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Study guide for QMA Questions with Detailed
Verified Answers
Tasks the QMA is PROHIBITED from performing. Ans: Assess a
resident's condition. Call a physician. Take a physician's written or verbal
order. Administer medication by injection. Administer any medication
inhalation treatment OTHER than a metered dose inhaler. Administer
medication per nasogastric tube. Instill irrigation fluids of any type
including, but not limited to, colostomy, catheter and enema, EXCEPT a
commercially packed prepared disposable enema. Administer a treatment
that involves an advanced skin condition, including Stage II, III, and IV
decubitus ulcers.
The QMA Scope of Practice Ans: Observe and report to licensed nurse.
Measure and document vital signs. Administer regularly prescribed meds
which the QMA has been trained to administer only after personally
preparing the meds to be administered. Initiate oxygen per nasal cannula
or non sealing mask only in an emergency. Obtain oxygen saturation
using oximeter. Administer, apply physician ordered oral, ophthalmic,
otic, nasal, vaginal and rectal meds. Crush and administer meds if such
preparation is appropriate per manufacturer or physicians order. Alter
capsules if prescribed to be administered in this altered manner by the
physician. Count, administer, and document controlled substances.
Administer meds per G-tube or J-tube. Administer previously ordered
PRN meds only if authorization is obtained, then the QMA must chart
resident symptoms indicating the need for the med and time symptoms
occurred, Chart that the facility nurse was notified the symptoms of the
resident and that permission was granted to administer med, obtain
permission each time the resident needs the med, ensure that the
resident's record is soigné do by the LPN or RN who gave the permission
for the PRN meds. Apply topical meds to minor skin conditions such as
dermatitis, scabies, pediculosis, fungal infection, psoriasis, eczema, first
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degree burn, stage I decubitus ulcer. Administer meds via metered dose
inhaler. Conduct hemoccult testing and report result to licensed nurse.
Provide site care and apply dressing to a healed G-tube or J-tube site
(ordered). Empty and change colostomy bag. Instill a commercially
disposable enema (120 ml or 4.5 ozs) after the resident has been
assessed by the nurse. Administer a sitz bath if ordered by a physician.
Apply cold, dry compress as directed by nurse or physician. Conduct
diabetic urine testing. Collect fecal or urine specimens as ordered b
Negligence Ans: The omission or neglect of any reasonable precaution,
care or action. Residents are protected from health care negligence or
malpractice by a law called Duty of Care.
Malpractice Ans: Any improper or injurious practice, or any unskillful or
faulty medical or surgical treatment.
The Six Rights of Medication administration Ans: Right Medication.
Right Dose. Right Resident. Right Route. Right Time. (1hr before or 1 hr
after). Right documentation.
Initial Steps Ans: Obtain info from licensed nurse about resident's
needs abilities, limitations, and known allergies. Gather supplies and
equipment. Knock on resident's door. Identify yourself. Explain procedure
to the resident. Wash your hands or use antiseptic foam or gel. Wear
gloves to maintain Standard Precautions as necessary.
Final Steps Ans: Observe resident for any immediate reaction to med or
procedure. Assure the resident is in a comfortable position. Make sure
call light is within resident's reach. Remove supplies and discard of
medication cups/disposable supplies. Thank resident. Remove gloves.
Wash hands. Document meds administered or procedure preformed.
Report any abnormalities to the nurse.
Sundowning Ans: Increased confusion and restlessness in late
afternoon, evening, and night.
Hand washing Ans: Lather all areas of hands and wrists, rubbing
vigorously for at least 10 seconds.
Study guide for QMA Questions with Detailed
Verified Answers
Tasks the QMA is PROHIBITED from performing. Ans: Assess a
resident's condition. Call a physician. Take a physician's written or verbal
order. Administer medication by injection. Administer any medication
inhalation treatment OTHER than a metered dose inhaler. Administer
medication per nasogastric tube. Instill irrigation fluids of any type
including, but not limited to, colostomy, catheter and enema, EXCEPT a
commercially packed prepared disposable enema. Administer a treatment
that involves an advanced skin condition, including Stage II, III, and IV
decubitus ulcers.
The QMA Scope of Practice Ans: Observe and report to licensed nurse.
Measure and document vital signs. Administer regularly prescribed meds
which the QMA has been trained to administer only after personally
preparing the meds to be administered. Initiate oxygen per nasal cannula
or non sealing mask only in an emergency. Obtain oxygen saturation
using oximeter. Administer, apply physician ordered oral, ophthalmic,
otic, nasal, vaginal and rectal meds. Crush and administer meds if such
preparation is appropriate per manufacturer or physicians order. Alter
capsules if prescribed to be administered in this altered manner by the
physician. Count, administer, and document controlled substances.
Administer meds per G-tube or J-tube. Administer previously ordered
PRN meds only if authorization is obtained, then the QMA must chart
resident symptoms indicating the need for the med and time symptoms
occurred, Chart that the facility nurse was notified the symptoms of the
resident and that permission was granted to administer med, obtain
permission each time the resident needs the med, ensure that the
resident's record is soigné do by the LPN or RN who gave the permission
for the PRN meds. Apply topical meds to minor skin conditions such as
dermatitis, scabies, pediculosis, fungal infection, psoriasis, eczema, first
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degree burn, stage I decubitus ulcer. Administer meds via metered dose
inhaler. Conduct hemoccult testing and report result to licensed nurse.
Provide site care and apply dressing to a healed G-tube or J-tube site
(ordered). Empty and change colostomy bag. Instill a commercially
disposable enema (120 ml or 4.5 ozs) after the resident has been
assessed by the nurse. Administer a sitz bath if ordered by a physician.
Apply cold, dry compress as directed by nurse or physician. Conduct
diabetic urine testing. Collect fecal or urine specimens as ordered b
Negligence Ans: The omission or neglect of any reasonable precaution,
care or action. Residents are protected from health care negligence or
malpractice by a law called Duty of Care.
Malpractice Ans: Any improper or injurious practice, or any unskillful or
faulty medical or surgical treatment.
The Six Rights of Medication administration Ans: Right Medication.
Right Dose. Right Resident. Right Route. Right Time. (1hr before or 1 hr
after). Right documentation.
Initial Steps Ans: Obtain info from licensed nurse about resident's
needs abilities, limitations, and known allergies. Gather supplies and
equipment. Knock on resident's door. Identify yourself. Explain procedure
to the resident. Wash your hands or use antiseptic foam or gel. Wear
gloves to maintain Standard Precautions as necessary.
Final Steps Ans: Observe resident for any immediate reaction to med or
procedure. Assure the resident is in a comfortable position. Make sure
call light is within resident's reach. Remove supplies and discard of
medication cups/disposable supplies. Thank resident. Remove gloves.
Wash hands. Document meds administered or procedure preformed.
Report any abnormalities to the nurse.
Sundowning Ans: Increased confusion and restlessness in late
afternoon, evening, and night.
Hand washing Ans: Lather all areas of hands and wrists, rubbing
vigorously for at least 10 seconds.
