Which one of the following statements is true?

May never fill/admin from a pill caddy unless the client is self med passer

A med needs to be given late. After completing an Unusual Incident, the documentation of a late med must also include

Initials circled on the MAR, explanation on the back stating what happened

You check the vitals of a client what should you do next?

Vitals signs are outside the normal range, document and contact provider

You took the initial med admin certification or a renewal class. How do you know you can legally administer medication?

Confirm dates with the DODD email or look them up on the DODD wwbsite

When administering eye (ophthalmic) medication:

Never let the tip of the applicator touch the person or anything else

You are at a new location, you never met the person before. How do you assure the right med goes to the right person

Confirm their identity with a picture or another staff who knows the person

When documenting a temperature, you include the time, date, and what other information.

The Route it was taken I.E oral, tympanic, rectal

The most important reason to do all 3 MAR checks every time, before giving a medication is:

To assure the safety of the person.

Every time you administer a medication you must know

What med is for & who to tell if side effects or if it is not working

The IST you received for Joe informed you that he has seizures. What should you do if Joe has a seizure?

Stay with Joe and provide for his safety

You took a person to the doctor and the doctor changed a medication dose. What do you need to do with this information?

Immediately contact (nurse, supervisor, etc.) to notify them of the change

When giving a sublingual (under the tongue) tablet, you must:

Have the person hold the medication under the tongue until it totally melts

As part of the IST you received for Sally, you were told she has a high tolerance to pain. What do you need to do

Observe movements behavior or actions and report abnormal findings

When transcribing, certified personnel are required to initial and date their entry on the MAR. What should happen next?

Another certified person verifies transcription & adds their initials/date

If you do not follow the step-by-step instructions and do not confirm all 6 Rights for every medication, every time:

Mistakes can be made that hurt or even kill people

While checking the MAR for what medications need to be administered, personnel should:

Confirm that previous medications were given and documented on the MAR.

When checking a person’s blood sugar by using a finger stick

Choose a different finger so the fingers do not get sore or calloused

3 people who are all scheduled to receive meds at 8pm. What is the safest way to prepare and administer the medications?

Prepare, administer and document one person’s medication at a time

Which AS NEEDED (PRN) order for Tylenol is written in the right way on the MAR?

Tylenol 500mg 1 tablet by mouth every 6 hrs as needed for headache.

You noticed Gladys didn't take her seizure med yesterday. She said it is because it upsets her stomach. What do you do?

Notify her provider, document the notification and any instructions given

The step-by-step procedure for the administration of medication states to place your initials on the MAR:

Immediately after the person has been given the medication(s).

It is important to prevent the growth of bacteria by cleaning the CPAP, nebulizer, and oxygen equipment daily. Why?

To prevent dangerous lung infections.

What must you do to make sure you administer medications accurately?

Compare container label with the MAR 3 times make sure if matches exactly

Youre shown a way to admin meds that is different than written in the curriculum, Which one is true

You are legally liable if you do not follow the curriculum

What makes personnel who have medication certification accurate and safe?

Asking questions before taking any action when unsure what to do

When you look up your certification on the DODD website, you discover it expired 12 days ago. Now what do you need to do

DONT pass any meds until you renew your cert within 60 days past expiration

If compression hose are NOT put on correctly, what dangerous complications could occur?

Damage to the leg by cutting off circulation.

Check O2 sat every 4 hrs if the reading is 92 or lower give 2 liters O2 by nasal cannula for 4 hrs What does this mean

Reading is 92 or lower give O2 at 2 liters for 4 hrs then recheck pulse ox

Mary self-administered her medications without assistance. Which of the following is true?

Report any problems you notice & if she asks you can help with her meds

The MAR shows meds to be given at 8am & others to be given at 9am. How do you know if these can be given together

A healthcare professional or the medication information sheet said it is ok

A client requires new equipment you have never used with them. What do you need to do before utilizing for first time

Must receive training on how to use the new equipment properly with Brian.

