1
QMA Final Practice Test Actual Exam
2026/2027 – Complete Exam-Style Questions
with Detailed Rationales | 100% Verified |
Pass Guaranteed – A+ Graded
Legal/Ethical Roles & Scope of Practice for QMA (Q1-Q20)
A nurse asks you to administer a medication via intravenous (IV) push. As a QMA, you should:
A. Perform the task since you are certified in medication administration.
B. Perform the task only if the nurse supervises you directly.
C. Refuse the task as it is outside the scope of practice for a QMA.
D. Ask the nurse to document the administration while you push the medication.
Correct Answer: C. Refuse the task as it is outside the scope of practice for a QMA.
[CORRECT]
Rationale: Administration of IV medications and parenteral therapy is strictly within the scope of
RNs or LPNs; QMAs cannot administer IVs. QMAs must only perform tasks authorized by their
specific certification and state regulations.
Which of the following actions constitutes practicing medicine without a license?
A. Administering a PRN medication for pain based on specific parameters in the care plan.
B. Adjusting the dosage of a resident’s medication because they complain of dizziness.
C. Crushing a medication after consulting a pharmacy-approved compatibility list.
D. Observing a resident self-administer insulin and documenting the result.
Correct Answer: B. Adjusting the dosage of a resident’s medication because they complain of
dizziness. [CORRECT]
Rationale: Only a licensed prescriber can order medication changes; adjusting doses is a
nursing/medical function. QMAs must administer exactly what is ordered.
You witness a coworker signing for a medication administration that did not occur. This is an
example of:
A. Negligence.
,2
B. Malpractice.
C. Fraud.
D. Slander.
Correct Answer: C. Fraud. [CORRECT]
Rationale: Falsifying documentation constitutes fraud and is a serious legal and ethical violation.
Legal action and loss of certification can result from falsifying medical records.
According to the "6 Rights of Medication Administration," which of the following is NOT one of
the original rights?
A. Right Route.
B. Right Documentation.
C. Right Room.
D. Right Time.
Correct Answer: C. Right Room. [CORRECT]
Rationale: The 6 Rights are Medication, Dose, Route, Time, Person, and Documentation. The
room is not the identifier; the person is.
A resident refuses to take their medication. You should:
A. Explain the consequences and force them to swallow it.
B. Document the refusal and notify the nurse immediately.
C. Wait until the next shift and try again.
D. Hide the medication in their food to ensure compliance.
Correct Answer: B. Document the refusal and notify the nurse immediately. [CORRECT]
Rationale: Residents have the right to refuse medication. Forcing medication or hiding it in food
is battery and unethical; the nurse must be notified to assess the resident.
Which task is strictly prohibited for a QMA regardless of facility policy?
A. Administering a gastrostomy tube feeding.
B. Applying topical nitroglycerin paste.
C. Performing fingerstick blood glucose testing.
D. Administering ear drops to a resident with a perforated eardrum (if ordered).
,3
Correct Answer: A. Administering a gastrostomy tube feeding. [CORRECT]
Rationale: While QMA scopes vary by state, tube feedings are generally considered a nursing
task (delegated act requiring specific higher-level nursing delegation) and often outside standard
QMA scope compared to oral/topical meds.
The "Right Resident" is best verified by:
A. Asking the resident their name.
B. Checking the name on the door.
C. Checking the resident's ID bracelet and asking them to state their name.
D. Asking a nursing assistant to identify the resident.
Correct Answer: C. Checking the resident's ID bracelet and asking them to state their name.
[CORRECT]
Rationale: Two identifiers are required for safe identification; relying solely on the resident's
memory or the door sign is unsafe and a common source of errors.
If you make a medication error, your first priority is:
A. Notify the nurse.
B. Document the error on the MAR.
C. Assess the resident for adverse effects.
D. Fill out an incident report.
Correct Answer: C. Assess the resident for adverse effects. [CORRECT]
Rationale: Safety of the resident is the immediate priority. After ensuring the resident is stable,
you notify the nurse, document, and file reports.
