Medication Aide Certification Exam
-C/MACE)
(MA Practice Test
Comprehensive -Question
150 Examination
a well detailed one
written and graded A+ upgraded
Exam Title: Medication Aide Certification Examination (MACE®) – Comprehensive Practice
Assessment for Certified Medication Aide (MA-C) Candidates
SECTION I: AUTHORIZED DUTIES – Role, Scope, Delegation, and Legal/Ethical Issues (Questions
1–24)
1. A Medication Aide-Certified (MA-C) is authorized to perform which of the following tasks?
A) Initiate a new medication order for a resident whose condition has changed
B) Administer scheduled oral medications as delegated by a licensed nurse
C) Insert a peripheral intravenous line for fluid administration
D) Assess a resident's condition and adjust medication dosages accordingly
Correct Answer: B
Rationale: The MA-C is permitted to administer medications within their defined scope of
practice under the delegation of a licensed nurse. Initiating orders, inserting IV lines, and
adjusting dosages exceed the authorized duties of a medication aide and require licensed
nursing or medical judgment.
2. A licensed nurse delegates the administration of a PRN (as needed) medication to an MA-C.
What is the MA-C's primary responsibility before administering this medication?
A) Administer the medication immediately to relieve the resident's symptoms
B) Verify that the PRN order includes the specific indication for use
,C) Consult with another MA-C to confirm the appropriateness of the medication
D) Administer the medication only if the resident specifically requests it
Correct Answer: B
Rationale: PRN orders must include the specific indication (reason) for administration. The MA-
C must verify the order includes the condition/symptom that warrants administration, the
medication, dose, route, and frequency. Administering without verifying the indication could
result in inappropriate medication administration.
3. Which of the following is a restriction/limitation on the practice of a Medication Aide-
Certified (MA-C)?
A) Administering medications by the oral route only
B) Administering medications to residents in long-term care facilities
C) Administering medications via the intravenous route
D) Administering medications that are prepackaged in unit-dose packaging
Correct Answer: C
Rationale: MA-Cs are generally not permitted to administer medications via the intravenous (IV)
route. This route requires advanced clinical skills and assessment capabilities beyond the
medication aide's scope of practice. Oral, topical, ophthalmic, otic, nasal, and other specified
routes may be permitted depending on state regulations.
4. When accepting a delegated medication administration task from a licensed nurse, the MA-
C must:
A) Accept all delegated tasks without question to maintain teamwork
B) Refuse the task if it involves a medication they have not administered before
C) Accept the task only if they have the knowledge, skill, and ability to perform it safely
D) Delegate the task to another MA-C if they feel unprepared
Correct Answer: C
Rationale: The MA-C has a responsibility when accepting delegation to ensure they are
competent to perform the task safely. Refusing tasks that exceed one's competence is
appropriate and protects resident safety. The MA-C cannot delegate to others as they are not in
a supervisory role.
,5. A resident's family member asks the MA-C to provide a detailed update on the resident's
medical condition. What is the most appropriate response?
A) Provide a full update since the family has a right to know
B) Explain that the MA-C cannot discuss the resident's condition and refer the family to the
nurse
C) Provide limited information about the resident's medication schedule only
D) Ask the resident for permission before sharing any information
Correct Answer: B
Rationale: The MA-C must maintain professional boundaries and respect confidentiality.
Providing detailed medical information exceeds the MA-C's scope and may violate privacy
regulations. The licensed nurse is the appropriate person to provide clinical updates to family
members.
6. Which of the following best describes the relationship between the delegating nurse and
the MA-C?
A) The MA-C functions independently and does not require nurse supervision
B) The nurse is responsible for the overall supervision of the MA-C's medication administration
C) The MA-C supervises the nurse in medication-related tasks
D) The nurse and MA-C have equal authority in medication decisions
Correct Answer: B
Rationale: The licensed nurse maintains supervisory responsibility over the MA-C's medication
administration activities. The nurse delegates specific tasks but retains accountability for the
overall care of the resident. The MA-C does not supervise nurses and does not function
independently.
