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

60
Questions
120 min
Time Limit
70%
Passing Score

📚 MACE Topics to Study (63)

✍️ Sample MACE Questions & Answers

1. A resident refuses their scheduled medication. The medication aide should:
✓ Document the refusal and report it to the supervising nurse

Resident refusal must be documented on the MAR and reported to the nurse to ensure appropriate follow-up.

2. Controlled substances must be counted:
✓ At the end of every shift by two licensed staff

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

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?
✓ Heart rate of 52 beats per minute

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?
✓ To prevent dissolution in the stomach and release medication in the intestine

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?
✓ Adrenal insufficiency (adrenal crisis)

Abrupt steroid withdrawal suppresses adrenal function, causing adrenal insufficiency with fatigue, hypotension, and electrolyte imbalances.

🎯 Free MACE Practice Tests

📖 MACE Guides & Articles

Your MACE Study Path
1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation

What Practice Test Geeks adds beyond an AI chat for MACE

An AI chatbot can quiz you, but it can't reproduce the exam conditions or keep your record. Here you get:

  • A timed, full-length MACE mock exam — 60 questions in 120 minutes with a 70% pass mark, modeled on the official exam's question count and time limit, followed by a score report broken down by exam domain.
  • A fixed MACE question bank: the same test every attempt, so your score is comparable from one try to the next instead of changing with every regenerated quiz.
  • Progress saved on your device: completed tests, scores and missed questions stay in My Progress, so you can retake only what you got wrong.
  • A printable MACE cheat sheet you can print or save as a PDF.
  • MACE flashcards built from the same question bank.
  • Free MACE practice tests with the correct answer shown after each question.
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