QMA INDIANA CLASSIFICATION AND DRUGS
antacids CORRECT ANSWER Tums, Amphojel, Maalox, Mylanta, Rolaids, Milk of Magnesia
anti-ulcer CORRECT ANSWER Pepcid, Zantac, Tagamet
antiemetics CORRECT ANSWER Dramamine, Phenergan, Antivert, Tigan
emetics CORRECT ANSWER Syrup of Ipecac
antidiarrheals CORRECT ANSWER kaolin, Pepto-Bismol, pectin, Kaopectate
Cathartics/laxatives CORRECT ANSWER castor oil, Senokot, Dulcolax, Ex-Lax, Doxidan
anti-inflammatory steroids CORRECT ANSWER Decadron, Meticorten, Orasone, Medrol,
Cortef
NSAIDs CORRECT ANSWER Motrin
Advil
Ibuprofen
Relafen
Indocin
anti-gout CORRECT ANSWER Zyloprim
muscle relaxants CORRECT ANSWER Flexeril, Robaxin, Valium, Zanaflexl
analgesics CORRECT ANSWER Tylenol, Darvon, Demerol, Motrin, Advil, Ibuprofen
Indiana QMA Medications
Dementia Medications:
slows the breakdown of acetylcholine therefore improving function of nerve cells in the brain
CORRECT ANSWER To treat mild to moderate type Dementias.
donepezil (Aricept), rivastigmine (Exelon), galantamine (Reminyl)
SE: GI upsets, dizziness, headache, fatigue
Tricyclic Antidepressants: increases norepinephrine, serotonin or both in the CNA
*Avoid sun exposure, may take up to 4 weeks to take affect CORRECT ANSWER To treat
depression.
amitriptyline HCL (Elavil), nortriptyline HCL (Pamelor, Aventyl), paroxetine HCL (Paxil),
sertraline HCL (Zoloft), fluoxetine HCL (Prozac), escitalopram (Lexapro)
SE: seizures, heart irregularities, constipation, urinary retention, diarrhea
MAOI Antidepressants: decreases the amount of norepinephrine destroyed by metabolism and
allows level to increase in brain
*Avoid foods containing high tyramine (cheese, fish, liver, baked potatoes, yogurt, beer, wine)
CORRECT ANSWER To treat depression.
phenelzine sulfate (Nardil), tranylcypromine sulfate (Parnate)
SE: muscle tremors, heart irregularities, diarrhea, sweating, constipation
Bipolar/Manic-Depressive Disorder Meds: alters chemical transmitters in the CNS
*Provide adequate salt and juice intake to prevent toxicity CORRECT ANSWER To control and
prevent manic episodes.
lithium (Lithonate, Lithotabs), divalproex sodium (Depakote)
SE: lethargy, nausea, tremor, muscle weakness
Anxiolytics: acts selectively on the CNS to affect the mind
*Abrupt w/d may cause seizures, prolonged use may cause Tardive dyskinesia CORRECT
ANSWER To control or prevent nervousness/anxiety.
diazepam (Valium), chlordiazepoxide (Librium), hydroxyzine (Atarax, Vistaril), lorazepam
(Ativan), alprazolam (Xanax), buspirone hydrocholoride (Buspar)
SE: drowsiness, dizziness, blurred vision, dry mouth, constipation, impaired coordination,
decreased respirations
Antipsychotics (neuroleptics): acts selectively on the CNS to affect the mind
*Abrupt w/d may cause seizures, prolonged use may cause Tardive dyskinesia CORRECT
ANSWER To treat mental illness, delusions, hallucinations.
thioridazine HCL (Mellaril), chlorpromazine (Thorazine), haloperidol (Haldol), risperidone
(Risperdal), olanzapine (Zyprexa), loxapine (Loxitane), quetiapine (Seroquel), ziprasidone
(Geodon), thiothixene (Navane), perphenazine (Trilafon), aripiprazole (Abilify), fluphenazine
(Prolixin), trifluoperazine (Stelazine)
SE: thirst awareness, Tardive dyskinesia
Antineoplastics: kills or slows the growth of cancer cells
*Avoid alcohol, monitor for bleeding CORRECT ANSWER To treat cancer.
