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QMA State Test 2025 Study Guide | Practice Questions & Key Concepts

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Prepare for the QMA State Test 2025 with this comprehensive study guide covering all essential concepts. Focus areas include safe medication administration, patient care, legal responsibilities, and infection control. This guide includes original practice questions with detailed explanations to strengthen understanding and exam readiness. Ideal for aspiring QMAs seeking full preparation and confidence before the state exam. Master key concepts and excel in your QMA certification with structured, exam-focused practice.

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QMA State Test NEWEST 2026 ACTUAL EXAM TEST- COMPLETE REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ (MOST RECENT!!)


1

Which of the following is the first step before administering any medication?

Answer:
Wash hands or use hand sanitizer.

Rationale:
Hand hygiene prevents the spread of infection and is required before all medication
administration.



2

A resident refuses their morning medication. What should the QMA do?

Answer:
Document the refusal and notify the nurse.

Rationale:
Residents have the right to refuse medication; documentation ensures compliance and continuity
of care.



3

What is the “five rights” of medication administration?

Answer:
Right resident, right drug, right dose, right route, right time.

Rationale:
Following these rights prevents medication errors and ensures safety.


2026 2027 GRADED A+

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4

Before giving an oral medication, the QMA should:

Answer:
Check the resident’s ability to swallow.

Rationale:
Prevents choking and ensures proper medication delivery.



5

A resident reports an allergy to penicillin. What is the QMA’s next step?

Answer:
Notify the nurse before giving any antibiotics.

Rationale:
Preventing allergic reactions is critical; the nurse determines safe alternatives.



6

Which of the following is an example of a PRN medication?

Answer:
Pain reliever given as needed for discomfort.

Rationale:
PRN medications are administered based on resident’s symptoms or condition.



7

A QMA should document medication administration:

Answer:
Immediately after giving the medication.

Rationale:
Timely documentation ensures accuracy and legal compliance.


2026 2027 GRADED A+

,3|Page




8

A liquid medication should be measured at:

Answer:
Eye level on a flat surface using a calibrated cup.

Rationale:
This ensures accurate dosing.



9

If a resident vomits immediately after taking oral medication, the QMA should:

Answer:
Report to the nurse before re-administering.

Rationale:
Medication may not have been absorbed; the nurse decides next steps.



10

Which is a common cause of medication errors?

Answer:
Failing to follow the five rights.

Rationale:
Checking all rights reduces the likelihood of errors.



11

The QMA finds a medication missing from a blister pack. What should they do?

Answer:
Report to the nurse before administering any medication.

Rationale:
Ensures correct dosage and maintains inventory accountability.


2026 2027 GRADED A+

, 4|Page




12

A resident asks why they are taking a new medication.

Answer:
Refer the question to the nurse or prescriber.

Rationale:
Only licensed staff can explain medication indications and effects.



13

Before giving an eye drop, the QMA should:

Answer:
Wash hands, wear gloves if needed, and instill in the lower conjunctival sac.

Rationale:
Prevents contamination and ensures proper absorption.



14

Which route bypasses the digestive system?

Answer:
Sublingual (under the tongue).

Rationale:
Sublingual medications absorb directly into the bloodstream.



15

A resident is prescribed a topical cream. The QMA should:

Answer:
Clean and dry the area before applying.

Rationale:
Ensures proper absorption and reduces risk of infection.


2026 2027 GRADED A+

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