CRMA MAINE EXAM – QUESTIONS AND ANSWERS | VERIFIED AND WELL
DETAILED ANSWERS | PLUS RATIONALES | DOWNLOAD AND PASS | LATEST
EXAM UPDATE 2026/2027
Core Domains
Medication Administration Principles and Safety
Pharmaceutical Calculations and Dosage
Federal and State Regulatory Compliance (Maine)
Ethical and Legal Standards in Healthcare
Patient Rights and Advocacy
Medication Storage, Handling, and Disposal
Infection Control and Aseptic Technique
Documentation and Record-Keeping
Emergency Response and Adverse Reaction Management
Interprofessional Communication and Teamwork
Introduction
This comprehensive examination is designed to rigorously assess the foundational
knowledge and applied clinical skills required for the Certified Residential
Medication Aide (CRMA) credential in the state of Maine. The assessment evaluates
proficiency across core domains including safety protocols, legal and ethical
standards, accurate dosage calculations, and patient-centered care. Through a
combination of theoretical questions and real-world scenarios, candidates will
demonstrate their ability to make sound clinical judgments, prioritize patient safety,
and adhere to strict regulatory guidelines. Emphasis is placed on the practical
application of knowledge in diverse healthcare settings, preparing candidates for
the responsibilities and critical decision-making inherent to the CRMA role. This
,examination serves as a vital tool for ensuring competency and promoting
excellence in medication administration.
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SECTION ONE: QUESTIONS 1–50
1. Which of the following is the primary responsibility of a Certified Residential
Medication Aide (CRMA) concerning medication administration?
A. Diagnosing medical conditions
B. Prescribing appropriate medications
C. Administering medications as prescribed by a licensed practitioner
D. Adjusting dosages based on patient feedback
🟢 Correct Answer: C. Administering medications as prescribed by a licensed
practitioner
🔴 Explanation: The CRMA's primary role is the safe and accurate administration
of medications exactly as prescribed by a licensed provider. Diagnosing and
prescribing are outside the scope of practice.
2. A medication order reads "Digoxin 0.25 mg PO daily." What does "PO"
indicate?
A. By rectum
B. By mouth
C. Intramuscularly
D. Subcutaneously
🟢 Correct Answer: B. By mouth
🔴 Explanation: "PO" is the abbreviation for per os, meaning by mouth. This is a
common route for medication administration.
,3. A patient refuses a scheduled dose of an antihypertensive medication. The
CRMA's first action should be to:
A. Crush the medication and hide it in applesauce
B. Respect the refusal and document it per policy
C. Administer the medication anyway
D. Call the family to report the patient's behavior
🟢 Correct Answer: B. Respect the refusal and document it per policy
🔴 Explanation: A patient has the right to refuse medication. The CRMA must
respect this choice, re-educate the patient if appropriate, and thoroughly
document the refusal and the actions taken.
4. Which of the following is a common side effect of opioid analgesics?
A. Diarrhea
B. Constipation
C. Hypertension
D. Tachycardia
🟢 Correct Answer: B. Constipation
🔴 Explanation: Opioid analgesics bind to receptors in the gastrointestinal tract,
decreasing peristalsis and leading to constipation as a very common side effect.
5. A CRMA notices that a patient's medication tablet appears to be chipped and
cracked. The CRMA should:
A. Administer the medication as it is likely still effective
B. Smoothen the edges of the tablet with a fingernail
C. Discard the medication and document the issue
D. Administer half the tablet to be safe
🟢 Correct Answer: C. Discard the medication and document the issue
, 🔴 Explanation: A damaged medication is unreliable, and its integrity is
compromised. It should be discarded according to facility policy, and the event
documented. The prescriber may need to be notified.
6. What is the "Six Rights" of medication administration?
A. Right patient, right drug, right dose, right route, right time, right
documentation
B. Right patient, right drug, right dose, right family, right time, right room
C. Right diagnosis, right drug, right dose, right route, right time, right doctor
D. Right patient, right pharmacy, right dose, right route, right time, right
documentation
🟢 Correct Answer: A. Right patient, right drug, right dose, right route, right time,
right documentation
🔴 Explanation: The Six Rights are a fundamental checklist used to prevent
medication errors. They include verifying the patient, drug, dose, route, time, and
proper documentation.
7. Which of the following is a Schedule II controlled substance?
A. Codeine
B. Morphine
C. Diazepam
D. Alprazolam
🟢 Correct Answer: B. Morphine
🔴 Explanation: Morphine is a Schedule II drug due to its high potential for abuse
and severe dependence. Codeine is Schedule II or III depending on preparation,
while diazepam and alprazolam are Schedule IV.
