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A set of questions and answers to help individuals prepare for the nc medication aide (med tech) exam. It covers topics like medication abbreviations, routes of administration, dosages, storage, and legal responsibilities. The material reinforces understanding of key concepts and best practices, ensuring patient safety and compliance. This resource is valuable for healthcare professionals seeking to enhance their medication management skills. It includes scenarios and guidelines for accurate handling, documentation, and patient interaction, promoting critical thinking and adherence to protocols, contributing to improved patient outcomes and reduced errors. It also addresses challenges and pitfalls, offering problem-solving strategies. It serves as a tool for training and professional development.
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Hour of sleep or bedtime ✔✔HS or qhs
Twice a day ✔✔bid or BID
Subcutaneous ✔✔sq. or SQ
Every other day ✔✔qod or QOD
Once a day ✔✔qd or QD
gram ✔✔gm
milligram ✔✔mg
after meals ✔✔pc
OTC ✔✔over-the-counter
by mouth ✔✔po
q ✔✔every
ac ✔✔before meals
qid or QID ✔✔four times a day
tsp ✔✔teaspoonful
prn or PRN ✔✔as needed
Tbsp ✔✔Tablespoonful
tid or TID ✔✔Three times a day
ml ✔✔milliliter
oz ✔✔ounce
MAR ✔✔Medication administration record
Medications should be given within one hour before or one hour after the prescribed or scheduled time of administration. ✔✔True
Residents have a right to refuse medications. ✔✔True
Oral medications must be stored separately from topical or external medications. ✔✔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. ✔✔True
Regulations for the accountability or recordkeeping of controlled substances differ from the regulations for non-controlled medications. ✔✔True
Unlicensed staff in adult care homes may administer intramuscular (IM) injections and subcutaneous (SQ) injections. ✔✔False
A telephone or verbal order for medications and treatments must be signed by the person who prescribed the medications within: ✔✔15 days from the date the order is given.
Information or documentation on the MAR for PRN (as needed) medications that are administered includes: ✔✔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: ✔✔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: ✔✔all of the above
The facility is required to maintain or keep all medication orders for a resident: ✔✔in the resident's record in the facility
The following statement about non-prescription (OTC) medications is FALSE ✔✔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 ✔✔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 ✔✔All of the above
In order for a medication to be administered you must have ✔✔a physician's order
All of the following are examples of medication errors EXCEPT one. Which one of the following is NOT a medication error? ✔✔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: ✔✔Contact your supervisor, the pharmacist or the physician
When a resident has difficulty swallowing, the resident is at risk for ✔✔Aspiration
When applying a topical medication, you should wear ✔✔Gloves
An inhaler must be shaken ✔✔Before each ad every time you use it
After the resident has received nose drops, the resident should ✔✔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 ✔✔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? ✔✔Allergic reactions can include rashes, swelling, itching but are never life threatening
All of the following are considered reasons for medication errors, EXCEPT ✔✔Checking the medication label with the MAR when administering medications
Medication errors may ✔✔interfere with how effective the medication will be, produce bad reactions, threaten the resident's life (all of the above)
Never administer medications that ✔✔are discolored OR are outdated/expired (both A and B)
If you have to calculate dosages, it is best to: ✔✔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? ✔✔30 minutes
When administering medications, the main concern with leaving medications at the bedside is that: ✔✔the resident may never take the medications and someone else may
When administering medications, it is safe practice to ✔✔read the label and the MAR each time a medication is administered.
A drug reference book is a helpful tool to identify or find information on medications and dosages and side effects. ✔✔True
If you question a dosage, give the medication then call the pharmacy ✔✔False
A medication cannot cause a resident to be confused ✔✔False
A delay in administering a medication may cause a life-threatening incident ✔✔True
A medication that is ordered sublingually may be chewed or swallowed ✔✔False
Side effects of medications may include ✔✔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: ✔✔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 ✔✔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- is "Continue previous medications". You should ✔✔Contact the resident's physician for medication orders.
"Ambien 5mg po as needed for sleep": ✔✔is an incomplete order
A medication order is transcribed onto the MAR: ✔✔Only after a physician's order for the medication is received by the facility
When measuring liquids, which of the following statements is FALSE: ✔✔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: ✔✔(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 to 5- minute period between the administration of each eye medication. Sign/initial the medication administration record (MAR) after the administration of each type of eye drop.
