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Unofficial practice questions, not affiliated with the Nebraska Department of Health and Human Services or any testing provider. Bank checked October 9, 2026.
The real exam, by the Nebraska Department of Health and Human Services
To pass
72% right
Minimum age
18
Who must pass it
A medication aide in a nursing home, an assisted-living facility or an intermediate care facility for persons with developmental disabilities.
Before the exam
A 40-hour course on the competencies.
Questions and time
Not given on the Department's pages. Ask the testing provider.
Who gives it
State-approved testing providers, who set and collect the exam fee.
Registry
Registration lasts two years. A first-time applicant who has met all criteria may work up to 30 days while waiting for placement.
Other settings
A competency assessment covering 10 competencies plus the basic routes. No course or state exam.
A medication aide helps a recipient apply his own ordered cream. What is that under the Medication Aide Act?Answer: Provision of medication. Source: Neb. Rev. Stat. § 71-6721 (Medication Aide Act). Competency: providing medications according to the five rights.
A routine ointment is ordered for the eye. Under 172 NAC 95, which basic route is that?Answer: Instillation. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: providing medications according to the five rights.
A tablet is placed under the tongue. Under 172 NAC 95, which basic route is that?Answer: Oral. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: providing medications according to the five rights.
How does 172 NAC 95 describe the buccal placement of a medication?Answer: Between the cheek and gum. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: providing medications according to the five rights.
How does the Medication Aide Act define PRN?Answer: A medication that is not routine, is taken as needed and requires assessment for need and effectiveness. Source: Neb. Rev. Stat. § 71-6721 (Medication Aide Act). Competency: providing medications according to the five rights.
Show all 52 questions (47 more)
Five rights and basic routes, continued
In the Medication Aide Act, a 'routine' medication is one whose frequency of administration, amount, strength and method are what?Answer: Specifically fixed. Source: Neb. Rev. Stat. § 71-6721 (Medication Aide Act). Competency: providing medications according to the five rights.
Nebraska's Medication Aide Act defines the five rights as the right drug, the right recipient, the right dosage, the right route and what else?Answer: The right time. Source: Neb. Rev. Stat. § 71-6721 (Medication Aide Act). Competency: providing medications according to the five rights.
Under 172 NAC 95, a transdermal patch belongs to which basic route?Answer: Topical. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: providing medications according to the five rights.
Under 172 NAC 95-006, the inhalation route includes inhalers and which other device?Answer: Nebulizers. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: providing medications according to the five rights.
Which of these is one of the four basic routes a Nebraska medication aide may use for routine medications?Answer: Inhalation. Source: Neb. Rev. Stat. § 71-6723 (Medication Aide Act). Competency: providing medications according to the five rights.
Documenting and medication errors 9
A recipient refuses a dose. What does 172 NAC 95-006.01 say about the record?Answer: The refusal is recorded. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: documenting accurately and completely.
A record shows the recipient, the medication, and the date, time, dosage and route. What else does 172 NAC 95-006.01 require for a dose that was given?Answer: Identification of the person who provided the medication. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: documenting accurately and completely.
A tablet is dropped on the floor and wasted. What does 172 NAC 95-012.05 require?Answer: The loss is recorded according to entity policy. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: documenting accurately and completely.
Do the record and error-reporting rules apply when a medication aide gives a PRN medication or uses an additional route?Answer: Yes. The same rules of 172 NAC 95-006 apply. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: documenting accurately and completely.
How long must an entity keep medication records under 172 NAC 95-011?Answer: At least two years after the service. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: documenting accurately and completely.
To whom is a medication error reported under 172 NAC 95-006.03?Answer: The person responsible for providing direction and monitoring. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: documenting accurately and completely.
Under section 71-6724, which two departments may inspect and copy medication administration records?Answer: Health and Human Services, and the State Department of Education. Source: Neb. Rev. Stat. § 71-6724 (Medication Aide Act). Competency: documenting accurately and completely.
When must a medication error be reported under 172 NAC 95-006.03?Answer: Immediately upon discovery of the error. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: documenting accurately and completely.
Who receives the medication aide's record of provision of medication?Answer: The entity employing the medication aide. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: documenting accurately and completely.
Limits, direction and additional activities 12
A worker only reminds a person to take her own medication. How does section 71-6720 treat that?Answer: The Act does not apply to reminders to self-administer. Source: Neb. Rev. Stat. § 71-6720 (Medication Aide Act). Competency: complying with the limitations and conditions under which a medication aide may provide medications.
Before a medication aide performs an additional activity, who must determine that it can be done safely for the specific recipient?Answer: A licensed health care professional. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: complying with the limitations and conditions under which a medication aide may provide medications.
In which setting does the Medication Aide Act not apply, unless care there comes through a licensed in-home provider?Answer: The home. Source: Neb. Rev. Stat. § 71-6720 (Medication Aide Act). Competency: complying with the limitations and conditions under which a medication aide may provide medications.
May a medication aide provide direction and monitoring?Answer: No. The aide may only take part in observing and reporting. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: complying with the limitations and conditions under which a medication aide may provide medications.
