
CMT Practice Test
Updated for October 2026What changed for the Certified Medication Technician exam in 2026
- Missouri (DHSS): the CMT course is at least 60 classroom hours plus a minimum of 8 hours of supervised clinical practice; you must be active on the Missouri CNA Registry and employed as a CNA for at least 6 months before enrolling (the TABE reading/math test was dropped on April 1, 2019). (source)
- Missouri (19 CSR 30-84.020): the final written CMT exam is 50 multiple-choice questions with a passing score of 80%, followed by a practicum exam of at least 2 hours; your CMT listing goes inactive whenever your CNA certification lapses. (source)
- Maryland (Board of Nursing): the Medication Technician course is a 20-hour Board-approved program (minimum age 18); initial certification costs $20 and renewal costs $30 every two years, expiring on the 28th of your birth month. (source)
- Maryland renewal: you need 100 hours of CMT practice in the two years before renewal plus a Board-approved Clinical Update completed within 90 days before the certificate expires; a 30-day grace period applies after expiration. (source)
- Virginia (Board of Nursing): registration by examination requires a Board-approved 68-hour Medication Aide training program completed within the past two years, a $50 application fee, and the PSI-administered competency exam; first-time applications are accepted online only. (source)
- Virginia fee schedule effective March 11, 2026 (18VAC90-60-30): $50 initial registration, $30 annual renewal, $15 late fee, $90 reinstatement; the PSI exam fee is paid separately to the vendor. (source)
- Virginia renewal (18VAC90-60-100): Registered Medication Aides renew every year by the last day of their birth month and must complete 4 hours of population-specific medication-administration training annually (or a refresher course); a lapse over one year requires retaking the written and practical competency evaluation. (source)
- Oklahoma (OSDH Nurse Aide Registry): a Certified Medication Aide retest costs $15, requires a current Oklahoma nurse aide certification with no substantiated abuse notations, and the testing entity has 30 days to send results to the Registry (form ODH 842, rev. 12/2023). (source)
Last verified: September 17, 2026 against Missouri DHSS, Maryland Board of Nursing, Virginia Board of Nursing / Virginia Administrative Code, and the Oklahoma State Department of Health.
The Certified Medication Technician certification is state-regulated, meaning exam requirements may vary by location. Always check your local nursing board for specific medication tech certification details.

CMT Practice Test Questions
Prepare for the CMT - Certified Medication Technician exam with our free practice test modules. Each quiz covers key topics to help you pass on your first try.
CMT - Certified Medication Technician Docu...
CMT Exam Questions covering - Certified Medication Technician Documentation and Reporting. Master CMT Test concepts for certification prep.
CMT - Certified Medication Technician Dosa...
Free CMT Practice Test featuring - Certified Medication Technician Dosage Calculation and Measurement. Improve your CMT Exam score with mock test prep.
CMT - Certified Medication Technician Infe...
CMT Mock Exam on - Certified Medication Technician Infection Control Practices. CMT Study Guide questions to pass on your first try.
CMT - Certified Medication Technician Lega...
CMT Test Prep for - Certified Medication Technician Legal and Ethical Guidelines. Practice CMT Quiz questions and boost your score.
CMT - Certified Medication Technician Medi...
CMT Questions and Answers on - Certified Medication Technician Medical Abbreviations and Terminology. Free CMT practice for exam readiness.
CMT - Certified Medication Technician Medi...
CMT Mock Test covering - Certified Medication Technician Medication Administration Procedures. Online CMT Test practice with instant feedback.
CMT - Certified Medication Technician Pati...
Free CMT Quiz on - Certified Medication Technician Patient Safety and Rights. CMT Exam prep questions with detailed explanations.
CMT - Certified Medication Technician Phar...
CMT Practice Questions for - Certified Medication Technician Pharmacology Basics. Build confidence for your CMT certification exam.
CMT Adverse Drug Reactions and Side Effects
CMT Test Online for CMT Adverse Drug Reactions and Side Effects. Free practice with instant results and feedback.
CMT Medication Storage and Handling
CMT Study Material on CMT Medication Storage and Handling. Prepare effectively with real exam-style questions.
CMT Controlled Substances Management
Free CMT Test covering Controlled Substances Management. Practice and track your CMT exam readiness.
CMT Documentation and Reporting
CMT Exam Questions covering Documentation and Reporting. Master CMT Test concepts for certification prep.
CMT Dosage Calculation and Measurement
Free CMT Practice Test featuring Dosage Calculation and Measurement. Improve your CMT Exam score with mock test prep.
CMT Legal and Ethical Guidelines
CMT Mock Exam on Legal and Ethical Guidelines. CMT Study Guide questions to pass on your first try.
CMT Medical Abbreviations and Terminology
CMT Test Prep for Medical Abbreviations and Terminology. Practice CMT Quiz questions and boost your score.
CMT Medication Administration
CMT Questions and Answers on Medication Administration. Free CMT practice for exam readiness.
CMT Medication Administration Procedures
CMT Mock Test covering Medication Administration Procedures. Online CMT Test practice with instant feedback.
CMT Patient Care and Safety
Free CMT Quiz on Patient Care and Safety. CMT Exam prep questions with detailed explanations.
CMT Patient Safety and Rights
CMT Practice Questions for Patient Safety and Rights. Build confidence for your CMT certification exam.
CMT Exam Flashcards
Quick review for the Certified Medication Technician Exam
๐What are the "Six Rights" of medication administration?
Right patient, Right medication, Right dose, Right route, Right time, and Right documentation are the Six Rights of medication administration.
START CMT PRACTICE TEST๐ฉบWhat is a normal resting heart rate for adults?
A normal resting heart rate for adults typically ranges between 60 and 100 beats per minute (bpm).
GET CMT EXAM PREP๐ฉธWhat is hypoglycemia?
Hypoglycemia is a condition characterized by abnormally low blood glucose (sugar) levels, often requiring immediate intervention.
TRY CMT MOCK EXAMโ๏ธWhat does HIPAA protect?
HIPAA protects the privacy and security of patients' medical information and health records.
ACCESS CMT STUDY GUIDE๐ฐ๏ธWhat is the maximum time window for administering scheduled meds?
Typically, medications should be administered within 1 hour before or 1 hour after the scheduled time, depending on facility policy.
PRACTICE CMT TEST NOWCertified Medication Technician Exam Study Guide
This Certified Medication Technician study guide breaks down essential information for exam day. Review these common questions to ensure you are fully prepared for the medication technician certification process.
Focus heavily on the "Six Rights" of medication administration. This concept appears in almost every section of the Certified Medication Technician exam and is critical for clinical skills.
CMT Score Calculator
Many nursing homes and long-term care facilities offer free certified medication technician training in exchange for a work commitment. Ask local employers about sponsorship opportunities.

