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Indiana QMA State Exam ALL VERSIONS
2025 | LATEST AND ACCURATE REAL
EXAM QUESTIONS WITH DETAILED
ANSWERS | VERIFIED FOR
GUARANTEED PASS | LATEST UPDATE
1. What is pharmacology? A. The study of diseases B. The study of drug interactions only C. The study of medications and their effect on the body D. The manufacturing of medications ✅ Correct Answer: C. Rationale: Pharmacology is the scientific study of how medications interact with the body. 2. What are medications? A. Substances used to cause illness B. Substances or mixtures used to diagnose, treat or prevent disease or illness C. Chemicals used in experiments D. Only over-the-counter drugs ✅ Correct Answer: B. Rationale: Medications are used therapeutically to diagnose, treat, or prevent disease. 3. Which of the following is NOT a source of medication? A. Plants B. Animals C. Plastic D. Minerals ✅ Correct Answer: C. Rationale: Medications come from natural sources like plants, animals, minerals, and synthetic chemicals—not plastic. 4. What are semi-synthetic drugs made from? A. Only chemicals B. Purely plants C. Man-made combinations of natural sources
D. Only mineral extracts ✅ Correct Answer: C. Rationale: Semi-synthetic drugs are partly man-made and partly derived from natural sources.
5. What are adverse effects (ADRs)? A. Beneficial effects B. Desired drug actions C. Undesired side effects or toxicities D. No effect at all ✅ Correct Answer: C. Rationale: ADRs refer to harmful or unintended effects from medications. 6. What type of effect is an allergic reaction to medication? A. Always mild B. Always delayed C. Can range from mild to life-threatening D. Never serious ✅ Correct Answer: C. Rationale: Allergic effects may be mild (rash) or life-threatening (anaphylaxis). 7. If a resident has breathing problems or a skin rash after receiving medication, what should you do? A. Wait and observe B. Give more of the medication C. Notify the nurse immediately D. Ignore it ✅ Correct Answer: C. Rationale: Allergic reactions should be immediately reported to a nurse. 8. What is a side effect? A. An expected outcome only B. Always dangerous C. An unintended outcome that may be undesirable D. The main purpose of medication ✅ Correct Answer: C. Rationale: Side effects are unintended, often undesirable effects like nausea or headache. 9. What is a toxic effect? A. A pleasant outcome
14. What does a short half-life mean for medication scheduling? A. Less frequent doses B. More frequent doses C. No effect on scheduling D. Weekly doses ✅ Correct Answer: B. Rationale: Medications with short half-lives require more frequent dosing to maintain levels. 15. What is tinnitus? A. Hearing loss B. Ringing in the ears C. Ear infection D. Dizziness ✅ Correct Answer: B. Rationale: Tinnitus is the perception of ringing or buzzing in the ears. 16. What are antianxiety medications also called? A. Analgesics B. Antibiotics C. Anxiolytics D. Antacids ✅ Correct Answer: C. Rationale: Anxiolytics is another term for antianxiety drugs. 17. What is Aldomet used to treat? A. Anxiety B. High blood pressure C. Allergies D. Depression ✅ Correct Answer: B. Rationale: Aldomet (methyldopa) is an adrenergic blocker used for hypertension. 18. Aricept is used to treat: A. Hypertension B. Seizures C. Alzheimer’s-related dementia D. Depression ✅ Correct Answer: C. Rationale: Aricept (donepezil) is commonly prescribed for Alzheimer’s dementia.
