NC Medication Aide (Med Tech) Exam with compete solutions

Hour of sleep or bedtime - Answer- HS or qhs Twice a day - Answer- bid or BID Subcutaneous - Answer- sq. or SQ Every other day - Answer- qod or QOD Once a day - Answer- qd or QD gram - Answer- gm milligram - Answer- mg after meals - Answer- pc OTC - Answer- over-the-counter by mouth - Answer- po q - Answer- every ac - Answer- before meals qid or QID - Answer- four times a day tsp - Answer- teaspoonful prn or PRN - Answer- as needed Tbsp - Answer- Tablespoonful tid or TID - Answer- Three times a day ml - Answer- milliliter oz - Answer- ounce MAR - Answer- Medication administration record The following are abbreviations for drug routes, EXCEPT - Answer- PD You receive an order for Nitroglycerin to be given sublingually. It would be given - Answer- Under the tongue The following are abbreviations for dosages or strengths of medications EXCEPT - Answer- PD If you are not sure of an abbreviation, it is O.K. to gues - Answer- False It is important to know the policy on approved abbreviations for your facility. - Answer- True A milliliter is the same as a milligram - Answer- False Over-the-counter drugs may be kept as floor stock or house stock in an adult care home. - Answer- True When administering medications, it is O.K. to leave a resident's medication at the bedside if the resident is present. - Answer- False You are legally responsible for any medication or treatment you administer. - Answer- True Medications should be given within one hour before or one hour after the prescribed or scheduled time of administration. - Answer- True Residents have a right to refuse medications. - Answer- True Oral medications must be stored separately from topical or external medications. - Answer- True Staff giving medications in adult care homes have to demonstrate certain skills with administering medications and be checked off or validated by a registered nurse or registered pharmacist. - Answer- True Regulations for the accountability or recordkeeping of controlled substances differ from the regulations for non-controlled medications. - Answer- True Unlicensed staff in adult care homes may administer intramuscular (IM) injections and subcutaneous (SQ) injections. - Answer- False A telephone or verbal order for medications and treatments must be signed by the person who prescribed the medications within: - Answer- 15 days from the date the order is given. Information or documentation on the MAR for PRN (as needed) medications that are administered includes: - Answer- all of the above Mr. Jones, a resident of an adult care home, is going to visit his family for the week. The proper way to prepare Mr. Jones' prescription medications to take with him would be to: - Answer- Send the medications in containers that have been filled and labeled by a pharmacist and document the medications sent on the appropriate facility form. The resident's physician or prescribing practitioner is to be contacted about the resident's medication orders: - Answer- all of the above The facility is required to maintain or keep all medication orders for a resident: - Answer- in the resident's record in the facility The following statement about non-prescription (OTC) medications is FALSE - Answer- They may be administered to a resident without a physician's order Which of the following is TRUE when prepouring or preparing medications in advance - Answer- Oral solid medications (tablets and capsules) for routine administration may be prepared within 24 hours of the prescribed time for administration You have to document on MAR when a medication is - Answer- All of the above In order for a medication to be administered you must have - Answer- a physician's order "As needed" (PRN) medications must be administered according to - Answer- The reason and frequency of administration specified in the physician's order When should medications be signed off on the MAR? - Answer- After a resident has been observed to actually take the medication You remove a resident's medications from the packages or containers and the resident refuses to take his 12PM medications, you should - Answer- Dispose of the medications in accordance with the facility's policy and procedures. When medications are stored in a refrigerator that is accessible to residents, the medications are to be: - Answer- Stored in a separate locked container in the refrigerator Three of the four statements below are requirements when residents administer their own medications. Which one is not a requirement for self-administration? - Answer- The resident has to be observed to take each dose of medication One of the best ways of identifying the correct resident is to - Answer- Use photographs of the residents Checking the medication label against the MAR three times should always - Answer- Be done with each medication administered to each resident All of the following are examples of medication errors EXCEPT one. Which one of the following is NOT a medication error? - Answer- the refusal of a medication by a resident. If you are unable to