Under 172 NAC 95, what is giving a rectal suppository?Answer: An additional activity that needs written direction. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: complying with the limitations and conditions under which a medication aide may provide medications.
Under section 71-6722, how is the person responsible for direction and monitoring identified?Answer: In writing, with a written indication that the person accepted the responsibility. Source: Neb. Rev. Stat. § 71-6722 (Medication Aide Act). Competency: complying with the limitations and conditions under which a medication aide may provide medications.
Under section 71-6723, what must direction for a PRN medication be?Answer: In writing, with the parameters for providing the PRN medication. Source: Neb. Rev. Stat. § 71-6723 (Medication Aide Act). Competency: complying with the limitations and conditions under which a medication aide may provide medications.
When does 172 NAC 95-009 not require written direction for an additional activity?Answer: When direction and monitoring is provided by a competent recipient. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: complying with the limitations and conditions under which a medication aide may provide medications.
Which of these is an 'optional additional activity' under 172 NAC 95-007.01?Answer: Providing a PRN medication. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: complying with the limitations and conditions under which a medication aide may provide medications.
Which of these may a Nebraska medication aide not provide, even as an additional activity?Answer: Medications or fluids intravenously. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: complying with the limitations and conditions under which a medication aide may provide medications.
Which of these may provide direction and monitoring under 172 NAC 95-005.01?Answer: A caretaker. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: complying with the limitations and conditions under which a medication aide may provide medications.
Who is a 'caretaker' in the Medication Aide Act?Answer: A parent, foster parent, family member, friend or legal guardian who provides care for an individual. Source: Neb. Rev. Stat. § 71-6721 (Medication Aide Act). Competency: complying with the limitations and conditions under which a medication aide may provide medications.
Recipient rights, safety and abuse reporting 9
A coworker who does not care for a recipient asks what medications she takes. What does the competency standard on confidentiality say?Answer: Confidential information is shared only when it affects the recipient's care, and only with the appropriate person. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: maintaining confidentiality.
A medication aide spends a recipient's money on herself. Which competency of 172 NAC 96-005.01 does that break?Answer: The recipient's right to be free from abuse, neglect, and misappropriation or misuse of property. Source: Title 172 Nebraska Administrative Code, Chapter 96, effective September 24, 2022. Competency: the recipient's right to be free from abuse, neglect and misuse of property.
A recipient refuses a tablet. What does 172 NAC 95-004(B) say the medication aide does not do?Answer: Force the recipient to take the medication. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: complying with a recipient's right to refuse.
How must an entity store the medications it is responsible for, under 172 NAC 95-012.01?Answer: In accordance with the manufacturer's or dispensing pharmacist's instructions. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: practicing safety in application of medication procedures.
Medications go with a recipient on a weekend visit. To whom may the labeled container be given under 172 NAC 95-012.06?Answer: A competent recipient, a resident-specific caretaker or another designated responsible person. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: practicing safety in application of medication procedures.
The tablets in a bottle look discolored and crumbled. Which competency standard of 172 NAC 95-004 applies?Answer: Intervening when unsafe conditions of the medication indicate it should not be provided. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: practicing safety in application of medication procedures.
Under 172 NAC 95-004(K), possible abuse of a vulnerable adult is reported as which act requires?Answer: The Adult Protective Services Act. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: abuse and neglect reporting.
Which act does 172 NAC 96-005.01 name for reporting possible abuse or neglect of a child?Answer: The Child Protection and Family Safety Act. Source: Title 172 Nebraska Administrative Code, Chapter 96, effective September 24, 2022. Competency: abuse and neglect reporting.
Who may have access to the medications an entity is responsible for, under 172 NAC 95-012.02?Answer: Only authorized personnel designated by the entity. Source: Title 172 Nebraska Administrative Code, Chapter 95, effective September 24, 2022. Competency: practicing safety in application of medication procedures.
Registry, 40-hour course and state exam 12
A facility takes action against a medication aide for alleged incompetence. Within what time must it report to the Department under section 71-6736?Answer: Within 30 days. Source: Neb. Rev. Stat. § 71-6736 (Medication Aide Act). Registration: the registry, the 40-hour course and the examination.
A first-time applicant has met all the criteria and waits for placement on the registry. For how long may that person provide medications?Answer: Not more than 30 days. Source: Title 172 Nebraska Administrative Code, Chapter 96, effective September 24, 2022. Registration: the registry, the 40-hour course and the examination.
A licensed practical nurse voluntarily surrendered her license in lieu of discipline. May she register as a medication aide?Answer: No. Section 71-6726 bars it. Source: Neb. Rev. Stat. § 71-6726 (Medication Aide Act). Registration: the registry, the 40-hour course and the examination.
A registration was removed from the Medication Aide Registry. When may the person reapply under section 71-6733?Answer: After one year has elapsed. Source: Neb. Rev. Stat. § 71-6733 (Medication Aide Act). Registration: the registry, the 40-hour course and the examination.
