QMA practice test #2 with 100
Questions and Answers
Factors that affect the absorption of medications include:
a. route, form, rhythm, rate
b. route, dosage, chemical composition and form
c. dosage, rate, force, rhythm and character
d. rhythm, chemical composition and force ✔️b. route, dosage, chemical composition and form
if a resident develops night sweats, mood swings, and weight gain this could be
caused by what med?
a. Lasix
b. Prednisone
c. Aspirin
d. Oxygen ✔️b. Prednisione
if you drop a medication on the cart top or floor, you should
a. flush it down the toilet
b. dispose of it according to your facility policy
c. dispose of it in the hazard waste box
d. place the contaminated pill in the sharps container ✔️b. dispose of it according to your facility policy
if a medication is ordered daily at 9am, the acceptable time frame to administer this
is:
a. 8am-10am
b. 7am-9am
c. anytime during the shift
d. none of the above ✔️a. 8am-10am
when you sign your name on an injury in the resident chart this indicated that you:
a. assume the responsibility for this entry
b. are in charge
c. will re check your documentation later
d. approve an MD order ✔️a. assume the responsibility for this entry
if the HOB is elevated 50 degrees, you are in
a. lateral position
b. sims position
c. prone position
d. fowler's position ✔️d. fowler's position
Rheumatoid Arthritis is a disease of:
a. muscles
b. joints
c. blood
d. heart ✔️b. joints
Prednisone is classified as:
a. anti histamine
b. anti inflammatory
c. antibiotic
d. antipyretic ✔️b. anti inflammatory
if a resident takes a medication PO this means you administer the med:
a. by nebulizer
b. by mouth
c. topical skin patch
d. rectally ✔️b. by mouth
if a resident is restless and their respiration are shallow and rapid you will:
a. call the doctor
b. obtain a saturation level
c. start O2 immediately
d. raise the HOB ✔️b. obtain a saturation level
a medication has a systemic effect when:
a. it effects are observable
b. it is given only in liquid form
c. it affects the entire body
d. it affects only the area of the body where it was applied ✔️c. it affects the entire body
a doctor has ordered Timoptic ophthalmic solution 0.25% gtts OU bid, you place:
a. one drop in the left ear
b. one drop in both nostrils
c. one drop in both eyes two times daily
d. one one in both eyes three times daily ✔️c. one drop in both eyes two times daily
the action of Timoptic is:
a. raise intraocular pressure
b. lubricate the eyes
c. lower the intraocular pressure
d. replace potassium ✔️c. lower the intraocular pressure
Tenormin may cause:
a. angina
b. sleep apnea
c. diarrhea
d. hypotension ✔️d. hypotension
all medications must be:
a. given ac
b. given pc
c. checked 3 times prior to administering
d. given with water only ✔️c. checked 3 times prior to administering
when administering eye drops (gtts) you:
a. place the dropped on the sclera
b. instruct the resident to keep their eyes closed for 10-15 minutes after drops
c. pull down the lower lid to form a pouch
d. put a patch over their eye after drops ✔️c. pull down the lower lid to form a pouch
if you give the resident a prn dose of MOM milk of magnesia you should:
a. notify the doctor of side effects
b. document the results
c. notify the family
d. notify the DON ✔️b. document the results
hemoccult testing screens for:
a. blood in feces
b. blood in urine
c. protein in feces
d. bacteria in urine ✔️a. blood in feces
when assisting a resident to use the bedpan, you wear gloves because:
a. she has CHF
b. she took MOM
c. you could come into contact with body fluids
d. she has glaucoma ✔️c. you could come into contact with body fluids
which of these may cause constipation?
a. Timoptic
b. MOM
c. slow peristalsis related to aging
d. hypertension ✔️c. slow peristalsis related to aging
a drug interaction that caused two or more drugs to work against each other is
called:
a. a toxic effect
b. an antagonistic effect
c. a desired effect
d. a synergistic effect ✔️b. an antagonistic effect
if Synthroid has been ordered 0.1 mg po qd, you will
a. one pill every other day
b. 0.1 mg daily
c. one tab prn
d. 0.1 mg otic drops daily in both eyes ✔️b. 0.1 mg daily
Robitussin is classified as:
a. respiratory stimulus
b. bronchodilator
c. expectorant
d. nasal decongestant ✔️c. expectorant
sweating, tremors, and insomnia are side effects of:
a. Naprosyn
b. Synthroid
c. Brethine
d. Robitussin ✔️b. Synthroid
if you are preparing Robitussin you will:
a. pour on the side away from the label
b. pour an extra 5ml sinc some sticks to the side of the med cup
c. place her other meds in the robitussin
d. hold the med cup high in the air when pouring ✔️a. pour on the side away from the label
if the doctor is in examining a resident when you enter to give meds, you should
a. hand the meds to the doctor to give
b. ask the nurse with him to give the meds
c. destroy meds per policy
d. come back when the doctor and nurse are finished with assessments ✔️d. come back when the doctor and nurse are finished with assessments
a medical record is:
a. public knowledge
b. property of the facility
c. a legal document
d. not used for billing ✔️c. a legal document
you take a resident's blood pressure. you place the diaphragm of the stethoscope
over the:
a. carotid artery
b. apical artery
c. brachial artery
d. radial artery ✔️c. brachial artery
parts of a metered dose inhaler include:
a. mouth piece
b. clamp
c. face plate
d. cannula ✔️a. mouth piece
if a resident becomes emotionally withdrawn they may be:
a. suspicious
b. anxious
c. depressed
d. schizophrenic ✔️c. depressed
movement of the medication from the site of administration into the bloodstream is
called:
a. absorption
b. excretion
c. distribution
d. metabolism ✔️a. absorption
a resident has an order for Xanax TID. the med is administered:
a. daily
b. three times a day
c. every other day
d. two times a day ✔️b. three times a day
to treat thrombophlebitis, the resident is given;
a. Xanax
b. Coumadin
c. Diamane
d. Dulcolax ✔️b. Coumadin
short term memory loss may be caused by:
a. Coumadin
b. Xanax
c. Dulcolax
d. Dalmane ✔️d. Dalmane
when preparing medication of administration via G-tube, you should:
a. check the tube placement
b. cross tablets/crush tablets that are considered safe to do so small enough to be
dissolved
c. dissolve medications in water prior to administration
d. all of the above ✔️d. all of the above
after administering a medication you discover you gave the wrong med, the first thing
you do is:
a. induce vomiting
b. ask the resident if they feel funny
c. call the doctor
d. notify the nurse ✔️d. notify the nurse
common complication of G tubes are:
a. occlusion
b. displacement
c. vomiting
d. both a and b ✔️d. both a and b
if a resident asks for a can of soda you should:
a. get it for them
b. help them take small sips
c. tell them you must check with the nurse
d. call and ask the doctor ✔️c. tell them you must check with the nurse
as a part of the daily g tube care, you should clean around the site with:
a. a solution of peroxide and saline
b. alcohol
c. betabine
d. cleansing solution ordered by the MD ✔️d. cleansing solution ordered by the MD
a resident's daughter tells you that the staff does not care for her mother like she did
at the home, you should tell her:
a. you know what you are doing
b. she should take her mother back home
c. you will get the nurse so she can share her concerns
d. she worries too much ✔️c. you will get the nurse so she can share her concerns
the process by which a drug is eliminated from the body is called:
a. reception
b. metabolism
c. bioactivity
d. excretion ✔️d. excretion
your resident receives sublingual nitroglycerin. you should:
a. place the tablet under their tongue
b. dissolve the tablet in water
c. administer it in a G-tube
d. place the tablet between the cheek and gum ✔️a. place the tablet under their tongue
Thorazine is classified as:
a. a minor tranquilizer
b. an antibiotic
c. an antipsychotic
d. an MAO inhibitor ✔️c. an anitpsychotic
your resident develops large welts on their face, neck, and chest which may be
caused by:
a. Amoxil (PCN)
b. Thorazine
c. Procardia
d. Diamane ✔️a. Amoxil (PCN)
the doctor has ordered resident meds may be crushed. you should:
a. check the facility list of safe meds to be crushed
b. crush between two spoons
c. use a hammer to crush
d. hide the meds in the food at lunch ✔️a. check the facility list of safe meds to be crushed
Amoxil is ordered q8h, you should:
a. administer it at the exact ordered time to maintain a constant level in the blood
b. administer it by injection
c. have the nurse give the Amoxil
d. give Amoxil prn ✔️a. administer it at the exact ordered time to maintain a constant level in the blood
when documenting a medication omission you should:
a. leave the MAR blank
b. chart the omission and the reason it was omitted on the MAR
