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2025/2026 INDIANA QMA STATE EXAM 2025/350+
EXAM QS &AS/ UPDATED SPRING 2025|ALREADY
GRADED A+
Antihistamines: Action/Uses - ANS:->>> - Combat the effects of histamine; treat motion sickness and allergic reaction Antihistamines: side effects - ANS:->>>-Drowsiness, dizziness, loss of appetite, dry mouth, urinary retention Anti-depressant MAO N.C. - ANS:->>> - Avoid foods with high amounts of tyramine Meds to treat dementia Action - ANS:->>>-Slows breakdown or acetylcholine Meds to treat dementia - ANS:->>>-Aricept (donepezil) Exelon (rivastigmine) Reminyl (galantamine) Meds to treat dementia side effects - ANS:->>> - GI upset Meds to treat dementia N.C. - ANS:->>> - Administer exactly as prescribed Symptoms of hypoglycemia - ANS:->>>- Cold, clammy skin, pallor, irritability, blurred vision, hunger, confusion Symptoms of hyperglycemia - ANS:->>>-Hot , dry, flushed skin, lethargy, fruity breath odor , hypotension, excessive thirst Antitussive N.C. - ANS:->>>-No fluids for 15 minutes after taking Respiratory stimulants: action/uses - ANS:->>>- Inhalation of medication
triggers respiratory center of brain Increases the rate and depth of respiration Respiratory stimulants medications - ANS:->>> - Spirits of ammonia (smelling salts) Respiratory stimulants side effects - ANS:->>> - Irritates lining of nose Nausea Respiratory stimulants N.C. - ANS:->>> - Don't hold to close to the nose Antacids: Action/uses - ANS:->>>- Neutralize stomach acid Combination products: action/uses - ANS:->>> - Preparations containing more than one product Treat cough and allergies Combination products: medications - ANS:->>> - Sinutab, actifed Combination products: side effects - ANS:->>>- Drowsiness, dry mouth Combination products N.C. - ANS:->>> - May elevate B/P Rebound symptoms can occur Decongestants: Action/uses - ANS:->>>-Shrinks mucous membranes and relieves swelling/congestion Treat allergies, hay fever, and cold symptoms Decongestant medications - ANS:->>>-Sudafed
TB medications - ANS:->>>- Rifadin (rifampin) INH (isoniazid) Laniaz id Nydra zid TB meds N.C. - ANS:->>> - Can turn urine, feces, sputum, sweat orange Use with caution for residents with acoholism and liver disease Monitor for signs of hepatitis and weight loss give with food Store in light resistant container TB meds: action/uses - ANS:->>> - Reduce/kill growth of the bacteria that causes TB Treat active disease TB side effects - ANS:->>>- Fatigue Drowsiness Numbness in extremities Nausea Vomiti ng Confusi on Headac he Rash
Bronchodilators medications - ANS:->>>-Proventil (Albuterol) Atrovent Brethine Alimentar y Aminophyl line Elixophylli ne Antitussive: action/uses - ANS:->>>- Depresses cough Treat persistent cough Antitussive medications - ANS:->>>- Codeine Benylin-DM Antitussive side effects - ANS:->>>- Vomiting Drowsiness Nause a Diarrh ea Constipat ion Nervousn ess
Chart stools Anti ulcer action and use - ANS:->>>-Prevents release of gastric acid Treats GERD Anti ulcer medications - ANS:-
-Pepcid Zantac Proto nix Prilos ec Carafa te Preva
cid Nexiu m Anti ulcer side effects - ANS:->>>-High doses can cause confusion Anti ulcer N.C. - ANS:->>>-Dissolve carafate in water Encourage no smoking Avoid spicy food, caffeine, alcohol Antiemetics: Action - ANS:->>>-Suppress nausea and vomiting antiemetics medications - ANS:->>>- Antivert Compazine
