INDIANA QMA STATE TEST BANK EXAM-STYLE QUESTIONS WITH RATIONALES – COMPLETE REVIEW OF ANTIHYPERTENSIVES, ANTICOAGULANTS, DIABETES MANAGEMENT, PSYCHOTROPIC DRUGS, LEGAL/ETHICAL BOUNDARIES, AND CLINICAL OBSERVATION SKILLS

INDIANA QMA STATE TEST BANK EXAM-STYLE QUESTIONS WITH RATIONALES – COMPLETE REVIEW OF ANTIHYPERTENSIVES, ANTICOAGULANTS, DIABETES MANAGEMENT, PSYCHOTROPIC DRUGS, LEGAL/ETHICAL BOUNDARIES, AND CLINICAL OBSERVATION SKILLS 1. A resident prescribed furosemide (Lasix) should be monitored for which electrolyte imbalance? A. Hyperkalemia B. Hypokalemia C. Hypernatremia D. Hypercalcemia Correct Answer: B. Hypokalemia Rationale: Furosemide is a loop diuretic that causes potassium loss through the kidneys, leading to hypokalemia. QMAs should monitor for signs of low potassium such as muscle cramps and weakness. ________________________________________ 2. The five rights of medication administration include right patient, right drug, right dose, right route, and: A. Right time B. Right documentation C. Right to refuse D. Right indication Correct Answer: A. Right time Rationale: The five rights are right patient, right drug, right dose, right route, and right time. Some facilities expand this to include right documentation and right to refuse. ________________________________________ 3. A QMA in Indiana may administer which of the following? A. IV push medications B. Chemotherapy agents C. Oral, topical, ophthalmic, otic, and nasal medications D. Injectable medications other than insulin Correct Answer: C. Oral, topical, ophthalmic, otic, and nasal medications Rationale: Indiana QMA scope includes oral, topical, eye, ear, and nasal medications but does NOT include IV medications, chemotherapy, or injectables other than insulin. ________________________________________ 4. A common side effect of opioid medications is: A. Diarrhea B. Constipation C. Hypertension D. Tachycardia Correct Answer: B. Constipation Rationale: Opioids slow gastrointestinal motility, frequently causing constipation. QMAs should monitor bowel patterns and report concerns. ________________________________________ 5. What is the required number of classroom hours for QMA training in Indiana? A. 40 hours B. 50 hours C. 60 hours D. 80 hours Correct Answer: C. 60 hours Rationale: Indiana requires 60 hours of classroom instruction and 40 hours of supervised practicum for QMA training. ________________________________________ 6. A resident taking lisinopril develops a persistent dry cough. This is most likely: A. An allergic reaction B. A side effect of the medication C. A sign of heart failure D. A symptom of pneumonia Correct Answer: B. A side effect of the medication Rationale: Lisinopril (an ACE inhibitor) commonly causes a dry, persistent cough as a side effect. The QMA should observe and report this to the nurse. ________________________________________ 7. A QMA observes a resident becoming dizzy and lightheaded after receiving a blood pressure medication. The QMA should: A. Ignore it as a normal reaction B. Document and report to the nurse immediately C. Give the resident more medication D. Have the resident lie down and wait Correct Answer: B. Document and report to the nurse immediately Rationale: Any adverse reaction or significant change in condition must be documented and reported to the licensed nurse promptly. ________________________________________ 8. Which medication classification is used to treat seizures? A. Antihistamine B. Antipruritic C. Anticonvulsant D. Antiarrhythmic Correct Answer: C. Anticonvulsant Rationale: Anticonvulsant drugs are specifically used to prevent or reduce the severity of seizures. Examples include Dilantin and Tegretol. ________________________________________ 9. Symptoms of hyperglycemia include: A. Extreme thirst B. Extreme hunger C. Bladder spasms D. Hypertension Correct Answer: A. Extreme thirst Rationale: Hyperglycemia (high blood sugar) causes polydipsia (extreme thirst), polyuria, and blurred vision. Extreme hunger is more common in hypoglycemia.