INDIANA QMA STATE TEST NEWEST 2026/2027
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD
PDF.
Core Domains
• Role, Legal/Ethical Issues, Resident Rights & Scope of Practice
• Infection Control, Safety, Communication & Cognitive Impairment
• Pharmacology Fundamentals, Orders, Documentation &
Administration
• Body Systems, Common Medications & Side Effects
• Monitoring, PRN, Controlled Substances, Special Routes &
Reporting
Introduction
The Indiana Qualified Medication Aide (QMA) State Examination
assesses the candidate's competency to administer medications under
the direct supervision of a licensed nurse in long-term care facilities. It
covers scope of practice, legal and ethical boundaries, infection control,
pharmacology fundamentals, medication administration routes,
documentation, controlled substances, and monitoring responsibilities.
The examination requires a passing score of 80% and emphasizes
application, clinical judgment, and realistic workplace scenarios.
Candidates must demonstrate critical thinking and decision-making
aligned with Indiana Administrative Code 412 IAC 2-1 and ISDH
regulations.
SECTION ONE: QUESTIONS 1–100
,1. A newly hired QMA is asked by a nursing assistant to give a
resident an intramuscular injection of vitamin B12 because the
nurse is busy. The QMA should:
A. Call the pharmacy and ask whether the QMA may give injections at
this facility
B. Refuse and explain that intramuscular injections are outside the QMA
scope of practice and must be performed by a licensed nurse
C. Administer the injection and then document it under the nurse's name
D. Give the injection if the nursing assistant demonstrates the technique
first
B. Refuse and explain that intramuscular injections are outside the
QMA scope of practice and must be performed by a licensed nurse
RATIONALE: Intramuscular, intravenous, subcutaneous, and
intradermal injections are prohibited for QMAs under Indiana scope of
practice. Only oral, topical, eye, ear, nasal, vaginal, and rectal
medications may be administered by QMAs .
2. A resident refuses a routinely scheduled oral medication. The
QMA's correct action is to:
A. Respect the refusal, document it, and report the refusal to the licensed
nurse promptly
B. Tell the resident that refusal is not allowed under facility policy
C. Crush the medication and mix it in food without telling the resident
D. Leave the medication at the bedside and hope the resident takes it
later
A. Respect the refusal, document it, and report the refusal to the
licensed nurse promptly
RATIONALE: Residents have the right to refuse treatment. The
QMA must respect the refusal, document accurately, and notify the
nurse .
,3. While counting controlled substances at shift change, the QMA
notices that one tablet of a Schedule II medication is missing. The
first action should be to:
A. Wait until the end of the shift to see if the tablet is found
B. Document the count as correct to avoid delaying the medication pass
C. Borrow a tablet from another resident's supply to make the count
correct
D. Report the discrepancy immediately to the licensed nurse and follow
facility policy for controlled-substance discrepancies
D. Report the discrepancy immediately to the licensed nurse and
follow facility policy for controlled-substance discrepancies
RATIONALE: Any controlled-substance discrepancy must be
reported at once; accuracy and accountability are legal requirements .
4. A family member asks the QMA to look up a resident's diagnosis
and medication list so the family can discuss it at home. The QMA
should:
A. Provide a written copy of the medication administration record
B. Verbally list all diagnoses because the family has a right to know
C. Decline to share protected health information and refer the family to
the licensed nurse or the resident's authorized representative
D. Allow the family to read the chart at the nursing station without
supervision
C. Decline to share protected health information and refer the family
to the licensed nurse or the resident's authorized representative
RATIONALE: QMAs must protect resident confidentiality under
HIPAA and facility policy; disclosures are limited to authorized persons
.
, 5. The QMA's scope of practice includes which of the following
tasks?
A. Administering regularly prescribed oral, topical, eye, ear, nasal,
vaginal, and rectal medications after personal preparation and
documenting only what the QMA administered
B. Starting intravenous fluids and adjusting the drip rate
C. Administering medications by any injectable route when the nurse is
unavailable
D. Ordering new medications from the pharmacy without a physician's
order
A. Administering regularly prescribed oral, topical, eye, ear, nasal,
vaginal, and rectal medications after personal preparation and
documenting only what the QMA administered
RATIONALE: Indiana QMA scope permits specified non-injectable
routes when the QMA personally prepares and administers the dose and
documents only own actions .
6. A QMA observes another staff member roughly handling a
resident and speaking to the resident in a demeaning way. The
QMA must:
A. Document the incident only in a personal notebook
B. Report the observed abuse or mistreatment to the licensed nurse or
facility supervisor
C. Ignore it because it is not the QMA's responsibility
D. Confront the staff member in front of the resident
B. Report the observed abuse or mistreatment to the licensed nurse
or facility supervisor
RATIONALE: All incidents of alleged abuse, neglect, or
misappropriation of resident property must be reported to the Indiana
State Department of Health .