19. What does Dilantin treat? A. Asthma B. Hypertension C. Seizures D. Pain ✅ Correct Answer: C. Rationale: Dilantin (phenytoin) is used for complex partial seizures. 20. What condition is treated with iron supplements? A. Vitamin D deficiency B. Hypertension C. Iron deficiency anemia D. Allergies ✅ Correct Answer: C. Rationale: Iron is essential for treating iron-deficiency anemia. 21. Lithium is prescribed for which condition? A. Hypertension B. Diabetes C. Bipolar disorder D. Asthma ✅ Correct Answer: C. Rationale: Lithium stabilizes mood in bipolar disorder. 22. What is Luminal used for? A. Treating headaches B. Treating grand mal seizures and as a sedative C. Blood pressure control D. Diabetes ✅ Correct Answer: B. Rationale: Luminal (phenobarbital) is both a sedative and an anti-seizure medication. 23. What is Ritalin used to treat? A. Seizures B. Anxiety C. ADHD D. Insomnia ✅ Correct Answer: C. Rationale: Ritalin (methylphenidate) is prescribed for ADHD.
29. What does MAR stand for? A. Medication Authorization Record B. Medication Audit Report C. Medication Administration Record D. Medication Assessment Review ✅ Correct Answer: C. Rationale: The MAR is the document used to record medication administration. 30. How is sublingual medication administered? A. Injected into a vein B. Swallowed C. Placed under the tongue D. Inhaled ✅ Correct Answer: C. Rationale: Sublingual medications dissolve under the tongue for fast absorption. 31. Buccal medication is placed: A. Under the tongue B. In the ear C. Between the cheek and gum D. In the nose ✅ Correct Answer: C. Rationale: Buccal route involves placement in the cheek pouch for absorption. 32. What does irrigation involve? A. Drying the area B. Rubbing medication in C. Flushing an area with fluid or medication D. Injecting fluid into muscles ✅ Correct Answer: C. Rationale: Irrigation involves flushing an area to cleanse or apply medication. 33. A transdermal patch delivers medication: A. Through an injection B. Orally C. Through the skin D. Through eye drops ✅ Correct Answer: C. Rationale: A transdermal patch is absorbed through the skin for systemic effect.
34. Topical medication is applied: A. Orally B. On the skin surface C. By injection D. Into the eye ✅ Correct Answer: B. Rationale: Topical medications are applied externally to act locally or systemically. 35. Inunction refers to medication that is: A. Injected B. Swallowed C. Rubbed into the skin D. Inhaled ✅ Correct Answer: C. Rationale: Inunction means rubbing a medication into the skin to promote absorption. 36. Instillation involves placing medication: A. Into the skin B. Into contact with mucous membranes C. Into a muscle D. Under the tongue ✅ Correct Answer: B. Rationale: Instillation is the application of medication directly to mucous membranes. 37. What does CCMS stand for? A. Chronic Care Medication System B. Clean Catch Midstream Specimen C. Certified Clinical Medical Specialist D. Controlled Chemical Medication Survey ✅ Correct Answer: B. Rationale: CCMS refers to a method of urine collection to avoid contamination. 38. What is a stoma? A. A skin rash B. A blocked blood vessel C. An artificially created opening D. A broken bone ✅ Correct Answer: C. Rationale: A stoma is a surgically made opening to the body surface (e.g., colostomy).
44. Night sweats, mood swings, and weight gain can result from: A. Iron B. Prednisone C. Robitussin D. Aricept ✅ Correct Answer: B. Rationale: These are known side effects of corticosteroids like Prednisone. 45. What should you do if you drop a medication on the floor? A. Wipe and reuse it B. Ignore it C. Dispose of it as per facility policy D. Give it anyway ✅ Correct Answer: C. Rationale: Dropped meds must be discarded per facility protocols. 46. A medication ordered at 9 AM can be given between: A. 6 AM – 8 AM B. 8 AM – 10 AM C. 9 AM – 12 PM D. Anytime during the day ✅ Correct Answer: B. Rationale: Most facilities allow a 1-hour window before or after the scheduled time. 47. Signing your name on a resident’s chart means you: A. Did nothing B. Avoid responsibility C. Assume responsibility for the entry D. Can be anonymous ✅ Correct Answer: C. Rationale: Your signature signifies accountability for that record entry. 48. What is Fowler’s position? A. Flat on the back B. HOB elevated 50 degrees C. Sitting in a chair D. On the stomach ✅ Correct Answer: B. Rationale: Fowler’s involves elevating the head of the bed, usually 45–60 degrees.