You offer 6pm meds at 6pm, 6:15pm, 6:40pm & 7pm. He keeps refusing. It is now 8pm and he wants to take the med. What Now

Contact a healthcare professional to see the latest time it can be given

The daily routine for a person with diabetes is to look closely at their feet and between the toes for?

Sores redness white spots cracks or other skin issues that need reported

If you have questions about any medication order, what must you do before you give the medication?

Call a healthcare professional for clarification

MAR/TAR lists a (BP) check before giving a specific medication. The MAR/TAR says to hold the med if BP is below 90/60.

if either number is lower than 90/60, hold medication, and notify manager

Which of the following are the 6 Rights of safe medication administration? The Right:

Individual, medication with strength, dose, route, time, and documentation.

What is the correct way to give medications by mouth (orally)?

Stay with the person until you are certain the med has been swallowed

How do you correct a mistake you have made when you are writing a note in the person’s legal record?

Put a single line through it, write “void” or “error” put initials/date

Medication errors can be caused by:

Comparing the container label to the MAR only two times

How do you document on the MAR any time a medication is held, declined, missed, or given late?

Enter your initials and circle them; then write an explanation on the back.

After administering an AS-NEEDED medication, what information must you always document on the MAR?

Your initials, time given, and if it was effective or not.

You have medications that need to be disposed of. What do you need to do next?

Document the date, name, strength, amount of meds and method of disposal.

When administering ear (otic) medication to an adult:

Pull the outer ear lobe back and up to straighten the ear canal

A person exhibits symptoms that could be high or low & you cannot test to be sure. What should you do immediately?

Give the person a source of sugar

Sat at 10am Pattys PCP calls & states to hold her Gabapentin for 2 doses. Which doses are held and when is the next dose

Hold the 12pm and 5pm doses. Give the 9pm dose.

You have been giving meds to Sara for months. Today, one of the medication refills looks different. What should you do?

Make sure the description of the med matches on the label and container

An important thing to remember when you administer medication by a transdermal patch is