procarbazine HCL (Matulane), hydroxyurea (Hydrea, Droxia)
SE: n/v, hair loss, decreased WBC
Hormones/Antineoplastic: given in groups to attack cancer cells at different stages of
development
*often given in combo w antiemetics, steroids, psychotropics, and diuretics to help tolerate
CORRECT ANSWER To treat cancer, hormone replacement therapy.
megestrol acetate (Megace)
Indiana QMA final study guide questions with correct
answers
6 rights of medication administration CORRECT ANSWER Right dose, right time, right patient,
right route, right documentation, right medication
How many checks must be done before giving meds? CORRECT ANSWER 3
Cardiac drug classification: ACE inhibitors (antihypertensive) CORRECT ANSWER Vasotec,
enalapril
Zestril, linsinopril
Treats high bp and heart failure
Beta Blockers CORRECT ANSWER Cardiac drug, antiarrhythmia, angina and migraines
Inderal, propranolol
Lopressor, Toprol XL, metoporolol
Tenormin, atenolol
Corgard, nadolol
Calcium channel blockers CORRECT ANSWER Treats arrhythmias, angina (chest pain)
Cardizem, diltiazem
Procardia, nifedipine
Calan, Isoptin, verapamil HCL
pulse less than 60 withhold and notify nurse
Cardiotonics CORRECT ANSWER Action: slows and strengthens heart action
Use: chf, afib. Increases force this decreasing heart rate
Lanoxin, Lanoxicap, digoxin
Pulse muse be at 60+ to give this medication
Indiana QMA State Test questions with correct answers
Antihistamines: Action/Uses CORRECT ANSWER Combat the effects of histamine; treat
motion sickness and allergic reaction
Antihistamines: side effects CORRECT ANSWER Drowsiness, dizziness, loss of appetite, dry
mouth, urinary retention
Antihistamines: medications CORRECT ANSWER Diphenhydramine (Benadryl)
Loratadine (Claritin)
Phenergen (Promethazine)
Dimetapp (brompheniramine)
Antihistamines N.C. CORRECT ANSWER Use with caution with cardiac conditions, men with
prostate conditions
Encourage fluids
May develop tolerance
Increased drowsiness
TB medications CORRECT ANSWER Rifadin (rifampin)
INH (isoniazid)
Laniazid
Nydrazid
TB meds N.C. CORRECT ANSWER Can turn urine, feces, sputum, sweat orange
Use with caution for residents with acoholism and liver disease
Monitor for signs of hepatitis and weight loss give with food
Store in light resistant container
TB meds: action/uses CORRECT ANSWER Reduce/kill growth of the bacteria that causes TB
Treat active disease
TB side effects CORRECT ANSWER Fatigue
Drowsiness
Numbness in extremities
Nausea
Vomiting
Confusion
Headache
Rash
Combination products: action/uses CORRECT ANSWER Preparations containing more than one
product
Treat cough and allergies
Combination products: medications CORRECT ANSWER Sinutab, actifed
Combination products: side effects CORRECT ANSWER Drowsiness, dry mouth
Combination products N.C. CORRECT ANSWER May elevate B/P
Rebound symptoms can occur
Decongestants: Action/uses CORRECT ANSWER Shrinks mucous membranes and relieves
swelling/congestion
Treat allergies, hay fever, and cold symptoms
Decongestant medications CORRECT ANSWER Sudafed
Decongestants: side effects CORRECT ANSWER Prolonged use can cause irritation or
perforated nasal septum
Decongestants N.C. CORRECT ANSWER Can develop tolerance to medications
Bronchodilators Side Effects CORRECT ANSWER Restlessness, dizziness, palpitations, nausea,
hypertension, withdrawal symptoms
Bronchodilators Action/uses CORRECT ANSWER Relax bronchial muscles
open breathing passages
Treat asthma, bronchitis, chronic lung disease
Bronchodilators N.C. CORRECT ANSWER Anxiety
Bronchodilators medications CORRECT ANSWER Proventil (Albuterol)
