MEDICATION AIDE EXAM
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
❖ Guarantee passing score
❖ Questions and Answers
❖ format set of multiple-choice
❖ Expert-Verified Explanation
❖ Verified with trusted textbooks
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1. A medication aide must work under the direct supervision of a licensed nurse.
A. True
B. False
C. Only required in hospitals
D. Only required in home health settings
Answer: A (True)
Expert-Verified Explanation:
Medication aides, by definition, do not hold a nursing license. Therefore, state
regulations require them to function under the direct supervision of a licensed
nurse (LVN or RN). This ensures resident safety and accountability when handling
medications, as the licensed nurse remains the professional ultimately responsible
for overseeing and verifying the aide’s work.
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2. Which of the following are types of drug reactions?
A. Local effect, systemic effect, and emotional (placebo) effect
B. Allergic reactions only
C. Local and systemic effects only
D. Placebo effect only
Answer: A (Local effect, systemic effect, and emotional (placebo) effect)
Expert-Verified Explanation:
Drug reactions can be categorized by their scope and mechanism. A local effect is
confined to the site of application, a systemic effect is distributed throughout the
body (often via the bloodstream), and a placebo effect is an emotional or
psychological effect based on the patient’s expectations rather than the chemical
action of the drug. Recognizing these categories helps medication aides
understand and monitor for potential variations in how residents respond to
medications.
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3. The Employee Misconduct Registry (EMR) is maintained by:
A. The Board of Nursing
B. The Texas Department of Licensing and Regulation
C. The Health and Human Services Commission (HHSC)
D. The federal government
Answer: C (The Health and Human Services Commission (HHSC))
Expert-Verified Explanation:
In Texas, the EMR is managed by HHSC. This registry tracks findings of abuse,
neglect, or misappropriation of property by employees working in state-licensed
facilities. Medication aides must be free of such listings to maintain eligibility for
employment and for holding a permit.
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4. Which of the following is an unwanted medication reaction?
A. Allergic reaction, drug side effect, drug toxicity
B. Therapeutic effect
C. Desired response
D. All of the above
Answer: A (Allergic reaction, drug side effect, drug toxicity)
Expert-Verified Explanation:
Unwanted or adverse medication reactions can include drug side effects (mild to
severe), drug toxicity (often due to dosing issues or organ dysfunction), and
allergic reactions (when a person’s immune system reacts to a medication).
Medication aides should promptly report any signs or symptoms of these
reactions to a supervising nurse to ensure timely intervention.
────────────────────────────────────────────────────────
,5. Which of the following is considered misappropriation of property?
A. Giving prescribed medications
B. Documenting medications in the MAR
C. Exploitation
D. Checking for drug allergies
Answer: C (Exploitation)
Expert-Verified Explanation:
Misappropriation of property involves exploiting or taking advantage of a
resident’s belongings or assets for personal gain. Exploitation is a serious offense
that can result in being listed on the Employee Misconduct Registry, revocation of
a medication aide permit, and legal consequences.
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6. The initial medication aide permit is valid for:
A. 6 months
B. 9 months
C. 12 months
D. 24 months
Answer: C (12 months)
Expert-Verified Explanation:
An initial medication aide permit in Texas is typically valid for 12 months. During
this period, the medication aide must meet any ongoing requirements set forth by
HHSC, which may include continuing education, adherence to proper conduct, and
supervision by a licensed nurse.
────────────────────────────────────────────────────────
7. Medications can be stored in a:
A. Resident’s bedside table
B. Unlocked drawer at the nurses’ station
,C. Medication room and medication cart
D. Staff lounge
Answer: C (Medication room and medication cart)
Expert-Verified Explanation:
Facilities must store medications safely and securely to prevent misuse or errors.
Medication rooms and securely locked medication carts are designed to maintain
correct temperature, security, and orderliness of drug storage. Proper storage
helps ensure medication integrity and safety.
────────────────────────────────────────────────────────
8. A MAR is also known as:
A. Medication Advice Request
B. Medication Addendum Roster
C. Medication Administration Record
D. Medical Activity Report
Answer: C (Medication Administration Record)
Expert-Verified Explanation:
A MAR (Medication Administration Record) is the document or chart used to
record every medication administered to a resident. It is crucial for tracking
dosages, times of administration, and ensuring continuity of care among all
healthcare staff.
