Documenting Medication Administration Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

Documenting Medication Administration Questions and Answers | Latest Version | 2025/2026 | Correct & Verified What is the main purpose of documenting medication administration? A) To check insurance B) To provide a legal, accurate record of patient care C) To track hospital supplies D) To communicate with billing When should a medication administration entry be completed? A) Before preparing the medication B) Immediately after giving the medication C) At the end of the shift D) Only if the patient asks Which information must always be included when documenting medication administration? A) Patient’s insurance number 2 B) Medication name, dose, route, time, and initials C) Patient’s family history D) Room temperature What is the correct action if a medication is given late? A) Do not document B) Only document the scheduled time C) Document the actual time and explain the reason D) Change the scheduled time Which of the following should never be used in documentation? A) Blue ink B) White-out C) Black ink D) Legible handwriting Which route abbreviation means a medication was given by mouth? A) IM 3 B) PO C) IV D) ID If a medication was refused by the patient, how is this documented? A) Remove it from the chart B) Record “refused” and notify the provider C) Pretend it was given D) Skip documentation What must you document when a PRN medication is administered? A) Only the dosage B) Reason for giving and patient’s response C) Patient’s height D) Nothing extra Which term means recording a medication was given? A) Reconciling 4 B) Charting C) Ordering D) Dispensing What should be done if a documentation error occurs? A) Erase it B) Draw a single line through and initial C) Use correction tape D) Leave it unchanged Which abbreviation means “as needed”? A) q4h B) PRN C) BID D) TID Where should medication documentation be recorded? A) Patient’s discharge summary 5 B) MAR (Medication Administration Record) C) Insurance form D) Equipment log Which part of medication documentation shows the