Who is responsible for supervising the QMA in the medication pass?
A. The facility administrator.
B. The Director of Nursing.
C. A licensed nurse (RN or LPN).
D. The pharmacist.
Correct Answer: C. A licensed nurse (RN or LPN). [CORRECT]
Rationale: State regulations require that a QMA works under the supervision and direction of a
licensed nurse.
, 4
A resident’s family member asks you to explain the purpose of a new cardiac medication. You
should:
A. Explain it in detail based on your pharmacology knowledge.
B. Tell them you are not allowed to speak to family.
C. Refer them to the nurse or the physician.
D. Read the package insert to them.
Correct Answer: C. Refer them to the nurse or the physician. [CORRECT]
Rationale: Providing medical advice or education on diagnoses and complex drug mechanisms is
outside the QMA scope of practice.
Which of the following is an example of "scope creep"?
A. Taking a resident’s blood pressure before giving an antihypertensive.
B. Deciding to hold a medication because the resident is sleeping, without an order.
C. Calling the pharmacy to clarify a dosage.
D. Cleaning the medication cart after the pass.
Correct Answer: B. Deciding to hold a medication because the resident is sleeping, without an
order. [CORRECT]
Rationale: Making clinical judgments about holding medications is a nursing function. QMAs
must administer at the scheduled time unless specific parameters allow a hold.
Informed consent regarding medication administration implies that:
A. The resident knows the side effects of every drug.
B. The resident (or proxy) has the right to accept or refuse treatment.
C. The QMA has the right to force meds if the resident is confused.
D. The family must be present for every administration.
Correct Answer: B. The resident (or proxy) has the right to accept or refuse treatment.
[CORRECT]
Rationale: Informed consent is the ethical and legal right to autonomy; residents can refuse care
even if it is detrimental to their health.
You notice a discrepancy between the medication cart and the MAR. You should:
A. Ask the pharmacy to fix it.
QMA Final Practice Test Actual Exam
2026/2027 – Complete Exam-Style Questions
with Detailed Rationales | 100% Verified |
Pass Guaranteed – A+ Graded
Legal/Ethical Roles & Scope of Practice for QMA (Q1-Q20)
A nurse asks you to administer a medication via intravenous (IV) push. As a QMA, you should:
A. Perform the task since you are certified in medication administration.
B. Perform the task only if the nurse supervises you directly.
C. Refuse the task as it is outside the scope of practice for a QMA.
D. Ask the nurse to document the administration while you push the medication.
Correct Answer: C. Refuse the task as it is outside the scope of practice for a QMA.
[CORRECT]
Rationale: Administration of IV medications and parenteral therapy is strictly within the scope of
RNs or LPNs; QMAs cannot administer IVs. QMAs must only perform tasks authorized by their
specific certification and state regulations.
Which of the following actions constitutes practicing medicine without a license?
A. Administering a PRN medication for pain based on specific parameters in the care plan.
B. Adjusting the dosage of a resident’s medication because they complain of dizziness.
C. Crushing a medication after consulting a pharmacy-approved compatibility list.
D. Observing a resident self-administer insulin and documenting the result.
Correct Answer: B. Adjusting the dosage of a resident’s medication because they complain of
dizziness. [CORRECT]
Rationale: Only a licensed prescriber can order medication changes; adjusting doses is a
nursing/medical function. QMAs must administer exactly what is ordered.
You witness a coworker signing for a medication administration that did not occur. This is an
example of:
A. Negligence.
,2
B. Malpractice.
C. Fraud.
D. Slander.
Correct Answer: C. Fraud. [CORRECT]
Rationale: Falsifying documentation constitutes fraud and is a serious legal and ethical violation.
Legal action and loss of certification can result from falsifying medical records.
According to the "6 Rights of Medication Administration," which of the following is NOT one of
the original rights?