Call health professional if the patch falls off before it is to be replaced

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Med Cert 1 Test Review

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Answers

1
Check each med pharmacy label against its entry on the MAR. The MEDICATION NAME has been WRITTEN WRONG onto whose MAR
Patty Person
Ida Individual.
Susan Self.
All medication names are written correctly (right).
2
Which one of the following statements is true?
May never fill/admin from a pill caddy unless the client is self med passer
You can fill the pill caddy & administer the meds to the person from caddy
can admin meds to the person from caddy if filled by a nurse or pharmacist
A person must fill their own pill caddy and take their meds from the caddy
3
A med needs to be given late. After completing an Unusual Incident, the documentation of a late med must also include
Leaving the space on the MAR blank to indicate the medication was not given
Put an X in the correct space on MAR to indicate the med was not given
Initials circled on the MAR, explanation on the back stating what happened
The exact time the med was given written under your initials on the MAR
4
You check the vitals of a client what should you do next?
Vital signs are outside the normal range, document and contact Supervisor
Vitals signs are outside the normal range, document and contact provider
Document and keep checking with the person to see if they feel any better
Document the vital signs per your agency’s policy.
5
You took the initial med admin certification or a renewal class. How do you know you can legally administer medication?
Confirm dates with the DODD email or look them up on the DODD wwbsite
you can give medications while waiting for certification to post online
Because the RN trainer said you passed the test.
Have your RN trainer write a letter that shows you passed the class
6
When administering eye (ophthalmic) medication:
Never let the tip of the applicator touch the person or anything else
Warm the medication in hot water for 5 minutes before putting it in the eye
Put the lid of the med in your pocket so it will not fall on the floor.
Have the person rub their eyes to spread the med around once administered
7
You are at a new location, you never met the person before. How do you assure the right med goes to the right person
Ask one of their housemates who the person is.
Call their name before giving them their medication
Confirm their identity with a picture or another staff who knows the person
Ask them directly if they are the right person.
8
Whose MAR has the medication administration TIMES WRITTEN CORRECTLY?
Susan and Patty.
Susan and Ida.
Patty only
Ida and Patty.
9
When documenting a temperature, you include the time, date, and what other information.
Above normal range using an ear thermometer.
Within normal range using a digital thermometer.
The Route it was taken I.E oral, tympanic, rectal
99.6 degrees using an oral thermometer.
10
The most important reason to do all 3 MAR checks every time, before giving a medication is:
To make medication administration take longer
To assure the safety of the person.
To validate the number of refills
To see if the medication dose needs changed
11
Every time you administer a medication you must know
The prescription number and the date the medication was prescribed
The exact date you need to call the pharmacy for a refill
The name and phone number of the person who prescribed the medication
What med is for & who to tell if side effects or if it is not working
12
The IST you received for Joe informed you that he has seizures. What should you do if Joe has a seizure?
Hold Joe in place to keep him safe
Place something padded in his mouth to keep his tongue in place.
Tilt his head back to maintain an open airway
Stay with Joe and provide for his safety
13
You took a person to the doctor and the doctor changed a medication dose. What do you need to do with this information?
Leave the paperwork on the supervisor’s desk.
Nothing, since the medication change was sent to the pharmacy.
Notify only your coworkers of the medication change
Immediately contact (nurse, supervisor, etc.) to notify them of the change
14
When giving a sublingual (under the tongue) tablet, you must:
Tell the person to chew the med & not swallow it until you count to 30
Have the person hold the medication under the tongue until it totally melts
Have the person hold the med on top of their tongue until it melts entirely
Immediately give a drink to rinse the taste of the med out of their mouth.
15
As part of the IST you received for Sally, you were told she has a high tolerance to pain. What do you need to do
Ask doctor to prescribe med Sally must take every day to prevent any pain.
Ask Sally daily if she is OK so you can report her complaints
Do not allow Sally to do any sports, she will not know if she gets hurt
Observe movements behavior or actions and report abnormal findings
16
When transcribing, certified personnel are required to initial and date their entry on the MAR. What should happen next?
No further action is required, everything has been completed.
Another certified person verifies transcription & adds their initials/date
Another personnel initials and date the entry even if they arent certified
The MAR book needs to be returned to its proper place.
17
If you do not follow the step-by-step instructions and do not confirm all 6 Rights for every medication, every time:
Mistakes can be made that hurt or even kill people
Agency policy/supervisor will protect you from a MUI & the Abuser Registry
Youre protected from liability as long as you remember all the persons meds
Nothing bad will happen as long as you follow your supervisors instructions
18
While checking the MAR for what medications need to be administered, personnel should:
Confirm that previous medications were given and documented on the MAR.
Ask the person if they have already taken their medications
Check the MAR or signature log to make sure all personnel have signed it
Call doctor to make sure all meds listed on the MAR are still current.
19
When checking a person’s blood sugar by using a finger stick
Choose a different finger so the fingers do not get sore or calloused
Wipe their finger with an alcohol swab or hand sanitizer before sticking it
Stick their finger as hard as you can so you do not have to stick it again
Hold and squeeze the finger for at least 5 minutes before sticking it
20
3 people who are all scheduled to receive meds at 8pm. What is the safest way to prepare and administer the medications?
Prepare medications for all 3 people and then administer them one at a time
Prepare & admin all the meds then document after all 3 received their meds
Prepare, administer and document one person’s medication at a time
Prepare meds ahead of time, store them in separate places & admin at 8pm
21
Which AS NEEDED (PRN) order for Tylenol is written in the right way on the MAR?
Tylenol 500mg 1 tablet by mouth every 6 hrs as needed for headache.
Tylenol 500mg 1-2 tablets by mouth every 6 hrs as needed for headache
Tylenol 500mg by mouth every 4-6 hours as needed for headache
Tylenol 1 tablet by mouth every 4 hours as needed for complaint of headache
22
You noticed Gladys didn't take her seizure med yesterday. She said it is because it upsets her stomach. What do you do?
Notify her provider, document the notification and any instructions given
Nothing, it is her right to not take her medication if she does not want to
Notify your supervisor by leaving a sticky note on the MAR
Tell your coworkers to hide the med in food as she took it that way before
23
The step-by-step procedure for the administration of medication states to place your initials on the MAR:
Whenever it is most quiet, either before or after the medication is taken.
Immediately after the person has been given the medication(s).
By end of shift or if you are running late document first thing next shift
As each medication is put in the dispensing cup.
24
It is important to prevent the growth of bacteria by cleaning the CPAP, nebulizer, and oxygen equipment daily. Why?
To assure the nose pillows, mask or nasal cannula are less irritating.
To prevent dangerous lung infections.
To keep the equipment functioning properly.
To prevent the person from having bad breath.
25
What must you do to make sure you administer medications accurately?
Give the medication if a nurse or a supervisor set them up for you.
Compare container label with the MAR 3 times make sure if matches exactly
Use a different cup for each medication given to the person.
If the MAR & container label differ follow the directions on the container.
26
Youre shown a way to admin meds that is different than written in the curriculum, Which one is true
It is OK to follow their directions because they know agency policy
Provided know the 6 Rights you do NOT need to follow the curriculum.
You are legally liable if you do not follow the curriculum
It is OK to do what your supervisor tells you if it is easier & saves time
27
What makes personnel who have medication certification accurate and safe?
Working for the same agency and supporting the same people for many years
Being able to figure out what to do to not bother others with questions.
Being medication certified for many years
Asking questions before taking any action when unsure what to do
28
When you look up your certification on the DODD website, you discover it expired 12 days ago. Now what do you need to do
You MAY continue passing meds for 60 days past your expiration date
Do NOT pass any meds until you retake the full med class within 60 days
DONT pass any meds until you renew your cert within 60 days past expiration
Continue passing meds if you are signed up for a course during the 60 day
29
If compression hose are NOT put on correctly, what dangerous complications could occur?
Buildup of fluid in the lungs, hands, and feet.
Damage to the leg by cutting off circulation.
Stiffening of the knee joint.
Lowering of blood pressure.
30
Check O2 sat every 4 hrs if the reading is 92 or lower give 2 liters O2 by nasal cannula for 4 hrs What does this mean
Google what to do for a reading of 92 or lower
Reading is 92 or lower give O2 at 2 liters for 4 hrs then recheck pulse ox
Reading is 92 or lower give O2 at 4 liters until O2 level is 93 or more
Only check if the person is in distress and give O2 at 2 liters for 4 hours
31
Mary self-administered her medications without assistance. Which of the following is true?
Help Mary initial MAR for each of the medications she self-administers
You should put Mary’s medication(s) in a pill minder
Report any problems you notice & if she asks you can help with her meds
You do not need to know anything or report any suspected problems.
32
The MAR shows meds to be given at 8am & others to be given at 9am. How do you know if these can be given together
A healthcare professional or the medication information sheet said it is ok
You have an hour before and an hour after the scheduled time to pass meds
Your immediate supervisor tells you it is ok to give them together.
Because these medications have always been given together
33
A client requires new equipment you have never used with them. What do you need to do before utilizing for first time
Must receive training for the new equipment if you feel unsure how to do it
Do not need additional training you have experience from another client
Must receive training on how to use the new equipment properly with Brian.
Dont need training you had IST after you were initially certified
34
You offer 6pm meds at 6pm, 6:15pm, 6:40pm & 7pm. He keeps refusing. It is now 8pm and he wants to take the med. What Now
