Texas Certified Medication Aide Practice Test

Unofficial practice for the Texas medication aide exam: 100 questions of our own from the state rules and curriculum.

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An order needs the dose worked out from the tablet strength. Who may not calculate it?

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Unofficial practice questions, not affiliated with the Texas Health and Human Services Commission. Bank checked October 15, 2026.

The real exam, as Texas publishes it

Questions
100
Retakes
One more examination at no added fee. After a second failure, another training program.
Who may sit
An applicant at least 18 with a high school diploma or GED who has completed the training program and applied through the online portal.
Before the test
A 140-hour program: 100 hours of classroom, 30 of skills laboratory and 10 of clinical experience.
Who gives it
The Health and Human Services Commission, at a site it determines.
Covers
The subjects taught in the training curricula and clinical experience: accurate and safe drug therapy.
Pass mark
Set by the commission. The rule and the programme pages read do not print it. Ask your school.
Permit
Valid 12 months and renewed each year, with seven hours of continuing education from the second renewal on.

Checked October 15, 2026 against 26 TAC §557.111 and §557.119 and the commission's Medication Aide Program FAQs. Rules change, so confirm with the agency itself before your test.

The commission's Medication Aide Program page

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All 100 questions with answers

Medication aide rules: allowed and prohibited practices 24

  • A new drug arrives for a resident, and the records show it has never been given to her. What does the rule say? Answer: The aide may not give that first dose. Source: 26 TAC §557.105, (b)(4). Topic: Medication aide rules: allowed and prohibited practices.
  • A nursing facility resident receives medications through a feeding tube. What does the rule say for the medication aide? Answer: The aide may not give medications or feedings by tube. Source: 26 TAC §557.105, (b)(7). Topic: Medication aide rules: allowed and prohibited practices.
  • A physician telephones a medication order to the nursing station. What may the medication aide not do? Answer: Take the order and write it down. Source: 26 TAC §557.105, (b)(8). Topic: Medication aide rules: allowed and prohibited practices.
  • A resident breaks out in hives after a dose. What does the rule require of the medication aide? Answer: Report it to the licensed nurse and document it. Source: 26 TAC §557.105, (a)(1). Topic: Medication aide rules: allowed and prohibited practices.
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Medication aide rules: allowed and prohibited practices, continued