read the physician's handwriting on a prescription or health services record or the directions for a medication are incomplete, you should: - Answer- Contact your supervisor, the pharmacist or the physician When a resident has difficulty swallowing, the resident is at risk for - Answer- Aspiration When applying a topical medication, you should wear - Answer- Gloves An inhaler must be shaken - Answer- Before each ad every time you use it After the resident has received nose drops, the resident should - Answer- Lie down with head lower than shoulders for a few minutes If a resident is using the bathroom at the time you are to administer the resident's medications, it is unacceptable to - Answer- Flag the MAR to remind you to return to that resident later in the medication pass to administer the medications Which of the following statement is NOT true about allergies and medications? - Answer- Allergic reactions can include rashes, swelling, itching but are never life threatening All of the following are considered reasons for medication errors, EXCEPT - Answer- Checking the medication label with the MAR when administering medications Medication errors may - Answer- interfere with how effective the medication will be, produce bad reactions, threaten the resident's life (all of the above) Never administer medications that - Answer- are discolored OR are outdated/expired (both A and B) If you have to calculate dosages, it is best to: - Answer- ask the supervisor, nurse or the pharmacist to calculate the dosage with you How many minutes should a medication prescribed "before meals" be administered prior to eating? - Answer- 30 minutes When administering medications, the main concern with leaving medications at the bedside is that: - Answer- the resident may never take the medications and someone else may When administering medications, it is safe practice to - Answer- read the label and the MAR each time a medication is administered. When a medication cannot be administered on time - Answer- document the reason for the delay on the MAR If the resident expresses concern about a medication you are about to administe - Answer- double check the medication and dosage information The medication label and the MAR are compared - Answer- When selecting or removing the medication from the supply or storage area, Before pouring the medication, After pouring and before returning the medication to the supply or storage area (all of the above) A resident returns from a home visit and the resident's mother brings an over-thecounter medication that she purchased and asks you to administer it for cold symptoms, you should: - Answer- Explain to the mother that even over-the-counter medications require a physician's order. You are with a resident at a doctor's appointment. The physician writes an order for Amoxicillin and you know the chart is flagged "Allergic to Amoxicillin". You should: - Answer- Remind the physician of the allergy warning When new orders are received, the MAR is changed to reflect the new orders. - Answer- True A resident's allergies should be documented on the MAR and the resident's record - Answer- True A drug reference book is a helpful tool to identify or find information on medications and dosages and side effects. - Answer- True If you question a dosage, give the medication then call the pharmacy - Answer- False A medication cannot cause a resident to be confused - Answer- False A delay in administering a medication may cause a life-threatening incident - Answer- True A medication that is ordered sublingually may be chewed or swallowed - Answer- False Side effects of medications may include - Answer- Change in behavior, Rash, Change in swallowing, Change in mobility or walking (all the above) A medication arrives from the pharmacy, and there is no order for the medication on the MAR, you should: - Answer- Look in the resident's record for an order and/or notify the supervisor, nurse, or pharmacist before administering the medication. When you are administering a medication and the order on the MAR does not match the directions on the medication label, you should - Answer- Notify the supervisor, nurse or pharmacist and/or look in the resident's record for the current medication order. A resident has just returned to the facility from the hospital and the medication order on the FL-2 is "Continue previous medications". You should - Answer- Contact the resident's physician for medication orders. "Ambien 5mg po as needed for sleep": - Answer- is an incomplete order A medication order is transcribed onto the MAR: - Answer- Only after a physician's order for the medication is received by the facility When measuring liquids, which of the following statements is FALSE: - Answer- A teaspoon or tablespoon from the kitchen may be used. When administering two or more different eye drops at the same time, which of the following apply: - Answer- (all the above) Wash your hands prior to and after administration of the eyedrops. Wear gloves when there is redness, drainage or possibility of infection. Allow a 3-minute t