7. An MA-C notices that a medication order appears to have an incorrect dosage. What is the
appropriate action?
A) Administer the medication as ordered and document it
B) Contact the prescribing provider to clarify the order
C) Administer what the MA-C believes is the correct dosage
D) Ask another MA-C for their opinion on the correct dosage
Correct Answer: B
, Rationale: When a medication order appears incorrect or unclear, the MA-C must seek
clarification from the appropriate licensed professional (nurse, pharmacist, or prescribing
provider). Administering an order that appears incorrect could result in a medication error and
harm to the resident.
8. Which of the following actions is outside the permitted duties of an MA-C?
A) Administering a scheduled dose of an antihypertensive medication
B) Documenting medication administration on the Medication Administration Record (MAR)
C) Evaluating the effectiveness of a newly prescribed antidepressant
D) Reporting a resident's complaint of nausea after medication administration
Correct Answer: C
Rationale: Evaluating the effectiveness of medications is a nursing or medical function that
requires clinical assessment skills. The MA-C's role is to administer medications, observe for
effects and side effects, and report findings—not to formally evaluate therapeutic effectiveness.
9. An MA-C is asked by a certified nursing assistant (CNA) to give a resident their pain
medication. The CNA states the resident is in significant discomfort. What should the MA-C
do?
A) Administer the medication immediately since the resident is in pain
B) Refuse to administer the medication unless a licensed nurse directs the administration
C) Ask the resident if they want the pain medication
D) Administer the medication and then inform the nurse
Correct Answer: B
Rationale: Medication administration must be delegated by a licensed nurse. The MA-C cannot
accept medication administration directions from a CNA, as the CNA does not have the
authority to delegate medication tasks. The MA-C should clarify with the supervising nurse.
10. Which of the following is an example of appropriate ethical behavior for an MA-C?
A) Sharing a resident's medication list with another resident's family member
B) Administering a medication without verifying the resident's identity because you know them
well
-C/MACE)
(MA Practice Test
Comprehensive -Question
150 Examination
a well detailed one
written and graded A+ upgraded
Exam Title: Medication Aide Certification Examination (MACE®) – Comprehensive Practice
Assessment for Certified Medication Aide (MA-C) Candidates
SECTION I: AUTHORIZED DUTIES – Role, Scope, Delegation, and Legal/Ethical Issues (Questions
1–24)
1. A Medication Aide-Certified (MA-C) is authorized to perform which of the following tasks?
A) Initiate a new medication order for a resident whose condition has changed
B) Administer scheduled oral medications as delegated by a licensed nurse
C) Insert a peripheral intravenous line for fluid administration
D) Assess a resident's condition and adjust medication dosages accordingly
Correct Answer: B
Rationale: The MA-C is permitted to administer medications within their defined scope of
practice under the delegation of a licensed nurse. Initiating orders, inserting IV lines, and
adjusting dosages exceed the authorized duties of a medication aide and require licensed
nursing or medical judgment.
2. A licensed nurse delegates the administration of a PRN (as needed) medication to an MA-C.
What is the MA-C's primary responsibility before administering this medication?
A) Administer the medication immediately to relieve the resident's symptoms
B) Verify that the PRN order includes the specific indication for use
,C) Consult with another MA-C to confirm the appropriateness of the medication
D) Administer the medication only if the resident specifically requests it
Correct Answer: B
Rationale: PRN orders must include the specific indication (reason) for administration. The MA-
C must verify the order includes the condition/symptom that warrants administration, the
medication, dose, route, and frequency. Administering without verifying the indication could
result in inappropriate medication administration.
3. Which of the following is a restriction/limitation on the practice of a Medication Aide-
Certified (MA-C)?
