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Medication Administration Program
MAP Certification Training
MAP Medication Administration Program
MAP Certification Exam
Course Title and Number: MAP Certification Exam Exam Title: MAP Certification Exam Exam Date: Exam 2024- 2025 Instructor: [Insert Instructor’s Name] Student Name: [Insert Student’s Name] Student ID: [Insert Student ID]
Examination
180 minutes
Instructions:
- Read each question carefully.
- Answer all questions.
- Use the provided answer sheet to mark your responses.
- Ensure all answers are final before submitting the exam.
- Please answer each question below and click Submit when you have completed the Exam.
- This test has a time limit, The test will save and submit automatically when the time expires
- This is Exam which will assess your knowledge on the course Learning Resources.
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MAP Medication Administration Program
MAP Certification Training 2024-
MAP Certification Exam 1 Medication
Administration and Safety Review
Questions and Answers with Rationales |
100% Pass Guaranteed | Graded A+ |
Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: -
- A mother complains that her child's teeth have become yellow in color. With prolonged use, which medication may be responsible for the child's condition? 1. Tetracycline 2. Promethazine 3. Chloramphenicol 4. Fluoroquinolones: 1 Rationale : When administered to neonates and infants, tetracycline may cause staining of developing teeth. Promethazine can cause respiratory depression in children under 2 years of age. Chloramphenicol can cause Gray baby syndrome, and fluoro- quinolones may cause tendon rupture in pediatric clients.
- The medication prescribed for an infant is to be given intramuscularly. Which site will the nurse select for administration of the medication? 1. Vastus lateralis 2. Ventrogluteal 3. Dorsogluteal Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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administration record. Which statement of the newly hired nurse indicates effective learning?
- "It will identify medication errors."
- "It will be accessible to a single user."
- "It will decrease the accuracy of charge capture."
- "It will decrease the accuracy of pharmacokinetic monitoring.": 1 Rationale : An electronic medication administration record will generate reports to track medica- tion errors with the visibility of near misses. The electronic medication administration record will be accessible to multiple users. It will increase the accuracy of charge capture between administration time and the time when the drug is dispensed. It will improve the accuracy of pharmacokinetic monitoring.
- The home health care nurse discards outdated and leftover medications from previous prescriptions at the home of an elderly client. Which Quality and Safety Education for Nurses (QSEN) competency does this intervention involve? 1. Safety 2. Quality Improvement 3. Evidence-based practice 4. Teamwork and collaboration: 1 Rationale : The nurse ensures the safety of the client by discarding medications that are outdated. It is important to prevent harm to the client who may unintentionally take a medication that is no longer required. Quality Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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improvement requires the nurse to use data to monitor the outcomes of care processes. The nurse ensures evidence-based practice by integrating the best current evidence with clinical expertise, client, and family values for delivery of optimal health care. The nurse functions effectively within nursing and interprofessional teams to promote open communication and mutual respect while applying teamwork and collaboration competency.
- A young woman tells the nurse, "My partner prevents me from taking my medications." What should the nurse do to deal with the situation? 1. Conduct an interview with the client alone, when the partner is not around. 2. Notify the primary healthcare provider to conduct an interview with the client. 3. Collaborate with multiple community resources to obtain adequate health care. 4. Evaluate the client's and the family's cultural beliefs, values, and practices to determine their specific needs.: 1 Rationale : The statement provided by the young woman indicates that the individual may be a victim of abuse, so the nurse should interview the client alone when the client has privacy and the individual suspected of being the abuser is not present. Discussing the problems with the primary healthcare provider might cause fear of retribution in the abused client. When dealing with people with mental illness, the nurse should collaborate with multiple community resources to obtain adequate health care. When dealing with vulnerable populations, Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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- The hospital administration has recently introduced bar coding and radio frequency identification (RFID) scanning for reducing medication errors. After a few days, the scanner is giving false reports and the hospital management gathered all the staff members to discuss ways to solve this issue and find alternatives. What type of decision-making strategy does the nurse manger most likely think to be useful in this situation? 1. Focus groups 2. Brainstorming 3. Delphi technique 4. Nominal group technique: 1 Rationale : The purpose of the focus groups is to explore issues, generate information, and to identify problems or to evaluate the effects of an intervention. The groups meet face-to-face to discuss issues and under the direction of a moderator participators are able to validate or disagree with ideas expressed. Brainstorming can be an effective method for generating a large volume of creative options by listing all idea as stated without critique or discussion. Delphi technique involves systematically collecting and summarizing opinions and judgments on a particular issue through interview, surveys, or questionnaires. In nominal group technique, participants are asked not to talk to each other as they write down their ideas to solve a predefined problem or issue.
- The charge nurse delegates the task to the healthcare team to provide medication to a group of people who were diagnosed with gastroenteritis due to food poisoning. Which Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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healthcare team member is suitable to provide medication in this situation?