────────────────────────────────────────────────────────
9. Drug preparations include which of the following?
A. Capsules only
B. Solids, semi-solids, and liquids
C. Tablets and capsules only
D. Powders and crystals only
,Answer: B (Solids, semi-solids, and liquids)
Expert-Verified Explanation:
Pharmacological preparations encompass multiple forms to accommodate
different routes of administration and patient needs. Solid forms (like tablets),
semi-solid forms (like ointments), and liquid forms (like solutions and suspensions)
are commonly encountered forms that medication aides should be familiar with.
────────────────────────────────────────────────────────
10. Which of the following reasons can HHSC deny an application for a permit?
A. Certain felony or misdemeanor convictions directly relating to the duties of a
medication aide
B. Applicant is listed as unemployable in the EMR
C. Revoked or suspended status on the NAR (Nurse Aide Registry)
D. All of the above
Answer: D (All of the above)
Expert-Verified Explanation:
The Texas Health and Human Services Commission (HHSC) has stringent
requirements for protecting residents. Criminal offenses that directly relate to job
responsibilities, listing on the EMR as unemployable, or having a
revoked/suspended nurse aide status can all bar an individual from receiving or
renewing a medication aide permit.
────────────────────────────────────────────────────────
11. Which is a type of solid dosage form?
A. Elixir
B. Suppository
C. Capsule
D. Syrup
Answer: C (Capsule)
,Expert-Verified Explanation:
A capsule is a solid (or sometimes semi-solid) dosage form where the drug is
enclosed in a gelatin shell. Elixirs and syrups are liquid forms, while a suppository
is generally considered a semi-solid intended for insertion into a body orifice.
────────────────────────────────────────────────────────
12. If a medication aide notices that a resident is experiencing a side effect, the
medication aide must:
A. Ignore the side effect if it seems mild
B. Report to the facility's charge licensed nurse
C. Document it themselves and continue
D. Ask the resident to skip the next dose
Answer: B (Report to the facility’s charge licensed nurse)
Expert-Verified Explanation:
Any adverse or unusual reactions require immediate reporting to a supervising
nurse. Medication aides do not have decision-making authority regarding altering,
discontinuing, or ignoring prescribed medication regimens. Prompt
communication ensures proper clinical evaluation and potentially prevents
complications.
────────────────────────────────────────────────────────
13. An applicant for a permit must submit an application to HHSC no later than
180 days after enrollment in a training program, including all required
documentation:
A. True
B. False
C. Only after 1 year
D. Within 90 days
Answer: B (False; it is actually 20 days)
,Expert-Verified Explanation:
Texas regulations specify a 20-day timeframe (not 180 days) for submitting
necessary applications and documentation to HHSC once enrolled in a medication
aide training program. This requirement helps ensure timely processing and
verification of eligibility.
────────────────────────────────────────────────────────
14. A prohibited practice for a medication aide includes:
A. Giving medication with nurse approval
B. Communicating changes to the nurse
C. Receiving or assuming responsibility for writing a verbal/telephone order
D. Assisting a resident with ADLs
Answer: C (Receiving or assuming responsibility for reducing a verbal/telephone
order to writing)
Expert-Verified Explanation:
Only a licensed nurse or other authorized practitioner may take verbal or
telephone medication orders from a physician or other prescriber and write them
into the medical record. Medication aides are legally prohibited from doing so
because it involves professional judgment outside their scope.
────────────────────────────────────────────────────────
15. A medication aide must complete a 7-hour continuing education program
approved by HHSC:
A. After 10 years of employment
B. Before the expiration of the first renewal of the permit
C. Only if the facility requests it
D. Only if the medication aide chooses to change jobs
Answer: B (Before the expiration of the first renewal of the permit)
, Expert-Verified Explanation:
Continuing education ensures that medication aides remain current on best
practices, regulatory changes, and clinical updates. In Texas, a 7-hour HHSC-
approved education course must be completed before the permit’s first renewal
to maintain an active and valid status.
────────────────────────────────────────────────────────
16. Ophthalmic refers to drugs administered into the:
A. Ear
B. Nose
C. Eye
D. Rectum
Answer: C (Eye)
Expert-Verified Explanation:
“Ophthalmic” pertains to the eye. Eye drops, ointments, and other ophthalmic
preparations must be sterile and correctly administered to avoid contamination
and ensure therapeutic effect for conditions such as infections or glaucoma.
────────────────────────────────────────────────────────
17. Which website is a good resource pertaining to infection control?
A. we.cdc.gov
B. hhs.state.tx.us
C. fda.gov
D. cdc.gov
Answer: A (we.cdc.gov)
(Note: The question text shows “- we.cdc.gov.” Interpreted here as cdc.gov
resources.)
