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Expert-Verified rationales
,Which of the following is the "Right" that ensures a medication is
given to the correct individual?
A. Right Time
B. Right Route
C. Right Person
D. Right Documentation
Answer: C. Right Person
Rationale: The "Right Person" ensures the medication is
administered to the individual for whom it was prescribed.
Verification using two identifiers (e.g., name and date of birth) is
standard practice.
A medication aide is preparing to administer a liquid medication.
Which piece of equipment is most appropriate for measuring the
dose?
A. Household teaspoon
B. Oral syringe
C. graduated cup
D. Soup spoon
Answer: B. Oral syringe
Rationale: An oral syringe provides the most accurate
measurement of liquid medication. Household spoons vary
greatly in volume and should never be used for medication
administration.
Which of the following abbreviations means "before meals"?
A. pc
B. ac
C. qhs
D. PRN
Answer: B. ac
Rationale: "ac" stands for ante cibum, which is Latin for "before
meals." "pc" means after meals, "qhs" means at bedtime, and
"PRN" means as needed.
When administering a sublingual medication, the medication aide
should place the tablet:
A. Under the tongue
B. Inside the cheek
C. On top of the tongue
,D. At the back of the throat
Answer: A. Under the tongue
Rationale: Sublingual administration involves placing the
medication under the tongue, where it dissolves and is absorbed
rapidly through the highly vascularized mucous membranes into
the systemic circulation.
A resident refuses to take their morning medication. What is the
appropriate action by the medication aide?
A. Crush the medication and hide it in their applesauce
B. Force the resident to take it for their own good
C. Document the refusal and notify the supervisor/nurse
D. Skip the dose and say nothing to avoid getting the resident in
trouble
Answer: C. Document the refusal and notify the supervisor/nurse
Rationale: Residents have the right to refuse medication. The
aide must document the refusal, the reason (if given), and notify
the supervising nurse so alternative plans can be made if
necessary. Never hide medications in food (this is illegal and
considered battery).
The abbreviation "NPO" stands for:
A. Nothing by mouth
B. New prescription order
C. Not previously ordered
D. Nighttime pill only
Answer: A. Nothing by mouth
Rationale: NPO stands for nil per os, a Latin phrase meaning
"nothing by mouth." This is often ordered before surgeries or
certain diagnostic tests.
Which of the following is an example of a topical route of
medication administration?
A. Intramuscular injection
B. Subcutaneous injection
C. Transdermal patch
D. Sublingual tablet
Answer: C. Transdermal patch
Rationale: Topical medications are applied to the skin or mucous
membranes. A transdermal patch delivers medication through
, the skin into the systemic circulation.
A medication aide realizes they gave the wrong resident a dose
of Tylenol. What is the first action they should take?
A. Wait to see if the resident has an adverse reaction
B. Tell the resident to keep it a secret
C. Immediately notify the supervising nurse
D. Document what happened in the resident's chart
Answer: C. Immediately notify the supervising nurse
Rationale: In the event of a medication error, the immediate
priority is patient safety. The aide must notify the supervising
nurse immediately so the resident can be assessed for adverse
effects. Documentation occurs after the resident is assessed and
the error is reported.
Which of the following vital signs is most important to check
before administering Digoxin?
A. Temperature
B. Respiratory rate
C. Apical pulse
D. Blood pressure
Answer: C. Apical pulse
Rationale: Digoxin is a cardiac glycoside that can cause
bradycardia (slow heart rate). The apical pulse must be checked
for a full minute before administration. If the heart rate is below
60 beats per minute, the medication should be withheld and the
nurse notified.
"PRN" medications are administered:
A. Every morning
B. At bedtime
C. On an as-needed basis
D. Before meals
Answer: C. On an as-needed basis
Rationale: PRN stands for pro re nata, meaning "as needed."
These medications are given when a resident exhibits specific
symptoms, such as pain or a fever, provided the parameters on
the prescription are met.
Where should a transdermal patch be applied?
A. Over bony prominences