QMA practice test| 77 questions| with
complete solutions
Course
QMA
1. Which of the following is the correct route of administration for a sublingual
tablet?
A. Swallow whole with water
B. Place under the tongue
C. Chew thoroughly
D. Insert into rectum
Correct Answer: B. Place under the tongue
Rationale: Sublingual medications are designed for absorption under the tongue, allowing for
faster entry into the bloodstream. Swallowing would reduce efficacy.
2. When assisting a resident with oral medications, the QMA should first:
A. Check the expiration date on the medication label
B. Pour the medication into the resident's hand
C. Document the administration
D. Leave medications on the bedside table
Correct Answer: A. Check the expiration date on the medication label
Rationale: Safety comes first. Verifying the expiration date prevents giving expired drugs,
which may be ineffective or harmful.
3. Which of the following is a side effect of furosemide (Lasix)?
A. High blood sugar
B. Low potassium levels
C. Increased appetite
D. Constipation
Correct Answer: B. Low potassium levels
Rationale: Furosemide is a loop diuretic that causes loss of potassium. Monitoring electrolytes is
essential when administering this drug.
,4. A QMA may legally perform all the following EXCEPT:
A. Administer topical medications
B. Administer insulin injections
C. Document medication administration
D. Assist with oral medications
Correct Answer: B. Administer insulin injections
Rationale: In most states, QMAs are not permitted to give injections. This task falls under
licensed nurses.
5. A resident refuses a prescribed medication. What should the QMA do first?
A. Crush and mix it with food without telling the resident
B. Inform the nurse immediately
C. Throw the medication away
D. Record it as administered
Correct Answer: B. Inform the nurse immediately
Rationale: A refusal must be reported to the nurse. The QMA does not have the authority to
override or disguise medication.
6. Which of the following is the therapeutic effect of acetaminophen (Tylenol)?
A. Anti-inflammatory
B. Pain relief and fever reduction
C. Sedation
D. Diuresis
Correct Answer: B. Pain relief and fever reduction
Rationale: Acetaminophen is used to treat mild to moderate pain and reduce fever. It lacks anti-
inflammatory properties.
7. Before administering digoxin, the QMA should:
A. Shake the bottle vigorously
B. Measure blood pressure
C. Check the resident’s pulse
D. Give with milk
, Correct Answer: C. Check the resident’s pulse
Rationale: Digoxin can slow the heart rate. The QMA must check and report a low pulse
(usually <60 bpm) before administration.
8. Which of the following would most likely indicate an allergic reaction to a
medication?
A. Constipation
B. Rash and itching
C. Increased appetite
D. Headache
Correct Answer: B. Rash and itching
Rationale: Allergic reactions often involve skin symptoms like hives, rash, or itching. These
should be reported immediately.
9. What should a QMA do if a medication label is unreadable?
A. Guess the name using the shape of the pill
B. Ask the resident
C. Notify the nurse
D. Administer the medication anyway
Correct Answer: C. Notify the nurse
Rationale: Never guess. An unreadable label is a medication error risk. The nurse must clarify
or replace it.
10. Which statement is TRUE about storing medications?
A. All medications can be stored in the refrigerator
B. Keep medications in direct sunlight for sterility
C. Controlled substances require double-locked storage
D. Topical and oral meds may be stored together without concern
Correct Answer: C. Controlled substances require double-locked storage
Rationale: Controlled substances have strict storage requirements to prevent misuse and theft,
including being double-locked.
11. Which of the following is a sign of digoxin toxicity?
complete solutions
Course
QMA
1. Which of the following is the correct route of administration for a sublingual
tablet?
A. Swallow whole with water
B. Place under the tongue
C. Chew thoroughly
D. Insert into rectum
Correct Answer: B. Place under the tongue
Rationale: Sublingual medications are designed for absorption under the tongue, allowing for
faster entry into the bloodstream. Swallowing would reduce efficacy.
2. When assisting a resident with oral medications, the QMA should first:
A. Check the expiration date on the medication label
B. Pour the medication into the resident's hand
C. Document the administration
D. Leave medications on the bedside table
Correct Answer: A. Check the expiration date on the medication label
Rationale: Safety comes first. Verifying the expiration date prevents giving expired drugs,
which may be ineffective or harmful.
3. Which of the following is a side effect of furosemide (Lasix)?
A. High blood sugar
B. Low potassium levels
C. Increased appetite
D. Constipation
Correct Answer: B. Low potassium levels
Rationale: Furosemide is a loop diuretic that causes loss of potassium. Monitoring electrolytes is
essential when administering this drug.
,4. A QMA may legally perform all the following EXCEPT:
A. Administer topical medications
B. Administer insulin injections
C. Document medication administration
D. Assist with oral medications
Correct Answer: B. Administer insulin injections
Rationale: In most states, QMAs are not permitted to give injections. This task falls under
licensed nurses.
5. A resident refuses a prescribed medication. What should the QMA do first?
A. Crush and mix it with food without telling the resident
B. Inform the nurse immediately
C. Throw the medication away
D. Record it as administered
Correct Answer: B. Inform the nurse immediately
Rationale: A refusal must be reported to the nurse. The QMA does not have the authority to
override or disguise medication.
6. Which of the following is the therapeutic effect of acetaminophen (Tylenol)?
A. Anti-inflammatory
B. Pain relief and fever reduction
C. Sedation
D. Diuresis
Correct Answer: B. Pain relief and fever reduction
Rationale: Acetaminophen is used to treat mild to moderate pain and reduce fever. It lacks anti-
inflammatory properties.
7. Before administering digoxin, the QMA should:
A. Shake the bottle vigorously
B. Measure blood pressure
C. Check the resident’s pulse
D. Give with milk
, Correct Answer: C. Check the resident’s pulse
Rationale: Digoxin can slow the heart rate. The QMA must check and report a low pulse
(usually <60 bpm) before administration.
8. Which of the following would most likely indicate an allergic reaction to a
medication?
A. Constipation
B. Rash and itching
C. Increased appetite
D. Headache
Correct Answer: B. Rash and itching
Rationale: Allergic reactions often involve skin symptoms like hives, rash, or itching. These
should be reported immediately.
9. What should a QMA do if a medication label is unreadable?
A. Guess the name using the shape of the pill
B. Ask the resident
C. Notify the nurse
D. Administer the medication anyway
Correct Answer: C. Notify the nurse
Rationale: Never guess. An unreadable label is a medication error risk. The nurse must clarify
or replace it.
10. Which statement is TRUE about storing medications?
A. All medications can be stored in the refrigerator
B. Keep medications in direct sunlight for sterility
C. Controlled substances require double-locked storage
D. Topical and oral meds may be stored together without concern
Correct Answer: C. Controlled substances require double-locked storage
Rationale: Controlled substances have strict storage requirements to prevent misuse and theft,
including being double-locked.
11. Which of the following is a sign of digoxin toxicity?
