Indiana QMA (Qualified Medication Aide) Competen
ExamAdvanced Practice Question Bank– 150
V2
Multiple
-Choice Questions with Detailed Rationales
a
well detailed one written and graded A
upgraded
Exam Overview: The Indiana Qualified Medication Aide (QMA) competency evaluation is
administered by the Indiana State Department of Health (ISDH) under 410 IAC 15.1. Candidates
must achieve a passing score of 80% on the multiple-choice examination. QMAs are Certified
Nursing Assistants who have completed an additional 100 hours of training (60 hours classroom,
40 hours practicum), with certification renewed biennially. This advanced question bank covers
all major content areas including scope of practice, drug classifications, medication
administration, safety, legal/ethical issues, documentation, and infection control at an elevated
difficulty level with complex clinical scenarios.
SECTION 1: SCOPE OF PRACTICE, REGULATIONS, AND CERTIFICATION (Questions 1-20)
1. An Indiana Qualified Medication Aide (QMA) may administer medications in which of the
following settings?
• A) Any licensed healthcare facility in Indiana
• B) Long-term care facilities (nursing homes) only
, • C) Hospitals under direct physician supervision
• D) Home health settings with RN delegation
Correct Answer: B
Rationale: Indiana QMA scope of practice is limited to licensed long-term care facilities (nursing
homes) per 410 IAC 15.1-3-4. QMAs are not authorized to work in hospitals, physician offices,
home health settings, or daycare centers in this capacity.
2. According to Indiana Administrative Code 412 IAC 2-1-10, how many hours of medication-
related education must a QMA complete ANNUALLY for recertification?
• A) 4 hours
• B) 6 hours
• C) 8 hours
• D) 10 hours
Correct Answer: B
Rationale: QMAs must obtain a minimum of six (6) hours per year of education in medication
administration. This is an annual requirement, not biennial. The certification itself is renewed
every two years, but the six hours of in-service education must be completed each year.
3. A QMA's certification is valid for how long before renewal is required?
• A) 1 year
• B) 2 years
• C) 3 years
• D) 5 years
Correct Answer: B
Rationale: An individual's initial QMA certification is valid for a two (2) year period. Licenses
must be renewed every two years, along with the individual's CNA certification.
4. Which of the following is NOT within the QMA scope of practice in Indiana?
, • A) Administering oral medications
• B) Administering eye drops
• C) Administering IV push medications
• D) Administering topical medications
Correct Answer: C
Rationale: QMAs may administer oral, topical, ophthalmic, otic, nasal, vaginal, and rectal
medications. IV administration is prohibited. Indiana law permits QMAs to give oral and topical
medications only when directed by an LPN/RN.
5. A QMA discovers they have administered the incorrect dose of a medication. The FIRST
action should be:
• A) Document the error in the medical record
• B) Notify the licensed nurse immediately
• C) Dispose of any evidence of the error
• D) Wait to see if the resident experiences adverse effects
Correct Answer: B
Rationale: Immediate notification of the licensed nurse is required per Indiana QMA error
protocol. Prompt reporting allows for immediate assessment of the resident and
implementation of appropriate interventions. Documentation follows the report.
6. A QMA may administer which of the following via G-tube or J-tube?
• A) Any medication ordered for the resident
• B) Medications specifically ordered and appropriate for tube administration
• C) Only liquid medications
• D) Only medications that are not available in oral form
Correct Answer: B
, Rationale: QMAs may administer medications via G-tube or J-tube, but only medications that
are specifically ordered and appropriate for this route. Not all medications can be given via
tube; enteric-coated and extended-release formulations cannot be crushed.
7. All incidents of alleged abuse, neglect, or misappropriation of resident property must be
reported to:
• A) The facility's medical director only
• B) The Indiana State Department of Health
• C) The resident's family only
• D) The local police department only
Correct Answer: B
Rationale: All incidents in a health facility of alleged abuse, neglect, misappropriation of
resident property, or conduct outside the QMA scope of practice shall be reported to the
Indiana State Department of Health. The ISDH will investigate the incident.
8. Which of the following acts may result in revocation of QMA certification?
• A) Stealing, diverting, or misusing medications
• B) Fraudulently procuring certification
• C) Performing duties outside the QMA scope of practice
• D) All of the above
Correct Answer: D
Rationale: Acts that may result in revocation include: stealing, diverting, or otherwise misusing
medications; fraudulently procuring certification; neglecting to administer appropriate
medications as prescribed; and performing duties outside the QMA scope of practice. A finding
on the CNA registry results in automatic revocation.