Expert-Verified Explanation:
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
❖ Guarantee passing score
❖ Questions and Answers
❖ format set of multiple-choice
❖ Expert-Verified Explanation
❖ Verified with trusted textbooks
,────────────────────────────────────────────────────────
1. A medication aide must work under the direct supervision of a licensed nurse.
A. True
B. False
C. Only required in hospitals
D. Only required in home health settings
Answer: A (True)
Expert-Verified Explanation:
Medication aides, by definition, do not hold a nursing license. Therefore, state
regulations require them to function under the direct supervision of a licensed
nurse (LVN or RN). This ensures resident safety and accountability when handling
medications, as the licensed nurse remains the professional ultimately responsible
for overseeing and verifying the aide’s work.
────────────────────────────────────────────────────────
2. Which of the following are types of drug reactions?
A. Local effect, systemic effect, and emotional (placebo) effect
B. Allergic reactions only
C. Local and systemic effects only
D. Placebo effect only
Answer: A (Local effect, systemic effect, and emotional (placebo) effect)
Expert-Verified Explanation:
Drug reactions can be categorized by their scope and mechanism. A local effect is
confined to the site of application, a systemic effect is distributed throughout the
body (often via the bloodstream), and a placebo effect is an emotional or
psychological effect based on the patient’s expectations rather than the chemical
action of the drug. Recognizing these categories helps medication aides
understand and monitor for potential variations in how residents respond to
medications.
,────────────────────────────────────────────────────────
3. The Employee Misconduct Registry (EMR) is maintained by:
A. The Board of Nursing
B. The Texas Department of Licensing and Regulation
C. The Health and Human Services Commission (HHSC)
D. The federal government
Answer: C (The Health and Human Services Commission (HHSC))
Expert-Verified Explanation:
In Texas, the EMR is managed by HHSC. This registry tracks findings of abuse,
neglect, or misappropriation of property by employees working in state-licensed
facilities. Medication aides must be free of such listings to maintain eligibility for
employment and for holding a permit.
────────────────────────────────────────────────────────
4. Which of the following is an unwanted medication reaction?
A. Allergic reaction, drug side effect, drug toxicity
B. Therapeutic effect
C. Desired response
D. All of the above
Answer: A (Allergic reaction, drug side effect, drug toxicity)
Expert-Verified Explanation:
Unwanted or adverse medication reactions can include drug side effects (mild to
severe), drug toxicity (often due to dosing issues or organ dysfunction), and
allergic reactions (when a person’s immune system reacts to a medication).
Medication aides should promptly report any signs or symptoms of these
reactions to a supervising nurse to ensure timely intervention.
────────────────────────────────────────────────────────
,5. Which of the following is considered misappropriation of property?
A. Giving prescribed medications
B. Documenting medications in the MAR
C. Exploitation
D. Checking for drug allergies
Answer: C (Exploitation)
Expert-Verified Explanation:
Misappropriation of property involves exploiting or taking advantage of a
resident’s belongings or assets for personal gain. Exploitation is a serious offense
that can result in being listed on the Employee Misconduct Registry, revocation of
a medication aide permit, and legal consequences.
────────────────────────────────────────────────────────
6. The initial medication aide permit is valid for:
A. 6 months
B. 9 months
C. 12 months
D. 24 months
Answer: C (12 months)
Expert-Verified Explanation:
An initial medication aide permit in Texas is typically valid for 12 months. During
this period, the medication aide must meet any ongoing requirements set forth by
HHSC, which may include continuing education, adherence to proper conduct, and
supervision by a licensed nurse.
────────────────────────────────────────────────────────
7. Medications can be stored in a:
A. Resident’s bedside table
B. Unlocked drawer at the nurses’ station
,C. Medication room and medication cart
D. Staff lounge
Answer: C (Medication room and medication cart)
Expert-Verified Explanation:
Facilities must store medications safely and securely to prevent misuse or errors.
Medication rooms and securely locked medication carts are designed to maintain
correct temperature, security, and orderliness of drug storage. Proper storage
helps ensure medication integrity and safety.
────────────────────────────────────────────────────────
8. A MAR is also known as:
A. Medication Advice Request
B. Medication Addendum Roster
C. Medication Administration Record
D. Medical Activity Report
Answer: C (Medication Administration Record)
Expert-Verified Explanation:
A MAR (Medication Administration Record) is the document or chart used to
record every medication administered to a resident. It is crucial for tracking
dosages, times of administration, and ensuring continuity of care among all
healthcare staff.