49. Rheumatoid arthritis affects: A. Muscles B. Lungs C. Skin D. Joints ✅ Correct Answer: D. Rationale: It is an autoimmune disease targeting joints. 50. Prednisone is classified as a: A. Sedative B. Anti-inflammatory C. Antibiotic D. Stimulant ✅ Correct Answer: B. Rationale: Prednisone reduces inflammation in the body. 51. PO administration means giving medication: A. Intravenously B. By mouth C. Into the eye D. Through the skin ✅ Correct Answer: B. Rationale: "PO" stands for "per os" (by mouth). 52. If a resident is restless with shallow, rapid breathing, you should: A. Tell them to calm down B. Ignore it C. Obtain a saturation level D. Offer water ✅ Correct Answer: C. Rationale: These may indicate hypoxia; check oxygen saturation. 53. A medication has a systemic effect when: A. It affects only one body part B. It is not absorbed C. It affects the entire body D. It causes pain ✅ Correct Answer: C. Rationale: A systemic drug enters circulation and impacts the whole body.
59. After giving Milk of Magnesia (MOM), you should: A. Do nothing B. Give food C. Document the results D. Forget it ✅ Correct Answer: C. Rationale: Documenting outcomes of laxatives is necessary for follow-up care. 60. Why wear gloves when helping with a bedpan? A. To be polite B. To avoid cold hands C. To prevent contact with body fluids D. For comfort ✅ Correct Answer: C. Rationale: Gloves protect both the resident and caregiver from contamination. 61. What does a hemoccult test detect? A. Bacteria B. Sugar in urine C. Blood in stool D. Protein in blood ✅ Correct Answer: C. Rationale: Hemoccult screens feces for hidden (occult) blood. 62. What may cause constipation in elderly patients? A. Fast digestion B. Slow peristalsis C. Frequent eating D. High water intake ✅ Correct Answer: B. Rationale: Aging slows bowel movements, leading to constipation. 63. A drug interaction where drugs oppose each other is called: A. Synergism B. Addiction C. Antagonist effect D. Allergic reaction ✅ Correct Answer: C. Rationale: An antagonist interaction reduces or blocks each drug’s effect.
64. If Synthroid 0.1 mg PO qd is ordered, you will give: A. 1 mg weekly B. 0.1 mg daily C. 10 mg hourly D. 0.1 g daily ✅ Correct Answer: B. Rationale: "PO qd" means by mouth, once a day. 65. Robitussin is classified as: A. Antihistamine B. Expectorant C. Analgesic D. Sedative ✅ Correct Answer: B. Rationale: Robitussin helps clear mucus by thinning it. 66. Which are side effects of Synthroid? A. Sleepiness B. Sweating, tremors, insomnia C. Rash and itching D. Constipation ✅ Correct Answer: B. Rationale: Synthroid can overstimulate metabolism. 67. When pouring Robitussin, you should: A. Pour over the label B. Pour over the sink C. Pour away from the label D. Shake vigorously while pouring ✅ Correct Answer: C. Rationale: Pouring away from the label avoids damage/spillage on the label. 68. If the doctor is with a resident when you arrive with meds, you should: A. Interrupt them B. Give meds anyway C. Leave the meds D. Return when they are finished ✅ Correct Answer: D. Rationale: Do not interrupt an assessment—return later.
