QUALIFIED MEDICATION AIDE:
MEDICATION STUDY EXAM
QUESTIONS AND ANSWERS 2026
VERIFIED.
QMA Prohibited from Performing: - ANS 1. Assess a resident's condition
2. Call a physician
3. Take a physician's written or verbal order
4. Administer medication by injection
5. Administer any medication inhalation treatment other than metered dose inhalers
6. Administer medication per nasogastric tube
7. Instill irrigation fluids of any type including, but not limited to, colostomy, catheter and
enema, except a commercially prepared disposable enema
8. Administer a treatment that involves an advanced skin condition, including Stage II, III, and IV
decubitus ulcers.
QMA Scope of Practice: - ANS 1. Observe and report to the facility's licensed nurse reactions
and aide effects to medications exhibited by a resident
2. Measure and document vital signs prior to the administration of medication that could affect
or change the vital signs. Report any abnormalities that would prohibit medication
administration to the licensed nurse
3. Administer regularly prescribed medication which the QMA has been trained to administer
only after personally preparing(setting up) the medication to be administered. The QMA shall
document in a resident's clinical record all medications that the QMA personally administered.
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 15
, The QMA shall not document in a resident's clinical record any medication that was
administered by another person or not administered at all.
4. Initiate oxygen per nasal cannula or non sealing mask only in an emergency. Immediately
after the emergency, the QMA shall verbally notify the licensed nurse on duty or on call and
appropriately document the action and notification
5. Obtain oxygen saturation utilizing an oximeter that has been calibrated by a liscense or
certified professional and report results to the licensed nurse
6. Administer/ apply physician-ordered oral, ophthalmic, otic, nasal, vaginal and rectal
medications
7. Crush and administer medications if such preparation is appropriate per manufacturer's
instructions or physician's order
8. Alter capsules if prescribed to be administered in this altered manner by the physician
9. Count, administer, and document controlled substances
10. Administer medications per G-Tube or J-Tube
11. Administer previously order pro re nata(PRN) medication only authorization is obtained
from the facility's licensed nurse on duty or on call.
If authorization is obtained, the QMA must perform the Following Steps for a PRN medication: -
ANS 1. Document in the resident records symptoms indicating the need for the medication
and time the symptoms occured
2. Document in the resident record that the facility's licensed nurse was contacted, symptoms
were described and permission was granted to administer the medication, including the time of
contact
3. Obtain permission to administer the medication each time the symptoms occur in the
resident
4. Ensure that the resident's record is cosigned by the licensed nurse who gave permission by
the end of the nurse's shift, or if the nurse was on call, by the end of the nurse's next tour of
duty
Examples of Negligence include, but are not limited to: - ANS 1. leaving a dependent resident
unattended in a shower or bath
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 15
MEDICATION STUDY EXAM
QUESTIONS AND ANSWERS 2026
VERIFIED.
QMA Prohibited from Performing: - ANS 1. Assess a resident's condition
2. Call a physician
3. Take a physician's written or verbal order
4. Administer medication by injection
5. Administer any medication inhalation treatment other than metered dose inhalers
6. Administer medication per nasogastric tube
7. Instill irrigation fluids of any type including, but not limited to, colostomy, catheter and
enema, except a commercially prepared disposable enema
8. Administer a treatment that involves an advanced skin condition, including Stage II, III, and IV
decubitus ulcers.
QMA Scope of Practice: - ANS 1. Observe and report to the facility's licensed nurse reactions
and aide effects to medications exhibited by a resident
2. Measure and document vital signs prior to the administration of medication that could affect
or change the vital signs. Report any abnormalities that would prohibit medication
administration to the licensed nurse
3. Administer regularly prescribed medication which the QMA has been trained to administer
only after personally preparing(setting up) the medication to be administered. The QMA shall
document in a resident's clinical record all medications that the QMA personally administered.
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 15
, The QMA shall not document in a resident's clinical record any medication that was
administered by another person or not administered at all.
4. Initiate oxygen per nasal cannula or non sealing mask only in an emergency. Immediately
after the emergency, the QMA shall verbally notify the licensed nurse on duty or on call and
appropriately document the action and notification
5. Obtain oxygen saturation utilizing an oximeter that has been calibrated by a liscense or
certified professional and report results to the licensed nurse
6. Administer/ apply physician-ordered oral, ophthalmic, otic, nasal, vaginal and rectal
medications
7. Crush and administer medications if such preparation is appropriate per manufacturer's
instructions or physician's order
8. Alter capsules if prescribed to be administered in this altered manner by the physician
9. Count, administer, and document controlled substances
10. Administer medications per G-Tube or J-Tube
11. Administer previously order pro re nata(PRN) medication only authorization is obtained
from the facility's licensed nurse on duty or on call.
If authorization is obtained, the QMA must perform the Following Steps for a PRN medication: -
ANS 1. Document in the resident records symptoms indicating the need for the medication
and time the symptoms occured
2. Document in the resident record that the facility's licensed nurse was contacted, symptoms
were described and permission was granted to administer the medication, including the time of
contact
3. Obtain permission to administer the medication each time the symptoms occur in the
resident
4. Ensure that the resident's record is cosigned by the licensed nurse who gave permission by
the end of the nurse's shift, or if the nurse was on call, by the end of the nurse's next tour of
duty
Examples of Negligence include, but are not limited to: - ANS 1. leaving a dependent resident
unattended in a shower or bath
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 15