8. The normal adult resting pulse rate is typically between:
DETAILED ANSWERS | PLUS RATIONALES | DOWNLOAD AND PASS | LATEST
EXAM UPDATE 2026/2027
Core Domains
Medication Administration Principles and Safety
Pharmaceutical Calculations and Dosage
Federal and State Regulatory Compliance (Maine)
Ethical and Legal Standards in Healthcare
Patient Rights and Advocacy
Medication Storage, Handling, and Disposal
Infection Control and Aseptic Technique
Documentation and Record-Keeping
Emergency Response and Adverse Reaction Management
Interprofessional Communication and Teamwork
Introduction
This comprehensive examination is designed to rigorously assess the foundational
knowledge and applied clinical skills required for the Certified Residential
Medication Aide (CRMA) credential in the state of Maine. The assessment evaluates
proficiency across core domains including safety protocols, legal and ethical
standards, accurate dosage calculations, and patient-centered care. Through a
combination of theoretical questions and real-world scenarios, candidates will
demonstrate their ability to make sound clinical judgments, prioritize patient safety,
and adhere to strict regulatory guidelines. Emphasis is placed on the practical
application of knowledge in diverse healthcare settings, preparing candidates for
the responsibilities and critical decision-making inherent to the CRMA role. This
,examination serves as a vital tool for ensuring competency and promoting
excellence in medication administration.
════════════════════════════════════
SECTION ONE: QUESTIONS 1–50
1. Which of the following is the primary responsibility of a Certified Residential
Medication Aide (CRMA) concerning medication administration?
A. Diagnosing medical conditions
B. Prescribing appropriate medications
C. Administering medications as prescribed by a licensed practitioner
D. Adjusting dosages based on patient feedback
🟢 Correct Answer: C. Administering medications as prescribed by a licensed
practitioner
🔴 Explanation: The CRMA's primary role is the safe and accurate administration
of medications exactly as prescribed by a licensed provider. Diagnosing and
prescribing are outside the scope of practice.
2. A medication order reads "Digoxin 0.25 mg PO daily." What does "PO"
indicate?
A. By rectum
B. By mouth
C. Intramuscularly
D. Subcutaneously
🟢 Correct Answer: B. By mouth
🔴 Explanation: "PO" is the abbreviation for per os, meaning by mouth. This is a
common route for medication administration.
,3. A patient refuses a scheduled dose of an antihypertensive medication. The
CRMA's first action should be to:
A. Crush the medication and hide it in applesauce
B. Respect the refusal and document it per policy
C. Administer the medication anyway
D. Call the family to report the patient's behavior
🟢 Correct Answer: B. Respect the refusal and document it per policy
🔴 Explanation: A patient has the right to refuse medication. The CRMA must
respect this choice, re-educate the patient if appropriate, and thoroughly
document the refusal and the actions taken.
4. Which of the following is a common side effect of opioid analgesics?
A. Diarrhea
B. Constipation
C. Hypertension
D. Tachycardia
🟢 Correct Answer: B. Constipation
🔴 Explanation: Opioid analgesics bind to receptors in the gastrointestinal tract,
decreasing peristalsis and leading to constipation as a very common side effect.
5. A CRMA notices that a patient's medication tablet appears to be chipped and
cracked. The CRMA should:
A. Administer the medication as it is likely still effective
B. Smoothen the edges of the tablet with a fingernail
C. Discard the medication and document the issue
D. Administer half the tablet to be safe
🟢 Correct Answer: C. Discard the medication and document the issue
, 🔴 Explanation: A damaged medication is unreliable, and its integrity is
compromised. It should be discarded according to facility policy, and the event
documented. The prescriber may need to be notified.
6. What is the "Six Rights" of medication administration?
A. Right patient, right drug, right dose, right route, right time, right
documentation
B. Right patient, right drug, right dose, right family, right time, right room
C. Right diagnosis, right drug, right dose, right route, right time, right doctor
D. Right patient, right pharmacy, right dose, right route, right time, right
documentation
🟢 Correct Answer: A. Right patient, right drug, right dose, right route, right time,
right documentation
🔴 Explanation: The Six Rights are a fundamental checklist used to prevent
medication errors. They include verifying the patient, drug, dose, route, time, and
proper documentation.
7. Which of the following is a Schedule II controlled substance?
A. Codeine
B. Morphine
C. Diazepam
D. Alprazolam
🟢 Correct Answer: B. Morphine
🔴 Explanation: Morphine is a Schedule II drug due to its high potential for abuse
and severe dependence. Codeine is Schedule II or III depending on preparation,
while diazepam and alprazolam are Schedule IV.
8. The normal adult resting pulse rate is typically between:
