The resident in room 220 had trouble swallowing breakfast this morning. The CMA’s best course of action is to do what?

Hold the med and tell the nurse of the resident’s difficulty swallowing

Which of the following actions could lead to a battery charge?

You complete an ordered procedure over the objections of the resident

Your supervisor is running late to work and asks you to begin your med pass without her. Your correct response is

No medications can be administered without supervision.

One important way to note if a resident's behavior is different form the norm is by doing what?

Being familiar with resident's normal behavior

A physician says, “Change Mrs. Smith’s Tylenol to a rectal suppository instead of P.O.” The CMA then does what?

Tells the physician that the CMA cannot take orders but will get the nurse

Which of the following is the responsibility of the Medication Aide?

Giving PRN medications ordered after checking with the resident’s nurse

The Medication Aide is responsible to know the medical information of whom?

Residents he/she is assigned to

The CMA notices that pain medication is now double the dose it was the last time it was given. The CMA should do what?

Bring the MAR to the nurse to check it against the physician’s order

Which of the following is a reason for an Medication Aide to suspect a resident may be a victim of physical abuse?

Refusal of patient to see any visitors

The Med Aide is responsible for administering what?

Medications under the direct supervision of a nurse.

The definition of drug diversion is

Taking a resident's medication for a med aide's own use

Why is it important for you as the Medication Aide to introduce yourself to the residents?

To build relationships with the residents.

Which two identifiers are used to recognize a resident before giving a medication?

Have the resident state his/her name and check the identification band

Which of the following actions demonstrates the correct storing of a medication?

All medications are stored in their own prepackaged containers.

An example of a contraindication to giving a patient a particular medication is that the patient:

Has an allergy to the medication

Diuretics are primarily prescribed for a patient who has which of the following conditions?

Swelling of the feet and ankles

A Med Aide going on break hands you a pill and asks you to administer it to a resident. What will you do?

Refuse to give the medication because it cannot be properly identified.

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Medication Administration Mayo 2020

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1
To properly administer a liquid medication that is a suspension, it must be
Shaken to thoroughly mix it.
Rolled gently between the palms of the hands to mix it.
Mixed with water from the faucet
Administered as is; no need to mix it.
2
The resident in room 220 had trouble swallowing breakfast this morning. The CMA’s best course of action is to do what?
Hold the med and tell the nurse of the resident’s difficulty swallowing
Change the medication route to rectal instead of by mouth
Give the medication slowly with ample water
Call the provider to report the resident’s difficulty swallowing
3
Before giving a medication, the label is checked for all of the following except what?
Expiration date
Dosage
Cost
Name
4
Diuretics are ordered first for high blood pressure for all of the following reasons except which one?
They decrease urination
They work the best
They have the lowest side effects
They work the most quickly
5
Levothyroxine(Synthroid)is given for thyroid issues. Which of the following ADR effects can this medication cause?
Fast heart rate
Low blood pressure
Slow heart rate
High blood pressure
6
Medication orders must be complete and written in a specified format. This format includes all the following except?
Pharmacist's signature
Patient's name
Dose
Name of the drug
7
Which of the following actions could lead to a battery charge?
You stop a procedure when ask to do so by the resident
You complete an ordered procedure over the objections of the resident
You explain a procedure and answer resident questions before the procedure.
You do a procedure after explaining it and asking permission
8
"Give ibuprofen for pain every 6 hours as needed." What component of the physician order is missing?
The dose
The route
The condition
The frequency
9
What medication is often prescribed for depressive disorder symptoms?
Promethazine
Rifampin
Amitriptyline
Propranolol
10
Thirty milliliters (mL) is equal to what?
2 tablespoons
1 tablespoon
1 teaspoon
2 teaspoons
11
Which of the following is an example of a trade name?
lisinopril
quinapril
Accupril
ace-inhibitor
12
A resident complains of severe itching. You observe raised, irregular patches on the person’s skin. This may be what?
Cancer
Hives
Fungus
Measles
13
Dosages are calculated by weight for which group of patients?
Children
Pregnant women
Military personal
Athletes
14
Drug administration errors occur most frequently under which of the rights of medication administration?
Right medication
Right dose
Right patient
Right time
15
CHF is the abbreviation for
Metered dose inhaler
Congestive heart failure
Medication Administration Record
By mouth
16
Topical medications are given how?
Orally
By inhalation
Via a mucous membrane
Intravenously
17
Unlawful personal violence toward a resident is the definition of what
Battery
Abuse
Assault
Neglect
18
Your supervisor is running late to work and asks you to begin your med pass without her. Your correct response is
All medications can be administered without the nurse present.
Routine medications can be administered without the nurse present
No medications can be administered without supervision.
No PRN medications can be given without appropriate supervision.
19
One important way to note if a resident's behavior is different form the norm is by doing what?
Check with the CNA who cared for the resident last week
Asking the resident whether this behavior is usual for him or her
Asking the supervisor about each resident's normal behavior
Being familiar with resident's normal behavior
20
The Med Aide may appropriately complete which of the following actions?
Administering medications.
Evaluating the effectiveness of medications.
Assessment of the resident's condition.
Ordering medications.
21
A physician says, “Change Mrs. Smith’s Tylenol to a rectal suppository instead of P.O.” The CMA then does what?
Tells the nurse so the nurse can write the verbal order in the chart
Tells the physician that the CMA cannot take orders but will get the nurse
Writes the order in the chart for the nurse to sign
Quickly writes down the order on the MAR to be sure it is written correctly
22
Which of the following is the responsibility of the Medication Aide?
Converting medication dosage from milligrams to micrograms
Withholding a patient medication without reviewing it with the nurse first
Giving the first dose of a newly ordered medication to the client
Giving PRN medications ordered after checking with the resident’s nurse
23
Most drugs are excreted through what?
Liver and pancreas
Skin and sweat
Urine and feces
Lungs and saliva
24
Which of the following medications may be appropriate to crush for easier swallowing?
Enteric-coated aspirin
Tylenol
Contact time-release capsule
Inderal XL
25
The Medication Aide is responsible to know the medical information of whom?
All residents on the unit or floor
Residents he/she is assigned to
Residents assigned to their supervising nurse
All residents at their place of employment
26
When a medication is ordered to be given PO, how is it given?
Instilled in the nasal cavity
By mouth
Placed in the cheek
Placed under the tongue
27
The CMA notices that pain medication is now double the dose it was the last time it was given. The CMA should do what?
Withhold the med and let the next shift give if requested by the resident
Bring the MAR to the nurse to check it against the physician’s order
Give the medication because the resident has been having more lately
Ask the resident whether the dose is correct
28
Which of the following is a reason for an Medication Aide to suspect a resident may be a victim of physical abuse?
Refusal of patient to see any visitors
Frequent crying or periods of sadness or withdrawal
Skin tears on the forearm
Bruises in various stages of healing
29
The Med Aide is responsible for administering what?
Medications by all routes.
Only the medications learned in school.
Medications under the direct supervision of a nurse.
Expired medications.
30
A couple of antipsychotics are known to have caused cases of muscle pain/ breakdown. This drug reaction is known as
Paradoxical
Antagonist
Idiosyncratic
Agonist
31
What is the average daily dose of the oral hypoglycemic glyburide (Glucotrol)?
5 mg to 10 mg TID
2.5 mg to 20 mg BID
2.5 mg to 20 mg QID
2.5 mg to 20 mg daily
32
Which of the following is not a right of medication administration followed to prevent medication errors?
Right dose
Right size
Right person
Right drug
33
The most common S/E of the diabetic drug metformin is what?
Sleepiness
Diarrhea
Change in pH
Low blood sugar
34
Order: 5mg of a medication. The medication is supplied as 10mg in 10mL. How many mLs will you give?
