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QMA State Test 2026 – 350+ Expert Verified Questions & Answers – Scope of Practice, Pharmacology & Infection Control

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This document contains 350+ expert-verified QMA State Test questions and answers for the 2026 certification exam. It provides comprehensive coverage of Qualified Medication Aide scope of practice, medication administration regulations, infection control procedures, oxygen therapy guidelines, gastrointestinal pharmacology, musculoskeletal medications, ophthalmic drugs, cardiovascular terminology, and legal responsibilities in long-term care settings. The guide thoroughly explains QMA limitations and permitted tasks, including hemoccult testing, controlled substance counting and documentation, metered-dose inhaler administration, G-tube and J-tube medication administration (with physician order), and commercially prepared enema instillation (120 mL). It clearly outlines prohibited actions such as assessment of residents, nasogastric tube medication administration, initiating oxygen except in emergencies, and receiving physician orders. Legal concepts including Duty of Care, negligence, malpractice, assault and battery, standard of care, slander, and Code of Ethics are defined in detail, along with Residents’ Rights and the Six Rights of Medication Administration. A significant portion of the material focuses on pharmacology classifications and nursing considerations. Topics include antacids, anti-ulcer agents (H2 receptor antagonists), antiemetics, emetics, antidiarrheals, opiates, laxatives (saline, lubricant, stimulant, stool softeners), analgesics, NSAIDs, corticosteroids, skeletal muscle relaxants, anti-gout medications, glaucoma treatments (miotics, beta blockers), mydriatics, lubricating eye drops, and GI motility agents. The document explains mechanisms of action, adverse effects, contraindications, and monitoring considerations such as blood glucose monitoring for steroid use and bleeding risks with NSAIDs and anticoagulants. Infection control principles are thoroughly reviewed, including the chain of infection (pathogen, reservoir, portal of exit, transmission, portal of entry, susceptible host), medical asepsis, nosocomial infections, pathogen identification, and proper hygiene procedures. Oxygen therapy management is detailed, including concentrators, portable tanks, humidity use, nasal cannula placement, oximetry interpretation, and respiratory distress signs. The material also includes terminology related to cardiovascular disorders (myocardial infarction, embolism, arteritis, systolic pressure, atheroma), immune responses, endocrine disorders, musculoskeletal anatomy, and digestive system physiology. Additionally, the document outlines QMA recertification requirements, annual in-service education timelines (March 1 – end of February), practicum completion deadlines, medication error thresholds (5% or less), proper disposal of unused medications, controlled substance regulations, and documentation standards. Abbreviations commonly used in medication administration (bid, tid, qid, ac, pc, qhs, qam, PRN, STAT, OD, OS, OU, TPR, VS) are clearly explained. This resource is ideal for: QMA State certification candidates Medication Aide trainees CNA to QMA bridge students Long-term care medication aides Nursing assistant students preparing for medication credentialing It is relevant for preparation programs such as: Qualified Medication Aide State Exam Preparation Long-Term Care Medication Administration Certification CNA to QMA Transition Programs Pharmacology for Medication Aides State Medication Aide Competency Review Keywords: QMA State Test 2026, Qualified Medication Aide State Exam, QMA Scope of Practice, Six Rights of Medication Administration, Infection Control Chain of Infection, Hemoccult Testing Procedure, Controlled Substance Documentation, Oxygen Therapy Guidelines, GI Pharmacology Review, Antiulcer H2 Receptor Antagonists, NSAIDs and Steroid Monitoring, Glaucoma Miotic Eye Drops, Duty of Care Negligence, Medication Abbreviations Review, QMA Recertification Requirements

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QMA State Test 2026 Expert
Verified | Ace the Test



ccms - 🧠 ANSWER ✔✔clean catch midstream


QMA scope of practice - 🧠 ANSWER ✔✔may perform hemoccult testing on

stool specimens as ordered by a physician


hemoccult testing - 🧠 ANSWER ✔✔A screen for fecal occult blood


Hemoccult test slide (quaiac paper) - 🧠 ANSWER ✔✔assess for expiration

date

,hypovalemia - 🧠 ANSWER ✔✔state of decreased blood volume. May cause

a high false oximetry reading.

QMA's may not apply oxygen to a resident in an emergency without a

physicians order. - 🧠 ANSWER ✔✔However there is often a PRN order for

oxygen when the resident falls short of breath/oxygen saturation levels are

low.

QMA's may initiate a nasal cannula only in an emergency situation. - 🧠

ANSWER ✔✔QMA's may initiate non-sealing mask per emergency or PRN

situation.

oxygen dries out the mucous membranes of the mouth and respiratory

system. - 🧠 ANSWER ✔✔The physician may order humidity to be placed

on the oxygen source.

Physician ordered humidity along w/ oxygen. (distilled water) - 🧠 ANSWER

✔✔This means gas passes through the water and water vapor is picked up

before going to the resident.

When applying sterile/distilled water to residents oxygen remember to. - 🧠

ANSWER ✔✔discard the sterile/distilled water after 2 weeks.

,Portable oxygen tanks - 🧠 ANSWER ✔✔have a few lbs of oxygen, they can

last up to 8 hrs.

Oxygen concentrator weighs approximately 35 lbs. It must be plugged in to

an electrical outlet. - 🧠 ANSWER ✔✔Concentrator's extract oxygen from

the room air and circulates it back to the resident.

Do not use petroleum (vasoline) to resident's nares during administration of

oxygen. - 🧠 ANSWER ✔✔Example: dry lips, chap-stick should not be

applied if it has vasoline in it.


Signs/symptoms of respiratory distress - 🧠 ANSWER ✔✔rapid pulse,

rapid,shallow, flaring nostrils, restlessness respirations, cyanosis.

Position the resident in a Semi-Fowler's or Fowler's to maintain an open

airway. - 🧠 ANSWER ✔✔Apply ordered oxygen administration device.


Nasal cannula 1/2 inch prongs should be placed? - 🧠 ANSWER ✔✔in a

downward direction.


A reading on the oximetry of 90% may indicate? - 🧠 ANSWER ✔✔Resident

need to be given oxygen'




COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, Instilling a Commercially Prepared Disposable Enema. - 🧠 ANSWER

✔✔Solution into the rectum and sigmoid colon. Removes feces/flatus.


QMA's may only instill a commercially prepared enema which contains

approximately - 🧠 ANSWER ✔✔120ml (4oz.) of fluid.


Commercially Prepared Disposable Enema's increases water absorption in

the small intestine by osmotic action. - 🧠 ANSWER ✔✔A laxative effect that

occurs due to increased peristalsis and water retention.


Sodium bi-phosphate (fleet enema) - 🧠 ANSWER ✔✔is a saline laxative

commonly ordered to be administered.

Record color, consistency and amount after resident has had a - 🧠

ANSWER ✔✔bowl movement from a prepared disposable enema


A localized collection of puss in any part of the body which is the result of

disintegration or displacement of tissue. - 🧠 ANSWER ✔✔Abscess


Chemical present in many organs and tissues of the body that has

important physiological functions, ex: transmission of a nerve impulse

across a synapse i.e. neurotransmitters. - 🧠 ANSWER ✔✔Acetylcholine

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