- ANSWER used to reduce physical and mental activity, control convulsion and produce sleep Vitamin B6 – ANSWER Pyridoxine Senokot
- ANSWER used for constipation 50cc – ANSWER when flushing the G-tube after checking for placement, you should flush with _____cc of H March 31
- ANSWER QMA certification all expires
Part of the metered dose inhaler include? - ANSWER Mouth piece If a resident becomes emotionally withdrawn the may be? - ANSWER Depressed Movement of the medication from the site of administration into the bloodstream is called? - ANSWER Absorption A resident has an order for Xanax TID. The med is administered - ANSWER Three times a day To treat thrombophlebitis, the resident is given? - ANSWER Coumadin Short term memory loss may be caused by? - ANSWER Dalmane After administering a medication you discover you gave the wrong med, the first thing you do is? - ANSWER Notify the nurse Common complication of G tubes are? - ANSWER Occlusion and Displacement If a resident asks for a can soda you should? - ANSWER Tell them you must check with the nurse. As a part of daily G tube care you should clean around the site with? - ANSWER Cleansing solution ordered by the MD A residents daughter tells you that the staff does not care for her mother like she did at home, you should tell her? - ANSWER You will get the nurse so she can share her concerns The process by which a drug is eliminated from the body is called? - ANSWER Excretion Your resident receives sublingual nitroglycerin. You should? - ANSWER Place the tablet under their tongue Thorazine is classified as - ANSWER A antipsychotic Your resident develops large red welts on their face, neck, and chest which may be caused by? - ANSWER Amoxil ( PCN) The doctor has ordered the residents meds may be crushed. You should? - ANSWER Check the facility list of safe meds to be crushed
To prepare to administer milk of magnesia you should? - ANSWER Shake it first it is a suspension To administer Debrox you should? - ANSWER Gently pull the ear up and back Your resident has a colostomy which is a surgical opening attaching a portion of the? - ANSWER Colon of the abdominal surface You observe your resident needs to urinate frequently which may be caused by? - ANSWER UTI You empty a colostomy bag when it is? - ANSWER 1/3 full The term OD means? - ANSWER Right eye To stimulate the pancreas to produce more insulin your resident receives? - ANSWER Micronase Toxic dose of Tylenol may cause? - ANSWER Liver damage When preparing Surfak you should? - ANSWER Use a calibrated cup Your resident has Parkinson's Disease, symptoms include what? - ANSWER Tremors Metamucil is classified as? - ANSWER Bulk lax A topical medication is? - ANSWER Placed on the skin An adverse affect that your resident may experience from Felsol is? - ANSWER Constipation When administering Metamucil you should? - ANSWER Mix with 8 ounces of water or juice Your resident has Athletes foot so the MD orders what? - ANSWER Tinactin As a QMA you cannot - ANSWER Administer meds via NG tube Doing only things in your scope of practice is - ANSWER Reasonable As a QMA you may apply cream to the coccyx if the pressure sore is - ANSWER Stage 1
When a medication error is made, you may be responsible to - ANSWER Observe the undesired effects As a QMA you must recertify? - ANSWER Annually As a QMA you must do how many hours of medication inservice a year? - ANSWER 6 hours The threat to use force against another person and carrying out the threat is - ANSWER Assault and Battery All individuals are legally protected from? - ANSWER Libel and slander and Assault and battery The omission or neglect of any reasonable precaution, care or action is? - ANSWER Negligence Both healthcare workers and residents are protected by the standard of? - ANSWER Reasonable care right medication, right dose, right resident, right route, right time, and right documentation is? - ANSWER The six rights of medication administration The first thing to do if you make or discover a medication error is report it to the nurse is called - ANSWER Reporting the nurse will likely instruct you to assist to observe the resident for - ANSWER adverse effects This form is completed by whomever is the most familiar with the situation, usually the person who committed or discovered the error by following your facility policy. is called a ? - ANSWER Medication Error Report what report is sent to the director of nursing or administrator? - ANSWER medication error report medication error reports are reviewed by? - ANSWER medical director and the DON who design plans that will avoid future incidents. Personal information, medical records, written and verbal communications, medical treatment, personal care and behavior is a patients? - ANSWER Confidentially give the patient and their property? - ANSWER privacy
