QMA IVYTECH COMMUNITY COLLEGE NEWEST PRACTICE TEST 2026/
2027 ACTUAL EXAM| COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
(MOST RECENT!!)
TABLE OF CONTENTS:
SECTION 1: Scope of Practice & Role of the QMA
SECTION 2: Medication Administration & Routes
SECTION 3: Dosage Calculations & Mathematics
SECTION 4: Pharmacology & Drug Classifications
SECTION 5: Side Effects, Adverse Reactions & Contraindications
SECTION 6: Infection Control & Aseptic Technique
SECTION 7: Legal, Ethical Issues & Resident Rights
SECTION 8: Body Systems & Disease Conditions
SECTION 9: Emergency Procedures & Documentation
SECTION 1: SCOPE OF PRACTICE & ROLE OF THE QMA (Questions 1–40)
Question 1
A Qualified Medication Aide (QMA) in Indiana may administer medications in
which setting?
A) Acute care hospital
B) Long-term care facility (skilled nursing facility) under the supervision of a
licensed nurse
C) Independent physician's office
D) Patient's private home as a home health aide
Correct Answer: B
Rationale: The Indiana State Department of Health (ISDH) strictly limits QMA
practice to licensed long-term care facilities (nursing homes). A is wrong because
hospitals require RNs for IVs and acute monitoring. C is wrong because physician
offices are outpatient settings not covered. D is wrong because home health aides
are CNAs/HHAs, not QMAs.
Question 2
Which of the following tasks is outside the scope of practice for a QMA?
1
,A) Administering oral medications from a medication cart
B) Applying transdermal patches
C) Administering intravenous (IV) push medications
D) Instilling eye drops as prescribed
Correct Answer: C
Rationale: Indiana QMA rules explicitly prohibit any parenteral route (IV, IM,
SubQ, ID). A, B, and D are all non-parenteral routes explicitly allowed under QMA
scope.
Question 3
QMAs are prohibited from which of the following?
A) Calling a physician
B) Assessing a resident
C) Administering a stage II treatment
D) Administering medications through a nasogastric tube
E) All of the above
Correct Answer: E
Rationale: All four are prohibited. QMAs cannot call for new orders (A), cannot
perform independent nursing assessments (B), cannot do treatments (C), and
cannot administer via NG tubes in Indiana (D). The nurse must do all of these.
Question 4
A QMA is delegated to administer medications by a licensed nurse. This is an
example of:
A) Assignment
B) Supervision
C) Delegation
D) Licensure
Correct Answer: C
2
,Rationale: Delegation is the transfer of authority to perform a specific task while
the delegator (nurse) retains accountability. A is wrong because assignment refers
to routine tasks. B is wrong because supervision is the oversight, not the transfer
itself. D is wrong because licensure is the state-granted permission to practice.
Question 5
The supervising nurse must be physically present in the facility and available for
consultation. This is known as:
A) Direct supervision
B) Indirect supervision
C) General supervision
D) Remote supervision
Correct Answer: A
Rationale: Direct supervision means the nurse is on-site and immediately
available. B is wrong because indirect means the nurse is off-site. C is vague. D is
not a recognized term in Indiana QMA regulations.
Question 6
If a QMA makes a medication error, the FIRST action is to:
A) Document the error in the chart
B) Notify the charge nurse immediately
C) Call the physician
D) Complete an incident report
Correct Answer: B
Rationale: The immediate priority is resident safety—the nurse must assess the
resident. A and D come after the nurse has been notified. C is wrong because
QMAs do not call physicians; the nurse does.
Question 7
Which of the following can a QMA NOT administer?
A) Oral liquid medications
3
, B) Buccal tablets
C) Rectal suppositories for fever
D) Insulin via subcutaneous injection
Correct Answer: D
Rationale: Subcutaneous injections are parenteral and outside scope. A, B, and C
are all non-parenteral routes allowed under QMA scope (with proper training).
Question 8
The QMA's primary responsibility during medication pass is:
A) To complete the medication pass as quickly as possible
B) To ensure the right resident receives the right medication at the right time via
the right route
C) To chart all medications before administering them
D) To obtain vital signs before every medication
Correct Answer: B
Rationale: The "Five Rights" are the foundation of safe med administration. A is
wrong because speed compromises safety. C is wrong because you chart after
giving. D is wrong because vitals are only required for specific meds (e.g., digoxin,
antihypertensives).
Question 9
A QMA may administer medications to residents who are:
A) Acutely ill with unstable vital signs
B) Newly admitted and not yet assessed by a nurse
C) Stable, chronic care residents with routine medication orders
D) In isolation for active tuberculosis
Correct Answer: C
Rationale: QMAs only give meds to stable residents. A is wrong because unstable
patients require nursing assessment. B is wrong because a nurse must assess new
4
2027 ACTUAL EXAM| COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
(MOST RECENT!!)
