MAINE CRMA CERTIFICATION EXAM
2026/2027 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST |BRAND NEW
VERSION|JUST RELEASED!!
How does the CRMA document on a paper MAR and in what color ink?
The CRMA must place their initials in the box on the MAR, after following the safe 8 rights of
medication administration. They can use only black or blue ink.
The CRMA will use the back of the MAR to note their initial, name, credentials every month on
every page and all other documentation related to the med pass is documented on the back of
the MAR for detailed information (example- client out at hospital, out for day with family,
refused medication(s), ALL reasons MUST be documented clearly on back of MAR and noted on
front of MAR w/ circled initials
How many staff review the MAR prior to the start of the following month for accuracy?
TWO - Two staff (CRMA's) do a monthly review to assure all orders on MAR are accurate to the
provider orders. The two staff sign on the MAR noting they have checked the MAR for accuracy -
This is done using the previous month MAR and the providers orders.
Can you note both the trade name and generic name of a medication on the MAR?
YES - it's actually best practice to include both on the MAR. It should look like this example:
Acetaminophen (Tylenol) - All medications should be written with both trade and generic name
on the MAR
What does the CRMA do if he/she notes a hole in the MAR?
1|Page
,Begin the medication incident report procedure the company has in place. Not signing the MAR,
even if the CRMA gave the medication, is a medication error. The MAR MUST be signed by the
CRMA at the time the medication has been administered.
"If it isn't documented, it didn't happen!"
Who is the best resource for understanding expiration periods/life spans of medications?
The pharmacist
Does the CRMA need to date newly opened bottles of medications, newly opened insulin
vials/pens, and all other newly opened medications?
YES - All medications have a life span. The open date is essential in assuring that the medication
remains viable.
EXAMPLE: A CRMA opens a lantus insulin pen, date opened is 8/1/2022, the date the pen
expires is 8/28/22. This insulin expires 28 days after initial use.
Is there an expiration date on prescription medications packaged in bubble pack/bingo cards?
YES - all medications have an expiration date. The CRMA should be monitoring for the expiration
date prior to administration of medications.
What is considered a medication error?
A medication error occurs when the person administering medication makes an error by way of:
transcription (transcribing the order incorrectly), Documentation (medication is administered
but no initials are on the MAR or a PRN med is administered by no results/follow up is
documented, Omission (med not administered), Commission (medication administered in error
- wrong med, dose, route, client, time)
Can the CRMA administer a medication that has been contaminated?
NO - a CRMA may NEVER administer a medication that has evidence of being tampered with,
any deterioration/damage of med, or a medication that has been dropped or contaminated
*The CRMA must follow the companies policy for destruction of medications - 2 CRMA's may
destroy routine medications and schedule III-V (if company policy allows this practice by a
2|Page
,CRMA). The CRMA will document the medication, dose, appearance, description of what
happened and have another CRMA witness the destruction of the med. - A CRMA may NEVER
destroy a schedule II medication
The CRMA begins the medication preparation. She/he recognizes that a label has been damaged
by water and is difficult to read. The CRMA knows what the medication is because they do this
med pass all the time - Is it okay for the CRMA to administer this medication?
NO - the CRMA can not administer medications that have an illegible label or a label that does
not correspond with the order
Is is a good idea to memorize the client/resident MAR?
NO, NEVER - The CRMA should be very diligent in medication administration, following the 8
safe rights of medication administration with the three checks for EVERY medication prepared.
The CRMA should not attempt to memorize the MAR - this could create a fatal error.
What routes of medication administration can a CRMA administer?
Oral, Rectal, Vaginal, Topical, Ophthalmic (eye), Otic (ear), Nasal, Inhalation
*With one on one education by a Registered Nurse (RN) the CRMA may administer injectable
insulin and/or EpiPen
The client/resident shows a dramatic change in status (signs of a seizure, unconsciousness,
difficulty breathing, or other health-threatening change) what does the CRMA do?
Call 911 - Do not administer medications for a client/resident in a health crisis
A medication is ordered "AC", what does this mean?
AC= before meals
A medication is ordered to be administered 30 minutes "PC", what does this mean?
Administer the medication 30 minutes after meal
A medication is ordered STAT, what does this mean?
3|Page
, Give immediately
The client/resident has an order for Lactulose solution 10g/15ml, administer 15 ml by mouth six
times daily for cirrhosis of the liver. How will the CRMA measure and administer this
medication?
The CRMA will use a measuring device (clear plastic medication cup with clear measuring
instructions, measuring on a flat surface or needleless syringe that can measure 15 mls).
Can the CRMA use a kitchen spoon to measure a liquid medication?
NO - a spoon that is used to eat foods is not an accurate measurement. ALWAYS use a device
with clear indications of measurements. NEVER estimate doses
Can a CRMA split medications?
This is at the discretion of the company/agency. A CRMA can split medications that are scored
per regulation. DO NOT split medications without the approval of your supervisor
The client/resident is alert and oriented and understands day to day activities. The client asks
the CRMA to leave the medications on their table and they will take it after they brush their
teeth. What should the CRMA do in this event?
Allow the client/resident time to brush their teeth and return with the medications later. DO
NOT leave medications at a client/residents beside!
*The only way this is a legal act is if the client/resident has orders that read "may leave
medications at beside"
Can a client/resident in an assisted living or group home setting self-administer medications?
YES - they must have an assessment and be found safe and capable of self administration of
medications. The medications MUST be locked up in the client/residents room at all times.
Can the CRMA administer a medication that they are not aware of the indication?
