INDIANA QMA STATE TEST NEWEST
2025/ 2026 ACTUAL EXAM TEST
BANK| COMPLETE 200 REAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (BRAND
NEW!!)
1. A resident refuses their morning dose of lisinopril. The
QMA should:
A) Crush the pill and hide it in applesauce
B) Document the refusal and notify the nurse
C) Try again in 15 minutes without telling the nurse
D) Ask the family to force the medication
Answer: B
Rationale: Refusals must be documented immediately and the
licensed nurse notified. Forcing medication is illegal and unethical.
2. Which of the following is NOT a “Right” of medication
administration?
A) Right resident
B) Right time
,C) Right diagnosis
D) Right documentation
Answer: C
Rationale: The 6 rights are: right resident, drug, dose, route, time,
documentation. Diagnosis is not a right.
3. A QMA in Indiana may administer which of the following?
A) IV push medications
B) PRN pain medication without a nurse’s approval
C) Oral, topical, ophthalmic, otic, and nasal medications
D) Chemotherapy agents
Answer: C
Rationale: Indiana QMA scope includes oral, topical, eye, ear,
nose medications, but NOT IV, chemo, or PRN without nurse
assessment.
4. A resident takes digoxin. The QMA should check which vital
sign before administration?
A) Temperature
B) Respiratory rate
C) Apical pulse
D) Blood pressure
,Answer: C
Rationale: Digoxin slows the heart rate. Hold if apical pulse <60
or >100 (per facility policy) and notify nurse.
5. The QMA sees a medication crushed on a plate. The nurse is
busy. The QMA should:
A) Administer it as is
B) Mix it with applesauce and give it
C) Ask the nurse if it should be crushed
D) Leave it for the next shift
Answer: C
Rationale: Only certain medications can be crushed (e.g., no
enteric-coated or sustained-release). Check with the nurse.
6. A resident has a new order for eye drops. The QMA should:
A) Instill drops directly onto the cornea
B) Touch the dropper tip to the eye to ensure accuracy
C) Instill into the lower conjunctival sac
D) Have the resident look up and squeeze eyes shut hard
Answer: C
Rationale: Drops go into lower conjunctival sac. Never touch the
eye or dropper tip to prevent contamination.
, 7. Which medication requires a QMA to wear gloves during
administration?
A) Acetaminophen tablet
B) Nitroglycerin ointment
C) Multivitamin
D) Calcium pill
Answer: B
Rationale: Topical medications (creams, ointments, patches)
require gloves to avoid absorption into the QMA’s skin.
8. A QMA accidentally gives the wrong medication. The FIRST
action is:
A) Complete an incident report
B) Call the family
C) Assess the resident and notify the nurse immediately
D) Wait to see if any reaction occurs
Answer: C
Rationale: Resident safety first — assess and notify the nurse
immediately. Documentation comes after.
9. Which of the following is a common side effect of blood
pressure medications like metoprolol?
A) Diarrhea
B) Dizziness
2025/ 2026 ACTUAL EXAM TEST
BANK| COMPLETE 200 REAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (BRAND
NEW!!)
1. A resident refuses their morning dose of lisinopril. The
QMA should:
A) Crush the pill and hide it in applesauce
B) Document the refusal and notify the nurse
C) Try again in 15 minutes without telling the nurse
D) Ask the family to force the medication
Answer: B
Rationale: Refusals must be documented immediately and the
licensed nurse notified. Forcing medication is illegal and unethical.
2. Which of the following is NOT a “Right” of medication
administration?
A) Right resident
B) Right time
,C) Right diagnosis
D) Right documentation
Answer: C
Rationale: The 6 rights are: right resident, drug, dose, route, time,
documentation. Diagnosis is not a right.
3. A QMA in Indiana may administer which of the following?
A) IV push medications
B) PRN pain medication without a nurse’s approval
C) Oral, topical, ophthalmic, otic, and nasal medications
D) Chemotherapy agents
Answer: C
Rationale: Indiana QMA scope includes oral, topical, eye, ear,
nose medications, but NOT IV, chemo, or PRN without nurse
assessment.
4. A resident takes digoxin. The QMA should check which vital
sign before administration?
A) Temperature
B) Respiratory rate
C) Apical pulse
D) Blood pressure
,Answer: C
Rationale: Digoxin slows the heart rate. Hold if apical pulse <60
or >100 (per facility policy) and notify nurse.
5. The QMA sees a medication crushed on a plate. The nurse is
busy. The QMA should:
A) Administer it as is
B) Mix it with applesauce and give it
C) Ask the nurse if it should be crushed
D) Leave it for the next shift
Answer: C
Rationale: Only certain medications can be crushed (e.g., no
enteric-coated or sustained-release). Check with the nurse.
6. A resident has a new order for eye drops. The QMA should:
A) Instill drops directly onto the cornea
B) Touch the dropper tip to the eye to ensure accuracy
C) Instill into the lower conjunctival sac
D) Have the resident look up and squeeze eyes shut hard
Answer: C
Rationale: Drops go into lower conjunctival sac. Never touch the
eye or dropper tip to prevent contamination.
, 7. Which medication requires a QMA to wear gloves during
administration?
A) Acetaminophen tablet
B) Nitroglycerin ointment
C) Multivitamin
D) Calcium pill
Answer: B
Rationale: Topical medications (creams, ointments, patches)
require gloves to avoid absorption into the QMA’s skin.
8. A QMA accidentally gives the wrong medication. The FIRST
action is:
A) Complete an incident report
B) Call the family
C) Assess the resident and notify the nurse immediately
D) Wait to see if any reaction occurs
Answer: C
Rationale: Resident safety first — assess and notify the nurse
immediately. Documentation comes after.
9. Which of the following is a common side effect of blood
pressure medications like metoprolol?
A) Diarrhea
B) Dizziness
