NEBRASKA STATE MEDICATION AIDE
EXAM 2026 Questions and Answers (Graded
A) Comprehensive Competency Examination.
DOMAIN 1: LEGAL REGULATION & THE MEDICATION AIDE ACT (8 Questions)
[Multiple Choice - Domain 1.1] Under the Nebraska Medication Aide Act (172 NAC 95), what is
the minimum training requirement for an individual to be listed on the Nebraska Medication
Aide Registry?
A) 20 hours of on-the-job training
B) 40 hours of approved training [CORRECT]
C) 76 hours of combined classroom and clinical training
D) 100 hours of supervised practice
RATIONALE: The Nebraska Medication Aide Act (172 NAC 95) requires a minimum 40-hour
training program approved by the Nebraska Department of Health and Human Services
(DHHS) for an individual to qualify for placement on the Medication Aide Registry. This is
codified in Nebraska Revised Statute §71-6725 and 172 NAC 95-004.
[Multiple Choice - Domain 1.1] According to 172 NAC 95, what does "direct supervision" of a
medication aide by a licensed nurse mean?
A) The nurse is available by phone within the facility
B) The nurse is on-site and readily available [CORRECT]
C) The nurse reviews documentation at the end of each shift
D) The nurse makes weekly rounds to check on medication administration
RATIONALE: Under 172 NAC 95, "direct supervision" requires that a licensed nurse be
physically present on-site and readily available to the medication aide. This ensures
immediate intervention can occur if questions or emergencies arise during medication
administration.
[Multiple Choice - Domain 1.1] Which of the following routes is NOT included in the basic
(routine) medication routes that a standard 40-hour medication aide may administer without
additional competency certification?
, A) Oral (including sublingual and buccal)
B) Inhalation (inhalers and nebulizers)
C) Intravenous (IV) push medications [CORRECT]
D) Topical application (creams, ointments, transdermal patches)
RATIONALE: Per 172 NAC 95-005, routine routes include oral, inhalation, topical, and
instillation into eyes/ears/nose. Intravenous administration is explicitly prohibited for
medication aides. IV medications must be administered by licensed healthcare professionals
only.
[Multiple Choice - Domain 1.2] An applicant for the Nebraska Medication Aide Registry must
be of "good moral character." Which of the following criminal convictions would most likely
be considered a disqualifying crime under 172 NAC 96?
A) A misdemeanor traffic violation from 10 years ago
B) A felony conviction for theft of resident property [CORRECT]
C) A minor parking violation
D) A civil lawsuit for property damage
RATIONALE: Under 172 NAC 96-003, disqualifying crimes include those involving abuse,
neglect, or misappropriation of property. Theft of resident property constitutes
misappropriation and would likely disqualify an applicant from registry placement. The
Nebraska DHHS requires disclosure of all criminal convictions on the application.
[True/False - Domain 1.2] A medication aide applicant must be at least 16 years of age to take
the Nebraska state medication aide 40-hour exam.
A) True
B) False [CORRECT]
RATIONALE: According to Nebraska DHHS requirements and 172 NAC 95, a medication aide
must be at least 18 years of age to be placed on the registry and to work as a medication aide.
While a student may register for and complete the course prior to their 18th birthday, they
cannot take the state exam or be employed until they reach 18.
[Multiple Choice - Domain 1.2] If a medication aide's registry status becomes "lapsed," what
must occur before the aide can return to active status?
A) Simply retake and pass the state written exam
EXAM 2026 Questions and Answers (Graded
A) Comprehensive Competency Examination.
DOMAIN 1: LEGAL REGULATION & THE MEDICATION AIDE ACT (8 Questions)
[Multiple Choice - Domain 1.1] Under the Nebraska Medication Aide Act (172 NAC 95), what is
the minimum training requirement for an individual to be listed on the Nebraska Medication
Aide Registry?
A) 20 hours of on-the-job training
B) 40 hours of approved training [CORRECT]
C) 76 hours of combined classroom and clinical training
D) 100 hours of supervised practice
RATIONALE: The Nebraska Medication Aide Act (172 NAC 95) requires a minimum 40-hour
training program approved by the Nebraska Department of Health and Human Services
(DHHS) for an individual to qualify for placement on the Medication Aide Registry. This is
codified in Nebraska Revised Statute §71-6725 and 172 NAC 95-004.
[Multiple Choice - Domain 1.1] According to 172 NAC 95, what does "direct supervision" of a
medication aide by a licensed nurse mean?
A) The nurse is available by phone within the facility
B) The nurse is on-site and readily available [CORRECT]
C) The nurse reviews documentation at the end of each shift
D) The nurse makes weekly rounds to check on medication administration
RATIONALE: Under 172 NAC 95, "direct supervision" requires that a licensed nurse be
physically present on-site and readily available to the medication aide. This ensures
immediate intervention can occur if questions or emergencies arise during medication
administration.
[Multiple Choice - Domain 1.1] Which of the following routes is NOT included in the basic
(routine) medication routes that a standard 40-hour medication aide may administer without
additional competency certification?
, A) Oral (including sublingual and buccal)
B) Inhalation (inhalers and nebulizers)
C) Intravenous (IV) push medications [CORRECT]
D) Topical application (creams, ointments, transdermal patches)
RATIONALE: Per 172 NAC 95-005, routine routes include oral, inhalation, topical, and
instillation into eyes/ears/nose. Intravenous administration is explicitly prohibited for
medication aides. IV medications must be administered by licensed healthcare professionals
only.
[Multiple Choice - Domain 1.2] An applicant for the Nebraska Medication Aide Registry must
be of "good moral character." Which of the following criminal convictions would most likely
be considered a disqualifying crime under 172 NAC 96?
A) A misdemeanor traffic violation from 10 years ago
B) A felony conviction for theft of resident property [CORRECT]
C) A minor parking violation
D) A civil lawsuit for property damage
RATIONALE: Under 172 NAC 96-003, disqualifying crimes include those involving abuse,
neglect, or misappropriation of property. Theft of resident property constitutes
misappropriation and would likely disqualify an applicant from registry placement. The
Nebraska DHHS requires disclosure of all criminal convictions on the application.
[True/False - Domain 1.2] A medication aide applicant must be at least 16 years of age to take
the Nebraska state medication aide 40-hour exam.
A) True
B) False [CORRECT]
RATIONALE: According to Nebraska DHHS requirements and 172 NAC 95, a medication aide
must be at least 18 years of age to be placed on the registry and to work as a medication aide.
While a student may register for and complete the course prior to their 18th birthday, they
cannot take the state exam or be employed until they reach 18.
[Multiple Choice - Domain 1.2] If a medication aide's registry status becomes "lapsed," what
must occur before the aide can return to active status?
A) Simply retake and pass the state written exam