1. Registered nurse 2. Healthcare provider 3. Licensed practical nurse 4. Unlicensed assistive personnel: 1 Rationale : Intravenous medications are provided in case of gastroenteritis due to food poison- ing for immediate relief in the clients. The registered nurse is eligible to provide in- travenous medications to clients. The healthcare provider prescribes the medication for the clients. Licensed practical nurses are not eligible to provide intravenous med- ications; they can provide oral and intramuscular medications. Unlicensed assistive personnel are eligible to provide assistance and monitoring.
- While caring for a client with diabetes, the registered nurse delegates the task of administering oral medications to the licensed practitioner nurse (LPN), but the LPN is reluctant to take the assignment. What should be the most appropriate response of the registered nurse in this situation? 1. Evaluate the reason for the behavior. 2. Engage more actively in the delegated task. 3. Require the delegatee to complete the task. 4. Report the LPN's reluctance to higher authorities.: 1 Rationale : The registered nurse (RN) should first evaluate the reason for the behavior of the LPN and try to determine Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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2. Use an authoritarian approach to induce the client to take the prescribed medication. 3. Call the primary healthcare provider and request that the client be dis- charged against medical advice. 4. Start proceedings to have the client declared incompetent and seek a court order permitting medication.: 1 Rationale : A client has the right to refuse treatment and should not be forcibly medicated unless the client is deemed dangerous to self or others. An authoritarian approach is not therapeutic and may compromise the nurse- client relationship. Calling the primary healthcare provider is premature; first the nurse should attempt therapeutic interventions to meet the client's needs. Starting proceedings to have the client declared incompetent is appropriate for a client who is considered to be dangerous to self or others or incompetent to evaluate necessary treatment.
- A nurse is a preceptor for a new graduate nurse. The new graduate is providing care for a client who requests pain medication. The new graduate discovers that the prescribed dose is higher than the safe range listed in the hospital formulary and informs the preceptor of this discovery. The preceptor instructs the new graduate to go ahead and give the prescribed dose. Which action is best for the new graduate to take? 1. Contact the primary healthcare provider to discuss the dose. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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2. Contact a hospital pharmacist to verify the dose prescribed. 3. Give the medication as prescribed to decrease the client's pain. 4. Check the dose with another nurse on the unit to see if it is correct.: 1 Rationale : The new nurse should discuss the dose with the primary healthcare provider who prescribed the medication. Although talking to the pharmacist may elicit additional information, this is not the best action since the new nurse will have to notify the prescribing primary healthcare provider. Giving the medication as prescribed may place the client at risk. Although checking the dose with another nurse may elicit additional information, this is not the best course of action.
- Which information should a nurse provide to a child's caregivers to ensure safe, proper handling and use of medication? Select all that apply. 1. drug storage 2. written instructions 3. calculation of the dosage based on symptoms 4. nature and duration of the adverse response 5. demonstration of the techniques of administration: 1, 2, 4, 5 Rationale : The nurse should provide the child's caregiver with adequate information about the child's medication and the way to properly store the medication. The nurse Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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- Which nursing interventions would help to prevent medication errors in pediatrics? Select all that apply. 1. knowing information about the drug 2. avoiding verbal telephone orders 3. using abbreviations and acronyms 4. checking the drug label and client's information three times before giving the drug 5. using authoritative resources as references: 1, 2, 4, 5 Rationale : The nurse should know all about the information of the drug (such as the action, dosage, route, uses, and adverse effects) to avoid medication errors. The nurse should avoid the use of verbal telephone orders because of the high risk of mis- communication. The nurse should check the drug label and the client's information three times before administering the drug. The nurse should use the authoritative resources such as the drug handbooks as a reference. The nurse should avoid the use of abbreviations and acronyms because they lead to confusion.
- A child is admitted to the hospital with diarrhea and is prescribed antidiar- rheal medications. Which nursing actions indicate that the nurse is skilled in safe drug administration to pediatric clients? Select all that apply. 1. the nurse calculates the drug dose according to the age 2. the nurse recommends long-term use of the medication Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
ter? Record e. __mL: The is 1 gram in 3
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3. the nurse promotes fluid and electrolyte balance 4. the nurse assesses the child for presence of any eating disorders 5. the nurse assesses the severity of diarrhea by counting the number of stools every 48 hours: 1, 3, 4 Rationale : The nurse should calculate the dose according to the age of the child to ensure accu- rate dosing. Diarrhea causes rapid loss of fluid volume and electrolytes through the stools; therefore, the nurse should promote fluid and electrolyte balance by ensuring the appropriate intake of fluids. The nurse should assess the child for the presence of eating disorders such as bulimia and anorexia to check for the abuse of laxatives. The nurse should not recommend the long- term use of antidiarrheal medications because they cause toxic effects. The nurse should measure the amount of diarrhea by the number of stools every 24 hours and not for 48 hours.