9. Prior to administering insulin at a licensed health facility, the QMA must:
• A) Have a physician present during administration
ExamAdvanced Practice Question Bank– 150
V2
Multiple
-Choice Questions with Detailed Rationales
a
well detailed one written and graded A
upgraded
Exam Overview: The Indiana Qualified Medication Aide (QMA) competency evaluation is
administered by the Indiana State Department of Health (ISDH) under 410 IAC 15.1. Candidates
must achieve a passing score of 80% on the multiple-choice examination. QMAs are Certified
Nursing Assistants who have completed an additional 100 hours of training (60 hours classroom,
40 hours practicum), with certification renewed biennially. This advanced question bank covers
all major content areas including scope of practice, drug classifications, medication
administration, safety, legal/ethical issues, documentation, and infection control at an elevated
difficulty level with complex clinical scenarios.
SECTION 1: SCOPE OF PRACTICE, REGULATIONS, AND CERTIFICATION (Questions 1-20)
1. An Indiana Qualified Medication Aide (QMA) may administer medications in which of the
following settings?
• A) Any licensed healthcare facility in Indiana
• B) Long-term care facilities (nursing homes) only
, • C) Hospitals under direct physician supervision
• D) Home health settings with RN delegation
Correct Answer: B
Rationale: Indiana QMA scope of practice is limited to licensed long-term care facilities (nursing
homes) per 410 IAC 15.1-3-4. QMAs are not authorized to work in hospitals, physician offices,
home health settings, or daycare centers in this capacity.
2. According to Indiana Administrative Code 412 IAC 2-1-10, how many hours of medication-
related education must a QMA complete ANNUALLY for recertification?
• A) 4 hours
• B) 6 hours
• C) 8 hours
• D) 10 hours
Correct Answer: B
Rationale: QMAs must obtain a minimum of six (6) hours per year of education in medication
administration. This is an annual requirement, not biennial. The certification itself is renewed
every two years, but the six hours of in-service education must be completed each year.
3. A QMA's certification is valid for how long before renewal is required?
• A) 1 year
• B) 2 years
• C) 3 years
• D) 5 years
Correct Answer: B
Rationale: An individual's initial QMA certification is valid for a two (2) year period. Licenses
must be renewed every two years, along with the individual's CNA certification.
4. Which of the following is NOT within the QMA scope of practice in Indiana?
, • A) Administering oral medications
• B) Administering eye drops
• C) Administering IV push medications
• D) Administering topical medications
Correct Answer: C
Rationale: QMAs may administer oral, topical, ophthalmic, otic, nasal, vaginal, and rectal
medications. IV administration is prohibited. Indiana law permits QMAs to give oral and topical
medications only when directed by an LPN/RN.
5. A QMA discovers they have administered the incorrect dose of a medication. The FIRST
action should be:
• A) Document the error in the medical record
• B) Notify the licensed nurse immediately
• C) Dispose of any evidence of the error
• D) Wait to see if the resident experiences adverse effects
Correct Answer: B
Rationale: Immediate notification of the licensed nurse is required per Indiana QMA error
protocol. Prompt reporting allows for immediate assessment of the resident and
implementation of appropriate interventions. Documentation follows the report.
6. A QMA may administer which of the following via G-tube or J-tube?
• A) Any medication ordered for the resident
• B) Medications specifically ordered and appropriate for tube administration
• C) Only liquid medications
• D) Only medications that are not available in oral form
Correct Answer: B
, Rationale: QMAs may administer medications via G-tube or J-tube, but only medications that
are specifically ordered and appropriate for this route. Not all medications can be given via
tube; enteric-coated and extended-release formulations cannot be crushed.
7. All incidents of alleged abuse, neglect, or misappropriation of resident property must be
reported to:
• A) The facility's medical director only
• B) The Indiana State Department of Health
• C) The resident's family only
• D) The local police department only
Correct Answer: B
Rationale: All incidents in a health facility of alleged abuse, neglect, misappropriation of
resident property, or conduct outside the QMA scope of practice shall be reported to the
Indiana State Department of Health. The ISDH will investigate the incident.
8. Which of the following acts may result in revocation of QMA certification?
• A) Stealing, diverting, or misusing medications
• B) Fraudulently procuring certification
• C) Performing duties outside the QMA scope of practice
• D) All of the above
Correct Answer: D
Rationale: Acts that may result in revocation include: stealing, diverting, or otherwise misusing
medications; fraudulently procuring certification; neglecting to administer appropriate
medications as prescribed; and performing duties outside the QMA scope of practice. A finding
on the CNA registry results in automatic revocation.
9. Prior to administering insulin at a licensed health facility, the QMA must:
• A) Have a physician present during administration
