Final Exam Answer Key Medication Delegation
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Course
MISC
Subject
Medicine
Date
Dec 6, 2023
Type
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11
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National
Final
Exa
Assisted
Living
Med
Aide
Training
1.
Aresident
may
store
and
consume
his
own
medications
if:
po
oo
The
resident
does
not
have
a
diagnosis
of
dementia
The
family
signs
a
statement
which
is
maintained
in
the
resident’s
chart
Never
There
is
written
physician
approval
2.
Which
statement
is
not
true
about
allergies?
a.
b.
An
allergic
reaction
should
be
reported
immediately
to
your
supervisor
and
the
resident’s
physician
A
resident
may
develop
an
allergic
reaction
to
a
medication,
even
though
he
took
it
successfully
in
the
past
Allergic
reactions
are
never
life
threatening
All
of
the
above
3.
Which
of
the
following
is
not
likely
to
cause
a
medication
error?
d.
Transcribing
information
incorrectly
onto
the
MAR
b.
Checking
the
medication
label
with
the
MAR
C.
d.
Relying
on
your expertise
and
experience
in
remembering
the
medications
your
resident
takes
Borrowing
medications
from
a
resident
to
give
to
another
resident
4.
Orthostatic
hypotension,
confusion,
drowsiness
and
nausea
are
all
examples
of
Adverse
drug
reactions
oo
oW
Medication
synergistic
effects
Medication
use
Benefits
of
taking
medications
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5.
Which
statement
best
describes
your
responsibility
as
a
Med
Aide?
a.
Med
Aides
are
only
responsible
for
giving
meds
b.
Med
Aides
are
responsible
for
ensuring
meds
are
not
left
unattended
c.
Med
Aides
are
responsible
for
ensuring
medications
and
supplies
are
available,
assisting
with
medications
in
a
safe
manner,
and
monitoring
the
resident
for
a
change
in
status
d.
None
of
the
above
6.
PRN
medications
may
a.
Never
be
used
in
an
assisted
living
community
b.
Only
be
administered
by
a
physician
c.__Be
used
under
special
guidelines
specified
by
state
regulations
d.
None
of
the
above
7.
Aroutine
medication
is
given:
As
requested
by
the
resident.
On
a
regularly
scheduled
basis.
Only
by
a
registered
nurse.
Without
worrying
about
proper
technique.
oo
e
8.
Injections
may
a.
Never
be
used
in
an
assisted
living
community
b.
Only
be
administered
by
a
physician
c._Ne
used
under
guidelines
specified
by
state
regulations
d.
None
of
the
above
9.
Aresident
may
refuse
medication:
a.
Unless
she
has
dementia
and
does
not
know
what
medications
do
for
her.
b.
Only
with
permission
of
the
family.
C.
Anytime.
d.
Only
when
the
medication
is
PRN.
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10.
What
must
be
included
when
documenting
the
use
of
a
PRN
medication?
The
time
the
medication
was
given.
The
dose
of
medication
given.
The
resident's
response
to
the
medication.
All
of
the
above.
3
Q
0
T
o
11.
If
a
resident
refuses
his
medication,
what
should
you
write
on
the
MAR?
a.
Justinitial
it
as
you
normally
would.
b.
Circle
your
initials,
then
explain
the
refusal,
including
your
action
taken
on
the
back
of
the
MAR.
c.
Nothing,
leave
the
space
blank.
d.
None
of
the
above.
12.
Your
resident,
Mr.
Smith,
has
diabetes
and
requires
insulin
injections
several
times
a
day.
Who
may
administer
Mr.
Smith's
insulin?
Ensure
the
answer
given
matches
your
community
policy
and
state
regulations
13.
Your
resident,
Mrs.
Jones
is
taking
hydrochlorothiazide
25
mg.
This
is
an
important
medication
for
the
treatment
of
her
blood
pressure.
You
ran
out
of
this
medication
because
the
family
did
not
drop
off
the
prescription
yesterday.
You
do
not
have
any
to
give
this
morning.
