2027) MOST COMPREHENSIVE - TO PASS
THE EXAM, 100% VERIFIED - UPDATED
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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 are not licensed nurses and therefore must work under the
supervision of a licensed nurse (RN or LVN). This ensures resident safety and
accountability when handling medications, as the nurse retains ultimate responsibility
for verifying administration.
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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 include:
Local effects – limited to the area of administration (e.g., topical rash).
Systemic effects – affecting the whole body through the bloodstream.
Placebo effect – psychological response based on expectations rather than the
chemical action.
Recognizing all types helps aides monitor residents effectively.
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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:
The EMR is a Texas HHSC database tracking findings of abuse, neglect, or
misappropriation by employees in licensed facilities. Medication aides must be clear of
listings to maintain employment eligibility and their 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:
Adverse reactions include allergic reactions, toxicity, or side effects. Medication aides
must report these promptly to a licensed nurse to prevent harm. Therapeutic or
desired responses are expected effects and not considered unwanted reactions.
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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 includes taking advantage of a resident’s belongings or funds for
personal gain. Exploitation is serious and can result in EMR listing, permit revocation,
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:
Texas HHSC issues an initial permit valid for 12 months. During this period, aides must
meet continuing education, follow facility regulations, and remain under nurse
supervision.
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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:
Safe and secure storage prevents errors and misuse. Medication rooms and locked
carts maintain proper temperature and control access.
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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:
The MAR records all medications given, including dosages, times, and resident
responses. Accurate documentation ensures safety and continuity of care.
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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:
Medications are prepared in solids (tablets), semi-solids (ointments), and liquids
(solutions) to suit administration routes and resident needs. Aides must recognize all
forms.
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10. Which of the following reasons can HHSC deny an application for a
permit?
A. Certain felony or misdemeanor convictions directly relating to medication aide
duties
B. Applicant is listed as unemployable in the EMR
C. Revoked or suspended status on the Nurse Aide Registry (NAR)
D. All of the above
Answer: D (All of the above)
Expert-Verified Explanation:
HHSC protects residents by denying permits to individuals with criminal offenses
related to care duties, EMR unemployable status, or revoked/suspended NAR status.
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11. Which is a type of solid dosage form?
A. Elixir
B. Suppository
C. Capsule
D. Syrup
Answer: C (Capsule)
Expert-Verified Explanation:
Capsules are solid (or semi-solid) dosage forms. Elixirs and syrups are liquids;
suppositories are semi-solids designed for insertion.
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12. If a medication aide notices that a resident is experiencing a side effect,
the aide must:
A. Ignore the side effect if 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)