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD
PDF.
Core Domains
• Role, Legal/Ethical Issues, Resident Rights & Scope of Practice
• Infection Control, Safety, Communication & Cognitive Impairment
• Pharmacology Fundamentals, Orders, Documentation &
Administration
• Body Systems, Common Medications & Side Effects
• Monitoring, PRN, Controlled Substances, Special Routes &
Reporting
Introduction
The Indiana Qualified Medication Aide (QMA) State Examination
assesses the candidate's competency to administer medications under
the direct supervision of a licensed nurse in long-term care facilities. It
covers scope of practice, legal and ethical boundaries, infection control,
pharmacology fundamentals, medication administration routes,
documentation, controlled substances, and monitoring responsibilities.
The examination requires a passing score of 80% and emphasizes
application, clinical judgment, and realistic workplace scenarios.
Candidates must demonstrate critical thinking and decision-making
aligned with Indiana Administrative Code 412 IAC 2-1 and ISDH
regulations.
SECTION ONE: QUESTIONS 1–100
,1. A newly hired QMA is asked by a nursing assistant to give a
resident an intramuscular injection of vitamin B12 because the
nurse is busy. The QMA should:
A. Call the pharmacy and ask whether the QMA may give injections at
this facility
B. Refuse and explain that intramuscular injections are outside the QMA
scope of practice and must be performed by a licensed nurse
C. Administer the injection and then document it under the nurse's name
D. Give the injection if the nursing assistant demonstrates the technique
first
B. Refuse and explain that intramuscular injections are outside the
QMA scope of practice and must be performed by a licensed nurse
RATIONALE: Intramuscular, intravenous, subcutaneous, and
intradermal injections are prohibited for QMAs under Indiana scope of
practice. Only oral, topical, eye, ear, nasal, vaginal, and rectal
medications may be administered by QMAs .
2. A resident refuses a routinely scheduled oral medication. The
QMA's correct action is to:
A. Respect the refusal, document it, and report the refusal to the licensed
nurse promptly
B. Tell the resident that refusal is not allowed under facility policy
C. Crush the medication and mix it in food without telling the resident
D. Leave the medication at the bedside and hope the resident takes it
later
A. Respect the refusal, document it, and report the refusal to the
licensed nurse promptly
RATIONALE: Residents have the right to refuse treatment. The
QMA must respect the refusal, document accurately, and notify the
nurse .
,3. While counting controlled substances at shift change, the QMA
notices that one tablet of a Schedule II medication is missing. The
first action should be to:
A. Wait until the end of the shift to see if the tablet is found
B. Document the count as correct to avoid delaying the medication pass
C. Borrow a tablet from another resident's supply to make the count
correct
D. Report the discrepancy immediately to the licensed nurse and follow
facility policy for controlled-substance discrepancies
D. Report the discrepancy immediately to the licensed nurse and
follow facility policy for controlled-substance discrepancies
RATIONALE: Any controlled-substance discrepancy must be
reported at once; accuracy and accountability are legal requirements .
4. A family member asks the QMA to look up a resident's diagnosis
and medication list so the family can discuss it at home. The QMA
should:
A. Provide a written copy of the medication administration record
B. Verbally list all diagnoses because the family has a right to know
C. Decline to share protected health information and refer the family to
the licensed nurse or the resident's authorized representative
D. Allow the family to read the chart at the nursing station without
supervision
C. Decline to share protected health information and refer the family
to the licensed nurse or the resident's authorized representative
RATIONALE: QMAs must protect resident confidentiality under
HIPAA and facility policy; disclosures are limited to authorized persons
.
, 5. The QMA's scope of practice includes which of the following
tasks?
A. Administering regularly prescribed oral, topical, eye, ear, nasal,
vaginal, and rectal medications after personal preparation and
documenting only what the QMA administered
B. Starting intravenous fluids and adjusting the drip rate
C. Administering medications by any injectable route when the nurse is
unavailable
D. Ordering new medications from the pharmacy without a physician's
order
A. Administering regularly prescribed oral, topical, eye, ear, nasal,
vaginal, and rectal medications after personal preparation and
documenting only what the QMA administered
RATIONALE: Indiana QMA scope permits specified non-injectable
routes when the QMA personally prepares and administers the dose and
documents only own actions .
6. A QMA observes another staff member roughly handling a
resident and speaking to the resident in a demeaning way. The
QMA must:
A. Document the incident only in a personal notebook
B. Report the observed abuse or mistreatment to the licensed nurse or
facility supervisor
C. Ignore it because it is not the QMA's responsibility
D. Confront the staff member in front of the resident
B. Report the observed abuse or mistreatment to the licensed nurse
or facility supervisor
RATIONALE: All incidents of alleged abuse, neglect, or
misappropriation of resident property must be reported to the Indiana
State Department of Health .
