Nebraska Med Aide Written Certification
Exam – Questions and Answers (100%
Verified) 2026/2027 Edition.
Question 1 (Multiple Choice)
Under the Nebraska Medication Aide Act and 172 NAC 95, which of the following best defines
the role of a registered Medication Aide?
A) A licensed healthcare professional who may independently assess residents and administer
all medications including PRN and injectable drugs.
B) An unlicensed individual who may administer routine medications by basic routes under the
delegation of a licensed nurse, provided direction and monitoring are established.
C) A certified nursing assistant who may assist with medication administration without any
additional training or registry listing.
D) A pharmacy technician who may dispense and administer medications in a nursing facility.
[CORRECT: B]
Rationale: Under 172 NAC 95 and the Nebraska Medication Aide Act, a Medication Aide is
defined as an unlicensed individual who may provide routine medications by basic routes (oral,
topical, inhalation, instillation) when the task has been delegated by a licensed nurse and
direction and monitoring are provided
. Medication aides do not observe, monitor, report, or take action regarding desired effects, side
effects, interactions, or contraindications—that responsibility remains with the licensed
healthcare professional providing direction and monitoring
.
Question 2 (Multiple Choice)
,A candidate has completed a 40-hour Nebraska DHHS-approved Medication Aide training
course. Which of the following is required BEFORE the candidate may sit for the state written
certification exam?
A) The candidate must hold a current Nebraska nursing assistant certification for at least two
years.
B) The candidate must successfully demonstrate the 10 competencies and basic routes to a
licensed practical nurse or registered nurse.
C) The candidate must complete an additional 20 hours of clinical practicum in a hospital
setting.
D) The candidate must be sponsored by a licensed nursing facility and obtain a letter of
recommendation from the facility administrator.
[CORRECT: B]
Rationale: Per Nebraska DHHS requirements, to be eligible for the state written medication aide
exam, a candidate must successfully demonstrate the 10 competencies and the basic routes to a
licensed practical nurse or registered nurse
. This competency verification is a prerequisite separate from the 40-hour didactic training
course.
Sub-Topic: Disqualifying Criminal Offenses (2 Questions)
Question 3 (Multiple Choice)
According to 172 NAC 96-008.03, which of the following criminal convictions would provide
grounds for the Nebraska Department of Health and Human Services to deny an applicant
placement on the Medication Aide Registry?
A) A misdemeanor traffic violation for speeding that occurred more than 10 years ago.
B) A felony conviction for financial exploitation of an elderly resident in a previous healthcare
position.
C) A misdemeanor conviction for disorderly conduct at a public sporting event.
D) A juvenile record for shoplifting that was sealed by the court upon reaching adulthood.
[CORRECT: B]
, Rationale: Under 172 NAC 96-008.03(C), the Department may deny, refuse renewal, or remove
a medication aide from the registry for conviction of a felony or misdemeanor if it relates to the
competency standards (which include abuse, neglect, theft, and drug diversion) or reflects on
the moral character of the applicant
. Financial exploitation of an elderly resident directly relates to the competency standards and
demonstrates conduct incompatible with the trust required of a medication aide.
Question 4 (True/False)
A medication aide applicant with a felony conviction for drug diversion from a previous
healthcare job may still be placed on the Nebraska Medication Aide Registry if they successfully
pass the state written exam and pay all applicable fees.
[CORRECT: FALSE]
Rationale: Under 172 NAC 96-008.03(C), conviction of a felony relating to drug diversion
provides grounds for denial of registry placement regardless of exam passage
. The Nebraska Medication Aide Act requires applicants to be of "good moral character," and
drug diversion convictions directly reflect on moral character and relate to the competency
standards for safe medication handling.
Sub-Topic: Registry Requirements and Renewal Cycle (2 Questions)
Question 5 (Multiple Choice)
A medication aide has been working in a Nebraska licensed nursing home for 45 days. According
to Nebraska DHHS requirements, what is the maximum allowable time for the aide to be listed
as "active" on the Nebraska Medication Aide Registry from the date of initial employment?
