QMA Medication Administration Exam Questions
and Verified Answers with Rationale Latest
Edition 2026/2027
Question 1
What is the primary emphasis of medication administration
training programs at Nightingale College regarding safety
protocols?
A. Memorizing brand names of luxury cosmetic drugs
B. Meticulously adhering to the Six Rights of medication
administration to prevent preventable medication errors
C. Prescribing independent treatment plans for complex
surgeries
D. Delegating clinical tasks to visiting family members
CORRECT ANSWER: B
RATIONALE: Safety curricula at institutions like Nightingale
College focus heavily on strict compliance with the Six Rights
to ensure resident protection during every medication pass.
Question 2
What is the correct QMA action when a competent resident
calmly and explicitly refuses to take a scheduled morning
medication?
A. Force the resident's mouth open to swallow the pill by
physical force
, B. Respect the resident's right to refuse, document the refusal
on the MAR, notify the licensed nurse, and dispose of or
store the unadministered dose per facility policy
C. Crush the medication secretly into a cup of juice and trick
the resident into drinking it
D. Threaten to evict the resident from the facility immediately
CORRECT ANSWER: B
RATIONALE: Residents retain the legal right to refuse
treatment; QMAs must document refusals accurately, inform
nursing staff, and never use deception or force.
Question 3
What is the proper technique when administering a metered-
dose inhaler (MDI) with a spacer device?
A. Have the resident exhale completely, place the mouthpiece
inside the mouth with lips sealed around it, depress the
canister once, and instruct the resident to take a slow, deep
breath
B. Spray the inhaler directly into the resident's eyes from six
inches away
C. Have the resident chew the plastic inhaler canister
D. Hold the inhaler tightly against the resident's closed
forehead
CORRECT ANSWER: A
,RATIONALE: Spacers capture the aerosolized medication so
the resident can inhale it slowly and deeply into the respiratory
tract, maximizing pulmonary deposition.
Question 4
What is the correct protocol for administering a rectal
suppository to an adult resident?
A. Position the resident on their left side (Sims position),
lubricate the suppository tip with a water-soluble lubricant,
and gently insert it past the anal sphincter
B. Insert the suppository standing upright while the resident
jumps up and down
C. Force the suppository into the resident's ear canal
D. Melt the suppository in boiling water and inject it orally
CORRECT ANSWER: A
RATIONALE: The Sims position exposes the anal area
properly, and water-soluble lubrication ensures comfortable,
correct placement past the internal sphincter muscle.
Question 5
What is the definition of a "PRN" medication order?
A. A medication given every single hour around the clock
without exception
B. A medication administered only as needed based on
specific clinical criteria or symptoms outlined in the order
, C. A medication that is permanently discontinued and locked
away
D. A medication given exclusively on national holidays
CORRECT ANSWER: B
RATIONALE: A PRN order provides authorization to give a
medication only when specific pre-defined conditions (like pain
or nausea) occur.
Question 6
What critical assessment must a QMA perform before
administering a PRN pain medication?
A. Ask the resident about the location, intensity, and
characteristics of the pain, and check when the last dose
was given to prevent overdosing
B. Guess whether the resident looks uncomfortable from
across the room
C. Check the weather forecast outside
D. Measure the resident's shoe size
CORRECT ANSWER: A
RATIONALE: Evaluating pain characteristics and verifying
elapsed time since the last dose ensures that the PRN medication
is appropriate, safe, and effective.
Question 7
and Verified Answers with Rationale Latest
Edition 2026/2027
Question 1
What is the primary emphasis of medication administration
training programs at Nightingale College regarding safety
protocols?
A. Memorizing brand names of luxury cosmetic drugs
B. Meticulously adhering to the Six Rights of medication
administration to prevent preventable medication errors
C. Prescribing independent treatment plans for complex
surgeries
D. Delegating clinical tasks to visiting family members
CORRECT ANSWER: B
RATIONALE: Safety curricula at institutions like Nightingale
College focus heavily on strict compliance with the Six Rights
to ensure resident protection during every medication pass.
Question 2
What is the correct QMA action when a competent resident
calmly and explicitly refuses to take a scheduled morning
medication?
A. Force the resident's mouth open to swallow the pill by
physical force
, B. Respect the resident's right to refuse, document the refusal
on the MAR, notify the licensed nurse, and dispose of or
store the unadministered dose per facility policy
C. Crush the medication secretly into a cup of juice and trick
the resident into drinking it
D. Threaten to evict the resident from the facility immediately
CORRECT ANSWER: B
RATIONALE: Residents retain the legal right to refuse
treatment; QMAs must document refusals accurately, inform
nursing staff, and never use deception or force.
Question 3
What is the proper technique when administering a metered-
dose inhaler (MDI) with a spacer device?
A. Have the resident exhale completely, place the mouthpiece
inside the mouth with lips sealed around it, depress the
canister once, and instruct the resident to take a slow, deep
breath
B. Spray the inhaler directly into the resident's eyes from six
inches away
C. Have the resident chew the plastic inhaler canister
D. Hold the inhaler tightly against the resident's closed
forehead
CORRECT ANSWER: A
,RATIONALE: Spacers capture the aerosolized medication so
the resident can inhale it slowly and deeply into the respiratory
tract, maximizing pulmonary deposition.
Question 4
What is the correct protocol for administering a rectal
suppository to an adult resident?
A. Position the resident on their left side (Sims position),
lubricate the suppository tip with a water-soluble lubricant,
and gently insert it past the anal sphincter
B. Insert the suppository standing upright while the resident
jumps up and down
C. Force the suppository into the resident's ear canal
D. Melt the suppository in boiling water and inject it orally
CORRECT ANSWER: A
RATIONALE: The Sims position exposes the anal area
properly, and water-soluble lubrication ensures comfortable,
correct placement past the internal sphincter muscle.
Question 5
What is the definition of a "PRN" medication order?
A. A medication given every single hour around the clock
without exception
B. A medication administered only as needed based on
specific clinical criteria or symptoms outlined in the order
, C. A medication that is permanently discontinued and locked
away
D. A medication given exclusively on national holidays
CORRECT ANSWER: B
RATIONALE: A PRN order provides authorization to give a
medication only when specific pre-defined conditions (like pain
or nausea) occur.
Question 6
What critical assessment must a QMA perform before
administering a PRN pain medication?
A. Ask the resident about the location, intensity, and
characteristics of the pain, and check when the last dose
was given to prevent overdosing
B. Guess whether the resident looks uncomfortable from
across the room
C. Check the weather forecast outside
D. Measure the resident's shoe size
CORRECT ANSWER: A
RATIONALE: Evaluating pain characteristics and verifying
elapsed time since the last dose ensures that the PRN medication
is appropriate, safe, and effective.
Question 7
