MACE: Certification Exam

1 MACE: medication AideCertification ExamLinda WhitentonMarty WalkerMACE Exam Cram: medication Aide Certification ExamCopyright 2013 by Pearson Education, rights reserved. No part of this book shall be reproduced, stored in a retrieval system, or trans-mitted by any means, electronic, mechanical, photocopying, recording, or otherwise, without writ-ten permission from the publisher. No patent liability is assumed with respect to the use of theinformation contained herein. Although every precaution has been taken in the preparation of thisbook, the publisher and author assume no responsibility for errors or omissions. Nor is any liabilityassumed for damages resulting from the use of the information contained : 978-0-7897-4960-4 ISBN-10: 0-7897-4960-2 Library of Congress Cataloging-in-Publication Data is on in the United States of AmericaFirst Printing: January 2013 TrademarksAll terms mentioned in this book that are known to be trademarks or service marks have beenappropriately capitalized.

2 Pearson IT Certification cannot attest to the accuracy of this of a term in this book should not be regarded as affecting the validity of any trademark or service and DisclaimerEvery effort has been made to make this book as complete and as accurate as possible, but no war-ranty or fitness is implied. The information provided is on an as is basis. The authors and thepublisher shall have neither liability nor responsibility to any person or entity with respect to anyloss or damages arising from the information contained in this book or from the use of the CD orprograms accompanying SalesPearson IT Certification offers excellent discounts on this book when ordered in quantity for bulkpurchases or special sales. For more information, please Corporate and Government sales outside of the , please contactInternational PublisherDave DusthimerAcquisitions EditorBetsy BrownDevelopment EditorEleanor C.

3 BruManaging EditorSandra SchroederProject EditorMandie FrankCopy EditorKeith ClineIndexerKen JohnsonProofreaderSarah KearnsTechnical EditorsSteve PicrayPat ReinhartPublishing CoordinatorVanessa EvansMedia ProducerTony PalleschiBook DesignerAlan ClementsCompositorTrina WurstContents at a GlanceIntroduction1 Part I: Orientation and Basic ConceptsCHAPTER 1:What You Need to Know to Prepare for the medication Aide Certification Examination (MACE)13 Part II: Authorized DutiesCHAPTER 2:The Roles and Responsibilities of the medication Aide31 Part III: medication Administration, Observation, and ReportingCHAPTER 3:Pharmacology Review51 chapter 4:Drug Orders, Forms, Measurements, and Handling61 Part IV: Administering MedicationsCHAPTER 5:Administering medication Safely77 chapter 6: medication Administration Procedures and Techniques 93 Part V: medication Effects on Body Systems: Implications for CareCHAPTER 7:Medications Affecting the Cardiovascular System117 chapter 8:Medications Affecting the Respiratory System143 chapter 9:Medications Affecting the Digestive System157 chapter 10:Antibiotics and Other Anti-Infective Agents175 chapter 11:Medications Affecting the Urinary System193 chapter 12:Medications Affecting the Musculoskeletal System209 chapter 13:Medications Affecting the Central Nervous System223 chapter 14:Medications Affecting the Endocrine System251 chapter 15:Medications for the Eye and Ear263 chapter 16:Medications Used in the Treatment of Cancer275 chapter 17:Medications Used to Treat Mental Health Disorders287 Part VI.

4 Practice ExamsPractice Exam I301 Practice Exam I Rationales311 Practice Exam II317 Practice Exam II Rationales327 Part VII: AppendixesAPPENDIX A: medication Administration Skills Performance Checklist333 APPENDIX B:Arithmetic Review: Weights and Measures337 APPENDIX C:Herbals, Vitamins, and Minerals341 APPENDIX D:To Err is Human: Building a Safer Health System343 Glossary351 Index375 Table of ContentsIntroduction..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 ConceptsChapter 1:What You Need to Know to Prepare for the medication Aide Certification Examination (MACE).

5 13 Testing Strategies..14 Answering the Questions..14 Self-Assessment..16 Exam-Prep Questions..17 Rationales..27 Part II: Authorized DutiesChapter 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 Administration Error Communication Regarding medication Ethical and Legal III: medication Administration, Observation, and ReportingChapter 3:Pharmacology Classifications and Drug Actions and Influencing Drug Side Drug Information 4:Drug Orders, Forms, Measurements, and Medical Terminology, Dosages, and Storage and and and of Drug IV: Administering MedicationsChapter 5:Administering medication Up for medication Checks When Administering Six Rights of medication and Reporting of medication 6: medication Administration Procedures and Techniques.