A) 60 days
B) 30 days
C) 90 days
D) 120 days
[CORRECT: B]
Exam – Questions and Answers (100%
Verified) 2026/2027 Edition.
Question 1 (Multiple Choice)
Under the Nebraska Medication Aide Act and 172 NAC 95, which of the following best defines
the role of a registered Medication Aide?
A) A licensed healthcare professional who may independently assess residents and administer
all medications including PRN and injectable drugs.
B) An unlicensed individual who may administer routine medications by basic routes under the
delegation of a licensed nurse, provided direction and monitoring are established.
C) A certified nursing assistant who may assist with medication administration without any
additional training or registry listing.
D) A pharmacy technician who may dispense and administer medications in a nursing facility.
[CORRECT: B]
Rationale: Under 172 NAC 95 and the Nebraska Medication Aide Act, a Medication Aide is
defined as an unlicensed individual who may provide routine medications by basic routes (oral,
topical, inhalation, instillation) when the task has been delegated by a licensed nurse and
direction and monitoring are provided
. Medication aides do not observe, monitor, report, or take action regarding desired effects, side
effects, interactions, or contraindications—that responsibility remains with the licensed
healthcare professional providing direction and monitoring
.
Question 2 (Multiple Choice)
,A candidate has completed a 40-hour Nebraska DHHS-approved Medication Aide training
course. Which of the following is required BEFORE the candidate may sit for the state written
certification exam?
A) The candidate must hold a current Nebraska nursing assistant certification for at least two
years.
B) The candidate must successfully demonstrate the 10 competencies and basic routes to a
licensed practical nurse or registered nurse.
C) The candidate must complete an additional 20 hours of clinical practicum in a hospital
setting.
D) The candidate must be sponsored by a licensed nursing facility and obtain a letter of
recommendation from the facility administrator.
[CORRECT: B]
Rationale: Per Nebraska DHHS requirements, to be eligible for the state written medication aide
exam, a candidate must successfully demonstrate the 10 competencies and the basic routes to a
licensed practical nurse or registered nurse
. This competency verification is a prerequisite separate from the 40-hour didactic training
course.
Sub-Topic: Disqualifying Criminal Offenses (2 Questions)
Question 3 (Multiple Choice)
According to 172 NAC 96-008.03, which of the following criminal convictions would provide
grounds for the Nebraska Department of Health and Human Services to deny an applicant
placement on the Medication Aide Registry?
A) A misdemeanor traffic violation for speeding that occurred more than 10 years ago.
B) A felony conviction for financial exploitation of an elderly resident in a previous healthcare
position.
C) A misdemeanor conviction for disorderly conduct at a public sporting event.
D) A juvenile record for shoplifting that was sealed by the court upon reaching adulthood.
[CORRECT: B]
, Rationale: Under 172 NAC 96-008.03(C), the Department may deny, refuse renewal, or remove
a medication aide from the registry for conviction of a felony or misdemeanor if it relates to the
competency standards (which include abuse, neglect, theft, and drug diversion) or reflects on
the moral character of the applicant
. Financial exploitation of an elderly resident directly relates to the competency standards and
demonstrates conduct incompatible with the trust required of a medication aide.
Question 4 (True/False)
A medication aide applicant with a felony conviction for drug diversion from a previous
healthcare job may still be placed on the Nebraska Medication Aide Registry if they successfully
pass the state written exam and pay all applicable fees.
[CORRECT: FALSE]
Rationale: Under 172 NAC 96-008.03(C), conviction of a felony relating to drug diversion
provides grounds for denial of registry placement regardless of exam passage
. The Nebraska Medication Aide Act requires applicants to be of "good moral character," and
drug diversion convictions directly reflect on moral character and relate to the competency
standards for safe medication handling.
Sub-Topic: Registry Requirements and Renewal Cycle (2 Questions)
Question 5 (Multiple Choice)
A medication aide has been working in a Nebraska licensed nursing home for 45 days. According
to Nebraska DHHS requirements, what is the maximum allowable time for the aide to be listed
as "active" on the Nebraska Medication Aide Registry from the date of initial employment?
A) 60 days
B) 30 days
C) 90 days
D) 120 days
[CORRECT: B]