  • A resident has a previously ordered PRN pain medication. What does the aide need before giving a dose? Answer: Authorization from the licensed nurse. Source: 26 TAC §557.105, (a)(7). Topic: Medication aide rules: allowed and prohibited practices.
  • A resident has an inhalation treatment ordered. What does the Texas rule say about the medication aide giving it? Answer: The aide may not give any inhalation treatment. Source: 26 TAC §557.105, (b)(2). Topic: Medication aide rules: allowed and prohibited practices.
  • A resident's PRN symptoms come back the next day. How often must the aide get the nurse's authorization? Answer: Each time the symptoms occur. Source: 26 TAC §557.105, (a)(7)(D). Topic: Medication aide rules: allowed and prohibited practices.
  • A task is not among the practices listed as allowed for a medication aide. How does the rule treat it? Answer: It is prohibited. Source: 26 TAC §557.105, (c). Topic: Medication aide rules: allowed and prohibited practices.
  • After giving oxygen in an emergency, what must the medication aide do? Answer: Verbally notify the licensed nurse and document it. Source: 26 TAC §557.105, (a)(4). Topic: Medication aide rules: allowed and prohibited practices.
  • An order needs the dose worked out from the tablet strength. Who may not calculate it? Answer: The medication aide. Source: 26 TAC §557.105, (b)(5). Topic: Medication aide rules: allowed and prohibited practices.
  • An ordered skin cream is for an area where the skin is broken and blistered. What does the rule say? Answer: The aide may not apply it. Source: 26 TAC §557.105, (b)(10). Topic: Medication aide rules: allowed and prohibited practices.
  • Before a medication aide breaks a tablet for a resident, what must be true? Answer: The nurse calculated the dose; the card says how to break it. Source: 26 TAC §557.105, (a)(9). Topic: Medication aide rules: allowed and prohibited practices.
  • For a PRN dose in a facility, by when must the authorizing nurse co-sign the record if the nurse was on duty? Answer: By the end of the nurse's shift. Source: 26 TAC §557.105, (a)(7)(E). Topic: Medication aide rules: allowed and prohibited practices.
  • From what container may a Texas medication aide administer a medication? Answer: The maker's or the pharmacy-labeled container. Source: 26 TAC §557.105, (a)(6). Topic: Medication aide rules: allowed and prohibited practices.
  • In the chapter's definitions, who is a "licensed nurse"? Answer: A licensed vocational nurse or an RN. Source: 26 TAC §557.101, (c)(15). Topic: Medication aide rules: allowed and prohibited practices.
  • To give a regularly prescribed medication, the aide must be trained to give it, document it, and do what else? Answer: Personally prepare or set up the medication. Source: 26 TAC §557.105, (a)(3). Topic: Medication aide rules: allowed and prohibited practices.
  • Under whose supervision must a Texas medication aide function? Answer: A licensed nurse on duty or on call. Source: 26 TAC §557.103, (b). Topic: Medication aide rules: allowed and prohibited practices.
  • What must the aide do before giving a medication that could change a resident's vital signs? Answer: Take and record the vital signs. Source: 26 TAC §557.105, (a)(2). Topic: Medication aide rules: allowed and prohibited practices.
  • When documenting a PRN dose, what must the aide record about the symptoms? Answer: The symptoms and the time they occurred. Source: 26 TAC §557.105, (a)(7)(B). Topic: Medication aide rules: allowed and prohibited practices.
  • When may a facility medication aide electronically order a refill from the pharmacy? Answer: When the request is signed by the licensed nurse. Source: 26 TAC §557.105, (a)(11). Topic: Medication aide rules: allowed and prohibited practices.
  • When may a Texas medication aide administer oxygen? Answer: Only in an emergency. Source: 26 TAC §557.105, (a)(4). Topic: Medication aide rules: allowed and prohibited practices.
  • When may a Texas medication aide crush a medication? Answer: When the order or the nurse authorizes it. Source: 26 TAC §557.105, (a)(10). Topic: Medication aide rules: allowed and prohibited practices.
  • Which definition does the chapter give for neglect? Answer: Failure to provide goods and services needed to avoid harm. Source: 26 TAC §557.101, (c)(23). Topic: Medication aide rules: allowed and prohibited practices.
  • Which of these may a Texas medication aide not administer? Answer: A drug by the subcutaneous route. Source: 26 TAC §557.105, (b)(1). Topic: Medication aide rules: allowed and prohibited practices.

Basic concepts, drug groups and measures 10

  • A dose is written "1.0 mg". How can the trailing zero be misread? Answer: As 10 mg, if the decimal point is not seen. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit I, Activity 5. Topic: Basic concepts, drug groups and measures.
  • The curriculum groups drugs used in facilities into three groups. What is a legend drug? Answer: A drug that requires a prescription. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit I, Section B. Topic: Basic concepts, drug groups and measures.
  • How should a dose of five tenths of a milligram be written? Answer: 0.5 mg. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit I, Activity 5. Topic: Basic concepts, drug groups and measures.
  • How should a large dose such as one hundred thousand units be written? Answer: With commas: 100,000 units. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit I, Activity 5. Topic: Basic concepts, drug groups and measures.
  • What does the curriculum mean by the "first pass" of an oral drug? Answer: Less of the drug reaches the bloodstream after the liver. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit I, Section H. Topic: Basic concepts, drug groups and measures.
  • What does the curriculum say about counting Schedule II drugs? Answer: They are the most abused and must be counted. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit I, Section E. Topic: Basic concepts, drug groups and measures.
  • Which schedule does the curriculum describe as not medically approved, or of very limited approval? Answer: Schedule I. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit I, Section E. Topic: Basic concepts, drug groups and measures.
  • Which schedule of controlled substances has the lowest abuse potential? Answer: Schedule V. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit I, Section E. Topic: Basic concepts, drug groups and measures.
  • Which statement about units of weight is true? Answer: A milligram is smaller than a gram. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit I, Section K. Topic: Basic concepts, drug groups and measures.
  • Why are diseases of the liver and kidneys important in drug therapy? Answer: They may change how the body responds to drugs. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit I, Section H. Topic: Basic concepts, drug groups and measures.

