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This document, "QMA FINAL EXAM Review," covers essential topics in medical assisting, specifically
focusing on QMA (Certified Medical Assistant) practice, hemoccult testing, patient care, malpractice, and
therapeutic classes. The document provides 119 questions with correct answers and detailed
explanations, serving as a comprehensive review tool for exam preparation. Students can utilize this
document to study, review, and understand key concepts, thereby enhancing their knowledge and
preparation for the QMA final exam.
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EXAM QUESTIONS
QUESTION 1
ccms
CORRECT ANSWER
clean catch midstream
RATIONALE: The "clean catch midstream" method is the correct answer to the abbreviation "ccms" because it refers to
a specific technique used to collect a urine sample for testing or analysis, where a healthcare provider or patient collects
a urine sample without contaminating it with bacteria from the genital area. This method is commonly used in medical
settings to obtain a sterile urine sample for diagnostic purposes.
QUESTION 2
QMA scope of practice
CORRECT ANSWER
may perform hemoccult testing on stool specimens as ordered by a physician
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, RATIONALE: This answer is correct because it specifically references a medical test that requires a physician's order,
indicating the QMA (qualified medical assistant) is aware of their scope of practice limitations in performing tests that
require a physician's authorization. By mentioning the need for a physician's order, the QMA is demonstrating
understanding of their role as a supporting healthcare professional rather than an independent practitioner.
QUESTION 3
hemoccult testing
CORRECT ANSWER
A screen for fecal occult blood
RATIONALE: Hemoccult testing is a medical screening procedure that involves detecting hidden blood in feces, which is
often a symptom of gastrointestinal disorders or cancers. The name "hemoccult" refers to the ability to uncover or
reveal hidden blood, making "a screen for fecal occult blood" a fitting and accurate description of this testing procedure.
QUESTION 4
Hemoccult test slide (quaiac paper)
CORRECT ANSWER
assess for expiration date
RATIONALE: The Hemoccult test slide, also known as quaiac paper, reacts with the heme in blood to produce a color
change, which requires a fresh sample to accurately assess the presence of blood. Assessing for expiration date is
crucial because quaiac paper can degrade over time, reducing its sensitivity and accuracy, which can lead to false-
negative results.
QUESTION 5
hypovalemia
CORRECT ANSWER
state of decreased blood volume. May cause a high false oximetry reading.
RATIONALE: Hypovolemia refers to a state of decreased blood volume, which can lead to inadequate oxygen delivery to
tissues, causing them to extract more oxygen from the blood. This increased oxygen extraction can result in a falsely
elevated pulse oximetry reading, as the device measures oxygen saturation at the extremities, not reflecting the body's
overall oxygenation status.
QUESTION 6
QMA's may not apply oxygen to a resident in an emergency without a physicians order.
CORRECT ANSWER
However there is often a PRN order for oxygen when the resident falls short of breath/oxygen saturation
levels are low.
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, RATIONALE: A PRN (as needed) order for oxygen allows for the administration of oxygen on an emergency basis
without a specific physician's order, as it has been predetermined by the physician that oxygen is necessary when the
resident falls short of breath or oxygen saturation levels are low. This type of order enables caregivers to respond
promptly to emergencies while still adhering to established medical protocols and ensuring resident safety.
QUESTION 7
QMA's may initiate a nasal cannula only in an emergency situation.
CORRECT ANSWER
QMA's may initiate non-sealing mask per emergency or PRN situation.
RATIONALE: The phrase "PRN" is an abbreviation for "Pro Re Nata," which is Latin for "as needed" or "as required,"
indicating that non-sealing mask can be initiated in emergency situations. This reasoning extends to nasal cannulas,
allowing QMA's to use them in emergency situations, making the modification a logical and consistent application of the
PRN principle.
QUESTION 8
oxygen dries out the mucous membranes of the mouth and respiratory system.
CORRECT ANSWER
The physician may order humidity to be placed on the oxygen source.
RATIONALE: When oxygen is inhaled dry, it can strip the mucous membranes of their natural moisture, leading to
dryness and irritation. Adding humidity to the oxygen source helps to maintain the moisture balance in the respiratory
system, preventing dryness and discomfort caused by dry oxygen.
QUESTION 9
Physician ordered humidity along w/ oxygen. (distilled water)
CORRECT ANSWER
This means gas passes through the water and water vapor is picked up before going to the resident.
RATIONALE: When oxygen is delivered with humidification using distilled water, the water vapor will diffuse into the
oxygen stream, creating a mixture of gases with varying levels of humidity. This process allows the water vapor to mix
with the oxygen before being inhaled by the patient, which is why the statement mentions "before going to the
resident" - referring to the patient's respiratory system.
QUESTION 10
When applying sterile/distilled water to residents oxygen remember to.
CORRECT ANSWER
discard the sterile/distilled water after 2 weeks.
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, RATIONALE: The key concept here is the risk of microbial contamination, as sterile/distilled water can become a
breeding ground for bacteria and other microorganisms when left stagnant for an extended period. Discarding the water
after two weeks minimizes this risk and prevents potential contamination of the oxygen, which could have serious
consequences for the residents.
QUESTION 11
Portable oxygen tanks
CORRECT ANSWER
have a few lbs of oxygen, they can last up to 8 hrs.
RATIONALE: This correct answer is based on the standard capacity of portable oxygen tanks, which typically range from
1-5 pounds of oxygen, and their oxygen flow rates, which are usually set at 1-3 liters per minute. When considering a
typical oxygen consumption rate of 1-2 liters per minute, the remaining oxygen in the tank can indeed last for up to 8
hours.
QUESTION 12
Oxygen concentrator weighs approximately 35 lbs. It must be plugged in to an electrical outlet.
CORRECT ANSWER
Concentrator's extract oxygen from the room air and circulates it back to the resident.
RATIONALE: Oxygen concentrators are medical devices designed to extract oxygen from the room air, making them a
type of air purifier. This functionality is unrelated to their weight or electrical requirements, but it explains the presence
of the statement about circulating oxygen in the initial context where the device's weight and power requirements are
mentioned.
QUESTION 13
Do not use petroleum (vasoline) to resident's nares during administration of oxygen.
CORRECT ANSWER
Example: dry lips, chap-stick should not be applied if it has vasoline in it.
RATIONALE: The connection between chap-stick and petroleum use is based on the principle that petroleum products
can be occlusive, making surfaces impermeable to air, heat, and moisture, which is not ideal for areas like the nares
(nostrils) or dry lips where airflow and moisture exchange are crucial. Applying vasoline-based chap-stick to dry lips or
using petroleum in the nares during oxygen administration could lead to further moisture loss and discomfort, rather
than alleviating the issue.
QUESTION 14
Signs/symptoms of respiratory distress
CORRECT ANSWER
rapid pulse, rapid,shallow, flaring nostrils, restlessness respirations, cyanosis.
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