QMA Practice Test Questions with Complete Solutions, Exams of Medicine

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QMA practice test Questions with

Complete Solutions

The Qma is PROHIBITED from performing what tasks - ANS: a. assessing the residents condition b. calling the physician c. administering a medication per nasogastric tube d. administering a medication by injection What are some of the QMA scope of practice - ANS: a. observe and report to the facility licensed nurse reactions and side effects to a medication exhibited by a resident b. initiate oxygen per nasal cannula or non-sealing mask only in an emergency c. count and administer and document controlled substances Assault and Battery is defined as - ANS: The threat to use force against another person and the carrying out of the force. A QMA would be considered negligent if he/she - ANS: Fails to inform the licensed nurse of medication error If a QMA makes a medication error what are some of the following actions that should take place - ANS: a. Report to the licensed nurse b. Observed the resident for undesirable effects c. Document the medication error d. Truthfully report the error Residents Rights include what? - ANS: a. The right to voice grievances b. The right to refuse treatment and be informed of the consequences c. The right to be free from abuse

The Four Elements of successful communication include what? - ANS: a. Formulating the message b. Sending the message c. receiving the message d. observing the feedback Verbal Communication is - ANS: Spoken and Written words General interventions in response to any difficult behavior include: - ANS: Remaining Calm and Attempting to distract or redirect the resident Severe head trauma, stroke and brain disease can all cause - ANS: Permanent Cognitive impairment Increased confusion and restlessness in late afternoon, evening and night are symptoms of? - ANS: Sundowning When interacting with an anxious resident you should - ANS: Provide a quiet calm environment away from groups of people and activity When interacting with a combative resident you should - ANS: Remain Calm and in control Infection can be transmitted by - ANS: a. Air b. Contaminated soil and water c. Objects d. Insects Standard Precautions include what? - ANS: a. Wearing gloves when indicated for resident care b. wearing a gown, apron, mask and protective eyewear when splashing or contamination may occur c. washing hands at appropriate times

The official name of a medication is known as the - ANS: Generic Name The most common complications associated with terminal illness include - ANS: a. Sleeping b. Lack of Appetite c. Nausea and Vomiting d. Stomatitis The study of Medications is called - ANS: Pharmacology What is true about pain? - ANS: We adapt to our discomforts. leading to periods of very minimal signs of discomfort. Lack of pain expression foes not mean lack of pain Something that serves to relieve or alleviate symptoms, but is not a cure is called - ANS: Palliative The systemic effect - ANS: affects the entire body Factors the influence medication actions include - ANS: a. dosage strength b. presence of food in the stomach c. disease state of the resident An adverse effect is defined as - ANS: an undesired side effect of toxicity Most medications are metabolized in the - ANS: liver Rationale for administration of medications include - ANS: a. cure illness/treat disease b. relieve symptoms c. prevent illness d. aid in the diagnosis of illness

Legend Medications are - ANS: Medications that can be only obtained with a prescription filled by a licensed pharmacist Factors related to aging which may influence medication effectiveness include - ANS: a. decrease in lung capacity b. loss of muscle size c. Increase in body fat Which route is the slowest to absorb - ANS: Oral What can a Qma not do - ANS: Receive orders from the physician The process by which a substance is changed into a form that is more easily excreted by the body is - ANS: Metabolism Can a Qma inject a medication - ANS: No, Licensed nurse or physician only The shorter the half life of a medication the - ANS: More often a medication must be given to maintain a constant action What is utilized to start a newly ordered medication that needs to be administered immediately or in the event of a currently ordered medication is out of supply - ANS: Emergency Drug Kit (EDK) The label of a medication container should include all of the following except - ANS: name of the nursing facility Only authorized personnel may have access to the medication room unattended which includes - ANS: Licensed Nurse and QMA Each pharmacist and physician has a special number which allows close monitoring by what agency of all controlled medications prescribed - ANS: The Drug Enforcement Agency (DEA)

