TX LCPAA Exam Study Set 1 UPDATED EXAM
QUESTIONS And CORRECT Answers
What records must caregivers maintain for each child receiving medication? - CORRECT
ANSWERS a) Caregivers must maintain a cumulative medication record of all [Medium-
High]: (1) Prescription medication dispensed to each child; and (2) Nonprescription medications
and supplements that are dispensed to a child under five years old. (b) The cumulative
medication record must be updated within 24 hours of administering medication. [Medium]
Where must a child's medication records be maintained? - CORRECT ANSWERS The foster
parents must maintain at the foster home the child's medication records for the current month.
[Medium-Low] (b) Foster parents must submit copies of the child's medication records to you
each month. You must file these medication records in the child's record. [Medium-Low] (c) You
must maintain copies of all the child's medication records for the length of time that you
provide services to the child.
What must a caregiver do if the caregiver finds a medication error? - CORRECT ANSWERS )
If a caregiver finds a medication error regarding a prescribed medication, the caregiver must
contact a health-care professional immediately, unlessA child receives medication at the wrong
time; or (5) A medication dose is skipped or missed.
A caregiver must document the following within 24 hours....
What must a caregiver do if the caregiver finds a medication label error? - CORRECT
ANSWERS (1) Report the error to the pharmacist [Medium]; and (2) Have the label on the
medication container corrected as soon as possible but no later than the next business day
What must caregivers do if a child has an adverse reaction to a medication? - CORRECT
ANSWERS Immediately report the reaction to a health-care professional and the child's
parent, Document in the child's medical record
,What must a caregiver do if a child experiences side effects from any medications? - CORRECT
ANSWERS Document the observed and reported side effects [Medium-High]; (2)
Immediately report any serious side effects to the child's prescribing health care professional
and the child's parent [Medium-High]; and (3) Report any other side effect to the prescribing
health-care professional within 72 hours.
What are the requirements if a physician orders administration of a psychotropic medication to
a child in an emergency and when must you notify the parents? - CORRECT ANSWERS ) If
a physician has made a determination that there is an emergencyand the emergency requires
the administration of a psychotropic medication, then you must follow the physician's orders
and do not have to obtain consent prior to the administration of the medication.) Within 72
hours after you have administered the medication, you must notify the parent and the person
legally authorized to give medical consent.The physician's statement regarding the emergency
and the prescription must be documented in the child's record
If my agency employs or contracts with a health-care professional who prescribes psychotropic
medications to a child in care, what are the requirements for evaluating whether a child should
continue taking a psychotropic medication? - CORRECT ANSWERS ) If the health-care
professional does not substantiate the effectiveness of a specific psychotropic medication within
90 days, the health-care professional must provide a written rationale for continuing the
medication for an additional period. The continuation of the medication may not exceed an
additional 90 days (for a total of 180 days) if the health-care professional does not substantiate
effectiveness
What is a protective device? - CORRECT ANSWERS Protects a person from involuntary self-
injurious behavior or permits wounds to heal; and (2) Does not prohibit a person's
mobility.Examples of a protective device are helmets, elbow guards, mittens, and wheelchair
seat belts.
May I use protective devices? - CORRECT ANSWERS You may use protective devices if a
licensed physician orders their use for a specific child. The orders must indicate the
circumstances under which the protective device is permitted.You must document the use of
protective devices in the child's record, service plan, and service plan reviews.
, Can a physician provide PRN orders with respect to protective devices? - CORRECT
ANSWERS A licensed physician ordering protective devices may use PRN orders. The
physician must review PRN orders for protective devices at least every 90 days
What is a supportive device? - CORRECT ANSWERS ) A supportive device used: (1) To
support a person's posture; (2) To assist a person who cannot obtain and/or maintain normal
physical functioning to improve his mobility and independent functioning; or (3) As an adjunct
to proper care and treatment, for example physical therapy. (b) The purpose of a supportive
device is not to restrict movement.
May I use supportive devices? - CORRECT ANSWERS You may use supportive devices if a
licensed physician orders their use for a specific child. The orders must indicate the
circumstances under which the supportive device is permitted. [High] (b) You may not use a
supportive device as a substitute for appropriate nursing care. [High] (c) You may not use
supportive devices that include tying or depriving or limiting the use of a child's hands or feet.
Who may use PRN orders with respect to supportive devices? - CORRECT ANSWERS A
licensed physician ordering supportive devices may use PRN orders. The physician must review
PRN orders for supportive devices at least every 90 days.
Can infant's caregiver leave the infant unsupervised? - CORRECT ANSWERS ) A sleeping
infant is considered supervised if the caregiver is within eyesight or hearing range of the infant
and can intervene as needed, or if the caregiver uses a video camera or audio monitoring device
to monitor the infant and is close enough to the infant to intervene as needed; and (2) An
awake infant is considered supervised if the caregiver is within eyesight of the infant and is close
enough to the infant to intervene as needed. For short periods of time in the course of routine
household activities, the infant may be out of the caregiver's eyesight, as long as the: (A) Infant
is within hearing range; (B) Infant's environment is free of any safety hazards; and (C) Caregiver
is able to intervene immediately, as needed.