Infection control 10

  • A resident is on airborne precautions. What does the curriculum say about the room? Answer: A private room with the door kept closed. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit II, Section D. Topic: Infection control.
  • In the chain of infection, what is a reservoir? Answer: A place where the pathogen can grow. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit II, Section C. Topic: Infection control.
  • Medical asepsis is also called what? Answer: Clean technique. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit II, Section D. Topic: Infection control.
  • On what premise are standard precautions based? Answer: Every person may be infected or colonized. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit II, Section D. Topic: Infection control.
  • Secretions put into the air by sneezing, coughing or talking are which mode of transmission? Answer: Droplet. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit II, Section C. Topic: Infection control.
  • Under droplet precautions, when is a mask worn? Answer: When working within three feet of the resident. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit II, Section D. Topic: Infection control.
  • What is sterilization? Answer: The process of killing all microorganisms. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit II, Section D. Topic: Infection control.
  • Which practice does the curriculum call the single most important one to prevent the transmission of infection? Answer: Washing hands with soap and water. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit II, Section D. Topic: Infection control.
  • Which rule for handling linen does the curriculum give? Answer: Never shake linen, used or unused. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit II, Section D. Topic: Infection control.
  • Which statement about gloves is true? Answer: They are never washed or reused. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit II, Section D. Topic: Infection control.

Administration, storage and records 22

  • A dose is needed from the emergency drug kit. Who pulls it and gives it? Answer: A licensed nurse. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit III. Topic: Administration, storage and records.
  • A resident is given tablets by mouth. What must the aide observe? Answer: That the resident swallows the medicines. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit XVIII, Teaching Procedure 1. Topic: Administration, storage and records.
  • A scheduled dose is refused. How is this usually charted on the medication record? Answer: Circle the scheduled time and initial. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit III, Section I. Topic: Administration, storage and records.
  • A skin medicine comes in a multi-use jar. How is the dose taken out? Answer: With a sterile tongue blade or applicator. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit XVIII, Teaching Procedure 7. Topic: Administration, storage and records.
  • A tablet is found loose in a resident's storage bin. What is done with it? Answer: It is discarded in the presence of a witness. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit III, Section E. Topic: Administration, storage and records.
  • A treatment was given but not documented during the shift. How must it be entered? Answer: As a late record. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit III, Activity 9. Topic: Administration, storage and records.
  • After an eye drop, why is gentle pressure applied over the inner canthus for a minute or two? Answer: To raise the effect in the eye and cut systemic effects. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit XVIII, Teaching Procedure 4. Topic: Administration, storage and records.
  • After ear drops, how long does the resident stay in the same position? Answer: At least 5 minutes. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit XVIII, Teaching Procedure 2. Topic: Administration, storage and records.
  • After nose drops, what is the resident cautioned against? Answer: Blowing the nose. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit XVIII, Teaching Procedure 3. Topic: Administration, storage and records.
  • Another aide has set up a tray of medications and is called away. Who may give them? Answer: Only the person who prepared them. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit III, Section E. Topic: Administration, storage and records.
  • How does the curriculum say Schedule II controlled drugs are stored? Answer: Under two separate locks. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit III, Section A. Topic: Administration, storage and records.
  • How is a liquid suspension poured, by Teaching Procedure 1? Answer: Shaken, then poured from the unlabeled side. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit XVIII, Teaching Procedure 1. Topic: Administration, storage and records.
  • How is eye ointment applied? Answer: A thin line in the conjunctival sac. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit XVIII, Teaching Procedure 4. Topic: Administration, storage and records.
  • How is the resident positioned for a rectal suppository, if tolerated? Answer: On the left side with the upper leg flexed. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit XVIII, Teaching Procedure 6. Topic: Administration, storage and records.
  • How long is the resident told to retain a rectal suppository? Answer: At least 20 minutes. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit XVIII, Teaching Procedure 6. Topic: Administration, storage and records.
  • The label of a controlled substance must carry a federal caution. What does it prohibit? Answer: Transfer of the drug to anyone but the patient. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit III, Section A. Topic: Administration, storage and records.
  • One of the three label checks is made when the medicine is taken from the bin. When is another made? Answer: When removing or pouring the medication. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit III, Section E. Topic: Administration, storage and records.
  • The Texas curriculum teaches eight rights. Which two follow right documentation? Answer: Right reason and right response. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit III, Section C. Topic: Administration, storage and records.
  • To straighten an adult's ear canal for ear drops, which way is the pinna pulled? Answer: Upward and outward. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit XVIII, Teaching Procedure 2. Topic: Administration, storage and records.
  • What does the eye drop procedure say about hand hygiene? Answer: Alcohol gel is not acceptable for it. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit XVIII, Teaching Procedure 4. Topic: Administration, storage and records.
  • Which form of tablet does the curriculum say may not be safely crushed? Answer: An enteric-coated tablet. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit III, Section E. Topic: Administration, storage and records.
  • Which is part of the procedure for a transdermal patch? Answer: Date and initial it and rotate the sites. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit XVIII, Teaching Procedure 7. Topic: Administration, storage and records.

