Qualified Medication Aide (QMA) State Certification Practice Exam | Complete Study Guide with Questions, Answers and Rationales – Latest Update 2026/2027

Qualified Medication Aide (QMA) State
Certification Practice Exam| Complete Study
Guide with Questions, Answers and
Rationales – Latest Update 2026/2027

Question 1
QMA's are prohibited from:
Answer: Calling a physician, assessing a resident, administering a stage II treatment,
administering meds through a nasogastric tube. ✔✔

Rationale: QMAs are not licensed to perform assessments, call physicians, or
administer medications through NG tubes. These tasks require a licensed nurse's
assessment and judgment.


Question 2
The QMA scope of practice includes:
Answer: Observe and report to a nurse reactions and side effects of meds, take vital
signs prior to some medications, personally set up and give medications that you were
trained on, not document what another person gave a resident. ✔✔

Rationale: QMAs are trained to observe and report, take vital signs, and administer
medications they are trained on. They must not document medications given by others.


Question 3
When giving a PRN medication, the nurse must cosign the clinical record. True or False?
Answer: True. ✔✔

Rationale: PRN medications require nurse assessment and cosignature to ensure
proper administration and monitoring.


Question 4
The QMA is allowed to treat a second degree burn if you follow the order exactly. True
or False?
Answer: False. ✔✔

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,Rationale: QMAs are not permitted to treat wounds or burns; this requires licensed
nursing assessment and treatment.


Question 5
The QMA must document in the clinical record any and all observations and what is
reported by the resident. True or False?
Answer: True. ✔✔

Rationale: QMAs must document all observations and resident reports to ensure
continuity of care.


Question 6
What is assault and battery?
Answer: A verbal threat that is carried out. ✔✔

Rationale: Assault is a threat, and battery is the actual physical contact. When a verbal
threat is carried out, it becomes assault and battery.


Question 7
Leaving a resident alone in the shower room, failing to report an observation or
occurrence to the nurse, causing injury by using broken equipment would be an example
of:
Answer: Negligence. ✔✔

Rationale: Negligence is the failure to provide reasonable care, resulting in harm to a
resident.


Question 8
What describes "painless killing of a patient suffering from an incurable disease"?
Answer: Euthanasia. ✔✔

Rationale: Euthanasia is the act of intentionally ending a life to relieve pain and
suffering.


Question 9
Medication errors can be caused by:


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, Answer: Lack of concentration, lack of knowledge, poor communication, performing
outside your scope of practice. ✔✔

Rationale: Medication errors can be prevented by addressing these common
contributing factors.


Question 10
If you have a medication error, you report it to the doctor immediately. True or False?
Answer: False. ✔✔

Rationale: Medication errors should first be reported to the nurse supervisor, who will
then notify the physician as appropriate.


Question 11
Undesirable medication effects could be:
Answer: Vomiting, dizziness, hives/drowsiness, difficult breathing. ✔✔

Rationale: These are common adverse effects of medications that should be reported
immediately.


Question 12
Report all suspected abuse to the nurse __________________.
Answer: Immediately. ✔✔

Rationale: Suspected abuse must be reported immediately to ensure resident safety.


Question 13
The QMA is exempt from performing the initial and final steps created for CNAs. True
or False?
Answer: False. ✔✔

Rationale: QMAs must still follow all facility procedures and protocols, including those
for CNAs.


Question 14
What is verbal communication?
Answer: Written or spoken words. ✔✔

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