Before administering a "PRN" medication, you need to ✔✔Know the reason the medication is being requested and look at the MAR to see when the medication was last administered.
The physician orders Potassium Chloride Solution 1 tablespoonful mixed with water or juice every morning. Which of the measuring devices would you use to measure 1 tablespoon of Potassium Chloride? ✔✔Medication Cup.
An order is received for Mellaril 10mg every morning. The physician orders Mellaril Liquid, since the resident is not able to swallow tablets or capsules. Which of the measuring devices above would you use to measure 10mg of Mellaril? ✔✔None of the above devices should be used.
The physician ordered Dilantin Suspension 4ml by mouth three times daily for a resident. Which measuring device would you use to measure 4ml of Dilantin ✔✔Oral dropper
The physician's order is for Milk of Magnesia 2 Tbsp. by mouth at bedtime. How much would you give using the metric system?
USE 1 ounce (oz) = 30ml 1 Tablespoon (Tbsp) = 15ml 1 teaspoon (tsp) = 5ml 1 milliliter (ml) = 1 cubic centimeter (cc) ✔✔20 ml
The physician's order is for Lactulose 2 tsp. by mouth at bedtime. How much would you give using the metric system?
USE
1 ounce (oz) = 30ml 1 Tablespoon (Tbsp) = 15ml 1 teaspoon (tsp) = 5ml 1 milliliter (ml) = 1 cubic centimeter (cc) ✔✔10 ml
The physician's order is for Riopan Liquid 2 every 4 hours as needed for heartburn. How much would you give using the metric system?
USE 1 ounce (oz) = 30ml 1 Tablespoon (Tbsp) = 15ml 1 teaspoon (tsp) = 5ml 1 milliliter (ml) = 1 cubic centimeter (cc) ✔✔Can't tell how much to give from this order
The physician's order is for Haldol Liquid Concentrate 2ml every 8 hours. How much would you give?
USE 1 ounce (oz) = 30ml 1 Tablespoon (Tbsp) = 15ml 1 teaspoon (tsp) = 5ml 1 milliliter (ml) = 1 cubic centimeter (cc) ✔✔None of the above answers are correct
(see label on page 20) The order on the MAR for the above resident is: "Propulsid 10mg one tablet three times daily before meals and at bedtime." The medication container received from the pharmacy is labeled as indicated above. You should: ✔✔Not give the medication and notify the supervisor, pharmacist, nurse or physician according to the facility's policy.
(Refer to the medication administration record (MAR), Attachment A, on Page 24) The physician ordered Tylenol 325mg 1 to 2 tablets by mouth twice daily. Is the documentation for the administration of the Tylenol correct on the MAR? ✔✔No
(Refer to the medication administration record (MAR), Attachment A, on Page 24) On 02/03/00, the physician ordered Amoxicillin 250mg by mouth 3 times daily for 10 days. According to the MAR, was the Amoxicillin administered as ordered? ✔✔No
(Refer to the medication administration record (MAR), Attachment A, on Page 24) The physician ordered Nitro-Dur (Nitroglycerin) 0.4mg patch with directions to apply one patch every morning and remove at bedtime. Was the Nitroglycerin patch administered as ordered, according to the MAR? ✔✔No
(Refer to the medication administration record (MAR), Attachment A, on Page 24) On 02/08/00, the physician increased Capoten 25mg three times daily to Capoten 50mg three times daily. Was the Capoten order for 50mg three times daily transcribed correctly on the MAR? ✔✔No
A used lancet or syringe should be discarded in ✔✔A leakproof, puncture resistant container, such as a sharps container
Gloves should be worn ✔✔(all of the above) When inserting suppositories, when applying a transderm patch such as Nitroglycerin, when changing a dressing.
When administering medications to a resident's eye, you are to wash your hands: ✔✔Before and after administering the eye medication.
Handwashing with soap and water is the one of the most important measures or ways to prevent the spread of germs or infection ✔✔True
An antiseptic gel or product should be used for handwashing in place of soap and water, when soap and water is not readily available. ✔✔True
When crushing medications, it is important to use procedures that prevent contamination of other medications crushed afterward ✔✔True
Gloves and supplies that are soiled may be discarded in a wastebasket in the resident's room. ✔✔False
It is not necessary to change gloves between residents when administering eye drops or applying transderm patches such as Nitroglycerin. ✔✔False