Atrovent
Brethine
Alimentary
Aminophylline
Elixophylline
Antitussive: action/uses CORRECT ANSWER Depresses cough
Treat persistent cough
Antitussive medications CORRECT ANSWER Codeine
Benylin-DM
Antitussive side effects CORRECT ANSWER Vomiting
Drowsiness
Nausea
Diarrhea
Constipation
Nervousness
Restlessness
Antitussive N.C. CORRECT ANSWER No fluids for 15 minutes after taking
Respiratory stimulants: action/uses CORRECT ANSWER Inhalation of medication triggers
respiratory center of brain
Increases the rate and depth of respiration
Respiratory stimulants medications CORRECT ANSWER Spirits of ammonia (smelling salts)
Respiratory stimulants side effects CORRECT ANSWER Irritates lining of nose
Nausea
Respiratory stimulants N.C. CORRECT ANSWER Don’t hold to close to the nose
Antacids: Action/uses CORRECT ANSWER Neutralize stomach acid
Antacids (Medications) CORRECT ANSWER TUMS
Rolaids
Milk of magnesia
Maalox
Mylanta
Mylicon
Antacids Side Effects CORRECT ANSWER Constipation
Indiana QMA State Exam questions with correct answers
Pharmacology CORRECT ANSWER Is the study of medications and their effect on the body
Medications CORRECT ANSWER Are substances or mixture used to diagnose, treat or prevent
disease or illness
Sources of Medication CORRECT ANSWER plants, animals, minerals, chemicals
Semi-Synthetic Drugs CORRECT ANSWER Man-made, plants, animals, or minerals
Adverse Effects (ADR) CORRECT ANSWER An undesired side effect or toxicity
Allergic Effect CORRECT ANSWER Can be life threatening or simple reactions
Allergic Effect CORRECT ANSWER If a resident has breathing problems or a skin rash a
medication was administered, the nurse must be notified immediately
Side Effect CORRECT ANSWER Outcome that are not intended; the action or effect of a
medication other than that desired. Commonly undesirable, such as nausea, headache, insomnia,
etc
Toxic Effect CORRECT ANSWER Occurs when too much of a medication is absorbed by the
body
Toxic Effect CORRECT ANSWER Can be life threatening
Cumulative Effect CORRECT ANSWER Build up of a substance that could lead to toxicity
Ointments CORRECT ANSWER Must be soft enough to spread at room temperature and melt at
the body temperature
Ointment CORRECT ANSWER When used for the eye must be marked “ophthalmic”
(Examples- zinc, oxide ointment, and Vaseline)
Half Life CORRECT ANSWER The time it takes half of the medication to leave the
bloodstream
Short Half Life CORRECT ANSWER The more often a medication must be given to maintain a
constant action
Half Life CORRECT ANSWER If two hours then 50% of the medication will be gone from the
bloodstream in two hours
Tinnitus CORRECT ANSWER ringing in the ears
Antianxiety CORRECT ANSWER anxiolytics are often referred to as (an) __ medicationprimary treat nervousness & anxiety.
Aldomet CORRECT ANSWER Adrenergic blocker and is used to treat hypertension
Aricept CORRECT ANSWER treats dementia of Alzheimer’s
Dilantin CORRECT ANSWER treat complex partial seizures
Iron CORRECT ANSWER treat iron deficiency anemia
Lithium CORRECT ANSWER treats bipolar disorder
Luminal CORRECT ANSWER treats grand mal seizures/sedative/hypnotic
QMA PRACTICE TEST #8 questions with correct
answers
right, left CORRECT ANSWER The _ side of the brain controls the _ side of the
body.
tangles that affect memory CORRECT ANSWER One change in the nervous system as a result
of aging is the appearance of?
Sinemet CORRECT ANSWER Which of the following would be given to relieve the symptoms
of Parkinson’s Disease?
cerebral stimulant CORRECT ANSWER Ritalin is a(n)?
