Certified Medication Aide Practice Test

Unofficial medication aide practice: 60 questions of our own on the three content areas of the national exam outline.

See all 60 with answers
In the NCSBN model curriculum, who supervises a medication assistant-certified (MA-C)?

Pick an answer, then press Check answer. Then you see Correct or Not quite, with the reason. Keys: A to D pick, Enter checks.

Print covers the next 60 questions. Share this set copies a link to the same questions in the same order.

Exam mode: 60 questions, no time limit.

More options

Unofficial practice questions, not affiliated with Credentia, the National Council of State Boards of Nursing or any state board. Bank checked October 9, 2026.

The real exam, as Credentia's candidate handbooks describe it

Questions
60
Content areas
Authorized duties 16%. Medication administration, observation and reporting 60%. Medication concepts and measurements 24%.
Format
Multiple choice, in English, given as an online proctored exam and scored right after it ends.
Time
Two hours, by the Colorado handbook.
Pass mark
Set by the exam's owner. The handbook pages read for this site do not print it.
Who may sit
Each state decides who is eligible.
States
Credentia has test-taker pages for this exam in Colorado, Kentucky, South Carolina, Utah and Washington.

Checked October 9, 2026 against Credentia, MACE Content Outline and Exam Overview, in its state candidate handbooks. Rules change, so confirm with the agency itself before your test.

Credentia's test-taker pages, by state

All 60 questions with answers

Authorized duties 10

  • A nurse delegated a task to an MA-C for one client yesterday. What does that mean for a different client today? Answer: Nothing: delegation is client specific. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Ethical and Legal". Outline: I. Authorized Duties.
  • A nurse delegates a task the MA-C knows is beyond her knowledge and skills. What does the model curriculum expect? Answer: She does not accept it and speaks up to ask for training or help. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Ethical and Legal". Outline: I. Authorized Duties.
  • An as-needed (PRN) pain medication is ordered. In the model curriculum, whose judgment decides that the client needs a dose now? Answer: The licensed nurse's. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Ethical and Legal". Outline: I. Authorized Duties.
  • An MA-C is unsure what a medication is for. Which resource does the model curriculum list for the question? Answer: The package or drug insert. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Administration". Outline: I. Authorized Duties.
Show all 60 questions (56 more)

Authorized duties, continued

  • An MA-C sees a coworker pocket a client's pain tablets. Which legal issue on the model curriculum's list is this? Answer: Diversion. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Ethical and Legal". Outline: I. Authorized Duties.
  • In the NCSBN model curriculum, who supervises a medication assistant-certified (MA-C)? Answer: A licensed nurse. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Ethical and Legal". Outline: I. Authorized Duties.
  • May an MA-C hand a delegated medication task on to a nursing assistant? Answer: No. A delegated task cannot be redelegated. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Ethical and Legal". Outline: I. Authorized Duties.
  • The supervising nurse is unavailable to monitor a client's progress and the effect of a medication. What does the model curriculum say? Answer: The MA-C shall not perform the medication task. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Ethical and Legal". Outline: I. Authorized Duties.
  • Which act does the model curriculum say shall not be delegated to an MA-C? Answer: Assessing a client's need for, or response to, a medication. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Ethical and Legal". Outline: I. Authorized Duties.
  • Which route is outside the MA-C role in the NCSBN model curriculum? Answer: Through a gastrostomy tube. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Ethical and Legal". Outline: I. Authorized Duties.

