TEXAS MEDICATION AIDE EXAM /LATEST TEXAS
MEDICATION AIDE ACTUAL TEST 2026/2027 COMPLETE
ACCURATE QUESTIONS AND CORRECT DETAILED ANSWERS
WITH DETAILED RATIONALES & STUDY GUIDE (100%
CORRECT VERIFIED SOLUTIONS) CURRENTLY UPDATED
VERSION 2026 EDITION |GUARANTEED PASS A+ (BRAND
NEW!) |INSTANT DOWNLOAD PDF
1. A medication aide is preparing to administer eye drops. Which action
demonstrates proper aseptic technique?
A) Touching the dropper tip to the conjunctival sac to ensure delivery
B) Rinsing the dropper tip with sterile water before each use
C) Holding the dropper tip above the eye without touching any surface
CORRECT ANSWER: Touching the dropper tip to any part of the eye
or other surfaces contaminates the solution. Aseptic technique requires
keeping the tip free from contact.
D) Wiping the dropper tip with an alcohol swab between eyes
2. Under Texas regulations, a medication aide may administer which of
the following routes of medication?
A) Intravenous push
B) Oral, topical, ophthalmic, otic, nasal, rectal, and vaginal
CORRECT ANSWER: Texas Administrative Code §344.500 defines the
permitted routes for medication aides as non-parenteral routes excluding
IV, intrathecal, or epidural administration.
C) Intravenous piggyback
D) Intrathecal injections
,3. A resident refuses to take their prescribed blood pressure medication.
What is the medication aide’s FIRST action?
A) Crush the medication and mix it with applesauce
B) Document the refusal and notify the supervising nurse
CORRECT ANSWER: Refusal must be documented immediately, and
the licensed nurse must be informed to assess the resident and determine
further action per facility policy.
C) Persuade the resident by explaining the consequences
D) Administer the medication later without documentation
4. Which schedule of controlled substances is a medication aide allowed
to handle in a Texas long-term care facility?
A) Schedule II only
B) Schedules III, IV, and V
CORRECT ANSWER: Texas rules allow medication aides to administer
Schedules III-V. Schedule II requires licensed nurse administration due
to stricter accountability.
C) Schedule I only
D) All schedules including II
5. A medication aide notices that a resident’s digoxin level is 2.5 ng/mL
(therapeutic range 0.8-2.0). The medication aide should:
A) Administer the digoxin as ordered
B) Hold the dose and report the lab value to the nurse
,CORRECT ANSWER: This level indicates possible digoxin toxicity.
Medication aides cannot independently hold medications but must report
abnormal labs to the supervising nurse for assessment.
C) Give half the dose
D) Increase the resident’s fluid intake
6. When applying a transdermal patch, the medication aide must first:
A) Apply the patch to the same site as the previous patch
B) Remove the old patch and clean the site before applying the new one
CORRECT ANSWER: Old patches must be removed to prevent
overdose. The site should be cleaned to remove residual medication and
allow proper absorption.
C) Cut the patch in half for smaller residents
D) Apply a heating pad over the new patch
7. A medication aide is preparing to give an otic medication to a 78-
year-old adult. To straighten the ear canal, the aide should pull the
pinna:
A) Down and back
B) Up and back
CORRECT ANSWER: For adults, pulling the pinna up and back
straightens the ear canal. Down and back is for children under 3 years.
C) Up and forward
D) Down and forward
, 8. Which of the following is a medication aide’s responsibility regarding
medication storage?
A) Restocking the automated dispensing cabinet independently
B) Identifying that expired medications are returned to the pharmacy
CORRECT ANSWER: Medication aides must recognize expired
medications and report them; they may not return medications to
pharmacy without nurse oversight but are responsible for identification.
C) Ordering controlled substances directly from the pharmacy
D) Adjusting refrigerator temperatures for insulin storage
9. A resident has an order for "metoprolol 25 mg PO daily for
hypertension." The medication aide should question this order if the
resident’s vital signs show:
A) Blood pressure 140/90
B) Heart rate 48 bpm
CORRECT ANSWER: Metoprolol is a beta-blocker that lowers heart
rate. A rate of 48 bpm is bradycardic and may require holding the dose;
the nurse must be notified.