Guillain-Barre Syndrome CORRECT ANSWER A disease caused by an infection of nerve or
brain cells is?
anticonvulsant CORRECT ANSWER Depakote is a(n)?
petit mal CORRECT ANSWER A mild form of epileptic attack with the absence of seizures is
called?
anticonvulsant CORRECT ANSWER Which medication classification depresses abnormal
neuronal discharges in the central nervous system?
proteins CORRECT ANSWER Which of the following nutrients build and repair body tissues?
pernicious anemia CORRECT ANSWER Low iron in the blood due to the inability of the
stomach lining to absorb vitamin B is the cause of what condition?
bananas CORRECT ANSWER Hypokalemia may be treated by eating which of the following?
QMA Practice Test #2 questions with correct answers
Palliative CORRECT ANSWER Something that serves to relieve or alleviate symptoms, but not
cure
Complications associated with terminal illness include: CORRECT ANSWER • Sleeping
- Lack of appetite
- Nausea and Vomiting
- Stomatitis
What’s true about plain CORRECT ANSWER We adapt our discomforts, leading to periods of
very minimal sign of discomfort. Lack of pain expression does not mean lack of pain.
Pharmacology CORRECT ANSWER The study of medication
The official name of medication is called CORRECT ANSWER Generic name
Systematic effect CORRECT ANSWER Affects the entire body
Adverse effect CORRECT ANSWER An undesired side effect or toxicity
Influence medication action includes: CORRECT ANSWER • Dosage strength - Presence of food in stomach
- Disease state of resident
Rationale administration of medications include: CORRECT ANSWER • Cure illness/treat
disease - Relieve symptoms
- Aid in diagnosis of illness
QMA PRACTICE TEST #7 questions with correct answers
drowsiness, perspiration, pallor CORRECT ANSWER symptoms of hypoglycemia
glucotrol, diabinese, glucophage CORRECT ANSWER oral hypoglycemic medication
pituitary gland CORRECT ANSWER the master endocrine gland
insulin CORRECT ANSWER the islets of Langerhans produce and secrete what hormone?
diabetes CORRECT ANSWER partial or complete failure of the islets of Langerhans to produce
insulin causes?
ketones CORRECT ANSWER ketostix are used to test urine for?
diet intake CORRECT ANSWER diabetics need to be monitored for?
chest pain CORRECT ANSWER one adverse affect of a thyroid hormone is?
hyperglycemia CORRECT ANSWER if the resident’s breath smells fruity, you should suspect?
hypothyroidism CORRECT ANSWER underproduction of the hormone thyroxin that results in
decreased metabolic rate is called?
effects of the aging process on the endocrine system CORRECT ANSWER tendency toward
diabetes, water retention, and slower metabolism
adrenal cortical steroid CORRECT ANSWER Deltasone is an example of a(n)?
QMA STATE BOARD EXAM questions with correct
answers
EDK (Emergency Drug Kit) CORRECT ANSWER a supply of medications maintained “inhouse” by the facility.
Hypertension CORRECT ANSWER high blood pressure
Hypotension CORRECT ANSWER low blood pressure
Hypoglycemia CORRECT ANSWER
The “six rights” of medication administration CORRECT ANSWER 1. Right Medication
- Right Dose
- Right Resident
- Right Route
- Right Time
- Right Documentation
Four Elements of Successful Communication CORRECT ANSWER 1. Formulation the message - Sending the message
- Receiving the message
- Observing the feedback
Formulation the message CORRECT ANSWER organized, complete and understandable
Sending the message CORRECT ANSWER Verbal Communication
Nonverbal Communication
Verbal Communication CORRECT ANSWER written or spoken words
Nonverbal Communication CORRECT ANSWER facial expressions, tone of voice, eye
movement, posture, gestures, (body language), touching and call lights.
Microorganisms CORRECT ANSWER are tiny living things that can only be see with a
microscope.
