Maine CRMA Certification Newest Exam
Preparation Newest 2026-2027 With Complete
Questions And Correct Detailed Answers| Brand
New Version
What are variables that impact medication absorption? - ANSWER-Age
(babies must have a smaller dose, elderly metabolize medications
slower), Gender, Body weight/physical status, Metabolic rate,
Psychological aspects
What is required in a providers order? - ANSWER-Resident/client name,
medication, dose, time/frequency, route, any special instructions or
indications, date order written, providers signature
What do you do if not all components are on the order or you are
unable to read an order? - ANSWER-Call the provider and request a
clarification order
What is required in the orders, in addition to the 8 necessary
components, for as needed psychotropic medications? - ANSWER-The
provider must include all 8 necessary components and specific
1|Page
,indications for use (specific behaviors), directions for administration
with exact dosing, exact time frame between doses, a max dose for 24h
period, when provider wishes to be notified or administration.
EXAMPLE: Zyprexa ODT 5mg, administer one 5mg tab every 6 hours as
needed for agitation, max dose 10 mg in 24 hrs, notify provider is
medication is administered as needed more than two days
consecutively.
What medications are are part of the psychotropic class of medications?
- ANSWER-Antipsychotics, antidepressants, antianxiety,
hypnotics/tranquilizers
Who can accept a telephone order? - ANSWER-The pharmacist, RN, LPN
Can you accept a faxed ordered? - ANSWER-Yes, as long as all the
components are on the faxed order, a CRMA can accept a faxed order
What are standing orders? - ANSWER-Standing orders are a set of
orders for medications to be used on an as needed basis to treat acute
needs
Example: Tylenol for complaints of pain or temperature, Cough syrup
for congestion/cough
2|Page
,Can the CRMA use standing orders? - ANSWER-Yes, the CRMA may
administer medications as ordered
The CRMA MUST have signed/dated orders for ALL medications
administered
What does the CRMA do when he/she receives a new order? -
ANSWER-The CRMA transcribes the order to the MAR, faxes the order
to the pharmacy, informs the guardian/first to contact (as appropriate),
then notes the order
Example: "1st noted S.Smith, CRMA transcribed to MAR, Faxed to
pharmacy, Guardian notified"
How many people are required to note the orders? - ANSWER-Two - the
initial noting should include transcription to MAR, faxing to pharmacy,
notification to guardian/1st to contact. The second noting should
review the order, the transcription, and assure that all components are
complete and accurate
Can you transcribe and order from a picture of an order or a medication
bottle? - ANSWER-NO - NEVER
The CRMA MUST have the tangible order in front of them to follow all
noting steps - A picture of an order or a picture of a prescription bottle
is NEVER acceptable! This violates HIPPA and is an unsafe practice
3|Page
, How long are orders received from a hospital discharge summary
acceptable for? - ANSWER-72 hrs - The orders must be reviewed and
approved by the client/residents primary provider within 72 hrs from
discharge from hospital
How does the CRMA transcribe new orders? - ANSWER-Once the order
is received, the CRMA will read the order and assure the order is
complete with all the required components. The CRMA will write the
medication, dose, time of administration, route, and indications on the
MAR in black or blue ink only. The CRMA will assure that the date and
time to begin to administer the medication is clearly indicated, times
administered should coincide with facility times as much as possible. A
stop date should be indicated if appropriate. The CRMA will fax the new
order to the pharmacy and note the order. Another CRMA will review
the transcription and second note the order
Can a highlighter be used on the MAR? - ANSWER-Yes - only for specific
reasons: blocking out days prior to start date of new meds, for
discontinued meds "noting medication discontinued, CRMA initials and
date" - this may be written in red ink.
Do not use the highlighter to highlight empty boxes, it should only be
used to indicate discontinued meds and for dates medication not
ordered for administration.