A. Right Route.
B. Right Documentation.
C. Right Room.
D. Right Time.
Correct Answer: C. Right Room. [CORRECT]
Rationale: The 6 Rights are Medication, Dose, Route, Time, Person, and Documentation. The
room is not the identifier; the person is.
A resident refuses to take their medication. You should:
A. Explain the consequences and force them to swallow it.
B. Document the refusal and notify the nurse immediately.
C. Wait until the next shift and try again.
D. Hide the medication in their food to ensure compliance.
Correct Answer: B. Document the refusal and notify the nurse immediately. [CORRECT]
Rationale: Residents have the right to refuse medication. Forcing medication or hiding it in food
is battery and unethical; the nurse must be notified to assess the resident.
Which task is strictly prohibited for a QMA regardless of facility policy?
A. Administering a gastrostomy tube feeding.
B. Applying topical nitroglycerin paste.
C. Performing fingerstick blood glucose testing.
D. Administering ear drops to a resident with a perforated eardrum (if ordered).
,3
Correct Answer: A. Administering a gastrostomy tube feeding. [CORRECT]
Rationale: While QMA scopes vary by state, tube feedings are generally considered a nursing
task (delegated act requiring specific higher-level nursing delegation) and often outside standard
QMA scope compared to oral/topical meds.
The "Right Resident" is best verified by:
A. Asking the resident their name.
B. Checking the name on the door.
C. Checking the resident's ID bracelet and asking them to state their name.
D. Asking a nursing assistant to identify the resident.
Correct Answer: C. Checking the resident's ID bracelet and asking them to state their name.
[CORRECT]
Rationale: Two identifiers are required for safe identification; relying solely on the resident's
memory or the door sign is unsafe and a common source of errors.
If you make a medication error, your first priority is:
A. Notify the nurse.
B. Document the error on the MAR.
C. Assess the resident for adverse effects.
D. Fill out an incident report.
Correct Answer: C. Assess the resident for adverse effects. [CORRECT]
Rationale: Safety of the resident is the immediate priority. After ensuring the resident is stable,
you notify the nurse, document, and file reports.
Who is responsible for supervising the QMA in the medication pass?
A. The facility administrator.
B. The Director of Nursing.
C. A licensed nurse (RN or LPN).
D. The pharmacist.
Correct Answer: C. A licensed nurse (RN or LPN). [CORRECT]
Rationale: State regulations require that a QMA works under the supervision and direction of a
licensed nurse.
, 4
A resident’s family member asks you to explain the purpose of a new cardiac medication. You
should:
A. Explain it in detail based on your pharmacology knowledge.
B. Tell them you are not allowed to speak to family.
C. Refer them to the nurse or the physician.
D. Read the package insert to them.
Correct Answer: C. Refer them to the nurse or the physician. [CORRECT]
Rationale: Providing medical advice or education on diagnoses and complex drug mechanisms is
outside the QMA scope of practice.
Which of the following is an example of "scope creep"?
A. Taking a resident’s blood pressure before giving an antihypertensive.
B. Deciding to hold a medication because the resident is sleeping, without an order.
C. Calling the pharmacy to clarify a dosage.
D. Cleaning the medication cart after the pass.
Correct Answer: B. Deciding to hold a medication because the resident is sleeping, without an
order. [CORRECT]
Rationale: Making clinical judgments about holding medications is a nursing function. QMAs
must administer at the scheduled time unless specific parameters allow a hold.
Informed consent regarding medication administration implies that:
A. The resident knows the side effects of every drug.
B. The resident (or proxy) has the right to accept or refuse treatment.
C. The QMA has the right to force meds if the resident is confused.
D. The family must be present for every administration.
Correct Answer: B. The resident (or proxy) has the right to accept or refuse treatment.
[CORRECT]
Rationale: Informed consent is the ethical and legal right to autonomy; residents can refuse care
even if it is detrimental to their health.
You notice a discrepancy between the medication cart and the MAR. You should:
A. Ask the pharmacy to fix it.