Administration, observation and reporting 36

  • A client says his pain tablet "did nothing". What does the model curriculum direct? Answer: Report it to the supervising nurse. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Ethical and Legal". Outline: II. Medication Administration, Observation and Reporting.
  • A client says she will not take her morning tablet. Which action fits the model curriculum? Answer: Respect the refusal and document the reason on the MAR. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Communication and Documentation". Outline: II. Medication Administration, Observation and Reporting.
  • A client who is usually alert is confused this morning. What does the model curriculum direct? Answer: Tell the nurse at the first chance and record the change. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Communication and Documentation". Outline: II. Medication Administration, Observation and Reporting.
  • A client who takes warfarin has begun to bruise easily. Why is that reported? Answer: Warfarin may cause serious bleeding. Source: MedlinePlus (National Library of Medicine), Warfarin. Outline: II. Medication Administration, Observation and Reporting.
  • A daughter says, "Mom's pill is usually white, not blue." The MA-C gives it anyway and it is the wrong drug. Which cause of error on the model curriculum's list is this? Answer: Not listening to what a client or the family is worried about. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Safety". Outline: II. Medication Administration, Observation and Reporting.
  • A liquid medication has changed color but is not past its expiration date. By MedlinePlus, should it be taken? Answer: No. A change in color, texture or smell means it is damaged. Source: MedlinePlus (National Library of Medicine), Storing your medicines. Outline: II. Medication Administration, Observation and Reporting.
  • A medication that prevents blood from clotting belongs to which class in the model curriculum's list? Answer: Cardiovascular. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Administration". Outline: II. Medication Administration, Observation and Reporting.
  • A neighbor of a client asks the MA-C which medications the client takes. Which right of the client decides the answer? Answer: Confidentiality. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Ethical and Legal". Outline: II. Medication Administration, Observation and Reporting.
  • A physician telephones a new medication order to the unit. What does the model curriculum say about the MA-C? Answer: The MA-C should not accept orders given by voice or phone. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: II. Medication Administration, Observation and Reporting.
  • A tablet ordered to be swallowed is placed under the tongue. Which of the six rights was broken? Answer: Right route. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: II. Medication Administration, Observation and Reporting.
  • After breathing in a puff from a metered-dose inhaler, what does MedlinePlus say to do? Answer: Hold the breath for a slow count of 10. Source: MedlinePlus (National Library of Medicine), How to use an inhaler - no spacer. Outline: II. Medication Administration, Observation and Reporting.
  • An 88-year-old client who weighs 95 pounds starts a new medication. Which two factors on the model curriculum's list apply most plainly? Answer: Age and size. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Administration". Outline: II. Medication Administration, Observation and Reporting.
  • An MA-C only suspects she may have made a medication error. Is it reported? Answer: Yes. A possible error is reported like a known one. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Ethical and Legal". Outline: II. Medication Administration, Observation and Reporting.
  • An MA-C realizes she gave a dose to the wrong client. What does the model curriculum direct? Answer: Notify the nurse or supervisor as agency policy says and complete an error or incident report. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Safety". Outline: II. Medication Administration, Observation and Reporting.
  • An order on the record gives a drug and a dose but no time or frequency. What should the MA-C do? Answer: Question the order before giving anything. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: II. Medication Administration, Observation and Reporting.
  • An order reads "metoprolol 25 mg twice daily, 8 a.m. and 8 p.m.". It is signed and legible. By the model curriculum's list, what is missing? Answer: The route. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: II. Medication Administration, Observation and Reporting.
  • An order says "otic". Where does the medication go? Answer: In the ear. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Administration". Outline: II. Medication Administration, Observation and Reporting.
  • Antidiabetic medications are listed under which class? Answer: Endocrine. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Administration". Outline: II. Medication Administration, Observation and Reporting.
  • By MedlinePlus, how fast do the symptoms of anaphylaxis usually develop? Answer: Fast, often in seconds or minutes. Source: MedlinePlus (National Library of Medicine), Anaphylaxis. Outline: II. Medication Administration, Observation and Reporting.
  • By MedlinePlus, how is a sublingual nitroglycerin tablet taken? Answer: Placed under the tongue and left to dissolve. Source: MedlinePlus (National Library of Medicine), Nitroglycerin Sublingual. Outline: II. Medication Administration, Observation and Reporting.
  • By MedlinePlus, what should a client do after using an inhaler, to help reduce side effects? Answer: Rinse with water, gargle, then spit. Source: MedlinePlus (National Library of Medicine), How to use an inhaler - no spacer. Outline: II. Medication Administration, Observation and Reporting.
  • By MedlinePlus, which four things may damage medicines in storage? Answer: Heat, air, light and moisture. Source: MedlinePlus (National Library of Medicine), Storing your medicines. Outline: II. Medication Administration, Observation and Reporting.
  • By MedlinePlus, why must a fentanyl patch that is cut or damaged not be used? Answer: Most or all of the drug may reach the client in one go. Source: MedlinePlus (National Library of Medicine), Fentanyl Transdermal Patch. Outline: II. Medication Administration, Observation and Reporting.
  • By the Safety module, when should the MA-C know a medication's purpose, side effects and interactions? Answer: Before administering it. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Safety". Outline: II. Medication Administration, Observation and Reporting.
  • In the model curriculum's basic steps, what is reviewed before certain medications are given? Answer: Whether a pulse or blood pressure check is required first. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: II. Medication Administration, Observation and Reporting.
  • The model curriculum lists six rights of medication administration: client, drug, dose, route, time and which other? Answer: Right documentation. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: II. Medication Administration, Observation and Reporting.
  • Two clients on the hall are both named Mrs. Garcia. Which of the six rights is most at risk? Answer: Right client. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: II. Medication Administration, Observation and Reporting.
  • What do antimicrobials do, in the model curriculum's list of medication classes? Answer: Control or prevent the growth of bacteria, fungus, virus or other microorganisms. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Administration". Outline: II. Medication Administration, Observation and Reporting.
  • What does a urinary medication do, in the model curriculum's list of classes? Answer: Increases water loss through the kidneys. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Administration". Outline: II. Medication Administration, Observation and Reporting.
  • What does the FDA call the best way to dispose of most unused or expired medicines? Answer: A drug take-back option. Source: U.S. Food and Drug Administration, Disposal of Unused Medicines: What You Should Know. Outline: II. Medication Administration, Observation and Reporting.
  • What does the MA-C put on the MAR after giving a dose, by the model curriculum? Answer: Identifying initials and the time. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Communication and Documentation". Outline: II. Medication Administration, Observation and Reporting.
  • What is the last step in the model curriculum's list for giving a medication? Answer: Document. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: II. Medication Administration, Observation and Reporting.
  • When is the first of the three safety checks done? Answer: On taking the medication package out of storage. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: II. Medication Administration, Observation and Reporting.
  • Which action does the model curriculum list for respiratory medications? Answer: Bronchodilation. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Administration". Outline: II. Medication Administration, Observation and Reporting.
  • Which document is the record of each medication given to a client? Answer: The medication administration record (MAR). Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: II. Medication Administration, Observation and Reporting.
  • Which route in the model curriculum's list delivers a medication through a patch? Answer: Transdermal. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Administration". Outline: II. Medication Administration, Observation and Reporting.