────────────────────────────────────────────────────────
9. Drug preparations include which of the following?
A. Capsules only
B. Solids, semi-solids, and liquids
C. Tablets and capsules only
D. Powders and crystals only
,Answer: B (Solids, semi-solids, and liquids)
Expert-Verified Explanation:
Pharmacological preparations encompass multiple forms to accommodate
different routes of administration and patient needs. Solid forms (like tablets),
semi-solid forms (like ointments), and liquid forms (like solutions and suspensions)
are commonly encountered forms that medication aides should be familiar with.
────────────────────────────────────────────────────────
10. Which of the following reasons can HHSC deny an application for a permit?
A. Certain felony or misdemeanor convictions directly relating to the duties of a
medication aide
B. Applicant is listed as unemployable in the EMR
C. Revoked or suspended status on the NAR (Nurse Aide Registry)
D. All of the above
Answer: D (All of the above)
Expert-Verified Explanation:
The Texas Health and Human Services Commission (HHSC) has stringent
requirements for protecting residents. Criminal offenses that directly relate to job
responsibilities, listing on the EMR as unemployable, or having a
revoked/suspended nurse aide status can all bar an individual from receiving or
renewing a medication aide permit.
────────────────────────────────────────────────────────
11. Which is a type of solid dosage form?
A. Elixir
B. Suppository
C. Capsule
D. Syrup
Answer: C (Capsule)
,Expert-Verified Explanation:
A capsule is a solid (or sometimes semi-solid) dosage form where the drug is
enclosed in a gelatin shell. Elixirs and syrups are liquid forms, while a suppository
is generally considered a semi-solid intended for insertion into a body orifice.
────────────────────────────────────────────────────────
12. If a medication aide notices that a resident is experiencing a side effect, the
medication aide must:
A. Ignore the side effect if it seems mild
B. Report to the facility's charge licensed nurse
C. Document it themselves and continue
D. Ask the resident to skip the next dose
Answer: B (Report to the facility’s charge licensed nurse)
Expert-Verified Explanation:
Any adverse or unusual reactions require immediate reporting to a supervising
nurse. Medication aides do not have decision-making authority regarding altering,
discontinuing, or ignoring prescribed medication regimens. Prompt
communication ensures proper clinical evaluation and potentially prevents
complications.
────────────────────────────────────────────────────────
13. An applicant for a permit must submit an application to HHSC no later than
180 days after enrollment in a training program, including all required
documentation:
A. True
B. False
C. Only after 1 year
D. Within 90 days
Answer: B (False; it is actually 20 days)
,Expert-Verified Explanation:
Texas regulations specify a 20-day timeframe (not 180 days) for submitting
necessary applications and documentation to HHSC once enrolled in a medication
aide training program. This requirement helps ensure timely processing and
verification of eligibility.
────────────────────────────────────────────────────────
14. A prohibited practice for a medication aide includes:
A. Giving medication with nurse approval
B. Communicating changes to the nurse
C. Receiving or assuming responsibility for writing a verbal/telephone order
D. Assisting a resident with ADLs
Answer: C (Receiving or assuming responsibility for reducing a verbal/telephone
order to writing)
Expert-Verified Explanation:
Only a licensed nurse or other authorized practitioner may take verbal or
telephone medication orders from a physician or other prescriber and write them
into the medical record. Medication aides are legally prohibited from doing so
because it involves professional judgment outside their scope.
────────────────────────────────────────────────────────
15. A medication aide must complete a 7-hour continuing education program
approved by HHSC:
A. After 10 years of employment
B. Before the expiration of the first renewal of the permit
C. Only if the facility requests it
D. Only if the medication aide chooses to change jobs
Answer: B (Before the expiration of the first renewal of the permit)
, Expert-Verified Explanation:
Continuing education ensures that medication aides remain current on best
practices, regulatory changes, and clinical updates. In Texas, a 7-hour HHSC-
approved education course must be completed before the permit’s first renewal
to maintain an active and valid status.
────────────────────────────────────────────────────────
16. Ophthalmic refers to drugs administered into the:
A. Ear
B. Nose
C. Eye
D. Rectum
Answer: C (Eye)
Expert-Verified Explanation:
“Ophthalmic” pertains to the eye. Eye drops, ointments, and other ophthalmic
preparations must be sterile and correctly administered to avoid contamination
and ensure therapeutic effect for conditions such as infections or glaucoma.
────────────────────────────────────────────────────────
17. Which website is a good resource pertaining to infection control?
A. we.cdc.gov
B. hhs.state.tx.us
C. fda.gov
D. cdc.gov
Answer: A (we.cdc.gov)
(Note: The question text shows “- we.cdc.gov.” Interpreted here as cdc.gov
resources.)
Expert-Verified Explanation:
