QMA practice test Practice Questions
Correct Answers Detailed Rationales
Mock Exams Universal Certification
Prep
1. Mrs. Smith is complaining of loss of appetite, blurred vision, and says she sees yellow and
green halos. These are side effects of what medication?
CORRECT ANSWER: Digoxin
Rationale:
Digoxin toxicity can cause gastrointestinal symptoms (loss of appetite), visual disturbances
(yellow/green halos), confusion, and cardiac changes.
2. How many times should medication be checked before administering?
CORRECT ANSWER: 3 times
Rationale:
The medication label should be checked three times:
1. When removing medication from storage
2. When preparing the medication
3. Before returning or administering the medication
3. All of the following are examples of medication administration safety procedures EXCEPT:
CORRECT ANSWER: Let the residents family administer meds when possible
Rationale:
Only authorized healthcare personnel should administer medications according to regulations
and facility policies.
,4. What should you do before giving a resident Tenormin?
CORRECT ANSWER: Take their blood pressure
Rationale:
Tenormin (Atenolol) is a beta blocker that lowers blood pressure and heart rate. Blood pressure
should be checked before administration.
5. When taking a blood pressure, what is the first sound heard?
CORRECT ANSWER: Systolic
Rationale:
The first Korotkoff sound heard during blood pressure measurement represents the systolic
pressure.
6. Cystitis is:
CORRECT ANSWER: Infection of the urinary bladder
Rationale:
Cystitis is inflammation and infection of the bladder, commonly caused by bacteria.
7. Which of the following is larger by volume?
CORRECT ANSWER: 1 ounce
Rationale:
1 ounce equals approximately 30 mL, making it larger than smaller medication measurements.
8. Which of the following is a diuretic?
CORRECT ANSWER: Lasix
Rationale:
Lasix (Furosemide) increases urine production and removes excess fluid from the body.
9. Which of the following is an adverse effect of a bronchodilator?
, CORRECT ANSWER: Nausea and hypertension
Rationale:
Bronchodilators may cause cardiovascular effects such as increased blood pressure,
nervousness, and gastrointestinal upset.
10. Which of the following would you do if the medication container label and the medication
record do not match?
CORRECT ANSWER: Notify the nurse
Rationale:
Never administer a medication if there is a discrepancy. Report it immediately.
11. When do you document administration of medication?
CORRECT ANSWER: Immediately after administering the medication to the resident
Rationale:
Immediate documentation prevents errors and ensures accurate medication records.
12. What position is your resident in if the head of the bed is elevated 55 degrees?
CORRECT ANSWER: Fowler’s position
Rationale:
Fowler’s position involves elevating the head of the bed approximately 45–60 degrees.
13. If a resident is upset while a visitor is present you should:
CORRECT ANSWER: Get the nurse
Rationale:
The nurse should assess and handle changes in the resident’s emotional or medical condition.
14. If your resident is NPO that means:
CORRECT ANSWER: The resident cannot have anything by mouth
Correct Answers Detailed Rationales
Mock Exams Universal Certification
Prep
1. Mrs. Smith is complaining of loss of appetite, blurred vision, and says she sees yellow and
green halos. These are side effects of what medication?
CORRECT ANSWER: Digoxin
Rationale:
Digoxin toxicity can cause gastrointestinal symptoms (loss of appetite), visual disturbances
(yellow/green halos), confusion, and cardiac changes.
2. How many times should medication be checked before administering?
CORRECT ANSWER: 3 times
Rationale:
The medication label should be checked three times:
1. When removing medication from storage
2. When preparing the medication
3. Before returning or administering the medication
3. All of the following are examples of medication administration safety procedures EXCEPT:
CORRECT ANSWER: Let the residents family administer meds when possible
Rationale:
Only authorized healthcare personnel should administer medications according to regulations
and facility policies.
,4. What should you do before giving a resident Tenormin?
CORRECT ANSWER: Take their blood pressure
Rationale:
Tenormin (Atenolol) is a beta blocker that lowers blood pressure and heart rate. Blood pressure
should be checked before administration.
5. When taking a blood pressure, what is the first sound heard?
CORRECT ANSWER: Systolic
Rationale:
The first Korotkoff sound heard during blood pressure measurement represents the systolic
pressure.
6. Cystitis is:
CORRECT ANSWER: Infection of the urinary bladder
Rationale:
Cystitis is inflammation and infection of the bladder, commonly caused by bacteria.
7. Which of the following is larger by volume?
CORRECT ANSWER: 1 ounce
Rationale:
1 ounce equals approximately 30 mL, making it larger than smaller medication measurements.
8. Which of the following is a diuretic?
CORRECT ANSWER: Lasix
Rationale:
Lasix (Furosemide) increases urine production and removes excess fluid from the body.
9. Which of the following is an adverse effect of a bronchodilator?
, CORRECT ANSWER: Nausea and hypertension
Rationale:
Bronchodilators may cause cardiovascular effects such as increased blood pressure,
nervousness, and gastrointestinal upset.
10. Which of the following would you do if the medication container label and the medication
record do not match?
CORRECT ANSWER: Notify the nurse
Rationale:
Never administer a medication if there is a discrepancy. Report it immediately.
11. When do you document administration of medication?
CORRECT ANSWER: Immediately after administering the medication to the resident
Rationale:
Immediate documentation prevents errors and ensures accurate medication records.
12. What position is your resident in if the head of the bed is elevated 55 degrees?
CORRECT ANSWER: Fowler’s position
Rationale:
Fowler’s position involves elevating the head of the bed approximately 45–60 degrees.
13. If a resident is upset while a visitor is present you should:
CORRECT ANSWER: Get the nurse
Rationale:
The nurse should assess and handle changes in the resident’s emotional or medical condition.
14. If your resident is NPO that means:
CORRECT ANSWER: The resident cannot have anything by mouth
