QMA PRACTICE TEST IVY TECH COMMUNITY COLLEGE
2026 | Complete Solutions | Indiana State Department of
Health QMA Guidelines | Pass Guaranteed - A+ Graded
Section 1: QMA Scope of Practice & Legal/Ethical
Responsibilities (Questions 1-15)
Q1. A resident has an order for a PRN pain medication. The resident states they are in
pain and requests the medication. What is the QMA's correct action?
A. Administer the PRN medication immediately since the resident requested it
B. Notify the licensed nurse to assess the resident before administration
C. Check the MAR and administer if it is within the prescribed time interval
D. Document the request and tell the resident to wait for the next scheduled round
Correct Answer: B [CORRECT]
Rationale: Under Indiana QMA scope of practice, PRN medications require clinical
judgment to determine if administration is appropriate. The QMA may not
independently assess the need for PRN medications; a licensed nurse must evaluate
the resident first. Option A violates scope of practice, C assumes QMA can make the
clinical determination, and D delays appropriate care without proper assessment.
Q2. Which of the following tasks is within the scope of practice for a QMA in Indiana?
A. Administering medications via a newly placed nasogastric tube
B. Administering a first dose of a newly ordered antihypertensive medication
C. Administering an oral medication that has been previously administered and
tolerated by the resident
D. Administering an intravenous push medication per physician order
,Correct Answer: C [CORRECT]
Rationale: QMAs in Indiana may administer oral medications that have been
previously given and tolerated (not first doses). Option A requires verification of tube
placement by a licensed nurse first; B is prohibited as first doses require licensed
nurse monitoring; D is entirely outside QMA scope as IV administration is reserved
for licensed nurses.
Q3. A QMA is asked by a family member to give an extra dose of the resident's blood
pressure medication because the resident "seems stressed." What is the appropriate
response?
A. Give the extra dose to keep the family member satisfied
B. Explain that only the prescribed dose can be given and notify the licensed nurse of
the request
C. Give half the prescribed dose to ease the family member's concerns
D. Tell the family member to ask the physician directly
Correct Answer: B [CORRECT]
Rationale: QMAs must never alter medication doses based on family requests or
resident appearance. The correct action is to decline the request, explain the
limitation, and report the situation to the licensed nurse. Options A and C constitute
medication errors and potential harm; D inappropriately redirects without ensuring
licensed nurse awareness.
Q4. Under the Indiana Nurse Practice Act (IC 25-23), which statement accurately
describes the delegation of medication administration to a QMA?
A. The delegating nurse must be physically present in the building at all times during
medication administration
B. Delegation is a one-time event that does not require ongoing supervision or
evaluation
C. The delegating nurse retains accountability for the delegated task and must
provide appropriate supervision
,D. Once delegated, the QMA assumes full legal responsibility for all medication
errors
Correct Answer: C [CORRECT]
Rationale: Under IC 25-23, delegation does not transfer accountability; the
delegating licensed nurse retains ultimate responsibility and must provide
supervision. Option A is incorrect because presence requirements vary by facility
policy; B is false because delegation requires ongoing evaluation; D is incorrect
because the delegating nurse maintains accountability.
Q5. A resident refuses their morning medications. The QMA should:
A. Hide the medication in food to ensure the resident takes it
B. Document the refusal and notify the licensed nurse per facility policy
C. Try to convince the resident for 30 minutes before giving up
D. Administer the medication later when the resident is sleeping
Correct Answer: B [CORRECT]
Rationale: Resident refusal must be documented accurately and reported to the
licensed nurse. Option A constitutes covert administration, which is unethical and
potentially illegal; C exceeds QMA authority to coerce; D is unsafe as administering
to a sleeping resident violates the right to refuse and could cause aspiration.
Q6. Which of the following is a violation of QMA professional boundaries?
A. Accepting a small thank-you card from a grateful resident
B. Discussing a resident's medical condition with the resident's spouse in the hallway
C. Reporting a medication error to the charge nurse immediately
D. Attending an in-service training on new medication administration techniques
Correct Answer: B [CORRECT]
Rationale: Discussing protected health information in a public area violates HIPAA
and professional boundaries. Option A is generally acceptable for small tokens; C is a
required professional duty; D demonstrates commitment to competency.
, Q7. In Indiana, a QMA certificate must be renewed:
A. Every year with proof of 8 hours of continuing education
B. Every two years with proof of completion of an ISDH-approved refresher course
C. Every three years with no additional requirements
D. Only if the QMA changes employers
Correct Answer: B [CORRECT]
Rationale: Indiana requires QMA certification renewal every two years, including
completion of an ISDH-approved refresher course. Option A describes incorrect
frequency and requirements; C is false as continuing education is required; D is
incorrect because renewal is time-based, not employer-dependent.
Q8. A QMA discovers that a resident's medication order has expired on the MAR. The
QMA should:
A. Continue to administer the medication until the physician renews the order
B. Hold the medication and notify the licensed nurse immediately
C. Call the physician directly to request a renewal
D. Ask the resident if they want to continue taking the medication
Correct Answer: B [CORRECT]
Rationale: Expired orders cannot be administered. The QMA must hold the
medication and report to the licensed nurse, who will contact the prescriber. Option
A is illegal; C exceeds QMA scope (QMAs do not contact prescribers directly); D
inappropriately delegates clinical decisions to the resident.
Q9. Which action by a QMA demonstrates appropriate ethical decision-making?