You
should:
Call
the
son
and
tell
him
he
is
not
taking
proper
care
of
his
mom’s
refills.
Notify
the
resident’s
physician.
Give
her
extra
of
her
Atenolol
to
make
up
for
this
missing
hydrocholorthiazide
All
of
the
above.
oo
14.
You
received
a
stat
order
at
2:00
pm
for
Avelox,
an
antibiotic.
You
should:
Fax the
order
immediately
to
the
pharmacy.
Notify
the
next
shift
that
there
is
an
expected
med
delivery.
Call
the
pharmacy
to
be
sure
the
order
was
received.
All
of
the
above.
o0
oo
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15.
DOXYCYCLINE
is
the
generic
name
for
VIBRA-TABS.
How
would
you
expect
these
names
to
be
written
on
the
medication
label?
"Doxycycline
generic
for
vibra
tabs"
"Doxycycline
generic
for
Vibra
Tabs"
"doxycycline
generic
for
Vibra-Tabs"
doxycycline
generic
for
vibra
tabs"
a0
o
a
16.
Mr.
Fritz’
new
order
reads:
"Atenolol
25
mg
by
mouth
every
morning."
You
have
on
hand
his
original
Atenolol
which
is
12.5
mg.
How
many
tablets
will
you
give
to
match
his
new
order?
a.
2
tablets.
b.
One
half
tablet.
c.
3tablets.
d.
1tablet.
17.
The
physician
has
ordered
"ibuprofen
200
mg,
give
2050 mg
every
night
at
bed
time."
The
tablets
you
have
on
hand
are
coated.
What
is
your
best
action with
this
order?
a.
Carefully
cut
one
tablet
in
half
and
in
half
again
using
a
pill
cutter.
Then
give
the
quarter
tablet
along
with
10
tablets
to
equal
the
correct
dose
b.
Ask
your
supervisor
to
cut
the
tablet
in
half
and
in
half
again,
as
she
has
more
experience
and
then
give
with
10
tablets
to
equal
the
dose
-
c.
Refuse
to
give
the
medication,
since
you
cannot
cut
coated
un-scored
tablets
d.
Call
the
doctor
to
verify
the
dose;
this
is
an
unusual
dose
18.
When
preparing
a
resident’s
medication,
how
many
times
should
you
check
the
label?
1
time.
.
_3times.
2
times.
6
times.
Qo
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0.
Nationa!
19.
If
a
resident
refuses
his
medication,
it
is
best
to:
20.
21.
22.
23.
a.
Gently
force
the
resident’s
mouth
open
using
a
gloved
hand.
b.
Don’t
bother
to
give the
medication,
as
it
will
only
upset
him
more.
c._Try
to
determine
the
reason
the
resident
does
not
want
to
take
the
medication.
d.
None
of
the
above
If
you
make
a
medication
error:
a.
Do
not
panic.
b.
Immediately
report
the
error
to
your
supervisor.
c.
Make
sure
the
physician
is
contacted
and
orders
are
followed.
d.
All
of
the
above.
You
have
two
residents
who
both
take
Coumadin
2
mg.
One
resident
has
run
out
of
the
medication.
Is
it
permissible
to
borrow
a
Coumadin
from
the
other
resident,
if
you
return
it
once
the
refill
comes
in?
a.
Yes
b.
No
An
expired
medication
may
be
given:
a0
o
If
it
is
expired
less
than
7
days.
If
it
is
an
over
the
counter
medication.
If
the
resident
says
it
is
okay.
.
Never.
When
giving
a
sublingual
medication
it
is
important
to:
a.
Crush
it
in
applesauce
before
giving.
b.
Askthe
resident
to
place
it
in
his
cheek.
c.
Ask
the
resident
to
place
it
under
his
tongue.
d.
Make
sure
the
resident
swallows
it
with
plenty
of
water.
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24.
When
giving
eye
drops:
Hold
the
medication
dropper
8-10
inches
above
the
eye.
Hold
the
dropper
above
the
conjuctival
sac.
