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NEBRASKA Medical Aide Written
Exam Latest 2025 Question And
Answer Guaranteed Pass 100%
Medication Administration Record (MAR) a document that is completed as per agency policy to verify that a patient's medications were administered as prescribed Med Aide's responsibilites To provide medications according to the 5 Rights, document meds given & observe/report changes to nurse. It is NOT your job to monitor!!! (Beyond scope of practice) Medication error is noticed Report error to nurse immediately. Document. Observe for side effects. Temp? Pain? Life-threatening if breathing problems, irregular HB, swelling of airway. ml/cc milliliters, cubic centimeters - Same measurements/amts Five (5) Rights Right Meds, Person, Time, Dosage & Route
Non-legend drugs Over the counter (OTC), advil aspirin, etc. Legend drugs prescription drugs How are medications stored? In a labeled container, locked up, limited keys. Narcotics/controlled substances are DOUBLE-locked. Counted to prevent theft/misuse of the narcotics. Who packages and labels drugs for dispensing? Pharmacist Who gives a med aide permission to administer drugs? Dr or Charge nurse Side effects Any effects of a medication other than the desired ones. When do you wear gloves? ANYTIME chance of body fluids
the legal right of patients to refuse certain forms of treatment or medications. Document refusal (R circled). (Try to encourage resident to take meds, remind them the meds make them feel better, look for other underlying reasons) How to document entry error on MAR? Draw one line through error & initial. What to do when you hear co-worker discussing a resident in front of other residents or people? Remind them of HIPPA. Ask them to change the subject or move to another area. Basic routes of medication provisions? Oral(PO), topical(skin), inhalation, OTIC(ear), Opthomic(eyes) What is the most important step to prevent spread of infection? Wash hands. PPE What position is the ear when administering meds adult? child? Adult: Pull up & out Child: pull down & out How to identify correct resident? Picture ID/photo in MAR
qid four times a day Can medication aide do anything labeled STERILE? NO. Beyond scope of practice. Opthalmic Refers to the eye. For treatment of, around or in the patient's eye. Sublingual under the tongue Buccal cheek Otic ear When are the three safety checks performed during medication setup? Removing from storage, opening container & returning containter to storage. Always verify with MAR. Pouring med is done AFTER second safety check
Where is the core temperature taken rectal What is standard normal body temperature
Tympanic ear Apical pulse the pulse on the left side of the chest, near heart Radial pulse wrist When is Apical pulse needed vs radial? Apical is more accurate, esp with irregular HB, specific meds, & children younger than 3 yrs old. Normal range of respirations? 12 - 20 breaths per minute Normal blood pressure BP?
120/80 mmHg axillary temperature range (armpit) 96.6-98.6 F tympanic temperature range (ears) 98.6-100.6 F Rectal temperature range 98.6-100.6 F Oral temperature range 97.6-99.6 F What is used to measure liquid medications? meniscus What can NOT be done when oxygen is in use No Smoking How long should patient/resident hold breath when getting inhaler treatment? Hold for 10 seconds, then breathe out
What are the basic steps to applying a clean & dry dressing? (Wear gloves when removing dressing, put fresh gloves on before applying new dressing) Get the right wound-care supplies. Wash and dry your hands. Remove the old wound dressing. Clean the wound. Let the wound dry. Apply the new dressing. Secure the new wound-care dressing. When would you need to call the Abuse Hotline? If a reported abuse goes unacknowledged. Ignoring call lights/residents, physical abuse, verbal or emotional abuse What are the four stages of medications/drugs? absorption, distribution, metabolism, excretion How are oral medications absorbed? Gastrointestinal tract, small intestine What is drug tolerance? What is drug sensitization? When a medication no longer works as well as it once did; reverse tolerance/increased effect
What are some signs of a medicine allergic reaction? swelling, fever, redness Why are some meds given with food? To prevent upset stomach, protects stomach What is polypharmacy? the simultaneous use of multiple drugs to treat a single ailment or condition What is excretion? Eliminating or expelling waste What is absorption? Passage of substance across and into tissues. Taking digested food into the blood stream What is a theraputic drug? One taken every day at the same dose What organ excretes most drugs? kidneys What organ metabolizes drugs?
What is metabolism? a broad term that includes all chemical reactions that occur within the body What is pain assessment? intensity, location, duration and description of pain What is kyphosis A curving of the spine that causes a bowing or rounding of the back, which leads to a hunchback or slouching posture What is posture? the way a person holds and positions his body What is range of motion (ROM)? It is the maximum movement possible at a joint. What is remodeling? breakdown and buildup of bone tissue; changing What is adjunctive therapy? Drug that is given in addition to the main to modify its effects or side effects
What is a common side effect of an anti-inflammatory drug? Upset stomach What is a pain scale A tool used to help patients describe and identify their pain. Use the SAME pain scale every time. How do you chart a pain assesment? Location & level of pain charted in MAR. Re-assess after each intervention What is the dermis? middle layer of skin- contains blood vessels (Epidermis is the outer layer) What are some age-related changes in the skin? Dry skin, decreased skin elasticity, decreased collagen, thinning, slow wound healing, and decreased subcutaneous padding Pruritus severe itching Anesthetic Numbs skin
scabicide medication used to kill mites associated with scabies integumentary system Consists of the skin, mucous membranes, hair, and nail Mucous membrane The lining of various body cavities, including the nose, ears, and mouth. Lubricates. Pressure ulcer Inflammation, sore, or ulcer in the skin over a bony prominence. Edema Expansion of fluid between cells. Swelling. Dehydration An abnormally low amount of water in the body. Renal Kidneys Nocturia
Urination at night What is secretion? Removal from the blood, filtered out, release of chemicals UTI urinary tract infection, urinary incontinence What is filtration? MOVEMENT OF WATER AND DISSOLVED SUBSTANCES across a membrane from an area of high pressure to an area of low pressure by normal cardiovascular pressure. Diuretics Drugs that elevate the rate of bodily urine excretion Holinerergic Causes bladder to contract, release urine Antibiotics are only effective on bacteria, not viruses Antispasmodic
Low potassium levels caue live-threatening heart problems (hypokalemia) Signs of dehydration Thirst,dryness of the mouth, weakness, increased pulse rate, flushed skin, dark urine, sunken eyes and fever. benign prostatic hyperplasia (BPH) benign growth of cells within the prostate gland BPH treatment
- Alpha blockers [relax bladder neck muscles in the prostate making urination easier]; alfuzosin (Uroxatral), doxazosin (Cardura), tamsulosin (Flomax), and silodosin (Rapaflo),
- 5 - alpha reductase inhibitors [shrink your prostate by preventing hormonal changes that cause prostate growth]; finasteride (Proscar), dutasteride (Avodart) Plasma Liquid part of blood- clear Artery carries blood away from the heart Vein Carries blood towards the heart
Systolic Contraction/top Diasystolic Rest/bottom Myocardial infarction (MI) Heart attack, death of tissue Necrossis Tissue death Cardiac Glycosides Make heart stronger/beat slower Digoxin (Lanoxin) Nitrates RELAX blood vessels, given with severe chest pain Anticoagulant Prevents blood clots