For renewal, when must the competency assessment have been completed under 172 NAC 96-007.02?Answer: In the six months before the new registration takes effect. Source: Title 172 Nebraska Administrative Code, Chapter 96, effective September 24, 2022. Registration: the registry, the 40-hour course and the examination.
How old must a person be to register as a medication aide in Nebraska?Answer: 18. Source: Neb. Rev. Stat. § 71-6726 (Medication Aide Act). Registration: the registry, the 40-hour course and the examination.
What is the penalty class for intentionally violating the Medication Aide Act?Answer: A Class III misdemeanor. Source: Neb. Rev. Stat. § 71-6741 (Medication Aide Act). Registration: the registry, the 40-hour course and the examination.
What passing score does the Department's requirements page give for the state exam after the 40-hour course?Answer: 72 percent or greater. Source: Nebraska Department of Health and Human Services, Medication Aide Requirements. Registration: the registry, the 40-hour course and the examination.
When does a medication aide registration expire under 172 NAC 96-007.01?Answer: Two years after the date of registration. Source: Title 172 Nebraska Administrative Code, Chapter 96, effective September 24, 2022. Registration: the registry, the 40-hour course and the examination.
Which of these is one of the three listings on the Medication Aide Registry under section 71-6727?Answer: Medication Aide-20-Hour. Source: Neb. Rev. Stat. § 71-6727 (Medication Aide Act). Registration: the registry, the 40-hour course and the examination.
Which workplace requires a medication aide to have completed the 40-hour course under section 71-6725?Answer: A nursing home. Source: Neb. Rev. Stat. § 71-6725 (Medication Aide Act). Registration: the registry, the 40-hour course and the examination.
Who may conduct a competency assessment under 172 NAC 96-005.02?Answer: A licensed health care professional or a registered medication aide. Source: Title 172 Nebraska Administrative Code, Chapter 96, effective September 24, 2022. Registration: the registry, the 40-hour course and the examination.
How this list was compiled: Our own questions, written to what Nebraska publishes for a medication aide. The Department of Health and Human Services says a Medication Aide-40 hour must pass a 40-hour course and a state exam and know the 10 competencies and the basic routes (https://dhhs.ne.gov/licensure/Pages/Medication-Aide.aspx, read 2026-10-09), and gives the passing score as 72 percent or greater (https://dhhs.ne.gov/licensure/Pages/Medication-Aide-Requirements.aspx, read 2026-10-09). The competencies are in Neb. Rev. Stat. 71-6725 and 172 NAC 96-005.01; the routes in Neb. Rev. Stat. 71-6723 and 172 NAC 95-006. The bank holds 10 questions on the five rights and basic routes, 9 on documenting and errors, 12 on limits, direction and monitoring and additional activities, 9 on recipient rights, safety and abuse reporting, and 12 on the registry, the course and the exam; the state publishes no question count per competency. Every fact was read on 2026-10-09 in the source the question names: the Medication Aide Act on nebraskalegislature.gov (18 questions), 172 NAC 95 (27) and 172 NAC 96 (6), both effective September 24, 2022, on rules.nebraska.gov, and the Department's pages (1). Licence: Questions, choices and explanations are original work of this site.
How it works
This Nebraska medication aide practice test is free, with no account. It is unofficial and not affiliated with the Nebraska Department of Health and Human Services or any testing provider.
Read the full guide
What Nebraska asks a medication aide to know
The Department says a Medication Aide-40 hour passes a 40-hour course and a state exam, and knows the 10 competencies and the basic routes. The competencies are in section 71-6725 of the Medication Aide Act and in 172 NAC 96; the routes are in 172 NAC 95.
Where the answers come from
Eighteen questions name a section of the Act and 33 a section of 172 NAC 95 or 96, both effective September 24, 2022. One names the Department's requirements page.
Where Nebraska differs
A medication aide may give a PRN dose or use a gastrostomy tube only with written direction and a licensed health care professional's safety determination. Intravenous medication is never allowed.
Nebraska's five rights end with the right time. Documenting is a separate competency, not a sixth right.
Questions and answers
What is the passing score for the Nebraska medication aide test?
72 percent or greater, by the Department's requirements page. The exam follows the 40-hour course and is given by state-approved testing providers, who set and collect their own fees.
How many questions are on the Nebraska medication aide exam?
The Department's pages give no question count and no time limit, so this page does not guess one. Ask your approved testing provider. Exam mode here asks 50 of our questions.
Are these practice tests for the Nebraska medication aide test the real questions?
No. The state exam is closed. These are our own questions, written from the Act and the regulations. None is taken or reworded from the exam or from a course provider.
Who needs the 40-hour medication aide course in Nebraska?
A medication aide in a nursing home, an assisted-living facility or an intermediate care facility for persons with developmental disabilities. In other settings the Act asks for a competency assessment and no course.
How long does a Nebraska medication aide registration last?
Two years from the date of registration. Renewal needs a competency assessment completed in the six months before the new registration takes effect, and the renewal fee.