Most Comprehensive Questions & Answers |
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1. What is the primary purpose of the "five rights" of medication administration?
A) To ensure timely delivery
B) To prevent medication errors
C) To reduce costs
D) To increase efficiency
Answer: B) To prevent medication errors
Rationale: The five rights (right patient, drug, dose, route, time) are fundamental safety
standards to avoid errors in administration.
2. Which of the following is NOT one of the five rights?
A) Right patient
B) Right documentation
C) Right dose
D) Right route
Answer: B) Right documentation
Rationale: Documentation is essential but is the sixth right in some protocols; the core
five are patient, drug, dose, route, and time.
3. A medication aide must report which of the following to the nurse immediately?
A) Minor side effects
B) Allergic reactions or changes in vital signs
C) Normal appetite
D) Sleep patterns
Answer: B) Allergic reactions or changes in vital signs
Rationale: Immediate reporting ensures timely intervention for potential adverse events.
4. What is the correct way to store insulin?
A) At room temperature
B) In the refrigerator (unopened vials)
C) In direct sunlight
D) Frozen
Answer: B) In the refrigerator (unopened vials)
Rationale: Insulin must be refrigerated to maintain potency; opened vials can be at room
temperature for up to 28 days.
5. Which medication route is considered the fastest for absorption?
A) Oral
B) Intramuscular
C) Intravenous
D) Subcutaneous
Answer: C) Intravenous
Rationale: IV administration bypasses absorption barriers, providing immediate systemic
effects.
, 6. What should a medication aide do if a resident refuses a medication?
A) Force administration
B) Document the refusal and notify the nurse
C) Give it later without telling
D) Ignore it
Answer: B) Document the refusal and notify the nurse
Rationale: Resident rights include refusal; documentation and notification ensure follow-
up.
7. Which of the following is a Schedule II controlled substance?
A) Acetaminophen
B) Oxycodone
C) Ibuprofen
D) Aspirin
Answer: B) Oxycodone
Rationale: Schedule II drugs have high abuse potential but accepted medical use, like
opioids.
8. What is the maximum number of doses a medication aide can administer at one
time?
A) 1
B) 5
C) Unlimited
D) Varies by state
Answer: D) Varies by state
Rationale: State laws define scope; e.g., some limit to 20 doses per shift.
9. A resident is prescribed digoxin. What should the aide monitor?
A) Blood pressure only
B) Heart rate (hold if <60 bpm)
C) Temperature
D) Respiratory rate
Answer: B) Heart rate (hold if <60 bpm)
Rationale: Digoxin toxicity risk increases with bradycardia; hold and notify if HR <60.
10. What is the purpose of a medication administration record (MAR)?
A) Billing
B) Legal documentation of administration
C) Resident entertainment
D) Nurse scheduling
Answer: B) Legal documentation of administration
Rationale: MAR provides proof of compliance and aids in error detection.
11. Which action is required before administering a new medication?
A) Administer immediately
B) Verify the order and resident identity
C) Skip verification
D) Ask the resident
Answer: B) Verify the order and resident identity
Rationale: Prevents wrong patient or dose errors.