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Virginia Medication Aide / VA RMA Curriculum Tests & Keys | (Latest 2026/2027 Update) | Complete Exam Questions with Verified Answers and Detailed Rationales | Board of Nursing Approved Curriculum | A+ Graded | Virginia Board of Nursing

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INSTANT PDF DOWNLOAD - This is the comprehensive curriculum tests & keys study guide for the Virginia Registered Medication Aide (RMA) certification exam (Latest 2026/2027 Update), featuring verified exam questions with correct answers and detailed rationales aligned with the Virginia Board of Nursing approved curriculum (18VAC90-60-60) . Covers Virginia Scope of Practice & Legal Framework – authorized to work in Assisted Living Facilities (licensed by Department of Social Services), prerequisites include CNA or 40-hour direct care staff training, 68-hour minimum program (40 classroom, 20 supervised skills practice, 8-hour insulin module). Authorized to administer oral, topical, eye/ear/nasal drops, inhalants, transdermal patches, vaginal/rectal suppositories, epinephrine auto-injectors, glucagon, diuretics (with order), and insulin (with board-approved module). Prohibited tasks: intramuscular/intravenous/subcutaneous injections, mixing medications, prepouring, accepting verbal orders for new prescriptions . Covers 7 Rights of Medication Administration – Right Resident, Right Medication (3 checks), Right Dose, Right Route, Right Time (1-hour window), Right Documentation (MAR), Right Technique . Covers Abbreviations & Conversions – po (by mouth), PRN (as needed), STAT (immediately), BID/TID/QID, AC/PC, OS/OD/OU, 1 tsp = 5 mL, 1 tbsp = 15 mL, 1 oz = 30 mL . Covers Pharmacology & Drug Classifications – Sources (plant: digitalis/morphine; animal: insulin/heparin; mineral: iron/calcium/MOM; chemical: synthetic; biotech: Humulin), drug names (generic, trade, chemical), DEA controlled substances (high abuse potential, special storage/documentation), ADR (adverse drug reaction), antibiotics (complete full course, allergic reactions common) . Covers Common Drug Classes & Side Effects – Cardiovascular: Digoxin (check pulse), Lasix (potassium loss), Nitroglycerin (headache/hypotension), anticoagulants (bleeding risk). Diabetes: Type 1 (insulin dependent), Type 2 (preventable with lifestyle), 3 P's (polyphagia, polydipsia, polyuria), hypoglycemia (low blood sugar), hyperglycemia (high blood sugar). Psychotropics: akathisia (pacing), tardive dyskinesia (irreversible). Respiratory: albuterol (bronchodilator). Gastrointestinal: antacids (take 1 hour before/2 hours after other meds) . Covers Infection Control & Safety – Standard precautions for all residents, bloodborne pathogens (Hep B/C, HIV), PPE, hand hygiene (most effective prevention), biohazardous waste disposal . Covers Emergency Procedures & Ethics – anaphylaxis (wheezing = airway closing), EpiPen administration, resident right to refuse medication (absolute right, document), mandated reporters (police, doctors, nurses, teachers, CNAs), abuse/neglect definitions, Adult Protective Services, Virginia Department of Health maintains medication aide registry . Virginia Medication Aide Exam VA RMA state test Virginia Board of Nursing medication aide 18VAC90-60-60 curriculum requirements Assisted Living Facility Department of Social Services licensed Medication Aide prerequisites CNA 40 hours direct care 7 Rights of Medication Administration Right Resident Right Medication Right Dose Right Route Right Time Right Documentation Right Technique Three checks of medication administration window to pass meds 1 hour before or after Medication error immediate reporting Prohibited tasks no intramuscular no intravenous no subcutaneous Prohibited tasks no mixing medications no prepouring Insulin administration board approved 8 hour module EpiPen glucagon diuretics with order authorized DEA controlled substance high abuse potential Special storage controlled substances double lock MAR medication administration record ADR adverse drug reaction po by mouth pr per rectum PRN as needed STAT immediately BID two times daily TID three times daily QID four times daily AC before meals PC after meals OS left eye OD right eye OU both eyes per means by means of 1 tsp equals 5 mL 1 tbsp equals 15 mL 1 oz equals 30 mL 1 tbsp equals 3 tsp mL equals cc gm gram mg milligram mcg microgram gtt drop mEq milliequivalent cubic centimeter equal to one mL oral measuring device on level surface oral syringe amounts less than 5mL enteric coated tablet do not crush suspension shake before use suppository refrigerate melts body temperature transdermal patch hairless site date removal ear drops adult pull pinna upward outward ear drops child pull pinna down back eye drops pressure lacrimal sac 1 minute sublingual tablet under tongue buccal between cheek gum generic name official active ingredient trade name brand name manufacturer chemical name describes molecular structure biotechnology synthetic insulin Humulin plant sources digitalis foxglove morphine poppy animal sources insulin pancreas heparin intestinal lining mineral sources iron calcium MOM chemical sources synthetic Prozac antibiotics treat bacterial infections complete full course antibiotics allergic reactions common cardiovascular drugs digoxin Lasix nitroglycerin digoxin Lanoxin check pulse before administration Lasix furosemide potassium loss side effect nitroglycerin headache hypotension orthostatic hypertension anticoagulants Coumadin warfarin bleeding risk NSAIDs GI bleed serious adverse effect antacids separate 1 hour before or 2 hours after other medications Type 1 diabetes no insulin insulin dependent Type 1 warning signs thirst weight loss blurred vision fatigue Type 1 cannot be prevented insulin injections required Type 2 diabetes lifestyle genetics aging Type 2 can be prevented healthy diet exercise Type 2 treatment diet exercise oral medicine insulin Type 2 warning signs fatigue slow wound healing numbness hands feet 3 P's polyphagia polydipsia polyuria hypoglycemia low blood sugar hyperglycemia high blood sugar psychotropic drugs anti depressants anti anxiety anti psychotic akathisia pacing unable sit still neuroleptic side effect tardive dyskinesia irreversible neurological side effect antipsychotics dystonia abnormal muscle tone repetitive contractions bradykinesia very slow movement ataxia irregular muscular action albuterol bronchodilator COPD asthma bronchospasm standard precautions all residents bloodborne pathogens bloodborne pathogens Hepatitis B Hepatitis C HIV OSHA Personal Protective Equipment PPE hand hygiene most effective infection prevention biohazardous waste disposal special containers anaphylaxis severe allergic reaction emergency treatment wheezing airway closing life threatening sign hives urticaria raised irregular patches allergic reaction resident right to refuse medication absolute right mandated reporters police doctor nurse teacher CNA abuse willful infliction physical pain injury mental anguish neglect failure provide food medication shelter care Adult Protective Services local Department Social Services Virginia Department of Health maintains medication aide registry employee misconduct registry HHSC initial permit valid 12 months A+ Grade Virginia RMA Study Guide