Pathogen CORRECT ANSWER the causative agent
Pathogen CORRECT ANSWER 1. bacteria
- viruses
- fungi
- protozoa
Stomatitis CORRECT ANSWER inflammation of the mouth
Pruritus CORRECT ANSWER severe itching
Pharmacology CORRECT ANSWER the study of medications and their effect on the body
Trade Brand CORRECT ANSWER first letter is capitalized
Generic Name (term) CORRECT ANSWER legal noncommercial name for a drug
Generic Name CORRECT ANSWER first letter is lower case
Local Effect CORRECT ANSWER Limited to the area of the body where medication is applied
QMA Practice Test #3 questions with correct answers
A_______is required before any member of the health care team can administer a medication
CORRECT ANSWER Physician’s order
If a physician gives a nurse a medication order by telephone, he/she must sign the order:
CORRECT ANSWER On his/her next visit to the facility
Verbal or telephone orders from the physician may be taken by a: CORRECT ANSWER
Licensed nurse and pharmacist
If a medication order is unclear, the QMA has the responsibility to: CORRECT ANSWER •
Question any medication order he/her is not comfortable following.
- Ask a licensed nurse in the facility to clarify before administering the medication
Order that are received from the physician to be carried out immediately are called: CORRECT
ANSWER STAT orders
Medications given as needed are called: CORRECT ANSWER PRN orders
If there is a discrepancy between the dosage on the pharmacy label and the MAR (medication
administration record) the QMA should: CORRECT ANSWER Notify the licensed nurse
When preparing to administer medication per the orders of the physician, the QMA must follow
the_________ of medication administration CORRECT ANSWER 6 rights
A system of medication that is less precise than others is called the___________ system.
CORRECT ANSWER Household
An old English system of measure brought to America by the colonists is called
the______________ system. CORRECT ANSWER Apothecary
QMA State test questions with correct answers
The threat to use force against another person and carrying out the threat is CORRECT
ANSWER Assault and Battery
All individuals are legally protected from? CORRECT ANSWER Libel and slander and Assault
and battery
The omission or neglect of any reasonable precaution, care or action is ? CORRECT ANSWER
Negligence
Both healthcare workers and residents are protected by the standard of ? CORRECT ANSWER
Reasonable care
right medication, right dose, right resident, right route, right time, and right documentation is ?
CORRECT ANSWER The six rights of medication administration
The first thing to do if you make or discover a medication error is report it to the nurse is called
CORRECT ANSWER Reporting
the nurse will likely instruct you to assist to observe the resident for CORRECT ANSWER
adverse effects
This form is completed by whomever is the most familiar with the situation, usually the person
who committed or discovered the error by following your facility policy. is called a ? CORRECT
ANSWER Medication Error Report
what report is sent to the director of nursing or administrator? CORRECT ANSWER medication
error report
medication error reports are reviewed by ? CORRECT ANSWER medical director and the DON
who design plans that will avoid future incidents.
Personal information, medical records, written and verbal communications, medical treatment,
personal care and behavior is a patients ? CORRECT ANSWER Confidentially
give the patient and their property? CORRECT ANSWER privacy
you must be _ of a patients personal and medical information CORRECT ANSWER be informed residents have the to refuse treatment, self-administering medications, choosing personal
physician, participating in care planning, having visitors, maintaining personal possessions, and
participating in activities in and out of the facility. CORRECT ANSWER Choice
patients can _ about services without fear of retaliation CORRECT ANSWER voice
grievances
residents should be free from & including physical and chemical restraint for discipline or
convenience, verbal,mental, or physical abuse, corporal punishment for seclusion. CORRECT
ANSWER freedom from abuse and restraint
separation of a resident from other residents or from his/her room or confinement to his/her room
against the residents will or will of the residents legal representative CORRECT ANSWER
involuntary seclusion.
deliberate misplacement, exploitation or wrongful, temporary or placement use of a residents
belongings or money without the residents consent CORRECT ANSWER misappropriation of
resident property
verbal communication is CORRECT ANSWER written or spoken words
the Qma can observe and report to the facility’s nurse reactions and side effects to medications
exhibited by a resident? CORRECT ANSWER true
QMA PRACTICE TEST #9 questions with correct
answers
active immunity CORRECT ANSWER Immunity acquired by having a disease is called?
passive immunity CORRECT ANSWER Immunity acquired by passing antibodies from a
mother’s bloodstream to a baby’s bloodstream is called?
