MACE Exam Cram: Medication Aide Certification Exam

by Linda Whitenton, Marty Walker

Overview

This is the eBook version of the print title. The eBook edition does not provide access to the test engine that accompanies the print book.

 

“I highly recommend this book because it will be very useful for any candidate writing the MACE. It is comprehensive, practical, and follows the MACE test plan.”—Verine J. Parks-Doyle, RN, BSN, MSN, EdD.

 

• Covers exactly what you need to know to score higher on your MACE exam
• More than 100 sample test questions help you gain confidence and decide when you’re ready to take the actual exam
• Includes the popular Cram Sheet tearcard to help you remember key concepts and do extra last-minute studying
• Exam Alerts identify important information found on the exam
• Simplifies key medication aide concepts and techniques for easy learning

 

Covers the critical information you’ll need to know to score higher on your MACE exam!

 

• Discover how the MACE exam works, and the best ways to prepare for it
• Learn the role and responsibilities of the medication assistant as a member of the healthcare team
• Master all key medication administration concepts: pharmacology, drug orders, forms, measurements, storage, handling, and more
• Safeguard yourself and your patients from accidents, mistakes, and other risks
• Learn today’s most effective procedures and techniques for administering medications
• Understand how medication affects body systems, and how that affects care
• Review medication’s effects on the cardiovascular, respiratory, digestive, musculoskeletal, central nervous, and endocrine systems
• Understand medications for treating the eye and ear; cancer; and mental disorders

 MACE is a registered trademark of the National Council of State Boards of Nursing, Inc. (NCSBN), which does not sponsor or endorse this product.

 

 

Product Details

ISBN-13:	9780133034615
Publisher:	Pearson Education
Publication date:	01/22/2013
Sold by:	Barnes & Noble
Format:	eBook
Pages:	416
Sales rank:	480,647
File size:	28 MB
Note:	This product may take a few minutes to download.

About the Author

Linda Whitenton is the co-author of the popular CNA Exam Cram (2009). Her 42-year nursing career began in 1967 as a Nursing Assistant in Paducah, Kentucky. Following her graduation from Murray State University’s BSN program in 1970, she practiced in mental health, pediatrics, and medical-surgical nursing. Teaching Nursing Assistants, emergency medical technicians, and unit secretaries in her role as a hospital in-service education director in the early 1970s in a Mississippi hospital cemented her love for teaching. She accepted her first teaching position at Northeast Mississippi Community College in 1975. While at NEMCC, she taught fundamentals, medical-surgical nursing, management, and psychiatric nursing and served as assistant director and director of the program for seven years. In 1977, Linda earned her Master’s of Science degree in nursing at the Mississippi University for Women, which also afforded her the Family Nurse Clinician credential. In 1987, she relocated to Florida and accepted a position as associate director of nursing for the associate degree nursing program at St. Petersburg College in St. Petersburg. While at SPC, she designed curriculum for more than 1,000 employees of the Pinellas County EMS, taught LPN transitional students at night, and practiced part-time at the Bayfront Medical Center Trauma Center. During her 28 years of teaching, Linda continued to practice in emergency nursing, urological nursing, and as a nurse clinician. Linda also earned 30 hours of post-Master’s work in anthropology and educational psychology. In 2004, she returned to clinical practice as the director of nursing/vice president for a Mississippi community hospital. While there, she received a national award for outstanding nursing leadership. She returned to Florida in 2000 to design and direct a new AD nursing program for Northwest Florida State College, formerly Okaloosa-Walton College, the first of five health programs now in place at the college. Linda served as associate dean of health technology, adding administrative oversight for the health programs she launched during her nine-year tenure at NWFSC. In 2008, Linda retired from full-time tenure at the college, receiving the honor of emeritus associate dean and director of nursing. Linda currently serves as adjunct instructor at NWFSC, teaching medical terminology to health career majors. She is a Certified Nurse Educator, CNE, and a member of Sigma Theta Tau International Nursing Society.

 

Marty Walker has practiced nursing for the past 30 years at the vocational nursing level as a registered nurse, and at the Master’s level. Marty began her nursing career as a licensed practical nurse, receiving her vocational education certificate from Atlantic Vocational School in Pompano Beach, Florida, in 1979. In 1982, she earned an Associate degree in nursing from Broward Community College in Davie, Florida. She worked for more than 10 years as a staff nurse in telemetry, critical care, and emergency nursing before completing a Bachelor of Science degree in nursing from Florida International University in Miami, Florida. In 1995, she began teaching medical-surgical nursing at Ivy Tech State College in Sellersburg, Indiana. 00_9780789749604_fm.qxd 1/1/13 10:54 PM Page xiii After relocating to Miami, Marty accepted a position as Nurse Clinical Educator for three cardiac units at Jackson Memorial Hospital. She attained a Master’s in Nursing Science in Nursing Education from Barry University in Miami Shores, Florida, in 2003. Marty’s love of teaching led her to Mercy Hospital’s School of Practical Nursing and to adjunct teaching positions at Florida International University and Barry University. While in Miami, Marty added pediatrics to her teaching expertise. She taught medical-surgical nursing for a short time at Pensacola Junior College in Pensacola, Florida, before accepting a full-time associate professor position at Northwest Florida State College, where she currently teaches in the RN-BSN program and in the Associate Degree Nursing Program. Marty’s expertise also includes test construction. She has led the faculty at NWF State College in improving the success rates of students enrolled in the program as well as their success on the NCLEX-RN. Marty’s versatility extends to her clinical practice, as she has recently completed the Family Nurse Practitioner certificate program at the University of South Alabama in Mobile, Alabama. Marty volunteers as a clinic nurse and as the director of nursing services for the Crossroads Medical Center Clinic in Valparaiso, Florida.

