MAPE EXAM STUDY GUIDE
The first Six Rights: - ANSWER 1. The right medication - comparison of the
medication to the medication order is imperative. The nurse must only give
medication they have prepared and be present when it is taken.
2. The right dose - to ensure that the right dose is given, the nurse must triple check
any calculations and have another team member check the calculation.
3. The right client - the nurse must identify the client by checking the medication
order and the client's identification bracelet to ensure that the right client is
receiving the right medication.
4. The right route - the nurse must give the medication via the right route. In
preparing the medication, the triple check will identify the route to be given on the
medication order.
5. The right time - the nurse will check the medication order to ensure that the
medication is given at the right time. The prescriber will identify the times that the
medication is to be given.
6. The right Documentation- the nurse will record the client's status prior to the
medication administration as well as the medication given, the time it was given,
the dose given, and the route it was given in. Then the nurse will follow up and
record the client's response to the medication given.
The next (second) Four Rights include the following: - ANSWER 7. The right
Assessment - the nurse will assess client for specific needs prior to administration
(heart rate, blood pressure, blood glucose, pain, and agitation/anxiety).
8. The right to Education - the nurse will provide patient education concerning
medications given.
9. The right Evaluation - the nurse will evaluate for effectiveness of medication, as
well as any side or adverse effects, both objectively and per client report.
10. The right of Refusal - the nurse will listen to client concerns regarding
receiving any medications. Education as to the importance of prescribed
, medications should be provided, and physician notification must be made to alert
him/her to client request of refusal. Documentation of refusal must also be made.
The Three Checks: - ANSWER GPA:
Check 1: Gathering/Collecting medications. Verify against order/MAR.
Check 2: Preparing medications.
Check 3: Administration at the client's bedside.
Include the 5+5 rights when checking
A "trailing zero" may be used only - ANSWER Where required to demonstrate the
level of precision of the value being reported, such as for laboratory results,
imaging studies that report size of lesions, or catheter/tube sizes.
**It may not be used in medication orders or other medication-related
documentation.**
Needle gauge: larger the number, the _________ the circumference - ANSWER
smaller
Intradermal sites (ID) - ANSWER Site: Forearm (ventral) or upper back
Subcutaneous (subcut) - ANSWER Site: Abdomen, triceps, anterior thigh, posterior
hip or shoulder blade
Needle Length: 3/8- 5/8 inch
Needle Gauge: 23-27 g
(may be even smaller for insulin syringes)
Angle: 45 degrees (thin adult or child) or
90 degrees (adult)
Max volume: 1 mL
ID Injection Technique: - ANSWER Clean site vigorously within 2 inch radius in
circular motion; stretch skin with nondominant (ND) hand over site w/ thumb &
index to pull skin taut; insert needle slowly with bevel up about 1/4 inch into
The first Six Rights: - ANSWER 1. The right medication - comparison of the
medication to the medication order is imperative. The nurse must only give
medication they have prepared and be present when it is taken.
2. The right dose - to ensure that the right dose is given, the nurse must triple check
any calculations and have another team member check the calculation.
3. The right client - the nurse must identify the client by checking the medication
order and the client's identification bracelet to ensure that the right client is
receiving the right medication.
4. The right route - the nurse must give the medication via the right route. In
preparing the medication, the triple check will identify the route to be given on the
medication order.
5. The right time - the nurse will check the medication order to ensure that the
medication is given at the right time. The prescriber will identify the times that the
medication is to be given.
6. The right Documentation- the nurse will record the client's status prior to the
medication administration as well as the medication given, the time it was given,
the dose given, and the route it was given in. Then the nurse will follow up and
record the client's response to the medication given.
The next (second) Four Rights include the following: - ANSWER 7. The right
Assessment - the nurse will assess client for specific needs prior to administration
(heart rate, blood pressure, blood glucose, pain, and agitation/anxiety).
8. The right to Education - the nurse will provide patient education concerning
medications given.
9. The right Evaluation - the nurse will evaluate for effectiveness of medication, as
well as any side or adverse effects, both objectively and per client report.
10. The right of Refusal - the nurse will listen to client concerns regarding
receiving any medications. Education as to the importance of prescribed
, medications should be provided, and physician notification must be made to alert
him/her to client request of refusal. Documentation of refusal must also be made.
The Three Checks: - ANSWER GPA:
Check 1: Gathering/Collecting medications. Verify against order/MAR.
Check 2: Preparing medications.
Check 3: Administration at the client's bedside.
Include the 5+5 rights when checking
A "trailing zero" may be used only - ANSWER Where required to demonstrate the
level of precision of the value being reported, such as for laboratory results,
imaging studies that report size of lesions, or catheter/tube sizes.
**It may not be used in medication orders or other medication-related
documentation.**
Needle gauge: larger the number, the _________ the circumference - ANSWER
smaller
Intradermal sites (ID) - ANSWER Site: Forearm (ventral) or upper back
Subcutaneous (subcut) - ANSWER Site: Abdomen, triceps, anterior thigh, posterior
hip or shoulder blade
Needle Length: 3/8- 5/8 inch
Needle Gauge: 23-27 g
(may be even smaller for insulin syringes)
Angle: 45 degrees (thin adult or child) or
90 degrees (adult)
Max volume: 1 mL
ID Injection Technique: - ANSWER Clean site vigorously within 2 inch radius in
circular motion; stretch skin with nondominant (ND) hand over site w/ thumb &
index to pull skin taut; insert needle slowly with bevel up about 1/4 inch into
