Indiana QMA State Test Exam Prep 2026 | 300
Real Questions & Verified Detailed Answers
Question 1
A QMA may administer medications by which route?
A) Oral, ophthalmic, otic, nasal, vaginal, and rectal
B) Intramuscular and subcutaneous
C) Intravenous and intradermal
D) All routes
Answer: A) Oral, ophthalmic, otic, nasal, vaginal, and rectal.
Rationale: QMAs may apply physician-ordered oral, ophthalmic, otic, nasal, vaginal,
and rectal medications. Injectable medications (other than insulin with special
certification) are outside the QMA scope of practice .
Question 2
Which task is OUTSIDE the QMA scope of practice?
A) Administering medications through a G-tube
B) Administering medications through a nasogastric tube
C) Administering metered dose inhalers
D) Counting and documenting controlled substances
Answer: B) Administering medications through a nasogastric tube.
Rationale: QMAs may not administer medications through a nasogastric tube. This is
outside the QMA scope of practice. However, QMAs may administer medications
through gastrostomy tubes (G-tube) and jejunostomy tubes (J-tube) .
Question 3
A QMA may administer oxygen in which situation?
A) Routinely for all residents with COPD
B) Only in an emergency, after notifying the licensed nurse, and documenting the
action
C) Whenever the resident requests it
D) Only with a physician's written order
,Answer: B) Only in an emergency, after notifying the licensed nurse, and
documenting the action.
Rationale: QMAs may initiate oxygen per nasal cannula or nonsealing mask only if: (1)
the situation is an emergency, (2) the QMA notifies the licensed nurse, and (3) the QMA
documents the action and notification .
Question 4
A QMA can administer treatment to decubitus ulcers at what stage?
A) Stage I only
B) Stages I and II
C) Stages I, II, and III
D) All stages
Answer: A) Stage I only.
Rationale: QMAs may apply topical medication to minor skin conditions, including
Stage I decubitus ulcers. Advanced skin conditions including Stages II through IV
decubitus ulcers are outside the QMA scope of practice .
Question 5
A QMA may administer a PRN medication when:
A) The resident requests it
B) Authorization is obtained from the licensed nurse
C) The medication was previously ordered
D) Both B and C
Answer: D) Both B and C.
Rationale: QMAs may administer previously ordered pro re nata (PRN) medication
when authorization is obtained from the health care facility's licensed nurse .
Question 6
What is needed in the documentation of a PRN medication?
A) Only the time given
B) Need for medication, time symptoms occur, nurse authorization, and co-signature
,C) Only the medication name
D) The physician's signature
Answer: B) Need for medication, time symptoms occur, nurse authorization, and
co-signature.
Rationale: PRN medication documentation must include the need for the medication,
the time symptoms occur, nurse authorization, and co-signature .
Question 7
Which of the following is within the QMA scope of practice?
A) Administering medications by injection
B) Administering medications through a metered dose inhaler
C) Administering medications used for intermittent positive pressure breathing
treatments
D) Receiving verbal telephone orders
Answer: B) Administering medications through a metered dose inhaler.
Rationale: QMAs may administer medication through a metered dose inhaler.
Injections, IPPB treatments, and receiving verbal orders are outside the QMA scope of
practice .
Question 8
Can a QMA instill irrigation fluids?
A) Yes, any type
B) Only commercially prepared enemas after nurse assessment
C) No, never
D) Only with physician order
Answer: B) Only commercially prepared enemas after nurse assessment.
Rationale: QMAs may instill a commercially prepared disposable enema after the
patient has been assessed by the licensed nurse and the nurse has instructed the QMA
to instill the enema. Other irrigation fluids are outside the scope .
, Question 9
Which task is within the QMA scope of practice?
A) Administering medications through a G-tube
B) Receiving verbal telephone orders
C) Administering intramuscular injections
D) Administering IV medications
Answer: A) Administering medications through a G-tube.
Rationale: QMAs may administer medications through gastrostomy tubes (G-tube) and
jejunostomy tubes (J-tube). Injectable medications, IV medications, and receiving verbal
orders are outside the scope .
Question 10
A QMA may perform finger stick blood glucose testing when:
A) The QMA has been trained on the specific glucose meter used
B) The QMA reports results to the licensed nurse
C) Both A and B
D) Only with physician approval
Answer: C) Both A and B.
Rationale: QMAs may conduct finger stick blood glucose testing and report the result to
the licensed nurse. Training must be specific to the glucose meter used, and this is
required as part of annual in-service education .
Question 11
What are the six rights of medication administration?
A) Right dose, right medication, right resident, right time, right route, right
documentation
B) Right patient, right drug, right dose, right time, right route, right reason
C) Right dose, right medication, right resident, right time, right route, right diagnosis
D) Right medication, right resident, right time, right route, right documentation, right
physician
Answer: A) Right dose, right medication, right resident, right time, right route,
right documentation.
