Medication Management – Quiz A – Academy On-Demand Training

A resident may store and consume her/his own medications if:

The resident does not have a diagnosis of dementia
The family signs a statement which is maintained in the resident’s chart
Never
There is written physician approval

When is it permissible to leave a medication cup with a resident and walk away?

If the resident agrees to take the medication within a half an hour.
If the resident’s family is present.
If the resident has a private room.
It is never OK to leave a medication cup with a resident

Leave the room and clam yourself before taking any action
Wait to see the response before notifying supervisor
Make sure the physician is contacted and orders are followed
Keep the error from the resident so he doesn’t become upset

.The medication label and the MAR are compared:

When removing the medication from the storage area.
When pouring the medication.
When returning the medication to the storage area.
All of the above.

You have two (2) residents who both take Coumadin 2 mg. One resident has run out of the medication. When is it permissible to borrow a Coumadin from another resident, if you return it once the refill comes in?

Never
Anytime as long you return it once the refill comes in
When pharmacy is not available
If the physician allows it

Which of the following reduces risk of a medication error?

Transcribing information incorrectly onto the MAR
Checking the medication label with the MAR
Relying on your expertise and experience in remembering the medications your resident takes
Borrowing medications from a resident to give to another resident

Med Aide roles and responsibilities does NOT include:

Med Aides are only responsible for giving medications
Med aides are responsible for managing medications and assisting the resident to self-administer medications
Med Aides are responsible for ensuring medication are stored safely
Med Aides are responsible for monitoring the resident response to a medication

When assisting with medications, the main reason you do not leave a medication unattended is because:

It could cause the resident to become agitate
The resident may not take the medication.
Medications are expensive.
The medication could get dirty

Your resident, Mrs. Jones is taking
hydrochlorothiazide 25 mg. This is an important
medication for the treatment of her blood pressure.
You ran out of this medication because the family
did not drop off the prescription yesterday. You do
not have any to give this morning. You should:

Notify the resident’s physician.
Call the son and tell him he is not taking proper care of his mom’s refills
Give her an extra dose of her other blood pressure medication
Borrow a dose from another resident who takes the same medication

Which of the following is NOT an example of an adverse reaction:

Fatigue
Hunger
Confusion
Dizziness

When giving a sublingual medication it is important to:

Crush it in applesauce before giving.
Ask the resident to place it in their cheek.
Ask the resident to place it under their tongue.
Make sure the resident swallows it with plenty of water13.

It is best to use what type of pen when writing on the MAR.
Permanent marker

Red pen
Black pen
Felt-tip mark
Any type

If a resident refuses his medication, it is best to:

Gently force the resident’s mouth open using a gloved hand.
Don’t bother to give the medication, as it will only upset him more.
Try to determine the reason the resident does not want to take the medication.
Ask the family why they think the resident does not what to take the medication.

When preparing to administer medications:

Only pour one resident’s medication at a time.
Check the five rights three times.
Verify the label with the MAR three times.
All of the above.

Mr. Fritz’ new order reads: “Atenolol 25 mg by
mouth every morning.” You have on hand his
original Atenolol which is 12.5 mg. How many
tablets will you give to match his new order?

2 tablets.
One half tablet.
3 tablets.
1 tablet.

A PRN medication is given to the resident:

As needed, according to physician orders.
Every morning and evening.
Every other day.
Whenever the resident wants it.

Which statement is true about allergies

Symptoms of an allergic reaction should be reported the state
A resident may develop an allergic reaction to a medication, even though he took it successfully in the past
Allergic reactions are not life threatening
A resident who is allergic to something should be monitored closely at all times

A routine medication is given:

As requested by the resident.
On a regularly scheduled basis.
Only by a registered nurse.
Without worrying about proper technique.

When giving eye drops:

Hold the medication dropper 8-10 inches above the eye.
Hold the dropper above the conjunctival sac.
Gently rest the dropper on the eye, so no medication is missed.
Hold the dropper above the upper eye lid

The abbreviation for teaspoon is:

TBS
gm
tsp
ml

It is important to wear gloves when assisting
with topical medications:

Because it reassures residents that it is a clean procedure.
Because you could absorb the medication you are handling if it touches your skin.
Because gloves are worn at all times when working with medications.
Because topical medication administration is a sterile procedure.

Which of the following may be an example of an adverse drug reaction?

Fatigue
Confusion
Dizziness
All of the above

When may an expired medication may be given?

If it is expired less than 7 days.
If it is an over the counter medication.
If the resident says it is okay.
An expired medication may never be given.

The five (5) rights of medication administration are:

The right: resident, drug, response, time and dose
The right: medication, drug, dose, time, documentation, and resident.
The right: resident, drug, dose, time, route,
The right: resident, generic name, strength, quantity, method, and technique.

The sequence for assisting with inhalers is:

Breathes in, presses inhaler, holds, and breathes out.
Breathes out, presses inhaler as he is breathing in, holds, and breathes out.
Presses inhaler, breathes in, and breathes out.
Breathes out, holds, presses inhaler, holds, and breathes in.

PRN medications may:

Never be used in an assisted living community
Only be administered by a physician
Caregivers may administer as needed per Dr orders
Only be given after a registered nurse has given the first dose

What must be included when documenting the use of a PRN medication?

The time the medication was given.
The dose of medication given.
The resident's response to the medication.
All of the above.

