STUDY GUIDE FOR QMA QUESTIONS AND CORRECT ANSWERS

STUDY GUIDE FOR QMA QUESTIONS
AND CORRECT ANSWERS

TasksA2theA2QMAA2isA2PROHIBITEDA2fromA2performing.A2-A2Ans--
AssessA2aA2resident'sA2condition.A2CallA2aA2physician.A2TakeA2aA2physician'sA2writtenA2orA
2verbalA2order.A2AdministerA2medicationA2byA2injection.A2AdministerA2anyA2medicationA2in
halationA2treatmentA2OTHERA2thanA2aA2meteredA2doseA2inhaler.A2AdministerA2medication
A2perA2nasogastricA2tube.A2InstillA2irrigationA2fluidsA2ofA2anyA2typeA2including,A2butA2notA2li
mitedA2to,A2colostomy,A2catheterA2andA2enema,A2EXCEPTA2aA2commerciallyA2packedA2pr
eparedA2disposableA2enema.A2AdministerA2aA2treatmentA2thatA2involvesA2anA2advancedA2
skinA2condition,A2includingA2StageA2II,A2III,A2andA2IVA2decubitusA2ulcers.

TheA2QMAA2ScopeA2ofA2PracticeA2-A2Ans--
ObserveA2andA2reportA2toA2licensedA2nurse.A2MeasureA2andA2documentA2vitalA2signs.A2Ad
ministerA2regularlyA2prescribedA2medsA2whichA2theA2QMAA2hasA2beenA2trainedA2toA2admin
isterA2onlyA2afterA2personallyA2preparingA2theA2medsA2toA2beA2administered.A2InitiateA2oxy
genA2perA2nasalA2cannulaA2orA2nonA2sealingA2maskA2onlyA2inA2anA2emergency.A2ObtainA2o
xygenA2saturationA2usingA2oximeter.A2Administer,A2applyA2physicianA2orderedA2oral,A2opht
halmic,A2otic,A2nasal,A2vaginalA2andA2rectalA2meds.A2CrushA2andA2administerA2medsA2ifA2s
uchA2preparationA2isA2appropriateA2perA2manufacturerA2orA2physiciansA2order.A2AlterA2cap
sulesA2ifA2prescribedA2toA2beA2administeredA2inA2thisA2alteredA2mannerA2byA2theA2physicia
n.A2Count,A2administer,A2andA2documentA2controlledA2substances.A2AdministerA2medsA2p
erA2G-tubeA2orA2J-
tube.A2AdministerA2previouslyA2orderedA2PRNA2medsA2onlyA2ifA2authorizationA2isA2obtaine
d,A2thenA2theA2QMAA2mustA2chartA2residentA2symptomsA2indicatingA2theA2needA2forA2theA2
medA2andA2timeA2symptomsA2occurred,A2ChartA2thatA2theA2facilityA2nurseA2wasA2notifiedA2t
heA2symptomsA2ofA2theA2residentA2andA2thatA2permissionA2wasA2grantedA2toA2administerA2
med,A2obtainA2permissionA2eachA2timeA2theA2residentA2needsA2theA2med,A2ensureA2thatA2t
heA2resident'sA2recordA2isA2soignéA2doA2byA2theA2LPNA2orA2RNA2whoA2gaveA2theA2permissi
onA2forA2theA2PRNA2meds.A2ApplyA2topicalA2medsA2toA2minorA2skinA2conditionsA2suchA2asA
2dermatitis,A2scabies,A2pediculosis,A2fungalA2infection,A2psoriasis,A2eczema,A2firstA2degree
A2burn,A2stageA2IA2decubitusA2ulcer.A2AdministerA2medsA2viaA2meteredA2doseA2inhaler.A2C
onductA2hemoccultA2testingA2andA2reportA2resultA2toA2licensedA2nurse.A2ProvideA2siteA2car
eA2andA2applyA2dressingA2toA2aA2healedA2G-tubeA2orA2J-
tubeA2siteA2(ordered).A2EmptyA2andA2changeA2colostomyA2bag.A2InstillA2aA2commerciallyA2
disposableA2enemaA2(120A2mlA2orA24.5A2ozs)A2afterA2theA2residentA2hasA2beenA2assessed
A2byA2theA2nurse.A2AdministerA2aA2sitzA2bathA2ifA2orderedA2byA2aA2physician.A2ApplyA2cold,A
2dryA2compressA2asA2directedA2byA2nurseA2orA2physician.A2ConductA2diabeticA2urineA2testi
ng.A2CollectA2fecalA2orA2urineA2specimensA2asA2orderedA2b