sexual intercourse, shared needles, infected mother’s passing on to the fetus, blood transfusions
CORRECT ANSWER AIDS is transmitted by?
tetanus CORRECT ANSWER An immunization would be given for which of the following?
inflammation, increased body temperature, pain, discharge CORRECT ANSWER Symptoms of
infection may include?
antiseptics CORRECT ANSWER Medications that prevent the growth of microorganisms
(germs) are called?
antibiotics CORRECT ANSWER What classification of medication is utilized to kill or prevent
the growth of specific germs?
maintain an adequate amount in the blood at all times CORRECT ANSWER Antibiotics must be
given at the exact time ordered to….?
change in appetite CORRECT ANSWER Which of the following is NOT one of the early
symptoms of cancer?
antineoplastics CORRECT ANSWER Medications that kill or slow the growth of cancer cells
are called?
QMA practice test questions with correct answers
The Qma is PROHIBITED from performing what tasks CORRECT ANSWER 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 CORRECT ANSWER 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 CORRECT ANSWER The threat to use force against another
person and the carrying out of the force.
A QMA would be considered negligent if he/she CORRECT ANSWER 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 CORRECT ANSWER 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? CORRECT ANSWER 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? CORRECT ANSWER a.
Formulating the message
b. Sending the message
c. receiving the message
d. observing the feedback
Verbal Communication is CORRECT ANSWER Spoken and Written words
General interventions in response to any difficult behavior include: CORRECT ANSWER
Remaining Calm and Attempting to distract or redirect the resident
Severe head trauma, stroke and brain disease can all cause CORRECT ANSWER Permanent
Cognitive impairment
Increased confusion and restlessness in late afternoon, evening and night are symptoms of?
CORRECT ANSWER Sundowning
When interacting with an anxious resident you should CORRECT ANSWER Provide a quiet
calm environment away from groups of people and activity
When interacting with a combative resident you should CORRECT ANSWER Remain Calm and
in control
Infection can be transmitted by CORRECT ANSWER a. Air
b. Contaminated soil and water
c. Objects
d. Insects
Standard Precautions include what? CORRECT ANSWER 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
A contagious disease of the liver caused by a virus and spread by exposure to infected blood,
sexual contact or fecal/oral contact is called? CORRECT ANSWER Hepatitis
A nosocomial infection is CORRECT ANSWER an infection acquired while in a health care
facility
In a fire emergency you should first CORRECT ANSWER Remove the resident from the
immediate area of the fire to a place of safety
If a resident is chocking and a complete blockage of airway is present you should first
CORRECT ANSWER Use the Heimlich Maneuver
If a resident falls you should first CORRECT ANSWER Call for help Immediately
When vital parts of the body (brain, heart, and lungs) do not get enough blood and the resident
has a rapid heart beat, pallor, perspiration, light headedness, chills, fainting, low blood pressure,
and confused this is called CORRECT ANSWER Shock
If a resident heart function and circulation stop and the resident is unresponsive there is no chest
movement or pulse, pupils are dilated and fixed, and skin is cyanotic the resident might be
experiencing CORRECT ANSWER Cardiac Arrest
If a resident has a seizure you should CORRECT ANSWER a. remove objects from the vicinity
b. loosen the resident’s clothing
c. never restrain the resident
Poisoning can be prevented by CORRECT ANSWER a. never using anything from an unlabeled
container
b. Keeping toxic substances and cleaning supplies locked and out of reach of residents
c. locking medication carts when left unattended
QMA State test questions with correct answers
ccms CORRECT ANSWER clean catch midstream
QMA scope of practice CORRECT ANSWER may perform hemoccult testing on stool
specimens as ordered by a physician
hemoccult testing CORRECT ANSWER A screen for fecal occult blood
Hemoccult test slide (quaiac paper) CORRECT ANSWER assess for expiration date
hypovalemia CORRECT ANSWER state of decreased blood volume. May cause a high false
oximetry reading.
QMA’s may not apply oxygen to a resident in an emergency without a physicians order.
CORRECT ANSWER However there is often a PRN order for oxygen when the resident falls
short of breath/oxygen saturation levels are low.