Real Questions & Verified Detailed Answers
Question 1
A QMA may administer medications by which route?
A) Oral, ophthalmic, otic, nasal, vaginal, and rectal
B) Intramuscular and subcutaneous
C) Intravenous and intradermal
D) All routes
Answer: A) Oral, ophthalmic, otic, nasal, vaginal, and rectal.
Rationale: QMAs may apply physician-ordered oral, ophthalmic, otic, nasal, vaginal,
and rectal medications. Injectable medications (other than insulin with special
certification) are outside the QMA scope of practice .
Question 2
Which task is OUTSIDE the QMA scope of practice?
A) Administering medications through a G-tube
B) Administering medications through a nasogastric tube
C) Administering metered dose inhalers
D) Counting and documenting controlled substances
Answer: B) Administering medications through a nasogastric tube.
Rationale: QMAs may not administer medications through a nasogastric tube. This is
outside the QMA scope of practice. However, QMAs may administer medications
through gastrostomy tubes (G-tube) and jejunostomy tubes (J-tube) .
Question 3
A QMA may administer oxygen in which situation?
A) Routinely for all residents with COPD
B) Only in an emergency, after notifying the licensed nurse, and documenting the
action
C) Whenever the resident requests it
D) Only with a physician's written order
,Answer: B) Only in an emergency, after notifying the licensed nurse, and
documenting the action.
Rationale: QMAs may initiate oxygen per nasal cannula or nonsealing mask only if: (1)
the situation is an emergency, (2) the QMA notifies the licensed nurse, and (3) the QMA
documents the action and notification .
Question 4
A QMA can administer treatment to decubitus ulcers at what stage?
A) Stage I only
B) Stages I and II
C) Stages I, II, and III
D) All stages
Answer: A) Stage I only.
Rationale: QMAs may apply topical medication to minor skin conditions, including
Stage I decubitus ulcers. Advanced skin conditions including Stages II through IV
decubitus ulcers are outside the QMA scope of practice .
Question 5
A QMA may administer a PRN medication when:
A) The resident requests it
B) Authorization is obtained from the licensed nurse
C) The medication was previously ordered
D) Both B and C
Answer: D) Both B and C.
Rationale: QMAs may administer previously ordered pro re nata (PRN) medication
when authorization is obtained from the health care facility's licensed nurse .
Question 6
What is needed in the documentation of a PRN medication?
A) Only the time given
B) Need for medication, time symptoms occur, nurse authorization, and co-signature
,C) Only the medication name
D) The physician's signature
Answer: B) Need for medication, time symptoms occur, nurse authorization, and
co-signature.
Rationale: PRN medication documentation must include the need for the medication,
the time symptoms occur, nurse authorization, and co-signature .
Question 7
Which of the following is within the QMA scope of practice?
A) Administering medications by injection
B) Administering medications through a metered dose inhaler
C) Administering medications used for intermittent positive pressure breathing
treatments
D) Receiving verbal telephone orders
Answer: B) Administering medications through a metered dose inhaler.
Rationale: QMAs may administer medication through a metered dose inhaler.
Injections, IPPB treatments, and receiving verbal orders are outside the QMA scope of
practice .
Question 8
Can a QMA instill irrigation fluids?
A) Yes, any type
B) Only commercially prepared enemas after nurse assessment
C) No, never
D) Only with physician order
Answer: B) Only commercially prepared enemas after nurse assessment.
Rationale: QMAs may instill a commercially prepared disposable enema after the
patient has been assessed by the licensed nurse and the nurse has instructed the QMA
to instill the enema. Other irrigation fluids are outside the scope .
, Question 9
Which task is within the QMA scope of practice?
A) Administering medications through a G-tube
B) Receiving verbal telephone orders
C) Administering intramuscular injections
D) Administering IV medications
Answer: A) Administering medications through a G-tube.
Rationale: QMAs may administer medications through gastrostomy tubes (G-tube) and
jejunostomy tubes (J-tube). Injectable medications, IV medications, and receiving verbal
orders are outside the scope .
Question 10
A QMA may perform finger stick blood glucose testing when:
A) The QMA has been trained on the specific glucose meter used
B) The QMA reports results to the licensed nurse
C) Both A and B
D) Only with physician approval
Answer: C) Both A and B.
Rationale: QMAs may conduct finger stick blood glucose testing and report the result to
the licensed nurse. Training must be specific to the glucose meter used, and this is
required as part of annual in-service education .
Question 11
What are the six rights of medication administration?
A) Right dose, right medication, right resident, right time, right route, right
documentation
B) Right patient, right drug, right dose, right time, right route, right reason
C) Right dose, right medication, right resident, right time, right route, right diagnosis
D) Right medication, right resident, right time, right route, right documentation, right
physician
Answer: A) Right dose, right medication, right resident, right time, right route,
right documentation.