NegligenceA2-A2Ans--
TheA2omissionA2orA2neglectA2ofA2anyA2reasonableA2precaution,A2careA2orA2action.A2Reside
ntsA2areA2protectedA2fromA2healthA2careA2negligenceA2orA2malpracticeA2byA2aA2lawA2called
A2DutyA2ofA2Care.

, MalpracticeA2-A2Ans--
AnyA2improperA2orA2injuriousA2practice,A2orA2anyA2unskillfulA2orA2faultyA2medicalA2orA2surgi
calA2treatment.

TheA2SixA2RightsA2ofA2MedicationA2administrationA2-A2Ans--
RightA2Medication.A2RightA2Dose.A2RightA2Resident.A2RightA2Route.A2RightA2Time.A2(1hrA2
beforeA2orA21A2hrA2after).A2RightA2documentation.

InitialA2StepsA2-A2Ans--
ObtainA2infoA2fromA2licensedA2nurseA2aboutA2resident'sA2needsA2abilities,A2limitations,A2an
dA2knownA2allergies.A2GatherA2suppliesA2andA2equipment.A2KnockA2onA2resident'sA2door.A
2IdentifyA2yourself.A2ExplainA2procedureA2toA2theA2resident.A2WashA2yourA2handsA2orA2use
A2antisepticA2foamA2orA2gel.A2WearA2glovesA2toA2maintainA2StandardA2PrecautionsA2asA2ne
cessary.

FinalA2StepsA2-A2Ans--
ObserveA2residentA2forA2anyA2immediateA2reactionA2toA2medA2orA2procedure.A2AssureA2th
eA2residentA2isA2inA2aA2comfortableA2position.A2MakeA2sureA2callA2lightA2isA2withinA2resident
'sA2reach.A2RemoveA2suppliesA2andA2discardA2ofA2medicationA2cups/
disposableA2supplies.A2ThankA2resident.A2RemoveA2gloves.A2WashA2hands.A2DocumentA2
medsA2administeredA2orA2procedureA2preformed.A2ReportA2anyA2abnormalitiesA2toA2theA2n
urse.

SundowningA2-A2Ans--
IncreasedA2confusionA2andA2restlessnessA2inA2lateA2afternoon,A2evening,A2andA2night.

HandA2washingA2-A2Ans--
LatherA2allA2areasA2ofA2handsA2andA2wrists,A2rubbingA2vigorouslyA2forA2atA2leastA210A2seco
nds.

PuttingA2onA2GlovesA2-A2Ans--
RemoveA2oneA2gloveA2byA2graspingA2theA2outerA2surfaceA2justA2belowA2theA2cuffA2withA2th
eA2otherA2glovedA2hand.

IsolationA2PrecautionsA2-A2Ans--Airborne-
pathogensA2areA2transmittedA2onA2dustA2particlesA2inA2airA2currentsA2examplesA2areA2TB,A
2chickenpox,A2measles.A2
Droplet-
pathogensA2areA2transmittedA2inA2dropletsA2whenA2aA2personA2coughs,A2sneezesA2orA2talk
sA2examplesA2pneumonia,A2influenza,A2scarletA2fever.A2
Contact-pathogensA2areA2transmittedA2byA2directA2contactA2(skin-to-
skin)A2withA2theA2residentA2orA2indirectA2contactA2withA2surfacesA2orA2careA2itemsA2inA2theA
2resident'sA2environmentA2examplesA2scabies,A2conjunctivitis,A2impetigo.