Table of Contents

Introduction . . . . . 1

    Notes. . . . . 1

    NCSBN: Test Plan / Content Outline . . . 1

    Sample Questions . . . . 3

    Correct Answers . . . . 4

    Sample Notes from VA: Pretest Items . . . 4

    Sample Examination . . . . 5

        Examination Content Outline and Reference Material . . 5

        Content Outline. . . . 5

    Applying for Registration and Examination . . . 9

    Exam Cost . . . . 10

    How to Use This Book . . . . 10

        Contact the Authors . . . 11

Part I: Orientation and Basic Concepts

Chapter 1: What You Need to Know to Prepare for the Medication Aide Certification Examination (MACE) . . . . 13

    Testing Strategies . . . . 14

        Answering the Questions . . . 14

        Self-Assessment . . . . 16

    Exam-Prep Questions. . . . 17

    Rationales . . . . 27

Part II: Authorized Duties

Chapter 2: The Roles and Responsibilities of the Medication Aide . . 31

    Your Roles and Responsibilities. . . 32

        Roles and Responsibilities of Other Nursing Team Members . 33

        The Role of UAPs. . . . 33

        Exclusions to the MA-C Role (Legal Limitations) . . 35

    Accepting Delegated Duties . . . 35

    Medication Administration Policies . . . 36

        Medical Error Prevention . . . 37

    Effective Communication Regarding Medication Administration. . 37

        Verbal Communication. . . 38

        Written Communication . . . 39

    Specific Ethical and Legal Issues. . . 41

        Residents’ Rights . . . . 42

        Ethics. . . . 45

    Exam-Prep Questions. . . . 47

    Rationales . . . . 49

Part III: Medication Administration, Observation, and Reporting

Chapter 3: Pharmacology Review . . . . 51

    Drug Classifications and Drug Names. . . 52

    Drug Actions and Implications . . . 53

        Drug Metabolism . . . . 54

        Factors Influencing Drug Effectiveness . . . 54

        Drug Interactions . . . . 55

        Drug Side Effects . . . . 55

    Selected Drug Information Sources . . . 57

    Exam-Prep Questions. . . . 58

    Rationales . . . . 60

Chapter 4: Drug Orders, Forms, Measurements, and Handling . . . 61

    Drug Orders. . . . 62

    Common Medical Terminology, Dosages, and Abbreviations . . 63

    Drug Labels . . . . 65

    Drug Packaging . . . . 66

    Drug Storage and Disposal . . . . 66

    Drug Measurements . . . . 67

    Drug Forms . . . . 68

        Solids and Semisolids . . . . 68

        Liquids and Semiliquids . . . 69

    Routes of Drug Administration. . . 70

    Exam-Prep Questions. . . . 73

    Rationales . . . . 75

Part IV: Administering Medications

Chapter 5: Administering Medication Safely. . . . 77

    Introduction . . . . 78

        Set Up for Medication Administration. . . 78

        Safety Checks When Administering Medications. . 82

        The Six Rights of Medication Administration . . 83

        Causes and Reporting of Medication Errors . . 87

    Exam-Prep Questions. . . . 89

    Rationales . . . . 91

Chapter 6: Medication Administration Procedures and Techniques . . 93

    Pre-Administration Procedures. . . 94

        Identifying Client . . . . 94

        Hand Washing . . . . 94

        Gloving . . . . 95

        Explaining the Medication Procedure . . . 95

        Positioning the Client . . . 95

    Giving Medications Through Various Routes . . . 96

        Oral . . . . 96

        Nasal Instillation . . . . 101

        Inhalation . . . . 102

        Opthalmic/Ocular (Eye) . . . 102

        Otic (Ear) . . . . 104

        Topical. . . . 104

        Vaginal. . . . 106

        Rectal. . . . 107

    Special Medication Administration Techniques . . 108

        Aged Clients. . . . 108

        Clients with Physical Limitations . . . 109

        Clients Refusing to Take Medications . . . 110

        Noncommunicative Clients . . . 111

    Post-Administration Procedures . . . 112

        Client Comfort . . . . 112

        Client Environment . . . . 112

        Right Documentation . . . 113

    Exam-Prep Questions. . . . 114

    Rationales . . . . 116

Part V: Medication Effects on Body Systems: Implications for Care

Chapter 7: Medications Affecting the Cardiovascular System . . . 117

    Cardiovascular Structure and Function . . . 119

    Introduction to Cardiovascular Disorders . . . 122

        Drugs Used to Treat Hyperlipidemia. . . 123

        Drugs Used to Treat Hypertension . . . 124

        Drugs Used for Angina. . . 128