Phenerg en Dramam ine Tigan Antiemetics side effects - ANS:->>>-drowsiness Antiemetics N.C. - ANS:->>>-Monitor B/P for hypotension Emetics action - ANS:->>>-Induce vomiting emetics meds - ANS:->>>-Syrup of ipecac Emetics side effects - ANS:->>>-Do not use when corrosive product is ingested Emetics N.C. - ANS:->>>-Usually induces vomiting in 20 - 30 minutes Antidiarrheal action/uses - ANS:->>>-Absorb excess fluids and bacteria Relieve diarrhea Antidiarrheal medications - ANS:->>>-Pepto- Bismol Imodium (Ioperamide) Lomotil (Atropine Sulfate) Pectin Kaopectate antidiarrheal side effects - ANS:->>>-Minimal constipation, nausea, dry mouth, abdominal pain Antidiarrheal N.C. - ANS:->>>-Monitor for constipation
GI needs that ENHANCE motility N.C. - ANS:->>>-Monitor vitals and urinary output Cathartics (laxatives) Action/uses - ANS:->>>-Stimulate peristalsis in 6 - 8 hours Cathartics (laxatives) medications - ANS:->>>- Castor Oil Senoket (senna) Dulcolax Ex-lax, doxidan (phenolphthalein) Cathartics (laxatives) side effects - ANS:->>>-Abdominal cramping Nausea Diarrhea Cathartics (laxatives) N.C. - ANS:->>>-Monitor for diarrhea Saline laxatives action - ANS:->>>-Usually acts within 8 hours Saline laxatives medications - ANS:->>>-Milk of magnesia Saline laxatives side effects - ANS:->>>- Diarrhea Cramping Saline laxatives N.C. - ANS:->>>-Shake suspension well Monitor fluid intake Lubricant laxatives action - ANS:->>>-Increases water retention in stool
Lubricant laxatives medications - ANS:->>>- Mineral oil Haley's MO Glycerin suppository Lubricant laxatives side effects - ANS:->>>- Dehydration Interferes with absorbing nutrients Abdominal cramping Lubricant laxatives N.C. - ANS:->>>-May interfere with vitamin absorption Stool softeners Action - ANS:->>>- Soften stools Promote regular BM's Stool softeners medications - ANS:->>>- Surfak Colace Fiber Con Stool softeners side effects - ANS:->>>-Mild abdominal cramping can cause diarrhea Stool softeners N.C. - ANS:->>>-Take 1 - 3 per day Ask nurse if resident has diarrhea Laxatives that increase bulk action/uses - ANS:->>>-Absorbs water and expands acts within 12 hours - 3 days Laxatives that increase bulk medications - ANS:->>>-
Anti-inflammatory agents medications - ANS:->>>-Decadron (dexamethasone) Prednisone Medrol (methylprednisolone) Cortef (hydrocortisone) Kenalog Anti-inflammatory agents side effects - ANS:->>>- Weight gain Edema Mood swings Night sweats Increased blood sugars Mask symptoms of infection Anti-inflammatory agents N.C. - ANS:->>>-Observe for signs of infection Withdrawal symptoms if stopped abruptly Monitor urine
Non-steroidal anti-inflammatory drugs (NSAIDs) Action - ANS:->>>-Anti- inflammatory analgesic Treats arthritis, bursitis, tendinitis, gout Non-steroidal anti-inflammatory drugs (NSAIDs) medications - ANS:-
-Indocin Motrin, Advil, Nuprin (ibuprofen) Naprosyn, Aleve (naproxen) Voltaren (diclofenac) Relafen - Dehydration Interferes with absorbing nutrients Abdominal cramping Lubricant laxatives N.C. - ANS:->>>-May interfere with vitamin absorption Stool softeners Action - ANS:->>>- Soften stools Promote regular BM's Stool softeners medications - ANS:->>>- Surfak Colace Fiber Con Stool softeners side effects - ANS:->>>-Mild abdominal cramping can cause diarrhea Stool softeners N.C. - ANS:->>>-Take 1 - 3 per day Ask nurse if resident has diarrhea Laxatives that increase bulk action/uses - ANS:->>>-Absorbs water and expands acts within 12 hours - 3 days Laxatives that increase bulk medications - ANS:->>>- Anti-inflammatory agents medications - ANS:->>>-Decadron (dexamethasone) Prednisone Medrol (methylprednisolone) Cortef (hydrocortisone) Kenalog