QUESTIONS And CORRECT Answers
What records must caregivers maintain for each child receiving medication? - CORRECT
ANSWERS a) Caregivers must maintain a cumulative medication record of all [Medium-
High]: (1) Prescription medication dispensed to each child; and (2) Nonprescription medications
and supplements that are dispensed to a child under five years old. (b) The cumulative
medication record must be updated within 24 hours of administering medication. [Medium]
Where must a child's medication records be maintained? - CORRECT ANSWERS The foster
parents must maintain at the foster home the child's medication records for the current month.
[Medium-Low] (b) Foster parents must submit copies of the child's medication records to you
each month. You must file these medication records in the child's record. [Medium-Low] (c) You
must maintain copies of all the child's medication records for the length of time that you
provide services to the child.
What must a caregiver do if the caregiver finds a medication error? - CORRECT ANSWERS )
If a caregiver finds a medication error regarding a prescribed medication, the caregiver must
contact a health-care professional immediately, unlessA child receives medication at the wrong
time; or (5) A medication dose is skipped or missed.
A caregiver must document the following within 24 hours....
What must a caregiver do if the caregiver finds a medication label error? - CORRECT
ANSWERS (1) Report the error to the pharmacist [Medium]; and (2) Have the label on the
medication container corrected as soon as possible but no later than the next business day
What must caregivers do if a child has an adverse reaction to a medication? - CORRECT
ANSWERS Immediately report the reaction to a health-care professional and the child's
parent, Document in the child's medical record
,What must a caregiver do if a child experiences side effects from any medications? - CORRECT
ANSWERS Document the observed and reported side effects [Medium-High]; (2)
Immediately report any serious side effects to the child's prescribing health care professional
and the child's parent [Medium-High]; and (3) Report any other side effect to the prescribing
health-care professional within 72 hours.
What are the requirements if a physician orders administration of a psychotropic medication to
a child in an emergency and when must you notify the parents? - CORRECT ANSWERS ) If
a physician has made a determination that there is an emergencyand the emergency requires
the administration of a psychotropic medication, then you must follow the physician's orders
and do not have to obtain consent prior to the administration of the medication.) Within 72
hours after you have administered the medication, you must notify the parent and the person
legally authorized to give medical consent.The physician's statement regarding the emergency
and the prescription must be documented in the child's record
If my agency employs or contracts with a health-care professional who prescribes psychotropic
medications to a child in care, what are the requirements for evaluating whether a child should
continue taking a psychotropic medication? - CORRECT ANSWERS ) If the health-care
professional does not substantiate the effectiveness of a specific psychotropic medication within
90 days, the health-care professional must provide a written rationale for continuing the
medication for an additional period. The continuation of the medication may not exceed an
additional 90 days (for a total of 180 days) if the health-care professional does not substantiate
effectiveness
What is a protective device? - CORRECT ANSWERS Protects a person from involuntary self-
injurious behavior or permits wounds to heal; and (2) Does not prohibit a person's
mobility.Examples of a protective device are helmets, elbow guards, mittens, and wheelchair
seat belts.
May I use protective devices? - CORRECT ANSWERS You may use protective devices if a
licensed physician orders their use for a specific child. The orders must indicate the
circumstances under which the protective device is permitted.You must document the use of
protective devices in the child's record, service plan, and service plan reviews.
, Can a physician provide PRN orders with respect to protective devices? - CORRECT
ANSWERS A licensed physician ordering protective devices may use PRN orders. The
physician must review PRN orders for protective devices at least every 90 days
What is a supportive device? - CORRECT ANSWERS ) A supportive device used: (1) To
support a person's posture; (2) To assist a person who cannot obtain and/or maintain normal
physical functioning to improve his mobility and independent functioning; or (3) As an adjunct
to proper care and treatment, for example physical therapy. (b) The purpose of a supportive
device is not to restrict movement.
May I use supportive devices? - CORRECT ANSWERS You may use supportive devices if a
licensed physician orders their use for a specific child. The orders must indicate the
circumstances under which the supportive device is permitted. [High] (b) You may not use a
supportive device as a substitute for appropriate nursing care. [High] (c) You may not use
supportive devices that include tying or depriving or limiting the use of a child's hands or feet.
Who may use PRN orders with respect to supportive devices? - CORRECT ANSWERS A
licensed physician ordering supportive devices may use PRN orders. The physician must review
PRN orders for supportive devices at least every 90 days.
Can infant's caregiver leave the infant unsupervised? - CORRECT ANSWERS ) A sleeping
infant is considered supervised if the caregiver is within eyesight or hearing range of the infant
and can intervene as needed, or if the caregiver uses a video camera or audio monitoring device
to monitor the infant and is close enough to the infant to intervene as needed; and (2) An
awake infant is considered supervised if the caregiver is within eyesight of the infant and is close
enough to the infant to intervene as needed. For short periods of time in the course of routine
household activities, the infant may be out of the caregiver's eyesight, as long as the: (A) Infant
is within hearing range; (B) Infant's environment is free of any safety hazards; and (C) Caregiver
is able to intervene immediately, as needed.
