QMA Practice Exam Overview
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Questions and Answers

Qma's are prohibited from which of the following? (Select all that apply)

  • Assessing a resident (correct)
  • Calling a physician (correct)
  • Administering a stage II treatment (correct)
  • Administering meds through a nasogastric tube (correct)

The Qma scope of practice includes which of the following? (Select all that apply)

  • Take vital signs prior to some medications (correct)
  • Personally set up and give medications that you were trained on (correct)
  • Observe and report to a nurse reactions and side effects of meds (correct)
  • Document what another person gave a resident

When giving a PRN medication, the nurse must cosign the clinical record.

True (A)

The Qma is allowed to treat a second degree burn if you follow the order exactly.

<p>False (B)</p> Signup and view all the answers

The Qma must document in the clinical record any and all observations and what is reported by the resident.

<p>True (A)</p> Signup and view all the answers

What is assault and battery?

<p>A verbal threat that is carried out</p> Signup and view all the answers

Leaving a resident alone in the shower room is an example of what?

<p>Negligence</p> Signup and view all the answers

What describes 'painless killing of a patient suffering from an incurable disease'?

<p>Euthanasia</p> Signup and view all the answers

Medication errors can be caused by which of the following? (Select all that apply)

<p>Lack of concentration (A), Poor communication (B), Lack of knowledge (C), Performing outside your scope of practice (D)</p> Signup and view all the answers

If you have a medication error, you report it to the doctor immediately.

<p>False (B)</p> Signup and view all the answers

Undesirable medication effects could include which of the following? (Select all that apply)

<p>Difficulty breathing (A), Dizziness (B), Hives (C), Vomiting (D)</p> Signup and view all the answers

Report all suspected abuse to the nurse __________.

<p>immediately</p> Signup and view all the answers

The Qma is exempt from performing the initial and final steps created for Cna's.

<p>False (B)</p> Signup and view all the answers

What is verbal communication?

<p>Written or spoken words</p> Signup and view all the answers

What can cause permanent cognitive impairment? (Select all that apply)

<p>Severe head trauma (A), Brain disease (B), Stroke (C)</p> Signup and view all the answers

What is sundowning?

<p>Increased confusion and restlessness in late afternoon</p> Signup and view all the answers

When interacting with an anxious resident, you should:

<p>Provide a quiet, calm environment away from groups</p> Signup and view all the answers

When interacting with a combative resident, you should:

<p>Remain calm and in control</p> Signup and view all the answers

What is nosocomial infection?

<p>An infection acquired while in a facility</p> Signup and view all the answers

What is hepatitis?

<p>A contagious liver disease</p> Signup and view all the answers

If you have a spill on the floor, you must use:

<p>Gloves (A), Paper towels (B), Wet floor sign (C)</p> Signup and view all the answers

When do you clean up a spill?

<p>Immediately</p> Signup and view all the answers

In the event of a fire, what does the R stand for?

<p>Remove residents</p> Signup and view all the answers

To use a fire extinguisher, what does the P stand for?

<p>Pull the pin</p> Signup and view all the answers

Medications: the trade/brand name is always:

<p>Capital letters (A)</p> Signup and view all the answers

What are synthetic medications?

<p>Man-made</p> Signup and view all the answers

The systemic effect of a medication _______________.

<p>effects the entire body</p> Signup and view all the answers

The effects of medication is ________________.

<p>the observable results of changes in the body</p> Signup and view all the answers

An antagonistic effect is _________________.

<p>a negative effect that one chemical has with another chemical</p> Signup and view all the answers

What is ADR?

<p>An undesired side effect or toxicity</p> Signup and view all the answers

What organ excretes most medications?

<p>Kidneys</p> Signup and view all the answers

What are legend medications?

<p>Medications that can only be obtained with a prescription</p> Signup and view all the answers

Qma's can take phone orders if they repeat the order back to the doctor for accuracy.

<p>False (B)</p> Signup and view all the answers

What is absorption?

<p>Medication moves from the site of administration into the bloodstream</p> Signup and view all the answers

What is distribution?

<p>Medication is carried to body cells through the bloodstream</p> Signup and view all the answers

What is half-life?

<p>The time it takes half of the medication to leave the bloodstream</p> Signup and view all the answers

What is metabolism?

<p>The process by which a substance is changed into a form that is easily excreted by the body</p> Signup and view all the answers

What is excretion?

<p>The process by which medication is eliminated from the body</p> Signup and view all the answers

What is nitroglycerin's classification?

<p>Antianginal</p> Signup and view all the answers

What is Aldactone's classification?

<p>Diuretic</p> Signup and view all the answers

What is Risperdal's classification?

<p>Antipsychotic</p> Signup and view all the answers

What is Abilify's classification?

<p>Antipsychotic</p> Signup and view all the answers

What is Celebrex used for?

<p>Nonsteroidal anti-inflammatory</p> Signup and view all the answers

What is Celexa used for?

<p>Antidepressant</p> Signup and view all the answers

What is Mylicon used for?

<p>Antiflatulent</p> Signup and view all the answers

What is Axid used for?

