Qma practice exam questions with complete solutions, Exams of Laboratory Practices and Management

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Qma practice exam questions with complete

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Qma's are prohibited from: - CORRECT ANSWER - Calling a physician, assessing a resident, adminisitering a stage II treatment, administering meds through a nasgastric tube The Qma scope of practice includes: - CORRECT ANSWER - Observe and report to a nurse reactions and side effects of meds, take vital signs prior to some medications, personally set up and give medications that you were trained on, not document what another person gave a resident When giving a PRN medication, the nurse must cosign the clinical record - CORRECT ANSWER - True The Qma is allowed to treat a second degree burn if you follow the order exactly - CORRECT ANSWER - False The Qma must document in the clinical record any and all observations and what is reported by the resident - CORRECT ANSWER - True What is assault and battery? - CORRECT ANSWER - A verbal threat that is carried out Leaving a resident alone in the shower room, failing to report an observation or occurrence to the nurse, causing injury by using broken equipment would be an example of: - CORRECT ANSWER - Negligence What describes "painless killing of a patient suffering from an incurable disease"? - CORRECT ANSWER - Euthanasia Medication errors can be caused by: - CORRECT ANSWER - Lack of concentration, lack of knowledge, poor communication, performing outside your scope of practice If you have a medication error, you report it to the doctor immediately - CORRECT ANSWER - False Undesirable medication effects could be - CORRECT ANSWER - Vomiting, dizziness, hives/drowsiness, difficult breathing Report all suspected abuse to the nurse __________________. - CORRECT ANSWER - Immediately The Qma is exempt from performing the initial and final steps created for Cna's - CORRECT ANSWER - False What is verbal communication? - CORRECT ANSWER - Written or spoken words

What can cause permanent cognitive impairment? - CORRECT ANSWER - Severe head trauma Stroke Brain disease What is sundowning? - CORRECT ANSWER - Increased confusion and restlessness in late afternoon When interacting with an anxious resident you should: - CORRECT ANSWER - Provide a quiet, calm environment away from groups When interacting with a combative resident you should: - CORRECT ANSWER - Remain calm and in control What is nosocomial infection? - CORRECT ANSWER - An infection squired while in a facility What is hepatitis? - CORRECT ANSWER - A contagious liver disease If you have a spill on the floor, you must use: - CORRECT ANSWER - Gloves, paper towels, wet floor sign When do you clean up a spill? - CORRECT ANSWER - Immediately In the event of a fire, what does the R stand for? - CORRECT ANSWER - Remove residents To use a fir extinguisher, what does the P stand for? - CORRECT ANSWER - Pull the pin Medications: the trade/brand name is always: - CORRECT ANSWER - Capital letters Synthetic medications are: - CORRECT ANSWER - Man-made The systemic effect of a medication _______________. - CORRECT ANSWER - Effects the entire body The effects of medication is ________________. - CORRECT ANSWER - The observable results of changes in the body An antagonistic effect is _________________. - CORRECT ANSWER - Negative effect that one chemical have with another chemical What is ADR? - CORRECT ANSWER - An undesired side effect or toxicity What organ excretes most medications? - CORRECT ANSWER - Kidneys What are legend medications? - CORRECT ANSWER - Medication that can only be obtained with a prescription

Qma's can take phone orders if they repeat the order back to the doctor for accuracy. - CORRECT ANSWER - False What is absorption? - CORRECT ANSWER - Medication moves from the site of administration into the bloodstream What is distribution? - CORRECT ANSWER - Medication is carried to body cells through the bloodstream What is half-life? - CORRECT ANSWER - The time it takes half of the medication to leave the bloodstream What is metabolism? - CORRECT ANSWER - Is a process by which a substance is changed into a form that is easily excreted by the body What is excretion? - CORRECT ANSWER - The process by which medication is eliminated from the body What is nitroglycerin's classification? - CORRECT ANSWER - Antianginal What is Aldacton's classification? - CORRECT ANSWER - Diuretic What is Risperdal's classification? - CORRECT ANSWER - Antipsychotic What is Abilify's classification? - CORRECT ANSWER - Antipsychotic What is Celebrex used for? - CORRECT ANSWER - Nonsteroidal anti-inflammatory What is Celexa used for? - CORRECT ANSWER - Antidepressant What is Mylicon used for? - CORRECT ANSWER - Antiflatulent What is Axid used for? - CORRECT ANSWER - H2 receptor antagonist What is Dilantin's classification? - CORRECT ANSWER - Anticonvulsant What is Colace used for? - CORRECT ANSWER - Laxative What is Lortab used for? - CORRECT ANSWER - Analgesic What is Phenergan used for? - CORRECT ANSWER - Block hestamine What is Dilantin used for? - CORRECT ANSWER - Inhibits seizures What is Lanoxin (Digoxin) used for? - CORRECT ANSWER - Controls heart rate and blood pressure Where are sublingual medications placed? - CORRECT ANSWER - Under the tongue