QMA’s may initiate a nasal cannula only in an emergency situation. CORRECT ANSWER
QMA’s may initiate non-sealing mask per emergency or PRN situation.
oxygen dries out the mucous membranes of the mouth and respiratory system. CORRECT
ANSWER The physician may order humidity to be placed on the oxygen source.
Physician ordered humidity along w/ oxygen. (distilled water) CORRECT ANSWER This means
gas passes through the water and water vapor is picked up before going to the resident.
When applying sterile/distilled water to residents oxygen remember to. CORRECT ANSWER
discard the sterile/distilled water after 2 weeks.
Portable oxygen tanks CORRECT ANSWER have a few lbs of oxygen, they can last up to 8 hrs.
Oxygen concentrator weighs approximately 35 lbs. It must be plugged in to an electrical outlet.
CORRECT ANSWER Concentrator’s extract oxygen from the room air and circulates it back to
the resident.
Do not use petroleum (vasoline) to resident’s nares during administration of oxygen. CORRECT
ANSWER Example: dry lips, chap-stick should not be applied if it has vasoline in it.
Signs/symptoms of respiratory distress CORRECT ANSWER rapid pulse, rapid,shallow, flaring
nostrils, restlessness respirations, cyanosis.
Position the resident in a Semi-Fowler’s or Fowler’s to maintain an open airway. CORRECT
ANSWER Apply ordered oxygen administration device.
Nasal cannula 1/2 inch prongs should be placed? CORRECT ANSWER in a downward
direction.
A reading on the oximetry of 90% may indicate? CORRECT ANSWER Resident need to be
given oxygen’
Instilling a Commercially Prepared Disposable Enema. CORRECT ANSWER Solution into the
rectum and sigmoid colon. Removes feces/flatus.
QMA’s may only instill a commercially prepared enema which contains approximately
CORRECT ANSWER 120ml (4oz.) of fluid.
Commercially Prepared Disposable Enema’s increases water absorption in the small intestine by
osmotic action. CORRECT ANSWER A laxative effect that occurs due to increased peristalsis
and water retention.
Sodium bi-phosphate (fleet enema) CORRECT ANSWER is a saline laxative commonly ordered
to be administered.
Record color, consistency and amount after resident has had a CORRECT ANSWER bowl
movement from a prepared disposable enema
A localized collection of puss in any part of the body which is the result of disintegration or
displacement of tissue. CORRECT ANSWER Abscess
Chemical present in many organs and tissues of the body that has important physiological
functions, ex: transmission of a nerve impulse across a synapse i.e. neurotransmitters.
CORRECT ANSWER Acetylcholine
Naturally acquired immunity obtained by contracting a disease or by the injection the infectious
organism. CORRECT ANSWER Active Immunity
An undesired side effect of a medication or toxicity CORRECT ANSWER Adverse effect
Psychotic reaction in which a person exhibits wide swing in emotional feeling. CORRECT
ANSWER Affective psychosis
Acquired immune deficiency syndrome effect the body’s ability to fight infections CORRECT
ANSWER (AIDS) Spread through body fluids
Motor restlessness continuous movement of mouth, hands, picking at self and rocking in a chair
CORRECT ANSWER Akathisia
Complete or partial loss of muscle movement CORRECT ANSWER Akinesia
A substance that causes a hypersensitive reaction (an allegy) CORRECT ANSWER Allergen
Sensitivity to any substance contacted by touch, inhalation, ingestion or injections ( such as
poison ivy, pollen, insect bites, foods or meds); causes sneezing, itching, swelling, difficulty in
breathing CORRECT ANSWER Allergic Effect
QMA state test questions with correct answers
What carries blood away from the heart? CORRECT ANSWER arteries
what causes myocardial ischemia? CORRECT ANSWER lack of adequate oxygen supply to the
heart
What is glaucoma? CORRECT ANSWER increased intraocular pressure
what meds treat glaucoma? CORRECT ANSWER miotics, beta blocker
what is the action of miotics CORRECT ANSWER decreases eye pressure