<p>H2 receptor antagonist</p> Signup and view all the answers

What is Dilantin's classification?

<p>Anticonvulsant</p> Signup and view all the answers

What is Colace used for?

<p>Laxative</p> Signup and view all the answers

What is Lortab used for?

<p>Analgesic</p> Signup and view all the answers

What is Phenergan used for?

<p>Block histamine</p> Signup and view all the answers

What is Dilantin used for?

<p>Inhibits seizures</p> Signup and view all the answers

What is Lanoxin (Digoxin) used for?

<p>Controls heart rate and blood pressure</p> Signup and view all the answers

Where are sublingual medications placed?

<p>Under the tongue</p> Signup and view all the answers

What is the abbreviation for drop?

<p>Gtt</p> Signup and view all the answers

What angle of the bed is Fowler's position?

<p>45-60 degrees</p> Signup and view all the answers

How do you pour liquids from a medication bottle?

<p>Away from the label</p> Signup and view all the answers

What does bid stand for?

<p>Twice a day</p> Signup and view all the answers

What is the abbreviation for meds after meals?

<p>pc</p> Signup and view all the answers

The apothecary system is more accurate than _______________.

<p>the household system</p> Signup and view all the answers

How long does food normally stay in the stomach?

<p>3-5 hours</p> Signup and view all the answers

Aging causes diarrhea.

<p>True (A)</p> Signup and view all the answers

What is the action for anti-ulcers?

<p>Prevents the release of gastric acid to prevent ulcers</p> Signup and view all the answers

What is the action for antacids?

<p>Neutralizes stomach acid</p> Signup and view all the answers

What is the action for antiemetics?

<p>Suppresses nausea and vomiting</p> Signup and view all the answers

What is the action for cathartic/laxatives?

<p>Laxatives which stimulate peristalsis</p> Signup and view all the answers

What is the action for antidiarrheals?

<p>Absorb excess fluids and bacteria</p> Signup and view all the answers

What is the action for anti-inflammatories?

<p>Decreases inflammation to treat arthritis</p> Signup and view all the answers

What is the action for anti-gouts?

<p>Reduces uric acid synthesis</p> Signup and view all the answers

What is the action for skeletal muscle relaxants?

<p>CNS depressant, relieves pain and stiffness</p> Signup and view all the answers

What is the action for analgesics?

<p>Alter perception of pain</p> Signup and view all the answers

Which is called the 'true skin'?

<p>Dermis</p> Signup and view all the answers

Which is a lice infection which infests different body areas?

<p>Pediculosis</p> Signup and view all the answers

Which condition involves mites that burrow under the skin?

<p>Scabies</p> Signup and view all the answers

What stage of burns causes blisters on the skin?

<p>Second degree</p> Signup and view all the answers

Aging effects on the skin include:

<p>Skin becomes fragile, sagging, and wrinkled, reacts to temperature differently</p> Signup and view all the answers

When using Elimite cream for scabies, apply everywhere except for their ______________.

<p>face</p> Signup and view all the answers

What is an adverse reaction to Elimite cream?

<p>Skin irritation</p> Signup and view all the answers

Which is an anti-inflammatory steroid you apply to the skin?

<p>Cordran</p> Signup and view all the answers

What are debridement medications used for?

<p>To remove dead tissue and can be applied only by licensed personnel</p> Signup and view all the answers

What is conjunctivitis?

<p>Inflammation of the mucus membrane in the eye</p> Signup and view all the answers

What is the eye medication usually used for eye infection?

<p>Bacitracin Ophthalmic</p> Signup and view all the answers

Which disorder involves overproduction of fluid in the eye which causes increased pressure within the eye?

<p>Glaucoma</p> Signup and view all the answers

What type of treatment would you use for glaucoma?

<p>Medications to decrease intraocular pressure</p> Signup and view all the answers

___________ treats glaucoma.

<p>Miotics</p> Signup and view all the answers

Where do you place meds to treat glaucoma?

<p>Inside the lower lid, not directly on the eye</p> Signup and view all the answers

How long do you wait between two different eye medications?

<p>At least 5 minutes</p> Signup and view all the answers

What is otitis media?

<p>Ear infection</p> Signup and view all the answers

What is cortisporin otic used for?

<p>Ear infection</p> Signup and view all the answers

What is a nursing consideration for an ear wax control agent?

<p>Do not use without a physician's permission if the ear is draining</p> Signup and view all the answers

Every drop of blood passes through the kidneys about _________ times per day to filter.

<p>4-6</p> Signup and view all the answers

What is cystitis?

<p>Inflammation of the urinary bladder</p> Signup and view all the answers

What is Aldactone used for?

<p>Water pill-diuretic</p> Signup and view all the answers

What is an example of potassium replacement medication?

<p>K-Dur or Micro-K</p> Signup and view all the answers

What would be nursing considerations when giving potassium replacement medication? (Select all that apply)

<p>Give with food or after meals (A), Dissolve effervescent tablets or powder in 8 ounces of water or juice (B), Do not crush or break extended release tablets (C)</p> Signup and view all the answers

What blood vessel carries blood away from the heart?

