Final Exam Study Guide for QMA
Correctly Answered.
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 - CORRECT ANSWER 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 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 - CORRECT ANSWER 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 - CORRECT ANSWER Any improper or injurious practice, or any unskillful or faulty medical or
surgical treatment.
The Six Rights of Medication administration - CORRECT ANSWER Right Medication. Right Dose. Right
Resident. Right Route. Right Time. (1hr before or 1 hr after). Right documentation.
, Initial Steps - CORRECT ANSWER 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 - CORRECT ANSWER 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 - CORRECT ANSWER Increased confusion and restlessness in late afternoon, evening, and
night.
Hand washing - CORRECT ANSWER Lather all areas of hands and wrists, rubbing vigorously for at least 10
seconds.
Putting on Gloves - CORRECT ANSWER Remove one glove by grasping the outer surface just below the
cuff with the other gloved hand.
Isolation Precautions - CORRECT ANSWER Airborne-pathogens are transmitted on dust particles in air
currents examples are TB, chickenpox, measles.
Droplet-pathogens are transmitted in droplets when a person coughs, sneezes or talks examples
pneumonia, influenza, scarlet fever.
Contact-pathogens are transmitted by direct contact (skin-to-skin) with the resident or indirect contact
with surfaces or care items in the resident's environment examples scabies, conjunctivitis, impetigo.
Hepatitis - CORRECT ANSWER Contagious disease of the liver caused by a virus and spread by exposure
to infected blood, sexual contact or fecal/oral contact. Symptoms are flu like. Severe infection can cause
permanent liver damage and death. Types A, B, C, D, E
Tuberculosis - CORRECT ANSWER Chronic bacterial infection that usually affects the lung but may affect
other parts of the body such as the kidneys, bones, and the brain. TB is spread through the air in
droplets from sputum of persons with active disease. Symptoms include fever, loss of appetite, fatigue,
productive cough and night sweats.
