing often depends on current blood glucose values.



13

A resident receives medication at 0800 daily. The QMA arrives at 0830. What should the QMA
do?
Answer: Administer if within facility’s “grace period,” then document time given; otherwise
notify nurse.
Rationale: Timeliness is essential, but policies allow limited windows; check facility guidelines.



14

Which is best when a resident refuses medication?
Answer: Document refusal and notify the nurse.
Rationale: Residents have the right to refuse; must be recorded and reported.




2026 2027 GRADED A+

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15

Before administering any medication, the QMA must:
Answer: Wash hands or use sanitizer.
Rationale: Infection control is required to prevent spread.



16

The QMA is giving a transdermal patch. After removal, the QMA should:
Answer: Remove old patch, dispose properly, and apply new patch per directions.
Rationale: Ensures correct dosing and prevents duplication or residue.



17

The most common cause of medication errors is:
Answer: Failure to follow the “five rights.”
Rationale: Checking all five rights reduces errors significantly.



18

A liquid medication should be measured at:
Answer: Eye level on a flat surface.
Rationale: Improves accuracy of the measured dose.



19

If a resident questions the purpose of a medication, the QMA should:
Answer: Advise the resident and notify the nurse if clarification is needed.
Rationale: Residents have the right to understand their treatment.



20

A resident with difficulty swallowing should receive:
Answer: Medication per nurse direction, possibly in alternative form.
Rationale: Safety requires nurse guidance for route/form modifications.




2026 2027 GRADED A+