What is the abbreviation for drop? - CORRECT ANSWER - Gtt What angle of the bed is fowler's position? - CORRECT ANSWER - 45 - 60 degrees How do you pour liquids from a medication bottle? - CORRECT ANSWER - Away from the label What is bid stand for? - CORRECT ANSWER - Twice a day What is the abbreviation for meds after meals? - CORRECT ANSWER - pc The apothecary system is more accurate than _______________. - CORRECT ANSWER - The household system How long does food normally stay in the stomach? - CORRECT ANSWER - 3 - 5 hours Aging causes diarrhea. - CORRECT ANSWER - True What is the action for anti-ulcers? - CORRECT ANSWER - Prevents the release of gastric acid to prevent ulcers What is the action for antacids? - CORRECT ANSWER - Neutralizes stomach acid What is the action for antiemetics? - CORRECT ANSWER - Suppresses nausea and vomiting What is the action for cathartic/laxatives? - CORRECT ANSWER - Laxatives which stimulate peristalsis What is the action for antidiarrheals? - CORRECT ANSWER - Absorb excess fluids and bacteria What is the action for anti-inflammatory's? - CORRECT ANSWER - Decreases inflammation to treat arthritis What is the action for anti-gout's? - CORRECT ANSWER - Reduces uric acid synthesis What is the action for skeletal muscle relaxants? - CORRECT ANSWER - CNS depressant, relieves pain and stiffness What is the action for analgesics? - CORRECT ANSWER - Alter perception of pain Which is called the "true skin"? - CORRECT ANSWER - Dermis Which is a lice infection which infests different body areas? - CORRECT ANSWER - Pediculosis

Which condition are mites that burrow under the skin? - CORRECT ANSWER - Scabies Burns: what stage causes blisters on the skin? - CORRECT ANSWER - Second degree Aging effects on the skin.... - CORRECT ANSWER - Skin becomes fragile, skin becomes sagging and wrinkling, it reacts to temperature differently When using Elimite cream for scabies, apply everywhere except for their ______________. - CORRECT ANSWER - Face What is an adverse reaction to Elimite cream? - CORRECT ANSWER - Skin irritation Which is an anti-inflammatory steroid you apply to the skin? - CORRECT ANSWER - Cordran What are debridement medications used for? - CORRECT ANSWER - To remove dead tissue and can be applied only by licensed personnel What is conjunctivitis? - CORRECT ANSWER - Inflammation of mucus membrane in the eye What is the eye medication usually used for eye infection? - CORRECT ANSWER - Bacitracin Ophthalmic Which disorder causes "overproduction of fluid in the eye which causes increased pressure within the eye"? - CORRECT ANSWER - Glaucoma What type of treatment would you use for glaucoma? - CORRECT ANSWER - Medications to decrease intraocular pressure ___________ treats glaucoma. - CORRECT ANSWER - Miotics Where do you place meds to treat glaucoma? - CORRECT ANSWER - Inside the lower lid, not directly on the eye How long do you wait between 2 different eye medications? - CORRECT ANSWER - At least 5 minutes What is otitis media? - CORRECT ANSWER - Ear infection What is cortisporin otic used for? - CORRECT ANSWER - Ear infection What is a nursing consideration for a ear wax control agent? - CORRECT ANSWER

• Do not use without a physicians permission if the ear is draining Every drop of blood passes through the kidneys about _________ times per day to filter. - CORRECT ANSWER - 4 - 6