4|Page
2026/2027 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS |CURRENTLY TESTING
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|NEWEST |BRAND NEW
VERSION|JUST RELEASED!!
How does the CRMA document on a paper MAR and in what color ink?
The CRMA must place their initials in the box on the MAR, after following the safe 8 rights of
medication administration. They can use only black or blue ink.
The CRMA will use the back of the MAR to note their initial, name, credentials every month on
every page and all other documentation related to the med pass is documented on the back of
the MAR for detailed information (example- client out at hospital, out for day with family,
refused medication(s), ALL reasons MUST be documented clearly on back of MAR and noted on
front of MAR w/ circled initials
How many staff review the MAR prior to the start of the following month for accuracy?
TWO - Two staff (CRMA's) do a monthly review to assure all orders on MAR are accurate to the
provider orders. The two staff sign on the MAR noting they have checked the MAR for accuracy -
This is done using the previous month MAR and the providers orders.
Can you note both the trade name and generic name of a medication on the MAR?
YES - it's actually best practice to include both on the MAR. It should look like this example:
Acetaminophen (Tylenol) - All medications should be written with both trade and generic name
on the MAR
What does the CRMA do if he/she notes a hole in the MAR?
1|Page
,Begin the medication incident report procedure the company has in place. Not signing the MAR,
even if the CRMA gave the medication, is a medication error. The MAR MUST be signed by the
CRMA at the time the medication has been administered.
"If it isn't documented, it didn't happen!"
Who is the best resource for understanding expiration periods/life spans of medications?
The pharmacist
Does the CRMA need to date newly opened bottles of medications, newly opened insulin
vials/pens, and all other newly opened medications?
YES - All medications have a life span. The open date is essential in assuring that the medication
remains viable.
EXAMPLE: A CRMA opens a lantus insulin pen, date opened is 8/1/2022, the date the pen
expires is 8/28/22. This insulin expires 28 days after initial use.
Is there an expiration date on prescription medications packaged in bubble pack/bingo cards?
YES - all medications have an expiration date. The CRMA should be monitoring for the expiration
date prior to administration of medications.
What is considered a medication error?
A medication error occurs when the person administering medication makes an error by way of:
transcription (transcribing the order incorrectly), Documentation (medication is administered
but no initials are on the MAR or a PRN med is administered by no results/follow up is
documented, Omission (med not administered), Commission (medication administered in error
- wrong med, dose, route, client, time)
Can the CRMA administer a medication that has been contaminated?
NO - a CRMA may NEVER administer a medication that has evidence of being tampered with,
any deterioration/damage of med, or a medication that has been dropped or contaminated
*The CRMA must follow the companies policy for destruction of medications - 2 CRMA's may
destroy routine medications and schedule III-V (if company policy allows this practice by a
2|Page
,CRMA). The CRMA will document the medication, dose, appearance, description of what
happened and have another CRMA witness the destruction of the med. - A CRMA may NEVER
destroy a schedule II medication
The CRMA begins the medication preparation. She/he recognizes that a label has been damaged
by water and is difficult to read. The CRMA knows what the medication is because they do this
med pass all the time - Is it okay for the CRMA to administer this medication?
NO - the CRMA can not administer medications that have an illegible label or a label that does
not correspond with the order
Is is a good idea to memorize the client/resident MAR?
NO, NEVER - The CRMA should be very diligent in medication administration, following the 8
safe rights of medication administration with the three checks for EVERY medication prepared.
The CRMA should not attempt to memorize the MAR - this could create a fatal error.
What routes of medication administration can a CRMA administer?
Oral, Rectal, Vaginal, Topical, Ophthalmic (eye), Otic (ear), Nasal, Inhalation
*With one on one education by a Registered Nurse (RN) the CRMA may administer injectable
insulin and/or EpiPen
The client/resident shows a dramatic change in status (signs of a seizure, unconsciousness,
difficulty breathing, or other health-threatening change) what does the CRMA do?
Call 911 - Do not administer medications for a client/resident in a health crisis
A medication is ordered "AC", what does this mean?
AC= before meals
A medication is ordered to be administered 30 minutes "PC", what does this mean?
Administer the medication 30 minutes after meal
A medication is ordered STAT, what does this mean?
3|Page
, Give immediately
The client/resident has an order for Lactulose solution 10g/15ml, administer 15 ml by mouth six
times daily for cirrhosis of the liver. How will the CRMA measure and administer this
medication?
The CRMA will use a measuring device (clear plastic medication cup with clear measuring
instructions, measuring on a flat surface or needleless syringe that can measure 15 mls).
Can the CRMA use a kitchen spoon to measure a liquid medication?
NO - a spoon that is used to eat foods is not an accurate measurement. ALWAYS use a device
with clear indications of measurements. NEVER estimate doses
Can a CRMA split medications?
This is at the discretion of the company/agency. A CRMA can split medications that are scored
per regulation. DO NOT split medications without the approval of your supervisor
The client/resident is alert and oriented and understands day to day activities. The client asks
the CRMA to leave the medications on their table and they will take it after they brush their
teeth. What should the CRMA do in this event?
Allow the client/resident time to brush their teeth and return with the medications later. DO
NOT leave medications at a client/residents beside!
*The only way this is a legal act is if the client/resident has orders that read "may leave
medications at beside"
Can a client/resident in an assisted living or group home setting self-administer medications?
YES - they must have an assessment and be found safe and capable of self administration of
medications. The medications MUST be locked up in the client/residents room at all times.
Can the CRMA administer a medication that they are not aware of the indication?
4|Page
