MACE Medical Reactions or Conditions 5

Question 1

A resident on an opioid analgesic has a respiratory rate of 8 breaths per minute and is difficult to arouse. The medication aide should FIRST:

Accepted Answer

Call for emergency help and stay with the resident

Answer

A respiratory rate of 8 with unresponsiveness indicates opioid-induced respiratory depression, a life-threatening emergency requiring immediate help.

Question 2

Which finding in a resident taking digoxin for heart failure should prompt the medication aide to withhold the dose and report immediately?

Accepted Answer

Heart rate below 60 bpm and visual disturbances

Answer

Bradycardia (HR <60) and yellow-green visual disturbances are classic signs of digoxin toxicity, requiring the dose to be held and the nurse notified.

Question 3

A resident develops hives, itching, and a runny nose after taking a new antibiotic but has no breathing difficulty. This reaction is BEST classified as:

Accepted Answer

Mild allergic reaction that must be reported

Answer

Urticaria, pruritus, and rhinorrhea without respiratory compromise indicate a mild allergic reaction, which still requires reporting and medication review.

Question 4

Which condition results from abrupt discontinuation of long-term corticosteroid therapy?

Accepted Answer

Adrenal insufficiency (adrenal crisis)

Answer

Abrupt steroid withdrawal suppresses adrenal function, causing adrenal insufficiency with fatigue, hypotension, and electrolyte imbalances.

Question 5

A resident on an SSRI antidepressant develops easy bruising and prolonged bleeding from minor wounds. The medication aide should:

Accepted Answer

Report the findings to the nurse as a potential adverse effect on platelet function

Answer

SSRIs inhibit serotonin uptake in platelets, impairing platelet aggregation and increasing bleeding risk, which must be reported to the nurse.

MACE - Exam Prep Practice Test

MACE - Exam Prep Practice Test

MACE Medical Reactions or Conditions 5