What is cystitis? - CORRECT ANSWER - Inflammation of the urinary bladder What is Aldactone used for? - CORRECT ANSWER - Water pill-diuretic What is an example of potassium replacement medication? - CORRECT ANSWER - K-Dur or Micro-K What would be nursing considerations when giving potassium replacement medication? - CORRECT ANSWER - •give with food or after meals •dissolve effervescent tablets or powder in 8 ounces of water or juice •do not crush or break extended release tablets What blood vessel carries blood away from the heart? - CORRECT ANSWER - Artery What do white blood cells do? - CORRECT ANSWER - Fight infection What is Myccardial Ischemia? - CORRECT ANSWER - Lack of oxygen supply to the heart What is arteriosclerosis/atherosclerosis? - CORRECT ANSWER - Build up of plaque deposits in blood vessels What is an example of a cardiotonic? - CORRECT ANSWER - digoxin What do you check before giving a cardiotonic? - CORRECT ANSWER - Pulse rate Which is an example of an antiarrhythmic? - CORRECT ANSWER - Inderal Which would be an example of an antihypertensive? - CORRECT ANSWER - Calan What would be a nursing consideration when taking an antihypertensive? - CORRECT ANSWER - Check blood pressure at least weekly What is the action of anticoagulants? - CORRECT ANSWER - Inhibits clotting of blood What are anticoagulants used for? - CORRECT ANSWER - Prevents formation of clots What is an adverse effect of anticoagulants? - CORRECT ANSWER - Hemorrhage (increase bleeding) What are symptoms of pulmonary emphysema? - CORRECT ANSWER - •barrel chest •pursed lips •cyanosis What is the action of an antitussive? - CORRECT ANSWER - Depresses cough

What would be an example of an antitussive? - CORRECT ANSWER - Codeine Which medication is a Bronchodilator? - CORRECT ANSWER - albuterol (Proventil) What is the action of an antihistamine? - CORRECT ANSWER - Combat the effects of histamine, allergic reaction What is an example of an antihistamine? - CORRECT ANSWER - Dimetapp What is Robitussin used for? - CORRECT ANSWER - Cause a productive cough What are the side effects of Robitussin? - CORRECT ANSWER - •gastric irritation •nausea •vomiting When do you take the residents pulse for a sitz bath? - CORRECT ANSWER - Before and after How is HIV transmitted? - CORRECT ANSWER - •sexual intercourse •shared needles •infected mother passing it to the fetus •transfusion of infected blood What drug is given for HIV? - CORRECT ANSWER - Triumeq What is the classification for Coumadin? - CORRECT ANSWER - Anticoagulant What are keytones? - CORRECT ANSWER - Substances that are made when the body breaks down fat for energy What would you do if the resident complained of chest pain during a sitz bath? - CORRECT ANSWER - Discontinue bath and notify the nurse How do you position the resident to instill ear medication? - CORRECT ANSWER - Lateral What is hypoglycemia? - CORRECT ANSWER - Low blood sugar What is hyperglycemia? - CORRECT ANSWER - High blood sugar What is CCMS? - CORRECT ANSWER - Clean catch midstream specimen When do you change a colostomy? - CORRECT ANSWER - When it is 1/3 full What form of stool will you get if the colostomy bag is around the small bowel around the ileum area? - CORRECT ANSWER - Liquid When do you flush a feeding tube? - CORRECT ANSWER - Before and after medication

How much water do you use to flush a feeding tube? - CORRECT ANSWER - 30 cc What are legend drugs? - CORRECT ANSWER - Prescription drugs What temperature should ear drops be? - CORRECT ANSWER - Room temperature What position do you place a resident having seizures? - CORRECT ANSWER - On their side What do you report to your nurse about the seizure? - CORRECT ANSWER - The duration, and what areas of the body were involved Where are sublingual meds placed? - CORRECT ANSWER - Under the tongue How do you prepare medication to be given per G-tube? - CORRECT ANSWER - Crush and dilute What position do you place your resident in for an enema? - CORRECT ANSWER - Left sims What position do you place your resident in if they have a G-tube and you want to brush their teeth? - CORRECT ANSWER - Semi or fowler's position What is Desitin cream? - CORRECT ANSWER - Oil/patroleum based When starting your resident on a new antipsychotic med, who should start the first dose? - CORRECT ANSWER - Let the nurse give the first dose to asses the side effects What do cc's and ml's have in common? - CORRECT ANSWER - They measure out the same How often do you recertify your license? - CORRECT ANSWER - Every year in march How many in-service hours do you need every year? - CORRECT ANSWER - 12 What is Aldactone used for? - CORRECT ANSWER - Water pill-diuretic What is an example of potassium replacement medication? - CORRECT ANSWER - K-Dur or Micro-K What would be nursing considerations when giving potassium replacement medication? - CORRECT ANSWER - •give with food or after meals •dissolve effervescent tablets or powder in 8 ounces of water or juice •do not crush or break extended release tablets What blood vessel carries blood away from the heart? - CORRECT ANSWER - Artery