Gently
rest
the
dropper
on
the
eye,
so
no
medication
is
missed.
None
of
the
above.
aolow
25.
A
PRN
medication
is
given
to
the
resident:
As
needed,
according
to
physician
orders.
Every
morning
and
evening.
Every
other
day.
Whenever
the
resident
wants
it.
ao
ol
26.
The
six
rights
are:
The
right:
resident,
drug,
response,
time
dose,
and
documentation.
The
right:
medication,
drug,
dose,
time,
documentation,
and
resident.
The
right:
resident,
drug,
dose,
time,
route,
and
documentation.
The
right:
resident,
generic
name,
strength,
quantity,
method,
and
technique.
op
o
27.
The
sequence
for
assisting
with
inhalers
is
as
follows.
The
resident:
Breathes
in,
presses
inhaler,
holds,
and
breathes
out.
Breathes
out,
presses
inhaler
as
he
is
breathing
in,
holds,
and
breathes
out.
Presses
inhaler,
breathes
in,
and
breathes
out.
Breathes
out,
holds,
presses
inhaler,
holds,
and
breathes
in.
oo
28.
It
is
permissible
to
leave
a
medication
cup
with
a
resident:
a.
Never.
b.
If
he
agrees
to
take
the
medication
within
a
half
an
hour.
c.
If
his
family
is
present.
d.
If
he
has
a
private
room.
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29.
30.
31.
32.
33.
National
When
pouring
medication:
a.
Only
pour
one
resident’s
medication
at
a
time.
b.
Check
the
six
rights
three
times.
c.
Verify
the
label
with
the
MAR
three
times.
d.
All
of
the
above.
BID
is
a
common
abbreviation
for:
a.
Once
aday.
b.
Twice
a
day.
c.
Three
times
a
day.
d.
Atbed
time.
Before
assisting
a
resident
with
a
medication
you
must:
a.
Have
a
physician
order.
b.
Conduct
a
service
planning
meeting.
c.
Perform
a
head
to
toe
assessment.
d.
All
of
the
above.
It
is
important
to
wear
gloves
when
assisting
with
topical
medications:
a.
Because
it
reassures
residents
that
it
is
a
clean
procedure.
b.
Because
you
could
absorb
the
medication
you
are
handling
if
it
touches
your
skin.
c.
Because
gloves
are
worn
at
all
times
when
working
with
medications.
d.
Because
it
must
be
a
sterile
procedure.
The
physician
has
prescribed
a
suppository
for
Mrs.
Smith.
Who
may
administer
the
suppository?
Ensure
the
answer
given
matches
your
community
policy
and
state
regulations
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34.
When
a
medication
is
discontinued
it
must
be
destroyed
or
returned
to
the
pharmacy,
depending
upon
your
facility
protocol.
What
statement
best
describes
destruction?
35,
36.
37.
al
One
staff
member
may
complete
the
destruction,
as
long
as
he
or
she
is
a
trained
medication
aide.
b.
Two
staff
members
must
witness
and
document
the
destruction.
Medications
are
expensive
and
if
the
family
wants
to
take
the
medication,
it
is
permissible,
as
long
as
you
document
the
amount
of
discontinued
medication
the
family
is
picking
up.
Destruction
must
be
done
by
a
physician.
When
assisting
with
medications,
the
main
reason
you
do
not
leave
a
medication
unattended
is
because:
It
could
cause
the
resident
to
become
agitated.
The
medications
could
get
dirty.
The
resident
may
not
take
the
medication,
or
someone
else
might
take
it.
alp
oo
Medications
are
expensive.
Which
of
the
following
may
be
an
example
of
an
adverse
drug
reaction?
Y
Fatigue
Confusion
Dizziness
All
of
the
above
OTC
is
an
abbreviation
for:
An
urgent
drug
order.
On
the
Coumadin.
Over
the
counter.
g,
oo
Out
of
treatment
category.
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38.
The
abbreviation
for
teaspoon
is:
a.
TBS
b.
gm
c._tsp
d.
None
of
the
above
39.
