Download Med Tech State Certification Exam: 119 Questions and Answers on Medication Administration and more Exams Nursing in PDF only on Docsity!
Med Tech State Certification Exam 119 Questions with Verified
Answers
Hour of sleep or bedtime - CORRECT ANSWER HS or qhs Twice a day - CORRECT ANSWER bid or BID subcutaneous - CORRECT ANSWER sq or SQ every other day - CORRECT ANSWER qod or QOD once a day - CORRECT ANSWER qd or QD gram - CORRECT ANSWER gm milligram - CORRECT ANSWER mg after meals - CORRECT ANSWER pc OTC - CORRECT ANSWER over the counter by mouth - CORRECT ANSWER po q - CORRECT ANSWER every ac - CORRECT ANSWER before meals qid or QID - CORRECT ANSWER four times a day tsp - CORRECT ANSWER teaspoonful prn or PRN - CORRECT ANSWER as needed Tbsp - CORRECT ANSWER tablespoonful
tid or TID - CORRECT ANSWER three times a day ml - CORRECT ANSWER milliliter oz - CORRECT ANSWER ounce MAR - CORRECT ANSWER medication administration record The following are abbreviations for drug routes - CORRECT ANSWER PO (orally/by mouth), IM (intramuscularly or into the muscle), SL (sublingually or under the tongue) You receive an order for nitroglycerin to be given sublingually. It would be given - CORRECT ANSWER under the tongue The following are abbreviations for dosages or strengths of medications - CORRECT ANSWER mg, ml, gm If you are not sure of an abbreviation, it is ok to guess - CORRECT ANSWER false it is important to know the policy on approved abbreviations for your facility - CORRECT ANSWER true A milliliter is the same as a milligram - CORRECT ANSWER false Over the counter drugs may be kept as floor stock or house stock in an adult care home - CORRECT ANSWER true When administering medications, it is ok to leave a resident's medication at the bedside if the resident is present - CORRECT ANSWER false You are legally responsible for any medication or treatment you administer - CORRECT ANSWER true Medications should be given within one hour before or one hour after the prescribed or schedule time of administration - CORRECT ANSWER true
The facility is required to maintain or keep all medication orders for a resident - CORRECT ANSWER in the resident's record in the facility The following statement about non-prescription (OTC) medications are true - CORRECT ANSWER they may be kept in the original container with the manufacturer's label and expiration date, they may be packaged and labeled by a pharmacist, they can produce unwanted effects Which of the following is true when pre-pouring or preparing medications in advance - CORRECT ANSWER oral solid medications (tablet 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 - CORRECT ANSWER administered, refused, omitted In order for a medication to be administered you must have - CORRECT ANSWER a physician's order As needed (PRN) medications must be administered according to - CORRECT ANSWER the reason and frequency or administration specified in the physician's order When should medications be signed off on the MAR? - CORRECT ANSWER After a resident has been observed to actually take the medication You remove a resident's medications from the packages or containers and the resident refuses to take his 12PM medications, you should - CORRECT ANSWER dispose of the medications in accordance with the facility's policy and procedures When medications are stored in a refrigerator that is accessible to residents, the medications are to be - CORRECT ANSWER stored in a separate locked container in the refrigerator These statements are requirements when residents administer their own medications. - CORRECT ANSWER A physician's order is necessary for the resident
to self-administer, the physician is contacted if there is a change in the resident's physical or mental abilities, the medications are to be stored in a safe and secure manner One of the best ways of identifying the correct resident is to - CORRECT ANSWER use photographs of the residents Checking the medication label against the MAR three times should always - CORRECT ANSWER be done with each medication administered to each resident All of the following are examples of medication errors - CORRECT ANSWER omission of a prescribed medication, failing to perform any of the six rights of medication administration, administering medications that have not been prescribed including OTCs or non-prescription medications If you are unable to read the physician's handwriting on a prescription or health services record of the directions for a medication are incomplete, you should - CORRECT ANSWER contact your supervisor, the pharmacist, or the physician When a resident has difficulty swallowing, the resident is at risk for - CORRECT ANSWER aspiration When applying a topical medication, you should wear - CORRECT ANSWER gloves An inhaler must be shaken - CORRECT ANSWER before each and every time you use it After the resident has received nose drops, the resident should - CORRECT ANSWER 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 acceptable to - CORRECT ANSWER flag the MAR to remind you to return to that resident later in the medication pass to administer the medications The following statements are true about allergies and medications - CORRECT ANSWER an allergy is a reaction that occurs as the result of an unusual sensitivity