A) Administering medications by the oral route only
B) Administering medications to residents in long-term care facilities
C) Administering medications via the intravenous route
D) Administering medications that are prepackaged in unit-dose packaging
Correct Answer: C
Rationale: MA-Cs are generally not permitted to administer medications via the intravenous (IV)
route. This route requires advanced clinical skills and assessment capabilities beyond the
medication aide's scope of practice. Oral, topical, ophthalmic, otic, nasal, and other specified
routes may be permitted depending on state regulations.
4. When accepting a delegated medication administration task from a licensed nurse, the MA-
C must:
A) Accept all delegated tasks without question to maintain teamwork
B) Refuse the task if it involves a medication they have not administered before
C) Accept the task only if they have the knowledge, skill, and ability to perform it safely
D) Delegate the task to another MA-C if they feel unprepared
Correct Answer: C
Rationale: The MA-C has a responsibility when accepting delegation to ensure they are
competent to perform the task safely. Refusing tasks that exceed one's competence is
appropriate and protects resident safety. The MA-C cannot delegate to others as they are not in
a supervisory role.
,5. A resident's family member asks the MA-C to provide a detailed update on the resident's
medical condition. What is the most appropriate response?
A) Provide a full update since the family has a right to know
B) Explain that the MA-C cannot discuss the resident's condition and refer the family to the
nurse
C) Provide limited information about the resident's medication schedule only
D) Ask the resident for permission before sharing any information
Correct Answer: B
Rationale: The MA-C must maintain professional boundaries and respect confidentiality.
Providing detailed medical information exceeds the MA-C's scope and may violate privacy
regulations. The licensed nurse is the appropriate person to provide clinical updates to family
members.
6. Which of the following best describes the relationship between the delegating nurse and
the MA-C?
A) The MA-C functions independently and does not require nurse supervision
B) The nurse is responsible for the overall supervision of the MA-C's medication administration
C) The MA-C supervises the nurse in medication-related tasks
D) The nurse and MA-C have equal authority in medication decisions
Correct Answer: B
Rationale: The licensed nurse maintains supervisory responsibility over the MA-C's medication
administration activities. The nurse delegates specific tasks but retains accountability for the
overall care of the resident. The MA-C does not supervise nurses and does not function
independently.
7. An MA-C notices that a medication order appears to have an incorrect dosage. What is the
appropriate action?
A) Administer the medication as ordered and document it
B) Contact the prescribing provider to clarify the order
C) Administer what the MA-C believes is the correct dosage
D) Ask another MA-C for their opinion on the correct dosage
Correct Answer: B
, Rationale: When a medication order appears incorrect or unclear, the MA-C must seek
clarification from the appropriate licensed professional (nurse, pharmacist, or prescribing
provider). Administering an order that appears incorrect could result in a medication error and
harm to the resident.
8. Which of the following actions is outside the permitted duties of an MA-C?
A) Administering a scheduled dose of an antihypertensive medication
B) Documenting medication administration on the Medication Administration Record (MAR)
C) Evaluating the effectiveness of a newly prescribed antidepressant
D) Reporting a resident's complaint of nausea after medication administration
Correct Answer: C
Rationale: Evaluating the effectiveness of medications is a nursing or medical function that
requires clinical assessment skills. The MA-C's role is to administer medications, observe for
effects and side effects, and report findings—not to formally evaluate therapeutic effectiveness.
9. An MA-C is asked by a certified nursing assistant (CNA) to give a resident their pain
medication. The CNA states the resident is in significant discomfort. What should the MA-C
do?
A) Administer the medication immediately since the resident is in pain
B) Refuse to administer the medication unless a licensed nurse directs the administration
C) Ask the resident if they want the pain medication
D) Administer the medication and then inform the nurse
Correct Answer: B
Rationale: Medication administration must be delegated by a licensed nurse. The MA-C cannot
accept medication administration directions from a CNA, as the CNA does not have the
authority to delegate medication tasks. The MA-C should clarify with the supervising nurse.
10. Which of the following is an example of appropriate ethical behavior for an MA-C?
A) Sharing a resident's medication list with another resident's family member
B) Administering a medication without verifying the resident's identity because you know them
well
