PCHA LATEST 2026 EXAMINATION SET QUESTIONS
AND ANSWERS GRADED A+
✔✔What is the difference between labeled use and off-label use? - ✔✔Labeled use-
medications are being used for what the FDA approved it for. Ex: Tylenol being used for
pain.
Off-labeled use- medications are being used for what the FDA DID NOT approve for.
Ex: Antidepressant being used for pain.
✔✔What are 4 documentation requirements of the PCH? - ✔✔1. Documentation of
receipt of controlled
substances and prescription medications
2. A process to investigate and account for missing medications and medication errors
3. Limited access to medication storage areas (med carts)
4. Documentation of the administration of
prescription medications and OTC
medications (this does not apply to the
resident who self administers medications
and stores them in their room) (EMAR)
✔✔What are 5 elements a label should include? - ✔✔-The residents name
-The name of the medication
-The date the prescription was issued
-The dose and instructions for administration
-The name and title of the prescriber
✔✔Hw should medications of different route be stored? - ✔✔In separate areas in the
medication cart
✔✔What is the medication cycle? - ✔✔-Observation
-Report changes
-Communication w/ HC givers
-RECORD AND STORE
MEDICATION
-ADMINISTRATION AND DOCUMENTATION
-Observation
✔✔Name and describe the different precautions - ✔✔-Standard/universal precautions -
assumes that all residents are infected whether they are or not.
-Contact precautions - used for infections that are transmitted by direct resident contact
or contact with items in the resident environment. (scabies, c-diff, VRE and MRSA in a
wound, UTI's)
-Droplet precautions - used for infections that are transmitted from coughing, sneezing,
and talking or contact with the mucous membranes of the nose and mouth of an
, infected resident, 3 feet of an infected resident(influenza, MRSA and VRE in the lungs,
upper respiratory infections)
-Airborne precautions - used for infections that are transmitted by air currents and that
can be inhaled, always wearing a mask during resident care (tuberculosis, chickenpox,
measles)
-all require uses hand washing, wearing gloves, gown, mask.
✔✔Who can determine whether a pt is able to self administer medications and what is
the process. - ✔✔-Physician, NP, or PA
-Be able to recognize and distinguish the
medications needed
-Know how much medication to take
-Know when medication is to be taken
✔✔What are the 8 rights of med admin? - ✔✔-THE RIGHT RESIDENT
-THE RIGHT MEDICATION
-THE RIGHT DOSE
-THE RIGHT TIME
-THE RIGHT ROUTE
-Right client education
-Right to refuse
-Right assessment
-Right evaluation
✔✔When is the rule of 3 checks preformed? - ✔✔1. when you pull the medication
2. when you pour the medication
3. when you recap the medication
✔✔What is required to be done if a medication is refused? - ✔✔Document in the
medical record and the prescriber must be notified within 24 hours.
Education resident and kept record of refusal and education.
✔✔ADLs - ✔✔Activity of Daily Living
-eating, drinking, ambulating, transferring in and out of bed or chair, toileting,
bladder and bowel management, personal hygiene , securing
healthcare, managing health care , self
administration of medications and proper positioning in bed or chair
✔✔legal entity - ✔✔a person, society , corporation, governing authority or partnership
legally responsible for the administration and operation of a Personal Care Home
✔✔IADL - ✔✔Instrumental Activity of Daily Living- • Includes the following activities
when done on behalf of the resident:
• Laundry and using a prosthetic device
• Shopping and obtaining and keeping clean clothing
AND ANSWERS GRADED A+
✔✔What is the difference between labeled use and off-label use? - ✔✔Labeled use-
medications are being used for what the FDA approved it for. Ex: Tylenol being used for
pain.
Off-labeled use- medications are being used for what the FDA DID NOT approve for.
Ex: Antidepressant being used for pain.
✔✔What are 4 documentation requirements of the PCH? - ✔✔1. Documentation of
receipt of controlled
substances and prescription medications
2. A process to investigate and account for missing medications and medication errors
3. Limited access to medication storage areas (med carts)
4. Documentation of the administration of
prescription medications and OTC
medications (this does not apply to the
resident who self administers medications
and stores them in their room) (EMAR)
✔✔What are 5 elements a label should include? - ✔✔-The residents name
-The name of the medication
-The date the prescription was issued
-The dose and instructions for administration
-The name and title of the prescriber
✔✔Hw should medications of different route be stored? - ✔✔In separate areas in the
medication cart
✔✔What is the medication cycle? - ✔✔-Observation
-Report changes
-Communication w/ HC givers
-RECORD AND STORE
MEDICATION
-ADMINISTRATION AND DOCUMENTATION
-Observation
✔✔Name and describe the different precautions - ✔✔-Standard/universal precautions -
assumes that all residents are infected whether they are or not.
-Contact precautions - used for infections that are transmitted by direct resident contact
or contact with items in the resident environment. (scabies, c-diff, VRE and MRSA in a
wound, UTI's)
-Droplet precautions - used for infections that are transmitted from coughing, sneezing,
and talking or contact with the mucous membranes of the nose and mouth of an
, infected resident, 3 feet of an infected resident(influenza, MRSA and VRE in the lungs,
upper respiratory infections)
-Airborne precautions - used for infections that are transmitted by air currents and that
can be inhaled, always wearing a mask during resident care (tuberculosis, chickenpox,
measles)
-all require uses hand washing, wearing gloves, gown, mask.
✔✔Who can determine whether a pt is able to self administer medications and what is
the process. - ✔✔-Physician, NP, or PA
-Be able to recognize and distinguish the
medications needed
-Know how much medication to take
-Know when medication is to be taken
✔✔What are the 8 rights of med admin? - ✔✔-THE RIGHT RESIDENT
-THE RIGHT MEDICATION
-THE RIGHT DOSE
-THE RIGHT TIME
-THE RIGHT ROUTE
-Right client education
-Right to refuse
-Right assessment
-Right evaluation
✔✔When is the rule of 3 checks preformed? - ✔✔1. when you pull the medication
2. when you pour the medication
3. when you recap the medication
✔✔What is required to be done if a medication is refused? - ✔✔Document in the
medical record and the prescriber must be notified within 24 hours.
Education resident and kept record of refusal and education.
✔✔ADLs - ✔✔Activity of Daily Living
-eating, drinking, ambulating, transferring in and out of bed or chair, toileting,
bladder and bowel management, personal hygiene , securing
healthcare, managing health care , self
administration of medications and proper positioning in bed or chair
✔✔legal entity - ✔✔a person, society , corporation, governing authority or partnership
legally responsible for the administration and operation of a Personal Care Home
✔✔IADL - ✔✔Instrumental Activity of Daily Living- • Includes the following activities
when done on behalf of the resident:
• Laundry and using a prosthetic device
• Shopping and obtaining and keeping clean clothing
