QMAP Scope of Practice and Supervision Requirements

Question 1

Which of the following tasks is WITHIN the scope of practice of a QMAP in most US states?

Accepted Answer

Administering oral, topical, and inhalation medications as ordered

Answer

Starting an IV line

Answer

Prescribing medications for a resident

Answer

Adjusting medication doses based on the resident's condition

Question 2

A QMAP is uncertain about a medication order that appears unclear. What is the correct action?

Accepted Answer

Withhold the medication and clarify the order with the supervising nurse before administering

Answer

Use best judgment and administer the most likely intended dose

Answer

Ask a coworker what they would do

Answer

Skip the dose and document it without reporting

Question 3

Who is ultimately responsible for supervising a QMAP's medication administration activities?

Accepted Answer

A licensed nurse (RN or LPN) designated as the supervising clinician

Answer

The QMAP themselves, once certified

Answer

The facility administrator

Answer

The resident's family members

Question 4

A resident requests that the QMAP give them an extra dose of their pain medication because they are uncomfortable. What should the QMAP do?

Accepted Answer

Explain that extra doses cannot be given without a physician's order and notify the nurse of the resident's pain

Answer

Administer the extra dose to relieve the resident's discomfort

Answer

Tell the resident to wait until the next scheduled dose without notifying anyone

Answer

Contact the pharmacy to request more medication

Question 5

Which of the following is OUTSIDE the scope of practice for a QMAP?

Accepted Answer

Administering medications through a feeding tube (PEG tube)

Answer

Pouring oral medications from a labeled container

Answer

Applying a prescribed topical cream to intact skin

Answer

Assisting a resident in using a prescribed metered-dose inhaler

Question 6

A QMAP is asked by a supervisor to administer a medication that is not on the resident's Medication Administration Record (MAR). What should the QMAP do?

Accepted Answer

Refuse to administer the medication and notify the nurse, as it is not on the MAR

Answer

Administer the medication since the supervisor requested it

Answer

Ask the resident if they want the medication before deciding

Answer

Administer it and add it to the MAR afterward