CMT Test Day Checklist
- โTwo forms of valid ID (Government-issued)
- โExam confirmation email/ticket
- โWatch with a second hand (for skills)
- โScrubs/Uniform (if required for skills)
- โClosed-toe non-skid shoes
- โPencils and eraser (for written)
- โArrive 30 minutes early
- โLeave phone in car/locker
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CMT Renewal Requirements
Frequency Every
2 Years
CE Units
4-12 Hours
Work Req
8-16 Hours
Keep track of your continuing education hours and work history. Lapses in medication tech certification can require retaking the entire training program and exam.
- +Industry-recognized credential boosts your resume
- +Higher earning potential (10-20% salary increase on average)
- +Demonstrates commitment to professional development
- +Opens doors to advanced career opportunities
- โExam preparation requires significant time investment (4-8 weeks)
- โCertification fees can be $100-$400+
- โMay require continuing education to maintain
- โSome employers may not require certification
Official Resources
- Missouri DHSS — CNA/CMT/LIMA/Insulin Registry: the official hub for Missouri's Certified Medication Technician program rules, approved training programs, and registry status lookup.
- Virginia Board of Nursing: the state regulator for Registered Medication Aides, with current application forms, renewal deadlines, and fee schedules.
- Maryland Board of Nursing — Medication Technician Requirements: official course approval list, certification and renewal fees, and continuing-education rules for Maryland Medication Technicians.
Sample Certified Medication Technician Practice Questions
Try these questions from our free Certified Medication Technician practice tests. The correct answer and an explanation follow each question.
A resident's Medication Administration Record (MAR) has an order for a medication to be given 'q.i.d.'. How should the Certified Medication Technician interpret this abbreviation?
- A. Every other day
- B. Four times a day
- C. Every four hours
- D. Once daily at bedtime
Answer: B. Four times a day
The Latin abbreviation 'q.i.d.' (quater in die) translates to 'four times a day'. It is a standard medical abbreviation for medication frequency. 'Every other day' is q.o.d., 'every four hours' is q4h, and 'once daily at bedtime' is hs.
A physician orders 0.5 g of a medication for a resident. The medication is available in 250 mg tablets. How many tablets should the Certified Medication Technician (CMT) administer?
- A. 1 tablet
- B. 2 tablets
- C. 0.5 tablets
- D. 4 tablets
Answer: B. 2 tablets
First, convert grams (g) to milligrams (mg) since the available dose is in mg. There are 1000 mg in 1 g. Therefore, 0.5 g is equal to 500 mg (0.5 g * 1000 mg/g). Next, use the formula: (Dose ordered / Dose on hand) * Quantity = Amount to administer. (500 mg / 250 mg) * 1 tablet = 2 tablets.
A supervising nurse asks the medication technician to sign the MAR for a medication the nurse administered. What should the technician do?
- A. Refuse, because signing for something you did not do is falsification
- B. Sign it to help the nurse save time
- C. Sign it and add a note that the nurse gave it
- D. Ask a coworker to sign instead
Answer: A. Refuse, because signing for something you did not do is falsification
Signing for a medication you did not administer is considered falsification of a medical record, which is illegal and grounds for termination.
When administering a sublingual medication, the Certified Medication Technician should place the tablet:
- A. Between the cheek and gum
- B. Under the tongue
- C. On top of the tongue to be swallowed with water
- D. In a nasogastric tube
Answer: B. Under the tongue
The sublingual (SL) route involves placing medication under the tongue where it dissolves and is absorbed rapidly into the bloodstream through the mucous membranes.
CMT Questions and Answers
About the Author

Clinical Pharmacist & Pharmacy Licensing Exam Specialist
USC Alfred E. Mann School of PharmacyDr. Lisa Nguyen holds a Doctor of Pharmacy and a PhD in Pharmaceutical Sciences from the University of Southern California School of Pharmacy. She is a licensed pharmacist with 14 years of clinical practice in hospital and community settings, and coaches pharmacy graduates and technicians through NAPLEX, MPJE, PTCE, ExCPT, and state pharmacy licensing examinations.
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