How many medication rights are there - ANS: 6 Rights A system of measurement that is less precise than the is called the - ANS: Household System An old english system of measure brought to america by the colonists is called the - ANS: Apothecary System The Grain and Dram are units of measure from which system of measurements - ANS: Apothecary System The Drop and teaspoon are units of measures from which of the systems - ANS: Household System Which system of measurement is most accurate and precise for drug administration? - ANS: Metric A medication ordered qd should be given - ANS: same time daily Medications used to treat and prevent nausea and vomiting are called - ANS: Antiemetics The organ located in the upper left of the abdomen, below the diaphragm is the - ANS: Stomach Bulk-producing laxatives must be given with sifficient - ANS: Fluids The function of the alimentary canal is to - ANS: provide a passageway for foods Depending on the type and amount, food remains in the stomach on an average of how many hours - ANS: 3-5hrs What aids in absorption of fat - ANS: Bile What is NOT change in the digestive system due to aging - ANS: Diarrhea

Constipation is caused by - ANS: inactivity When administering antacids you should monitor the resident for - ANS: amount and consistency of stools An irritation causing a sore in the lining of the stomach or duodenum is called an - ANS: Ulcer What is a Amphojel - ANS: Antacid What is Milk of Magnesia - ANS: Saline Laxative What is a Pepcid - ANS: Anti-Ulcer What is a Phenergan - ANS: Antiemetic What is Syrup of Ipecac - ANS: Emetic What is a Paregoric - ANS: Opiate What is a Senokot - ANS: Cathartic What is a Citrucel - ANS: Bulk-Laxative smooth muscle - ANS: a. Surrounds, or is part of the internal organs b. is an involuntary muscle The soft part of the bone where the red blood cells are manufactured is called the - ANS: bone marrow

What is Flexeril - ANS: Muscle Relaxant What is Demerol - ANS: Analgesic A contagious skin condition by mites that burrow under the skin is called - ANS: Scabies A contagious infestation of the hair and body caused by lice is called - ANS: Pediculosis Continuous pressure on body areas causes - ANS: Decubitus Ulcers When applying local anti-infectives, you must wear - ANS: Gloves A change in the skin evident with aging is that it - ANS: tears easily An example of an anti-inflammatory steroid is - ANS: Cordon Debridement medications can be applied by - ANS: Licensed personal only An inflammation of the mucous membrane of the eye is called - ANS: Conjunctivitis An obstruction or the over production of fluid in the eye which results in increased pressure within the eye is called - ANS: Glaucoma The medications used to treat glaucoma - ANS: decrease intraocular pressure A chronic disturbance of the inner ear is called - ANS: Meniere's Disease Medications used to treat glaucoma are called - ANS: Miotics

Where should miotics be placed when administered - ANS: Inside the lower eyelid Cortisporin Otic would be used to treat - ANS: otitis media Ear wax control agents should not be used if the ear is - ANS: Draining The inability to empty the bladder is a symptom of - ANS: Urinary Rentention An example of a diuretic is - ANS: Aldactone When administering diuretics, the resident must be observed for symptoms of - ANS: Decreased Potassium levels All blood passes - ANS: Kidneys An inflammation of the urinary bladder is called - ANS: Cystitis A resident in the dorsal recumbent position is lying - ANS: On the back with legs apart, knees bent, soles of feet flat on bed, and head slightly elevated The position in which the head of the resident's bed is elevated 45-60 degrees is - ANS: Fowler's The position in which the resident is lying flat on the back with legs straight and arms resting at the sides is called - ANS: Supine Where would the thermometer be placed to measure the axillary temperature - ANS: In the Residents armpit Which of the following temperatures should be reported to the nurse - ANS: 101 degrees Fahrenheit