Anti-inflammatory agents side effects - ANS:->>>- Weight gain Edema Mood swings Night sweats Increased blood sugars Mask symptoms of infection Anti-inflammatory agents N.C. - ANS:->>>-Observe for signs of infection Withdrawal symptoms if stopped abruptly Monitor urine Non-steroidal anti-inflammatory drugs (NSAIDs) Action - ANS:->>>-Anti- inflammatory analgesic Treats arthritis, bursitis, tendinitis, gout Non-steroidal anti-inflammatory drugs (NSAIDs) medications - ANS:- >>>-Indocin Motrin, Advil, Nuprin (ibuprofen) Naprosyn, Aleve (naproxen) Voltaren (diclofenac) Relafen Sulindac Non-steroidal anti-inflammatory drugs (NSAIDs) side effects - ANS:->>>- Nausea, headaches GI Bleeding Dizziness Heartburn Decreased appetite Tinnitus Prolonged bleeding and increased bruising Fatigue Non-steroidal anti-inflammatory drugs (NSAIDs) N.C. - ANS:->>>-May be better tolerated with food Handle residents gently Anti-gout Action/uses - ANS:->>>-Reduces uric acid synthesis and promotes urine output Anti-Gout Medications - ANS:->>>-Zyloprim (allopurinol)
Muscle relaxants N.C. - ANS:->>>-May develop tolerance to medication Analgesics action and use - ANS:->>>-alter perception and emotional response to pain used as an antipyretic (fever reducer) Analgesics medications - ANS:->>>- Tylenol Demerol (meperidine) Motrin, Advil, nuprin (ibuprofen) Percocet (oxycodone) Duramorph, MS, contin, roxanol (morphine) Aspirin ASA (empirin) Tylenol with codeine Dilaudid (hydromorphone) Ultram (tramadol) Trilisate (choline salicylate) Analgesics side effects - ANS:->>>-Gastritis, ulcer Dizziness Headache Sedation Constipat ion Rashes Respiratory depression
Tinnitus Nause a vomiti ng Analgesics N.C. - ANS:->>>-Possible GI bleeding Possibly addictive Check respiratory rate before administering Osteoporosis medications action/uses - ANS:->>>-Treat osteoporosis Osteoporosis Medications - ANS:->>>-Prolia (denosumab) Osteoporosis Medications side effects - ANS:->>>- Back pain Bloody or cloudy urine Frequent urge to urinate Muscle or bone pain Joint swelling Osteoporosis Medications N.C. - ANS:->>>-QMA's CANNOT ADMINISTER monitor for angina or atrial fibrillation Monitor for facial swelling and dyspnea Monitor calcium levels
Follow up treatment in 7 - 10 days Skin and sensory Anti inflammatory steroids medications - ANS:-
-Cordran Aristocort kenalo g Cortai d Lanaco rt Westc ort Skin Anti inflammatory steroids side effects - ANS:- -Burning Itching Dry skin Anti-pruritic and local anesthetics action - ANS:->>>-Relieve localized itching and pain Anti-pruritic and local anesthetics medications - ANS:->>>-Solarcaine, americaine (lidocaine) Caladryl lotion (calamine) Nupercainal (dibucaine) Anti-pruritic and local anesthetics side effects - ANS:->>>- Sensitization to medicine Itching Redne ss
Edem a Anti-pruritic and local anesthetics N.C. - ANS:->>>-Monitor for inflammation and infection Protectants Action - ANS:->>>-Cover and protect skin Protectants medications - ANS:->>>-Vaseline Desitin PreSun, RV paba lipstick Protectants side effects - ANS:->>>-Possible skin irritation Protectants N.C. - ANS:->>>-Skin should be clean and dry Monitor for inflammation and infection Debridement medications action - ANS:->>>-Enzymatic destruction of necrotic tissue Debridement medications - ANS:->>>- Accuzyme Santyl Debridement medications side effects - ANS:->>>-Hypersensitivity to the medication Debridement medications N.C. - ANS:->>>-CAN ONLY BE APPLIED BY LICENSED PERSON Conjunctivitis Action - ANS:->>>-Treat systemic or local infections