Medication concepts and measurements 14

  • A client feels mild nausea after a new medicine and says she must be allergic. What does MedlinePlus say about that? Answer: Many people mistake a side effect such as nausea for a drug allergy. Source: MedlinePlus (National Library of Medicine), Drug allergies. Outline: III. Medication Concepts and Measurements.
  • A medication's generic name and its brand name refer to what? Answer: The same medication under different names. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: III. Medication Concepts and Measurements.
  • A tablet given to help a client sleep leaves him wide awake and restless. Which effect is this? Answer: Paradoxical. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: III. Medication Concepts and Measurements.
  • After months on the same medication, it works less well for a client because the body has adapted. Which term does the model curriculum use? Answer: Tolerance. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: III. Medication Concepts and Measurements.
  • An order is written in grams and the label is in milligrams. Who works out the conversion, in the model curriculum? Answer: The licensed nurse, not the MA-C. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: III. Medication Concepts and Measurements.
  • By MedlinePlus, which foods can affect how warfarin works? Answer: Foods that contain vitamin K, such as leafy green vegetables. Source: MedlinePlus (National Library of Medicine), Warfarin. Outline: III. Medication Concepts and Measurements.
  • How does the model curriculum describe a side effect? Answer: A reaction that is not part of the main effect desired. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: III. Medication Concepts and Measurements.
  • In the apothecaries' system, which unit does the model curriculum give for weight? Answer: The grain. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: III. Medication Concepts and Measurements.
  • What is a contraindication? Answer: A condition that makes a drug dangerous to use. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: III. Medication Concepts and Measurements.
  • What is the model curriculum's term for a life-threatening allergic reaction? Answer: Anaphylaxis. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: III. Medication Concepts and Measurements.
  • Which drink does the FDA warn can interact with some statins and some blood pressure drugs? Answer: Grapefruit juice. Source: U.S. Food and Drug Administration, Grapefruit Juice and Some Drugs Don't Mix. Outline: III. Medication Concepts and Measurements.
  • Which liquid form does the model curriculum mark as needing mixing or shaking? Answer: A suspension. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: III. Medication Concepts and Measurements.
  • Which solid form does the model curriculum mark "not to be crushed"? Answer: A tablet covered with a special coating. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: III. Medication Concepts and Measurements.
  • Which three systems of measurement does the model curriculum list? Answer: Apothecaries', metric and common household. Source: NCSBN, Medication Assistant-Certified (MA-C) Model Curriculum (2007), module "Medication Fundamentals". Outline: III. Medication Concepts and Measurements.