A. Administering a medication even though the resident appears confused about
what they are taking
B. Reporting to the licensed nurse that a coworker QMA is consistently late with
2026 | Complete Solutions | Indiana State Department of
Health QMA Guidelines | Pass Guaranteed - A+ Graded
Section 1: QMA Scope of Practice & Legal/Ethical
Responsibilities (Questions 1-15)
Q1. A resident has an order for a PRN pain medication. The resident states they are in
pain and requests the medication. What is the QMA's correct action?
A. Administer the PRN medication immediately since the resident requested it
B. Notify the licensed nurse to assess the resident before administration
C. Check the MAR and administer if it is within the prescribed time interval
D. Document the request and tell the resident to wait for the next scheduled round
Correct Answer: B [CORRECT]
Rationale: Under Indiana QMA scope of practice, PRN medications require clinical
judgment to determine if administration is appropriate. The QMA may not
independently assess the need for PRN medications; a licensed nurse must evaluate
the resident first. Option A violates scope of practice, C assumes QMA can make the
clinical determination, and D delays appropriate care without proper assessment.
Q2. Which of the following tasks is within the scope of practice for a QMA in Indiana?
A. Administering medications via a newly placed nasogastric tube
B. Administering a first dose of a newly ordered antihypertensive medication
C. Administering an oral medication that has been previously administered and
tolerated by the resident
D. Administering an intravenous push medication per physician order
,Correct Answer: C [CORRECT]
Rationale: QMAs in Indiana may administer oral medications that have been
previously given and tolerated (not first doses). Option A requires verification of tube
placement by a licensed nurse first; B is prohibited as first doses require licensed
nurse monitoring; D is entirely outside QMA scope as IV administration is reserved
for licensed nurses.
Q3. A QMA is asked by a family member to give an extra dose of the resident's blood
pressure medication because the resident "seems stressed." What is the appropriate
response?
A. Give the extra dose to keep the family member satisfied
B. Explain that only the prescribed dose can be given and notify the licensed nurse of
the request
C. Give half the prescribed dose to ease the family member's concerns
D. Tell the family member to ask the physician directly
Correct Answer: B [CORRECT]
Rationale: QMAs must never alter medication doses based on family requests or
resident appearance. The correct action is to decline the request, explain the
limitation, and report the situation to the licensed nurse. Options A and C constitute
medication errors and potential harm; D inappropriately redirects without ensuring
licensed nurse awareness.
Q4. Under the Indiana Nurse Practice Act (IC 25-23), which statement accurately
describes the delegation of medication administration to a QMA?
A. The delegating nurse must be physically present in the building at all times during
medication administration
B. Delegation is a one-time event that does not require ongoing supervision or
evaluation
C. The delegating nurse retains accountability for the delegated task and must
provide appropriate supervision
,D. Once delegated, the QMA assumes full legal responsibility for all medication
errors
Correct Answer: C [CORRECT]
Rationale: Under IC 25-23, delegation does not transfer accountability; the
delegating licensed nurse retains ultimate responsibility and must provide
supervision. Option A is incorrect because presence requirements vary by facility
policy; B is false because delegation requires ongoing evaluation; D is incorrect
because the delegating nurse maintains accountability.
Q5. A resident refuses their morning medications. The QMA should:
A. Hide the medication in food to ensure the resident takes it
B. Document the refusal and notify the licensed nurse per facility policy
C. Try to convince the resident for 30 minutes before giving up
D. Administer the medication later when the resident is sleeping
Correct Answer: B [CORRECT]
Rationale: Resident refusal must be documented accurately and reported to the
licensed nurse. Option A constitutes covert administration, which is unethical and
potentially illegal; C exceeds QMA authority to coerce; D is unsafe as administering
to a sleeping resident violates the right to refuse and could cause aspiration.
Q6. Which of the following is a violation of QMA professional boundaries?
A. Accepting a small thank-you card from a grateful resident
B. Discussing a resident's medical condition with the resident's spouse in the hallway
C. Reporting a medication error to the charge nurse immediately
D. Attending an in-service training on new medication administration techniques
Correct Answer: B [CORRECT]
Rationale: Discussing protected health information in a public area violates HIPAA
and professional boundaries. Option A is generally acceptable for small tokens; C is a
required professional duty; D demonstrates commitment to competency.
, Q7. In Indiana, a QMA certificate must be renewed:
A. Every year with proof of 8 hours of continuing education
B. Every two years with proof of completion of an ISDH-approved refresher course
C. Every three years with no additional requirements
D. Only if the QMA changes employers
Correct Answer: B [CORRECT]
Rationale: Indiana requires QMA certification renewal every two years, including
completion of an ISDH-approved refresher course. Option A describes incorrect
frequency and requirements; C is false as continuing education is required; D is
incorrect because renewal is time-based, not employer-dependent.
Q8. A QMA discovers that a resident's medication order has expired on the MAR. The
QMA should:
A. Continue to administer the medication until the physician renews the order
B. Hold the medication and notify the licensed nurse immediately
C. Call the physician directly to request a renewal
D. Ask the resident if they want to continue taking the medication
Correct Answer: B [CORRECT]
Rationale: Expired orders cannot be administered. The QMA must hold the
medication and report to the licensed nurse, who will contact the prescriber. Option
A is illegal; C exceeds QMA scope (QMAs do not contact prescribers directly); D
inappropriately delegates clinical decisions to the resident.
Q9. Which action by a QMA demonstrates appropriate ethical decision-making?
A. Administering a medication even though the resident appears confused about
what they are taking
B. Reporting to the licensed nurse that a coworker QMA is consistently late with
