QMA STATE TEST (2025)
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.
1
, QMA STATE TEST (2025)
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
2
, QMA STATE TEST (2025)
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
3
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.
1
, QMA STATE TEST (2025)
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
2
, QMA STATE TEST (2025)
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
3
