QMA (Qualified Medication Aide) Final Test Actual
Exam 100 Comprehensive Questions –
2026/2027 Complete Exam-Style Questions
with Detailed Rationales | 100% Verified | Pass
Guaranteed – A+ Graded
1. Which medication is categorized as an NSAID?
A) Lisinopril
B) Aspirin
C) Acetaminophen
D) Depakote
Correct Answer: B) Aspirin
Rationale: Aspirin (acetylsalicylic acid) is a nonsteroidal anti-inflammatory drug
(NSAID). Lisinopril is an ACE inhibitor, acetaminophen is an analgesic/antipyretic
(not an NSAID), and Depakote is an anticonvulsant.
2. Prior to administering Mr. Hunt's carvedilol (Coreg), what must the QMA
monitor?
A) Respiratory rate
B) Lung sounds
C) Signs of bleeding
D) Heart rate
Correct Answer: D) Heart rate
Rationale: Carvedilol is a beta-blocker that slows heart rate. The QMA should
check the heart rate before administration; if it is too low (e.g., <60 bpm), the
medication may be withheld and the nurse notified.
3. Which is a common side effect of lisinopril (Zestril)?
1|Page
,A) Dry cough
B) Hypertension
C) Memory loss
D) Palpitations
Correct Answer: A) Dry cough
Rationale: Lisinopril, an ACE inhibitor, commonly causes a persistent dry cough
due to accumulation of bradykinin.
4. To prepare Mr. Hunt's medication for administration through the G-tube, the
QMA must:
A) Crush the tablets and mix with applesauce
B) Crush the tablets and dilute in liquid
C) Break the tablets in half
D) Be certain the tablets are smaller than the tube
Correct Answer: B) Crush the tablets and dilute in liquid
Rationale: For G-tube administration, tablets should be crushed to a fine powder
and dissolved in warm water or an appropriate liquid to prevent tube clogging.
Applesauce is for oral administration, not G-tube.
5. The QMA must complete which of the following prior to administering
medications per Mr. Hunt's G-tube?
A) Administer an air bolus and auscultate the abdomen
B) Check for residual stomach contents
C) Administer 30 mL of water
D) All of the above
Correct Answer: D) All of the above
Rationale: Before G-tube medication administration, the QMA should verify tube
placement (air bolus + auscultation), check gastric residual volume, and flush with
water to ensure patency.
2|Page
,6. Which of Mr. Hunt's medications cannot be administered per G-tube?
A) Acetaminophen
B) Aspirin
C) Metoprolol
D) Divalproex sodium
Correct Answer: B) Aspirin
Rationale: Enteric-coated (EC) aspirin should not be crushed or given via G-tube
because the coating is designed to protect the stomach; crushing destroys the
coating and may cause gastric irritation. The question lists "aspirin 81 mg EC" – EC
cannot be crushed.
7. Which medication requires routine blood monitoring to ensure therapeutic
drug levels?
A) Acetaminophen
B) Aspirin
C) Metoprolol
D) Divalproex sodium
Correct Answer: D) Divalproex sodium (Depakote)
Rationale: Divalproex is an anticonvulsant and mood stabilizer that requires
periodic serum drug level monitoring to maintain therapeutic range and avoid
toxicity.
8. When administering Mr. Hunt's latanoprost, the QMA should:
A) Mix it with water and have him drink it slowly
B) Place medication inside his lower eyelid
C) Apply medication to the skin around his eye
D) Spray the medication into his eye
Correct Answer: B) Place medication inside his lower eyelid
3|Page
, Rationale: Latanoprost is an ophthalmic solution for glaucoma. It is instilled into
the conjunctival sac by gently pulling down the lower eyelid and placing the drop
inside.
9. After administering Mr. Hunt's latanoprost, the QMA should:
A) Instruct the resident to keep his eye closed for 1-2 minutes
B) Wait 5 minutes prior to administering another medication
C) Wipe excess with a clean gauze
D) All of the above
Correct Answer: D) All of the above
Rationale: Proper technique after eye drop instillation includes closing the eye
gently (to promote absorption), waiting 5 minutes before another drop to avoid
washing out the first, and wiping any excess from the skin.
10. Mr. Hunt is in a coma. To provide oral care, the QMA should position him in:
A) Fowler's
B) Semi-Fowler's
C) Lateral position
D) Supine
Correct Answer: C) Lateral position
Rationale: The lateral (side-lying) position allows fluids to drain from the mouth,
reducing aspiration risk during oral care in an unconscious patient.
11. If Mr. Hunt were receiving a continuous feeding per G-tube, the QMA should
ensure his head of bed remains _______ when enteral nutrition is being
administered.
