QMA State test Questions and Answers 2023

QMA State test Questions and Answers 2023 ccms clean catch midstream QMA scope of practice may perform hemoccult testing on stool specimens as ordered by a physician hemoccult testing A screen for fecal occult blood Hemoccult test slide (quaiac paper) assess for expiration date hypovalemia 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. 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. QMA's may initiate non-sealing mask per emergency or PRN situation. oxygen dries out the mucous membranes of the mouth and respiratory system. The physician may order humidity to be placed on the oxygen source. Physician ordered humidity along w/ oxygen. (distilled water) 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. discard the sterile/distilled water after 2 weeks. Portable oxygen tanks 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. 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. Example: dry lips, chap-stick should not be applied if it has vasoline in it. Signs/symptoms of respiratory distress 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. Apply ordered oxygen administration device. Nasal cannula 1/2 inch prongs should be placed? in a downward direction. A reading on the oximetry of 90% may indicate? Resident need to be given oxygen' Instilling a Commercially Prepared Disposable Enema. Solution into the rectum and sigmoid colon. Removes feces/flatus. QMA's may only instill a commercially prepared enema which contains approximately 120ml (4oz.) of fluid. Commercially Prepared Disposable Enema's increases water absorption in the small intestine by osmotic action. A laxative effect that occurs due to increased peristalsis and water retention. Sodium bi-phosphate (fleet enema) is a saline laxative commonly ordered to be administered. Record color, consistency and amount after resident has had a 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. 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. Acetylcholine Naturally acquired immunity obtained by contracting a disease or by the injection the infectious organism. Active Immunity An undesired side effect of a medication or toxicity Adverse effect Psychotic reaction in which a person exhibits wide swing in emotional feeling. Affective psychosis Acquired immune deficiency syndrome effect the body's ability to fight infections (AIDS) Spread through body fluids Motor restlessness continuous movement of mouth, hands, picking at self and rocking in a chair Akathisia Complete or partial loss of muscle movement Akinesia A substance that causes a hypersensitive reaction (an allegy) 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 Allergic Effect Medications that relieve muscle, joint and bone pain Analgesics Life threatening allergic reaction caused by an allergen. Characterized by respiratory difficulty, fainting, itching, and welts on the skin. Anaphylactic Reaction Substance producing or stimulating the development of male characteristics (masculinization) such as hormones and testosterone and androsterone. Androgens A reduction in the number of circulating red blood cells. Anemia Detoxes or metabolizes meds Liver Excretes most meds Kidneys 16 oz. 1 Lb Annual in-service education requirement period begins March 1st and concludes the last day of February on the next year. Recertification cost $10. The Qualified Medication Aide program was established in 1977 (p4) The annual in-service education period begins on March 1st. And concludes on the last day of February the following year. $10 fee is required for an annual recertification ... Medications shall be administered by the person who has set up the doses, except under a single unit dose package system. A facility must ensure that it is free of med errors 5% or less errors maintained. All unused portions of med's including controlled substances shall be released to the discharged resident unopen med's can be returned to the pharmacist for credit to the appropriate party. Unused med's not returned to the pharmacist for credit or to the discharged resident must be crushed within 7 days by a pharmacists or licensed nurse with a witness. A QMA cannot assess a residents condition ... QMA's can count,administer, and document controlled substances Cannot initiate Nasal cannula or non-sealing mask Only in an emergency Nasal gastric tube QMA CANNOT administer Practicum (40) completed within 3 months must apply within 6 months of classroom completion Passing with a score of t least 80% must be submitted within 30 days of practicum completion. QMA's can only administer metered dose inhalation (inhalers) med's No other kind of inhalation med's. QMA's CANNOT administer medication per NASOGASTRIC TUBE ... QMA's Cannot instill irrigation fluids of any type including colostomy, catheter, and enema, except a commercially prepared enema. QMA'S can Crush and administer med's per physicians orders QMA's can alter med's per physicians orders QMA's can administer med's per G-tube and J-tube. QMA's can apply topical med's to minor skin conditions such as dermatitis, scabies, pediculosis, fungal-infections, psoriasis, eczema, first-degree burns, stage one decubitis ulcer administer med's via metered dosed inhaler ... QMA's CAN Provide ordered site care and apply a dressing to a healed G-tube and J-tube site ... QMA's CAN empty and change a colostomy bag ... QMA's can instill a commercially prepared enema (approximately 120 ml or 4.5 ounces) after the resident has been assessed by the Licensed nurse (for bowl sounds and potential impaction) "Duty of Care" residents are protected from healthcare negligence-malpractice. Negligence: omission or neglect of any reasonable precaution, care or action. Malpractice: improper, injurious or neglect professional treatment or care of a resident. Assault and Battery: the threat to use force upon another person and the carrying out of the threat. Standard of care: A description of conduct that illustrates what a reasonably prudent person would have done - or would not have done, under similar circumstances. Slander: a malicious statement or report. Code of Ethics: A voluntary set of rules that influence relationships between people. Rights of Residents: !) The right to refuse meds and Tx. 2)The right to be informed of consequences of refusing med's and Tx. 3)Freedom from physical and mental abuse and neglect. 4)Freedom from restraints without a physician's order. 5) The right to privacy. 6)The right to confidential treatment. Resident are protected from health care negligence-malpractice by a law called "Duty of Care". Be knowledgeable of the med's you are administering, including their actions and potential adverse effects. Both residents and health care workers are protected by the standard of "reasonable care" "Six rights" of medication administration are: 1) give the "Right Med's". 2) Give the "Right Dose". 3) Give med to the "right Resident". 4) Give med's at the "Right Route". 5) Give med's at the "Right Time". 6) "Right Documentation" Resident's Rights: 1) Confidentiality. 2) Privacy. 3) Be informed of personal and medical information. 4) Choices. 5) Voice Grievances. 6) Freedom from Abuse and Restraints> bid-2x's/day. tid-3x's/day. qid-4x's/day. qd-daily. qod-every other day. hs- t bedtime. ac-before meals approximately 1/2 hour before meal. pc-after meals approximately 1/2 hour after meal. qh- every hour. q2h -every two hours. qoh-every other hour. ad lib-as desired. c-with. Fx-fracture. HS-bedtime or hour of sleep. hx- history. MKAB- may keep at bedside. NKA no known allergy. N/V- nausea and vomiting. o -orally. OD- right eye. OS-left eye. os-mouth. ou-both eyes. p-after. PA- posterior and Anterior. q-every. qam- every morning. qhs-every night. R/T,(r/t)- related to. Rx-prescription or treatment. s- without. s/ssigns/symptoms. TPR- temperature, pulse and respirations. vs (v/s)- vital signs. Alzheimer med- donepezil (Aricept) Adverse effects:headache, insomnia,seizures,dizziness fatigue, depression, syncope and hallucinations, weight loss and dehydration. therapeutic class:Anti-Alzheimer drug. Pharmacologic class cholinesterase inhibitor. Works by slowing the break down of a chemical called acetylcholine, this chemical is involved in learning and memory. Infection control preventing the spread of microorganisms by following certain practices and procedures. medical Asepsis: The state of being free from disease causing micoorganisms. Microorganisms can only be seen through a microscope