Contact a healthcare professional to see the latest time it can be given
Hide the med in food so he does not know he is taking the medication.
Give the med since any evening meds can be given late up to 12am (midnight)
Do not give the medication since no medication should ever be given late.
35
The daily routine for a person with diabetes is to look closely at their feet and between the toes for?
The length of their nails to see if you need to file or trim them.
Sores redness white spots cracks or other skin issues that need reported
The condition of nail polish to see if it is time for a repaint or pedicure
Hammer toes bunions fallen arches or other deformities that need reported
36
If you have questions about any medication order, what must you do before you give the medication?
Ask the person who takes the medication to clarify the order for you.
Call the supervisor to answer the question you have about the medication.
Ask another certified personnel to clarify the order
Call a healthcare professional for clarification
37
MAR/TAR lists a (BP) check before giving a specific medication. The MAR/TAR says to hold the med if BP is below 90/60.
If either number is lower than listed, give the med & notify manager
Give med & then record BP on MAR only if it is outside the specified range
if either number is lower than 90/60, hold medication, and notify manager
Give the medication even if the person does not want to have their BP taken
38
Which of the following are the 6 Rights of safe medication administration? The Right:
Individual, medication with strength, dose, route, time, and documentation.
Individual, medication with strength, dose, route, Rx number, doctor.
Individual, medication with strength, dose, Rx number, time, doctor
Medication with strength, dose, route, time, doctor, documentation
39
What is the correct way to give medications by mouth (orally)?
Stay with the person until he/she promises to take the medication.
Put the meds directly in the person’s mouth, whether they want it or not
Place meds on table with meal so it can be taken when the person is ready
Stay with the person until you are certain the med has been swallowed
40
How do you correct a mistake you have made when you are writing a note in the person’s legal record?
Neatly & completely erase the mistake then write the correct information
Put a single line through it, write “void” or “error” put initials/date
Scratch out mistake so it cant be read then write the correct information.
Use white out before continuing the entry with the correct info
41
Whose MEDICATION ORDER was transcribed with NO MISTAKES on the MAR?
Susan
Patty and Ida
Patty
Ida.
42
Medication errors can be caused by:
Documenting the admin of med(s) immediately after the medication is taken.
Comparing the container label to the MAR only two times
Preparing and administering only one person’s medication at a time
Making sure the person swallows the medication before leaving them alone
43
How do you document on the MAR any time a medication is held, declined, missed, or given late?
Enter your initials and circle them; then write an explanation on the back.
Record nothing. Leave the space blank.
Make up a code for the reason it was held declined, missed, or given late.
Leave the space blank and write an explanation on the back.
44
After administering an AS-NEEDED medication, what information must you always document on the MAR?
The names & phone numbers of who you informed after giving the medication.
Your initials, time given, and if it was effective or not.
Your initials and the name of the doctor who ordered the medication.
The manufacturer’s name & side effects listed on medication package.
45
You have medications that need to be disposed of. What do you need to do next?
Document the date, name, strength, amount of meds and method of disposal.
Store the meds in a container to be emptied when the container gets full.
Nothing. Leave the meds so your supervisor can dispose of them later
Pour the medications into the toilet and flush the toilet two times
46
When administering ear (otic) medication to an adult:
Have the person lie down for at least one hour so the med does not drip out
Pull the outer ear lobe back and up to straighten the ear canal
Put cotton ball as deep as you can in their ear, so the med doesnt drip out
Use a Q-tip to clean inside the ear canal before putting the med in the ear
47
A person exhibits symptoms that could be high or low & you cannot test to be sure. What should you do immediately?
Give the person a source of sugar
Call 911.
Take the person to the closest health care facility to be checked.
Take the person home.
48
Sat at 10am Pattys PCP calls & states to hold her Gabapentin for 2 doses. Which doses are held and when is the next dose
Hold the 5pm and 9pm doses. Give the 8am dose the next day
Hold no doses because she takes this medication for her seizure disorder
Hold the 5pm then give the 9pm dose.
Hold the 12pm and 5pm doses. Give the 9pm dose.
49
You have been giving meds to Sara for months. Today, one of the medication refills looks different. What should you do?
Make sure the description of the med matches on the label and container
Give the medication anyway because it came directly from the pharmacy.
Ask the other person or your supervisor if it is OK to give this medication
Do not give this medication and leave a note on the MAR
50
An important thing to remember when you administer medication by a transdermal patch is
Avoid washing the area covered by the patch so the med can keep working
Call health professional if the patch falls off before it is to be replaced
To always place the patch in the same place on the person’s body.
That it is OK to apply the patch on top of scars, calluses, and bruises

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