MACE Study Guide 2026
Everything you need to pass the MACE exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.
📋 MACE Exam Format at a Glance
📚 MACE Topics to Study (63)
✍️ Sample MACE Questions & Answers
1. A resident refuses their scheduled medication. The medication aide should:
Resident refusal must be documented on the MAR and reported to the nurse to ensure appropriate follow-up.
2. Controlled substances must be counted:
Controlled substances require a witnessed count by two authorized staff at every shift change to prevent diversion.
3. In what condition of drug toxicity do levels of N-acetyl-p-benzoquinone imine increase?
Acetaminophen (paracetamol) toxicity is primarily caused by the accumulation of a highly reactive and toxic metabolite called N-acetyl-p-benzoquinone imine (NAPQI). Normally, NAPQI is detoxified by glutathione, but in overdose situations, glutathione stores become depleted. This leads to NAPQI binding to liver cell proteins, causing widespread hepatocellular necrosis and severe liver damage.
4. Which observation suggests a resident may be experiencing a side effect from a beta-blocker medication?
Beta-blockers slow the heart rate, so bradycardia (low heart rate, under 60 bpm) is a common and notable side effect.
5. What is the primary purpose of an enteric coating on a tablet?
Enteric coatings protect the medication from stomach acid and delay release until the tablet reaches the small intestine.
6. Which condition results from abrupt discontinuation of long-term corticosteroid therapy?
Abrupt steroid withdrawal suppresses adrenal function, causing adrenal insufficiency with fatigue, hypotension, and electrolyte imbalances.