Qualified Medication Aide (QMA) Exam, based on the latest 2025-2026
standards.
Section 1: Role, Scope of Practice, and Legal/Ethical Issues (Questions 1-25)
1. The QMA is prohibited from performing which of the following tasks?
A) Assessing the resident's condition
B) Calling the physician
C) Administering a medication per nasogastric tube
D) Administering a medication by injection
E) All of the above
Answer: E) All of the above
Rationale: QMAs cannot perform initial assessments, take verbal orders from
physicians, administer medications via NG tube, or give injections. These tasks are
outside the QMA scope of practice .
2. The QMA's scope of practice includes which of the following?
A) Observe and report to the licensed nurse reactions and side effects to
medications
B) Initiate oxygen per nasal cannula or non-sealing mask only in an emergency
,C) Administer treatment to an advanced skin condition such as a stage III
decubitus ulcer
D) Count, administer, and document controlled substances
E) 1, 2, and 4
Answer: E) 1, 2, and 4
Rationale: QMAs may observe and report medication reactions, initiate oxygen in
emergencies, and handle controlled substances under nurse supervision. They
cannot treat advanced skin conditions like stage III ulcers .
3. Assault and battery is defined as:
A) The threat to use force upon another person and the carrying out of the threat
B) A malicious statement or report
C) Omission or neglect of any reasonable precaution, care, or action
D) Any written statement that damages a person's character
Answer: A) The threat to use force upon another person and the carrying out of
the threat
Rationale: Assault is the threat of force; battery is the actual physical contact.
Both are intentional torts .
,4. A QMA would be considered negligent if he/she:
A) Observes the legal rights of every resident
B) Follows facility policy and procedures
C) Fails to inform the licensed nurse of a medication error
D) Follows the six rights of medication administration
Answer: C) Fails to inform the licensed nurse of a medication error
Rationale: Negligence is failure to act as a reasonable person would. Failing to
report an error violates the duty of care .
5. If a QMA makes a medication error, the following actions should be taken
EXCEPT:
A) Report the error to a licensed nurse
B) Observe the resident for undesirable effects
C) Document the medication error
D) Contact the physician and family to inform them of the medication error
Answer: D) Contact the physician and family to inform them
, Rationale: The licensed nurse (not the QMA) is responsible for notifying the
physician and family. The QMA reports to the nurse .
6. The resident advocate is called the:
A) Case manager
B) Ombudsman
C) Social worker
D) Nurse supervisor
Answer: B) Ombudsman
Rationale: The long-term care ombudsman advocates for resident rights and
investigates complaints .
7. Verbal communication includes:
A) Written words
B) Spoken words
C) Facial expressions
D) Tone of voice
E) Both 1 and 2
standards.
Section 1: Role, Scope of Practice, and Legal/Ethical Issues (Questions 1-25)
1. The QMA is prohibited from performing which of the following tasks?
A) Assessing the resident's condition
B) Calling the physician
C) Administering a medication per nasogastric tube
D) Administering a medication by injection
E) All of the above
Answer: E) All of the above
Rationale: QMAs cannot perform initial assessments, take verbal orders from
physicians, administer medications via NG tube, or give injections. These tasks are
outside the QMA scope of practice .
2. The QMA's scope of practice includes which of the following?
A) Observe and report to the licensed nurse reactions and side effects to
medications
B) Initiate oxygen per nasal cannula or non-sealing mask only in an emergency
,C) Administer treatment to an advanced skin condition such as a stage III
decubitus ulcer
D) Count, administer, and document controlled substances
E) 1, 2, and 4
Answer: E) 1, 2, and 4
Rationale: QMAs may observe and report medication reactions, initiate oxygen in
emergencies, and handle controlled substances under nurse supervision. They
cannot treat advanced skin conditions like stage III ulcers .
3. Assault and battery is defined as:
A) The threat to use force upon another person and the carrying out of the threat
B) A malicious statement or report
C) Omission or neglect of any reasonable precaution, care, or action
D) Any written statement that damages a person's character
Answer: A) The threat to use force upon another person and the carrying out of
the threat
Rationale: Assault is the threat of force; battery is the actual physical contact.
Both are intentional torts .
,4. A QMA would be considered negligent if he/she:
A) Observes the legal rights of every resident
B) Follows facility policy and procedures
C) Fails to inform the licensed nurse of a medication error
D) Follows the six rights of medication administration
Answer: C) Fails to inform the licensed nurse of a medication error
Rationale: Negligence is failure to act as a reasonable person would. Failing to
report an error violates the duty of care .
5. If a QMA makes a medication error, the following actions should be taken
EXCEPT:
A) Report the error to a licensed nurse
B) Observe the resident for undesirable effects
C) Document the medication error
D) Contact the physician and family to inform them of the medication error
Answer: D) Contact the physician and family to inform them
, Rationale: The licensed nurse (not the QMA) is responsible for notifying the
physician and family. The QMA reports to the nurse .
6. The resident advocate is called the:
A) Case manager
B) Ombudsman
C) Social worker
D) Nurse supervisor
Answer: B) Ombudsman
Rationale: The long-term care ombudsman advocates for resident rights and
investigates complaints .
7. Verbal communication includes:
A) Written words
B) Spoken words
C) Facial expressions
D) Tone of voice
E) Both 1 and 2