What do white blood cells do? - CORRECT ANSWER - Fight infection What is Myccardial Ischemia? - CORRECT ANSWER - Lack of oxygen supply to the heart What is arteriosclerosis/atherosclerosis? - CORRECT ANSWER - Build up of plaque deposits in blood vessels What is an example of a cardiotonic? - CORRECT ANSWER - digoxin What do you check before giving a cardiotonic? - CORRECT ANSWER - Pulse rate Which is an example of an antiarrhythmic? - CORRECT ANSWER - Inderal Which would be an example of an antihypertensive? - CORRECT ANSWER - Calan What would be a nursing consideration when taking an antihypertensive? - CORRECT ANSWER - Check blood pressure at least weekly What is the action of anticoagulants? - CORRECT ANSWER - Inhibits clotting of blood What are anticoagulants used for? - CORRECT ANSWER - Prevents formation of clots What is an adverse effect of anticoagulants? - CORRECT ANSWER - Hemorrhage (increase bleeding) What are symptoms of pulmonary emphysema? - CORRECT ANSWER - •barrel chest •pursed lips •cyanosis What is the action of an antitussive? - CORRECT ANSWER - Depresses cough What would be an example of an antitussive? - CORRECT ANSWER - Codeine Which medication is a Bronchodilator? - CORRECT ANSWER - albuterol (Proventil) What is the action of an antihistamine? - CORRECT ANSWER - Combat the effects of histamine, allergic reaction What is an example of an antihistamine? - CORRECT ANSWER - Dimetapp What is Robitussin used for? - CORRECT ANSWER - Cause a productive cough What are the side effects of Robitussin? - CORRECT ANSWER - •gastric irritation •nausea •vomiting

When do you take the residents pulse for a sitz bath? - CORRECT ANSWER - Before and after How is HIV transmitted? - CORRECT ANSWER - •sexual intercourse •shared needles •infected mother passing it to the fetus •transfusion of infected blood What drug is given for HIV? - CORRECT ANSWER - Triumeq What is the classification for Coumadin? - CORRECT ANSWER - Anticoagulant What are keytones? - CORRECT ANSWER - Substances that are made when the body breaks down fat for energy What would you do if the resident complained of chest pain during a sitz bath? - CORRECT ANSWER - Discontinue bath and notify the nurse How do you position the resident to instill ear medication? - CORRECT ANSWER - Lateral What is hypoglycemia? - CORRECT ANSWER - Low blood sugar What is hyperglycemia? - CORRECT ANSWER - High blood sugar What is CCMS? - CORRECT ANSWER - Clean catch midstream specimen When do you change a colostomy? - CORRECT ANSWER - When it is 1/3 full What form of stool will you get if the colostomy bag is around the small bowel around the ileum area? - CORRECT ANSWER - Liquid When do you flush a feeding tube? - CORRECT ANSWER - Before and after medication How much water do you use to flush a feeding tube? - CORRECT ANSWER - 30 cc What are legend drugs? - CORRECT ANSWER - Prescription drugs What temperature should ear drops be? - CORRECT ANSWER - Room temperature What position do you place a resident having seizures? - CORRECT ANSWER - On their side What do you report to your nurse about the seizure? - CORRECT ANSWER - The duration, and what areas of the body were involved Where are sublingual meds placed? - CORRECT ANSWER - Under the tongue

How do you prepare medication to be given per G-tube? - CORRECT ANSWER - Crush and dilute What position do you place your resident in for an enema? - CORRECT ANSWER - Left sims What position do you place your resident in if they have a G-tube and you want to brush their teeth? - CORRECT ANSWER - Semi or fowler's position What is Desitin cream? - CORRECT ANSWER - Oil/patroleum based When starting your resident on a new antipsychotic med, who should start the first dose? - CORRECT ANSWER - Let the nurse give the first dose to asses the side effects What do cc's and ml's have in common? - CORRECT ANSWER - They measure out the same How often do you recertify your license? - CORRECT ANSWER - Every year in march How many in-service hours do you need every year? - CORRECT ANSWER - 12 What is the abbreviation for tablespoon? - CORRECT ANSWER - T What does the Roman numeral x stand for? - CORRECT ANSWER - 10 When do you flush a G-tube? - CORRECT ANSWER - Between medications What do you flush a G-tube with? - CORRECT ANSWER - Room temperature water