C) Respiratory rate 16
D) Temperature 98.6°F
10. The "Six Rights" of medication administration include all of the
following EXCEPT:
A) Right dose
B) Right time
MEDICATION AIDE ACTUAL TEST 2026/2027 COMPLETE
ACCURATE QUESTIONS AND CORRECT DETAILED ANSWERS
WITH DETAILED RATIONALES & STUDY GUIDE (100%
CORRECT VERIFIED SOLUTIONS) CURRENTLY UPDATED
VERSION 2026 EDITION |GUARANTEED PASS A+ (BRAND
NEW!) |INSTANT DOWNLOAD PDF
1. A medication aide is preparing to administer eye drops. Which action
demonstrates proper aseptic technique?
A) Touching the dropper tip to the conjunctival sac to ensure delivery
B) Rinsing the dropper tip with sterile water before each use
C) Holding the dropper tip above the eye without touching any surface
CORRECT ANSWER: Touching the dropper tip to any part of the eye
or other surfaces contaminates the solution. Aseptic technique requires
keeping the tip free from contact.
D) Wiping the dropper tip with an alcohol swab between eyes
2. Under Texas regulations, a medication aide may administer which of
the following routes of medication?
A) Intravenous push
B) Oral, topical, ophthalmic, otic, nasal, rectal, and vaginal
CORRECT ANSWER: Texas Administrative Code §344.500 defines the
permitted routes for medication aides as non-parenteral routes excluding
IV, intrathecal, or epidural administration.
C) Intravenous piggyback
D) Intrathecal injections
,3. A resident refuses to take their prescribed blood pressure medication.
What is the medication aide’s FIRST action?
A) Crush the medication and mix it with applesauce
B) Document the refusal and notify the supervising nurse
CORRECT ANSWER: Refusal must be documented immediately, and
the licensed nurse must be informed to assess the resident and determine
further action per facility policy.
C) Persuade the resident by explaining the consequences
D) Administer the medication later without documentation
4. Which schedule of controlled substances is a medication aide allowed
to handle in a Texas long-term care facility?
A) Schedule II only
B) Schedules III, IV, and V
CORRECT ANSWER: Texas rules allow medication aides to administer
Schedules III-V. Schedule II requires licensed nurse administration due
to stricter accountability.
C) Schedule I only
D) All schedules including II
5. A medication aide notices that a resident’s digoxin level is 2.5 ng/mL
(therapeutic range 0.8-2.0). The medication aide should:
A) Administer the digoxin as ordered
B) Hold the dose and report the lab value to the nurse
,CORRECT ANSWER: This level indicates possible digoxin toxicity.
Medication aides cannot independently hold medications but must report
abnormal labs to the supervising nurse for assessment.
C) Give half the dose
D) Increase the resident’s fluid intake
6. When applying a transdermal patch, the medication aide must first:
A) Apply the patch to the same site as the previous patch
B) Remove the old patch and clean the site before applying the new one
CORRECT ANSWER: Old patches must be removed to prevent
overdose. The site should be cleaned to remove residual medication and
allow proper absorption.
C) Cut the patch in half for smaller residents
D) Apply a heating pad over the new patch
7. A medication aide is preparing to give an otic medication to a 78-
year-old adult. To straighten the ear canal, the aide should pull the
pinna:
A) Down and back
B) Up and back
CORRECT ANSWER: For adults, pulling the pinna up and back
straightens the ear canal. Down and back is for children under 3 years.
C) Up and forward
D) Down and forward
, 8. Which of the following is a medication aide’s responsibility regarding
medication storage?
A) Restocking the automated dispensing cabinet independently
B) Identifying that expired medications are returned to the pharmacy
CORRECT ANSWER: Medication aides must recognize expired
medications and report them; they may not return medications to
pharmacy without nurse oversight but are responsible for identification.
C) Ordering controlled substances directly from the pharmacy
D) Adjusting refrigerator temperatures for insulin storage
9. A resident has an order for "metoprolol 25 mg PO daily for
hypertension." The medication aide should question this order if the
resident’s vital signs show:
A) Blood pressure 140/90
B) Heart rate 48 bpm
CORRECT ANSWER: Metoprolol is a beta-blocker that lowers heart
rate. A rate of 48 bpm is bradycardic and may require holding the dose;
the nurse must be notified.
C) Respiratory rate 16
D) Temperature 98.6°F
10. The "Six Rights" of medication administration include all of the
following EXCEPT:
A) Right dose
B) Right time