        Drugs Used for Arrhythmias . . . 131

        Drugs Used for Congestive Heart Failure. . 133

        Other Cardiovascular Medications . . . 134

    Exam-Prep Questions. . . . 139

    Rationales . . . . 141

Chapter 8: Medications Affecting the Respiratory System. . . 143

    Structure and Function of the Respiratory System . . 144

        The Upper Respiratory Tract . . . 150

        Lower Respiratory Tract . . . 152

    Exam-Prep Questions. . . . 155

    Rationales . . . . 156

Chapter 9: Medications Affecting the Digestive System . . . 157

    Structure and Function of the Digestive System . . 158

    Disorders of the Gastrointestinal Tract . . . 158

        Antacids . . . . 160

        Histamine-2 Antagonists . . . 161

        Prostaglandins . . . . 163

        Proton Pump Inhibitors . . . 163

        MACE Exam Cram: Medication Aide Certification Exam

        Antispasmodics. . . . 165

        Antiemetics. . . . 166

        Antidiarrheals. . . . 167

        Laxatives . . . . 168

    Exam-Prep Questions. . . . 171

    Rationales . . . . 173

Chapter 10: Antibiotics and Other Anti-Infective Agents . . . 175

    The Infection Process. . . . 176

        Common Infections . . . . 180

    Antibiotics and Other Anti-Infective Agents. . . 183

    Exam-Prep Questions. . . . 190

    Rationales . . . . 192

Chapter 11: Medications Affecting the Urinary System . . . 193

    Urinary Structure and Function . . . 194

    Disorders of the Urinary System . . . 195

        Urinary Tract Infections. . . 195

        Dysuria . . . . 201

        Overactive Bladder (OAB) . . . 202

        Urinary Retention . . . . 203

    Exam-Prep Questions. . . . 205

    Rationales . . . . 207

Chapter 12: Medications Affecting the Musculoskeletal System. . . 209

    Structure and Function of the Musculoskeletal System. . 210

    Disorders of the Musculoskeletal System . . . 213

        Muscle Spasms . . . . 213

        Muscle Spasticity . . . . 213

        Osteoporosis. . . . 215

        Gout . . . . 215

    Exam-Prep Questions. . . . 220

    Rationales . . . . 222

Chapter 13: Medications Affecting the Central Nervous System . . . 223

    Structure and Function of the Nervous System . . 224

        The Central Nervous System . . . 224

        The Peripheral Nervous System . . . 225

    Drugs That Affect the Autonomic Nervous System . . 226

        Adrenergic Agents . . . . 227

        Alpha- and Beta-Adrenergic Blocking Agents. . 228

        Cholinergic Agents . . . . 230

        Anticholinergic Agents . . . 231

        Sedative-Hypnotic Drugs. . . 232

        Benzodiazepines . . . . 233

        Non-Barbiturate, Non-Benzodiazepine Sedative-Hypnotic Agents . 234

        Analgesics . . . . 235

        Drugs Used for Alzheimer’s Disease. . . 244

        Drugs Used for Parkinson’s Disease . . . 245

    Exam-Prep Questions . . . . 248

    Rationales . . . . 250

Chapter 14: Medications Affecting the Endocrine System . . . 251

    Structure and Function of the Endocrine System . . 252

        Medications Used to Treat Endocrine Disorders . . 252

    Exam-Prep Questions. . . . 259

    Rationales . . . . 261

Chapter 15: Medications for the Eye and Ear . . . . 263

    The Eye . . . . 264

        Structure and Function of the Eye . . . 264

        Disorders of the Eye . . . . 265

    The Ear. . . . . 268

        Structure and Function. . . 268

        Disorders of the Ear . . . . 269

    Exam-Prep Questions. . . . 271

    Rationales . . . . 273

Chapter 16: Medications Used in the Treatment of Cancer . . . 275

    Introduction to Cancer. . . . 276

        Drug Therapy for Cancer . . . 278

        Antineoplastic Antibiotics. . . 282

    Exam-Prep Questions. . . . 284

    Rationale. . . . 286

Chapter 17: Medications Used to Treat Mental Health Disorders . . . 287

    The Nervous System and Emotions. . . 288

        Common Mental Health Disorders . . . 288

    Exam-Prep Questions. . . . 297

    Rationales . . . . 299

Part VI: Practice Exams

Practice Exam I . . . . 301

Practice Exam I Rationales . . . . 311

Practice Exam II . . . . 317

Practice Exam II Rationales. . . . 327

Part VII: Appendixes

Appendix A: Medication Administration Skills Performance Checklist . . 333

Appendix B: Arithmetic Review: Weights and Measures . . . 337

Appendix C: Herbals, Vitamins, and Minerals. . . . 341

Appendix D: To Err is Human: Building a Safer Health System . . . 343

Glossary. . . . . 351

TOC, 9780789749604, 1/2/13