How this list was compiled: Our own questions, written to the National Medication Aide Certification Examination (MACE) Content Outline that Credentia publishes in its state candidate handbooks (https://kb-ut.credentia.com/en/article/national-medication-aide-certification-examination-mace-content-outline, read 2026-10-09): I. Authorized Duties, 16%; II. Medication Administration, Observation and Reporting, 60%; III. Medication Concepts and Measurements, 24%. The bank holds 10, 36 and 14 questions on the three areas. Every fact was read on 2026-10-09 in the public source the question names: the Medication Assistant-Certified (MA-C) Model Curriculum of the National Council of State Boards of Nursing, adopted August 9, 2007 (https://www.ncsbn.org/public-files/07_Final_MAC.pdf; 48 questions), MedlinePlus pages of the National Library of Medicine (10) and consumer pages of the U.S. Food and Drug Administration (2). Licence: Questions, choices and explanations are original work of this site.

How it works

This certified medication aide practice test is free, with no account. It is unofficial and not affiliated with Credentia, which owns the national exam (MACE), the National Council of State Boards of Nursing or any state board.

Read the full guide

What the national exam covers

Credentia's content outline gives the Medication Aide Certification Examination three areas: authorized duties (16%), medication administration, observation and reporting (60%), and medication concepts and measurements (24%). This bank holds 10, 36 and 14 questions on them.

Where the answers come from

Forty-eight questions are checked against the model curriculum for medication assistants that the National Council of State Boards of Nursing adopted in 2007. Ten name a MedlinePlus page and two a Food and Drug Administration page.

Your state may give its own test

A medication aide's scope is set state by state. Two states have their own pages here: the Nebraska medication aide practice test and the Indiana QMA practice test.

  • The model curriculum keeps tube routes out of the role, yet Indiana lets a QMA use a G-tube. Learn your own state's scope.

Questions and answers

How many questions are on the medication aide state exam?

The national exam, the MACE, has 60 multiple-choice questions, by Credentia's candidate handbooks, and Colorado's allows two hours. A state that gives its own test sets its own length: ask your state board or training program.

Is this med aide practice test the real exam?

No. The real exam is closed. These are our own questions, written to its public outline. None is taken or reworded from the exam or from a handbook's sample questions.

Is this a practice test for medication administration?

Yes. Thirty-six of the 60 questions are on medication administration, observation and reporting: orders, the six rights, routes, drug classes, errors and what to report to the nurse.

What score do you need to pass the certified medication aide exam?

The exam's owner sets the passing score, and the handbook pages read for this site do not print it. This page shows your number right and gives no pass or fail verdict.

What can a med aide not do?

Under the national model curriculum, a medication aide does not convert or calculate doses, assess a client's need for a medication, judge when a PRN dose is needed or take verbal orders. State law decides the rest.