TABLE OF CONTENTS:
SECTION 1: Scope of Practice & Role of the QMA
SECTION 2: Medication Administration & Routes
SECTION 3: Dosage Calculations & Mathematics
SECTION 4: Pharmacology & Drug Classifications
SECTION 5: Side Effects, Adverse Reactions & Contraindications
SECTION 6: Infection Control & Aseptic Technique
SECTION 7: Legal, Ethical Issues & Resident Rights
SECTION 8: Body Systems & Disease Conditions
SECTION 9: Emergency Procedures & Documentation
SECTION 1: SCOPE OF PRACTICE & ROLE OF THE QMA (Questions 1–40)
Question 1
A Qualified Medication Aide (QMA) in Indiana may administer medications in
which setting?
A) Acute care hospital
B) Long-term care facility (skilled nursing facility) under the supervision of a
licensed nurse
C) Independent physician's office
D) Patient's private home as a home health aide
Correct Answer: B
Rationale: The Indiana State Department of Health (ISDH) strictly limits QMA
practice to licensed long-term care facilities (nursing homes). A is wrong because
hospitals require RNs for IVs and acute monitoring. C is wrong because physician
offices are outpatient settings not covered. D is wrong because home health aides
are CNAs/HHAs, not QMAs.
Question 2
Which of the following tasks is outside the scope of practice for a QMA?
1
,A) Administering oral medications from a medication cart
B) Applying transdermal patches
C) Administering intravenous (IV) push medications
D) Instilling eye drops as prescribed
Correct Answer: C
Rationale: Indiana QMA rules explicitly prohibit any parenteral route (IV, IM,
SubQ, ID). A, B, and D are all non-parenteral routes explicitly allowed under QMA
scope.
Question 3
QMAs are prohibited from which of the following?
A) Calling a physician
B) Assessing a resident
C) Administering a stage II treatment
D) Administering medications through a nasogastric tube
E) All of the above
Correct Answer: E
Rationale: All four are prohibited. QMAs cannot call for new orders (A), cannot
perform independent nursing assessments (B), cannot do treatments (C), and
cannot administer via NG tubes in Indiana (D). The nurse must do all of these.
Question 4
A QMA is delegated to administer medications by a licensed nurse. This is an
example of:
A) Assignment
B) Supervision
C) Delegation
D) Licensure
Correct Answer: C
2
,Rationale: Delegation is the transfer of authority to perform a specific task while
the delegator (nurse) retains accountability. A is wrong because assignment refers
to routine tasks. B is wrong because supervision is the oversight, not the transfer
itself. D is wrong because licensure is the state-granted permission to practice.
Question 5
The supervising nurse must be physically present in the facility and available for
consultation. This is known as:
A) Direct supervision
B) Indirect supervision
C) General supervision
D) Remote supervision
Correct Answer: A
Rationale: Direct supervision means the nurse is on-site and immediately
available. B is wrong because indirect means the nurse is off-site. C is vague. D is
not a recognized term in Indiana QMA regulations.
Question 6
If a QMA makes a medication error, the FIRST action is to:
A) Document the error in the chart
B) Notify the charge nurse immediately
C) Call the physician
D) Complete an incident report
Correct Answer: B
Rationale: The immediate priority is resident safety—the nurse must assess the
resident. A and D come after the nurse has been notified. C is wrong because
QMAs do not call physicians; the nurse does.
Question 7
Which of the following can a QMA NOT administer?
A) Oral liquid medications
3
, B) Buccal tablets
C) Rectal suppositories for fever
D) Insulin via subcutaneous injection
Correct Answer: D
Rationale: Subcutaneous injections are parenteral and outside scope. A, B, and C
are all non-parenteral routes allowed under QMA scope (with proper training).
Question 8
The QMA's primary responsibility during medication pass is:
A) To complete the medication pass as quickly as possible
B) To ensure the right resident receives the right medication at the right time via
the right route
C) To chart all medications before administering them
D) To obtain vital signs before every medication
Correct Answer: B
Rationale: The "Five Rights" are the foundation of safe med administration. A is
wrong because speed compromises safety. C is wrong because you chart after
giving. D is wrong because vitals are only required for specific meds (e.g., digoxin,
antihypertensives).
Question 9
A QMA may administer medications to residents who are:
A) Acutely ill with unstable vital signs
B) Newly admitted and not yet assessed by a nurse
C) Stable, chronic care residents with routine medication orders
D) In isolation for active tuberculosis
Correct Answer: C
Rationale: QMAs only give meds to stable residents. A is wrong because unstable
patients require nursing assessment. B is wrong because a nurse must assess new
4
