Qualified Medication Aide (Qma) State Certification Exam |
Complete Study Guide with Actual Exam Questions, Verified
Correct Answers with Detailed Explanations |Latest Update
2026/2027 |Graded A+
Question 1
The primary responsibility of a Qualified Medication Aide (QMA) is to:
A. Administer medications safely according to state regulations and facility
policies
B. Diagnose medical conditions
C. Prescribe medications
D. Change medication doses independently
Correct Answer: A. Administer medications safely according to state
regulations and facility policies
Explanation:
A QMA is trained to assist with medication administration under the
supervision of licensed nurses and according to approved procedures. QMAs
do not diagnose, prescribe, or independently change medication orders.
Question 2
Before administering any medication, the QMA should first:
A. Verify the medication order and identify the resident correctly
B. Ask another resident for confirmation
C. Prepare medications for multiple residents at once
D. Skip checking the medication label
Correct Answer: A. Verify the medication order and identify the resident
correctly
1|Page
,Explanation:
Medication safety begins with confirming the correct resident and ensuring
the medication matches the authorized order.
Question 3
The “Five Rights” of medication administration include:
A. Right resident, medication, dose, route, and time
B. Right room, color, cost, shape, and size
C. Right nurse, facility, family, diagnosis, and age
D. Right prescription, pharmacy, doctor, bed, and schedule
Correct Answer: A. Right resident, medication, dose, route, and time
Explanation:
The Five Rights reduce medication errors and are a foundation of safe
medication administration.
Question 4
If a QMA discovers that a medication label does not match the medication
record, the QMA should:
A. Stop and report the discrepancy according to policy
B. Give the medication anyway
C. Change the label independently
D. Ask another resident what to do
Correct Answer: A. Stop and report the discrepancy according to policy
Explanation:
Medication discrepancies can cause harm. QMAs must not alter medication
labels or administer questionable medications.
Question 5
2|Page
,A medication order must be:
A. Written, authorized, and available according to facility procedures
B. Based on the resident’s request only
C. Changed by the QMA
D. Assumed from previous medications
Correct Answer: A. Written, authorized, and available according to
facility procedures
Explanation:
Medication administration must follow legal and professional standards.
QMAs administer only medications that have proper authorization.
Question 6
The purpose of medication reconciliation is to:
A. Compare current medications and identify discrepancies
B. Remove all medications
C. Allow residents to choose doses
D. Replace physician orders
Correct Answer: A. Compare current medications and identify
discrepancies
Explanation:
Medication reconciliation helps prevent errors by ensuring medication lists
are accurate during transitions of care.
Question 7
A QMA should administer medications:
A. Only by the route ordered and approved
B. By any route the resident prefers
3|Page
, C. Without checking instructions
D. According to personal judgment
Correct Answer: A. Only by the route ordered and approved
Explanation:
Medication routes such as oral, topical, eye, ear, or other routes require
following the specific order and training requirements.
Question 8
The abbreviation “PO” means:
A. By mouth (oral administration)
B. By injection
C. Into the eye
D. On the skin
Correct Answer: A. By mouth (oral administration)
Explanation:
PO comes from the Latin term meaning “by mouth.” It is commonly used for
oral medications.
Question 9
A medication error should be:
A. Reported immediately according to facility policy
B. Hidden to avoid consequences
C. Ignored if the resident feels fine
D. Documented only at the end of the month
Correct Answer: A. Reported immediately according to facility policy
4|Page
Complete Study Guide with Actual Exam Questions, Verified
Correct Answers with Detailed Explanations |Latest Update
2026/2027 |Graded A+
Question 1
The primary responsibility of a Qualified Medication Aide (QMA) is to:
A. Administer medications safely according to state regulations and facility
policies
B. Diagnose medical conditions
C. Prescribe medications
D. Change medication doses independently
Correct Answer: A. Administer medications safely according to state
regulations and facility policies
Explanation:
A QMA is trained to assist with medication administration under the
supervision of licensed nurses and according to approved procedures. QMAs
do not diagnose, prescribe, or independently change medication orders.
Question 2
Before administering any medication, the QMA should first:
A. Verify the medication order and identify the resident correctly
B. Ask another resident for confirmation
C. Prepare medications for multiple residents at once
D. Skip checking the medication label
Correct Answer: A. Verify the medication order and identify the resident
correctly
1|Page
,Explanation:
Medication safety begins with confirming the correct resident and ensuring
the medication matches the authorized order.
Question 3
The “Five Rights” of medication administration include:
A. Right resident, medication, dose, route, and time
B. Right room, color, cost, shape, and size
C. Right nurse, facility, family, diagnosis, and age
D. Right prescription, pharmacy, doctor, bed, and schedule
Correct Answer: A. Right resident, medication, dose, route, and time
Explanation:
The Five Rights reduce medication errors and are a foundation of safe
medication administration.
Question 4
If a QMA discovers that a medication label does not match the medication
record, the QMA should:
A. Stop and report the discrepancy according to policy
B. Give the medication anyway
C. Change the label independently
D. Ask another resident what to do
Correct Answer: A. Stop and report the discrepancy according to policy
Explanation:
Medication discrepancies can cause harm. QMAs must not alter medication
labels or administer questionable medications.
Question 5
2|Page
,A medication order must be:
A. Written, authorized, and available according to facility procedures
B. Based on the resident’s request only
C. Changed by the QMA
D. Assumed from previous medications
Correct Answer: A. Written, authorized, and available according to
facility procedures
Explanation:
Medication administration must follow legal and professional standards.
QMAs administer only medications that have proper authorization.
Question 6
The purpose of medication reconciliation is to:
A. Compare current medications and identify discrepancies
B. Remove all medications
C. Allow residents to choose doses
D. Replace physician orders
Correct Answer: A. Compare current medications and identify
discrepancies
Explanation:
Medication reconciliation helps prevent errors by ensuring medication lists
are accurate during transitions of care.
Question 7
A QMA should administer medications:
A. Only by the route ordered and approved
B. By any route the resident prefers
3|Page
, C. Without checking instructions
D. According to personal judgment
Correct Answer: A. Only by the route ordered and approved
Explanation:
Medication routes such as oral, topical, eye, ear, or other routes require
following the specific order and training requirements.
Question 8
The abbreviation “PO” means:
A. By mouth (oral administration)
B. By injection
C. Into the eye
D. On the skin
Correct Answer: A. By mouth (oral administration)
Explanation:
PO comes from the Latin term meaning “by mouth.” It is commonly used for
oral medications.
Question 9
A medication error should be:
A. Reported immediately according to facility policy
B. Hidden to avoid consequences
C. Ignored if the resident feels fine
D. Documented only at the end of the month
Correct Answer: A. Reported immediately according to facility policy
4|Page