10 mLs
2.5 mLs
15 mLs
5 mLs
35
All of the following are types of topical medications except which one?
Foams
Ointments
Syrups
Gels
36
The CNA requests that you give a resident pain medication. Your next step is to clarify the request with?
The supervisor.
The resident.
Another CNA.
The resident's roommate.
37
All of the following are types of oral medications except for what?
Lotions
Syrups
Coated tablets
Powders
38
The reaction to antihyperglycemic medication that causes a person to shake and feel nervous is known as what?
Hypoglycemia
Hyperthyroidism
Hyperglycemia
Hypothyroidism
39
The definition of drug diversion is
Another name for a convulsion
A topical medication that is semisolid and has an oily base
Taking a resident's medication for a med aide's own use
The body in a steady state
40
Which of the following is an example of an ethical dilemma?
Stealing
Slander
Abuse
Euthanasia
41
Which of the following choices below is the best source for keeping up-to-date drug information?
Drug pamphlets
Electronic resources
Pharmacology books
Pharmacists
42
When a medication is ordered to be given sublingually, it is given how?
Placed in the cheek
Instilled in the nasal cavity.
Placed under the tongue
By mouth
43
When patients are taking metronidazole (Flagyl), they should avoid which of the following?
Fatty foods
Alcoholic beverages
Sweetened beverages
Salty foods
44
All side effects of medications are anaphylactic drug reactions
False
True
45
Why is it important for you as the Medication Aide to introduce yourself to the residents?
To build relationships with the residents.
For the resident to know who is in charge.
Tp adhere to proper etiquette.
For the residents to be able to call you if needed.
46
Which two identifiers are used to recognize a resident before giving a medication?
Check the identification band and check the bed number
Have the resident state his/her name and check the room number
Have the resident state his/her name and check the identification band
Room number and identification band
47
Which of the following actions demonstrates the correct storing of a medication?
Once opened, all meds are kept in the cart, despite package directions.
Medications with similar names are stored close together.
Mr. & Mrs. Jones's medications are in the same medication storage bin.
All medications are stored in their own prepackaged containers.
48
An example of a contraindication to giving a patient a particular medication is that the patient:
Has an allergy to the medication
Had an upset stomach the last time the medication was taken
Has taken the medication before
Has diarrhea when taking the medication
49
Diuretics are primarily prescribed for a patient who has which of the following conditions?
Swelling of the feet and ankles
Feelings of light-headedness upon standing
Low sodium levels of the blood
Low blood pressure
50
The definition of homeostasis is
Taking a resident's drug for the med aide's own use
A topical medication that is semisolid and has an oily base
The body in a steady state
Another name for a convulsion
51
A Med Aide going on break hands you a pill and asks you to administer it to a resident. What will you do?
Give the medication right away.
Refuse to give the medication because it cannot be properly identified.
Refuse to do the other Med Aide's job.
Ask the Med Aide what the medication is and give it if it
52
Mr. Jones requests for you to leave the meds on the bedside table for him to take later. What will you do?
Leave the medication as requested by Mr. Jones.
Inform the doctor Mr. Jones is refusing to take his prescribed medication.
Advise you supervise that Mr. Jones refused to take the medication.
Request Mr. Jones to call for you when he is ready to take his medications.
53
Which of the following is an action of an antiviral?
Prevents the virus from making more virus
Kills the virus
Subdues the virus so that the body's own defenses can take care of it
Increases killer T cells o destroy the virus
54
Which of the following is not a role limitation of an Medication Aide?
Make decisions that might include withholding medications
Observe the client’s need for, or response to, medications, including PRNs
Report changes in client status to ensure client comfort and safety
Call the physician about client status or need for medication
55
Which of the following is a medication given to regulate the heart and requires blood levels?
Aspirin
Lanoxin
Lovenox
Nitroglycerin
56
When a person requires higher dosages of a medication to produce the same effects this condition is called what?
A cumulative effect
Tolerance
Dependence
57
Clarinex is a medication that is available over the counter. The drug's action is to reduce what?
Allergy symptoms
Gas
Stomach upset
Pain from arthritis
58
A medication is given for anxiety but causes the resident to become more anxious, this is called a(n) _______ effect.
Agonist
Idiosyncratic
Paradoxical
Antagonist
59
When administering medication into the ear canal of an adult, it is important to do what?
Pull the pinna of the ear up and back
Not touch the tragus of the ear
Pull the pinna of the ear down and back
Push the ear tragus forward
60
MAR is the abbreviation for
Medication Administration Record
Metered dose inhaler
By mouth
Congestive heart failure
61
A resident with no order for an analgesic complains of a headache. The best course of action for the CMA is
Call the physician and get an order for an analgesic
Tell the nurse of the request for pain medication and lack of order
Give two Tylenols tablets and tell the nurse they were administered
Give two Tylenol tablets and record as usual
62
When is it not necessary to read a drug label?
Before pouring the medication
Before giving the medication
After giving the medication
After removing the medication from the medication drawer
63
Requip is used to treat restless leg syndrome and Parkinsonism. What type of drug is Requip?
Antagonist
Idiosyncrate
Agonist
Paradoxical
64
Which of the following is not a side effect of phenytoin (Dilantin)?
Confusion
Sleepiness
Rash
Hyperactivity
65
Residents have the right to refuse to take medications.
False
True
66
Metoclopramide (Reglan) is given when
1 hour before meals and a bedtime
30 minutes before meals
1 hour before meals
30 minutes before meals and at bedtime
67
For maximum absorption of a sublingual medication
It should be given with a full glass of water
No food or fluids until the medication is fully dissolved.
The medication must be placed on the tip of tongue.
The medication should be placed at the back of the tongue.
68