<p>Artery</p> Signup and view all the answers

What do white blood cells do?

<p>Fight infection</p> Signup and view all the answers

What is myocardial ischemia?

<p>Lack of oxygen supply to the heart</p> Signup and view all the answers

What is arteriosclerosis/atherosclerosis?

<p>Build-up of plaque deposits in blood vessels</p> Signup and view all the answers

What is an example of a cardiotonic?

<p>Digoxin</p> Signup and view all the answers

What do you check before giving a cardiotonic?

<p>Pulse rate</p> Signup and view all the answers

Flashcards

QMA Responsibilities

QMA's observe, report, and provide medications per training; they cannot document actions of others nor perform certain tasks like assessments and stage II treatments.

PRN Medications

PRN medications are given as needed; a nurse must cosign the record for PRN medications, while QMA's cannot administer them.

QMA Restrictions

QMAS cannot call physicians, assess residents, administer stage II treatments, give medications via nasogastric tubes or document the actions of others.

Documentation of Observations

QMA's must document observations and reports from residents.

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Assault and Battery

A threat (verbal or otherwise) that is acted on.

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Negligence

Failure to properly care for a resident (e.g., leaving them unattended, mishandling equipment).

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Euthanasia

Painless termination of life for those with incurable illnesses.

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Medication Errors

Errors caused by lack of attention, knowledge, communication issues, or exceeding one's scope of practice.

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Reporting Medication Errors

Report errors to supervisors, not directly to doctors.

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Reporting Abuse

Report suspected abuse immediately.

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QMA and CNA Responsibilities

The initial and final stages of care required of CNAs are not exempt for QMA's to follow.

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Phone Orders for QMAS

QMA's cannot accept phone orders without verification.

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Absorption

Medication enters the bloodstream.

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Distribution

Medication is transported to body cells.

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Half-life

Time it takes for a drug's concentration to halve in the bloodstream.

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Medication Excretion

Kidneys primarily remove medications from the body.

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Prescription Medications

Require a prescription from a doctor.

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Common Abbreviations

gtt (drop), pc (post-meal), bid (twice daily).

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Anti-ulcer Medications

Prevent gastric acid release.

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Antacids

Neutralize stomach acid.

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Antiemetics

Suppress nausea and vomiting.

Signup and view all the flashcards

Laxatives

Stimulate bowel movements.

Signup and view all the flashcards

Elimite

Scabies treatment.

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Skin integrity

Skin condition that changes over a lifetime.

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Study Notes

Qma Practice Exam Flashcards Summary

  • Qmas are prohibited from calling physicians, assessing residents, administering stage II treatments, or giving medications through a nasogastric tube.
  • Qma responsibilities include observing and reporting medication reactions, taking vital signs, and providing medications they were trained on, but they cannot document actions taken by others.
  • A nurse must cosign the clinical record for PRN medications, while Qmas cannot treat second-degree burns.
  • Documentation of observations and reports from residents must be made by the Qma, affirming their role in patient care.
  • Assault and battery involve a verbal threat that is executed, whereas negligence can stem from leaving residents unattended or mishandling equipment.
  • Euthanasia refers to the painless termination of life in patients with incurable conditions.
  • Medication errors can arise from lack of concentration, knowledge, poor communication, and operating outside one's scope of practice.
  • Report medication errors to supervisors rather than directly to doctors, and report suspected abuse immediately.
  • Qmas are not exempt from initial and final steps required of CNAs and cannot take phone orders without verification.
  • Absorption involves medication entering the bloodstream, while distribution sends it to body cells.
  • Half-life indicates the time it takes for the concentration of a drug to decrease by half in the bloodstream.
  • The kidneys primarily excrete medications, while legend medications require prescriptions.
  • Common abbreviations include "gtt" for drop, "pc" for post meals, and "bid" for twice a day.
  • Anti-ulcer medications prevent gastric acid release, and antacids neutralize stomach acid.
  • Antiemetics suppress nausea and vomiting, while laxatives stimulate bowel movements.
  • Various skin conditions such as scabies and pediculosis are treated distinctly, and aging affects skin integrity.
  • Elimite cream is used for scabies but should not be applied to the face, and adverse reactions may include skin irritation.
  • Miotics are used for glaucoma treatment by reducing intraocular pressure, with careful administration techniques required for eye medications.
  • Cystitis refers to urinary bladder inflammation, and Aldactone is a diuretic medication.
  • Potassium replacement (e.g., K-Dur) must be given with food and should not be crushed if extended release.
  • Cardiotonic medications such as digoxin require pulse checks before administration to ensure patient safety.
  • Myocardial ischemia denotes inadequate oxygen supply to the heart, while arteriosclerosis involves plaque build-up in blood vessels.
  • Understanding the functions of blood vessels, including arteries that carry blood away from the heart, is crucial in patient care.

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Description

This quiz covers the essential responsibilities and limitations of Qualified Medication Aides (QMAs) in patient care, including their roles in medication administration and documentation. The quiz also addresses important legal concepts such as assault, battery, and negligence, alongside discussions on euthanasia and common medication errors. Perfect for those preparing for certification or furthering their understanding of QMA practices.

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