Drugs by body system 22

  • A resident on warfarin is bleeding too much. Which vitamin does the curriculum say is used to counteract it? Answer: Vitamin K. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit IV. Topic: Drugs by body system.
  • A resident takes lithium carbonate. What may bring on toxicity? Answer: An unusual loss of salt or fluid. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit VIII. Topic: Drugs by body system.
  • At what time of day does the curriculum say SSRI antidepressants such as sertraline should be given? Answer: In the morning. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit VIII. Topic: Drugs by body system.
  • Before a narcotic analgesic is given, which finding does the curriculum say to report? Answer: A respiratory rate under 12. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit VIII. Topic: Drugs by body system.
  • How are adrenal cortical steroids such as prednisone stopped? Answer: Gradually, never abruptly. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit X. Topic: Drugs by body system.
  • How do the generic names of ACE inhibitors end? Answer: In "pril", as in lisinopril. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit IV. Topic: Drugs by body system.
  • How does the curriculum describe the safe use of a nitroglycerin patch? Answer: 12 hours on and 12 hours off. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit IV. Topic: Drugs by body system.
  • How is a K-Dur potassium tablet given? Answer: With food and fluid, and never crushed. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit V. Topic: Drugs by body system.
  • What does the curriculum say about a medication aide checking a resident's blood sugar? Answer: It is outside the aide's scope of practice. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit X. Topic: Drugs by body system.
  • What does the curriculum say about mineral oil as a laxative? Answer: It interferes with absorbing nutrients. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit VII. Topic: Drugs by body system.
  • What should be taken before any drug whose name ends in "lol" is given? Answer: The blood pressure. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit IV. Topic: Drugs by body system.
  • When does the curriculum say to give diuretics? Answer: Early in the day, with plenty of fluid. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit V. Topic: Drugs by body system.
  • When must an emetic such as syrup of ipecac not be used? Answer: When a corrosive was swallowed or the person is drowsy. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit VII. Topic: Drugs by body system.
  • Which adverse reaction does the curriculum call one of the more common with ACE inhibitors? Answer: A non-productive cough. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit IV. Topic: Drugs by body system.
  • Which adverse reactions does the curriculum list for bladder antispasmodics such as oxybutynin? Answer: Dry mouth, constipation and blurred vision. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit V. Topic: Drugs by body system.
  • Which are toxic effects of oxygen given in greater amounts than the body needs? Answer: Drowsiness, confusion and slowed breathing. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit VI. Topic: Drugs by body system.
  • Which bowel effect does the curriculum give for magnesium salts such as Milk of Magnesia? Answer: They usually cause diarrhea. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit VII. Topic: Drugs by body system.
  • Which foods does the curriculum say are not recommended with MAO inhibitors? Answer: Wine, cheese and pickled fish. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit VIII. Topic: Drugs by body system.
  • Which is the most common adverse effect of systemic anti-infective drugs, by the curriculum? Answer: Allergic reaction. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit XI. Topic: Drugs by body system.
  • Why does a resident on Dilantin need good oral hygiene? Answer: The drug can cause overgrowth of gum tissue. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit VIII. Topic: Drugs by body system.
  • Why may a Texas medication aide not give insulin? Answer: It can be given only by injection. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit X. Topic: Drugs by body system.
  • Why should antacids not be given at the same time as other medications? Answer: They may interfere with drug absorption. Source: Texas HHSC, Texas Medication Aides Basic Course Curriculum (December 2018), Unit VII. Topic: Drugs by body system.

