©THEBRIGHTSTARS 2024
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.
, ©THEBRIGHTSTARS 2024
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 dermis then inject medication slowly so a
bleb/wheal forms; withdraw needle & deploy safety; do not massage site
Subcut Injection Technique: - answer✔✔Clean site vigorously within 2 inch radius in circular
motion; remove cap; hold like a dart w/ palm down; determine angle; pinch skin using index &
thumb of ND hand, inject quick & smooth, inject med slowly, withdraw needle & deploy safety;
may apply gentle pressure w/ gauze, do not massage site
Sites for Intramuscular Injections (IM) - answer✔✔Deltoid (immunizations), Vastus lateralis
(infants), Ventrogluteal (preferred), and Dorsogluteal
(NOT RECOMMENDED)
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.
, ©THEBRIGHTSTARS 2024
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 dermis then inject medication slowly so a
bleb/wheal forms; withdraw needle & deploy safety; do not massage site
Subcut Injection Technique: - answer✔✔Clean site vigorously within 2 inch radius in circular
motion; remove cap; hold like a dart w/ palm down; determine angle; pinch skin using index &
thumb of ND hand, inject quick & smooth, inject med slowly, withdraw needle & deploy safety;
may apply gentle pressure w/ gauze, do not massage site
Sites for Intramuscular Injections (IM) - answer✔✔Deltoid (immunizations), Vastus lateralis
(infants), Ventrogluteal (preferred), and Dorsogluteal
(NOT RECOMMENDED)