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Virginia Medication Aide Program




C I R R U C • AV
VA State Curriculum Tests & Answer Keys
SIC SEMPER TYRANNIS
MED AIDE




Virginia Medication Aide — Curriculum Tests & Keys
L E G A L / E T H I C A L STA N D A R D S , A D M I N I ST R AT I O N , D I A B E T E S & P SYC H OT R O P I C M E D I C AT I O N S

INSTITUTION Virginia Board of Nursing — Medication EXAM CODE VA-MA-CURRIC-2026
Aide Program
PROGRAM Virginia Medication Aide Registration ACADEMIC YEAR
EXAM TITLE Virginia Medication Aide Curriculum Tests TOTAL QUESTIONS Comprehensive Curriculum Review
COURSE TITLE Medication Aide Training Program — FORMAT Multiple Choice / True-False / Fill-in-the-
Virginia Blank


CURRICULUM TEST INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Questions cover Virginia-specific regulations, legal/ethical standards, medication administration procedures, drug
classifications, diabetes management, psychotropic medications, documentation, and safety protocols.
▸ Distinguish carefully between Virginia regulatory bodies (Board of Nursing, Board of Pharmacy, Department of Social Services)
and their respective roles.
▸ Correct answers and detailed rationales appear below each question for comprehensive review.
▸ All content is derived from the Virginia Medication Aide Curriculum Tests and Keys.


SECTION I — VIRGINIA REGULATIONS, ETHICS & MEDICATION Comprehensive Curriculum
FUNDAMENTALS Review


1. Abuse is defined as:
A. Accidentally causing harm to a resident during routine care
B. Willfully inflicting physical pain, injury, or mental anguish or unreasonable confinement
C. Failing to provide prescribed medications on time
D. Any mistake made during medication administration
CORRECT ANSWER B — Willfully inflicting physical pain, injury, or mental anguish or unreasonable confinement. Abuse is
intentional harm.
RATIONALE Abuse is purposeful mistreatment — physical, mental, emotional, or through unreasonable confinement. It is
distinguished from neglect (failure to provide care) and from accidents (unintentional). Medication aides are
mandated reporters — any suspicion of abuse must be reported immediately to the supervisor and
appropriate authorities per Virginia law.

, 2. In Virginia, which regulatory body regulates nursing practice?
A. Virginia Board of Pharmacy
B. Virginia Department of Social Services
C. Virginia Board of Nursing
D. Virginia State Police
CORRECT ANSWER C — Virginia Board of Nursing. The Board of Nursing regulates nursing practice, including medication
aide registration.
RATIONALE Virginia regulatory bodies: Board of Nursing — regulates nursing practice and medication aide registration;
Board of Pharmacy — regulates pharmacy practice; Department of Social Services — licenses Assisted Living
Facilities; Virginia State Police — does NOT maintain the medication aide registry. The medication aide must
pass a competency examination as part of the registration process with the Board of Nursing.


3. In Virginia, Assisted Living Facilities are licensed by:
A. Virginia Board of Nursing
B. Virginia Board of Pharmacy
C. Department of Social Services
D. Virginia Department of Health
CORRECT ANSWER C — Department of Social Services (DSS). DSS licenses and regulates Assisted Living Facilities in
Virginia.
RATIONALE Virginia DSS Standards for Assisted Living Facilities include requirements for medication storage (locked, well-
lighted area), medication administration, and documentation. The medication aide must be familiar with DSS
standards as they govern the facility environment where they work. The Board of Nursing regulates the
individual medication aide's registration.


4. Prohibited practices for Medication Aides include:
A. Administering oral medications
B. Intra-muscular injections
C. Applying topical medications
D. Administering eye drops
CORRECT ANSWER B — Intra-muscular injections are prohibited by Medication Aides. Injections require licensed nursing
assessment and skill.
RATIONALE Medication aides may NOT administer injectable medications (IM, IV, SubQ in most cases), receive medication
orders by phone, transcribe orders, assess PRN need independently, or administer first doses of new
medications. MAs MAY administer: established oral, topical, ophthalmic, otic, nasal, inhalation, rectal, and
vaginal medications per the MAR under nurse supervision.

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