6 93 Pre-Administration the medication Procedure ..95 Positioning the Client ..95 Giving Medications Through Various ..96 Nasal (Eye) ..102 Otic (Ear).. medication Administration with Physical Refusing to Take V: medication Effects on Body Systems: Implications for CareChapter 7:Medications Affecting the Cardiovascular Structure and to Cardiovascular Used to Treat Used to Treat Used for Used for Used for Congestive Heart Cardiovascular 8:Medications Affecting the Respiratory and Function of the Respiratory Upper Respiratory Respiratory 9:Medications Affecting the Digestive and Function of the Digestive of the Gastrointestinal ..160 Histamine-2 ..163 Proton Pump Exam Cram: medication Aide Certification 10:Antibiotics and Other Anti-Infective Infection and Other Anti-Infective 11:Medications Affecting the Urinary Structure and of the Urinary Tract Bladder (OAB).

7 202 Urinary 12:Medications Affecting the Musculoskeletal and Function of the Musculoskeletal of the Musculoskeletal Spasticity .. 13:Medications Affecting the Central Nervous and Function of the Nervous Central Nervous Peripheral Nervous That Affect the Autonomic Nervous and Beta-Adrenergic Blocking Agents ..231 Sedative-Hypnotic ..233 Non-Barbiturate, Non-Benzodiazepine Sedative-Hypnotic ..235 Drugs Used for Alzheimer s Used for Parkinson s Questions .. 14:Medications Affecting the Endocrine and Function of the Endocrine Used to Treat Endocrine 15:Medications for the Eye and and Function of the of the and of the Exam Cram: medication Aide Certification ExamContentsxiChapter 16:Medications Used in the Treatment of to Therapy for 17:Medications Used to Treat Mental Health Nervous System and Mental Health VI: Practice ExamsPractice Exam Exam I at a Exam Exam II at a VII: AppendixesAppendix A: medication Administration Skills Performance Oral B:Arithmetic Review: Weights and Common Fractions to Decimal in the Metric Decimals by on C:Herbals, Vitamins, and and D:To Err is Human: Building a Safer Health Exam Cram.

8 medication Aide Certification ExamAbout the AuthorsLinda Whitentonis the co-author of the popular CNA Exam Cram(2009). Her 42-year nursingcareer began in 1967 as a Nursing Assistant in Paducah, Kentucky. Following her graduationfrom Murray State University s BSN program in 1970, she practiced in mental health, pedi-atrics, and medical-surgical nursing. Teaching Nursing Assistants, emergency medical techni-cians, and unit secretaries in her role as a hospital in-service education director in the early1970s in a Mississippi hospital cemented her love for teaching. She accepted her first teachingposition at Northeast Mississippi Community College in 1975. While at NEMCC, she taughtfundamentals, medical-surgical nursing, management, and psychiatric nursing and served asassistant director and director of the program for seven years.

9 In 1977, Linda earned herMaster s of Science degree in nursing at the Mississippi University for Women, which alsoafforded her the Family Nurse Clinician credential. In 1987, she relocated to Florida andaccepted a position as associate director of nursing for the associate degree nursing programat St. Petersburg College in St. Petersburg. While at SPC, she designed curriculum for morethan 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 yearsof teaching, Linda continued to practice in emergency nursing, urological nursing, and as anurse clinician. Linda also earned 30 hours of post-Master s work in anthropology and educa-tional psychology. In 2004, she returned to clinical practice as the director of nursing/vicepresident for a Mississippi community hospital.

10 While there, she received a national award foroutstanding nursing leadership. She returned to Florida in 2000 to design and direct a new ADnursing 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 ofhealth technology, adding administrative oversight for the health programs she launched dur-ing her nine-year tenure at NWFSC. In 2008, Linda retired from full-time tenure at the col-lege, receiving the honor of emeritus associate dean and director of nursing. Linda currentlyserves as adjunct instructor at NWFSC, teaching medical terminology to health career is a Certified Nurse Educator, CNE, and a member of Sigma Theta Tau InternationalNursing Walkerhas practiced nursing for the past 30 years at the vocational nursing level as a reg-istered nurse, and at the Master s level.