Nebraska Medication Aide State Testing 2025–2026 | 108 Real Exam Practice Questions with Correct Verified Answers, Full Study Guide, Practice Tests, and Detailed Rationales to Help You Pass the State Exam with Confidence

Five Rights

1. right patient

2. right drug

3. right dose

4. right route

5. right time

Licensed Healthcare Professional

A licensed individual for whom administration of medication is included in his/her scope of practice.

Medication Aide

A person who received specialized training in the process of assisting with administering medications.

Neglect

Not providing goods or services needed by a person to prevent injury, emotional pain, mental distress or physical illness.

Medication Action

Anticipated or desired effect of the medication

Side Effect

Any unintended reaction to a medication.

Four basic routes of medication provision

Oral, inhalation, topical, and installation

What is the most important thing a medication aide can do to stop the spread of infections?

Practice proper hand hygiene

How are medications stored in the work setting?

They should be kept in a locked, box, container, cart, drawer, or cabinet

If a resident refuses medication what should the medication aides response be?

The aide should try 3 times to give the resident medications, and try about five minutes apart. If the resident does not wish to comply then mark it as refused and let the person providing directing and monitoring know.

Inhale

To breathe in

Exhale

To breathe out

Meniscus

Interface between air and water

Ophthalmic

Eye

Otic

Ear

Sublingual

Under the tongue

Oral

Mouth

When are the three safety checks performed during medication set up?

1. When medication is taken out of the drawer

2. The preparation of the medication occurs

3. Right before the medications are given

Do not touch medications with your blank hands

bare

Always blank the medication room or cart when leaving the area

lock

Do not give a drug if a resident is blank to it

allergic

Do not give a drug if you are not positive of the residents blank

identification

Do not _____ sustained release, enteric coated, buccal, or sublingual medications

crush or chew

Report and record any possible blank to a drug

reactions

wash hands as needed blank residents

between

Report blank controlled drugs immediately

missing

What is a cold compress used to treat?

Pain, prevent swelling, and stop bleeding

Could you apply medication during the clean, dry dressing procedure? When?

You can, and they would be applied before you put the gauze on

temperature, pulse, respiration, blood pressure are all?

vital signs

Why should you not tell a resident you are counting their respirations?

People are able to control their respirations and if they know you are counting they may throw off the count

Why would you need to count apical pulse instead of radial pulse?

Apical pulse is more accurate

Oral Temperature

97.6-99.6

Rectal Temperature

98.6-100.6

Axillary Temperature

96.6-98.6

Tympanic Temperature

98.6-100.6

Pulse Range

60- 100 bpm

Respirations

12 - 20 bpm

Blood Pressure

60 - 90 and 90 - 140

Allergic reaction

body's immune systems over response to a foreign substance such as a food or drug

Generic name

Non-proprietary name for a drug

Trade name

Brand name of drug

Dependence

Acquired need for a drug that may produce substances by the body

Metabolism

The chemical change in living cells by which energy is provided for vital processes, and activities and new material is created

Excretion

The process of eliminating or getting rid of substances by the body

Absorption

Passage of substances across and into tissues

Distribution

Location of medications in various organs or tissues after administration

If medication is topical how will it be absorbed?

through the skin

If the medication is oral how will is be absorbed?

Through the digestive tract- small intestine

What is the most common way of distributing or transporting meditation to the site of action?

Blood stream

Which organ is most responsible for drug metabolism?

liver

Which organ is most responsible for the excretion of drugs?

kidneys

List five factors that affect how a drug works in the body

1. size

2. family traits

3. psychological issues

4. gender and bmr

5. disease

Signs and symptoms of and allergic reaction include

mild; sweating, skin rash, fever

Sever; anaphylactic shock, hive, swelling, difficulty breathing, low bp or fast hr

How does age affect a person's response to drugs?

greater variations in absorption, distribution, metabolism, and elimination

Opioid

chemicals that have opium like effects

Pain

Unpleasant sensations that is subjective feeling in response to a stimulus

Fracture

A traumatic injury to a bone in which a break occurs

Osteoporosis

A disorder of the bone involving abnormal loss of bone density and deterioration of the bone tissue

Ligaments

Fibrous bands that attach bone to bone across joints

Joints

Areas where two or more bones meet

Functions of bones include

framework and support

protection

storage

blood cell production

Age related changes of the musculoskeletal system

bones become thinner and weaker

skeleton begin to deteriorate 3 to 8% every decade after 40

some ligaments shorten and decrease in flexibility along with decrease in range of motion

List 3 to 5 descriptors or signs of pain

facial expression

guarding of body part

agitation

decreased appetite

What drug classification is considered a controlled substance?

Narcotics

Which drug classification acts by suppressing muscle movement?

Skeletal muscle relaxants

What are three primary elements of pain assessment?

amount, description, location

Benign

mild, not cancerous

Malignant

cancerous

Topical

Pertaining to the surface of the body

Pruritus

itching

Dermis

Inner layer of skin

Melanin

a dark brown to black pigment occurring in the hair, and skin

Three functions of skin

protection, temperature regulation, sense organ activity

where is the mucous membrane located?

in the inner linings of the mouth nose eye lids vagina and rectum

skin becomes more fragile

epidermis is more prone to injury

vitamin d production decreases

the result is diminished calcium storage

less sweat is produced

over heating increase

blood supply to skin decreases

prolongs healing of injury

hair follicles stop functioning

loss excellerates

blood vessels break more easily

bruising is more common

subcutaneous layer thins

loss of installation results in fragile skin

local anesthetics

has numbing effect on skin and mucous membranes

antihistamines

controls body's response to a substance that causes itching

anti-inflammatory

reduces allergic reactions, itching, swelling and redness

Antibotics

prevent or treat infections

Scabicides

Kill the mites that cause scabies, head and body lice

Dehydration

An abnormally low amount of water in the body.

edema

expansion of fluids between cells

incontinence

inability to control bladder and/or bowels

nocturia

excessive urination at night

Filtration

movement from a high concentration area to a low concentration area with force pushing it

nephron

tiny units in the kidneys that filter waste of out the blood

identify three to five functions of the urinary system

to clean blood and filter out waste products

maintain optimal fluid balance in the body

regulate blood pressure

reabsorption

process by which water and dissolved substances are taken back into the blood. 97 to 99% reabsorbed

antispasmodic

administered to suppress smooth muscle contractions of the stomach, intestine, or bladder. While increasing bladder capacity

Diuretics

medications administered to increase urine secretion in order to rid the body of excess water and salt

Cholinergic

causes contractions in the bladder to relieve urinary tension

four common side effects of antibiotics

nausea,vomiting, diarrhea, bloating and indigestion

why is potassium depletion a concern with certain diuretic groups?

it can cause heart irregularities which can cause death

Signs of dehydration

Poor skin turgor, absence of tears, dry mucous membranes, weight loss, sunken eyes, dark urine