- A healthcare provider prescribes 250 mg of an antibiotic intravenous piggyback (IVPB). A vial containing 1 gram of the powdered form of the medication must be reconstituted with 2. mL of diluent to form a volume of 3 mL. How many mL of the solution should the nurse adminis your answer using one decimal place and leading zero if applicabl prescribed dose is 250 mg. The available concentration of medication mL. First, the prescribed medication (250 mg) should be converted to the available concentration (grams). The use the dimensional analysis and/or ratio and Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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5. check three times before giving a drug by comparing the drug order and medication profile: 1, 2, 5 Rationale : The use of abbreviations is avoided because this action may cause confusion and increase the risk of error. The use of verbal and telephone orders should be minimized to avoid confusion over drugs that have similar names. Before a drug is administered, the dosage order should be checked three times to verify the five rights: right drug, right dose, right time, right route, and right client. The use of trailing zeros should be avoided because it increases the risk of overdose. If the client's language is not understood, a translator's help should be enlisted.
- The nursing manager is preparing a schedule for delegating appropriate tasks to different health care team members. Which health care team member can be delegated the task of administering oral medications? Select all that apply. 1. certified technician 2. patient care associate 3. licensed practical nurse 4. licensed vocational nurse 5. unlicensed nursing professional: 3, 4 Rationale : Delegation of tasks is different for different health care team members, based on their position, skills, and capabilities. Provision of prescribed treatments, such as administering oral medications, are tasks delegated to licensed professionals, such as licensed practical nurses Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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and licensed vocational nurses. A certified technician is an unlicensed nursing personnel and therefore should not be delegated tasks such as administering oral medications.
- A nurse is preparing to administer an intravenous piggyback medication to a client who is receiving a continuous infusion of intravenous (IV) fluids. What is the priority nursing intervention? 1. get an additional IV infusion pump for the medication 2. check the compatibility of the medication and the continuous IV solution 3. disconnect the continuous IV solution while administering the piggyback medication 4. flush the client's venous access device to ensure patency: 2 Rationale : Compatibility of the ordered IV medication and infusing IV solution needs to be verified to prevent harm to the client because incompatible solutions may increase, decrease, or neutralize effects of the medication. An additional IV infusion pump is not necessary because IV medication will be administered through a piggyback infusion. The nurse needs to stop IV fluids and disconnect the tubing only if the ordered IV medication is not compatible with IV fluids and there is an order to hold the continuous infusion. The client has a continuous infusion of IV; therefore patency of the IV access device is already determined
- A nurse reviews a list of medications that have been prescribed for a client. The nurse is Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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sites. The dilution of the drug does not significantly affect absorption.
- A client has received instructions to take 650 mg aspirin every 6 hours as needed for arthritic pain. What should the nurse include in the client's medication teaching? Select all that apply. 1. take the aspirin with meals or a snack 2. make an appointment with a dentist if bleeding gums develop 3. do not chew enteric-coated tablets 4. switch to acetaminophen if tinnitus occurs 5. report persistent abdominal pain: 1, 3, 5 Rationale : Aspirin is irritating to the stomach lining and can cause ulceration; the presence of food, fluid, or antacids decreases this response. Enteric-coated tablets must not be crushed or chewed. Aspirin therapy may lead to gastrointestinal bleeding, which may be manifested by abdominal pain; if present, the prescriber must be notified immediately. Bleeding gums should be reported to the practitioner, not the dentist. Acetaminophen does not contain the antiinflammatory properties present in aspirin; tinnitus should be reported to the practitioner.
- A client will be receiving monthly intramuscular doses of cyanocobalamin (vitamin B 12), 200 mcg. The medication is available as 100 mcg/mL. Which syringe contains the correct amount of medication for the ordered dose?
- 1/
- 1
- 1 1/
- 2: Set up the problem and solve. Using the ratio and proportion method: 100 mcg Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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: 1 mL = 200 mg : x mL (100)( x) = 200; divide both sides by 100. x = 200/100 = 2 mL. Choose the syringe that is shaded to the 2-mL mark.
- A client is scheduled to receive an intravenous (IV) infusion of potassium chloride (KCl) 40 mEq in 100 mL of 5% dextrose and water to be infused over 2 hours. Before administering this IV medication, it is a priority for the nurse to assess which of the following? Select all that apply. 1. urinary output 2. deep tendon reflexes 3. last bowel movement 4. arterial blood gas results 5. last serum potassium level 6. patency of the intravenous access: 1, 5, 6 Rationale : Before administering IV potassium, the urinary output must be normal. If the urine output is low, a potassium infusion may damage renal cells. The last serum potas- sium level should also be checked to ensure potassium replacement is appropriate. A patent IV access is essential because potassium is very irritating and painful to subcutaneous tissue. The infusion of KCL 40 mEq in 100 mL of 5% dextrose and water has no direct effect on deep tendon reflexes, bowel movement patterns, or arterial blood gases. Therefore these items are not required to be assessed before administration of this medication.
- A nurse must administer a medication by means of injection to a 2-year-old whose parent Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