c. have the nurse document omission
d. call the doctor ✔️b. chart the omission and the reason it was omitted on the MAR
the doctor has ordered a sitz bath, you should:
a. fill the bathtub with cool water and help the resident into the tub
b. turn the resident on their side and spray warm water on his anus
c. fill the bedpan with warm water and assist the resident into the bedpan
d. none of the above ✔️d. none of the above
before beginning a sitz bath, you should:
a. tell the nurse
b. take the resident's vital signs
c. administer a bed bath
d. perform peri care ✔️b. take a resident's vital signs
your resident with Alzheimer's (OBS) starts screaming during the morning sitz bath,
you know that they may be experiencing:
a. a catastrophic reaction
b. hallucinations
c. delusions
d. sundowning ✔️a. a catastrophic reaction
if the medication is man made it is considered:
a. made from animals
b. natural
c. synthetic
d. toxic to humans ✔️c. synthetic
which of the following systems of measurement is the most common in healthcare:
a. apothecary
b. metric
c. household
d. celsius ✔️b. metric
which of these medications is an anticonvulsant:
a. ASA
b. Nardil
c. Phenergan
d. Dilantin ✔️d. Dilantin
adverse reactions to Nardil include:
a. seizures
b. muscle tremor, irregular heartbeat
c. weight loss
d. ulcers ✔️b. muscle tremor, irregular heartbeat
to maintain infection control while preparing medications, you will:
a. wear gloves
b. wash your hands per policy
c. never allow anyone to touch the med cart
d. seal all meds in plastic bags ✔️b. wash your hands per policy
when giving theragran vitamin you should:
a. crush it
b. give with food
c. ask the nurse for permission
d. give on an empty stomach ✔️b. give with food
a resident asks for a prn dose of Tylenol, after administering this you chart:
a. the effect of the medication
b. the reason it was given
c. the time it was given
d. all of the above ✔️d. all of the above
your resident has a seizure, you tell the nurse:
a. the duration of the seizure and the parts of the body involved
b. if the resident can speak or cough
c. why the seizure started
d. what you did to stop the seizure ✔️a. the duration of the seizure and the parts of the body involved
your resident got a minor skin tear, when applying a transparent film you know you:
a. label the dressing with time, date, and initials
b. tape it to the skin
c. cover it with gauze
d. use a dressing the exact size of the skin tear ✔️a. label the dressing with time, date, and initials
you know AIDS is spread by:
a. droplets in the air
b. through contact with infected blood and body fluids
c. on the hands of healthcare workers
d. by mites ✔️b. through contact with infected blood and body fluids
an undesired medication effect is:
a. adverse effect
b. administration
c. action
d. transmission ✔️a. adverse effect
your resident receives Septra q12h for UTI. you expect this med to be administered
at:
a. 1pm and 6pm
b. 9am and 9pm
c. 8am, 3pm, 8 pm, 3am
d. 12 noon ✔️b. 9am and 9pm
which medication acts as an analgesic and anesthetic on the urinaryh tract mucosa:
a. hydrodiuril
b. Lithotabs
c. Pyridium
d. Septra DS ✔️c. Pyridium
Itching and inflammation of the ear can be caused by which medication?
a. Septra
b. Debrox
c. Pyridium
d. Hydrodiuril ✔️b. Debrox
to prepare to administer MOM you should:
a. place the bottle in warm water for 5 minutes
b. take the bottle to the bedside
c. shake it first, it is a suspension
d. withdraw the amount administered with a syringe ✔️c. shake it first, it is a suspension
to administer Debrox, you should:
a. place resident in sims position
b. gently pull the ear up and back
c. place the dropper inside the ear canal
d. place 5 drops of debrox in the ear ✔️b. gently pull the ear up and back
your resident has a colostomy which is a surgical opening attaching the portion of
the:
a. colon to the abdominal surface
b. ureter to the abdominal surface
c. jejunum to the abdominal surface
d. stomach to the abdominal surfacfe ✔️a. colon to the abdominal surface
you observe your resident needs to urinate frequently which may be caused by:
a. colostomy
b. UTI
c. Debrox
d. Alzheimer's ✔️b. UTI
you empty a colostomy bag when it is:
a. 1/4 full
b. 1/2 full
c. 1/3 full
d. completely full ✔️c. 1/3 full
when changing a colostomy wafer you would need to cut the pouch adhesive portion
prior to placing it because:
a. stoma size differs
b. the hole made at the factory is not a true fit
c. the wafer must be customized to fit around the stoma for each resident
d. all of the above ✔️d. all of the above
all of the following are true except:
a. injected drugs are absorbed faster
b. enteric tablets are not absorbed until they reach the intestines
c. the lower the dose the more rapid it is absorbed
d. oral meds are the slowest to be absorbed ✔️c. the lower the dose the more rapid it is absorbed
the term OD means:
a. left eye
b. by mouth
c. right eye
d. both eyes ✔️c. right eye
to stimulate the pancreas to produce more insulin your resident receives:
a. Sinement
b. Micronase
c. Surfak
d. Acetaminophen ✔️b. Micronase
toxic doses of Tylenol may cause:
a. stroke
b. heart damage
c. liver damage
d. osteoporosis ✔️c. liver damage
when preparing Surfak, you should:
a. dilute in water
b. use a calibrated cup
c. use a syringe
d. pour extra due to sticking to sides of the cup ✔️b. use a calibrated cup
your resident is alert and oriented but has not been assessed to administer her own
medications, you should not:
a. hand her the pills and leave the room
b. be certain she swallow all meds
c. encourage fluid with meds
d. provide for safety before leaving room ✔️a. hand her the pills and leave the room
you notice your resident is pale, cold, and clammy, you should:
a. give her orange juice
b. document your observation
c. get the nurse immediately
d. give the resident a blanket ✔️c. get the nurse immediately
when helping your resident to sit up to take meds, you should:
a. tell the resident what you are going to do, raise the HOB, put hands under the
residents thighs and shoulder blades, and on the count of 3 move the resident into a
sitting position at the side of the bed
b. pull their legs off the bed and pull them up with their arms
c. raise the head of the bed up to fowler's position
d. both a and c ✔️d. both a and c
to perform a finger stick glucometer reading you should:
a. place blood in a test tube
b. soak finger in alcohol prior to stick
c. wear gloves
d. hold the hand in an upward position to do this procedure ✔️c. wear gloves
your resident has Parkinson's disease. symptoms include:
a. joint pain
b. seizures
c. numbness of exremities
d. tremors ✔️d. tremors
Metamucil is classified as:
a. lubricant
b. saline lax
c. bulk lax
d. stimulant lax ✔️c. bulk lax
solid forms of medications include:
a. capsules
b. tablets
c. lozenges
d. all of the above ✔️d. all of the above
a topical medication is:
a. used for ear infection
b. used for headaches
c. placed on the skin
d. placed on the mucous membranes ✔️c. placed on the skin
an adverse effect that your resident may experience from Feosol is:
a. hallucinations
b. constipation
c. rapid heart rate
d. fever ✔️b. constipation
when preparing Metamucil, you pour 2 T into a glass, you realize the order is 2tsp so
you:
a. give what you poured
b. pour extra back into the container
c. measure again and dispose of the excess
d. complete an incident report ✔️c. measure again and dispose of excess
when administering Metamucil, you should:
a. take BP
b. mix with 8 oz of water or juice
c. always administer after meals
d. take the pulse first ✔️b. mix with 8 oz of water or juice
your resident refuses Tylox so you:
a. call CNA to help you
b. notify the nurse
c. call the doctor
d. threaten to tell their family ✔️b. notify the nurse
when checking skin for pressure areas, you know that pressure areas are found:
a. near joints
b. in the mouth
c. on the thigh
d. over any bony prominence subjected to friction, shear, and pressure ✔️d. over any bony prominence subjected to friction, shear, and pressure
you may apply cream to the coccyx if the pressure is:
a. Stage I
b. Stage II
c. Stage III
d. Stage IV ✔️a. Stage I
your resident has Athlete's foot so the MD ordered:
a. Penicillin
b. Tinactin
c. Cordan
d. Alupent ✔️b. Tinactin
as a QMA you cannot:
a. administer meds via NG tube
b. administer rectal meds
c. administer vaginal meds
d. administer ophthalmic meds ✔️a. administer meds via NG tube
as a QMA you can:
a. administer treatment to Stage II ulcer
b. give an injection
c. assess resident's condition
d. document what you hear, see, smell, and touch ✔️d. document what you hear, see, smell, and touch
you are asked to administer meds prepared by your favorite nurse you should:
a. give the meds
b. refuse to give the meds
c. ask the CNA to give the meds
d. ask what it is before you give it ✔️b. refuse to give the meds
doing only things in your scope of practice is:
a. negligence
b. libel
c. reasonable
d. euthanasia ✔️c. reasonable
you find medications from another shift at the bedside of a resident, you should:
a. administer them
b. throw them in the trast
c. give them to the nurse
d. ask the resident why they didn't take their meds ✔️c. give them to the nurse
if a resident is injured and there is proof to intent to harm, the staff:
a. may be fired
b. may lose QMA and CNA certifications
c. may be subject to criminal investigations
d. all of the above ✔️d. all of the above
when a medication error is made, you may be responsible to:
a. inform the resident of the error
b. observe for undesired affects
c. be in charge of an incident report
d. call the family ✔️b. observe for undesired affects
the MD calls and you answer the phone. he insists you take a medication order, you
should:
a. write it down exactly as he stats it
b. notify the resident of the new order
c. tell the doctor you cannot take the order and get the nurse
d. call the pharmacy to report needing more medications ✔️c. tell the doctor you cannot take the order and get the nurse
as a QMA, you must recertify:
a. every 6 months
b. annually
c. every 18 months
d. every 24 months ✔️b. annually
as a QMA, you must do ___________ hours of medication inservice a year:
a. 4 hours
b. 6 hours
c. 12 hours
d. 24 hours ✔️b. 6 hours