Which of the following is an incorrect statement regarding the application of nitroglycerin cream?
Do not place the medication on the same area of skin with each application.
Apply an accurate dose.
Rub the cream into the skin.
Apply the medication to an area of the skin that is not open.
69
Which of the following are used to classify medications?
Side effects
Contraindications
Interactions
Actions or indications
70
What medication administration route has the slowest onset of action?
Intramuscular
Oral
Intravenous
Subcutaneous
71
Verbal communication skills include speaking clearly, at a level residents can understand, avoiding medical jargon and
Interrupting patients when they are taking too long to answer questions.
Using authoritative language to get the resident to follow directions.
Using phrases to stop residents from sharing feelings.
Asking open-ended questions that discourages a yes/no response
72
Which medication requires therapeutic blood levels of the drug to make sure the dose of the medication is correct?
Nitroglycerin
Cardizem
Potassium
Aspirin
73
The definition of ointment is
The body in a steady state
Another name for a convulsion
A topical medication that is semisolid and has an oily base
Taking a resident's drug for the med aide's own use.
74
Antibiotics need to be given on time of all of the following reasons except for what?
To cause the infection to go away quickly
To maintain the blood level
To keep the infection for coming back
To prevent the overgrowth of another infection
75
Which of the following definitions explains the metabolism of a medication?
How the medication is used by the body
Decreases effect over time
An effect not anticipated
Disposal of the drug from the body
76
When the drug naloxone is administered to block the effects of an opioid narcotic, the drug action is known as
Agonist
Idiosyncratic
Paradoxical
Antagonist
77
Medications that need to be kept at a certain temperature are stored in a medication refrigerator. As the CMA, you know
Anything can be kept in the med refrigerator if the temperature is constant
Medications can be kept in any refrigerator.
Only meds can be kept in the med refrigerator, and it must stay locked
Only specimens cannot be kept in the medication refrigerator.
78
The Med Aide is preparing to administer morning medications to residents. What is one important safety rule?
Provide liquids to swallow medications.
Make sure the med carts have charts available to make corrections as needed
Never leave an unattended care unlocked.
Always make sure that all medications are out of sight of other residents.
79
Levothyroxine (Synthroid) should be administered early in the morning, on an empty stomach, and the resident
Will need to wait 3 to 4 hours before eating or drinking anything
Should not eat for at least 1 hour but may drink soda or milk
Should wait 15 minutes before eating
Should wait at least 30 minutes before eating or drinking
80
The Med Aide discovers a resident was given the wrong medication. The Med Aides first action should be what?
Call the physician
Inform the resident
Inform the nurse or supervisor
Call a lawyer
81
Frequently used medication that may be kept in the medication room are commonly referred to as what?
Community shared medication
Computerized dispensing system
Unit dose
Stock med
82
When a medication is ordered to be given in the buccal cavity, it is given how?
Placed in the cheek "pocket"
By mouth
Placed under the tongue
Instilled in the nasal cavity
83
Sharing information with others about the resident that could damage the resident’s reputation is the definition of what
Abuse
Neglect
Libel
Slander
84
Diazepam is a medication used for anti-anxiety and seizure control. To which class/schedule does diazepam belong?
Class I
Class IV
Class II
Class III
85
When the provider orders medications intravenously, it is given
By the nurse or the Medication Aide.
By a family member.
By the nurse
Only by the Medication Aide.
86
Which of the following is a S/E the Med Aide should watch for when giving an antidysrhythmic medication?
Low heart rate
High blood pressure
Increased energy
Fatigue
87
Which of the following may cause a medication error?
Talking with colleagues while administering medications
Following the "rights" of medication administration
Giving a resident their pain medication as requested
Being familiar with the medication
88
The abbreviation for metered dose inhaler is?
MAR
MDI
CHF
PO
89
Maintaining competence refers to the
Knowledge, skills, and attitude necessary to fulfill the role as an CMA.
CMA gaining greater knowledge to perform newer skills.
Person who cannot perform the role of a CMA due to mental deficiency.
CMA who does not have the necessary skills to do something successful.
90
The abbreviation for by mouth is?
MAR
MDI
PO
CHF
91
A rectal medication is inserted approximately ______ into the rectum.
1 inch
5 inches
2 inches
1/2 inch
92
What is the best position to place the resident in to administer a vaginal medication?
Lithotomy
Sims’
Prone
Left lateral recumbent
93
When a drug’s action changes a resident’s response in a positive way, the drug is said to provide a what?
Dose-dependent effect
Threshold effect
Drug action effect
Therapeutic effect
94
Which of the following situations is life threatening?
Idiosyncratic drug reaction
Adverse drug reaction
Allergic reaction
Anaphylactic reaction
95
Medications ordered via inhalation are administered how?
By injection
By breathing in
By placing on the skin
By mouth
96
The nurse tells you that the blood level of a drug is too high. What do you know from that?
The resident is at risk for toxicity
The resident may be taking illegal drugs.
The rate of absorption of the drug is low.
The rate of excretion for the drug is too high.
97
When administering ear drops, you do all of the following except for what?
Massage the ear after administering the medication
Remove any cerumen that may be blocking the medication instillation
Administer the medication to the prescribed ear only
Keep the medication in the refrigerator until just before administering it
98
A med aide can be charged with negligence when he or she administers the correct
Medication
Medication to the right person in the wrong way
Medication to the right person in the right way
Medication to the right person
99
The "rights" of administration include all of the following except for what?
Right medication
Right patient
Right place
Right dose
100
Instilling nasal medication requires the medication tech to position the patient with
His/her neck hyperextended as able.
Lying on his/her back.
Sims’ position
Lying on his/her side.

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