Before assisting a resident with a medication you must:

Have a physician order.
Conduct a service planning meeting
Perform a head to toe assessment.
Get permission from the nurse.

Caregivers are allowed to do all of the following EXCEPT

Remind the client when it is time for medication
Read the medication label for the client
Assist with medication whose label has been removed or changed
Provide snack or water to take with the medication as directed

Older adults respond differently to drugs due to changes in their body. Which of the following is NOT a change that affect the response to a drug.

Changes kidney function alters excretion of medications
Changes in liver function alters absorption
Changes in composition and body fat results in less side effects
Cardiac changes alters distribution of drugs

When a resident is going to be gone for a week with her family, it is best to:
Give all of the pres

Give all of the prescribed medications in the original container to the family with any special instructions.
Place the pills for the day carefully in envelopes and label each envelope with the name of the medication and schedule
Administer the medications when the resident returns at the end of the day.
Refuse to give any medications to the family unless you have an order from the health care prescriber.

If you have an uneasy feeling about the medications you are about to give a resident, it is best to:

Give it anyway; you are experiencing something called "new med aide jitters.”
Consult with your supervisor.
Ask the resident if the meds seem correct
Call the resident’s family.

The physician has ordered a liquid medication
for your resident. When measuring the medication
it is best to use:

A plastic medication cup with graduated measurements.
A tablespoon from the kitchen, since the resident is most familiar with this.
An eye dropper.
A measuring cup from the kitchen.

OTC is an abbreviation for:

An urgent drug order.
On the Coumadin.
Over the counter.
Out of treatment category.

If a resident refuses a medication, what should you write on the MAR?

Just initial it as you normally would in blue or black ink
Circle your initials, then explain on the back of the MAR
Leave the space blank and circle it
Have a co-worker double-sign that the resident refused

The physician has ordered a liquid medication
for your resident. When measuring the medication
it is best to use:

A plastic medication cup with graduated measurements.
A tablespoon from the kitchen, since the resident is most familiar with this.
An eye dropper
A measuring cup from the kitchen.

A resident may refuse medication:

Unless she has dementia and does not know what medications to take.
Only with permission of the family.
Anytime.
Only when the medication is PRN.

You received a stat order at 2:00 pm for an antibiotic. You should:

Fax the order immediately to the pharmacy.
Notify the next shift that there is an expected med delivery.
Call the pharmacy to be sure the order was received.
All of the above.

Orthostatic hypotension, confusion, drowsiness and nausea are all examples of:

Adverse drug reactions
Medication synergistic effects
Medication use
Benefits of taking medications

Having more than one resident’s medications out at a time for pouring:

Is not safe and must never be done
May be done as long as you are following a neat orderly system.
Helps ensure efficiency and that all meds are given on time.
Its Ok if there is another Med Aid working with yo

When a medication is discontinued it must be destroyed or returned to the pharmacy, depending upon your facility protocol. What statement best describes destruction?

One (1) staff member may complete the destruction, as long as he or she is a trained medication aide
Two (2) staff members must witness and document the destruction
Medications are expensive and if the family wants to take the medication, it is permissible, as long as you document the amount of discontinued medication the family is picking up
Destruction must be done by a physician.

You have received an order for a liquid medication, but you are not sure how much to give to equal the number of mg ordered. What should you do?

Do your very best to calculate and err on the side of giving too little rather than too much
Hold the order until tomorrow and there is appropriate supervision
Call the pharmacy and ask for assistance from a pharmacist.
Go to online and search for the answer.

An order is written for metoclopramide 10 mg
three times a day. The solution of metoclopramide
on hand is 5mg/5ml. How many milliliters per dose
should the resident receive?

5 ml
10 ml
15 ml
20 ml

The physician has ordered a liquid medication
for your resident. When measuring the medication
it is best to use:

A plastic medication cup with graduated measurements.
A tablespoon from the kitchen, since the resident is most familiar with this.
An eye dropper.
A measuring cup from the kitchen.

Injections may:

Never be used in an assisted living community
Only be administered by a physician
Can never be given by a caregiver
May be given after special training is documented by the facility

When preparing a resident’s medication, how many times should you check the label:

1 time.
3 times.
2 times.
6 times.

When may you crush medications and put them in applesauce?

When the resident requests it
When the family requests it
When the doctor orders it
You can never crush medications

Unless otherwise indicated by the health care prescriber, medications may be given:

Between one hour before to one hour after the scheduled time.
Only at the exact time and sate that is written on the MAR.
Within two (2) hours before or after the scheduled time that is written on the MAR.
Whenever you feel like giving them and how it works out in the medication administration schedule.

The physician has ordered “ibuprofen 200 mg,
give 2050 mg every night at bed time.” The tablets
you have on hand are 200 mg. What is your best
action with this order?

Carefully cut one tablet in half, and in half again using a pill cutter. Then give the quarter tablet along with 10 tablets to equal the correct dose
Ask your supervisor to cut the tablet in half and in half again, as she has more experience and then give with 10 tablets to equal the dose
Refuse to give the medication, since you cannot cut coated un-scored tablets
Contact the doctor to verify the dose as this is a high dose

Documentation is an essential part of a good medication delivery system. Documentation records does NOT include the following:

Narcotic records
PRN records
Nutrition records
Refusal/omitted doses

Medication Management – Quiz A

Medication Management – Quiz A

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