Which of the following nutrients build and repair body tissues - ANS: Proteins Which of the following may be given to treat burns - ANS: C Which of the following is given in combination with INH therapy - ANS: B Which medication classification depresses abnormal neuronal discharges in the central nervous system - ANS: Anticonvulsant The QMA must do what when administering medications - ANS: Wash his/her hands or utilize alcohol foam/gel before and after administering medication to the resident and as needed when caring for a resident and direct contact is made If a medication is ordered to be give a.c. you should give the medication - ANS: Before Meals A manner of staff response to a residents comment by which the staff allows the resident to remain in his.her belief without attempting to reorient the resident to the present is called - ANS: Validation Therapy What Medicine treats Alzheimers Disease - ANS: Aricept Medications utilized to treat Alzheimers or other dementia - ANS: Are not a cure, rather relieve symptoms Symptoms of Alzheimers disease include - ANS: a. gradual loss of memory b. problems with reasoning or judgement c. disorientation The cause of Alzheimers Disease is - ANS: unknown

Contents of the medical chart should include - ANS: a. information or data base b. identification of problems c. plans of care of the resident d. progress note The resident chart is a - ANS: Legal document When you make an error charting you should - ANS: Draw a line through the error, write "error" above it and initial If you discover omission of a dose of medication you should - ANS: report the omission to the licensed nurse Common reasons for medication errors in a facility include - ANS: a. Lack of knowledge in administration of medication b. inadequate communication c. improper transcription of medication orders e. making assumptions Medication carts must be what at all times - ANS: locked How many times should you check a medication before you give it? - ANS: 3 The vessels that carry blood away from the heart are called - ANS: arteries what type of cells fights infections - ANS: white blood cell a lack of adequate oxygen supply to the heart causes - ANS: myocardial ischemia Edema in the feet and legs is a symptoms of - ANS: Congestive heart failure

The average respiratory rate for an adult is - ANS: 12-16 per minute The function of the respiratory system is to - ANS: bring in oxygen and removes carbon dioxide Dimetapp is an example of - ANS: antihistamine Actifed is an example of: - ANS: combination drug Rifadin is an example of: - ANS: TB medication Sinutab is an example of - ANS: Combination product Proventil is an example of: - ANS: Bronchodilator Codeine is an example of - ANS: Antitussive Symptoms of hypoglycemia include - ANS: a. Drowsiness b. Perspiration c. pallor master endocrine gland - ANS: pituitary gland The islets of Langerhans produce and secrete what hormone - ANS: Insulin Partial of complete failure of the islets of Langerhans to produce insulin causes: - ANS: Diabetes Ketostix are used for - ANS: Test Urine for Ketones

Diabetics need to be monitered for - ANS: Diet Intake One adverse affects of a thyroid hormone is - ANS: Chest Pain If the resident breath smells fruity you should suspect - ANS: hyperglycemia Underproduction of the hormone thyroxin that results in decreased metabolic rate is called - ANS: Hypothyroidism Effects of the aging process on the endocrine system include: - ANS: a. Tendency towards diabetes b. Water Retention c. Slower Metabolism Deltasone is an example of: - ANS: adrenal cortical steroid An adverse effect of adrenal cortical steroids include - ANS: a. Moon Face b. Night Sweats c. Hair Loss D. Thin, shiny skin benign prostatic hyperplasia (BPH) - ANS: enlargement of the prostate gland The hormone responsible for male secondary sex characteristics is - ANS: Androgen The hormone responsible for the female sex characteristics is - ANS: Estrogen Menopause usually occurs between ages of - ANS: 45- Premarin is an example of - ANS: Female Replacement Hormone

Medications that kill or slow the growth of cancer cells are called - ANS: Antineoplastic Functional disorders of the mind or emotions without obvious organic lesions or change - ANS: Neurosis What is Elavil used for - ANS: depression A major mental disorder in which ones personality is deranged; causing a loss of contact with reality is called - ANS: Psychosis What is Xanax - ANS: Anxiolytic (anti-anxiety) When giving a prn antipsychotic medication you should first - ANS: attempt other interventions and report to the licensed nurse if the interventions are not successful Psychoactive medications must be - ANS: carefully monitored and reductions in dose should occur as possible What medications are used to treat manic depressive disorder - ANS: Depakote and Lithium