pouring the medication, after pouring and before returning the medication to the supply or storage area A resident returns from a home visit and the resident's daughter brings an over the counter medication that she purchased and asks you to administer it for cold symptoms, you should - CORRECT ANSWER explain to the daughter that even over the counter medications require a physician's order You are with a resident at a doctor's appointment. The physician writes an order for amoxicillin and you know the chart is flagged allergic to amoxicillin. You should
- CORRECT ANSWER remind the physician of the allergy warning When new orders are received, the MAR is changed to reflect the new orders - CORRECT ANSWER true A resident's allergies should be documented on the MAR and the resident's record - CORRECT ANSWER true A drug reference book is a helpful tool to identify or find information on medications and dosages and side effects - CORRECT ANSWER true If you question a dosage, give the medication then call the pharmacy - CORRECT ANSWER false A medication can't cause a resident to be confused - CORRECT ANSWER false A delay in administering a medication may cause a life-threatening incident - CORRECT ANSWER true A medication that is ordered sublingually may be chewed or swallowed - CORRECT ANSWER false Side effects of medications may include - CORRECT ANSWER change in behavior, rash, change in swallowing, change in mobility or walking A medication arrives from the pharmacy, and there is no order for the medication on the MAR. You should - CORRECT ANSWER look in the resident's record for an
order and/or notify the supervisor/nurse/pharmacist before administering the medication When you are administering a medication and the order on the MAR doesn't match the directions on the medication label, you should - CORRECT ANSWER Notify the supervisor/nurse/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-2 is "continue previous medications". You should - CORRECT ANSWER contact the resident's physician for medication orders "Ambien 5mg po as needed for sleep" - CORRECT ANSWER is an incomplete order A medication order is transcribed onto the MAR - CORRECT ANSWER only after a physician's order for the medication is received by the facility When measuring liquids, the following statements are true - CORRECT ANSWER A calibrated syringe or dropper is often necessary for measuring amounts less than 5ml and unequal or odd amounts, when using a medication cup it should be placed on a flat surface and measured at eye level, you never approximate or guess the amount of medication to administer When administering two or more different eye drops at the same time, the following apply - CORRECT ANSWER 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 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 - CORRECT ANSWER Know the reason the medication is being requested and look at the MAR to see when the medication was last administered Mrs. Smith has an order for darvocet N-100 1 tablet every 4 hours as needed for pain. According to the MARs, she has been taking the darvocet at 8AM, 12PM, 4PM, and 8PM every day for the past two months. The following statement is
The physician's order is for lactulose 2 tsp by mouth at bedtime. How much would you give using the metric system? - CORRECT ANSWER 10ml 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? - CORRECT ANSWER 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? - CORRECT ANSWER NOT 1mg, 2mg, 5mg 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 - CORRECT ANSWER Not give the medication and notify the supervisor, pharmacist, nurse, or physician according to the facility's policy According to the prescription label, there are no refills for the medication. The following statement is true - CORRECT ANSWER The physician should be contacted regarding the refills, before all the medication is administered The name of the pharmacist is - CORRECT ANSWER J. Brickley If a prescription label becomes soiled or directions change, you should - CORRECT ANSWER Report it to the supervisor, nurse, or pharmacist The physician ordered darvocet N-100 1 tablet every 4 hours by mouth as needed for pain. The medication order for darvocet is not transcribed correctly on the MAR because - CORRECT ANSWER specific administration times are not scheduled for prn medications On 02/09/00 the physician discontinued lasix 40mg by mouth once daily and ordered lasix 40mg by mouth twice daily. Were the orders for lasix transcribed correctly on the MAR? - CORRECT ANSWER no
On 02/06/00, the physician ordered coumadin 5mg by mouth every other day. The facility did not receive the coumadin until 02/13/00. According to the MAR, was the coumadin administered as ordered? - CORRECT ANSWER no 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? - CORRECT ANSWER no 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? - CORRECT ANSWER no 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? - CORRECT ANSWER no 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? - CORRECT ANSWER no A used lancet or syringe should be discarded in - CORRECT ANSWER a leakproof, puncture resistant container, such as a sharps container Gloves should be worn - CORRECT ANSWER 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 - CORRECT ANSWER before and after administering the eye medication Handwashing with soap and water is one of the most important measures or ways to prevent the spread of germs or infection - CORRECT ANSWER 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 - CORRECT ANSWER true When crushing medications, it is important to use procedures that prevent contamination of other medications crushed afterward - CORRECT ANSWER true
