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A sign of the onset of diabetic ketoacidosis is breath that smells _____________________.
a. Sour
b. Sweet or fruity
c. Garlicky
d. Oniony
b. Sweet or fruity
The gallbladder, rectum, and esophagus are part of the
a. Respiratory system
b. Digestive system
c. Nervous system
d. Endocrine system
b. Digestive system
An individual with a history of depression refuses her regular scheduled medications, you should
a. contact the manager/designee to report the refusal
b. contact the family to notify them of the refusal
c. crush the medications and mix them in food to disguise them
d. discard the medication and document the waste appropriately
a. contact the manager/designee to report the refusal
When an individual wants to know what their medications are for, the certified staff should tell them they
a. Are not permitted to provide this information.
b. Do not need to know what the medication is for.
c. Have the right to know what the medication is for. Then have the assigned medical staff proceed to tell the individual what their medications are for.
d. Are not allowed to refuse to take the medication.
c. Have the right to know what the medication is for. Then have the assigned medical staff proceed to tell the individual what their medications are for.
Which of the following is one of the six rights of medication administration?
a. Right bed
b. Right individual
c. Right form
d. Right container
b. Right individual
A violation of the six main rights of medication administration is when
a. The medication administration was missed while the individual was away
b. The individual refused his/her medication
c. You gave one pill and two were ordered
d. You forgot the 9am daily dose and it is now 10am
c. You gave one pill and two were ordered
When you report an individual's refusal, you are protecting the
a. State of Arizona
b. Individual
c. Pharmacist
d. DHS
b. Individual
Which of the following is one of the main six rights of medication administration?
a. Right package
b. Right strength
c. Right route
d. Right day
c. Right route
Which of the following correctly list three ways to identify the "right individual" before you assist with medications
a. Ask the individual their name, ask a coworker to verify the individual's name, ask another individual to verify the individual's name
b. Ask the individual their name, ask a coworker to verify the individual's name, check the individual's photo in their chart
c. Ask the individual their name, leave the room, ask another individual to verify the doctor's name
d. Ask the individual their name, ask two other individuals to verify their name
b. Ask the individual their name, ask a coworker to verify the individual's name, check the individual's photo in their chart
When inserting rectal suppository, the individual should be
a. Lateral with bottom leg bent
b. Lateral with upper leg bent
c. Supine with bottom leg bent
d. Supine with upper leg bent
b. Lateral with upper leg bent
A liquid contains 25 mg per 5 ml of a medication, the health care provider has ordered 50mg, you should administer
a. 2.5 ml
b. 5 ml
c. 7.5 ml
d. 10 ml
d. 10 ml
Some medications should NOT be given with
a. Oxygen
b. Food
c. Water
d. All of the above
b. Food
The health care provider ordered lanoxin 0.5 mg by mouth. You have lanoxin 0.25 mg tablets. You should administer
a. ½ a tablet
b. 1 tablet
c. 1 ½ tablets
d. 2 tablets
d. 2 tablets
An individual's difficulty taking oral medications is more likely affected by
a. Cavities
b. Swallowing
c. Age
d. Lifestyle
b. Swallowing
A common site for an insulin injection is in
a. The abdomen
b. One of the lower legs
c. One of the forearms
d. A vein
a. The abdomen
The physician orders 500 mg of methocarbamol (Robaxin). The tablets come in 1500 mg tablets. You should give
a. No tablets
b. ½ a tablet
c. 2 tablets
d. 3 tablets
a. No tablets
The nurse practitioner ordered Propranolol (Inderal) 30mg. The strength is 10mg per tablet. You should administer
a. ½ of a tablet
b. 2 tablets
c. 3 tablets
d. 10 tablets
c. 3 tablets
An individual has been receiving 5mg of prednisone three times a day by mouth for the last four weeks. Today the individual is to receive 2.5mg of prednisone three times a day by mouth for two weeks. The correct course of action is
a. To refuse the medication because the dosage has changed
b. To administer as ordered
c. Question the dosage change
d. Give 2 tablets
b. To administer as ordered
Ms. Larsen has regularly scheduled oral meperidine (Demerol) due at 9:00am. You administer it on time. The correct action is to
a. Administer the meperidine and document on the MAR
b. Assess Ms. Larsen for pain before and after the administration of meperidine
c. Administer the meperidine to Ms. Larsen and Document on the MAR and controlled substance log
d. Administer the meperidine to Ms. Larsen and ask the nurse to document on the MAR and controlled substance log
c. Administer the meperidine to Ms. Larsen and Document on the MAR and controlled substance log
A single vial of insulin is good for
a. Four individuals
b. Three individuals
c. two individuals
d. One individual
d. One individual
When applying an ointment to a resident, you should
a. Apply to the larger area of the body
b. Rub it all over the body
c. Massage to the skin firmly
d. Use gloves to apply the ointment
d. Use gloves to apply the ointment
Medications are divided into classifications depending upon
a. How they are administered
b. How expensive they are
c. How many side effects they cause
d. How they affect a body system
d. How they affect a body system
One of the residents is at the dining table and it's time to get her insulin shot. What should you do?
a. Give the resident their insulin where they are sitting at the dining table
b. Ask the resident to stand up and walk around first
c. Take the resident to a private area
d. Wait until the resident is ready to go to bed before giving them the insulin shot
c. Take the resident to a private area
Open insulin is best described as
a. still good up to a month with proper storage
b. no good as soon as you open it
c. can be shared with any individual
d. can be kept it in the freezer to keep it fresh when needed
a. still good up to a month with proper storage
The units on a filled syringe should be measured
a. where the black line of the plunger meets the barrel
b. where the tip of the plunger lines up on the barrel
c. with the syringe lying down on a counter
d. with the syringe upside down
a. where the black line of the plunger meets the barrel
A side effect of antipsychotics is
a. Urinary retention
b. Diarrhea
c. Reduced night vision
d. Increased urination
a. Urinary retention
Eye drops may be administered daily for which one of the following conditions
a. Kidney disease
b. Diabetes
c. Macular degeneration
d. Arthritis
c. Macular degeneration
Which of the following warning signs might accompany a prescription?
a. Take only with alcohol
b. This medication is available in a generic form
c. This medication may cause drowsiness
d. Take randomly throughout the day
c. This medication may cause drowsiness
A person takes a new medication. Three hours later he breaks out in a rash, the cause could be
a. allergic reaction
b. therapeutic effect
c. paradoxical effect
d. medication interaction
a. allergic reaction
NSAIDs decrease
a. Body temperature
b. Blood pressure
c. Blood sugar
d. Stomach ulcers
a. Body temperature
Which of the following individuals would respond best to oral hypoglycemic medications?
a. Over 40 years of age and has had diabetes more than 5 years
b. Over 40 years of age and has had diabetes less than 5 years
c. Morbidly obese with inconsistent diet
d. Has been receiving insulin with blood sugar control
a. Over 40 years of age and has had diabetes more than 5 years
Coumadin is the medication to
a. Decrease blood clots
b. Increase the palpitation of the heart
c. Increase blood flow
d. Decrease blood pressure
a. Decrease blood clots
When getting an over-the-counter medication from the medication cabinet, you notice that a significant amount of medication is missing. Which of the following is the best course of action?
a. Report the medication loss to Department of Health
b. Complete a medication error report
c. Report the medication loss to the manager
d. Call a certified staff member from the previous shift
c. Report the medication loss to the manager