A) Elevated 30-45 degrees
B) Flat
4|Page
Exam 100 Comprehensive Questions –
2026/2027 Complete Exam-Style Questions
with Detailed Rationales | 100% Verified | Pass
Guaranteed – A+ Graded
1. Which medication is categorized as an NSAID?
A) Lisinopril
B) Aspirin
C) Acetaminophen
D) Depakote
Correct Answer: B) Aspirin
Rationale: Aspirin (acetylsalicylic acid) is a nonsteroidal anti-inflammatory drug
(NSAID). Lisinopril is an ACE inhibitor, acetaminophen is an analgesic/antipyretic
(not an NSAID), and Depakote is an anticonvulsant.
2. Prior to administering Mr. Hunt's carvedilol (Coreg), what must the QMA
monitor?
A) Respiratory rate
B) Lung sounds
C) Signs of bleeding
D) Heart rate
Correct Answer: D) Heart rate
Rationale: Carvedilol is a beta-blocker that slows heart rate. The QMA should
check the heart rate before administration; if it is too low (e.g., <60 bpm), the
medication may be withheld and the nurse notified.
3. Which is a common side effect of lisinopril (Zestril)?
1|Page
,A) Dry cough
B) Hypertension
C) Memory loss
D) Palpitations
Correct Answer: A) Dry cough
Rationale: Lisinopril, an ACE inhibitor, commonly causes a persistent dry cough
due to accumulation of bradykinin.
4. To prepare Mr. Hunt's medication for administration through the G-tube, the
QMA must:
A) Crush the tablets and mix with applesauce
B) Crush the tablets and dilute in liquid
C) Break the tablets in half
D) Be certain the tablets are smaller than the tube
Correct Answer: B) Crush the tablets and dilute in liquid
Rationale: For G-tube administration, tablets should be crushed to a fine powder
and dissolved in warm water or an appropriate liquid to prevent tube clogging.
Applesauce is for oral administration, not G-tube.
5. The QMA must complete which of the following prior to administering
medications per Mr. Hunt's G-tube?
A) Administer an air bolus and auscultate the abdomen
B) Check for residual stomach contents
C) Administer 30 mL of water
D) All of the above
Correct Answer: D) All of the above
Rationale: Before G-tube medication administration, the QMA should verify tube
placement (air bolus + auscultation), check gastric residual volume, and flush with
water to ensure patency.
2|Page
,6. Which of Mr. Hunt's medications cannot be administered per G-tube?
A) Acetaminophen
B) Aspirin
C) Metoprolol
D) Divalproex sodium
Correct Answer: B) Aspirin
Rationale: Enteric-coated (EC) aspirin should not be crushed or given via G-tube
because the coating is designed to protect the stomach; crushing destroys the
coating and may cause gastric irritation. The question lists "aspirin 81 mg EC" – EC
cannot be crushed.
7. Which medication requires routine blood monitoring to ensure therapeutic
drug levels?
A) Acetaminophen
B) Aspirin
C) Metoprolol
D) Divalproex sodium
Correct Answer: D) Divalproex sodium (Depakote)
Rationale: Divalproex is an anticonvulsant and mood stabilizer that requires
periodic serum drug level monitoring to maintain therapeutic range and avoid
toxicity.
8. When administering Mr. Hunt's latanoprost, the QMA should:
A) Mix it with water and have him drink it slowly
B) Place medication inside his lower eyelid
C) Apply medication to the skin around his eye
D) Spray the medication into his eye
Correct Answer: B) Place medication inside his lower eyelid
3|Page
, Rationale: Latanoprost is an ophthalmic solution for glaucoma. It is instilled into
the conjunctival sac by gently pulling down the lower eyelid and placing the drop
inside.
9. After administering Mr. Hunt's latanoprost, the QMA should:
A) Instruct the resident to keep his eye closed for 1-2 minutes
B) Wait 5 minutes prior to administering another medication
C) Wipe excess with a clean gauze
D) All of the above
Correct Answer: D) All of the above
Rationale: Proper technique after eye drop instillation includes closing the eye
gently (to promote absorption), waiting 5 minutes before another drop to avoid
washing out the first, and wiping any excess from the skin.
10. Mr. Hunt is in a coma. To provide oral care, the QMA should position him in:
A) Fowler's
B) Semi-Fowler's
C) Lateral position
D) Supine
Correct Answer: C) Lateral position
Rationale: The lateral (side-lying) position allows fluids to drain from the mouth,
reducing aspiration risk during oral care in an unconscious patient.
11. If Mr. Hunt were receiving a continuous feeding per G-tube, the QMA should
ensure his head of bed remains _______ when enteral nutrition is being
administered.
A) Elevated 30-45 degrees
B) Flat
4|Page