Can discontinued medications remain in the medication cart or
medication bin? - ANSWER-NO - all discontinued or expired medications
4|Page
Preparation Newest 2026-2027 With Complete
Questions And Correct Detailed Answers| Brand
New Version
What are variables that impact medication absorption? - ANSWER-Age
(babies must have a smaller dose, elderly metabolize medications
slower), Gender, Body weight/physical status, Metabolic rate,
Psychological aspects
What is required in a providers order? - ANSWER-Resident/client name,
medication, dose, time/frequency, route, any special instructions or
indications, date order written, providers signature
What do you do if not all components are on the order or you are
unable to read an order? - ANSWER-Call the provider and request a
clarification order
What is required in the orders, in addition to the 8 necessary
components, for as needed psychotropic medications? - ANSWER-The
provider must include all 8 necessary components and specific
1|Page
,indications for use (specific behaviors), directions for administration
with exact dosing, exact time frame between doses, a max dose for 24h
period, when provider wishes to be notified or administration.
EXAMPLE: Zyprexa ODT 5mg, administer one 5mg tab every 6 hours as
needed for agitation, max dose 10 mg in 24 hrs, notify provider is
medication is administered as needed more than two days
consecutively.
What medications are are part of the psychotropic class of medications?
- ANSWER-Antipsychotics, antidepressants, antianxiety,
hypnotics/tranquilizers
Who can accept a telephone order? - ANSWER-The pharmacist, RN, LPN
Can you accept a faxed ordered? - ANSWER-Yes, as long as all the
components are on the faxed order, a CRMA can accept a faxed order
What are standing orders? - ANSWER-Standing orders are a set of
orders for medications to be used on an as needed basis to treat acute
needs
Example: Tylenol for complaints of pain or temperature, Cough syrup
for congestion/cough
2|Page
,Can the CRMA use standing orders? - ANSWER-Yes, the CRMA may
administer medications as ordered
The CRMA MUST have signed/dated orders for ALL medications
administered
What does the CRMA do when he/she receives a new order? -
ANSWER-The CRMA transcribes the order to the MAR, faxes the order
to the pharmacy, informs the guardian/first to contact (as appropriate),
then notes the order
Example: "1st noted S.Smith, CRMA transcribed to MAR, Faxed to
pharmacy, Guardian notified"
How many people are required to note the orders? - ANSWER-Two - the
initial noting should include transcription to MAR, faxing to pharmacy,
notification to guardian/1st to contact. The second noting should
review the order, the transcription, and assure that all components are
complete and accurate
Can you transcribe and order from a picture of an order or a medication
bottle? - ANSWER-NO - NEVER
The CRMA MUST have the tangible order in front of them to follow all
noting steps - A picture of an order or a picture of a prescription bottle
is NEVER acceptable! This violates HIPPA and is an unsafe practice
3|Page
, How long are orders received from a hospital discharge summary
acceptable for? - ANSWER-72 hrs - The orders must be reviewed and
approved by the client/residents primary provider within 72 hrs from
discharge from hospital
How does the CRMA transcribe new orders? - ANSWER-Once the order
is received, the CRMA will read the order and assure the order is
complete with all the required components. The CRMA will write the
medication, dose, time of administration, route, and indications on the
MAR in black or blue ink only. The CRMA will assure that the date and
time to begin to administer the medication is clearly indicated, times
administered should coincide with facility times as much as possible. A
stop date should be indicated if appropriate. The CRMA will fax the new
order to the pharmacy and note the order. Another CRMA will review
the transcription and second note the order
Can a highlighter be used on the MAR? - ANSWER-Yes - only for specific
reasons: blocking out days prior to start date of new meds, for
discontinued meds "noting medication discontinued, CRMA initials and
date" - this may be written in red ink.
Do not use the highlighter to highlight empty boxes, it should only be
used to indicate discontinued meds and for dates medication not
ordered for administration.
Can discontinued medications remain in the medication cart or
medication bin? - ANSWER-NO - all discontinued or expired medications
4|Page