What are cataracts? CORRECT ANSWER secondary infection, congenital disorder, reaction to
medicafions or chemical toxicity
what are symptoms of cataracts? CORRECT ANSWER gradual blurring of vision, milky white
pupil
what is treatment of cataracts? CORRECT ANSWER surgery, lens implantation, medications, or
corrective glasses
what medications treat cataracts CORRECT ANSWER fluorometholone (FML), prednisolone
(AK-Pred), diclofenac (voltaren)
What is conjunctivitis? CORRECT ANSWER inflammation of the conjunctiva
what causes conjunctiva CORRECT ANSWER irritation, allergies, bacteria
symptoms of conjunctivitis CORRECT ANSWER -redness
-itchiness
-a gritty feeling (dryness)
-a discharge crust
-tearing
what are nursing considerations for eye insillation medicine CORRECT ANSWER place on
lower lid, do not touch bottle to eye, wait 5 mins before administrating another eye med
what type of medication is pilocarpine HCL (pilocar) CORRECT ANSWER miotic
what are nursing considerations for miotics? CORRECT ANSWER monitor blood pressure,
apply at nights, wait 5 mins before administrating another eye med
adverse effects of miotics CORRECT ANSWER headache, perspiration, salivation, night
blindness, blurred vision, possibility of increased blood pressure
what does optic beta blockers treat? CORRECT ANSWER glaucoma
optic beta blocker CORRECT ANSWER timolol maleate (timoptic solution)
what is the action of timolol maleate (timoptic solution) CORRECT ANSWER lowers
intraocular pressure
adverse effects of optic beta blocker CORRECT ANSWER eye irritation, blurred vision, reduced
heart rate and blood pressure, confusion
od CORRECT ANSWER right eye
os CORRECT ANSWER left eye
ou CORRECT ANSWER both eyes
What do mydriatics do for the eye? CORRECT ANSWER Dilate the pupil (My “D”riatic “D” for
dilate)
what is the action of optic lubricants CORRECT ANSWER soothes and lubricates dry eyes
Meniere’s disease cause CORRECT ANSWER chronic disturbance of the inner ear with soecific
cause undetermined
symptoms of menieres disease CORRECT ANSWER dizziness, runging in the ears, nausea and
vomiting, loss of hearing as part of the disease process
treatment of menieres disease CORRECT ANSWER restrictions on salt and caffeine, may be
treated with diuretics and antiemetics
What is cystitis? CORRECT ANSWER inflammation of the bladder
What is edema? CORRECT ANSWER – The excess accumulation of FLUID IN THE intersitial
TISSUE spaces.
edema is a symptom of CORRECT ANSWER congestive heart failure (CHF), and kidneys not
functioning properly
rate of kidney filtration declines CORRECT ANSWER effects of aging
53% decrease in renal blood flow CORRECT ANSWER effects of aging
decrease in size and number of functioning nephrons CORRECT ANSWER effects of aging
weakening bladder muscles, causing incomplete emptying of the bladder and urinary retention
CORRECT ANSWER effects of aging
diminished kidney size CORRECT ANSWER effects of aging
impaired clearance of medications through the renal system CORRECT ANSWER effects of
aging
decreased ability to respond to variations in sodium intake CORRECT ANSWER effects of
aging
Furosemide CORRECT ANSWER Lasix
hydrochlorothiazide CORRECT ANSWER Esidrix, Hydro-DIURIL
Spironolactone CORRECT ANSWER Aldactone
what is the action of aldactone CORRECT ANSWER increase urinary production
Bumetanide CORRECT ANSWER bumex
side effects of diuretics CORRECT ANSWER weakness, dry mouth, orthostatic hypotension,
headache and abnormal loss of potassium
nursing consideration for diuretics CORRECT ANSWER give with fluid, monotor for edema,
daily weight change if 2lbs is significant, confusion cramping and irregular heartbeat may be
sign of low potassium, encourage resident to eat healthy high potassium foods, encourage
resident to rise slow, obtain blood pressure weekly
hypo CORRECT ANSWER under
hyper CORRECT ANSWER over
QMA practice exam questions with correct answers
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