Training, examination and permit rules 12

  • A medication aide moves to a new address. How soon must HHSC be told? Answer: Within 30 days, on the online portal. Source: 26 TAC §557.117, (a). Topic: Training, examination and permit rules.
  • A permit has been expired for more than a year. What can the person do? Answer: Apply for a new permit and take the examination. Source: 26 TAC §557.115, (d). Topic: Training, examination and permit rules.
  • An applicant misses the scheduled examination for an unforeseen reason. By when must the rescheduled one be completed? Answer: Within 45 days of the original date. Source: 26 TAC §557.111, (b). Topic: Training, examination and permit rules.
  • An applicant who completed the training fails the examination. What may HHSC give? Answer: One more examination at no added fee. Source: 26 TAC §557.111, (a)(9). Topic: Training, examination and permit rules.
  • How long is an initial Texas medication aide permit valid? Answer: 12 months from the date of issue. Source: 26 TAC §557.115, (a)(1). Topic: Training, examination and permit rules.
  • How many hours is the Texas medication aide basic training program? Answer: 140 hours. Source: 26 TAC §557.119, (b)(2). Topic: Training, examination and permit rules.
  • How many of the training hours are clinical experience in a facility under a licensed nurse? Answer: 10 hours. Source: 26 TAC §557.119, (b)(2). Topic: Training, examination and permit rules.
  • How old must an applicant be before applying for a Texas medication aide permit? Answer: At least 18. Source: 26 TAC §557.107, (b)(2). Topic: Training, examination and permit rules.
  • On the first official day of training, what must a Texas applicant be? Answer: Employed as a nurse aide or direct care staff. Source: 26 TAC §557.107, (b)(6). Topic: Training, examination and permit rules.
  • What continuing education does a Texas medication aide need to renew after the first renewal? Answer: A seven-hour approved program each year. Source: 26 TAC §557.115, (a)(4). Topic: Training, examination and permit rules.
  • Who gives the written examination for a Texas medication aide permit? Answer: HHSC, at a site it determines. Source: 26 TAC §557.111, (a). Topic: Training, examination and permit rules.
  • Who sets the passing grade on the Texas medication aide examination? Answer: HHSC. Source: 26 TAC §557.111, (a)(5). Topic: Training, examination and permit rules.

How this list was compiled: Our own questions, written to what Texas publishes for a medication aide permit. 26 TAC §557.111 says the Texas Health and Human Services Commission gives a written examination on the subjects taught in the training program curricula and clinical experience, and sets the passing grade itself; the Medication Aide Program FAQs on hhs.texas.gov (read 2026-10-15) say the examination has 100 multiple-choice questions. §557.119(b)(1) lists what the 140-hour program must teach, and the Texas Medication Aides Basic Course Curriculum (effective December 2018) is the commission's curriculum. The bank holds 24 questions on the allowable and prohibited practices of Chapter 557, 10 on basic concepts (Unit I), 10 on infection control (Unit II), 22 on administration, storage and records (Units III and XVIII), 22 on drugs by body system (Units IV to XI) and 12 on the training, examination and permit rules; the commission publishes no question count per topic. Every fact was read on 2026-10-15 in the source the question names. The rules were read in the public copy at law.cornell.edu, which shows amendments effective September 18, 2024. Licence: Questions, choices and explanations are original work of this site.

How it works

This practice test for the Texas medication aide examination is free, with no account. It is unofficial and not affiliated with the Texas Health and Human Services Commission (HHSC), which issues the permit. Texas calls the credential a permit, not a certificate.

Read the full guide

What the Texas exam covers

HHSC gives 100 multiple-choice questions on the subjects of the 140-hour training program: safe and accurate drug therapy. The rule lists them, from preparing and documenting medications to the allowable and prohibited practices of a medication aide.

A study guide for a med aide in Texas

Thirty-six questions come from 26 TAC Chapter 557, the medication aide rules, and 64 from the Texas Medication Aides Basic Course Curriculum. Every answer names its section or unit.

Where Texas differs

A Texas medication aide gives no injection and no inhalation treatment, gives nothing by tube in a facility, gives oxygen only in an emergency, and needs the nurse's authorization for each PRN dose.

  • In Texas a practice the rule does not list as allowed is prohibited: 26 TAC §557.105(c).

Questions and answers

How many questions are on the Texas medication aide exam?

One hundred multiple-choice questions, by the commission's Medication Aide Program FAQs. The rule says HHSC determines the passing grade and does not print it, so this page gives no pass mark.

Is there a study guide for med aide in Texas?

HHSC posts the Texas Medication Aides Basic Course Curriculum, 20 units from basic concepts to drugs by body system. The rules are 26 TAC Chapter 557.

How many times can you take the Texas medication aide test?

Twice. An applicant who fails may take one more examination at no added fee. After a second failure the applicant must complete another training program, by 26 TAC §557.111.

Is this Texas certified medication aide practice test the real exam?

No. The state examination is closed. These are our own questions, written from the Texas rules and the HHSC curriculum and from no test form.

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