An
order
is
written
for
metoclopramide
10
mg
three
times
a
day.
The
solution
of
metoclopramide
on
hand
is
5mg/5ml.
How
many
milliliters
per
dose
should
the
resident
receive?
5
ml
.
10 ml
15
ml
None
of
the
answers
are
correct
oo
40.
You
have
received
an
order
for
a
liquid
medication,
but
you
are
not
sure
how
much
to
give
to
equal
the
number
of
mg
ordered.
Your
supervisor
is
not
in
the
building.
What
should
you do?
a.
Do
your
very
best
to
calculate
and
err
on
the
side
of
giving
too
little
rather
than
too
much.
b.
Hold
the
order
until
tomorrow
and
there
is
appropriate
supervision.
c.
Call
the
pharmacy
and
ask
for
assistance
from
a
pharmacist.
d.
Go
to
online
and
search
for
the
answer.
41.
The
physician
has
ordered
a
liquid
medication
for
your
resident.
When
measuring
the
medication
it
is
best
to
use:
A
plastic
medication
cup
with
graduated
measurements.
A
tablespoon
from
the
kitchen,
since
the
resident
is
most
familiar
with
this.
An
eye
dropper.
A
measuring
cup
from
the
kitchen.
oo
o
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42.
When
assisting
a
resident
to
apply
a
transdermal
patch,
you
should:
a.
Useglue
to
hold
itin
place.
b.
Remove
the
old
patch
first.
c.
Pierce
the
underside
of
the
patch
to
be
sure
the
medication
is
delivered
to
the
skin.
d.
Cleanse
the
area
where
the
patch
will
be
applied
with
betadine
first
to
prevent
an
infection.
43.
"Ambien
5
mg
po
PRN"
is
a
complete
PRN
medication
order.
a.
True
b.
False
44.
When
working
as
a
med
aide
you
must:
Follow
your
state
regulations.
Follow
your
facility
systems
for
documentation.
Follow
instructions
from
your
supervisor.
All
of
the
above.
oo
oo
45.
Unless
otherwise
indicated
by
the
physician,
medications
typically
may
be
given:
Between
one
hour
before
to
one
hour
after
the
scheduled
time.
Only
at
the
exact
time
written
on
the
MAR.
Within
two
hours
after
the
scheduled
time.
Whenever
you
feel
like
giving
them.
an
o
46.
Having
more
than
one
resident’s
medications
out
at
a
time
for
pouring:
Must
never
be
done.
May
be
done
as
long
as
you
are
following
a
neat
orderly
system.
Helps
ensure
efficiency
and
that
all
meds
are
given
on
time.
None
of
the
above.
a0
o
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G
47.
Itis
best
to
use
a
when
writing
on
the
MAR.
a.
pencil
b.
red
pen
c.
black
pen
d.
felt-tip
marker
48.
The
medication
label
and
the
MAR
are
compared:
When
removing
the
medication
from
the
storage
area.
When
pouring
the
medication.
When
returning
the
medication
to
the
storage
area.
All
of
the
above.
oo
oo
49.
When
a
resident
is
going
to
be
gone
for
a
week
with
her
family,
it
is
best
to:
a.
Give
all
of
the
prescribed
medications
in
the
original
container
from
the
pharmacy
to
the
family
along
with
any
special
instructions.
b.
Place
the
pills
for
the
day
carefully
in
envelopes
and
label
each
envelope.
c.
Give
the
meds
when
the
resident
returns
at
the
end
of
the
day.
’
d.
Refuse
to
give
any
medications
to
the
family.
50.
If
you
have
an
uneasy
feeling
about
the
meds
you
are
about
to
give
a
resident,
it
is
best
to:
a.
Give
it
anyway;
you
are
experiencing
something
called
"new
med
aide
jitters."
b.
Consult
with
your
supervisor.
c.
Ask
the
resident
if
the
meds seem
correct.
d.
Call
the
resident’s
family.
o)y
Care
and
Compliance
Group,
Inc
@
800.321.1727
»
www.careandcompliance.com
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